The Danish government has defined an ambitious e-government strategy aiming to increase both citizen centricity and the efficiency of government service production and delivery. This research uses dynamic capability theory to compare a highly successful and a less successful e-government program...
... Canada. 93.218 Section 93.218 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF... service to and from Canada. (a) Except as otherwise provided in this subpart, international slots...'Hare in the Winter season. (c) Any modification to the slot base by the Government of Canada or the...
Cavallini, J.S.; Aiken, R.J.
The Government Services Information Infrastructure (GSII) is that portion of the NII used to link Government and its services, enables virtual agency concepts, protects privacy, and supports emergency preparedness needs. The GSII is comprised of the supporting telecommunications technologies, network and information services infrastructure and the applications that use these. The GSII is an enlightened attempt by the Clinton/Gore Administration to form a virtual government crossing agency boundaries to interoperate more closely with industry and with the public to greatly improve the delivery of government services. The GSII and other private sector efforts, will have a significant impact on the design, development, and deployment of the NII, even if only through the procurement of such services. The Federal Government must adopt new mechanisms and new paradigms for the management of the GSII, including improved acquisition and operation of GSII components in order to maximize benefits. Government requirements and applications will continue to evolv. The requirements from government services and users of form affinity groups that more accurately and effectively define these common requirements, that drive the adoption and use of industry standards, and that provide a significant technology marketplace.
Verburg, René; Selnes, Trond; Verweij, Pita
The TEEB approach to the use of ecosystem services has found its way to policy as a means to biodiversity conservation and greening of the economy. In this paper we analysed the uptake of the TEEB approach at national and local levels by applying a framework that revolves around the problem,
Primmer, Eeva; Jokinen, Pekka; Blicharska, Malgorzata; Barton, David N.; Bugter, Rob; Potschin, Marion
Biodiversity conservation policies justified with science and intrinsic value arguments have produced disappointing outcomes, and the need for conservation is now being additionally justified with the concept of ecosystem services. However, little, if any empirical attention is paid to ways in
Egan, Glenn R.; Sward, David J.
A commercial mobile satellite system which is to be constructed and operated in Canada is examined. This is done in two phases. First, mobile data services was introduced. Hub equipment and 3000 mobile data terminals were supplied. Over the satellite tests were performed. The mobile data service provides full two way digital messaging automatic vehicle location and fleet management services. The second phase is to construct, launch and make operational the MSAT satellite and associated network control facilities. The implementation is examined of the mobile data service in Canada, including the technical description. Marketing and applications are also examined.
In this first National Climate Change Business Plan the Government of Canada affirms its intention to invest up to $500 million over five years on specific actions to reduce greenhouse gas emissions. This sum is in addition to the action plans being put forward by the provincial and territorial governments and in addition to the $625 million investment over five years announced in Budget 2000. Action Plan 2000 targets key sectors, and the measures announced are expected to take Canada one third of the way to achieving the target established in the Kyoto Protocol by reducing Canada's GHG emissions by 65 megatonnes per year during the 2008-2012 commitment period. The key sectors targeted include the areas of transportation, oil, gas and electricity production, industry, buildings, forestry and agriculture, i. e. sectors that together account for over 90 per cent of Canada's GHG emissions.The Action Plan focuses on reducing GHG emissions in a cost effective way; draws extensively on the best ideas put forward by the provinces, territories and other stakeholders; encourages action by industry and consumers; complements measures and actions by the provinces and territories to address regional issues; and sets the stage for long-term behavioural, technological and economic changes. The remainder of Canada's Kyoto commitments will be addressed by actions in future plans which are currently in the process of being developed, together with the development of further details of this first National Climate Change Business Plan
The Mobile Satellite (MSAT) system and a special program designed to provide interim mobile satellite services (IMSS) during the construction phase of MSAT are described. A mobile satellite system is a key element in extending voice and and data telecommunications to all Canadians.
Adopting Service Governance provides a useful umbrella for a number of frameworks including ITIL®, TOGAF®, COBIT®, ITSM, BSM, Business Analysis, Programme Management, Management of Value, Management of Portfolios and Management of Risk by establishing the top-down governance of an organisation through services.
Full Text Available Nigel SB Rawson,1–3 John Adams4 1Eastlake Research Group, Oakville, ON, 2Canadian Health Policy Institute, Toronto, ON, 3Fraser Institute, Vancouver, BC, 4Canadian PKU and Allied Disorders Inc., Toronto, ON, Canada Abstract: In democratic societies, good governance is the key to assuring the confidence of stakeholders and other citizens in how governments and organizations interact with and relate to them and how decisions are taken. Although defining good governance can be debatable, the United Nations Development Program (UNDP set of principles is commonly used. The reimbursement recommendation processes of the Canadian Agency for Drugs and Technologies in Health (CADTH, which carries out assessments for all public drug plans outside Quebec, are examined in the light of the UNDP governance principles and compared with the National Institute for Health and Care Excellence system in England. The adherence of CADTH's processes to the principles of accountability, transparency, participatory, equity, responsiveness and consensus is poor, especially when compared with the English system, due in part to CADTH's lack of genuine independence. CADTH's overriding responsibility is toward the governments that "own," fund and manage it, while the agency’s status as a not-for-profit corporation under federal law protects it from standard government forms of accountability. The recent integration of CADTH’s reimbursement recommendation processes with the provincial public drug plans’ collective system for price negotiation with pharmaceutical companies reinforces CADTH's role as a nonindependent partner in the pursuit of governments’ cost-containment objectives, which should not be part of its function. Canadians need a national organization for evaluating drugs for reimbursement in the public interest that fully embraces the principles of good governance – one that is publicly accountable, transparent and fair and includes all stakeholders
Cheng, N.; Pace, C.; Mickle, A.; Taylor, R.; McCalla, C.; Miles, R. [Government of Canada, Ottawa, ON (Canada). Office of the Auditor General
In recent years, Natural Resources Canada (NRCan) has taken on several initiatives. This audit assessed whether Natural Resources Canada's (NRCan) governance mechanism, management systems and practices are sufficient to support department-wide policy development, research programs and other activities. It also determines whether NRCan adequately assesses and reports to parliament the results and impacts of its efforts. In particular, the audit determines whether NRCan reassess the appropriateness of its activities, has appropriate systems and practices for choosing and terminating programs, aligns qualified staff with strategic needs, uses performance information on its key activities, and meets reporting obligations. This audit focused on the department's current management practices used to manage its policy analysis, regulatory program and science and technology business activities. It covered industry-based sectors and the earth sciences sector, particularly geoscience and geomatics activities. Approximately 140 managers and key stakeholders were interviewed across the following regional offices: Northern Forestry Centre in Edmonton, Alberta; Geomatics Canada in Edmonton, Alberta; Devon Pilot Plant in Devon, Alberta; Pacific Forestry Centre in Victoria, British Columbia; and Pacific Geoscience Centre in Victoria, British Columbia. This audit revealed that the management system and practices at NRCan need improvement. It was suggested that departmental agencies are not sufficiently reflected in the sector's business plans, nor are they communicated throughout the department. The audit found little consistency in the sectors' analysis of their responsibilities for emergency preparedness. The audit did find that NRCan generally meets statutory obligations for key annual reports, but that it should improve its process for assessing performance on key activities. tabs., figs.
The author addressed the topic of government Policy, research and stakeholder Confidence from the perspective of government policy makers in Canada. The presentation reviewed the question: why carry out more research into methods of long-term management of nuclear fuel waste? In addressing this question, the author provided some perspectives that were expressed by the Canadian public, since reflected in the Final Study of management approaches led by the Nuclear Waste Management Organization (NWMO), an organization set up by the nuclear industry to study options for the long-term management of nuclear fuel waste. The Final Study was submitted to the federal Minister of Natural Resources in November 2005 as required under the Nuclear Fuel Waste Act. The NWMO's Final Study emphasized the important role of continuous learning, a key element in the NWMO's recommendation of Adaptive Phased Management. It was reported that the NWMO work had identified many reasons to carry out further research. Regardless of the management approach adopted, activities to manage radioactive waste will continue for a very long time. Any management program could be expected to apply the best practice available at the time. A program that will evolve over a long period of time will have many opportunities for improvements to increase performance, enhance effectiveness, and address rising societal concerns. It was suggested that, to realize these benefits, there needs to be a vibrant and robust research and development effort during management program development and execution, a period that will last many generations, and enable implementers to adapt to a changing environment. Among the reasons put forward for continuing research were, to: - Embody the principles of continuous learning which encourages standards of excellence and integrity; - Prepare for facility siting, design, licensing, development and operations to improve designs, minimize costs, enhance schedules, and reduce
Nielsen, Jeppe Agger; Andersen, Kim Normann; Sigh, Anne
The movement of robots from the production line to the service sector provides a potentially radical solution to innovate and transform public service delivery. Although robots are increasingly being adopted in service delivery (e.g., health- and eldercare) to enhance and in some cases substitute...... labour-intensive services, the public administration research community is short on knowledge of the impact on the work processes carried out in public organizations and how staff and clients react toward robots. This case study investigates the implementation and use of robot vacuum cleaners in Danish...... eldercare, demonstrating how robot vacuums have proven to have considerable interpretive flexibility with variation in the perceived nature of technology, technology strategy, and technology use between key stakeholders in eldercare....
The Petroleum Services Association of Canada (PSAC) is the national trade association of the Canadian oilfield service, supply and manufacturing industry. The Association's mandate is to protect and promote the interests of its members. This annual review for 1996 details the activities undertaken by the Board of Directors on behalf of the membership. Achievements in the area of health, safety and the environment included the Safety Statistics Program, the establishment of the Petroleum Safety Council, the Voluntary Incentive Plan designed to reduce workers' compensation claims, and the updating of the Drilling Fluids Manual and Emergency Response Plan. Alberta Labour's Oilwell Servicing Regulation and the B.C. Oil and Gas Regulations Review were the highlights in the area of regulatory and government relations. The strategic alliances signed between the PSAC and the Newfoundland Ocean Industries Association and the PSAC and the Canadian Association of Petroleum Producers demonstrated the new era of partnership and communication between petroleum producers and their suppliers. A list of PSAC publications, including special reports, was also included
Williamson, L M; Benjamin, R J; Devine, D V; Katz, L M; Pink, J
The elements of clinical governance, which ensure excellence in clinical care, can be applied to blood services. In this survey, their application in a range of blood providers was gauged, with the aim of identifying best practice and producing a generalizable framework. The Medical Directors of members of the Alliance of Blood Operators surveyed how different elements of clinical governance operated within their organizations and developed recommendations applicable in the blood service environment. The recommendations that emerged highlighted the importance of an organization's culture, with the delivery of optimal clinical governance being a corporate responsibility. Senior management must agree and promote a set of values to ensure that the system operates with the patient and donor at its heart. All staff should understand how their role fits into the 'journey to the patient', and a culture of openness promoted. Thus, reporting of errors and risks should be actively sought and praised, with penalties applied for concealment. Systems should exist to collect, analyse and escalate clinical outcomes, safety data, clinical risk assessments, incident reports and complaints to inform organizational learning. Clinical governance principles from general health care can be applied within blood services to complement good manufacturing practice. This requires leadership, accountability, an open culture and a drive for continuous improvement and excellence in clinical care. © 2015 International Society of Blood Transfusion.
Scupola, Ada; Zanfei, Antonello
changes; (ii) user-driven innovations have significantly increased with the diffusion of ICTs and Web based public services; and (iii) complex innovations are facilitated by face-to-face meetings between public servants and users. Third, it is suggested that changes in governance modes affect the balance...... between the different actors involved, thus influencing the nature and intensity of innovation. Fourth and finally, it is argued that the transition towards a networked governance approach requires information policies which persist over time, and are designed to increase collaboration between different...
The beginning of the 21st Century has been characterised by changed political and economic realities affecting the prevention, control and eradication of animal diseases and zoonoses and presenting new challenges to the veterinary profession. Veterinary Services (VS) need to have the capacity and capabilities to face these challenges and be able to detect, prevent, control and eradicate disease threats. Animal health and VS, being a public good, require global initiatives and collective international action to be able to implement global animal disease eradication. The application of the 'One World, One Health' strategy at the animal-human interface will strengthen veterinary capacity to meet this challenge. Good governance of VS at the national, regional and global level is at the heart of such a strategy. In this paper, the author lists the key elements comprising good veterinary governance and discusses the World Organisation for Animal Health (OIE) standards for the quality of VS. The OIE Tool for the Evaluation of the Performance of Veterinary Services (OIE PVS Tool) is introduced and its relevance in assessing compliance with OIE standards to prevent the spread of pathogens through trade is highlighted. A firm political commitment at the national, regional and international level, with provision of the necessary funding at all levels, is an absolute necessity in establishing good governance of VS to meet the ever-increasing threats posed by animal and human pathogens.
Mez, L. [Free Univ. of Berlin (Germany). Dept. of Social and Political Sciences; Free Univ. of Berlin (Germany). Environmental Policy Research Centre; Doern, G.B. [Carleton Univ., Ottawa, ON (Canada). School of Public Policy and Administration; Exeter Univ., (United Kingdom). Dept. of Politics
This chapter examined how the complexity of multi-level regulatory policy and governance coordination in both Canada and Germany has produced 2 different nuclear energy paths, and whether they will be maintained in the future. Germany is phasing out its nuclear reactors while Canada is retaining nuclear power as an option in its energy mix, mainly in Ontario. The chapter presented the following 3 arguments that are central to the analysis: (1) both countries differ in the realms of multi-level governance where nuclear and related energy policy decisions are made, (2) the levels of centrality to nuclear policy depend on each country's basic resource endowments as well as their economic and social location and disposition, (3) environmental concerns in Germany are much more deeply embedded due to the Chernobyl nuclear accident. Although Canada had an anti-nuclear lobby, there is no equivalent extent of environmental pressure on nuclear policy in Canada. This chapter explored the origins and historical context of the nuclear option in both countries and how it shaped initial issues of technical capacity. Multi-level governance in shaping the trajectory of nuclear policy was also examined along with the nuclear policy positions of the governments that currently lead both countries. 38 refs.
Margot A. Hurlbert
Full Text Available We compare the structures and adaptive capacities of water governance regimes that respond to water scarcity or drought in the South Saskatchewan River Basin (SSRB of western Canada and the Elqui River Basin (EB in Chile. Both regions anticipate climate change that will result in more extreme weather events including increasing droughts. The SSRB and the EB represent two large, regional, dryland water basins with significant irrigated agricultural production but with significantly different governance structures. The Canadian governance situation is characterized as decentralized multilevel governance with assigned water licenses; the Chilean is characterized as centralized governance with privatized water rights. Both countries have action at all levels in relation to water scarcity or drought. This structural comparison is based on studies carried out in each region assessing the adaptive capacity of each region to climate variability in the respective communities and applicable governance institutions through semistructured qualitative interviews. Based on this comparison, conclusions are drawn on the adaptive capacity of the respective water governance regimes based on four dimensions of adaptive governance that include: responsiveness, learning, capacity, including information, leadership, and equity. The result of the assessment allows discussion of the significant differences in terms of ability of distinct governance structures to foster adaptive capacity in the rural sector, highlights the need for a better understanding of the relationship of adaptive governance and good governance, and the need for more conceptual work on the interconnections of the dimensions of adaptive governance.
Hurst, D.G.; Woolston, J.E.
In Canada, eleven power reactors installed or committed at four sites will provide 5 520 MW(e) for an investment of $1 800 million. Uranium production during the decade 1958-1967 totalled 79 700 tonnes U 3 O 8 worth $1 621 million. For nuclear research, development and control, the federal government employs about 6 000 people and spends about $80 million/year which includes the cost of operating three major research reactors (> 30 MW each). Aggregate commercial isotope production has reached 14 megacuries, and Canada has about 3 000 licensed users. Three power and two research reactors of Canadian design are or will be installed in developing countries overseas. Legislation in 1946 made atomic energy a federal responsibility and established an Atomic Energy Control Board. The Board's regulations, which deal primarily with health, safety and security, are administered with the co-operation of appropriate departments of the federal and provincial governments. Large-scale nuclear research began in 1941 and continued under the National Research Council until 1952 when the federal government created a public corporation, Atomic Energy of Canada Limited, to take over both research and the exploitation of atomic energy. Another public corporation, Eldorado Nuclear Limited, conducts research and development on the processing of uranium and operates Canada's only uranium refinery, but prospecting and mining is undertaken largely by private companies. The publicly owned electrical utilities of Ontario and Quebec operate nuclear power stations and participate, with governments, in their financing. Private industry undertakes extensive development and manufacturing, mainly under contract to Atomic Energy of Canada Limited and the utilities, and industry has formed its own Canadian Nuclear Association. Canadian universities undertake nuclear research, and receive significant government support; one has operated a research reactor since 1959. Canada's nuclear program is
Discussions of forest certification have tended to characterize certification systems as a prime example of the hollowing out of the state and a shift from government to governance. The continued contention that certification is a product of a retreating state has implications for how we understand democratic participation and fails to pay…
Full Text Available Canada's Mackenzie River Basin (MRB is one of the largest relatively pristine ecosystems in North America. Home to indigenous peoples for millennia, the basin is also the site of increasing resource development, notably fossil fuels, hydroelectric power resources, minerals, and forests. Three provinces, three territories, the Canadian federal government, and Aboriginal governments (under Canada's constitution, indigenous peoples are referred to as "Aboriginal" have responsibilities for water in the basin, making the MRB a significant setting for cooperative, transboundary water governance. A framework agreement that provides broad principles and establishes a river basin organization, the MRB Board, has been in place since 1997. However, significant progress on completing bilateral agreements under the 1997 Mackenzie River Basin Transboundary Waters Master Agreement has only occurred since 2010. We considered the performance of the MRB Board relative to its coordination function, accountability, legitimacy, and overall environmental effectiveness. This allowed us to address the extent to which governance based on river basin boundaries, a bioregional approach, could contribute to adaptive governance in the MRB. Insights were based on analysis of key documents and published studies, 19 key informant interviews, and additional interactions with parties involved in basin governance. We found that the MRB Board's composition, its lack of funding and staffing, and the unwillingness of the governments to empower it to play the role envisioned in the Master Agreement mean that as constituted, the board faces challenges in implementing a basin-wide vision. This appears to be by design. The MRB governments have instead used the bilateral agreements under the Master Agreement as the primary mechanism through which transboundary governance will occur. A commitment to coordinating across the bilateral agreements is needed to enhance the prospects for
Discussions between officials of the Governments of the United States of America and Canada concerning cooperation between Canada and the United States of America on the application of non-proliferation assurances to Canadian uranium to be transferred from Canada to the United States of America for enrichment and fabrication into fuel and thereafter retransferred to Taiwan for use in nuclear reactors for the generation of electricity on Taiwan
Phang, Chee Wei; Kankanhalli, Atreyi
There have been increasing efforts by governments worldwide to innovate public service delivery, one of the means being through e-government. However, the mixed success of e-government initiatives highlights the need to better understand citizens' requirements and engage them in the development of e-government service offerings. In response to this need, we propose a service systems perspective to analyze a participatory e-government service system based on the key resources of people, organizations, shared information, and technologies. By doing so, this study bridges the gap in existing research that has separately examined the different resources without considering their inter-relationships in a systematic manner. For practitioners, the resulting framework provides a tool to understand how the key resources as well as stakeholders of the e-government service system inter-relate, which allows more comprehensive strategies to be formulated for improving e-government service offerings.
Liu, Yan; Zhu, Liming; Bass, Len; Gorton, Ian; Staples, Mark
Service governance is a set of businesses processes, policies and technical solutions that support enterprises in their implementation and management of their SOA. The decisions of service governance, especially concerning service boundaries at the enterprise level, influence the deployment topology of business services across or within business organizations. Deployment topologies are realized by integration technologies such as Enterprise Service Bus (ESB). Service governance and technical solutions interact in a subtle way including through communication patterns and protocols between services and ESBs, as well as the deployment and configuration of ESB. These factors have a strong influence on the Non- Functional Properties (NFP) of a SOA solution. A systematic approach is essential to understand alternative technical solutions for a specific service governance decision. This paper proposes a modeling approach to evaluate the performance-related NFP impacts when mapping service governance to technical solutions using an ESB. This approach is illustrated by the quantitative performance analysis of a real
Eberlein, B.; Doern, G.B.; Exeter Univ.,
This book features essays by leading energy and public policy specialists from Canada and Germany. It originated in the Transatlantic Energy Conference which was hosted by the Canadian Centre for German and European Studies at Toronto's York University in September 2005. The conference was attended by leading energy scholars and experts from Canadian and European universities, research institutes and governmental and non-governmental organizations. The purpose of this book was to compare the dynamics of multi-level energy regulatory governance in Germany and Canada, notably the energy policy challenges that include energy security, environmental sustainability and a competitive resource economy. Many strategies to produce more efficient and sustainable energy are presented in the book. Part 1 of the book focuses on the energy industry, with particular emphasise on electricity, nuclear energy and natural gas. Part 2 of the book focuses on domestic patterns of multi-level energy governance and regulation in the two countries. As a member of the European Union, Germany is more advanced in dealing with multi-level governmental and sustainability constraints than Canada is as a member of the North American Free Trade Agreement (NAFTA). The book focuses on the influence that the energy sector and multi-level institutional arrangements have on energy governance, with particular attention to the link between environmental study, climate change issues and economic market reforms. The growing differences between NAFTA and European Union member countries were highlighted. refs., tabs., figs.
Leat, Susan J
The provision and funding of low-vision rehabilitation (LVR) are very variable across Canada. Quebec is well served by 14 government-funded rehabilitation centers. In most provinces, there are no such multidisciplinary services-optometrists offer LVR from their offices to a greater or lesser degree or undertake assessments in centers run by CNIB (formerly Canadian National Institute for the Blind). No integrated model for LVR exists across Canada. This document proposes such a model, which focuses on the profession of optometry, but may also be applicable to ophthalmology. This article describes different models of LV provision, the evidence for their relative effectiveness, the current situation in Canada, including the variability between areas and the need to increase referrals to LVR, and the current international consensus for LV provision. With the projected increase in people with LV, a generally accepted LV model for Canada is required to improve patient care. It has become recognized in the global community that a tiered system may be required to provide for patients who range in their visual rehabilitation needs and geographic locations. The proposed LVR model includes three levels: 1. Screening/recognition of a potential patient with LV followed by appropriate triage. All optometrists should be involved at this level. 2. Management of the patient with minimum visual impairment/disability. This level of LVR can take place in a local optometry office with a minimal of extra equipment or devices. Level 3: Comprehensive LVR for patients with more vision loss and greater disabilities. Level 3 requires collaboration with other professionals, and three mechanisms are proposed by this which may take place. The proposed model is expected to be useful for future education, policy decisions, and collaboration in Canada, and it may also be of interest for the development of LV services in other countries.
This action research project will study innovation in service delivery by local government institutions in Sri Lanka. The main actors in the study will be local government administrators responsible for solid waste management service delivery. Researchers will assess whether and how service innovations result from ...
Tambo, Torben; Bækgaard, Lars
Services are the fundamental to the provisioning of business activities. Enterprise Architecture (EA) is maintaining the relationship between strategy, business and technology. A clear definition and agreed understanding of services is critical to realising information technology artefacts...... Centres (SSCs). A case study is being presented where eGovernment services are moved from local government level and into a shared service centre structure. Major findings include (1) a model view relates services to actors, (2) an eGovernment services architecture maturity model, (3) a systemic...
Joha, A.; Janssen, M.F.W.H.A.
The sourcing of cloud services is a relatively new type of service delivery model in which an organization gets access to IT services via a cloud service provider that is delivering services over the web to many users on a pay per use or period basis. Even though the importance of IT governance is
Crespi , Noel
Communication services are evolving at an unprecedented rate. No longer limited to interpersonal vocal communication, they now integrate functions such as address books, content sharing and messaging. The emergence of social networks - which may also include these features - is an important element of this transformation. Content services are becoming flagship services themselves, and are sometimes paired up with conversation services. The boundaries between different services are becoming less and less distinct. This book meets the need for a better understanding of communication services,
Discusses serving library-patron needs in terms of customer service and quality control. Highlights include tools for measuring the quality of service (e.g., the SERVQUAL survey), advisory boards or focus groups, library "service statements," changing patron needs, new information formats, and justifying depository library services. (JAK)
Plourde, A.; Ryan, D.L.
As part of the Canadian energy policy between the mid-1970's to the mid-1980's, consumers were encouraged to use fuels alternative to oil. The first set of policy issues involved measures to provide consumers with incentives to switch to non-oil-burning equipment, whereas the second set of. policy papers emphasized the expansion of the natural gas distribution system. More than $1 billion have been spent on the gas pipeline expansion project. Consequences of program expenditures in each province were examined. With the exception of Manitoba, it was found that annual net pipeline additions were higher during the program period, indicating that the program policies induced these activities to occur sooner than if the policies were not in place. Kilometres of gas pipeline per individual constructed was highest in Quebec, where construction proceeded mainly between the more densely populated centres. In contrast, in Saskatchewan and Alberta, the program encouraged natural gas pipeline construction in rural areas with lower populations. Without the program, these areas may not have had access to natural gas for a very long time. It was concluded that, in this, and some other instances, public investment had the effect of accelerating developments, or encouraging the completion of projects that otherwise would not have been undertaken. It was suggested that in the future decision-makers consider the costs of changes in activity patterns prior to designing such programs. 2 figs., 1 table
Maxwell, Terrence A., Ed.
This newsletter features innovations in resource management and information technology to support New York State government. The newsletter contains the following six sections: (1) "Electronic Commerce: Government Services in the New Millennium" -- examining the need for government involvement in electronic commerce policy and…
The main actors in the study will be local government administrators responsible for solid waste management service delivery. Researchers will assess whether and how service innovations result from interactions between local government administrators and three types of actor: solid waste technology experts in academia ...
A paper tasked to establish the relationship between records, good governance and service delivery, especially in Africa, runs into immediate definitional ambiguities. This is because good governance and service delivery mean different things to different African leaders. Moreover, even the most criminal and tyrannical ...
Colantonio, Antonio; Theauvette, Michel
The Canadian National Master Construction Specification (NMS) is the most comprehensive master specification available commercially in North America; each section serves as an easy-to-use framework for writing construction project specifications. The NMS Secretariat contracted, through consultations with the building industry and departmental experts in Public Works and Government Services Canada, the development of four new specification sections for commonly implemented infrared thermographic services associated with building construction and maintenance. These include inspection services for building envelopes, roofs, mechanical equipment, and electrical systems. This paper will introduce the four types of inspection services found in these sections and discuss the relevant information that each service provides. Additionally, the paper will highlight the important differences of each type of inspection services, thus explaining the need to develop individual specification sections to correspond for each type of infrared thermographic inspection service. These sections include all aspects of such services and are all encompassing in their scope. The NMS maximizes protection against duplication and errors, while minimizing chances of risk, misunderstanding and liability. It can be edited and adapted for any size and type of construction project, for government or the private sector. Building owners and property managers can integrate these thermographic specifications into their Project Manuals or incorporate them into contractual documents to call up services for building condition studies. Although the NMS was primarily designed for use in the commercial and light industrial building industry, the residential construction industry can benefit as well, by modifying any section for their use. This paper will discuss these differences, and provide suggestions for the development of such a residential specification format.
Full Text Available УДК 342.25The purpose of this article is to study the concept and the content of "competence" cate-gory in relation to the entities of municipal governance in Russia and Canada. The methods of theoretical analysis, along with legal methods, including formal-legal and comparative law methods are used to achieve this goal.In the article, the author notes the lack of consensus in legal science in determining the con-tent of "competence" category and its subjective identity. Some authors consider the compe-tence as a set of rights and obligations of public authorities (Yu.A. Tikhomirov, S.A. Avakyan, while others recognize the correct use of the word "competence" in relation to the public territorial collectives and institutions of public power in general (T.M. Byalkina et al..The Russian legal model for determining the competence of municipal governance entities also implies the distinction between the concepts of "local issues" and "powers." Unfortu-nately, the domestic legislator does not provide for the clear distinction of these concepts, and there is also a lack of content specification of the issues to be addressed at the local level. Recent changes in law also call into question the relation between the municipalities’ competency model and the constitutional autonomy of local government.At the base of the approach to the definition of the competence of municipal government entities in Canada, as well as within the Anglo-Saxon model in general, lies the need for decentralization of functions, which cannot be effectively carried out by the central author-ities or the private sector (A. Sancton. The competence carrier here is a municipality as a form of public corporation. This does not lead to contradiction between this carrier and other municipal governance entities (specifically, local authorities, as the latter carry out activities for the competence implementation on behalf of the corporation.The approach to the municipality as a
Polman, Nico; Reinhard, Stijn; Bets, van L.K.J.; Kuhlman, Tom
Natural ecosystems provide an attractive focus for tourism on small islands. However, at the same time tourism and other human actions can be detrimental to these ecosystems especially because governance of the ecosystem may be difficult due to the limited resilience of small island ecosystems.
