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This book presents a novel view of healthcare system transition in post-communist countries. It is the first region-wide comparative study of hospital governance in Eastern Europe. Comprehensive new material shows the evolution and significance of governance, complementing recent publications on the topic from industrialised countries. Throughout the book, governance is described and substantiated as a major component that, together with provider payment mechanisms, defines the hospital sector’s operations. This view subscribes to the economists’ growing appreciation of extra-financial aspects in the discussion of incentives and regulation of healthcare markets. In particular, the book explains how governance arrangements may affect the outcomes of healthcare financing reforms, and should thus be seen as a critical determinant of their success or failure. This new model of thinking about healthcare system transition emerges from an analysis of 22 countries over the course of two decades. While the primary focus of the study is on developing the hospital sector, an extensive background chapter provides a standalone introduction to the dynamically changing landscape of healthcare in Eastern Europe and an overview of the various problems and challenges the region is facing. Practitioners, policy-makers, academics and students interested in Eastern European healthcare systems, their origins, current status and ways forward, will appreciate the book’s reflections on the problem complexity, the clarity of its concepts, and its accessible style of presentation.
Advocates of democratization in Central and Eastern Europe before 1989 placed great emphasis on community self-government as the basis of civil society and democracy. After theVelvet Revolutions of 1989 and the break up of the Soviet Union in 1991, the new states created an elected local government, whereby cities, towns and villages elected the
A range of collaborative governance mechanisms has developed in many policy arenas in the past decade. The study on governance for health in the 21st century tracks governance innovations that have been introduced to address priority determinants of health and summarizes them as five strategic approaches to smart governance for health. The study relates the emergence of joint action of the health sector and non-health sectors, of public and private actors and of citizens to achieve seminal changes in 21st-century societies. They include a new understanding of health and well-being as key features of what constitutes a successful society and vibrant economy and the higher value placed on equity and participation. The study further describes the type of structures and mechanisms that enable collaboration and outlines the new role that health ministers and ministries and public health agencies need to adopt in such a challenging policy environment.
How many businesses start-ups conduct some or all of their trade ‘off-the-books’? And how many enterprises continue to do some of their work off-the-books once they are more established? What should be done about them? Should governments adopt ever more punitive measures to eradicate them? Or should we recognise this hidden enterprise culture and attempt to harness it? If so, how can this be done? What measures can be taken to ensure that businesses start-up in a proper manner? And what can be done to help those enterprises and entrepreneurs currently working off-the-books to legitimise their businesses? The aim of this book is to advance a new way of answering these questions. Drawing inspiration from institutional theory, informal sector entrepreneurship is explained as resulting from the asymmetry between the codified laws and regulations of a society’s formal institutions and the norms, values and beliefs that comprise a society’s informal institutions. The argument is that if the norms, values and beliefs of entrepreneurs (i.e., their individual morality) were wholly aligned with the codified laws and regulations (i.e., state morality), there would be no informal sector entrepreneurship. However, because the individual morality of entrepreneurs differs from state morality, such as due to their lack of trust in government and the rule of law, the result is the prevalence of informal sector entrepreneurship. The greater the degree of institutional asymmetry, the higher is the propensity to engage in informal sector entrepreneurship. This book provides evidence to show that this is the case both at the individual- and country-level and then discusses how this can be overcome. .
People have always travelled within Europe for work and leisure, although never before with the current intensity. Now, however, they are travelling for many other reasons, including the quest for key services such as health care. Whatever the reason for travelling, one question they ask is "If I fall ill, will the health care I receive be of a high standard?" This book examines, for the first time, the systems that have been put in place in all of the European Union's 27 Member States. The picture it paints is mixed. Some have well developed systems, setting standards based on the best available evidence, monitoring the care provided, and taking action where it falls short. Others need to overcome significant obstacles.
While there may be consensus on the broader issues of the core objectives of the health care system, expectations differ between EU countries, and European national policy-makers. This book seeks firstly to assess the impact of the enlargement process and then to analyse the challenges that lie ahead in the field of health and health policy.
A new edition of a classic textbook fully updated to meet the needs of today's midwifery student. Now available for the first time in full color, the 15th edition of Mayes Midwifery has an enhanced artwork program and comes with an extensive website which provides 600 MCQs and wide selection of case studies and reflective activities; a downloadable image bank assists with essay and assignment preparation. - New edition of a classic textbook updated and designed for today's midwifery student! - Chapters authored by experts in their field, including midwifery academics and clinicians as well as allied professionals such as researchers, physiotherapists, neonatal nurse specialists, social scientists and legal experts - Evidence and research based throughout to help facilitate safe clinical practice - Learning outcomes and key points help readers structure their study and recap on what they have learned - Reflective activities encourage the application of theory to practice - Contains practice based tools and checklists - Presents and discusses the latest national and international guidelines - Associated website with over 600 MCQs, reflective activities to encourage the application of theory to practice, case studies and additional learning tools - Downloadable image bank to assist readers with essay preparation and other assignments - Suitable for use in normal community and midwife led arenas, high tech environments and more rural areas of clinical practice - Brand new design - incorporating helpful learning features - aids reader engagement and retention of facts - Updated artwork program helps clarify complex physiological processes and other challenging concepts
Over the last two decades the countries of South East Europe have engaged in far-reaching reforms of their health systems. However, overviews of reform efforts in this part of Europe have been sorely lacking. This book addresses this shortage through the analysis of key aspects of health reforms and health workforce mobility in South East Europe.
In recent years, it has become apparent that there are very distinct gaps between developed and developing regions in the world, especially in regards to e-government systems, infrastructures, and processes. Digital Public Administration and E-Government in Developing Nations: Policy and Practice examines e-government from the perspective of developing nations and addresses issues and concerns of developing systems and processes. This publication is a valuable and insightful tool for researchers, practitioners, policymakers, and students in different fields who are interested in information systems, public policies, politics, and media and communication studies.