scholarly journals Who does Bolsonaro listen to under emergency conditions? Building a framework for analyzing informal presidential advisory networks during the Covid-19 pandemic in Brazil

2021 ◽  
Vol 12 (1) ◽  
pp. 219-253
Author(s):  
Aglaé Tumelero
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Latin America ◽  
Daily Diary ◽  
Governance Structure ◽  
Information Channel ◽  
Methodological Framework ◽  
Informational Support ◽  
Public Health Emergencies

Despite evidence about the informal advisors of the presidents in Latin America, literature on this topic is still incipient. This article investigates the informational scenario that surrounded the Brazilian president, Jair Bolsonaro, from January to April 2020, a period of presidential decision-making on the measures to face the Covid-19 pandemic. In-depth case study of interactions established by the Brazilian president is developed based on data from the Brazilian President’s Daily Diary. Social Network Analysis (SNA) tools are used to analyze this evidence. The findings suggest that the Ministry of Health (MOH) was not the main information channel for the president at the beginning of the pandemic despite its central role in the national governance structure of public health emergencies. In addition, the analysis shows the president's choice to use the structures of the Presidency as main informational support, including strengthening them through unilateral administrative measures. Finally, the results indicate that there is no evidence that the president combined formal and informal advisory as a strategy to access alternative information to the MOH. The findings should be pondered regarding the partly reliable nature of the President’s Daily Diary as a source of relational data. The study provides a conceptual and methodological framework to identify and measure the presidential informal advisory strategy, contributing to the advance of research on presidential advising in Latin America.  

scholarly journals 18.H. Workshop: Bringing evidence during public health emergencies: addressing the challenge through HTA

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Emergency Preparedness ◽  
Public Health Emergency ◽  
Decision Makers ◽  
Evidence Based ◽  
Public Health Emergencies ◽  
Response Planning ◽  
Emergency Preparedness And Response ◽  
Public Health Emergency Preparedness

Abstract Evidence-based decision-making is central to public health. Implementing evidence-informed actions is most challenging during a public health emergency as in an epidemic, when time is limited, scientific uncertainties and political pressures tend to be high, and irrefutable evidence may be lacking. The process of including evidence in public health decision-making and for evidence-informed policy, in preparation, and during public health emergencies, is not systematic and is complicated by many barriers as the absences of shared tools and approaches for evidence-based preparedness and response planning. Many of today's public health crises are also cross-border, and countries need to collaborate in a systematic and standardized way in order to enhance interoperability and to implement coordinated evidence-based response plans. To strengthen the impact of scientific evidence on decision-making for public health emergency preparedness and response, it is necessary to better define mechanisms through which interdisciplinary evidence feeds into decision-making processes during public health emergencies and the context in which these mechanisms operate. As a multidisciplinary, standardized and evidence-based decision-making tool, Health Technology Assessment (HTA) represents and approach that can inform public health emergency preparedness and response planning processes; it can also provide meaningful insights on existing preparedness structures, working as bridge between scientists and decision-makers, easing knowledge transition and translation to ensure that evidence is effectively integrated into decision-making contexts. HTA can address the link between scientific evidence and decision-making in public health emergencies, and overcome the key challenges faced by public health experts when advising decision makers, including strengthening and accelerating knowledge transfer through rapid HTA, improving networking between actors and disciplines. It may allow a 360° perspective, providing a comprehensive view to decision-making in preparation and during public health emergencies. The objective of the workshop is to explore and present how HTA can be used as a shared and systematic evidence-based tool for Public Health Emergency Preparedness and Response, in order to enable stakeholders and decision makers taking actions based on the best available evidence through a process which is systematic and transparent. Key messages There are many barriers and no shared mechanisms to bring evidence in decision-making during public health emergencies. HTA can represent the tool to bring evidence-informed actions in public health emergency preparedness and response.

scholarly journals The challenge of bringing evidence in decision-making for public health emergencies: can preparedness reach out to HTA?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C E Chronaki ◽  
A Miglietta
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Policy Development ◽  
Digital Health ◽  
Resource Planning ◽  
Public Health Emergency ◽  
Evidence Based ◽  
Public Health Emergencies ◽  
The Impact ◽  
Evidence Based Decision Making