.... The award of a design services contract is almost totally based on the qualifications and experience of the firm as a whole and the particular individuals in the firm who will be assigned to the advertised project...
Grogan, D.; Ashmore, J.P.; Bradley, R.P.
A centralized automated TLD service operated by the Department of National Health and Welfare went into operation in May 1977 to monitor radiation workers throughout Canada. Twenty-thousand employees from a wide range of disciplines are enrolled and the number will be increased to fifty thousand by September l978. A prototype of the system, operational from September 1976 to May 1977 for three-thousand people, has already been described. A description of technical and operational highlights is presented as well as a description of problems experienced during the first full year of operation. Details of costs, conversion logistics, operational performance and technical problems are included. A comparison of the advantages and disadvantages of changing from film dosimetry to TLD in a nationwide context is detailed. The dose meter read-out unit is interfaced, through video terminals, with a time-sharing computer system programmed to provide direct access to the Canadian National Dose Registry. Details of this linkage are described, as are the computer programmes for routine processing of raw batch data. The centralized TLD service interactively linked with the National Dose Registry provides a comprehensive occupational monitoring programme invaluable for regulatory control. (author)
Recruitment drive for nurse gradutates British Columbia (BC), the westernmost Canadian province, urgently needs 1,500 qualified nurses graduates to staff longterm care and assisted-living beds as well as home care clients. The provincial government has launched a $160,000 (£78,600) marketing campaign called BC Cares. Craig Hebert, dean of development and access training at Northern Lights College in BC, said: 'The industry needs to get the message out to students that there has never been a better time to start a career in senior health care. Graduates who study for about one year, sometimes less, will have their pick of jobs in a number of service environments and can advance relatively quickly to the nursing profession.'
Linnitt, C.; Hoggan, J. C.
Conversations about key environmental issues like climate change are increasingly viewed as matters of politics rather than matters of science. As a result, competing -and often polarized - interests have made public debate on these issues vulnerable to aggressive politicization. This politicization, particularly when it comes to important policy decisions regarding industrial (and especially fossil fuel) development, obscures the facts on these issues, leaving democratic public debate prey to aggressive public relations tactics, misinformation campaigns, pseudo-science, modern-day propaganda and/or the deliberate ';pollution' of the public square. In Canada a coordinated effort is underway to mischaracterize environmental groups as radical ideologues, associating environmental views and pursuits with extremism. A Tea Party-style echo chamber has also emerged in Canada, coordinating anti-science messaging in an attempt to bolster industrial development while misaligning environmental non-profits with domestic terror threats. This attempt to undermine ecological agendas and to push environmental concerns to the margins is paired with government-sponsored censorship of federally-funded scientists and the elimination of vital public science programs in Canada. The result is a dearth of scientific information surrounding significant environmental concerns - such as the Alberta oil sands and industry contamination of waterways - and a dangerous and false association of these issues with an extremist agenda. Ultimately scientists and science communicators face a unique set of challenges in Canada when it comes to addressing environmental issues. Although the 'science' of science communication has evolved to address relevant cultural and socio-political barriers associated with change resistance (for example, adapting one's behavior to minimize greenhouse gas emissions), much work remains in both acknowledging and ameliorating the politicization of science and the
Scupola, Ada; Zanfei, Antonello
Based on a longitudinal case study of virtual library development, we highlight three important aspects that characterize the links between governance and innovation in public sector innovation. First, the examined case shows that the organizational complexities have increased in the transition....... Second, we provide evidence of increasing cocreation activities in which end users are involved not only in choosing out of a given menu of alternative solutions to given problems, but also in the definition of the menu itself, and in shaping and implementing innovative solutions. Third, the increasing...
Full Text Available '14 - The 2014 International Conference on e-Learning, e-Business, Enterprise Information Systems, and e-Government, Las Vegas, USA, 21-24 July 2014 Mobile government implementation for government service delivery in developing countries: a South... Africa context Ogunleye O.S Van Belle J.P Fogwill TA July, 2014 Abstract Mobile phones are becoming the most rapidly adopted technology in history and the most popular and widespread personal technology in the world. Also, the ubiquitous...
Egunyu, Felicitas; Reed, Maureen G; Sinclair, John A
Collaborative forest governance arrangements have been viewed as promising for sustainable forestry because they allow local communities to participate directly in management and benefit from resource use or protection. Such arrangements are strengthened through social learning during management activities that can enhance capacity to solve complex problems. Despite significant research on social learning in collaborative environmental governance, it is not clear how social learning evolves over time, who influences social learning, and whether learning influences management effectiveness. This study investigates how social learning outcomes change over time, using an in-depth study of a community forest in Canada. Personal interviews, focus group meetings, and participant observation revealed that most participants started engaging in community forestry with limited knowledge and learned as they participated in management activities. However, as the community forest organization became effective at complying with forestry legislation, learning opportunities and outcomes became more restricted. Our results run contrary to the prevalent view that opportunities for and outcomes of social learning become enlarged over time. In our case, learning how to meet governmental requirements increased professionalism and reduced opportunities for involvement and learning to a smaller group. Our findings suggest the need to further test propositions about social learning and collaborative governance, particularly to determine how relationships evolve over time.
Elaswad, Othoman; Jensen, Christian D.
Online Identification and Authentication is an essential requirement for providing e-services. Few studies have investigated the challenges facing e-Government and IDM in developing countries and, to the best of our knowledge, none of the existing research has studied the challenges facing online...... services that guarantee equal access to online services and an inclusive society. The study identifies strengths and weaknesses of the Egyptian e-Government and IDM services, which we believe are common to most NAC, since the NAC are quite similar in terms of social culture, citizen's education level...... and skills, citizen's behaviours, digital infrastructure and legislation, but also common to many other developing countries. Our analysis of the Egyptian e-Government services indicates that the security requirements and principle of equal access are not fully met, which illustrates the difficulty...
Shabot, M. M.; Polaschek, J. X.; Duncan, R. G.; Langberg, M. L.; Jones, D. T.
The authors created a novel system for governing the enterprise information services (IS) of a large health care system. The governance organization is comprised of key members of the attending medical staff, hospital and health system administration, and the IS department. A method for defining the requirements and business case for proposed new systems was developed for use by departments requesting new or expanded information services. A Technology Architecture Guideline document was developed and approved to provide a framework for supported hardware and software technologies. IS policies are approved by the main governance council. All project proposals are reviewed by specialized governance committees and, if approved, are launched for further development. Fully developed proposals are reviewed, approved and prioritized for funding by the governance council. This novel organization provides the methodology and structure for enlightened peer review and funding for well developed IS project proposals. PMID:10566433
Norgaard, Richard B.; Jin, Ling
We work with a basic general equilibrium model of an economy with an industrial good and a rural good. Industrial good production results in pollution that affects the provision of ecosystem services and thereby the production of the rural good. The assignment of ecosystem rights to the industrial polluters or to the rural pollutees results in differential transaction costs that affect production possibilities between the two goods. Ecosystem rights are assigned to maximize social welfare. Over time, technological change and differences in income superiority affect the choice of the assignment of rights. Opening to trade affects the choice of the assignment of ecosystem rights depending on the nature of technological change, but the relative income superiority of goods no longer affects the assignment of ecosystem rights in a small economy. Thus, among other findings, we demonstrate that the phenomena known as the environmental Kuznets curve does not hold for the protection of ecosystem services in production, or production externalities generally, because trade separates consumption from production. (author)
Arendsen, R.; ter Hedde, M.J.; Wimmer, Maria A.; Scholl, Hans J.; Janssen, Marijn; Traunmüller, Roland
The majority of SME’s tends to outsource administrative tasks, including their direct relationships with the (electronic) government. Commercial intermediary service providers therefore have to be part of governmental multi channel e-service delivery strategies. This research paper explores the
... and the way information is presented help enhance ease of use; that the cost of access does not become a hindrance to the use of m-services; and that services are provided in a secure manner. Failure to take these factors into consideration will negatively impact the successful implementation of m-government projects.
Vitvar, Tomáš; Mocan, Adrian; Nazir, Sanaullah; Wang, Xia
E-Government has been the center of interest for public administrations, citizens and businesses, as well as software vendors for several years. E-Government enables customers and members of the public and private sectors to take advantage of automated administration processes accessible on-line. These activities involve electronic exchange of information to acquire or provide products or services, to place or receive orders, or to complete financial transactions. All such communications must be performed securely, while at the same time maintaining the privacy of involved parties. E-Government allows citizens and businesses to process requests on-line, and with minimal physical interactions with public bodies. Since a complex information support often needs to be developed incrementally, e-Government services were first available as single services in specific sectors and for specific users. While these services are being further developed and expanded to be available in more sectors and for more users, their growing number leads to requirements of total or partial automation of certain tasks, for example, discovery, selection, composition and mediation of services. In addition, extensive numbers of such services are available in different sectors, and their provisioning in complex scenarios requires a good information strategy along with a good architectural and technological basis. The main goal is to identify and define methods, standards, technologies as well as legislation to be used within the whole development process and provisioning of complex e-Government systems. In the EU, the e-Government information strategy can be seen at two levels as (1) a European strategy driven by the European Commission to enable e-Government services across the EU member states and (2) national strategies to form a national e-Government available within a particular EU member state. The initiative which aims to develop the European strategy at the EU level is called IDABC.1
Liu, Yan; Zhu, Liming; Gorton, Ian
The transformation and integration of government services, enabled by the use of new technologies such as application servers and Web services, is fundamental to reduce the cost of government and improving service outcomes to citizens. Many core Government information systems comprise applications running on legacy mainframes, databases and transaction processing monitors. As Governments worldwide provide direct access over the Internet to these legacy applications from the general public, they may be exposed to workloads well above the origin design parameters of these back-end systems. This creates a significant risk of high profile failures for Government agencies whose newly integrated systems become overloaded. In this paper we describe how we conducted a performance assessment of a business-critical, Internet-facing Web services that integrated new and legacy systems from two Australian Government agencies. We leveraged prototype tools from our own research along with known techniques in performance modeling. We were able to clearly demonstrate that the existing hardware and software would be adequate to handle the predicted workload for the next financial year. We were also able to do ‘what-if’ analysis and predict how the system can perform with alternative strategies to scale the system. We conclude by summarizing the lessons learnt, including the importance of architecture visibility, benchmarking data quality, and measurement feasibility due to issues of outsourcing, privacy legislation and cross-agency involvement.
Nathan Young; Aline Coutinho
This article compares the political strategies used by conservative governments in Australia (John Howard) and Canada (Stephen Harper) to manage public impressions of climate change and climate change policy. These cases are significant in part because both governments acted against the weight of domestic public opinion. While many studies of political resistance to climate change mitigation focus on the role of denial, skepticism, and counter-claims, our comparison finds a significant role f...
Full Text Available The large spreading of e-democracy and e-participatory tools and environments showed, and is still showing, that technologies offer new direction for dealing with the challenge of scaling the deliberative democracy perspective up to the urban governance scale. The recent growth of Urban Living Labs and Human Smart City initiatives is disclosing a promising bridge between the micro-scale of decision and the mechanisms of urban governance. In coherence with these perspectives, the article reports on the interplay between urban governance and the co-design of smart services in urban transformation as it has been observed and analysed in the two European research projects Periphèria and MyNeinghbourhood. The article also discusses the value of service codesign as a strategic practice to experiment new participatory governance in smart cities.
Houle, Sherilyn; MacKeigan, Linda
As the population ages, and individuals desire to remain in their homes as long as possible, the need for in-home care is expected to increase. However, pharmacists have rarely been included in studies of in-home care, and little is known about the prevalence or effectiveness of pharmacists' home-based services in Canada. To identify pharmacy practices in Canada that regularly provide in-home patient care and to identify specific services provided, remuneration obtained, and barriers and facilitators influencing the provision of home-based care. A link to a web-based survey was posted in e-newsletters of provincial, territorial, and national pharmacy associations in Canada. In addition, pharmacists known to the researchers as providing in-home clinical services were contacted directly. The survey was open from October to December 2015. Practices or organizations that performed at least one home visit per week for clinical purposes, with documentation of the services provided, were eligible to participate. One response per practice or organization was allowed. Seventeen practices meeting the inclusion criteria were identified, representing community, hospital, and clinic settings. Home visits were most commonly performed for individuals with complex medication regimens or nonadherence to medication therapy. The most common services were conducting medication reconciliation and reviews and counselling patients about medication adherence. No practices or organizations billed patients for these services, yet lack of remuneration was an important barrier identified by many respondents. Although 12 (71%) of the respondents collected data for evaluative purposes, collection of clinical or health system outcome data was rare. Few Canadian pharmacy practices that provide in-home patient care at least once a week could be identified. Data collection suitable to establish an evidence base for this service was infrequently performed by practices and organizations providing
Oelofse, Suzanna HH
Full Text Available In terms of the South African Constitution (Act 108of 1996), waste management service delivery is a local government function. The Constitution further gives every person the right to an environment that is not harmful to their health or well...
By Act No. 3258 of 11 February 1986 the Turkish National Assembly approved ratification of the Agreement of 18 June 1985 between the Government of Turkey and the Government of Canada for Co-operation in the Peaceful Uses of Nuclear Energy. The Agreement covers nuclear co-operation in industry agriculture, electricity generation, etc, and provides the legal framework for such co-operation. It lays down the general provisions for transfer of nuclear facilities, materials and technology between the two Parties and specifies the areas concerned. The Agreement provides that all the activities within its scope shall be carried out for exclusively peaceful purposes. (NEA) [fr
At the request of the Government of Peru an IAEA staff member undertook an expert assignment to the Instituto Peruano de Energia Nuclear (IPEN) within the framework of a technical assistance project. The purpose of the expert's travel was to evaluate a request for equipment for and consultant's advice on the establishment of library and information services and to advise IPEN staff on the establishment of the services. The report presents the findings on the present level and future need for library and information services and presents a proposal for the further development of these. (author)
Full Text Available High quality and comfortable online delivery of governmental services often requires the seamless exchange of data between two or more government agencies. Smooth data exchange, in turn, requires interoperability of the databases and workflows in the agencies involved. Interoperability (IOP is a complex issue covering purely technical aspects such as transmission protocols and data exchange formats, but also content-related semantic aspects such as identifiers and the meaning of codes as well as organizational, contractual or legal issues. Starting from IOP frameworks which provide classifications of what has to be standardized, this paper, based on an ongoing research project, adopts a political and managerial view and tries to clarify the governance of achieving IOP, i.e. where and by whom IOPstandards are developed and established and how they are put into operation. By analyzing 32 cases of successful implementation of IOP in E-Government services within the European Union empirical indicators for different aspects of governance are proposed and applied to develop an empirical taxonomy of different types of IOP governance which can be used for future comparative research regarding success factors, barriers etc.
Levine, Jordan; Muthukrishna, Michael; Chan, Kai M A; Satterfield, Terre
We sought to take a first step toward better integration of social concerns into empirical ecosystem service (ES) work. We did this by adapting cognitive anthropological techniques to study the Clayoquot Sound social-ecological system on the Pacific coast of Canada's Vancouver Island. We used freelisting and ranking exercises to elicit how locals perceive ESs and to determine locals' preferred food species. We analyzed these data with the freelist-analysis software package ANTHROPAC. We considered the results in light of an ongoing trophic cascade caused by the government reintroduction of sea otters (Enhydra lutris) and their spread along the island's Pacific coast. We interviewed 67 local residents (n = 29 females, n = 38 males; n = 26 self-identified First Nation individuals, and n = 41 non-First Nation individuals) and 4 government managers responsible for conservation policy in the region. We found that the mental categories participants-including trained ecologists-used to think about ESs, did not match the standard academic ES typology. With reference to the latest ecological model projections for the region, we found that First Nations individuals and women were most likely to perceive the most immediate ES losses from the trophic cascade, with the most certainty. The inverse was found for men and non-First Nations individuals, generally. This suggests that 2 historically disadvantaged groups (i.e., First Nations and women) are poised to experience the immediate impacts of the government-initiated trophic cascade as yet another social injustice in a long line of perceived inequities. Left unaddressed, this could complicate efforts at multistakeholder ecosystem management in the region. © 2016 Society for Conservation Biology.
Dobrow, Mark J; Costa, Sarah; Israr, Saadia; Chafe, Roger
While health services and policy research (HSPR) has an established footing in traditional research settings (e.g., universities, hospitals, research institutes) in Canada, its presence in other research settings (e.g., government agencies, regional health authorities, charitable organizations) is emergent and less well understood. Drawing on data from the Canadian Institutes of Health Research, the Canadian Health Services Research Foundation, two Canadian HSPR-focused journals (Healthcare Policy and Healthcare Management Forum) and the Canadian Association of Health Services and Policy Research, we mapped HSPR settings based on three different measures: (1) HSPR-related funding, (2) authorship in Canadian HSPR-focused journals and (3) membership in a professional HSPR association. Our findings suggest that while a significant proportion of HSPR is directly linked to non-traditional research settings, the nature and extent of HSPR activity in those settings are unclear.
Haase, Dagmar; Frantzeskaki, Niki; Elmqvist, Thomas
Urban landscapes are the everyday environment for the majority of the global population, and almost 80 % of the Europeans live in urban areas. The continuous growth in the number and size of urban areas along with an increasing demand on resources and energy poses great challenges for ensuring human welfare in cities while preventing an increasing loss of biodiversity. The understanding of how urban ecosystems function, provide goods and services for urban dwellers; and how they change and what allows and limits their performance can add to the understanding of ecosystem change and governance in general in an ever more human-dominated world. This Special Issue aims at bridging the knowledge gap among urbanization, demand creation, and provisioning of ecosystem services in urban regions on the one hand and schemes of urban governance and planning on the other.
Managing urban green space as part of an ongoing social-ecological transformationposes novel governance issues, particularly in post-industrial settings. Urban green spaces operate as small-scale nodes in larger networks of ecological reserves that provide and maintain key ecosystem services such as pollination, water retention and infiltration, and sustainable food production. In an urban mosaic, a myriad of social and ecological components factor into aggregating and managing land to maintain or increase the flow of ecosystem services associated with green spaces. Vacant lots (a form of urban green space) are being repurposed for multiple functions, such as habitat for biodiversity, including arthropods that provide pollination services to other green areas; to capture urban runoff that eases the burden on ageing wastewater systems and other civic infrastructure; and to reduce urban heat island effects. Urban green spaces provide vital ecosystem services at varying degrees, depending on the size, function, and management of these spaces. Governance of linked social-ecological systems to maximize those services poses unique challenges given the uncertainty of ecological responses and the social political complexity of managing ecological resources in an urban context where fiscal and human resources are strained. In North America, many cities are facing fiscal austerity because of shrinkage in manufacturing and industrial sectors and the foreclosure crisis. As
Lopez-Hoffman, Laura; Chester, Charles C.; Semmens, Darius J.; Thogmartin, Wayne E.; Rodriguez-McGoffin, M. Sofia; Merideth, Robert; Diffendorfer, Jay E.
This article discusses the conservation challenges of volant migratory transborder species and conservation governance primarily in North America. Many migratory species provide ecosystem service benefits to society. For example, insectivorous bats prey on crop pests and reduce the need for pesticides; birds and insects pollinate food plants; and birds afford recreational opportunities to hunters and birdwatchers. Migration is driven by the seasonal availability of resources; as resources in one area become seasonally scarce, individuals move to locations where resources have become seasonally abundant. The separation of the annual lifecycle means that species management and governance is often fractured across international borders. Because migratory species depend on habitat in different locations, their ability to provide ecosystem services in one area depends on the spatial subsidies, or support, provided by habitat and ecological processes in other areas. This creates telecouplings, or interconnections across geographic space, of areas such that impacts to the habitat of a migratory species in one location will affect the benefits enjoyed by people in other locations. Information about telecoupling and spatial subsidies can be used to craft new governance arrangements such as Payment for Ecosystem Services programs that target specific stakeholder groups and locations. We illustrate these challenges and opportunities with three North American case studies: the Duck Stamp Program, Mexican free-tailed bats (Tadarida brasiliensis mexicana), and monarch butterflies (Danaus plexippus).
Full Text Available The authors divide their research in several phases. First, they conduct a literature review in order to identify relevant studies and theoretical papers covering the topic of governmental e-services. Then, they conduct an environmental scan in order to identify relevant governmental e-services in the EU countries. Further, the authors focus their research on eight European countries and conduct a deeper analysis of the implemented Government to Business (G2B e-services. Research is centered on the eight G2B e-services. The identified e-services are firstly ranked according to their maturity level, and then analysed by using a developed questionnaire. The aim was to systematically collect enough information on the e-services in order to be able to conclude if the users may consider an e-service as responsible, reliable, accurate, secure, transparent and trustworthy as well as to conclude if an e-service addresses privacy issues, duties to remember, and the right to be forgotten. The comparative analysis of the identified G2B e-services in the eight European countries identifies weak spots of e-services and points them out in order for them to be improved. The identified gaps refer to the long-term service continuity plans, policies giving information on storage and preservation methods, long-term preservation of digitally signed records, use of clients’ data etc. One of the by-products of this research is a check list which can be used by the users of e-services as guidance for establishing trust in an e-service they (intend to use but it also can be used as guidelines by e-service providers. The authors conclude that not only the comparative study provides an insight into the state of development of G2B e-services in the investigated countries but it also reveals the areas of possible improvements in the context of establishing accountability and trust in governmental e-services in general.
Catto, N.; Tomblin, S.
Newfoundland and Labrador's perspective on emergency measures in response to natural hazards is shaped by several factors. Climate, meteorology, and terrain are the dominant factors both in the occurrence of events and the responses to them. The economy, dominated by resource-based activities, is a significant influence in accentuating exposure to natural hazards. In this situation, the role of earth scientists is critical. However, effective input from geographers, geomorphologists, and climatologists requires an understanding of the governance regime. For emergency services, both formal public policy responses, informal mechanisms, and the interfacing that exists between public policy mechanisms and social forces are significant. In an era where more and more problems are considered as "interdependent", and require different governmental, social, and professional expertise forces to come together to address objectives, there is interest in exploring and analyzing patterns of communication, interactions and policy learning across inherited silos. A major political-policy struggle is the challenge of managing rural-urban differences in capacity and perspective. Another challenge involves finding ways for professions to merge their protocols and cultures. Embracing best practices associated with natural hazards and emergency preparedness is influenced by the power and independence of various groups involved. Critical events provide windows of opportunity for urging new approaches, but whether these become institutionalized or not normally depends on the interplay of ideas, interests, individuals, and institutions. In coping with natural hazards, renewing governance required finding new incentives to integrate across jurisdictions and disciplinary and governmental-society boundaries. Perception and response to natural hazards is very much connected with the historical-policy context. The pace of effective response indicates the impact of culture, capacity
Khanlou, Nazilla; Haque, Nasim; Mustafa, Nida; Vazquez, Luz Maria; Mantini, Anne; Weiss, Jonathan
Equal access for autism services remains suboptimal for diverse groups. In Canada, little is known about the barriers immigrant mothers face accessing services and support for their children with developmental disabilities. In this qualitative study, 21 immigrant mothers of children with Autism, from a diverse ethno cultural background, were interviewed in Toronto, Canada. We apply House's (1981) four domains of social support to analyze findings. Structural support challenges, such as delays in diagnosis, fragmented and dispersed services were common, followed by instrumental challenges due to loss of social ties and stigma. Lack of expected support from partners, and negative perceptions of services, were identified as emotional and perceptive challenges. Focused attention is required to address inequalities within the context of current access pathways for autism.
Haroula N. Delopoulos
In this article a bibliography research takes place to track down and introduce the barriers and opportunities for the adoption of e-Governance services mainly from the side of citizen, that is to say, the demand side. Although governments invest continuously in producing of e-Governance services, citizens face difficulties to adopt these services. Barriers derive and prevent them from using e-Governance services. Barrier is anything preventing citizens from the adoption ...
Full Text Available Research indicates that people living in rural and remote areas of Canada face challenges to accessing health services. This article reports on a community-engaged research project conducted by investigators at Memorial University of Newfoundland in collaboration with the Rural Secretariat Regional Councils and Regional Partnership Planners for the Corner Brook–Rocky Harbour and Stephenville–Port aux Basques Rural Secretariat Regions of Newfoundland and Labrador. The aim of this research was to gather information on barriers to accessing health services, to identify solutions to health services’ access issues and to inform policy advice to government on enhancing access to health services. Data was collected through: (1 targeted distribution of a survey to communities throughout the region, and (2 informal ‘kitchen table’ discussions to discuss health services’ access issues. A total of 1049 surveys were collected and 10 kitchen table discussions were held. Overall, the main barriers to care listed in the survey included long wait times, services not available in the area and services not available at time required. Other barriers noted by survey respondents included transportation problems, financial concerns, no medical insurance coverage, distance to travel and weather conditions. Some respondents reported poorer access to maternal/child health and breast and cervical screening services and a lack of access to general practitioners, pharmacy services, dentists and nurse practitioners. Recommendations that emerged from this research included improving the recruitment of rural physicians, exploring the use of nurse practitioners, assisting individuals with travel costs, developing specialist outreach services, increasing use of telehealth services and initiating additional rural and remote health research. Keywords: rural, remote, healthcare, health services, social determinants of health
... them. Entitlement to essential public services of reasonable quality, which inheres in Canadian citizenship, comes to aboriginal peoples by virtue of their contribution of the entire land base of Canada...
Magalhaes, Lilian; Carrasco, Christine; Gastaldo, Denise
It is estimated that there are 30-40 million undocumented workers worldwide. Although undocumented migration has become an issue of high international relevance, it has been strikingly understudied in Canada, especially with respect to its impact on health. The purpose of this study is to explore the concept of undocumentedness in Canada through a scoping review of peer-reviewed and grey literature written in English, French, Portuguese and Spanish between 2002 and 2008. The specific aims are to: (i) summarize and disseminate current academic and community-based findings on the health, service access and working conditions of undocumented migrants in Canada; (ii) examine the sources and use of evidence; (iii) identify significant gaps in existing knowledge; (iv) set recommendations for policy and research, including considerations on transnationalism, ethics, interdisciplinary approaches, gender differences, resilience, and impact on the children of non-status parents.
Titlepage,Acknowledgments -- Table of Contents,Tables,List of Abbreviations,Glossary -- Chapter I.Introduction -- Chapter II.Contending Approaches to the Study of State Power and Their Implications -- Chapter III.An Alternative Research Strategy for an Statist Strategy -- Chapter IV.Canadian and Japanese Political Culture and State Power -- Chapter V.The Petroleum Policy Environment and the Canadian and Japanese States -- Chapter VI.Canada's National Oil Policy(NOP)and the Petroleum Industry,...
Canadian governments spend billions of dollars yearly on programmatic interventions, intended to improve the mental health of children, without recommended monitoring of children's mental health. The Canadian Academy of Child and Adolescent Psychiatry monitored governments' progress in producing reports. Five evolving surveys were done during 2002, 2004, 2005, 2006 and 2008. Initially, progress was monitored then later surveys examined challenges that inhibited monitoring, the need for a national strategy, an indicator framework and an agency to do the monitoring and the role of non-government organizations. The 2008 survey requested the three most important indicators governments desired, and created clarity in the definition of monitoring reports in contents, criteria, qualities of indicators and potential names. For comparison purposes, a Partnership Model to survey populations was evaluated. Over five surveys, 13 of 14 governments affirmed the desire for monitoring and 64 publications were reviewed and categorized. No reports met criteria for 'monitoring reports'. The Partnership Model was used successfully in 11 Provincial-Territorial governments. It was reassuring that governments supported monitoring and were producing reports. The Partnership Model may offer a suitable alternative for governments. Results of 2006 and 2008, discussion, conclusions and references are in Part II.
Full Text Available As electronic government services (e-government evolve, traditional applications such as online portals are encountering challenges in a new digital era in which people thirst for more convenient, diverse channels of communication with their government. Despite the efforts devoted to the promotion of Social Networking Service (SNS use in e-government for the past few years, empirical studies regarding this ongoing trend are still insufficient. In the local administration of China, a special collaboration between local governments and private Internet enterprises is happening: government services are imported into commercial SNS platforms known as WeChat and Weibo. This research conducts a case study of a Chinese municipality premised upon survey data (N = 605 collected in Chongqing. It examines the determinants of e-services adoption in four major local applications: two traditional government-led services “Government website portal” and “Government official app” (traditional government-led services, and two built-in government services on social networking applications “Weibo Government official account” “WeChat Public Services”. The paper aims to provide a closer understanding of current trends in local government e-services, or in this case, an innovative trial of Chinese e-government practices.
