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At the clinical, management, and policy levels, the use of knowledge and evidence in health care has become a worldwide priority. The contributors to Using Knowledge and Evidence in Health Care seek to broaden our understanding of the complexity involved in health care decision-making by integrating social science knowledge and exploring some of the challenges and limits of evidence in different health care contexts. Louise Lemieux-Charles and François Champagne have brought together an esteemed group of scholars to provide a conceptual framework that illustrates the factors critical to analysing and optimizing the use of knowledge and evidence. Previous studies have focused primarily on the medical literature without acknowledging the social sciences tradition. With its integration of works from political science, public policy, informatics, and other disciplines, Using Knowledge and Evidence in Health Care provides a bridge between both worlds. By bringing together different views on the topic, the volume goes beyond strict disciplinary boundaries to provide the fullest exploration of knowledge and evidence in health care.
Proceedings of a workshop, the scientific reviews and the contributed papers presented at the symposium. The document presents a brief historical summary of marine research in the Gulf; reports the discussions, conclusions and recommendations of the different working groups on oceanography (physics, biology, chemistry and sedimentology) and on the fishery (fish and invertebrates); then presents the discussions of each multidisciplinary working group, centered around how the St. Lawrence system may be used as a natural laboratory which will contribute to the solution of major long-term problems of conservation of natural resources and of the quality of the environment.
Today, problems such as deforestation, biodiversity loss and illegal logging have provoked various policy responses that are often referred to as forest and nature governance. In its broadest interpretation, governance is about the many ways in which public and private actors from the state, market and/or civil society govern public issues at multiple scales. This book takes a fresh perspective on the study of forest and nature governance. Departing from ‘practice theory’, and building upon scholars like Giddens, Bourdieu, Reckwitz, Schatzki and Callon, it seeks to move beyond established understandings of institutions, actors, and knowledge. In so doing, it not only presents an innovative conceptual and methodological framework for a practice based approach, but also rich case studies and ethnographies. Finally, this book is about how actors involved in governance talk about and work with trees, forests, biodiversity, wildlife, and so on, while acting upon forest policies, environmental discourses, codes of conduct, or scientific insights.
In recent decades, community forestry has taken root across Canada. Locally run initiatives are lauded as welcome alternatives to large corporate and industrial logging practices, yet little research has been done to document their tangible outcomes or draw connections between their ideals of local control, community benefit, ecological stewardship, and economic diversification and the realities of community forestry practice. This book brings together the work of over twenty-five researchers to provide the first comparative and empirically rich portrait of community forestry policy and practice in Canada. Tackling all of the forestry regions from Newfoundland to British Columbia, it unearths the history of community forestry, revealing surprising regional differences linked to patterns of policy-making and cultural traditions. Case studies celebrate innovative practices in governance and ecological management while uncovering challenges related to government support and market access. The future of the sector is also considered, including the role of institutional reform, multiscale networks, and adaptive management strategies.
This is a unique book about a unique Canadian life - about a boy, born and raised in a working-class family in remote Baie-Comeau, who rose to the highest office in the land. How he got there, an outsider fighting his way to the top, is a compelling story. What he did when he got there is just as enthralling. Year by year in this detailed book, he takes us through his time as prime minister (1984-1993), when he mingled with the world's leaders, tackled tough and controversial problems, and left Canada a changed country. The boy from Baie-Comeau changed your life - now his life, frankly recounted in this extraordinary book, deserves a place in your home.
How can healthcare systems be transformed by reimagining their multiple silos to favor processes and practices that are more responsive to local, horizontal initiatives? Altering Frontiers analyzes numerous experiences, using a multidisciplinary approach, paying attention to certain actors, collectives and organizational arrangements. Through this work, levers are identified that promote lasting transformation: recognizing the legitimacy of the practices of many who are often "invisible"; trusting those who know their intervention territory; investing in methodological support; taking advantage of tools and procedures such as instruments for strategic and managerial discussion; and developing the capacity to absorb innovative ideas and experiences that circulate within the environment.