Abstract Evidence-based decision-making is central to public health. Implementing evidence-informed actions is most challenging during a public health emergency as in an epidemic, when time is limited, scientific uncertainties and political pressures tend to be high, and reliable data is typically lacking. The process of including data for preparedness and training for evidence-based decision making in public health emergencies is not systematic and is complicated by many barriers as the absence of common digital tools and approaches for resource planning and update of response plans. Health Technology Assessment (HTA) is used with the aim to improve the quality and efficiency of public health interventions and to make healthcare systems more sustainable. Many of today's public health crises are also cross-border, and countries need to collaborate in a systematic and standardized way in order to enhance interoperability to share data and to plan coordinated response. Digital health tools have an important role to play in this setting, facilitating use of knowledge about the population that can potentially affected by the crisis within and across regional and national borders. To strengthen the impact of scientific evidence on decision-making for public health emergency preparedness and response, it is necessary to better define and align mechanisms through which interdisciplinary evidence feeds into decision-making processes during public health emergencies and the context in which these mechanisms operate. Activities and policy development in the HTA network could inform this process. The objective of this presentation is to identify barriers for evidence-based decision making during public health emergencies and discuss how standardization in digital health and HTA processes may help overcome these barriers leading to more effective coordinated and evidence-based public health emergency response.

scholarly journals Digital Twin for Monitoring Ergonomics during Manufacturing Production

2020 ◽  
Vol 10 (21) ◽  
pp. 7758
Author(s):  
Alessandro Greco ◽  
Mario Caterino ◽  
Marcello Fera ◽  
Salvatore Gerbino
Keyword(s):  
Decision Making ◽  
Decision Making Process ◽  
Methodological Framework ◽  
Production Lines ◽  
Work Activities ◽  
Digital Twin ◽  
Set Up ◽  
Operational Issues ◽  
Smart Factories

Within the era of smart factories, concerning the ergonomics related to production processes, the Digital Twin (DT) is the key to set up novel models for monitoring the performance of manual work activities, which are able to provide results in near real time and to support the decision-making process for improving the working conditions. This paper aims to propose a methodological framework that, by implementing a human DT, and supports the monitoring and the decision making regarding the ergonomics performances of manual production lines. A case study, carried out in a laboratory, is presented for demonstrating the applicability and the effectiveness of the proposed framework. The results show how it is possible to identify the operational issues of a manual workstation and how it is possible to propose and test improving solutions.

scholarly journals Penyaringan Informasi Dalam Pengambilan Keputusan Di Kantor Tata Ruang Kota Makassar

2020 ◽  
Vol 1 (2) ◽  
pp. 105-110
Author(s):  
Munawir Gay Munawir Nawir ◽  
Sri Yuyun ◽  
Masyhadiah Diah
Keyword(s):  
Decision Making ◽  
Qualitative Analysis ◽  
Spatial Planning ◽  
Information Filtering ◽  
Model Analysis ◽  
Good Knowledge ◽  
Information Channel ◽  
Library Research ◽  
Open Process

ABSTRACT This Study aims to review infromation filtering system, explain the procec of decision making, and find out the factors that support infromation filtering in the process of the decision making. The research was conducted as a case study at the office of Spatial Planning and Building Service, Makassar. The data were colected through observations, interviews docomentation, and library research, and were analysed by using the qualitative analysis with the spradly model, analysis of domain and tasxonomi to describe the result of the study. The result several that information filtering is used in making decisions, estabilishing policies, and conducting internal and extenal activities at the Office of Spatial Planning and Building Services, Makassar, Information filtering is also used as a besic referance in making decisions and developing regulations. Communication accure in meetings, and information is given in reports and reutine information channel. Futhermore, the factor that support the information filtering system are : availability of data information, the open process information filtering in making decisions, good knowledge about the scope of the problem, responsibility for assigned tasks, and communication in the organisation (internal and external) and all working units.Key Word: Information Filtering

scholarly journals How Local Governments Are Caring for the Homeless During the COVID-19 Pandemic

2020 ◽  
Vol 50 (6-7) ◽  
pp. 650-657 ◽  
Author(s):  
Abraham David Benavides ◽  
Julius A. Nukpezah
Keyword(s):  
Public Health ◽  
Local Governments ◽  
Care Program ◽  
Public Administrators ◽  
Public Health Emergencies ◽  
Federal Department ◽  
Subsidiarity Principle ◽  
Control And Prevention

This article discusses the plight of the homeless during public health emergencies and the coronavirus disease of 2019 (COVID-19) pandemic. It reviews the role of public administrators that grounds their efforts by examining their foundational purpose to serve the most vulnerable in our society. Using subsidiarity principle as the context, it discusses homelessness in America and the role of the federal Department of Housing and Urban Development and their Continuum of Care program. It also highlights the role of the Centers for Disease Control and Prevention during public health emergencies and their interim guidelines for local governments in providing for the homeless during emergencies. Finally, through a case study on the city of Dallas, Texas, the article examines how local governments have responded to address the needs of the homeless during the COVID-19 pandemic. It concludes that it is imperative that public administrators at all levels of government explore areas of shared competence, cooperation, and allocate responsibility where it would yield the most efficient result.

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