Eagles, Paul; Havitz, Mark; McCutcheon, Bonnie; Buteau-Duitschaever, Windekind; Glover, Troy
Good governance is of paramount importance to the success of parks and protected areas. This research utilized a questionnaire for 10 principles of governance to evaluate the outsourcing model used by British Columbia Provincial Parks, where profit-making corporations provide all front country visitor services. A total of 246 respondents representing five stakeholder groups evaluated the model according to each principle, using an online survey. Principal component analysis resulted in two of the 10 principles (equity and effectiveness) each being split into two categories, leading to 12 governance principles. Five of the 12 criteria received scores towards good governance: effectiveness outcome; equity general; strategic vision; responsiveness; and effectiveness process. One criterion, public participation, was on the neutral point. Six criteria received scores below neutral, more towards weak governance: transparency; rule of law; accountability; efficiency; consensus orientation; and, equity finance. The five stakeholder groups differed significantly on 10 of the 12 principles ( P outsourcing model differed significantly amongst various constituent groups.
Full Text Available This research acknowledges the current service delivery chaos manifested through numerous protests justifying the weakness of the “Batho Pele” good governance principles to facilitate, improve and sustain service delivery by local governments. The success of corporate governance in corporate companies and state owned enterprises is recognised prompting suggestions that local governments should too adopt corporate governance principles or King III to be effective. The research reviews the King III and literature to ascertain the lack of research on corporate governance in local governments in South Africa. Considering the particular set-up of local governments, the research doubts the successful application of King III in local governments. Through critical research theory, the current service delivery crisis in local governments in South Africa is described. The success of corporate governance systems in the United Kingdom and Australian local governments justify the need for a separate corporate municipal governance system as a solution to the crisis. A specific change of legislation and corporate governance guidelines is necessary to address the uniqueness of local governments. Hence, corporate municipal governance should be compulsory and based on ten standardised good governance principles via a code of corporate governance and a corporate governance framework responding to specific prerequisites for success
Eagles, Paul; Havitz, Mark; McCutcheon, Bonnie; Buteau-Duitschaever, Windekind; Glover, Troy
Good governance is of paramount importance to the success of parks and protected areas. This research utilized a questionnaire for 10 principles of governance to evaluate the outsourcing model used by British Columbia Provincial Parks, where profit-making corporations provide all front country visitor services. A total of 246 respondents representing five stakeholder groups evaluated the model according to each principle, using an online survey. Principal component analysis resulted in two of the 10 principles (equity and effectiveness) each being split into two categories, leading to 12 governance principles. Five of the 12 criteria received scores towards good governance: effectiveness outcome; equity general; strategic vision; responsiveness; and effectiveness process. One criterion, public participation, was on the neutral point. Six criteria received scores below neutral, more towards weak governance: transparency; rule of law; accountability; efficiency; consensus orientation; and, equity finance. The five stakeholder groups differed significantly on 10 of the 12 principles (P < .05). The 2 exceptions were for efficiency and effectiveness process. Seven of the 12 criteria followed a pattern wherein government employees and contractors reported positive scores, visitors and representatives of NGOs reported more negative scores, and nearby residents reported mid-range scores. Three criteria had government employees and contractors reporting the most positive scores, residents and visitors the most negative scores, and NGO respondents reporting mid-range scores. This research found evidence that perceptions of governance related to this outsourcing model differed significantly amongst various constituent groups.
The common aim of all our daily activities is providing services to others or ourselves. Services provided by the government are called public services while those provided by some people to some others are called private services. Both types differ from country to country and from region to region. In Saudi Arabia, public services include education, health, police, trading, and environmental services. It is the aim of all government agencies in Saudi Arabia and other countries around the wor...
Ford, Wendy G.
There are a wide variety of e-government information and services that small business owners and managers can utilize. However, in spite of all of the service incentives and initiatives to promote e-government, research studies have shown that this information is not widely accessed. Studies that explore the utilization of e-government information…
Macumber, Howard L.; Hoch, Oswald
The Canadian Government Telecommunications Agency (GTA) has recently introduced the Government Satellite Network (GSN) for data, voice, and image communications. Three major field trials of this network have been undertaken, two involving time division multiple access (TDMA) and the third involving a single channel per carrier (SCPC) system. It was found that telecommunication delays experienced with single hop satellite communications had minimal effect but double hop systems seriously interfered with voice communications. The quality of transmitted facsimile images were equal or superior to those transmitted over terrestrial lines. Data transmission quality varied from excellent to unacceptable under moderate line loading. The SCPC system was used in trials involving the Canadian Coast Guard and the Air Administration. In an Air Administrative application, users were unable to differentiate between transmission over satellite and terrestrial channels. A demonstration has been established to enable government departments to evaluate satellite communications applications, and to verify essential aspects of system functionality and performance.
Kulig, Judith Celene; Williams, Allison M
... 362.1'042570971 C2011-907067-7 UBC Press gratefully acknowledges the financial support for our publishing program of the Government of Canada (through the Canada Book Fund), the Canada Council for th...
Bereskie, Ty; Rodriguez, Manuel J; Sadiq, Rehan
Drinking water management in Canada is complex, with a decentralized, three-tiered governance structure responsible for safe drinking water throughout the country. The current approach has been described as fragmented, leading to governance gaps, duplication of efforts, and an absence of accountability and enforcement. Although there have been no major waterborne disease outbreaks in Canada since 2001, a lack of performance improvement, especially in small drinking water systems, is evident. The World Health Organization water safety plan approach for drinking water management represents an alternative preventative management framework to the current conventional, reactive drinking water management strategies. This approach has seen successful implementation throughout the world and has the potential to address many of the issues with drinking water management in Canada. This paper presents a review and strengths-weaknesses-opportunities-threats analysis of drinking water management and governance in Canada at the federal, provincial/territorial, and municipal levels. Based on this analysis, a modified water safety plan (defined as the plan-do-check-act (PDCA)-WSP framework) is proposed, established from water safety plan recommendations and the principles of PDCA for continuous performance improvement. This proposed framework is designed to strengthen current drinking water management in Canada and is designed to fit within and incorporate the existing governance structure.
Bereskie, Ty; Rodriguez, Manuel J.; Sadiq, Rehan
Drinking water management in Canada is complex, with a decentralized, three-tiered governance structure responsible for safe drinking water throughout the country. The current approach has been described as fragmented, leading to governance gaps, duplication of efforts, and an absence of accountability and enforcement. Although there have been no major waterborne disease outbreaks in Canada since 2001, a lack of performance improvement, especially in small drinking water systems, is evident. The World Health Organization water safety plan approach for drinking water management represents an alternative preventative management framework to the current conventional, reactive drinking water management strategies. This approach has seen successful implementation throughout the world and has the potential to address many of the issues with drinking water management in Canada. This paper presents a review and strengths-weaknesses-opportunities-threats analysis of drinking water management and governance in Canada at the federal, provincial/territorial, and municipal levels. Based on this analysis, a modified water safety plan (defined as the plan-do-check-act (PDCA)-WSP framework) is proposed, established from water safety plan recommendations and the principles of PDCA for continuous performance improvement. This proposed framework is designed to strengthen current drinking water management in Canada and is designed to fit within and incorporate the existing governance structure.
The article introduces a service-oriented architecture (SOA) governance framework for successful implementation in a healthcare organization. The proposed framework, based on a rigorous literature review, proposes nine governance elements that should be considered during the SOA implementation...
Deslauriers, Simon; Raymond, Marie-Hélène; Laliberté, Maude; Lavoie, Amélie; Desmeules, François; Feldman, Debbie E; Perreault, Kadija
The prevalence of musculoskeletal disorders is high and expected to increase in the next decade. Persons suffering from musculoskeletal disorders benefit from early physiotherapy services. However, access to publicly funded physiotherapy services has been shown to be compromised by long waiting times and limited availability of resources in many countries around the world. Decisions on resource allocation may create geographic disparities in provision and access to services, which may result in inequity in access. This study aimed to assess variations in demand and provision of publicly funded outpatient physiotherapy services across the province of Quebec, Canada, as well as to assess the demand to provision relationship. We conducted a secondary analysis of data retrieved from the 2008 Quebec Health Survey and data obtained from a survey of hospitals in the province of Quebec in 2015. We used geographic information systems analyses and descriptive analyses to assess geographic variations and the relationship between demand and provision. Our results indicate substantial variations in the provision and demand for physiotherapy services in the province of Quebec. The variations in service provision did not follow the variations in demand. Long waiting times and insufficient provision of services were found in many regions. The variations in provision of physiotherapy services between regions reported in our study did not correspond to the variations in demand. Such geographic variations and demand to provision mismatches may create inequity in access to services, especially for those unable to afford private services. © 2017 John Wiley & Sons, Ltd.
Flaer, P J; Younis, M Z; Benjamin, P L; Al-Hajeri, M
This opinion paper explains the unique and favourable terms of dental health insurance coverage available to residents (both permanent and temporary) of the Province of Québec, Canada. In comparison, the United States and British Canada are the poor stepchildren of government-mediated provision of dental health coverage. The differences in dental healthcare provision between these regions are a question of culture - more specifically, of differing socio-political cultures and different perspectives on the importance of dental care. Lawmakers in the United States can learn from this policy of government-administered dental insurance that appears to work well in Québec.
Adaptive governance and adaptive management have developed over the past quarter century in response to institutional and organizational failures, and unforeseen changes in natural resource dynamics. Adaptive governance provides a context for managing known and unknown consequenc...
Paagman, Arnaud; Tate, Mary; Furtmueller-Ettinger, Elfriede; de Bloom, Jessica
This paper contributes to the understanding of the meaning of shared services and motives for introducing shared services in government organizations. We review and clarify definitions of shared services and derive a definition applicable for the government context. Based on an extensive literature
... Convenience of the Government (Services) (Short Form). 52.249-4 Section 52.249-4 Federal Acquisition... (Services) (Short Form). As prescribed in 49.502(c), insert the following clause in solicitations and... termination: Termination for Convenience of the Government (Services) (Short Form) (APR 1984) The Contracting...
Full text: Like many countries with nuclear power programs, Canada is in the process of addressing the long-term management of its spent fuel. The Nuclear Waste Management Organization (NWMO) was tasked through federal legislation to conduct a three-year study of approaches for the long-term management of spent fuel, and to recommend a preferred approach to the Government of Canada. Legislation required NWMO to compare at least three approaches -approaches based on deep geological disposal in the Canadian Shield, storage at nuclear reactor sites, and centralized storage either above or below ground. In assessing the options, NWMO sought a recommendation that would be socially acceptable, technically sound, environmentally responsible and economically feasible. The study drew on a vast base of social, technical, engineering, and financial research, and included an extensive engagement program with the public and Aboriginal peoples. The recommendation emerged from a collaborative dialogue with specialists and citizens, for an approach that is built on sound science and technology and responsive to citizen values. NWMO submitted its completed options study, with recommendation, to the Government in November 2005. NWMO has proposed an alternative approach, Adaptive Phased Management, which has as its key attributes: central containment and isolation of spent fuel in a deep repository, in an appropriate geological formation; contingency provision for central shallow storage; monitoring and retrievability; and a staged, adaptive process of concept implementation, reflecting the complex nature of the task and the desire of citizens to proceed through cautious, deliberate steps of technical demonstration and social acceptance. This paper will review: 1) the development of the assessment framework for comparing the technical options, which incorporated social and ethical considerations expressed by citizens; 2) findings of the assessment; and 3) features of the proposed
Ostertag, Katrin; Huelsmann, Friederike
There is a surprisingly high variety of actors involved in the supply of energy service contracting arrangements. Based on an empirical record of approximately 2,500 contracting projects in the domain of space heating in Germany, the paper analyses specialisation patterns of contractors. An econometric model is used to test hypotheses derived from transaction cost economics, which contractor type should be expected for which kind of contracting project. According to our results, if physical, site and human asset specificity are high, governance modes are preferred, for which contracting represents a downward integration of business activities along the value-added chain. This includes the supply of contracting by municipal utilities. More specifically, municipal utilities occur as superior suppliers of contracting if combined heat and power is implemented, if the building served is connected to their gas grid and if it is a public building. This pattern could orient the development of contracting activities for utilities reconsidering their strategic position following the liberalisation of the electricity market. (orig.)
Astawa, I. P. M.; Dewi, K. C.
E-Government in higher education can be utilized in order to provide public services to stakeholders both internal and external. The research objectives is to analyze the e-government facilities for public services in higher education. The research began by reviewing the concept of public services and e-government, then continued by analysing e-government facilities based on the E-Government Maturity Level developed by Wirtz and Piehler. The research subject was the e-government website of three universities that ranked the top three of webometrics version (Indonesia country rank), while the research object was e-government facilities for public services. Data collection was done by observing e-government sites via online browsing. The research’s results indicated that all three e-government sites have met four e-government business model and provided e-government services in line with the fourth stage on the e-government development stage. It can concluded that the three universities have achieved e-government maturity at the fourth level.
In order to align with green initiatives, IDRC will no longer be providing a copy of the T1204 slip to contractors. In order to continue meeting the Canada Revenue Agency (CRA) requirements, IDRC will continue reporting the T1204 slip information to CRA. Please contact the CRA for any general questions about T1204 ...
Maniam Kaliannan; Halimah Awang; Murali Raman
Implementation of e-government is seen as a tool to improve government service delivery to citizens, businesses and within government agencies. The benefits could be more transparency, greater convenience, less corruption, revenue growth and cost reduction. However, lack of financial resources, and low levels of skills and limited capacity of governments are some of the main obstacles faced in pursuance of e-government nationwide. The introduction of Public-Private Partnerships (PPP) is seen ...
Tan, C.W.; Benbasat, I.; Cenfetelli, R.
Despite extensive deliberations in contemporary literature, the design of citizen-centric e-government websites remains an unresolved theoretical and pragmatic conundrum. Operationalizing e-government service quality to investigate and improve the design of e-government websites has been a much
... forth in the U.S.-Canadian Statement of Principles for Economic Cooperation (October 26, 1950) require... Works and Government Services Canada on all matters of mutual concern relating to the administration of... the United States: Public Works and Government Services Canada, Acquisitions Branch, Business...
Janssen, M.F.W.H.A.; Wagenaar, R.
Information systems engineering projects in egovernment are confronted with high costs, lack of expertise and developing similar functionality over and over. A shared services centre might provide common services to local government organizations without affecting the autonomy of organizations and
Full Text Available Abstract Background In 2001 Health Canada responded to a series of Ontario court decisions by creating the Marihuana Medical Access Division (MMAD and the Marihuana Medical Access Regulations (MMAR. Although Health Canada has conducted a small number of stakeholder consultations, the federal government has never polled federally authorized cannabis patients. This study is an attempt to learn more about patient needs, challenges and experiences with the MMAD. Methods Launched in the spring of 2007, Quality of Service Assessment of Health Canada's Medical Cannabis Policy and Program pairs a 50 question online survey addressing the personal experiences of patients in the federal cannabis program with 25 semi-guided interviews. Data gathering for this study took place from April 2007 to Jan. 2008, eventually garnering survey responses from 100 federally-authorized users, which at the time represented about 5% of the patients enrolled in Health Canada's program. This paper presents the results of the survey portion of the study. Results 8% of respondents report getting their cannabis from Health Canada, while 66% grow it for themselves. >50% report that they frequent compassion clubs or dispensaries, which remain illegal and unregulated in Canada. 81% of patients would chose certified organic methods of cultivation; >90% state that not all strains are equally effective at relieving symptoms, and 97% would prefer to obtain cannabis from a source where multiple strains are available. Of the 48 patients polled that had tried the Health Canada cannabis supply, >75% rank it as either "1" or "2" on a scale of 1-10 (with "1" being "very poor", and 10 being "excellent". Discussion 72% of respondents report they are either "somewhat" or "totally unsatisfied" with Canada's medical cannabis program. These survey results and relevant court decisions suggest that the MMAR are not meeting the needs of most of the nation's medical cannabis patient community. It is
The article discusses a definition of service in the local government in CR that uses process management as part of the EA meta model.. This definition is a follow up of the analysis regarding effective local government in CR that is based on process management usage together with the enterprise architecture elements. Service definition in this article is regarding the logic of creation of business service in the proposed EA meta model, definition of business service against the definition of...
J.C.M. van den Ende (Jan); F.P.H. Jaspers (Ferdinand)
textabstractThis paper focuses on governance modes for systemic innovation projects. The central question is: to what extent does the newness of a system and its components affect the most appropriate governance mode for component development projects? Component development projects can be performed
Campbell, Lauren; Bunston, Rebecca; Colangelo, Sarah; Kim, Dorothy; Nargi, Jessica; Hill, Kylie; Brooks, Dina
To describe the provision of weekend physiotherapy (PT) services in tertiary-care hospitals in Canada. A prospective cross-sectional survey was conducted across tertiary-care hospitals, defined as those with university affiliation and at least one intensive care unit (ICU). Data were collected via telephone-administered questionnaires addressing hospital demographics, weekend staffing, workload, and weekend referral criteria. A response rate of 84% (n=36) was obtained. Of facilities providing weekend PT services (97%), 35 (100%) provided care on Saturdays, 32 (91%) on Sundays, and 33 (94%) on statutory holidays. Weekend services were staffed using permanent full-time (n=35; 100%) or part-time (n=28; 80%) in-patient staff or outsourced staff (n=1; 3%). The number of physiotherapists available on the weekend was smaller than the number available during the week (p<0.001). Common weekend referral criteria included cardiorespiratory problems (n=35; 100%), postoperative assessment of patients at risk for deterioration (n=32; 91%), and patients scheduled for discharge pending PT assessment (n=30; 86%). Both the scope and the number of staff available to provide PT services were less on the weekend than during the week. Despite the use of common criteria for weekend referral, variability in this service exists. Knowledge pertaining to current weekend PT services provides opportunities for harmonization of service delivery.
Kotamraju, Nalini; van der Geest, Thea
The absence of user involvement in the design and development of e-government is often cited as a reason for the lag in e-government uptake. Drawing on our involvement with PortNL, an integrated e-government service for expatriates in the Netherlands, we explain this absence as a result of an
... to Part 73 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES GENERAL ADMINISTRATION STANDARDS OF... Government service should: I. Put loyalty to the highest moral principles and to country above loyalty to... private word which can be binding on public duty. VII. Engage in no business with the Government, either...
Full Text Available Technological developments and governments’ understanding of what citizens need usually determine the design of public online services. For successful implementation of e-Government services, governments have to place the user in the center of future developments, understand what citizens need and measure what increases citizens’ willingness to adopt e-government services. The paper uses the Technology Acceptance Model (TAM, the extended TAM, the Diffusion of Innovations (DOI theory and the important determinants of user acceptance perceived risk and trust, in order to describe teachers’ behavioral intensions to adopt e-Government services. A model containing trust and risk, along with cognitive, social and intrinsic factors is used to study the intentions of e-Government use by Greek primary and secondary education teachers. Two hundred and thirty teachers responded to an online survey. Findings reveal that cognitive and intrinsic factors have significant effects on intentions to use e-Government websites.
Guruge, Sepali; Thomson, Mary Susan; Seifi, Sadaf Grace
RÉSUMÉ Une population vieillissante et la croissance de la population sur la base de l'immigration nécessitent que la recherche, la pratique et la politique doivent se concentrer sur la santé mentale des immigrants âgés, surtout parce que leur santé mentale semble se détériorer au fil du temps. Cette revue se concentre sur: Qu'est-ce que l'on sait sur les déterminants sociaux de la santé mentale chez les immigrants âgés, et quels sont les obstacles à l'accès aux services de santé mentale confrontés par les immigrants âgés? Les résultats révèlent que (1) les déterminants sociaux décisifs de la santé mentale sont la culture, le sexe et les services de santé; (2) que les immigrants plus âgés utilisent les services de santé mentale de moins que leurs homologues nés au Canada à cause des obstacles tels que, par exemple, les croyances et les valeurs culturelles, un manque de services culturellement et linguistiquement appropriées, des difficultés financières, et l'âgisme; et (3) quelles que soient les sous-catégories dans cette population, les immigrants âgés éprouvent des inégalités en matière de la santé mentale. La preuve des recherches disponibles indique que de combler les lacunes des service de santé mentale devrait devenir une priorité pour la politique et la pratique du système de soins de santé au Canada.
Community Broadband Networks (CBN) facilitate Broadband connectivity in underserved areas in many countries. The lack of Broadband connectivity is one of the reasons for the slow diffusion of e-government services in many countries.This article explains how CBNs can be enabled by governments...... to facilitate the delivery of e–government services in underserved areas in the developed and developing countries.The Community Based Broadband Mobilization (CBNM) models are used as explanatory tools....
DE MATTEIS Fabio
Full Text Available Entrusting most local public services to local government entities has led to proliferation of public groups and, consistently, to greater complexity of the governance dynamics of local authorities. Differently from Anglo-Saxon countries, the Italian local public services provision has been characterized by a hybrid externalization process where local entities are legally autonomous but owned by the local government. This leads to a peculiar governance complexity source represented by the dual role (stakeholder and customer assumed by the local authority. Considering these elements (hybrid externalization and governance structure, this work tries to investigate some governance issues of public groups, basing on the two most populous Italian municipalities. The empirical findings highlight a gap between the presence of the conditions for defining a group governance structure and the adoption of a group approach by the parent local government. The authors try to suggest how to bridge this gap.
Klievink, B.; Janssen, M.
Government organizations operate a variety of channels to interact with citizens and businesses. Advances in information and communication technology enabled an online presence and more direct interactions. A focus on efficiency makes organizations encourage the use of electronic channels over
Tanev, Stoyan; Liotta, Giacomo; Kleismantas, Andrius
This paper is based on an empirical study addressing the value of product-enabled services in top R&D spenders from Canada and Europe. The focus is on product-driven firms for which new service development is particularly challenging. Existing literature on the value attributes of hybrid value...
Lundkvist, Elin; Persson, Gustav
Service-oriented architecture (SOA) governance has been identified as the most important factor affecting the outcome of SOA within organisations. However, authors have failed to explain how organisations should govern specific aspects of its SOA, leaving a gap in the literature. Therefore, the purpose of this study was to investigate established SOA governance mechanisms in order to explain implications of governance in a SOA context. The research question of the study was to identify which ...
Ingram, Verina; Den Berg, van, Jolanda; Oorschot, van, Mark; Arets, Eric; Judge, Lucas
Dutch policies have advocated sustainable commodity value chains, which have implications for the landscapes from which these commodities originate. This study examines governance and policy options for sustainability in terms of how ecosystem services are addressed in cocoa, soy, tropical timber and palm oil value chains with Dutch links. A range of policies addressing ecosystem services were identified, from market governance (certification, payments for ecosystem services) to multi-actor p...
Meng, X.; Deng, Y.; Li, H.; Yao, L.; Shi, J.
With the acceleration of China's informatization process, our party and government take a substantive stride in advancing development and application of digital technology, which promotes the evolution of e-government and its informatization. Meanwhile, as a service mode based on innovative resources, cloud computing may connect huge pools together to provide a variety of IT services, and has become one relatively mature technical pattern with further studies and massive practical applications. Based on cloud computing technology and national e-government network platform, "National Natural Resources and Geospatial Database (NRGD)" project integrated and transformed natural resources and geospatial information dispersed in various sectors and regions, established logically unified and physically dispersed fundamental database and developed national integrated information database system supporting main e-government applications. Cross-sector e-government applications and services are realized to provide long-term, stable and standardized natural resources and geospatial fundamental information products and services for national egovernment and public users.
Berger, Jesper B.; Hertzum, Morten; Schreiber, Trine Louise
Digital communication between government and citizens is pivotal to e-government. The Danish e-government initiative Digital Post aims to digitize all communication between government and citizens. We surveyed local government staff about how Digital Post affects the service delivered to citizens....... As much as 82% of the 448 respondents considered digital communication with citizens using Digital Post a good idea, yet 47% reported concrete incidents in which they perceived a decrease in service with Digital Post. This result shows the importance of distinguishing between the overall service...... relationship and the concrete incidents of which the service consists. We discuss interactions between the relationship level and the incident level of Digital Post on the basis of a content analysis of the respondents’ incident descriptions....
Oktariyanda, T. A.; Rahaju, T.
The use of information technology by Surabaya City Government has generated various innovations of public services such as “e-Sapa Warga”, e-Commerce, “e-RT/RW”, e-Budgeting, e-Project, e-Procurement, “e-Pendidikan”. Among the many innovations, e-RT/RW (Rukun Tetangga / Rukun Warga) is an innovation that is quite prominent because there are still many areas that have not implemented. This research can be classified as literature review and critical research. The aims of this research are to describe and analyze e-government strategy in Surabaya City through e-RT / RW to improve public service quality. The result of this research is e-government strategy in Surabaya City through e-RT / RW is already relevant and in accordance with Goldsmith’s theory of e-government. The positive impact of the implementation of e-RT / RW is the increasing quality of public services to bring benefits to all citizens Surabaya City.
De Reuver, M.
Mobile service innovation requires a broad set of resources and capabilities that are not controlled by one single actor. Equipment manufacturers, operators, content providers and application developers have to work together in so-called value networks in order to develop and offer services to
Full Text Available , literacy and level of technology experience. These issues are investigated and solutions researched in a developing world context. The project on which the paper is based aims to develop a service delivery framework and technology where service delivery...
Kenny, James T.
In a rapidly expanding service environment, governmental entities are looking to campus-based applied research as they seek to modernize and improve public services. Institutions providing this assistance should consider such issues as organizational development, technical competence, econometrics, litigation support, new research opportunities,…
Background: As the world transits from the era of millennium development goals to that of sustainable development goals, an examination of the access to primary health care services in the previous era is germane to adequate planning and delivery of effective service in the emerging era. The objective of this study was ...
This article focuses on the expansive stakeholder interaction within collaborative networks that can lead to collective understanding and management of service delivery issues. Critique of public service delivery in South Africa is levelled by citizens who have vastly different expectations and experiences, chiefl y because of ...
Managing urban green space as part of an ongoing social-ecological transformationposes novel governance issues, particularly in post-industrial settings. Urban green spaces operate as small-scale nodes in larger networks of ecological reserves that provide and maintain key ecosys...
Higginbottom, Gina M A; Morgan, Myfanwy; Alexandre, Mirande; Chiu, Yvonne; Forgeron, Joan; Kocay, Deb; Barolia, Rubina
Canada's diverse society and its statutory commitment to multiculturalism means that a synthesis of knowledge related to the healthcare experiences of immigrants is essential to realise the health potential for future Canadians. Although concerns about the maternity experiences of immigrants in Canada are relatively new, recent national guidelines explicitly call for the tailoring of services to user needs. We therefore assessed the experiences of immigrant women accessing maternity-care services in Canada. In particular, we investigated the experiences of immigrant women in Canada in accessing and navigating maternity and related healthcare services from conception to 6 months postpartum in Canada. Our focus was on (a) the accessibility and acceptability of maternity-care services for immigrant women and (b) the effects of the perceptions and experiences of these women on their birth and postnatal outcomes. We conducted a systematic review using a systematic search and narrative synthesis of peer-reviewed and non-peer-reviewed reports of empirical research, with the aim of providing stakeholders with perspectives on maternity-care services as experienced by immigrant women. We partnered with key stakeholders ('integrated knowledge users') to ensure the relevancy of topics and to tailor recommendations for effective translation into future policy, practice and programming. Two search phases and a three-stage selection process for published and grey literature were conducted prior to appraisal of literature quality and narrative synthesis of the findings. Our knowledge synthesis of maternity care among immigrants to Canada provided a coherent evidence base for (a) eliciting a better understanding of the factors that generate disparities in accessibility, acceptability and outcomes during maternity care; and (b) improving culturally based competency in maternity care. Our synthesis also identified pertinent issues in multiple sectors that should be addressed to
Wiersum, F.; Endalamaw, T.B.
Provisioning services are major environmental services provided by forests. Especially in tropical countries, the livelihoods of local people often partly depend on a range of timber and non-timber forest products. The governance arrangements concerning such locally valued environmental services are
Technology. Each of the above six NSERC-UNENE Industrial Research Chairs are tenured positions, funded at 2.0 M dollars or more for first five years. The Chairs may be subsequently renewed. A large number of graduate students are already enrolled with Professors Holt, Jiang and Pandey. In anticipation of receiving Ontario Council of Graduate Studies accreditation for the course-based M. Eng. Degree in Nuclear Engineering, the following courses have already been offered to a typical class of 20 students: Reactor Physics; Nuclear Plant Systems and Operations; Nuclear Reactor Safety Design; Thermal Hydraulics. In addition to these, courses to be offered in near future include: Engineering Risk Analysis; Reactor Chemistry and Corrosion; Nuclear Materials; Control, Instrumentation and Electrical Power Systems; Nuclear Waste Management; Fuel Management; Health Physics/Radiation Protection; Power Plant Thermodynamics; Codes, Standards and Jurisdictions; and Business Management. M.Eng. Courses are delivered in flexible format to suit distant faculty and part-time students. UNENE, an industry driven partnership of nuclear industry, universities and governments, created to address the future challenge of research, education and human resources in Canada, has made an impressive start. (author)
Ingram, Verina; van den Berg, Jolanda; van Oorschot, Mark; Arets, Eric; Judge, Lucas
Dutch policies have advocated sustainable commodity value chains, which have implications for the landscapes from which these commodities originate. This study examines governance and policy options for sustainability in terms of how ecosystem services are addressed in cocoa, soy, tropical timber and palm oil value chains with Dutch links. A range of policies addressing ecosystem services were identified, from market governance (certification, payments for ecosystem services) to multi-actor platforms (roundtables) and public governance (policies and regulations). An analysis of policy narratives and interviews identified if and how ecosystem services are addressed within value chains and policies; how the concept has been incorporated into value chain governance; and which governance options are available. The Dutch government was found to take a steering but indirect role in all the cases, primarily through supporting, financing, facilitating and partnering policies. Interventions mainly from end-of-chain stakeholders located in processing and consumption countries resulted in new market governance, notably voluntary sustainability standards. These have been successful in creating awareness of some ecosystem services and bringing stakeholders together. However, they have not fully addressed all ecosystem services or stakeholders, thus failing to increase the sustainability of value chains or of the landscapes of origin. We argue that chains sourced in tropical landscapes may be governed more effectively for sustainability if voluntary, market policy tools and governance arrangements have more integrated goals that take account of sourcing landscapes and impacts along the entire value chain. Given the international nature of these commodities. These findings have significance for debates on public-private approaches to value chain and landscape governance.
Brødsgaard, Kjeld Erik
Book review of: Governing Civil Service Pay in China by Alfred M. Wu. Copenhagen: NIAS Press, 2014.......Book review of: Governing Civil Service Pay in China by Alfred M. Wu. Copenhagen: NIAS Press, 2014....
Britto, Pia Rebello; Yoshikawa, Hirokazu; van Ravens, Jan; Ponguta, Liliana Angelica; Reyes, Maria; Oh, Soojin; Dimaya, Roland; Nieto, Ana María; Seder, Richard
While there has been substantial growth in early childhood development (ECD) services in low- and middle-income countries (LMICs), there is considerable inequity in their distribution and quality. Evidence-based governance strategies are necessary, but currently they are insufficient for widespread, quality implementation. In particular, there is a limited understanding of the use of systems approaches for the analysis of ECD services as they go to scale. The aim of this paper is to present findings from four countries, using a cross-national case study approach to explore governance mechanisms required to strengthen national systems of ECD services. While different sets of governance strategies and challenges were identified in each country, overarching themes also emerged with implications for systems strengthening. Study results focus on local, mid-level and central governance, with recommendations for effective coordination and the integration of ECD services in LMICs. © 2014 New York Academy of Sciences.
Liang, D.; Mol, A.P.J.
Payment for environmental services (PES) schemes are increasingly being introduced in developed and developing countries for the ecological conservation of forests also. Such payment schemes resemble a new mode of forest governance labelled political modernization, in which centralized and
Glen D. Alexander
Two years ago, Ohio State Park developed a methodology of measuring customer satisfaction, to gauge the effectiveness of our customer service. What follows is a discussion of our installation of systems to measure and improve customer satisfaction, the interpretation of the data, and the positive results we have enjoyed.
A.P.J. Machohe (Antonio)
textabstractMozambique has been a centralized State since its independence in 1975. During this time, local government has depended on the Central Government and has lacked autonomy in both local policy decisions and resource management in addition to the complete failure of effective local services
Full Text Available This paper reports on a study to determine the information requirements of communities in deep rural areas on government services and how this information can be made available to them. The study then proposes an e-government theoretical framework...
Full Text Available Within the context of Mozambique, this paper examines the state of forest ecosystem services, the dependency of the population on these systems for their well-being, if an adaptive governance regime is being created which will ensure the resilience of the forest ecosystem services including the legal framework, the institutions operating within this framework, the tools available and their functioning, and how cooperative governance is operating.
Sibley, Lyn M; Weiner, Jonathan P
Studies comparing the access to health care of rural and urban populations have been contradictory and inconclusive. These studies are complicated by the influence of other factor which have been shown to be related to access and utilization. This study assesses the equity of access to health care services across the rural-urban continuum in Canada before and after taking other determinants of access into account. This is a cross-sectional study of the population of the 10 provinces of Canada using data from the Canadian Community Health Survey (CCHS 2.1). Five different measures of access and utilization are compared across the continuum of rural-urban. Known determinants of utilization are taken into account according to Andersen's Health Behaviour Model (HBM); location of residence at the levels of province, health region, and community is also controlled for. This study found that residents of small cities not adjacent to major centres, had the highest reported utilisation rates of influenza vaccines and family physician services, were most likely to have a regular medical doctor, and were most likely to report unmet need. Among the rural categories there was a gradient with the most rural being least likely to have had a flu shot, use specialist physicians services, or have a regular medical doctor. Residents of the most urban centres were more likely to report using specialist physician services. Many of these differences are diminished or eliminated once other factors are accounted for. After adjusting for other factors those living in the most urban areas were more likely to have seen a specialist physician. Those in rural communities had a lower odds of receiving a flu shot and having a regular medical doctor. People residing in the most urban and most rural communities were less likely to have a regular medical doctor. Those in any of the rural categories were less likely to report unmet need. Inequities in access to care along the rural-urban continuum
Full Text Available normal telephone, and requiring no more than the ability to understand and respond to spoken commands. Such a verbal interface is highly appropriate from a cultural perspective in South Africa, where a strong oral tradition exists amongst a substantial... technology that will enable such service delivery. The project is being undertaken by CSIR in South Africa and the Fraunhofer-Gesellschaft: Research Institute for Open Communication Systems (FOKUS) in Germany. FOKUS has developed the Enago Open...
In 1974 the Minister of Energy, Mines and Resources (EMR) established a Uranium Resource Appraisal Group (URAG) within EMR to audit annually Canada's uranium resources for the purpose of implementing the federal government's uranium export policy. A major objective of this policy was to ensure that Canadian uranium supplies would be sufficient to meet the needs of Canada's nuclear power program. As projections of installed nuclear power growth in Canada over the long term have been successively revised downwards (the concern about domestic security of supply is less relevant now than it was 10 years ago) and as Canadian uranium supply capabilities have expanded significantly. Canada has maintained its status as the western world's leading exporter of uranium and has become the world's leading producer. Domestic uranium resource estimates have increased to 551 000 tonnes U recoverable from mineable ore since URAG completed its last formal assessment (1982). In 1984, Canada's five primary uranium producers employed some 5800 people at their mining and milling operations, and produced concentrates containing some 11 170 tU. It is evident from URAG's 1984 assessment that Canada's known uranium resources, recoverable at uranium prices of $150/kg U or less, are more than sufficient to meet the 30-year fuelling requirements of those reactors that are either in opertaion now or committed or expected to be in-service by 1995. A substantial portion of Canada's identified uranium resources, recoverable within the same price range, is thus surplus to Canadian needs and available for export. Sales worth close to $1 billion annually are assured. Uranium exploration expenditures in Canada in 1983 and 1984 were an estimated $41 million and $35 million, respectively, down markedly from the $128 million reported for 1980. Exploration drilling and surface development drilling in 1983 and 1984 were reported to be 153 000 m and 197 000 m, respectively, some 85% of which was in
Jensen, Ulrich Thy
of PSM for the provision of public services to citizens. The dissertation disentangles causes and consequences of PSM and is of interest to people who wish to understand how governance interventions (including policies and leadership) can influence employee public service motivation and how this kind......Finding ways to ensure higher public service performance is a key task for scholars and practitioners alike. This dissertation focuses on individuals’ motivation to do good for others and society through public service – public service motivation (PSM). The dissertation examines governance...... interventions as causes of PSM and the implications of PSM for public service behaviors and contributes not only to our understanding of PSM as motivational lever for public service improvements but also offers answers to the question of how PSM is shaped in organizational contexts. The empirical results...
Full Text Available Likewise in other developed countries, E-government in public administration in Turkey has been introduced with an aim to improve state’s administrative efficiency and competency. These modern administrative approaches and opportunities from technological innovation will inevitably provide high quality services and participation at all levels of the public administration. For this purpose, Turkey established e-Government portal, (e-Devlet Kapısı a virtual structure which enables access to digital public services. The aim of the e-Government portal is to provide its users service through only one website and safe digital media. Since accessing the services through only one website makes access easier, high speed and system security are required too. The security system requires identity verification, password and e-Signature. Turkey has successfully implemented the e-government project and with sub-projects such as the National Judiciary Information System Turkey received many international awards. Other than public services similar to e-hospital, e-municipality and e-tender, other social service institutions can also use same administrative approach as to make their service available. Therefore, this article shortly analyzes technical and legal challenges and technical, administrative and legal solutions of the e-Government portal.
In Canada, the operational safety management of nuclear power plants employs methods which are intended to prevent, detect, correct and mitigate system and component failures from any cause, including the effects of aging and service wear degradation. The paper gives an overview of the application of these methods in the detection and mitigation of aging effects before they impact on plant safety and production reliability. Regulatory audits of these methods, to ensure that an acceptable level of plant safety is maintained by the nuclear power plant licensees, are also described. The methods are: a preventive maintenance program, Significant Event Reporting system, and a reliability based assessment of performance of safety related systems. The above methods are discussed and illustrated by examples. The soundness of the approach has been proven by the results achieved in 163 reactor-years of operation. Present and future developments include reviews of current monitoring, testing and inspection methods to ensure that appropriate time variant parameters (capable of revealing aging degradation before loss of functional capability) are monitored, and reviews of the effectiveness of existing maintenance programs and methods in mitigating aging and service wear effects
Griffin, D C
The World Bank's Financing health services in developing countries emphasizes demand-side issues--highlighting user fees, insurance, and the private sector as tools for strengthening the health sector. That approach is a major departure from the focus on the supply side--public sector spending, costs, management, and efficiency--that has dominated the international health finance agenda for many years. An important set of empirical papers by Paul Gertler and his co-authors coincided with the release of the policy paper. Gertler's work has questioned a policy of greater dependence on user fees by emphasizing the potential welfare costs to consumers of higher fees for medical services. Many health professionals have adopted the jargon of this new approach without understanding the underlying analysis. This article attempts to demystify the debate that has ensued by illustrating economists' idiosyncratic approach to welfare, explaining how the policy paper and Gertler differ, and suggesting alternative approaches to testing the feasibility of the policy paper's prescriptions.
Kehinde David Adejuwon
Full Text Available The public sector in Nigeria is irrefutably beset with gross incompetence and ineffective management. Perplexing difficulties endure in the Nigerian public sector in spite of a number of reform programmes that have been designed to enhance efficient and effective service delivery for almost two decades. The fact that public service has failed dismally to achieve its laudable objectives is the reason for the vote of no confidence passed on its administrators by majority of the Nigerian populace. The article examines the dilemma of accountability and good governance in Nigeria and demonstrates that the critical point in achieving meaningful developments in the country intrinsically lay with improved service delivery in the public sector. The basic reason why the public service has become the scorn of the people is because for too long, both the government and public servants have paid lip service to the crucial issue of effective and efficient service delivery. The article argues that improved service delivery will improve both the performance and the image of public service and re-awaken the citizens’ interest and trust in them to do business with public servants. It suggests that in order to bring sanity back to the Nigerian Public Service, all unprofessional tendencies such as ethnicity bias and nepotism in appointments and promotions, lack of security of tenure of office, and appointment of non-career public servants into key positions in the public service must stop. Also, effective service delivery must be tailored to the circumstances of Nigeria. The study made use of secondary data obtained from various sources. It therefore concludes that without a reawakening of the culture of accountability and transparency lost over the years, the trusting relationship needed to forge between the government and the governed for the actualization of good governance will not materialize.
Full Text Available Nowadays electronic government starts dominating in all world countries. Some states are more experienced, while others have just started implementing it. Nevertheless, regardless of which models the country had reached, all of them should make the progress. It is important to try to overlook and analyze in essence the e-government services maturity and “E-Diamond” models at the public administration level, that are used in various countries. Having studied the peculiarities of stage models of electronic government services and having carried out their comparative analysis, the work shows the main similarities and differences of the models. Implementation of electronic government services in stage models is grounded on the complexity of service integration—a deeper integration of electronic government services is possible only having stepped through the lower integration stage. Swedish scientists A. Persson and G. Goldkuhl consider this policy of stage integration of services to be a disadvantage and they developed a contrapositional model “E-Diamond” which provides conditions to set free the stages and let them operate individually, not dependent on each other. Stages’ models have different requirements for self-identification in information systems. “ANAO,” “SAFAD,” “Hiller&Belanger” stages’ models require self-identification passing from the second to the third levels, while in stages’ models “Lee&Layne” and “Recreation of Public Sector Processes” requirements for self-identification appear in the second stages of providing electronic government services. Having carried out comparative analysis of all models of electronic government services six key features of the model are distinguished, such as possible levels of implementation, attributes of different levels, targeting the customer, targeting the inside processes, possibility to evaluate services, technological background. However, out of six features
Full Text Available Summary. Nowadays electronic government starts dominating in all world countries. Some states are more experienced, while others have just started implementing it. Nevertheless, regardless of which models the country had reached, all of them should make the progress. It is important to try to overlook and analyze in essence the e-government services maturity and “E-Diamond” models at the public administration level, that are used in various countries.Having studied the peculiarities of stage models of electronic government services and having carried out their comparative analysis, the work shows the main similarities and differences of the models. Implementation of electronic government services in stage models is grounded on the complexity of service integration—a deeper integration of electronic government services is possible only having stepped through the lower integration stage. Swedish scientists A. Persson and G. Goldkuhl consider this policy of stage integration of services to be a disadvantage and they developed a contrapositional model “E-Diamond” which provides conditions to set free the stages and let them operate individually, not dependent on each other. Stages’ models have different requirements for self-identification in information systems. “ANAO,” “SAFAD,” “Hiller&Belanger” stages’ models require self-identification passing from the second to the third levels, while in stages’ models “Lee&Layne” and “Recreation of Public Sector Processes” requirements for self-identification appear in the second stages ofproviding electronic government services.Having carried out comparative analysis of all models of electronic government services six key features of the model are distinguished, such as possible levels of implementation, attributes of different levels, targeting the customer, targeting the inside processes, possibility to evaluate services, technological background. However, out of six
Fugini, Maria Grazia; Valles, Ramon Salvador
This book explores the factors that affect the efficiency and effectiveness of electronic government (e-Government) by analyzing two employment- service systems in Italy and Catalonia: the Borsa Lavoro Lombardia Portal (Lombardy Employment Services Portal) and the Servei d'Ocupació de Catalunya (Catalan Employment Services Portal). The evaluation methodology used in the case studies and the related set of technical, social, and economic indicators are clearly described. The technological and organizational features of the systems of the two systems are then compared and their impacts assessed
Wright, A; Wahoush, O; Ballantyne, M; Gabel, C; Jack, S M
In Canada, Indigenous infants experience significant health disparities when compared to non-Indigenous infants, including significantly higher rates of birth complications and infant mortality rates. The use of primary health care is one way to improve health outcomes; however, Indigenous children may use health services less often than non-Indigenous children. To improve health outcomes within this growing population, it is essential to understand how caregivers, defined here as mothers, select and use health services in Canada. This integrative review is the first to critique and synthesize what is known of how Indigenous mothers in Canada experience selecting and using health services to meet the health needs of their infants. Themes identified suggest both Indigenous women and infants face significant challenges; colonialism has had, and continues to have, a detrimental impact on Indigenous mothering; and very little is known about how Indigenous mothers select and use health services to meet the health of their infants. This review revealed significant gaps in the literature and a need for future research. Suggestions are made for how health providers can better support Indigenous mothers and infants in their use of health services, based on what has been explored in the literature to date.
Tanev, Stoyan; Liotta, Giacomo; Kleismantas, Andrius
value were generated and used to search for their presence online on companies’ websites. Factor analysis was used to identify groups of keyword combinations that were interpreted in terms of specific service value attributes. It was applied separately to the Canadian and the European samples of firms....... The results show that the main service value attributes for Canadian firms are: better service effectiveness, higher market share, higher service quality, and customer satisfaction. The service value attributes for the European firms of the sample include, among others, product added-value, product......This paper is based on an empirical study addressing the value of product-enabled services in top R&D spenders from Canada and Europe. The focus is on product-driven firms for which new service development is particularly challenging. Existing literature on the value attributes of hybrid value...
Zamzami; Fajrizal; Arief Hasan, Mhd
The use of technology in the field of computers today is increasing, along with the development of science and globalization of information that demands the creation of a state of computerization. E-Government is now the right solution for local and central government, it is because it can assist the government in managing government data and able to provide information to the community quickly, precisely and efficiently. The current service system at the Office of Population and Civil Registration of Pekanbaru City still uses a manual system that takes a long time and cost a lot. In this E-Government application will contain application feature profile information of the Office of Population and Civil Registration of Pekanbaru City, public service requirements, office address of Pekanbaru City Sub-district, community complaint, KK (Family Card), and birth certificate online. The general purpose of making E-Government application system is to provide a new alternative for the Office of Population and Civil Registration of Pekanbaru City in improving its public service system. And the specific purpose is to facilitate the delivery of information, the formation of the system of birth certificate and death online and realize the excellent service for the Office of Population and Civil Registration Pekanbaru and the public.
Full Text Available The eGov-Bus project provides citizens and businesses with improved access to virtual public services, which are based on existing national eGovernment Web services and which support cross-border life events. Requirements and specific rules of these life events are considered, and personalization of user preferences is supported. eGov-Bus is based on adaptable process management technologies, allowing for virtual services which are dynamically combined from existing national eGovernment services. In this way, a comprehensive workflow process is set up, allowing for service-level agreements, an audit trail and explanation of the process to the end user. The eGov-Bus process engine operates on top of a virtual repository, providing a high-level semantic view of information retrieved from heterogeneous information sources, such as eGovernment Web services. Further, eGov-Bus relies on a security framework to ensure all high-level security requirements are met. The eGov-Bus architecture is business oriented, it focuses on Service Oriented Architecture (SOA concepts, asynchronously combining Web services and providing a Service Bus.
Usually reviews of special education in Canada describe the special education programs, services, policies, and legislation that are provided by the provinces and territories. The reviews consistently ignore the special education programs, services, policies, and legislation that are provided by federal government of Canada. The federal government…
Hannon, MJ; Foxon, TJ; Gale, WF
Product-Service Systems (PSSs) constitute a family of service-based business models designed to satisfy our societal needs in an economically and environmentally sustainable manner. To date however PSS application has remained niche due to a variety of critical barriers. This paper explores how ‘demand pull’ national government policies could support PSS activity by addressing these barriers and cultivating market demand. Lessons are drawn from a case study of how regulatory, economic incenti...
van Veenstra, Anne Fleur; Zuurmond, Arre
To enhance the quality of their online service delivery, many government organizations seek to transform their organization beyond merely setting up a front office. This transformation includes elements such as the formation of service delivery chains, the adoption of a management strategy supporting process orientation and the implementation of enterprise architecture. This paper explores whether undertaking this transformation has a positive effect on the quality of online service delivery, using data gathered from seventy local governments. We found that having an externally oriented management strategy in place, adopting enterprise architecture, aligning information systems to business and sharing activities between processes and departments are positively related to the quality of online service delivery. We recommend that further research should be carried out to find out whether dimensions of organizational development too have an effect on online service delivery in the long term.
The aim of the research is to analyze how the service quality of Indonesian government affect student’s satisfaction in the education field. Data collection was conducted in September 2016 through distributing questionnaires to 132 students at private universities in south Tangerang city. Sampling used incidental sampling method, while data analysis is descriptive, qualitative and quantitative, which were analyzed with the Importance Performance Analysis. The survey results revealed that the satisfaction level of the students of South Tangerang good enough to service of the Government in higher education sector with a value of 83.61 using Customer Satisfaction Index (CSI). Nevertheless, there are several factors that should be prioritized for immediate enhanced, namely: government’s ability to respond effectively to solve the problems in the academic world, fairness of the government in providing assistance to both state and private universities and attention of the government to higher education.
that keeps pace with the operational agility and organizational flexibility requirements to support globally integrated operations is clear. This...of the research is to establish what the model of governance of the Military Health System should be. That, with other recommendations, should be the...foundation for the impending transformation. The research found that the model of governance should be a single service model with regional health
Kwedza, Ruyamuro K; Larkins, Sarah; Johnson, Julie K; Zwar, Nicholas
Definitions of clinical governance are varied and there is no one agreed model. This paper explored the perspectives of rural and remote primary healthcare services, located in North Queensland, Australia, on the meaning and goals of clinical governance. The study followed an embedded multiple case study design with semi-structured interviews, document analysis and non-participant observation. Participants included clinicians, non-clinical support staff, managers and executives. Similarities and differences in the understanding of clinical governance between health centre and committee case studies were evident. Almost one-third of participants were unfamiliar with the term or were unsure of its meaning; alongside limited documentation of a definition. Although most cases linked the concept of clinical governance to key terms, many lacked a comprehensive understanding. Similarities between cases included viewing clinical governance as a management and administrative function. Differences included committee members' alignment of clinical governance with corporate governance and frontline staff associating clinical governance with staff safety. Document analysis offered further insight into these perspectives. Clinical governance is well-documented as an expected organisational requirement, including in rural and remote areas where geographic, workforce and demographic factors pose additional challenges to quality and safety. However, in reality, it is not clearly, similarly or comprehensively understood by all participants.
Full Text Available Brazil’s nationwide public delegate services’ offices are involved in a collective modernization process that has among its main objectives the digital/electronic delivery of its services, therefore simplifying and improving the effectiveness and efficiency of the services provision. The process relies heavily on Information and Communication Technologies (ICT and therefore this article seeks to understand the process’ ICT governance and management current state and needs. To achieve this goal, a semi structured survey, based on ICT best practices frameworks ITIL and COBIT, was carried out among the public delegate services offices’ representative entities involved in the modernization process. Main findings include the assessment of a low maturity level of the management of ICT involved in the process and the identification of key ICT processes associated with the current handling of ICT governance and management. Future research can focus on the production of an ICT governance and management model tailored to meet the modernization process’ needs.
Wade, Joanne; Pearson, Amanda; Knowland, Rachael; Flanagan, Brooke
In October 2006 the UK government published a new Local Government White Paper. This policy statement set the framework for the role of local government in the coming years.The White Paper is one stage in the latest wave of local government reform in the UK. This reform has aimed to refocus attention away from delivery of specific services and towards community leadership, particularly with reference to sustainable development. Climate change is given some emphasis within the White Paper, and should become one of the indicators against which local government performance is measured.This paper examines energy action in local authorities in the past few years, in a situation where most, but not all, were still strongly focused on service delivery. By contrasting this with the results achieved in authorities that have taken a community leadership role, the paper examines the potential of the White Paper. It addresses the following questions: does local government have the capacity to deliver increased local action on climate change? Does the UK policy framework support and encourage development and deployment of this capacity? And do the national and regional bodies that provide support for local authorities need to change the services they offer in light of recent policy developments?
This review of the governance of maternity services at South Tipperary General Hospital has focussed on the systems and processes for assurance of service quality, risk management and patient safety primarily inside the hospital but also in the Hospital Group structure within which it operates. The effectiveness of the governance arrangements is largely determined by the quality of the leadership and management – both clinical and general – which designs, implements, and oversees those systems and processes and is ultimately responsible and accountable.\\r\
Jacob Olufemi Fatile
Full Text Available Techno-bureaucratic governance is fundamental to contemporary public service. This is because the roles of the bureaucrats and technocrats become more relevant in policy formulation and implementation when the government had to (reinvent its institutions to move from routine administration to that of development planning and management. Utilizing a qualitative approach, the paper notes that techno-bureaucratic ideology values technical expertise itself and its technical experts, efficiency, economic development and effective public service delivery. Adopting comparative perspective, the paper examines techno-bureaucratic governance and public service delivery in Indonesia and Nigeria. The paper takes a cursory look at the similarities and differences between the two countries. The paper notes that the technocracy nurtured by the New Order in Indonesia was cohesive and effective because of its technical expertise and has helped Indonesia to turn oil income into productive investments,whereas in Nigeria the oil income was used for prestigious projects to the detriment of productive investments. The paper therefore recommend among others that developing societies need a new strategy in delivery services in their public service, and this can be achieved through skilled professionals, technocrats and knowledge based actors. It concludes that for public service to deliver effective services, an efficient bureaucracy and technocracy remain invaluable.
Farzandipour, Mehrdad; Meidani, Zahra
Websites as one of the initial steps towards an e-government adoption do facilitate delivery of online and customer-oriented services. In this study we intended to investigate the role of the websites of medical universities in providing educational and research services following the E-government maturity model in the Iranian universities. This descriptive and cross- sectional study was conducted through content analysis and benchmarking the websites in 2012. The research population included the entire medical university website (37). Delivery of educational and research services through these university websites including information, interaction, transaction, and Integration were investigated using a checklist. The data were then analyzed by means of descriptive statistics and using SPSS software. Level of educational and research services by websites of the medical universities type I and II was evaluated medium as 1.99 and 1.89, respectively. All the universities gained a mean score of 1 out of 3 in terms of integration of educational and research services. Results of the study indicated that Iranian universities have passed information and interaction stages, but they have not made much progress in transaction and integration stages. Failure to adapt to e-government in Iranian medical universities in which limiting factors such as users' e-literacy, access to the internet and ICT infrastructure are not so crucial as in other organizations, suggest that e-government realization goes beyond technical challenges.
Farzandipour, Mehrdad; Meidani, Zahra
Background: Websites as one of the initial steps towards an e-government adoption do facilitate delivery of online and customer-oriented services. In this study we intended to investigate the role of the websites of medical universities in providing educational and research services following the E-government maturity model in the Iranian universities. Methods: This descriptive and cross- sectional study was conducted through content analysis and benchmarking the websites in 2012. The research population included the entire medical university website (37). Delivery of educational and research services through these university websites including information, interaction, transaction, and Integration were investigated using a checklist. The data were then analyzed by means of descriptive statistics and using SPSS software. Results: Level of educational and research services by websites of the medical universities type I and II was evaluated medium as 1.99 and 1.89, respectively. All the universities gained a mean score of 1 out of 3 in terms of integration of educational and research services. Conclusions: Results of the study indicated that Iranian universities have passed information and interaction stages, but they have not made much progress in transaction and integration stages. Failure to adapt to e-government in Iranian medical universities in which limiting factors such as users’ e-literacy, access to the internet and ICT infrastructure are not so crucial as in other organizations, suggest that e-government realization goes beyond technical challenges. PMID:25132713
Olesia Leontiivna TOTSKA
Full Text Available n this article an author conducted the analysis of labour in the public sector of Canada after such nine subgroups of establishments: 1 federal general government; 2 provincial and territorial general government; 3 health and social service institutions (provincial and territorial; 4 universities, colleges, vocational and trade institutes (provincial and territorial; 5 local general government; 6 local school boards; 7 federal government business enterprises; 8 provincial and territorial government business enterprises; 9 local government business enterprises. On the basis of statistical information about these sub-groups for 2007-2011 from a web-site «Statistics Canada» the maximal and minimum values of such three indexes are found: amount of employees, general annual sums of wages and annual sums of wages per employee. Rating for nine sub-groups of establishments of public sector of Canada on these indexes is certain. The got results testify, that during an analysable period most of the employees of public sector was concentrated in health and social service institutions, the least – in local government business enterprises. In 2007– 2011 a most general sum was earned also by the employees of health and social service institutions, the least – by the employees of local government business enterprises. At the same time in an analysable period among the state employees of Canada a most wage in a calculation on one person was got by the employees of federal general government, the least – by the employees of local general government.
Horst, Mark; Kuttschreuter, M.; Gutteling, Jan M.
Recently Dutch government, as well as many other governments around the world, has digitized a major portion of its public services. With this development electronic services finally arrive at the transaction level. The risks of electronic services on the transactional level are more profound than
... Government employees in the Public Health Service. 5501.107 Section 5501.107 Administrative Personnel... employees in the Public Health Service. (a) Applicability. This section applies to special Government employees in the Public Health Service who otherwise are prohibited from accepting compensation for teaching...
Thakkar, Vidhi; Sullivan, Terrence
Health services and policy research (HSPR) represent a multidisciplinary field which integrates knowledge from health economics, health policy, health technology assessment, epidemiology, political science among other fields, to evaluate decisions in health service delivery. Health service decisions are informed by evidence at the clinical, organizational, and policy level, levels with distinct, managerial drivers. HSPR has an evolving discourse spanning knowledge translation, linkage and exchange between research and decision-maker partners and more recently, implementation science and learning health systems. Local context is important for HSPR and is important in advancing health reform practice. The amounts and configuration of national investment in this field remain important considerations which reflect priority investment areas. The priorities set within this field or research may have greater or lesser effects and promise with respect to modernizing health services in pursuit of better value and better population outcomes. Within Canada an asset map for HSPR was published by the national HSPR research institute. Having estimated publicly-funded research spending in Canada, we sought identify best available comparable estimates from the United States and the United Kingdom. Investments from industry and charitable organizations were not included in these numbers. This commentary explores spending by the United States, Canada, and the United Kingdom on HSPR as a fraction of total public spending on health and the importance of these respective investments in advancing health service performance. Proposals are offered on the merits of common nomenclature and accounting for areas of investigation in pursuit of some comparable way of assessing priority HSPR investments and suggestions for earmarking such investments to total investment in health services spending. © 2017 The Author(s); Published by Kerman University of Medical Sciences. This is an open
Full Text Available Health services and policy research (HSPR represent a multidisciplinary field which integrates knowledge from health economics, health policy, health technology assessment, epidemiology, political science among other fields, to evaluate decisions in health service delivery. Health service decisions are informed by evidence at the clinical, organizational, and policy level, levels with distinct, managerial drivers. HSPR has an evolving discourse spanning knowledge translation, linkage and exchange between research and decision-maker partners and more recently, implementation science and learning health systems. Local context is important for HSPR and is important in advancing health reform practice. The amounts and configuration of national investment in this field remain important considerations which reflect priority investment areas. The priorities set within this field or research may have greater or lesser effects and promise with respect to modernizing health services in pursuit of better value and better population outcomes. Within Canada an asset map for HSPR was published by the national HSPR research institute. Having estimated publiclyfunded research spending in Canada, we sought identify best available comparable estimates from the United States and the United Kingdom. Investments from industry and charitable organizations were not included in these numbers. This commentary explores spending by the United States, Canada, and the United Kingdom on HSPR as a fraction of total public spending on health and the importance of these respective investments in advancing health service performance. Proposals are offered on the merits of common nomenclature and accounting for areas of investigation in pursuit of some comparable way of assessing priority HSPR investments and suggestions for earmarking such investments to total investment in health services spending.
Ruth M Mann
Full Text Available This paper situates the Harper government’s 2006 restructuring and effective dismantling of Status of Women Canada and its 2011 take down of the approximate 12,000 volume online library of the federal Family Violence Initiative in relation to two developments. These are the ascendant influence of men’s rights and other antifeminist activism in Canada and globally; and the concurrent rise of a Hayekian-animated New Right neoliberal agenda intent on subordinating civil society and democratic rule to the forces of twenty-first century global capitalism. The paper contends that anti-feminism is among a host of neoconservative forces that the New Right instrumentalizes to augment and advance and its neoliberal agenda. For the New Right, however, the enemy is not gender equality or feminism per se but rather the market inhibiting commitment to social justice that feminism participates in and advances.
Whitmore, J.; Bramley, M.; Holmes, R.
Green power is defined as electricity produced from renewable sources, and whose production has low adverse impacts on the environment, human health and communities. Green power has near-zero greenhouse gas (GHG) emissions and includes sources such as wind, hydro, and solar power. It offers several environmental benefits, as well as the enhancement of energy security, regional development, economic diversification and the creation of skilled jobs. There are four categories of programs related to green power development in Canada: government green power policies, utility green power development programs, green power marketing initiatives, and green power certificate marketing initiatives. Most of the activities in Canada associated with these four categories in 2003 were discussed in this report. However, difficulties with quantification prevented the inclusion of some green power activities such as (1) the generation of green power not certified or identified by the generator as green power, (2) industry or residential self-generation, (3) net metering, and (4) small government programs. Green power generation facilities in 2003 totaled 775 MW of capacity compared to 539 MW in 2002. Hydro capacity represented 41 per cent, followed by wind capacity at 40 per cent and wood waste at 17 per cent. Most of the green power generation facilities in 2003 were located in Alberta, followed by British Columbia, Ontario and Quebec. 230 refs., 8 tabs., 1 fig
political and economic challenges facing the welfare state in the 21st century. Co-production provides a model for the mix of public service agents and citizens who contribute to the provision of a public service. New Public Governance (NPG puts much greater emphasis on citizen participation and third sector provision of social services than either traditional public administration or New Public Management. Co-production is a core element of NPG that promotes the mix of public service agents and citizens who contribute to the provis ionof a public service. This paper explores the implications of two comparative studies of paren tparticipation in preschool services in Europe. They observe that citizen participation clearly varies between different providers of social services, as too does client and staff influence. This empirical overview concludes that some third sector providers can facilitate greater citizen participation, while a 'glass ceiling' for participation exists in municipal and for-profit preschool services. These findings can contribute to a better understanding of the emerging paradigm of New Public Governance.
O.F. Aydinli; S. Brinkkemper; J.P.P. Ravesteijn
This paper describes a business process and organizational re-design and implementation project for an e-government service organization. In this project the initial process execution time of a Virtual Private Network (VPN) connection request has been reduced from some 60 days to 2 days. This has
Ingram, Verina; Den Berg, van Jolanda; Oorschot, van Mark; Arets, Eric; Judge, Lucas
Dutch policies have advocated sustainable commodity value chains, which have implications for the landscapes from which these commodities originate. This study examines governance and policy options for sustainability in terms of how ecosystem services are addressed in cocoa, soy, tropical timber
Bukhsh, F.A.; Weigand, H.
Whereas e-government used to be focused mainly on digitalizing documents, the attention is currently shifting to the question how the main governmental functions service, care and control can be realized in the best way in an information age. In this respect, e-customs is a case in point. Worldwide
Voorberg, Willem; Bekkers, Victor; Flemig, Sophie; Timeus, Krista; Tõnurist, Piret; Tummers, L.G.
Co-creation in public service delivery requires partnerships between citizens and civil servants. The authors argue that whether or not these partnerships will be successful depends on state and governance traditions (for example a tradition of authority sharing or consultation). These traditions
... organizations. 228.54 Section 228.54 Foreign Relations AGENCY FOR INTERNATIONAL DEVELOPMENT RULES ON SOURCE... interested in competing for the contract. (c) Services are not available from any other source. (d) Foreign... might be placed or any conflict of interest that might arise by permitting a foreign government-owned...
Full Text Available The concept of organisational governance maturity and what exactly this entails is still perceived as somewhat of a mystery to most and, as a result, internal auditing find themselves in a dilemma when deciding which services to deliver in this regard. The objective of this article was to develop an organisational governance maturity framework that could be used as a measurement tool to assist internal auditing in this dilemma. A preliminary organisational governance maturity framework was developed based on the most relevant literature. A case study was conducted to obtain feedback on the preliminary framework from key stakeholders in the organisation. The results indicated that the framework significantly contributed to the determining and continuous monitoring of governance maturity; both for management and internal auditing.
Perkins, R; Barnett, P; Powell, M
New Zealand public hospitals and related services were grouped into 23 Crown Health Enterprises and registered as companies in 1993. Integral to this change was the introduction of corporate governance. New directors, largely from the business sector, were appointed to govern these organisations as efficient and effective businesses. This article presents the results of a survey of directors of New Zealand publicly-owned health provider organisations. Although directors thought they performed well in business systems development, they acknowledged their shortcomings in meeting government expectations in respect to financial performance and social responsibility. Changes in public health sector provider performance indicators have resulted in a mixed report card for the sector six years after corporate governance was instituted.
This paper focuces on the structure of integrated e-government platforms after an overview on e-government concept. The aim is to shed light on e-government projects of Turkish Public Sector in the context of EU perspective and integrated e-government of Turkey.
Rasyid, A.; Alfina, I.
This research intends to develop a model to evaluate the quality of e-services on e-government. The proposed model consists of seven dimensions: web design, reliability, responsiveness, privacy and security, personalization, information, and ease of use. The model is used to measure the quality of the e-registration of BPJS Kesehatan, an Indonesian government health insurance program. The validation and reliability testing show that of the seven dimensions proposed, only four that suitable for the case study. The result shows that the BPJS Kesehatan e-registration service is good in reliability and responsiveness dimensions, while from web design and ease of use dimensions the e-service still needs to be optimized.
Full Text Available Risk-based regulation and risk governance gain momentum in most sectorial ecosystems, should they be the finance, the healthcare or the telecommunications ecosystems. Although there is a profusion of tools to address this issue at the corporate level, worth is to note that no solution fulfils this function at the ecosystem level yet. Therefore, in this article, the Business Service Ecosystem (BSE metamodel is semantically extended, considering the Capability as a Service (CaaS theory, in order to raise the enterprise risk management from the enterprise level up to the ecosystem level. This extension allows defining a concrete ecosystem metamodel which is afterwards mapped with an information system risk management model to support risk governance at the ecosystem level. This mapping is illustrated and validated on the basis of an application case for the Luxembourgish financial sector applied to the most important concepts from the BSE: capability, resource, service and goal.
Bulgak, Akif Asil; Liquan, He
A Chinese university and a Canadian university collaborated on an advanced manufacturing technologies project designed to address human resource development needs in China. The project featured university/industry/government partnership and attention to environmental issues. (SK)
Branker, K.; Pearce, J.M.
As the Ontario government has recognized that solar photovoltaic (PV) energy conversion is a solution to satisfying energy demands while reducing the adverse anthropogenic impacts on the global environment that compromise social welfare, it has begun to generate policy to support financial incentives for PV. This paper provides a financial analysis for investment in a 1 GW per year turnkey amorphous silicon PV manufacturing plant. The financial benefits for both the provincial and federal governments were quantified for: (i) full construction subsidy, (ii) construction subsidy and sale, (iii) partially subsidize construction, (iv) a publicly owned plant, (v) loan guarantee for construction, and (vi) an income tax holiday. Revenues for the governments are derived from: taxation (personal, corporate, and sales), sales of panels in Ontario, and saved health, environmental and economic costs associated with offsetting coal-fired electricity. Both governments enjoyed positive cash flows from these investments in less than 12 years and in many of the scenarios both governments earned well over 8% on investments from 100 s of millions to $2.4 billion. The results showed that it is in the financial best interest of both the Ontario and Canadian federal governments to implement aggressive fiscal policy to support large-scale PV manufacturing.
Dutton, Daniel J; Forest, Pierre-Gerlier; Kneebone, Ronald D; Zwicker, Jennifer D
Escalating health care spending is a concern in Western countries, given the lack of evidence of a direct connection between spending and improvements in health. We aimed to determine the association between spending on health care and social programs and health outcomes in Canada. We used retrospective data from Canadian provincial expenditure reports, for the period 1981 to 2011, to model the effects of social and health spending (as a ratio, social/health) on potentially avoidable mortality, infant mortality and life expectancy. We used linear regressions, accounting for provincial fixed effects and time, and controlling for confounding variables at the provincial level. A 1-cent increase in social spending per dollar spent on health was associated with a 0.1% (95% confidence interval [CI] 0.04% to 0.16%) decrease in potentially avoidable mortality and a 0.01% (95% CI 0.01% to 0.02%) increase in life expectancy. The ratio had a statistically nonsignificant relationship with infant mortality ( p = 0.2). Population-level health outcomes could benefit from a reallocation of government dollars from health to social spending, even if total government spending were left unchanged. This result is consistent with other findings from Canada and the United States. © 2018 Joule Inc. or its licensors.
Pradana, G. W.; Fanida, E. H.; Niswah, F.
The demand for good governance is directed towards the realization of efficiency, effectiveness, and clean government. The move is demonstrated through national and regional levels to develop and implement electronic government concepts. Through the development of electronic government is done structuring management systems and work processes in the government environment by optimizing the utilization of information technology. One of the real forms of electronic government (e-Gov) implementation at the local level is the Intranet Sub-District program in Sukodono Sub-District, Sidoarjo. Intranet Sub-District is an innovation whose purpose is to realize the availability of information on the utilization of management, distribution, and storage of official scripts, and also the optimal delivery of information and communication in the implementation of guidance and supervision of local administration. The type of this paper is descriptive with a qualitative approach and focus on the implementation of the Intranet District Program in Sukodono District, Sidoarjo. The findings of the study are the limited number of human resources who have mastered ICT, the uneven network, the adequacy of institutional needs and the existence of budget support from the authorized institution and the information system has not accommodated all the service needs.
Full Text Available The level of autonomy afforded to Member States to define certain services as â€˜services of general interestâ€™ and to shelter them from the market so as to promote social objectives has become in recent years a highly sensitive topic among EU and national policy actors and organisations. The increased activity in this area of the European Commission and the general absence of guidance on the conditions necessary to render such services of general interest by the European Court of Justice (ECJ have resulted in uncertainty concerning the interaction of EU law with social services and more generally public services in the EU Member States. By focusing on the EU regulation on social services of general interest, the paper evaluates how the nature and provision of such services in the UK has been susceptible to changes as a result of the Services Directives, EU public procurement and competition law. The implementation of liberalisation plans in the UK well before any EU initiatives in this area meant that such services have been open to market forces well before other Member States. However, this has not led to the absence of concerns regarding the precise impact of EU law in this area. Recent policy initiatives by the Coalition government may expand further the degree of marketisation and increase the scope for interaction between EU and national-level regulation.
Deakin, Mark; Lombardi, Patrizia; Cooper, Ian
The paper examines the IntelCities Community of Practice (CoP) supporting the development of the organization's capacity-building, co-design, monitoring, and evaluation of e-government services. It begins by outlining the IntelCities CoP and goes on to set out the integrated model of electronically enhanced government (e-government) services…
... to the Government of Sudan, persons in Sudan, or benefitting Sudan. 538.505 Section 538.505 Money and... Licensing Policy § 538.505 Provision of certain legal services to the Government of Sudan, persons in Sudan, or benefitting Sudan. (a) The provision to the Government of Sudan, to a person in Sudan, or in...
Full Text Available Climate change adaptation presents a challenge to current top-down governance structures, including the tension between provision of public goods and actions required by diverse stakeholders, including private actors. Alternative governance approaches that facilitate participation and learning across scales are gaining attention for their ability to bring together diverse actors across sectors and to foster adaptive capacity and resilience. We have described the method and outcomes from the application of a social-ecological inventory to "prime," i.e., hasten the development of, a regional climate change adaptation network. The social-ecological inventory tool draws on the social-ecological systems approach in which social and ecological systems are considered linked. The tool bridges the gap between conventional stakeholder analysis and biological inventories, drawing on a social-ecological systems approach, and incorporates local knowledge as an explicit component. The process, which is dynamic and iterative, includes six phases: preparations, preliminary identification, identification of key individuals, interviewing, reviewing and enriching the inventory, and engagement. By considering the social and ecological aspects of a system, a more comprehensive inventory is achieved that provides a foundational platform to facilitate or support climate change adaptation processes that are participatory and learning oriented. Although social-ecological inventories have been used for ecosystem management, the intent of this research was to understand the potential of the tool for climate change adaptation. A social-ecological inventory was undertaken in the Niagara Region of Canada to assemble and facilitate a regional governance group to champion climate change adaptation. Moreover, the social-ecological inventory was purposefully undertaken as the initial step in priming the governance system and led into an adaptive comanagement process for climate
... 25 Indians 1 2010-04-01 2010-04-01 false What IRR programs, functions, services, and activities are subject to the self-governance construction regulations? 170.622 Section 170.622 Indians BUREAU OF..., functions, services, and activities are subject to the self-governance construction regulations? All IRR...
Innovation in inservice education and training of teachers (INSET) is examined within the context of the general pattern of teacher education in Canada and by means of two case studies of INSET programs--Perfectionnement des Maitreseen Mathematiques (PERMAMA) and the Atlantic Institute of Education (AIE). It is stated that, at present, most INSET…
Hunter, David J
Once again the National Health Service (NHS) in England is undergoing major reform, following the election of a new coalition government keen to reduce the role of the state and cut back on big government. The NHS has been undergoing continuous reform since the 1980s. Yet, despite the significant transaction costs incurred, there is no evidence that the claimed benefits have been achieved. Many of the same problems endure. The reforms follow the direction of change laid down by the last Conservative government in the early 1990s, which the recent Labour government did not overturn despite a commitment to do so. Indeed, under Labour, the NHS was subjected to further market-style changes that have paved the way for the latest round of reform. The article considers the appeal of big bang reform, questions its purpose and value, and critically appraises the nature and extent of the proposed changes in this latest round of reform. It warns that the NHS in its current form may not survive the changes, as they open the way to privatization and a weakening of its public service ethos.
This presentation described the measures that TransCanada PipeLines Limited has taken to change its business model while lowering operating costs. The company is concerned about keeping tolls as low as possible to maintain competitiveness. Demand for pipeline capacity over the next five years is expected to be as high as 1.0 Bcf. Incremental capacity will be required to serve the markets. The market drivers for transportation were described as being reliability, greater price certainty, optionality, and stability in terms of contracts, service and regulations. 1 fig
First under the Millennium Development Goals (MDGs) and now under the Sustainable Development Goals (SDGs), partnerships for development, especially between state and NGOs, remain a valued goal. Partnerships are argued to improve provision of basic social services to the poor: the state is viewed as providing scale, with NGOs ensuring good governance. Close study of three leading partnership arrangements in Pakistan (privatization of basic health units, an 'adopt a school' program, and low-co...
Full Text Available In light of the adoption of the Charitable Choice Provision of the Welfare Reform Bill and the creation of White House Offices on faith based initiatives this article examines the history of government contracting with faith-based organizations to deliver human and social services with a particular focus on how the U. S. Supreme Court has viewed the legal status of such contracts.
Barnett, P; Perkins, R; Powell, M
In New Zealand the governance of public sector hospital and health services has changed significantly over the past decade. For most of the century hospitals had been funded by central government grants but run by locally elected boards. In 1989 a reforming Labour government restructured health services along managerialist lines, including changing governance structures so that some area health board members were government appointments, with the balance elected by the community. More market oriented reform under a new National government abolished this arrangement and introduced (1993) a corporate approach to the management of hospitals and related services. The hospitals were established as limited liability companies under the Companies Act. This was an explicitly corporate model and, although there was some modification of arrangements following the election of a more politically moderate centre-right coalition government in 1996, the corporate model was largely retained. Although significant changes occurred again after the election of a Labour government in 1999, the corporate governance experience in New Zealand health services is one from which lessons can, nevertheless, be learnt. This paper examines aspects of the performance and process of corporate governance arrangements for public sector health services in New Zealand, 1993-1998.
Sheikh, Kabir; Freedman, Lynn; Ghaffar, Abdul; Marchal, Bruno; el-Jardali, Fadi; McCaffery, Jim; de Sardan, Jean-Pierre Olivier; Dal Poz, Mario; Flores, Walter; Garimella, Surekha; Schaaf, Marta
Appropriate deployment or posting and transfer (P&T) of health workers - placing the right people in the right positions at the right time - lies at the heart of fostering communities' faith in government health services and cementing the role of the health system as a core social institution. The authors of this paper have been involved in an ongoing transnational dialogue about P&T practices and determinants. This dialogue seeks to call attention to the importance of P&T as a health system function; to urge donors and policy-makers working in health systems, HRH and public administration governance to consider how to address issues around P&T; and to suggest avenues and approaches to research. P&T is a vexed and unresolved issue in many low- and middle-income countries that requires, above all, political commitment to improving public sector services and to new thinking and research. It holds promise as a focal point for inter-disciplinary collaboration in research and implementation that can inform other areas in HRH and health systems strengthening. Innovative social science and management theorizing, and iterative, locally driven interventions that focus on establishing transparent professional norms and building the credibility of government administration, including the health services, are likely the way forward.
German Puentes González
Full Text Available he civil service is important for managing the affairs of the State and the public administration. According to Ramón Parada Vásquez, the civil service should be understood as the group of people who are vested with powers and competences, and fulfil certain functions in order to provide public services within the legal framework in which they must develop their activities and account for them. The present paper is twofold: first, it presents the evolution of the civil service from the time the Colombian nation-State is consolidated until the Political Constitution of 1991, outlining the criteria, principles and values that have been presided over the treatment being given to the purpose of this study. Second, the present text gives an account of several readings and interpretations that the branches of the government have been giving to the Charter with regard to the civil service and administrative career. Both will be available in two levels of complexity: the first, with the enactment of laws and the second, with the issuance of legislative acts. To demonstrate, in this context, the frictions between the branches of Government, the Constitutional Court’s sentences in defense of the Cherter are presented, with which it takes out of the legal system law provisions intended to violate the Political Constitution; those provisions have been presented under the pretext of solving a problem of temporary character of thousands of public employees circumventing the selection process. For this reason, there has been a permanent friction among the three branches of government. In the end, the Constitutional Court’s decisions have prevailed and with its permanent teaching it has prompted the Executive and the Legislative to work independently but harmoniously as it is established in the 1991 Constitution.
Norman, Wendy V.; Soon, Judith A.; Maughn, Nanamma; Dressler, Jennifer
Background Rural induced abortion service has declined in Canada. Factors influencing abortion provision by rural physicians are unknown. This study assessed distribution, practice, and experiences among rural compared to urban abortion providers in the Canadian province of British Columbia (BC). Methods We used mixed methods to assess physicians on the BC registry of abortion providers. In 2011 we distributed a previously-published questionnaire and conducted semi-structured interviews. Results Surveys were returned by 39/46 (85%) of BC abortion providers. Half were family physicians, within both rural and urban cohorts. One-quarter (17/67) of rural hospitals offer abortion service. Medical abortions comprised 14.7% of total reported abortions. The three largest urban areas reported 90% of all abortions, although only 57% of reproductive age women reside in the associated health authority regions. Each rural physician provided on average 76 (SD 52) abortions annually, including 35 (SD 30) medical abortions. Rural physicians provided surgical abortions in operating rooms, often using general anaesthesia, while urban physicians provided the same services primarily in ambulatory settings using local anaesthesia. Rural providers reported health system barriers, particularly relating to operating room logistics. Urban providers reported occasional anonymous harassment and violence. Conclusions Medical abortions represented 15% of all BC abortions, a larger proportion than previously reported (under 4%) for Canada. Rural physicians describe addressable barriers to service provision that may explain the declining accessibility of rural abortion services. Moving rural surgical abortions out of operating rooms and into local ambulatory care settings has the potential to improve care and costs, while reducing logistical challenges facing rural physicians. PMID:23840578
Wendy V Norman
Full Text Available Rural induced abortion service has declined in Canada. Factors influencing abortion provision by rural physicians are unknown. This study assessed distribution, practice, and experiences among rural compared to urban abortion providers in the Canadian province of British Columbia (BC.We used mixed methods to assess physicians on the BC registry of abortion providers. In 2011 we distributed a previously-published questionnaire and conducted semi-structured interviews.Surveys were returned by 39/46 (85% of BC abortion providers. Half were family physicians, within both rural and urban cohorts. One-quarter (17/67 of rural hospitals offer abortion service. Medical abortions comprised 14.7% of total reported abortions. The three largest urban areas reported 90% of all abortions, although only 57% of reproductive age women reside in the associated health authority regions. Each rural physician provided on average 76 (SD 52 abortions annually, including 35 (SD 30 medical abortions. Rural physicians provided surgical abortions in operating rooms, often using general anaesthesia, while urban physicians provided the same services primarily in ambulatory settings using local anaesthesia. Rural providers reported health system barriers, particularly relating to operating room logistics. Urban providers reported occasional anonymous harassment and violence.Medical abortions represented 15% of all BC abortions, a larger proportion than previously reported (under 4% for Canada. Rural physicians describe addressable barriers to service provision that may explain the declining accessibility of rural abortion services. Moving rural surgical abortions out of operating rooms and into local ambulatory care settings has the potential to improve care and costs, while reducing logistical challenges facing rural physicians.
Norman, Wendy V; Soon, Judith A; Maughn, Nanamma; Dressler, Jennifer
Rural induced abortion service has declined in Canada. Factors influencing abortion provision by rural physicians are unknown. This study assessed distribution, practice, and experiences among rural compared to urban abortion providers in the Canadian province of British Columbia (BC). We used mixed methods to assess physicians on the BC registry of abortion providers. In 2011 we distributed a previously-published questionnaire and conducted semi-structured interviews. Surveys were returned by 39/46 (85%) of BC abortion providers. Half were family physicians, within both rural and urban cohorts. One-quarter (17/67) of rural hospitals offer abortion service. Medical abortions comprised 14.7% of total reported abortions. The three largest urban areas reported 90% of all abortions, although only 57% of reproductive age women reside in the associated health authority regions. Each rural physician provided on average 76 (SD 52) abortions annually, including 35 (SD 30) medical abortions. Rural physicians provided surgical abortions in operating rooms, often using general anaesthesia, while urban physicians provided the same services primarily in ambulatory settings using local anaesthesia. Rural providers reported health system barriers, particularly relating to operating room logistics. Urban providers reported occasional anonymous harassment and violence. Medical abortions represented 15% of all BC abortions, a larger proportion than previously reported (under 4%) for Canada. Rural physicians describe addressable barriers to service provision that may explain the declining accessibility of rural abortion services. Moving rural surgical abortions out of operating rooms and into local ambulatory care settings has the potential to improve care and costs, while reducing logistical challenges facing rural physicians.
Kliman, Aviva M; Rhodes, Ryan
Health Canada has published national physical activity (PA) guidelines, which are included in their 26-page Physical Activity Guide to Healthy Active Living (CPAG). To date, the use of CPAG as a motivational instrument for PA promotion has not been evaluated. The purpose of this study was to determine whether reading CPAG 1) increased motivational antecedents to engage in regular PA, and 2) increased regular PA intention and behaviour over 1 month. Participants included 130 randomly sampled Canadian adults (18 years or older) who were randomly mailed pack ages consisting of either 1) a questionnaire and a copy of CPAG, or 2) a questionnaire. Questionnaire items pertained to participants' sociodemographics, previous PA behaviours (Godin Leisure-Time Questionnaire) and PA motivation (theory of planned behaviour). Participants were then sent a follow-up questionnaire pertaining to their PA behaviours throughout the previous month. Results revealed significant interactions between the guide condition and previous activity status on instrumental behavioural beliefs about strength activities and subjective norms about endurance activities (p antecedents (affective attitude, perceived behavioural control) and outcomes (intention, behaviour) seem unaffected.
Full Text Available This paper summarises key findings from a comprehensive analysis commissioned by the Japan International Cooperation Agency (JICA of the nature of decentralisation in the three East African countries: Kenya, Uganda and Tanzania. The specific objectives of the study were: • Provide a basic comparative analysis of the forms and processes of decentralisation reforms in the three countries • Analyse the specific modalities in the three countries for local service delivery planning and provision within the three sectors of basic education, primary health care and agricultural extension, with a particular emphasis on rural areas. TIDEMAND: Local level service delivery, decentralisation and governance: A comparative study of Uganda, Kenya and Tanzania CJLG May 2009 145 • Explore the impact of the specific forms of decentralisation and local level service delivery arrangements in terms of efficiency, accountability (transparency and democratic process (participation.
Boyce, R A
A ten year review of developments in the organisation and management of allied health services in Australian acute care public hospitals reveals a steady transformation away from a medically managed universal model towards more complex and contested models of governance. This article revisits early observations about the reorganisation of allied health services and presents more recent research findings to guide managerial decision-making about restructuring the diverse disciplines that constitute allied health. A new organisational model "integrated decentralization" is presented as an approach to managing allied health services which accommodates multiple stakeholder demands in the context of New Public Management (NPM) related reforms. The focus on the institutional level is complemented by examining developments in the profile and activity of allied health at the regional, state and national levels to present a more comprehensive picture of change over the decade of the 1990s.
Bramley, M.; Boustie, S.; Vadgama, J.; Wieler, C.; Pape-Salmon, A.; Holmes, R.
Green power is generally defined as electricity produced from renewable sources, and whose production has low adverse impacts on the environment, human health and communities. Green power has near-zero greenhouse gas (GHG) emissions and includes sources such as wind, hydro, and solar power. Green power offers several environmental benefits, as well as the enhancement of energy security, regional development, economic diversification and the creation of skilled jobs. There are four categories of programs related to green power development in Canada: government green power policies, utility green power development programs, green power marketing initiatives, and green power certificate marketing initiatives. Most of the activities associated with these four categories in 2002 were discussed in this report. However, difficulties with quantification prevented the inclusion of some green power activities in the report, such as (1) the generation of green power not certified or identified by the generator as green power, (2) industry or residential self-generation, (3) net metering, and (4) small government programs. Each category was presented in detail. The information included in the report was based on surveys sent to each program proponent. Follow-up communications and other publicly available information was also included. New programs operating in 2003 or currently under development were listed. refs., 8 tabs
Loveday, Jonathan; Sachdev, Sonal P; Cherian, Meena N; Katayama, Francisco; Akhtaruzzaman, A K M; Thomas, Joe; Huda, N; Faragher, E Brian; Johnson, Walter D
Evaluate the capacity of government-run hospitals in Bangladesh to provide emergency and essential surgical, obstetric and anaesthetic services. Cross-sectional survey of 240 Bangladeshi Government healthcare facilities using the World Health Organisation Situational Analysis Tool to Assess Emergency and Essential Surgical Care (SAT). This tool evaluates the ability of a healthcare facility to provide basic surgical, obstetric and anaesthetic care based on 108 queries that detail the infrastructure and population demographics, human resources, surgical interventions and reason for referral, and available surgical equipment and supplies. For this survey, the Bangladeshi Ministry of Health sent the SAT to sub-district, district/general and teaching hospitals throughout the country in April 2013. Responses were received from 240 healthcare facilities (49.5% response rate): 218 sub-district and 22 district/general hospitals. At the sub-district level, caesarean section was offered by 55% of facilities, laparotomy by 7% and open fracture repair by 8%. At the district/general hospital level, 95% offered caesarean section, 86% offered laparotomy and 77% offered open fracture treatment. Availability of anaesthesia services, general equipment and supplies reflected this trend, where district/general hospitals were better equipped than sub-district hospitals, though equipment and infrastructure shortages persist. There has been overall impressive progress by the Bangladeshi Government in providing essential surgical services. Areas for improvement remain across all key areas, including infrastructure, human resources, surgical interventions offered and available equipment. Investment in surgical services offers a cost-effective opportunity to continue to improve the health of the Bangladeshi population and move the country towards universal healthcare coverage.
Denis, Jean-Louis; Sullivan, Terrence James
... of the Government of Canada through the Canada Book Fund for our publishing activities. Library and Archives Canada Cataloguing in Publication Building better health care leadership for Canada: imple...
Otovwe, Agofure; Elizabeth, Sarki
Primary health care was designed to provide accessible health care for all. However, most primary health care facilities are in various states of disrepair, catering for less than 20% of potential patients in the population. This study was designed to investigate the utilisation of primary health care services in Jaba Local Government Area of Kaduna State Nigeria. The study employed a cross-sectional study design conducted among 383 respondents utilising simple random sampling techniques. A pretested semi-structured questionnaire was administered to obtain information from respondents, while descriptive statistics was used to analyse the data. The results show that almost all of the respondents, 333(97.90%), were aware of the existence of primary health care services in their community. Furthermore, the majority of the respondents, 304(89.40%), utilized primary health care services while 293(86.20%) and 212(62.40%) were satisfied with the amount of charges for services and the supply of drugs respectively. According to the respondent, weak services in primary health care includes; personal hygiene and nutritional education, management of chronic diseases and cancer screening. Factors that influence the utilization of primary health care services according to the respondents were availability of trained personnel (AOR=1.828 95% CI=0.410-1.672), attitude of staffs (AOR=1.114 95% CI=0.527-2.355), waiting times (AOR=1.110 95% CI=0.584-2.224) and availability of diagnostic services (AOR=0.951 95% CI=0.472-1.918). The study highlighted the weaknesses in some of the services offered at the various primary health centres and the factors which can hinder the residents from patronizing primary health care services.
Chiu, Maria; Amartey, Abigail; Wang, Xuesong; Kurdyak, Paul
The purpose of this study was to compare the prevalence of self-reported mental health factors, mental health service use, and unmet needs across the 4 largest ethnic groups in Ontario, Canada: white, South Asian, Chinese, and black groups. The study population was derived from the Canadian Community Health Survey, using a cross-sectional sample of 254,951 white, South Asian, Chinese, and black residents living in Ontario, Canada, between 2001 and 2014. Age- and sex-standardized prevalence estimates for mental health factors, mental health service use, and unmet needs were calculated for each of the 4 ethnic groups overall and by sociodemographic characteristics. We found that self-reported physician-diagnosed mood and anxiety disorders and mental health service use were generally lower among South Asian, Chinese, and black respondents compared to white respondents. Chinese individuals reported the weakest sense of belonging to their local community and the poorest self-rated mental health and were nearly as likely to report suicidal thoughts in the past year as white respondents. Among those self-reporting fair or poor mental health, less than half sought help from a mental health professional, ranging from only 19.8% in the Chinese group to 50.8% in the white group. The prevalence of mental health factors and mental health service use varied widely across ethnic groups. Efforts are needed to better understand and address cultural and system-level barriers surrounding high unmet needs and to identify ethnically tailored and culturally appropriate clinical supports and practices to ensure equitable and timely mental health care.
Xu, Bingsheng; Ling, Lin; Jin, Huang
This paper focuses on the evaluation of third-party governance operation services for environmental pollution, and determines the evaluation indicator system composed of 5 primary indicators as the basic competence of enterprise, operation of equipment, technique economics, environmental benefit and management level, and 26 secondary indicators via policies and regulations, standards, literature research and expert consultation in combination with the composition elements, service value judgment factors and full-life cycle of the work, providing theoretical support for the effect evaluation of third-governance over the environmental pollution in China. Then, the hierarchical analytic matrix is formed by analyzing the environmental pollution governance evaluation indicator system via analytic hierarchy process and scoring the importance of various indicators by experts by applying the Delphi method. The feature vector of the matrix is then calculated to obtain the weight of each indicator and verify the effectiveness of the Delphi method and obtain the comprehensive weight by judging the consistency of the matrix, so as to finally determine the overall ordering level of the importance of secondary indicators.
Mohammed A. Kafaji
Full Text Available This study is designed to assess the mediating effect of the Service Quality in shaping the experience of users of e-Government applications. Users normally evaluate their satisfaction in using technological innovation such as e-Government from their direct and indirect involvement and the perceived value of the system in question. To study the mediation effect, a self-administered questionnaire based on a tested model is used to collect the experience of users of recently implemented e-Government applications in the public sector in Saudi Arabia. Data was gathered from 208 internal respondents and then analyzed using structural equation modeling (SEM. Different mediation models were tested and evaluated using common standard SEM parameters. The results showed that the value perceived from the System Quality and Information Quality does impact the User Satisfaction, but Service Quality was found to play a stronger role in mediating the relationship between User Satisfaction and both the System Quality and Information Quality. The degree and direction of this mediation were analyzed and interpreted from the user and the technical support perspectives. The study compares these findings with those from earlier studies using similar models.
... 29 Labor 1 2010-07-01 2010-07-01 true Responsibilities of DOL, DOL social service providers and... Organizations; Protection of Religious Liberty of Department of Labor Social Service Providers and Beneficiaries § 2.33 Responsibilities of DOL, DOL social service providers and State and local governments...
... 25 Indians 1 2010-04-01 2010-04-01 false Is my Federal government-assisted dwelling eligible for services under the Housing Improvement Program? 256.25 Section 256.25 Indians BUREAU OF INDIAN AFFAIRS... dwelling eligible for services under the Housing Improvement Program? Yes. You may receive services under...
Full Text Available and manual operations at government offices, thereby causing time delays and affecting worker morale. Low throughput, coupled with traditional communication channels, which are expensive and require intensive human processing, as well as a lack of a single... services through the use of mobile phone technologies so that people will use the technology they already have (i.e. mobile phones) to access government service(s) in a way that adds value to their lives? ? How can government implement the use of mobile...
Describes a study that investigated the quality of interlibrary loan services in Canadian public libraries from the library's and the user's perspectives and then compared results. Measures of interlibrary loan performance are reviewed; an alternative conceptualization of service quality is discussed; and SERVQUAL, a measure of service quality, is…
Zaidi, Shehla; Mayhew, Susannah H; Cleland, John; Green, Andrew T
Contracting non-governmental organizations (NGOs) for health service provision is gaining increasing importance in low- and middle-income countries. However, the role of the wider context in influencing the effectiveness of contracting is not well studied and is of relevance given that contracting has produced mixed results so far. This paper applies a policy analysis approach to examine the influence of policy and political factors on contracting origin, design and implementation. Evidence is drawn from a country case study of Pakistan involving extensive NGO contracting for human immunodeficiency virus (HIV) prevention services supported by international donor agencies. A multilevel study was conducted using 84 in-depth interviews, 22 semi-structured interviews, document review and direct observation to examine the national policy design, provincial management of contracting and local contract implementation. There were three main findings. First, contracting origin and implementation was an inherently political process affected by the wider policy context. Although in Pakistan a combination of situational events successfully managed to introduce extensive and sophisticated contracting, it ran into difficulties during implementation due to ownership and capacity issues within government. Second, wide-scale contracting was mis-matched with the capacity of local NGOs, which resulted in sub-optimal contract implementation challenging the reliance on market simulation through contracting. Third, we found that contracting can have unintended knock-on effects on both providers and purchasers. As a result of public sector contracts, NGOs became more distanced from their grounded attributes. Effects on government purchasers were more unpredictable, with greater identification with contracting in supportive governance contexts and further distancing in unsupportive contexts. A careful approach is needed in government contracting of NGOs, taking into account acceptance of
Jackson, D. P.
Canada's fusion strategy is based on developing specialized technologies in well-defined areas and supplying these technologies to international fusion projects. Two areas are specially emphasized in Canada: engineered fusion system technologies, and specific magnetic confinement and materials studies. The Canadian Fusion Fuels Technology Project focuses on the first of these areas. It tritium and fusion reactor fuel systems, remote maintenance and related safety studies. In the second area, the Centre Canadian de fusion magnetique operates the Tokamak de Varennes, the main magnetic fusion device in Canada. Both projects are partnerships linking the Government of Canada, represented by Atomic Energy of Canada Limited, and provincial governments, electrical utilities, universities and industry. Canada's program has extensive international links, through which it collaborates with the major world fusion programs, including participation in the International Thermonuclear Experimental Reactor project
This paper presents a look at the challenges confronting security management personnel contracting with the U.S. government to provide security and related support services. From the corporate decision to enter the ''Big Leagues'' via proposal submission, through commitments and required expertise necessary to achieve ''outstanding'' ratings, this paper is an overview of a broad spectrum of security related topics including: the proposal process, the first step; oral review boards and ''Catch-22'' dilemmas; contractual requirements vs. court orders; personnel, the human factor; the carousel approach to fiscal accountability; and avoiding communication barriers
Background Unofficial payments in health services around the world are widespread and as varied as the health systems in which they occur. We reviewed the main lessons from social audits of petty corruption in health services in South Asia (Bangladesh, Pakistan), Africa (Uganda and South Africa) and Europe (Baltic States). Methods The social audits varied in purpose and scope. All covered representative sample communities and involved household interviews, focus group discussions, institutional reviews of health facilities, interviews with service providers and discussions with health authorities. Most audits questioned households about views on health services, perceived corruption in the services, and use of government and other health services. Questions to service users asked about making official and unofficial payments, amounts paid, service delivery indicators, and satisfaction with the service. Results Contextual differences between the countries affected the forms of petty corruption and factors related to it. Most households in all countries held negative views about government health services and many perceived these services as corrupt. There was little evidence that better off service users were more likely to make an unofficial payment, or that making such a payment was associated with better or quicker service; those who paid unofficially to health care workers were not more satisfied with the service. In South Asia, where we conducted repeated social audits, only a minority of households chose to use government health services and their use declined over time in favour of other providers. Focus groups indicated that reasons for avoiding government health services included the need to pay for supposedly free services and the non-availability of medicines in facilities, often perceived as due to diversion of the supplied medicines. Conclusions Unofficial expenses for medical care represent a disproportionate cost for vulnerable families; the very
Paredes-Solís, Sergio; Andersson, Neil; Ledogar, Robert J; Cockcroft, Anne
Unofficial payments in health services around the world are widespread and as varied as the health systems in which they occur. We reviewed the main lessons from social audits of petty corruption in health services in South Asia (Bangladesh, Pakistan), Africa (Uganda and South Africa) and Europe (Baltic States). The social audits varied in purpose and scope. All covered representative sample communities and involved household interviews, focus group discussions, institutional reviews of health facilities, interviews with service providers and discussions with health authorities. Most audits questioned households about views on health services, perceived corruption in the services, and use of government and other health services. Questions to service users asked about making official and unofficial payments, amounts paid, service delivery indicators, and satisfaction with the service. Contextual differences between the countries affected the forms of petty corruption and factors related to it. Most households in all countries held negative views about government health services and many perceived these services as corrupt. There was little evidence that better off service users were more likely to make an unofficial payment, or that making such a payment was associated with better or quicker service; those who paid unofficially to health care workers were not more satisfied with the service. In South Asia, where we conducted repeated social audits, only a minority of households chose to use government health services and their use declined over time in favour of other providers. Focus groups indicated that reasons for avoiding government health services included the need to pay for supposedly free services and the non-availability of medicines in facilities, often perceived as due to diversion of the supplied medicines. Unofficial expenses for medical care represent a disproportionate cost for vulnerable families; the very people who need to make use of supposedly
Full Text Available Abstract Background Unofficial payments in health services around the world are widespread and as varied as the health systems in which they occur. We reviewed the main lessons from social audits of petty corruption in health services in South Asia (Bangladesh, Pakistan, Africa (Uganda and South Africa and Europe (Baltic States. Methods The social audits varied in purpose and scope. All covered representative sample communities and involved household interviews, focus group discussions, institutional reviews of health facilities, interviews with service providers and discussions with health authorities. Most audits questioned households about views on health services, perceived corruption in the services, and use of government and other health services. Questions to service users asked about making official and unofficial payments, amounts paid, service delivery indicators, and satisfaction with the service. Results Contextual differences between the countries affected the forms of petty corruption and factors related to it. Most households in all countries held negative views about government health services and many perceived these services as corrupt. There was little evidence that better off service users were more likely to make an unofficial payment, or that making such a payment was associated with better or quicker service; those who paid unofficially to health care workers were not more satisfied with the service. In South Asia, where we conducted repeated social audits, only a minority of households chose to use government health services and their use declined over time in favour of other providers. Focus groups indicated that reasons for avoiding government health services included the need to pay for supposedly free services and the non-availability of medicines in facilities, often perceived as due to diversion of the supplied medicines. Conclusions Unofficial expenses for medical care represent a disproportionate cost for
Full Text Available The Natura 2000 network is the cornerstone of the EU Biodiversity Strategy aimed at halting the loss of biodiversity and ecosystem services. Yet in many EU Member States the level of development and execution of management plans and conservation measures of Natura 2000 sites is often very low due to scarce financial resources; for this reason management effectiveness is rarely achieved. This paper presents initial insights from the Life+ MGN project and highlights the costs and benefits associated with 2 out of 21 Natura 2000 study sites in Italy in order to present a new governance approach relying on the qualitative and quantitative valuation of Ecosystem Services (ES. Preliminary results suggest that the quantification of costs and benefits related to the Natura 2000 network is crucial for reaching Natura 2000 conservation objectives and measuring management effectiveness.
Emily Jane Davis; Eric M. White; Lee K. Cerveny; David Seesholtz; Meagan L. Nuss; Donald R. Ulrich
In the United States, over 191 million acres of land is managed by the United States Department of Agriculture Forest Service, a federal government agency. In several western U.S. states, organized collaborative groups have become a de facto governance approach to providing sustained input on management decisions on much public land. This is most extensive in Oregon,...
Although governments are generally expected to provide environmental services such as sanitation and solid waste collection for their citizens, most (municipal) governments in Sub-Saharan Africa seem hardly able to take up this task. Without ignoring the lack of material resources resulting from
... under a Federal law or Federal Government contract. 411.7 Section 411.7 Public Health CENTERS FOR....7 Services that must be furnished at public expense under a Federal law or Federal Government contract. (a) Basic rule. Except as provided in paragraph (b) of this section, payment may not be made for...
... Government of the FRY (S&M) to aircraft authorized; aircraft and maritime safety. 586.515 Section 586.515... services rendered by the Government of the FRY (S&M) to aircraft authorized; aircraft and maritime safety. (a) Payments to the Government of the FRY (S&M) of charges for services rendered by that Government...
Mullens, Amy B; Fischer, Jane; Stewart, Mary; Kenny, Kathryn; Garvey, Shane; Debattista, Joseph
Lesbian, gay, bisexual, and transgender (LGBT) populations are more likely to misuse alcohol and other drugs (AOD), compared to the general population. However, LGBT engagement with AOD treatment is often precluded by insensitivity and misunderstanding of LGBT issues. These treatment barriers may be a consequence of either worker attitudes, organizational factors or a combination of both. Few studies have compared service context as an impediment to AOD treatment. This pilot study sought to examine and compare staff attitudes, knowledge and awareness of LGBT issues in two state-wide AOD services within Australia. One organization was a government service, whilst the other was faith based. A cross-sectional study of a convenience sample (N = 130) of workers employed in a state-wide government AOD service (n = 65), and a state-wide non-government service (n = 65) was conducted. Participants self-completed a questionnaire comprising tools previously used to assess staff attitudes, knowledge and awareness of LGBT issues. Few significant differences in attitudes and awareness of LGBT issues between government and non-government respondents were found. Nearly all respondents were supportive of LGBT persons irrespective of organizational context, with a small number of negative views. Although most respondents demonstrated awareness of organizational policies and practices relating to LGBT clients, many were "unsure" or "neutral" of what these might be. It is confirming that the majority of staff report supportive attitudes towards LGBT clients. Findings suggest that organizations need to continue to take leadership to strengthen organizational training and capacity to deliver LGBT friendly AOD treatment practices.
Green, Lawrence W
This reflection is on a health education professional's rotation from professor in a school of public health to a government position and back parallels that of Professor Howard Koh's journey to Assistant Secretary of Health, one level higher in the same federal bureaucracy. We both acknowledge the steep learning curve and some bureaucratic hassles and mazes that can attend government service, but similarly conclude that ". . . it was worth it." In this personalized case, I weigh some of the specific learning experiences and challenges I faced while in the government against the needs of the field of health promotion for more such revolving-door experiences among academic public health professionals. From my argument that to get more evidence-based practice we need more practice-based evidence, I conclude that more experience in practice among those returning to academia will render their teaching and research more relevant to the needs for evidence in policy and practice. © 2015 Society for Public Health Education.
Shepherd, Cody A.; Waddell, Charlotte
Canadian autism policy has been unusually contentious, with parents resorting to litigation to secure services for their children in several provinces. To ascertain whether consensus was possible on improving services, we conducted an in-depth qualitative interview study with 39 parents, policymakers and researchers across the country. Parents…
N. A. Lypovska
Full Text Available In the article certain and specified existent methodological grounds of government service as the theoretical of organization, heuristic possibilities are analysed organizational approaches to the probed problem and its decision, attribute description of public service is resulted as a social organization. The author concludes that in circumstances where the organization coexist in the interaction, which includes fluctuations, dissipation, competition, competitions, etc., to ensure the stability of public service related to the preservation of the general structure for reproduction. The structure serves as a complex, extensive system of social interactions and relationships of the process of ordering the elements and relations. Іt is the basis for stabilizing relationships and interactions with civil society, that it is necessary to improve the efficiency of public administration. The organizational structure of the civil service as a form of division and cooperation of management, sustainable pattern of its goals, objectives and functions, serving material support and means to implement them. This structure is a factor of stability.
Spatial inequality in service delivery is a common feature in African cities. Several factors account for the phenomenon but there is growing attention towards urban governance and the role of the state. Urban governance policies such as privatization serve as key strategies through which the state regulates and (re)produces spatial inequality in service delivery. This study examined how governance practices related to privatization and the regulatory role of the state reinforce spatial inequalities in the delivery of solid waste services in Abuja, Nigeria. It focused primarily on the issue of cost recovery. Privatization became a major focus in Abuja in 2003 when the government launched a pilot scheme. Although it has brought improvements in service delivery, privatization has also increased the gap in the quality of services delivered in different parts of the city. Drawing on empirical data, the study revealed that little sensitivity to income and affordability, and to income differentials between neighbourhoods in the fixing of user charges and in the choice of the billing method is contributing to spatial inequalities in service delivery. Furthermore, the study suggests that these practices are linked to a broader issue, a failure of the government to see the people as partners. It therefore calls for more inclusive governance especially in decision-making processes. The study also emphasizes the need for a policy document on solid waste management, as this would encourage a critical assessment of vital issues including how privatization is to be funded, especially in low-income areas.
Cosman, J. W.
Explains the historical background for four presuppositions which have governed penitentiary education in Canada. Calls for new approaches to the education of prison inmates and for related research. (Author/SB)
Tawfik-Shukor, Ali; Khoshnaw, Hiro
Relative to the amount of global attention and media coverage since the first and second Gulf Wars, very little has been published in the health services research literature regarding the state of health services in Iraq, and particularly on the semi-autonomous region of Kurdistan. Building on findings from a field visit, this paper describes the state of health services in Kurdistan, analyzes their underlying governance structures and policy processes, and their overall impact on the quality, accessibility and cost of the health system, while stressing the importance of reinvesting in public health and community-based primary care. Very little validated, research-based data exists relating to the state of population health and health services in Kurdistan. What little evidence exists, points to a region experiencing an epidemiological polarization, with different segments of the population experiencing rapidly-diverging rates of morbidity and mortality related to different etiological patterns of communicable, non-communicable, acute and chronic illness and disease. Simply put, the rural poor suffer from malnutrition and cholera, while the urban middle and upper classes deal with issues of obesity and Type 2 diabetes. The inequity is exacerbated by a poorly governed, fragmented, unregulated, specialized and heavily privatized system, that not only leads to poor quality of care and catastrophic health expenditures, but also threatens the economic and political stability of the region. There is an urgent need to revisit and clearly define the core values and goals of a future health system, and to develop an inclusive governance and policy framework for change, towards a more equitable and effective primary care-based health system, with attention to broader social determinants of health and salutogenesis. This paper not only frames the situation in Kurdistan in terms of a human rights or special political issue of a minority population, but provides important
Full Text Available Abstract Background Relative to the amount of global attention and media coverage since the first and second Gulf Wars, very little has been published in the health services research literature regarding the state of health services in Iraq, and particularly on the semi-autonomous region of Kurdistan. Building on findings from a field visit, this paper describes the state of health services in Kurdistan, analyzes their underlying governance structures and policy processes, and their overall impact on the quality, accessibility and cost of the health system, while stressing the importance of reinvesting in public health and community-based primary care. Discussion Very little validated, research-based data exists relating to the state of population health and health services in Kurdistan. What little evidence exists, points to a region experiencing an epidemiological polarization, with different segments of the population experiencing rapidly-diverging rates of morbidity and mortality related to different etiological patterns of communicable, non-communicable, acute and chronic illness and disease. Simply put, the rural poor suffer from malnutrition and cholera, while the urban middle and upper classes deal with issues of obesity and Type 2 diabetes. The inequity is exacerbated by a poorly governed, fragmented, unregulated, specialized and heavily privatized system, that not only leads to poor quality of care and catastrophic health expenditures, but also threatens the economic and political stability of the region. There is an urgent need to revisit and clearly define the core values and goals of a future health system, and to develop an inclusive governance and policy framework for change, towards a more equitable and effective primary care-based health system, with attention to broader social determinants of health and salutogenesis. Summary This paper not only frames the situation in Kurdistan in terms of a human rights or special political
Mika, Monika; Kudach, Jakub
The publication has a cognitive research character. It presents a comparative analysis of free Internet services in Poland and abroad, used to adjust the data obtained using satellite measurement techniques. The main aim of this work is to describe and compare free tools for satellite data processing and to examine them for possible use in the surveying works in Poland. Among the many European and global services three of them dedicated to satellite measurements were selected: ASG-EUPOS (Poland), APPS (USA) and CSRS (Canada). The publication contains the results of calculations using these systems. Calculations were based on RINEX files obtained via postprocessing service (ASG-EUPOS network) POZGEO D for 12 reference stations in the South Poland. In order to examine differences in results between the ASG-EUPOS, APPS and CSRS the transformation points coordinate to a single coordinate system ETRF 2000 (in force in Poland) was made. Studies have shown the possibility of the calculation in Poland (in postprocessing mode) using the analyzed applications with global coverage.
Do efforts to standardize, assess and improve the quality of health service provision to adolescents by government-run health services in low and middle income countries, lead to improvements in service-quality and service-utilization by adolescents?
Chandra-Mouli, Venkatraman; Chatterjee, Subidita; Bose, Krishna
Researchers and implementers working in adolescent health, and adolescents themselves question whether government-run health services in conservative and resource-constrained settings can be made adolescent friendly. This paper aims to find out what selected low and middle income country (LMIC) governments have set out to do to improve the quality of health service provision to adolescents; whether their efforts led to measurable improvements in quality and to increased health service-utilization by adolescents. We gathered normative guidance and reports from eight LMICs in Asia, Africa, Central and Eastern Europe and the Western Pacific. We analysed national quality standards for adolescent friendly health services, findings from the assessments of the quality of health service provision, and findings on the utilization of health services. Governments of LMICs have set out to improve the accessibility, acceptability, equity, appropriateness and effectiveness of health service provision to adolescents by defining standards and actions to achieve them. Their actions have led to measurable improvements in quality and to increases in health service utilisation by adolescents. With support, government-run health facilities in LMICs can improve the quality of health services and their utilization by adolescents.
Dykeman, Catherine S; Markle-Reid, Maureen F; Boratto, Lorna J; Bowes, Chris; Gagné, Hélène; McGugan, Jennifer L; Orr-Shaw, Sarah
Despite evidence for effective fall prevention interventions, measurable reductions in older adult (≥ 65 years) fall rates remain unrealized. This study aimed to describe the perceived barriers to and effective strategies for the implementation of evidence-based fall prevention practices within and across diverse community organizations. This study is unique in that it included community service providers who are not generally thought to provide fall prevention services to older adults, such as retail business, community support, volunteer services, community foundations, recreation centres, and various emergency services. Interviews and focus groups were conducted with a purposive sampling of providers (n = 84) in varied roles within diverse community-based organizations across disparate geographical settings. Community service providers experience significant multi-level barriers to fall prevention within and across organizations and settings. The overall challenge of serving dispersed populations in adverse environmental conditions was heightened in northern rural areas. Barriers across the system, within organizations and among providers themselves emerged along themes of Limited Coordination of Communication, Restrictive Organizational Mandates and Policies, Insufficient Resources, and Beliefs about Aging and Falls. Participants perceived that Educating Providers, Working Together, and Changing Policies and Legislation were strategies that have worked or would work well in implementing fall prevention. An unintentional observation was made that several participants in this extremely varied sample identified expanded roles in fall prevention for themselves during the interview process. Community service providers experience disabling contexts for implementing fall prevention on many levels: their specific geography, their service systems, their organizations and themselves. A systemic lack of fit between the older adult and fall prevention services
Umar Aminu Kaoje
Full Text Available Introduction: Satisfaction evaluation is an excellent opportunity to involve clients in the process of assessing programs from users′ perspective and is recognized as a component of quality of care. This study aimed to identify determinants of client satisfaction with the family planning (FP services provided in government health facilities in Sokoto metropolis. Materials and Methods: A descriptive cross-sectional study was conducted among FP clients that patronized the FP commodity delivery point in selected health facility in Sokoto, Northern Nigeria. A multi-stage sampling technique was used to select the study respondents. List of the clients that attended each clinic was compiled and used as a sampling frame. A set of pretested exit interviewer-administered questionnaire was used to collect data from the clients. Ethical approval was granted for the conduct of the study, and individual informed consent was obtained from each client. Thereafter, the exit questionnaire was administered. Results: All the respondents were females and those aged 25-29 years constituted a larger proportion of 26%. Overall mean age was 30.8 ± 7.0 years. Large proportion (85% expressed satisfaction with FP services provided. About 49% of the respondents reported waiting for 30 min before being attended to by service providers while 13% waited for more than 2 h. Average waiting time was 60.3 ± 21.3 min with clients mean desired waiting time of 35.2 ± 11.1 min. Clinic waiting time, being examined during the visit, and attitude of both service providers and other clinic staffs were found to be the key determinants of client satisfaction. Conclusion: Although, most of the clients waited for more than 30 min, majority were satisfied with the services offered. There is a need to reduce waiting time of FP clients at the clinic and ensure clients are appropriately examined.
the Civil Service Reform Act of 1978, it is my honor to submit the U.S. Merit Systems Protection Board report titled "To Meet the Needs of the...Representatives Washington, DC 2 05 027 92-02948 "IuIII II IIIh I A Spedal Study TO MEET THE NEEDS OF THE NATIONS: STAFFING THE U.S. CiVIL SERVICE AND THE PUBLIC...ing close scutiny in appeals, inc flg ones that am a useful way to meet the needs of rapidly chang- reach the Fdu comt. As oe depotinental Ing Izadons
Sly Newton Mutiro
Full Text Available Good governance has been and is a growing phenomenon for many business organisations regardless of size, profit margins and purpose for existence. The South African Metropolitan municipality Metropolitan Municipality is one such organisation that has adopted good governance models to business practices. The challenge was how to effectively and efficiently implement governance issues around projects and business organisations. A number of people, committees and institutions have developed different governance frameworks that can be adopted by organisations as a guide to good governance. This research is based on King III guide to good governance. The objective was to establish the perceptions of the corporate services directorate in the South African Metropolitan municipality municipality on King III good governance compliance by interviewing some employees orally and through a questionnaire. The responses were captured and analysed using IMB SPSS software. Problems were identified in governance training and understanding in general. Another major finding was poor communication internally and externally. To overcome these shortfall recommendations were made. Communication models, communication plan, governance models and training were recommended. The major challenges facing the South African Metropolitan municipality Metropolitan Municipality are poor effective governance communication and lack of governance training.
Westerink, Judith; Opdam, Paul; Rooij, Van Sabine; Steingröver, Eveliene
The landscape services concept provides a lens to study relations within the social-ecological networks that landscapes are, and to identify stakeholders as either providers or beneficiaries. However, landscape services can also be used as a boundary concept in collaborative landscape governance. We
Full Text Available This study analyzed data from the 1998, 2003 and 2008 Canadian Incidence Study of reported child abuse and neglect (CIS and compared the profile of children who were reported for an urgent protection investigation versus any other investigation or assessment. As a proportion of all investigations, urgent protection cases have dropped from 28% of all investigations in 1998, to 19% in 2003, to 15% in 2008. Results from the CIS-2008 analysis revealed that 7% of cases involved neglect of a child under four, 4% of cases involved sexual abuse, 2% of cases involved physical abuse of a child under four and 1% of cases involved children who had sustained severe enough physical harm that medical treatment was required. The other 85% of cases of investigated maltreatment involved situations where concerns appear to focus less on immediate safety and more on the long-term effects of a range of family related problems. These findings underscore the importance of considering the dual mandate of child welfare mandates across Canada: intervening to assure the urgent protection and safety of the child versus intervening to promote the development and well-being of the child.
Jensen, M; Lau, A; Langlois-Klassen, D; Boffa, J; Manfreda, J; Long, R
To compare and interpret tuberculosis (TB) incidence rates in a Canadian population across two decennials (1989-1998 and 1999-2008) as a benchmark for World Health Organization targets and the long-term goal of TB elimination. The population under study was served by two urban clinics in the first decennial and two urban and one provincial clinic in the second. TB rates among Status Indians, Canadian-born 'others' and the foreign-born were estimated using provincial and national databases. Program performance was measured in on-reserve Status Indians in each decennial. In each decennial, the incidence rate in Status Indians and the foreign-born was greater than that in the Canadian-born 'others'; respectively 27.7 and 33.0 times in Status Indians, and 8.0 and 20.9 times in the foreign-born. Between decennials, the rate fell by 56% in Status Indians, 58% in Canadian-born 'others', and 18% in the foreign-born. On-reserve Status Indians had higher rates than off-reserve Status Indians, and the three-clinic model out-performed the two-clinic model among those on-reserve. Rates in the foreign-born varied by World Bank region, and were highest among those from Africa and Asia. Status Indians and the foreign-born are at increased risk of TB in Canada. Significant progress towards TB elimination has been made in Status Indians but not in the foreign-born.
The article seeks to explore the practical and theoretical implications of the ways in which senior figures in the National Health Service (NHS) interpret the role of the centre in relation to the delivery units of the health service. This is important in the light of recent plans for reorganisation of the NHS advanced by the new Conservative-Liberal coalition government. The article is based on interviews with civil servants and NHS staff at senior levels in the centre and in the strategic health authorities (SHAs). It is found that, in practice, despite numerous attempts to separate out policy making from implementation/management, the two continue to be closely coupled and intertwined. Central staff and regional officials are found to be both steering and rowing. Only a small selection of senior officials at the centre and only a small proportion of SHA senior managers and directors were interviewed. The implications are far-reaching. Unless special steps are taken, it seems likely that these senior officials, despite the creation of some new institutions and the curtailment of others, will continue to behave in broadly similar ways to those described here. Empirical studies of the thinking, assumptions and behaviour of very senior officials in the health service are rare. The analysis in this paper explores the organisational conditions that shape the actions of these senior players.
Full Text Available Purpose: PRISMA is an innovative co-ordination-type Integrated Service Delivery System developed to improve continuity and increase the efficacy and efficiency of services, especially for older and disabled populations. Description: The mechanisms and tools developed and implemented by PRISMA include: (1 co-ordination between decision-makers and managers, (2 a single entry point, (3 a case management process, (4 individualised service plans, (5 a single assessment instrument based on the clients' functional autonomy, and (6 a computerised clinical chart for communicating between institutions for client monitoring purposes. Preliminary results: The efficacy of this model has been tested in a pilot project that showed a decreased incidence of functional decline, a decreased burden for caregivers and a smaller proportion of older people wishing to be institutionalised. Conclusion: The on-going implementation and effectiveness study will show evidence of its real value and its impact on clienteles and cost.
Hudak, Ronald P; Russell, Rebecca; Toland, P Paul
The evolution of governance models for the Military Health System's (MHS) large hospitals, called medical treatment facilities (MTFs), has culminated with the effort to implement Enhanced Multi-Service Markets (eMSM). The term eMSM refers to two separate concepts. First, MSM refers to those geographic areas, that is, markets, which have the following characteristics: they have MTFs that are operated by two or more Department of Defense (DoD) Services, that is, Army, Navy, or Air Force; there is a large beneficiary population; there is a substantial amount of direct care (i.e., beneficiaries are treated at MTFs instead of TRICARE's purchased care from civilian providers); and there is a substantial readiness and training platform. Second, the term "enhanced" refers to an increase in management authority over clinical and business operations, readiness, and MTF workload. A retrospective review was conducted to study the evolution of military and civilian health care delivery models for the purpose of understanding how governance models have changed since the 1980s to design and manage MTFs with overlapping catchments areas. Primary and secondary data sources were analyzed through a comprehensive literature review. Since the 1980s, the MHS governance models have evolved from testing various managed care models to a regionally focused TRICARE model and culminating with an overlapping catchment area model entitled eMSMs. The eMSM model partially fulfills the original vision because the eMSM leaders have limited budgetary and resource allocation authority. The various models sought to improve governance of overlapping catchment areas with the intent to enhance medical readiness, community health, and individual health care while reducing costs. However, the success of the current model, that is, eMSMs, cannot be fully assessed because the eMSM model was not fully implemented as originally envisioned. Instead, the current eMSM model partially implements the eMSM model. As
Khadraoui, Abdelaziz; Opprecht, Wanda; Léonard, Michel; Aïdonidis, Christine
The compliance of e-government services with legal aspects is a crucial issue for administrations. This issue becomes more difficult with the fast-evolving dynamics of laws. This chapter presents our approach to describe and establish the link between e-government services and legal sources. This link is established by an ontology called “law-based ontology.” We use this ontology as means to define and to construct e-government services. The proposed approach is illustrated with one case study: the specification of services in relationship with the venture creation in Switzerland and in the State of Geneva. We have selected the Commercial Register area which mainly encompasses the registration of a new company and the modification of its registration.
Full Text Available This paper analyzes the role of the public in governance processes in public service media (PSM in Poland in the post mass-media era, characterized by participatory culture and network practices. Referencing the findings of the “Democratization of media policy in the digital ecosystems” (2014–2015 research project, the study aims to map the effectiveness of existing tools, practices and attitudes toward opening-up Polish public media enterprises to the public. Examination of media regulation, grey literature (corporate documentation, strategies, reports and civil society initiatives are likely to indicate the ways and extent to which members of the public might currently participate in the decision-making and control. On the basis of hypotheses that public media enterprises in Poland are not fully prepared for the multi-stakeholder and advanced model of PSM, the study takes into account potential systemic/regulatory, organizational and social barriers for change. The salient questions to be addressed are: What are the strategies and practices through which members of civil society might get involved? At what stages are the publics able to engage? How can PSM take advantage of the development of online tools offering space for interaction and collaboration? How is it possible to make the public more active and interested in governance and participation?
Lantz, Paula M; Alexander, Jeffrey A; Adolph, Christopher; Montgomery, Jolynn P
To describe changes in the organizational structure of state health-related departments/agencies between 1990 and 2009; to identify factors associated with key organizational structures; and to investigate their relationship with different resource allocations across health policy areas, as represented by state budgets. Original data collection on the organization of state health-related departments/agencies from 1990 to 2009. Analyses included descriptive statistics, logistic regression, and time-series regression modeling. All 50 states. Organizational structure of state government related to health in 4 areas (Medicaid, public health, mental health, human services); coupling of Medicaid and public health in the same agency; state budget changes in health policy areas, including Medicaid, public health, and hospitals. The housing of 2 or more health-related functions in the same unit was common, with 21 states combining public health and Medicaid at 1 or more points in time. Eighteen states (36%) reorganized their health agencies/departments during the study period. Controlling for numerous economic, social, and political factors, when the state agency responsible for public health is consolidated with Medicaid, the share of the state budget allocated to Medicaid declined significantly, while public health allocations were unchanged. However, consolidating Medicaid with other services did not impact state Medicaid spending. Government organizational structure related to health varies greatly across states and is somewhat dynamic. When Medicaid and public health functions are consolidated in the same stage agency, public health does not "lose" in terms of its share of the state budget. However, this could change as Medicaid costs continue to grow and with the implementation the Patient Protection and Affordable Care Act of 2010.
Witarsyah Jacob, Deden; Fudzee, Mohd Farhan Md; Aizi Salamat, Mohamad; Kasim, Shahreen; Mahdin, Hairulnizam; Azhar Ramli, Azizul
Many governments around the world increasingly use internet technologies such as electronic government to provide public services. These services range from providing the most basic informational website to deploying sophisticated tools for managing interactions between government agencies and beyond government. Electronic government (e-government) aims to provide a more accurate, easily accessible, cost-effective and time saving for the community. In this study, we develop a new model of e-government adoption service by extending the Unified Theory of Acceptance and Use of Technology (UTAUT) through the incorporation of some variables such as System Quality, Information Quality and Trust. The model is then tested using a large-scale, multi-site survey research of 237 Indonesian citizens. This model will be validated by using Structural Equation Modeling (SEM). The result indicates that System Quality, Information Quality and Trust variables proven to effect user behavior. This study extends the current understanding on the influence of System Quality, Information Quality and Trust factors to researchers, practitioners, and policy makers.
As the future shape of the electric utility industry continues to unfold and as retail competition becomes a reality, local governments are faced with balancing the need for: (1) economic development; (2) and to avoid the potential impact of cost-shifting among residents and businesses, while ensuring reliable and universal energy services. Furthermore, local governments need to find ways to recoup potential loss of franchise and tax revenues, to ensure fair and adequate energy-efficiency programs, and to continue other social programs for low income families. This paper will address two important issues every local government in the US are facing: (1) the development of viable deregulation strategies before, during and after the promulgation of utility deregulation; (2) opportunities for energy efficiency services in the competitive markets to serve local governments, which typically constitutes the largest market segment in utility's service territory. This paper presents issues and challenges common to all local governments. It documents strategies that several local governments are utilizing to embrace the coming electric utility restructuring and competition challenge to the benefits of their respective communities. This paper presents the results on deregulation work by the City of Portland, Oregon, Barnstable County, Massachusetts, and Montgomery County, Maryland. The research by these local governments was sponsored by the Urban Consortium Energy Task Force and Public Technology, Inc
Lee, Seoyoung; Kim, Eun-Kyung
The purpose of this study was to investigate medical service quality, satisfaction and to examine factors influencing hospital revisit intention of the United Arab Emirates government sponsored patients in Korea. A total of 152 UAE government sponsored patients who visited Korean hospitals participated in the questionnaire survey from August to November 2016. Stepwise multiple regression was used to identify the factors that affected the revisit intention of the participants. The mean scores of medical service quality, satisfaction, and revisit intention were 5.72 out of 7, 88.88 out of 100, 4.59 out of 5, respectively. Medical service quality and satisfaction, Medical service quality and revisit intention, satisfaction and revisit intention were positively correlated. Medical service of physician, visiting routes and responsiveness of medical service quality explained about 23.8% of revisit intention. There are needs for physicians to communicate with patients while ensuring sufficient consultation time based on excellent medical skills and nurses to respond immediately for the patients' needs through an empathic encounter in order to improve medical service quality and patient satisfaction so that to increase the revisit intention of the United Arab Emirates government sponsored patients. Further, it is necessary for the hospitals to have support plans for providing country specialized services in consideration of the UAE culture to ensure that physicians' and nurses' competencies are not undervalued by non-medical service elements such as interpreters and meals. Copyright © 2017. Published by Elsevier B.V.
Martin, Graham P
The ‘modernization’ of British public services seeks to broaden public sector governance networks, bringing the views of third sector organizations, the public and service users (among others) to the design, management and delivery of welfare. Building on previous analyses of the contradictions generated by these roles, this paper draws on longitudinal qualitative research to enunciate the challenges faced by one third-sector organization in facilitating service user influence in a UK National Health Service (NHS) pilot programme, alongside other roles in tension with this advocacy function. The analysis highlights limits in the extent to which lateral governance networks pluralize stakeholder involvement. The ‘framing’ of governance may mean that traditional concerns outweigh the views of new stakeholders such as the third sector and service users. Rather than prioritizing wider stakeholders' views in the design and delivery of public services, placing third sector organizations at the centre of governance networks may do more to co-opt these organizations in reproducing predominant priorities.
Full Text Available Natural ecosystems provide an attractive focus for tourism on small islands. But at the same time tourism and other human actions can be detrimental to these ecosystems especially because governance of the ecosystem may be difficult due to the limited resilience of small island ecosystems. In this paper, we focus on which conditions self-governance will be the appropriate governance mechanism of ecosystem services on small islands. We apply the Ostrom (2009 framework for common-pool resources in a social-ecological system, and select the relevant indicators for small islands. We scored these indicators for three cases (environmental issues in St. Eustatius. These cases show that self-organization of ecosystem services is not an outcome easily achieved. The unevenly distributed benefits of potential measures are found to decrease community support of measures that could reinforce these ecosystem services.
Montesanti, Stephanie R; Abelson, Julia; Lavis, John N; Dunn, James R
We examined efforts to engage marginalized populations in Ontario Community Health Centers (CHCs), which are primary health care organizations serving 74 high-risk communities. Qualitative case studies of community participation in four Ontario CHCs were carried out through key informant interviews with CHC staff to identify: (i) the approaches, strategies and methods used in participation initiatives aimed specifically at engaging marginalized populations in the planning of and decision making for health services; and (ii) the challenges and enablers for engaging these populations. The marginalized populations involved in the community participation initiatives studied included Low-German Speaking Mennonites in a rural town, newcomer immigrants and refugees in an urban downtown city, immigrant and francophone seniors in an inner city and refugee women in an inner city. Our analysis revealed that enabling the participation of marginalized populations requires CHCs to attend to the barriers experienced by marginalized populations that constrain their participation. Key informants outlined the features of a 'community development approach' that they rely on to address the barriers to marginalized peoples' involvement by strengthening their skills, abilities and leadership in capacity-building activities. The community development approach also shaped the participation methods that were used in the engagement process of CHCs. However, key informants also described the challenges of applying this approach, influenced by the cultural values of some groups, which shaped their willingness and motivation to participate. This study provides further insight into the approach, strategies and methods used in the engagement process to enable the participation of marginalized populations, which may be transferable to other health services settings. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: email@example.com.
Janssen, M.F.W.H.A.; Rana, Nripendra P.; Slade, Emma L.; Dwivedi, Yogesh K.
Having its origin in public administration, trustworthiness is a significant concept in digital government research, influencing the relationships between citizens and governments. However, the interrelationships between the facets of trustworthiness are given inadequate attention. Therefore, the
Full Text Available Reporting on performance was legislatively established in South Africa in terms of the Public Finance Management Act, Act 1 of 1999, section 40 (3(a. The auditing of the reported information was legislated in the Public Audit Act, Act 25 of 2004, section 20(2 (c. The objectives of the article are firstly to provide an overview of the development and application of the reporting and secondly providing assurance on service delivery information and thirdly to reflect on challenges to the implementation thereof in South Africa. The aim through deploying these set objectives is to formulate possible future considerations for improved governance. As central part of the methodology, review of literature on reporting and audit of non-financialwas conducted. The research included scrutiny of the different philosophies and approaches adopted by different countries to the reporting and providing assurance on service delivery information. In this respect, the research reflects a comparative element. In South Africa the Auditor-General adopted a phasing-in approach. The development of the audit approach and audit procedures has reached a stable stage, nine years after the initial process started. The audit of performance information now forms an integral part of the regularity audit process. The analysis of audit findings of the period under study indicates a considerable improvement once initiated, but stagnation persists in subsequent years. Numerous challenges remain around the application of performance reporting in South Africa including non-compliance, the lack of sufficient and appropriate audit evidence, inconsistencies between the various strategic documents and the need to improve the usefulness of performance information. In conclusion the article proposes some steps to address the challenges.
Full Text Available The informative society is seen as the central element of rural development at the beginning of the third millennium and the development of information technology and communication in villages has always been considered in current summits across the world. Nowadays, information and communication technology service offices are the basis of electronic government. Therefore, recognition of these offices is necessary for sustainable rural development. The purpose of this research was a comparative analysis between the current situation and the desirable situation of e-government services in the rural districts of the Hamedan province as perceived by their directors (Hamedan, Bahar and Famenin Counties. The study population consists of 91 respondents who were chosen and studied through the census method. The findings of this research study consist of two sections. The items related to satisfaction with the activities in information and communication technology service offices were prioritized in the first section. Moreover, the current and the desirable conditions for electronic service provision were identified. The gap between these two were analyzed in the second section. The results indicate that there is a significant difference between these two conditions of electronic service provisions in rural areas. This significant difference was recognized through the paired T test at the 0.05 level with 6.33 value that illustrates the existence of a gap between these two situations. Electronic government, information technology and communication, information and communication technology service offices
... EXCHANGE ACT Miscellaneous § 1.63 Service on self-regulatory organization governing boards or committees by... impose disciplinary sanctions or to hear appeals thereof. (3) Arbitration panel means any person or panel..., deceit or conversion or results in a suspension or expulsion; (iii) Any violation of the Act or the...
... SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) EMPLOYMENT TAXES AND COLLECTION OF INCOME TAX AT SOURCE EMPLOYMENT TAXES AND COLLECTION OF INCOME TAX AT SOURCE Federal Insurance Contributions Act (Chapter 21... Government and of instrumentalities thereof. (b) For purposes of this exception, the citizenship or residence...
James J.T. Connolly; Erika S. Svendsen; Dana R. Fisher; Lindsay K. Campbell
Urban environmental stewardship groups have become an essential component of the governance structure that regulates ecosystem services in cities. New York City is one example where these groups have grown rapidly in number, size, and visibility since the 1970s. In this article, we combine quantitative survey data with qualitative interview data to examine the...
Kaitlyn J. Rathwell
Full Text Available In many densely settled agricultural watersheds, water quality is a point of conflict between amenity and agricultural activities because of the varied demands and impacts on shared water resources. Successful governance of these watersheds requires coordination among different activities. Recent research has highlighted the role that social networks between management entities can play to facilitate cross-scale interaction in watershed governance. For example, bridging organizations can be positioned in social networks to bridge local initiatives done by single municipalities across whole watersheds. To better understand the role of social networks in social-ecological system dynamics, we combine a social network analysis of the water quality management networks held by local governments with a social-ecological analysis of variation in water management and ecosystem services across the Montérégie, an agricultural landscape near Montréal, Québec, Canada. We analyze municipal water management networks by using one-mode networks to represent direct collaboration between municipalities, and two-mode networks to capture how bridging organizations indirectly connect municipalities. We find that municipalities do not collaborate directly with one another but instead are connected via bridging organizations that span the water quality management network. We also discovered that more connected municipalities engaged in more water management activities. However, bridging organizations preferentially connected with municipalities that used more tourism related ecosystem services rather than those that used more agricultural ecosystem services. Many agricultural municipalities were relatively isolated, despite being the main producers of water quality problems. In combination, these findings suggest that further strengthening the water management network in the Montérégie will contribute to improving water quality in the region. However, such
MacKinnon, Janice Christine
A significant barrier to accessing healthcare in Canada is long waiting lists, which can be linked to the way that Medicare was structured. After significant pressure, provincial governments began to address wait times. An example of a successful strategy to reduce wait times for elective surgery is the Saskatchewan Surgical Initiative, which saw wait times in the province change from being among the longest in Canada to the shortest.
Seoyoung Lee, RN, MSN
Conclusions: There are needs for physicians to communicate with patients while ensuring sufficient consultation time based on excellent medical skills and nurses to respond immediately for the patients' needs through an empathic encounter in order to improve medical service quality and patient satisfaction so that to increase the revisit intention of the United Arab Emirates government sponsored patients. Further, it is necessary for the hospitals to have support plans for providing country specialized services in consideration of the UAE culture to ensure that physicians' and nurses' competencies are not undervalued by non-medical service elements such as interpreters and meals.
Giuliani, Meredith; Gospodarowicz, Mary
In this article we provide an overview of the Canadian healthcare system and the cancer care system in Canada as it pertains to the governance, funding and delivery of radiotherapy programmes. We also review the training and practice for radiation oncologists, medical physicists and radiation therapists in Canada. We describe the clinical practice of radiation medicine from patients' referral, assessment, case conferences and the radiotherapy process. Finally, we provide an overview of the practice culture for Radiation Oncology in Canada. © The Author 2017. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: firstname.lastname@example.org.
Raisa B. Deber
Full Text Available Canada faces health care challenges common to all industrialized countries – how to ensure timely access to high quality care, close to home, at an affordable cost. Addressing these challenges is complicated by interjurisdictional variation in both how health care is managed and delivered, and in health outcomes. Canada can be described as a non-system of 10 provincial and three territorial health insurance plans which mandate publicly-funded coverage for medically necessary hospital and physician services, based upon common principles and shaped by a federal governance structure that affords substantial power and autonomy to the provinces/territories over matters of health and health care. This article first examines the structural context of the health care system in Canada, including the range of services publicly funded, the public-private mix, and the complexities of current governance arrangements. It then discusses several issues affecting health policy reform: costs versus access; questions of sustainability, quality, and performance; human resources capacity; and the provision of public and population health services.
Ouellet Dallaire, C.; Bennett, E.; Lehner, B.
Canadian rivers are under threat from climate and other anthropogenic changes, which will have important repercussion on the provision of water. Ensuring the long-term provision of this ecosystem services (ES) necessitates integrative and sustainable management of river systems. Because of rivers' highly connected nature, freshwater management must consider the spatial configuration of river systems to account for the upstream/downstream connections of the beneficiaries. To answer this need, we developed a spatial and hydrological approach to measure capacity for, demand for and pressure from ES linked to river systems. We applied this method to all Canadian rivers for the provision of water and analyzed the intensity of interactions among four beneficiaries: agriculture, municipalities, industries and hydropower. As such this is a first-ever cartography of capacity for, demand for and pressure from water provision and their interactions at large scale. In Canada, rivers under high interactions are located in three main regions: the Prairies where demand for and pressure from water provision for agriculture is high, southern Ontario and Québec where demand for and pressure from water provision for municipalities and industries is high, and in Northern large rivers, especially in Québec, where pressures from water provision for hydropower production is high. The distribution of capacity, demand and pressure shows an intense but concentrated reliance on small rivers to provide water for downstream users. For Canadian large rivers, interactions among capacity, demand and pressure are moderate but constant. This cartography can inform freshwater management by identifying rivers where water provisioning is at risk, for example, where capacity cannot meet the demand or where water use has negative consequences on downstream ES.
Hou, Wanli; Fan, Hong; Xu, Jing; Wang, Fang; Chai, Yun; Xu, Hancheng; Li, Yongbin; Liu, Liqun; Wang, Bin; Jin, Jianqiang; Lu, Zuxun
In China, with the restructuring of health care system moving forward, private community health facilities have been playing a complementary but increasingly important role in providing public health and basic medical care services in urban areas. However, only limited evidence is available concerning the service functions of private community health facilities in China. The aim of this study was to explore the functions of private community health stations (PCHSs) to provide evidence-based recommendations for policy-making and practice in the development of urban community health services systems. A total of 818 PCHSs and 4320 government-sponsored community health stations (GCHSs) located in 28 cities of China were investigated in 2008. The percentages of stations that provided health services and the annual workload per community health worker (CHW) were compared between the two types of institutions. The results showed that the percentages of PCHSs providing public health services were significantly higher than those of GCHSs (P0.05). The annual workloads of all the public health services and basic medical services per CHW in PCHSs were lighter than those in GCHSs (P0.05). At present, the GCHSs are still the mainstream in urban China, which will last for a long period in future. However, our findings showed that the annual workloads of CHWs in PCHSs were no heavier than those in GCHSs, and the PCHSs were willing to provide public health services. In view of current inadequacy of health resources in China, it is feasible to further develop PCHSs under the guidance of the government, given that PCHSs can perform the basic functions of community health services, which is useful for the formation of public-private partnerships (PPP) and the improvement of community health services.
Sun, Zhuolu; Laporte, Audrey; Guerriere, Denise N; Coyte, Peter C
With health system restructuring in Canada and a general preference by care recipients and their families to receive palliative care at home, attention to home-based palliative care continues to increase. A multidisciplinary team of health professionals is the most common delivery model for home-based palliative care in Canada. However, little is known about the changing temporal trends in the propensity and intensity of home-based palliative care. The purpose of this study was to assess the propensity to use home-based palliative care services, and once used, the intensity of that use for three main service categories: physician visits, nurse visits and care by personal support workers (PSWs) over the last decade. Three prospective cohort data sets were used to track changes in service use over the period 2005 to 2015. Service use for each category was assessed using a two-part model, and a Heckit regression was performed to assess the presence of selectivity bias. Service propensity was modelled using multivariate logistic regression analysis and service intensity was modelled using log-transformed ordinary least squares regression analysis. Both the propensity and intensity to use home-based physician visits and PSWs increased over the last decade, while service propensity and the intensity of nurse visits decreased. Meanwhile, there was a general tendency for service propensity and intensity to increase as the end of life approached. These findings demonstrate temporal changes towards increased use of home-based palliative care, and a shift to substitute care away from nursing to less expensive forms of care, specifically PSWs. These findings may provide a general idea of the types of services that are used more intensely and require more resources from multidisciplinary teams, as increased use of home-based palliative care has placed dramatic pressures on the budgets of local home and community care organisations. © 2016 John Wiley & Sons Ltd.
Cordeaux, Emily Jane
This study critically examines the protections and support services available to migrant workers who are vulnerable to labour exploitation in Canada and the United Arab Emirates (UAE). This study addresses five key questions: (1) in what ways are precarious migrant workers vulnerable to labour exploitation; (2) how is labour exploitation addressed through international instruments; (3) what instruments and programs have the governments of Canada and the UAE adopted to protect precarious migra...
Human Resources and Skills Development Canada, 2012
The Canada Education Savings Program (CESP) has been an initiative of the Government of Canada since 1998. As part of the Department of Human Resources and Skills Development Canada, the program administers the Canada Education Savings Grant (CESG) and the Canada Learning Bond (CLB). These two initiatives help Canadian families save for a child's…
Kohler, Elisabeth; Pedersen, Helle; Kontkanen, Pirjo; Korja, Annakaisa; Lauterjung, Jörn; Haslinger, Florian; Sangianantoni, Agata; Bartolini, Alessandro; Consortium, Epos
One of the most important issues regarding a pan-European distributed large scale research infrastructure is the setting up of its legal and governance structure as this will shape the very operation of the undertaking, i.e. the decision-making process, the allocation of tasks and resources as well as the relationship between the different bodies. Ensuring long-term operational services requires a robust, coherent and transparent legal and governance framework across all of the EPOS TCS (Thematic Core Services) and ICS (Integrated Core Services) that is well aligned to the EPOS global architecture. The chosen model for the EPOS legal entity is the ERIC (European Research Infrastructure Consortium). While the statutory seat of EPOS-ERIC will be in Rome, Italy, most of the services will be hosted in other countries. Specific agreements between EPOS-ERIC and the legal bodies hosting EPOS services will be implemented to allow proper coordination of activities. The objective is to avoid multiple agreements and, where possible, to standardize them in order to reach a harmonized situation across all services. For the governance careful attention will be paid to the decision-making process, the type of decisions and the voting rights, the definition of responsibilities, rights and duties, the reporting mechanisms, as well as other issues like who within a TCS represents the service to the 'outside' world or who advices the TCS on which subjects. Data policy is another crucial issue as EPOS aims to provide interdisciplinary services to researchers interested in geoscience, including access to data, metadata, data products, software and IT tools. EPOS also provides access to computational resources for visualization and processing. Beyond the general principles of Open Access and Open Source the following questions have to be addressed: scope and nature of data that will be accepted; intellectual property rights in data and terms under which data will be shared; openness and
Scupola, Ada; Islam, M. Sirajul
Government ‘e-service’ as a subfield of the e-government domain has been gaining attention to practitioners and academicians alike due to the growing use of information and communication technologies at the individual, organizational and societal levels. This paper conducts a thorough literature...... the field of e-government with a good combination of research methods and theories. In particular the findings show that technology acceptance, evaluation and system architecture are the most common themes, that circa half of the studies surveyed focus on the organizational perspective and that the most...
Tsai, Wen-Hsien; Chou, Yu-Wei; Leu, Jun-Der; Chao Chen, Der; Tsaur, Tsen-Shu
This study aimed to explore the mediating effects of IT governance (ITG)-value delivery in the relationships among the quality of vendor service, the quality of consultant services, ITG-value delivery and enterprise resource planning (ERP) performance. The sampling of this research was acquired from a questionnaire survey concerning ERP implementations in Taiwan. In this survey, 4366 questionnaires were sent to manufacturing and service companies listed in the TOP 5000: The Largest Corporations in Taiwan 2009. The results showed that an ERP system will exhibit a decreased error rate and improved performance if ERP system vendors and consultants provide good service quality. The results also demonstrated that significant relationships exist among the quality of vendor service, the quality of consultant services and value delivery. The contribution of this article is twofold. First, it found that value delivery provides an effective measure of ERP performance under an ITG framework. Second, it provides evidence of the partial mediating effects of value delivery between service quality and ERP performance. In other words, if enterprises want to improve ERP performance, they need to consider factors such as value delivery and the quality of a vendor/consultant's service.
...) COOPERATIVE STATE RESEARCH, EDUCATION, AND EXTENSION SERVICE, DEPARTMENT OF AGRICULTURE VETERINARY MEDICINE LOAN REPAYMENT PROGRAM Administration of the Veterinary Medicine Loan Repayment Program § 3431.23... year duration with veterinarians who have service agreements for such veterinarians to provide services...
... related services. * * * * * (b) Service involved in examination of tariffs or schedules for preparation of certified copies of tariffs or schedules or extracts therefrom at the rate of $41.00 per hour. (c) Service... carriers:. (i) A formal complaint filed $350. under the coal rate guidelines (Stand-Alone Cost Methodology...
Nikayin, F.; De Reuver, M.
Today’s smart home concepts are no longer limited to home automation, but increasingly involve smart health, energy, security and entertainment services. Such smart living services are typically offered through sector-specific service platforms that are rarely interoperable and not fully
Mikkelsen-Lopez, Inez K.
Governance in the health system has perhaps been the least explored building block of the health system, receiving less attention due to its vague definition and complex nature. When discussed at the country level it often focuses on single elements such as corruption or accountability and doesn’t consider wider interactions of relevance to how policies are formed. How well governed a health system is can often mean the difference between the efficient use of resources and inefficient waste, ...
Full Text Available Background: Biodiversity plays a critical role in improving the quality of life and resilience of poor urban communities in Durban. Objectives: However, the rapid densification that is taking place in the ‘rural periphery’ of the city is impacting significantly on the integrity of ecosystems, which provide valuable ecosystem services. It is also changing the relations between people and the environment. Mzinyathi and eSkebheni, in the north-west of Durban, are peri-urban areas located on Ingonyama Trust land and hence they are governed by both the traditional authority and the eThekwini Municipality. The settlement pattern is changing rapidly here as middle and upper income residents move into the area, changing the way of life from being rural and ‘traditional’ to urban and ‘modern’. Method: This paper focused on the nexus of rapid urban growth, dual governance systems, biodiversity loss and cultural change in these two areas. It adopted a qualitative methodology and social constructivist approach. Data on the value of environmental services in the area was collected through interviewing the traditional authority, provincial and municipal planners and environmentalists, and household members. Results: The paper revealed that environmental services are constructed in multiple ways within a particular socio-historical and political context, that they have value to peri-urban communities, and that their function and use is changing as a result of the ‘modernisation’ of the area. The impact of the dual governance system and traditional land allocation process on environmental services is significant. This has implications for long term sustainability, for the quality of life of peri-urban residents and for planning and urban governance.
Full Text Available There is an increased use of public e-services integrating citizens into public administration through electronic interfaces. On-line interaction among public organizations and citizens is one core relation in e-government that hereby becomes embedded into daily practices. A safe entry into e-governmental systems is essential for security and trust in the e-governmental systems and schools as well as public services in general. This paper addresses how electronic identification has been used for access to public e-services in schools in a Swedish municipality. This paper draws on a case study of use of ICT platforms in education administration in order to study the implementation of secure login process and factors that may have implications upon trust in-and legitimacy of public e-services at local e-government level. Besides describing the implementation process and analyzing security and organizational arrangements connected to the use of the platform, the paper address the argument that secure identification tools are essential for increased use of e-services and lead to greater legitimacy of the public (eservices. The analysis focuses on information security, organization set-up and potential development of the platforms, contributing with empirical findings and conceptual applications. A key finding was that the organization of identification and access to public e-services seemed highly dependent of the organizational structure of the public schools. The more general implication of the findings was that safe and well organized identification systems that were considered as trustworthy and useful among citizens were essential for increased use of the services and legitimate public e-services in general.
Full Text Available The full value of benefits rendered from healthy watersheds is difficult to estimate, and ecosystem service (ES valuation sometimes necessarily occurs in the form of costs incurred or avoided. Along these lines, social-ecological systems including Payment for Watershed Services (PWS are increasing in frequency and can help land management entities to bridge budget shortfalls for funding needed watershed restoration forestry treatments. The Flagstaff Watershed Protection Project (FWPP is a bond-financed wildfire risk mitigation partnership and PWS program in Northern Arizona, the only forest management project that utilizes a municipal bond as the financial mechanism in conjunction with a partnership governance structure to invest in federal land management. The purpose of this research was to describe this new governance structure to understand the potential benefits to communities and federal land management agencies for protecting watershed services. Data were derived from document review and key informant interviews (n = 9. FWPP institutional design and governance structures were tailored to maximize community strengths and encompassed several advantages over traditional federal land management models; these advantages include increased collaboration and institutional support, financial security, and public approval. The FWPP represents an innovative PWS system that can help showcase unique community and federal forest management partnerships that benefit watershed health in western US communities.
Lyons, Tara; Krüsi, Andrea; Pierre, Leslie; Smith, Adrienne; Small, Will; Shannon, Kate
Little is known about trans womens' experiences accessing gender-segregated health and housing services, particularly services for marginalized individuals living in poverty. As such, we conducted a qualitative investigation into experiences of accessing women-specific health and housing services among trans women and two-spirit persons in a downtown neighborhood of Vancouver, Canada. Between June 2012 and May 2013 interviews were conducted with 32 trans women and two-spirit individuals who had accessed women-specific health and/or housing services. Participants were recruited from four open prospective cohorts of sex workers and individuals who use drugs. Interview data were analyzed using a participatory analysis approach with two participants who were hired as research assistants. Participants were generally able to access women-specific services in the neighborhood. However, there were reports of discrimination related to gender identity, discrimination based on gender expression (e.g., requirement of a feminine gender expression), and lack of staff intervention in harassment from other service users. Trans women and two-spirit persons in our study relied upon services for their health and safety and, therefore, exclusion from women-specific services had potentially severe adverse consequences such as homelessness and sexual violence. Recommendations to improve accessibility, including policy development and procedural recommendations, are put forth.
The Canadian Association of Petroleum Producers (CAPP) sees a need for more federal emphasis on six main principles regarding an energy strategy that will ensure that Canada's economy and citizens benefit from free access to North American markets. The development of energy resources must be done in a manner that meets North American demand for energy supplies, addresses high prices by increasing supply and enhances Canada's role as a reliable energy supplier. CAPP has proposed the following six main principles for an energy strategy: (1) development of market oriented policies, (2) ensure regulatory effectiveness, (3) promote greater industry competitiveness, (4) create more jobs for stronger communities, (5) foster the development of technological innovation, and (6) use energy wisely and efficiently. The key components of each principle were described in detail, along with their benefits to the Canadian economy
Ek, Carl; Fergusson, Ian F; Nunez-Neto, Blas; Clarke, Stephen F; Abel, Amy; Becker, Geoffrey S; Buck, Eugene H; Corn, M. L; Gelb, Bernard A; Gorte, Ross W
.... The early 1990s brought new governments to Ottawa and Washington, and although Canada's Liberal Party emphasized its determination to act independently of the United States when necessary, relations...
I A Yagub, Abdallah
North Darfur State has been affected by conflict since 2003 and the government has not been able to provide adequate curative health services to the people. The government has come to rely on Non-Governmental Organizations (NGOs) to provide curative health services. This study was conducted to examine the existing collaboration between government and NGOs in curative health service delivery in North Darfur State, and to identify the challenges that affect their collaboration. Documentary data were collected from government offices and medical organizations. Primary data were obtained through interviews with government and NGOs representatives. The interviews were conducted with (1) expatriates working for international NGOs (N=15) and (2), health professionals and administrators working in the health sector (N= 45). The collaboration between the government and NGOs has been very weak because of security issues and lack of trust. The NGOs collaborate by providing human and financial resources, material and equipment, and communication facilities. The NGOs supply 70% of curative health services, and contribute 52.9% of the health budget in North Darfur State. The NGOs have employed 1 390 health personnel, established 44 health centres and manage and support 83 health facilities across the State. The NGOs have played a positive role in collaborating with the government in North Darfur State in delivering curative health services, while government's role has been negative. The problem that faces the government in future is how health facilities will be run should a peaceful settlement be reached and NGOs leave the region.
Administrative Circular No. 25 (Rev. 3) entitled “Special provisions for the Fire and Rescue Service governing working and rest time”, approved by the Director-General following discussion at the Standing Concertation Committee meeting of 28 September 2012 and entering into force in October 2012, is available on the intranet site of the Human Resources Department: http://cern.ch/hr-docs/admincirc/admincirc.asp This Circular is applicable to staff members of the Fire and Rescue Service It cancels and replaces Administrative Circular No. 25 (Rev. 2) entitled “Shift work – Special provisions for the Fire and Rescue Service” of April 2003. This new version takes into account the new organisation of the Fire and Rescue Service, members of which will henceforth not exclusively perform their functions in the context of shift work, but also during reference working hours and during stand-by duty. Additionally, applicable limits regarding working and rest times an...
Schaer, Caroline; Hahonou, Eric Komlavi
Disastrous and recurring floods have impacted West African urban centres over the last decade, accentuating already existing vulnerabilities in poor neighbourhoods. Climate change-induced changing weather patterns and more extreme weather events are only part of the explanation for this situation......, as large segments of the urban population in West Africa are not offered the public services, infrastructure and protective regulations needed in order to respond to floods. Through an empirically grounded approach, the article shows that the ability to respond to floods is formed largely outside the realm...... of the state in a poor peri-urban municipality of Pikine, Dakar. The authors show how the organization of collective services pertaining to flood response and climate change adaptation is maintained through co-production among service users and providers entailing a mixture of diverse governance modes...
Papadomichelaki, Xenia; Mentzas, Gregoris
A critical element in the evolution of governmental services through the internet is the development of sites that better serve the citizens' needs. To deliver superior service quality, we must first understand how citizens perceive and evaluate online. Citizen assessment is built on defining quality, identifying underlying dimensions, and…
Ігор Юрійович Мельников
Full Text Available An essence of financial services market of Ukraine is considered in the article. The mechanism and features of state regulation of financial services market in the context of macroeconomic instability are determined, the fundamentals of the theory of regulation of market economy and segments of the financial market of Ukraine are determined
van den Boer, Yvon
In the Netherlands, over a million businesses regularly have to deal with complex matters imposed by the government (e.g., managing tax problems). To solve their problems, businesses have various potential sources to consult (e.g., Tax Office, advisor, friends/family). The myriad sources can be
Green, Lawrence W.
This reflection is on a health education professional's rotation from professor in a school of public health to a government position and back parallels that of Professor Howard Koh's journey to Assistant Secretary of Health, one level higher in the same federal bureaucracy. We both acknowledge the steep learning curve and some bureaucratic…
Mols, Niels Peter; Menard, Claude
Plural governance is a form of governance where a firm both makes and buys similar goods or services. Despite a widespread use of plural governance there are no transaction cost models of how plural governance affects performance. This paper reviews the literature about plural forms and proposes...... a model relating transaction cost and resource-based variables to the cost of the plural form. The model is then used to analyze when the plural form is efficient compared to alternative governance structures. We also use the model to discuss the strength of three plural form synergies....
Costopoulou, Constantina; Ntaliani, Maria
Administrative burdens comprise the second most important individual business constraint for SMEs. In this context, the Rural Inclusion project aims at reducing rural SMEs' administrative burdens related to particular public services. For succeeding this, it adopts, adapts, and deploys a Web infrastructure combining semantic services with a collaborative training and networking approach in five European rural regions. The paper presents the preliminary results of the initial phases of the project regarding the measurement of administrative burdens of SMEs in a specific rural region related to the service "Starting a new business".
... Services Under the Employee Retirement Income Security Act of 1974; Correction AGENCY: Joint Board for the... are under section 3042 of the Employee Retirement Income Security Act of 1974 (88 Stat. 829), Public...
Carlos Alberto da Rocha
Full Text Available This theoretical research identified the possibility that Governance factors contribute as evidence of value in the relationships of commercial partnerships between Logistic Operators and service providers. The data analysis allowed to identify three possible levels of grouping due to the variables of facilitators of proximity of partnerships that showed that it is possible to have a relationship with transparence between the client company and its suppliers. Most of these groups of suppliers were characterized by the intention to share operating profits with the client company, with little tolerance to financial risks of joint investments and a tendency to sign future supply contracts. Transparency, ethics and corporate responsibility have contributed to the consolidation of these groupings of partnerships among companies, as well as creating a mutual and evolutionary process of full confidence in such a way that Corporate Governance becomes the main value factor for this relationship.
Zhao, Jensen J.; Truell, Allen; Alexander, Melody W.
This study examined the user-interface characteristics and effectiveness of the e-government-to-business (G2B) sites of the 50 U.S. states and Washington, D.C. A group of 306 online users were trained to assess the sites. The findings indicate that the majority of the state G2B sites included the user-interface characteristics that provided online…
Inc. Private Industry/For profit 2 Teradata Private Industry/For profit 3 EMC, Inc. Private Industry/For profit 4 Library of Congress Government...conducted in person, such as with EMC and Teradata . Once transcribed, the interviews were sent to each interviewee for review. Interviewing...strategies and technologies. Due to the proprietary interests of a for-profit company such as Teradata , details regarding specific digital storage
Billestrup, Jane; Stage, Jan
Several initiatives in regards to digitalisation citizens' services have been launched, both in the European Union and in Denmark. Several problems have been reported in related work in regards to lack of accessability and usability of e-government self-service solutions. The objective of this pa......Several initiatives in regards to digitalisation citizens' services have been launched, both in the European Union and in Denmark. Several problems have been reported in related work in regards to lack of accessability and usability of e-government self-service solutions. The objective...... of this paper was "How are software providers developing e-government self-service solutions that should be usable for all citizens?" we conducted 11 phone interviews with self-service providers in Denmark. We found that no citizens are involved in the development process and only few of the self...
Betz, Charles T
Information technology supports efficient operations, enterprise integration, and seamless value delivery, yet itself is too often inefficient, un-integrated, and of unclear value. This completely rewritten version of the bestselling Architecture and Patterns for IT Service Management, Resource Planning and Governance retains the original (and still unique) approach: apply the discipline of enterprise architecture to the business of large scale IT management itself. Author Charles Betz applies his deep practitioner experience to a critical reading of ITIL 2011, COBIT version 4, the CMMI suite
Full Text Available The purpose of this study was to investigate farming community perceptions and expectations of quality of extension services rendered by the Department of Agriculture and Environmental Affairs (DAEA within the uMngungundlovu District Municipality. In order to achieve the article’s objective, the researcher used a SERVQUAL questionnaire and collected and analyzed the data using Statistical Package for the Social Sciences (SPSS. The results have shown that the customers perceive that they receive superior service from the extension staff. However the negative differences need to be eliminated to exceed the expectations of customers
Raul V. Fabella
Many supply contracts between the state and private agents in a developing country are cost-re-imbursement variety and are rolled out under weak and unreliable governance. The latter has to be provided for through higher supply cost. The state in turn can lower the contract cost by providing verifiable credible commitments of its intentions. We show using a modified the Laffont-Tirole cost-reimbursement contract model that the more reliable is the state in respect to the delivery of its contr...
Heather E. Castleden
Full Text Available Indigenous (First Nations, Inuit, and Métis/Metis peoples in Canada experience persistent and disproportionate water-related challenges compared to non-Indigenous Canadians. These circumstances are largely attributable to enduring colonial policies and practices. Attempts for redress have been unsuccessful, and Western science and technology have been largely unsuccessful in remedying Canada’s water-related challenges. A systematic review of the academic and grey literature on integrative Indigenous and Western approaches to water research and management identified 279 items of which 63 were relevant inclusions; these were then analyzed using a realist review tool. We found an emerging trend of literature in this area, much of which called for the rejection of tokenism and the development of respectful nation-to-nation relationships in water research, management, and policy.
Mano, Rita; Rosenberg, Dennis
The study explores organizational restructuring following the occurrence of a crisis. Restructuring activities following an intervention are considered here to be indicators of an organization's loss of legitimacy because they have lost their independent status, a basic characteristic of nonprofit human settings. The study shows that according to the Resource Based View of organization restructuring--experienced as downsizing, neglecting and abandoning of projects--organizations are affected by (a) government intervention in decision making; (b) higher demands for accountability; and (c) higher evaluations of performance gaps. On the basis of the study of a sample of 138 Nonprofit Human Services in Israel, the results show that the higher the level of restructuring, the higher the level of legitimacy. However, organization location in metropolitan areas moderates the link between restructuring and legitimacy loss. We conclude that Israel's nonprofit human services being overly dependent on goverhment funding are more prone to restructuring and losing legitimacy following organizational crisis.
Full Text Available This paper empirically investigates the impact of corporate governance factors (i.e. board size, board independence and CEO ownership and firm-level control variables (i.e. firm size, firm growth and firm profitability on the dividend payout policy among the service sector companies of Malaysia that are listed on Bursa Malaysia. Ordinary least square model was used to estimate the results. Sample consisted of 113 service sector firms from the period of 2009 to 2013. The results show that the profitable companies with large boards and less growth tend to pay higher dividends. Findings can be interpreted as that the profitable companies are sharing their profits with their shareholders in terms of dividends to give positive message to the market.
Masthori, Arif; Nugroho, Hanung Adi; Ferdiana, Riri
Website is an important facility that should be owned by government agency in the implementation of e-government. A good websiteservice quality will encourage the effectiveness in the implementation of e-government. To ensure the websiteservice quality, evaluating is needed.Existing evaluation method just only measure the website quality, not measure the level of benefits.This research aims to modifythe webqual method so it explores the website services quality from the user's perception and ...
McIntyre, Cecily; Harris, Meredith G; Baxter, Amanda J; Leske, Stuart; Diminic, Sandra; Gone, Joseph P; Hunter, Ernest; Whiteford, Harvey
Indigenous people in Australia, Canada, New Zealand and the United States of America experience disproportionately poor mental health compared to their non-Indigenous counterparts. To optimally allocate resources, health planners require information about the services Indigenous people use for mental health, their unmet treatment needs and the barriers to care. We reviewed population surveys of Indigenous people to determine whether the information needed to guide service development is being collected. We sought national- or state-level epidemiological surveys of Indigenous populations conducted in each of the four selected countries since 1990 that asked about service use for mental health. Surveys were identified from literature reviews and web searches. We developed a framework for categorising the content of each survey. Using this framework, we compared the service use content of the surveys of Indigenous people to each other and to general population mental health surveys. We focused on identifying gaps in information coverage and topics that may require Indigenous-specific questions or response options. Nine surveys met our inclusion criteria. More than half of these included questions about health professionals consulted, barriers to care, perceived need for care, medications taken, number, duration, location and payment of health professional visits or use of support services or self-management. Less than half included questions about interventions received, hospital admissions or treatment dropout. Indigenous-specific content was most common in questions regarding use of support services or self-management, types of health professionals consulted, barriers to care and interventions received. Epidemiological surveys measuring service use for mental health among Indigenous populations have been less comprehensive and less standardised than surveys of the general population, despite having assessed similar content. To better understand the gaps in mental
James J. Connolly; Erika S. Svendsen; Dana R. Fisher; Lindsay K. Campbell
How do stewardship groups contribute to the management of urban ecosystem services? In this paper, we integrate the research on environmental stewardship with the social-ecological systems literature to explain how stewardship groups serve as bridge organizations between public agencies and civic organizations, working across scales and sectors to build the flexible...
Full Text Available and salient design decisions pertaining to these markets. In this paper we analyze the business drivers and design issues for a voice service (the School Meals Line) piloted in the public sector. We find that cost saving, increased customer satisfaction...
... for multiple numbers (e.g., 2-1-1, 3-1-1, 8-1-1, suicide hotline, poison control). Also, NG 9-1-1... benefits of accessible NG 9-1-1 services; and any other information that would assist the Department in...
Akingbade, A.O.; Navarra, D.D.; Georgiadou, P.Y.; Zevenbergen, J.A.
This paper examines the role of the Abuja geographic information systems as an e-government policy initiative for promoting the reduction in corruption in the provision of e-land administration services and good governance in general. The paper explores the contribution of e-land administration with
Lake, Rebecca; Georgiou, Andrew; Li, Julie; Li, Ling; Byrne, Mary; Robinson, Maureen; Westbrook, Johanna I
Telephone triage and advice services (TTAS) are increasingly being implemented around the world. These services allow people to speak to a nurse or general practitioner over the telephone and receive assessment and healthcare advice. There is an existing body of research on the topic of TTAS, however the diffuseness of the evidence base makes it difficult to identify key lessons that are consistent across the literature. Systematic reviews represent the highest level of evidence synthesis. We aimed to undertake an overview of such reviews to determine the scope, consistency and generalisability of findings in relation to the governance, safety and quality of TTAS. We searched PubMed, MEDLINE, EMBASE, CINAHL, Web of Science and the Cochrane Library for English language systematic reviews focused on key governance, quality and safety findings related to telephone based triage and advice services, published since 1990. The search was undertaken by three researchers who reached consensus on all included systematic reviews. An appraisal of the methodological quality of the systematic reviews was independently undertaken by two researchers using A Measurement Tool to Assess Systematic Reviews. Ten systematic reviews from a potential 291 results were selected for inclusion. TTAS was examined either alone, or as part of a primary care service model or intervention designed to improve primary care. Evidence of TTAS performance was reported across nine key indicators - access, appropriateness, compliance, patient satisfaction, cost, safety, health service utilisation, physician workload and clinical outcomes. Patient satisfaction with TTAS was generally high and there is some consistency of evidence of the ability of TTAS to reduce clinical workload. Measures of the safety of TTAS tended to show that there is no major difference between TTAS and traditional care. Taken as a whole, current evidence does not provide definitive answers to questions about the quality of care
Jacobs, Josephine C; Lilly, Meredith B; Ng, Carita; Coyte, Peter C
The objective of this study was to estimate the annual costs and consequences of unpaid caregiving by Canadians from a government perspective. We estimated these costs both at the individual and population levels for caregivers aged 45 and older. We conducted a cost-benefit analysis where we considered the costs of unpaid caregiving to be potential losses in income tax revenues and changes in social assistance payments and the potential benefit of reduced paid care expenditures. Our costing methods were based on multivariate analyses using the 2007 General Social Survey, a cross-sectional survey of 23,404 individuals. We determined the differential probability of employment, wages, and hours worked by caregivers of varying intensity versus non-caregivers. We also used multivariate analysis to determine how receiving different intensities of unpaid care impacted both the probability of receiving paid care and the weekly hours of paid care received. At the lowest intensities of caregiving, there was a net benefit to government from caregiving, at both the individual and population levels. At the population level, the net benefit to government was estimated to be $4.4 billion for caregivers providing less than five hours of weekly care. At the highest intensity of caregiving, there was a net cost to government of $641 million. Our overall findings were robust to a number of changes applied in our sensitivity analysis. We found that the factor with the greatest impact on cost was the probability of labour force participation. As the biggest cost driver appears to be the higher likelihood of intense caregivers dropping out of the labour force, government policies that enable intense caregivers to balance caregiving with employment may help to mitigate these losses. Copyright © 2013 Elsevier Ltd. All rights reserved.
Full Text Available Most HIV infections in Africa are acquired by married/cohabiting adults and WHO recommends couple's voluntary HIV counseling and testing (CVCT for prevention. The handover from NGO-sponsored weekend CVCT to government-sponsored services in routine weekday antenatal care (ANC and individual voluntary testing and counseling (VCT services in Zambia's two largest cities from 2009-2015 is described.Government clinic counselors were trained to provide CVCT, and along with community health workers they promoted CVCT services in their clinic and surrounding areas. When client volume exceeded the capacity of on-duty staff in ANC and VCT, non-governmental organization (NGO subsidies were offered for overtime pay.Implementation of routine CVCT services varied greatly by clinic and city. The 12 highest volume clinics were examined further, while 13 clinics had CVCT numbers that were too low to warrant further investigation. In Lusaka, the proportion of pregnant women whose partners were tested rose from 2.6% in 2009 to a peak of 26.2% in 2012 and 24.8% in 2015. Corresponding reports in Ndola were 2.0% in 2009, 17.0% in 2012 and 14.5% in 2015. Obstacles to CVCT included: limited space and staffing, competing priorities, record keeping not adapted for couples, and few resources for promotion and increasing male involvement. Conflicting training models for 'partner testing' with men and women separately vs. CVCT with joint post-test counseling led to confusion in reporting to district health authorities.A focused and sustained effort will be required to reach a meaningful number of couples with CVCT to prevent heterosexual and perinatal HIV transmission. Establishing targets and timelines, funding for dedicated and appropriately trained staff, adoption of standardized data recording instruments with couple-level indicators, and expansion of community and clinic-based promotions using proven models are recommended.
The subject is discussed under the headings: food irradiation regulatory situation in Canada; non-regulatory developments (poultry irradiation; fish irradiation; Government willingness to fund industry initiated projects; Government willingness to establish food irradiation research and pilot plant facilities; food industry interest is increasing significantly; Canadian Consumers Association positive response; the emergence of new consulting and entrepreneurial firms). (U.K.)
Davis, Emily Jane; White, Eric M.; Cerveny, Lee K.; Seesholtz, David; Nuss, Meagan L.; Ulrich, Donald R.
In the United States, over 191 million acres of land is managed by the United States Department of Agriculture Forest Service, a federal government agency. In several western U.S. states, organized collaborative groups have become a de facto governance approach to providing sustained input on management decisions on much public land. This is most extensive in Oregon, where at least 25 "forest collaboratives" currently exist. This affords excellent opportunities for studies of many common themes in collaborative governance, including trust, shared values, and perceptions of success. We undertook a statewide survey of participants in Oregon forest collaboratives to examine differences in motivations, perceptions of success, and satisfaction among Forest Service participants ("agency participants"), who made up 31% of the sample, and other respondents ("non-agency") who represent nonfederal agencies, interest groups, citizens, and non-governmental groups. We found that agency participants differed from non-agency participants. They typically had higher annual incomes, and were primarily motivated to participate to build trust. However, a majority of all respondents were similar in not indicating any other social or economic motivations as their primary reason for collaborating. A majority also reported satisfaction with their collaborative—despite not ranking collaborative performance on a number of specific potential outcomes highly. Together, this suggests that collaboration in Oregon is currently perceived as successful despite not achieving many specific outcomes. Yet there were significant differences in socioeconomic status and motivation that could affect the ability of agency and nonagency participants to develop and achieve mutually-desired goals.
Davis, Emily Jane; White, Eric M; Cerveny, Lee K; Seesholtz, David; Nuss, Meagan L; Ulrich, Donald R
In the United States, over 191 million acres of land is managed by the United States Department of Agriculture Forest Service, a federal government agency. In several western U.S. states, organized collaborative groups have become a de facto governance approach to providing sustained input on management decisions on much public land. This is most extensive in Oregon, where at least 25 "forest collaboratives" currently exist. This affords excellent opportunities for studies of many common themes in collaborative governance, including trust, shared values, and perceptions of success. We undertook a statewide survey of participants in Oregon forest collaboratives to examine differences in motivations, perceptions of success, and satisfaction among Forest Service participants ("agency participants"), who made up 31% of the sample, and other respondents ("non-agency") who represent nonfederal agencies, interest groups, citizens, and non-governmental groups. We found that agency participants differed from non-agency participants. They typically had higher annual incomes, and were primarily motivated to participate to build trust. However, a majority of all respondents were similar in not indicating any other social or economic motivations as their primary reason for collaborating. A majority also reported satisfaction with their collaborative-despite not ranking collaborative performance on a number of specific potential outcomes highly. Together, this suggests that collaboration in Oregon is currently perceived as successful despite not achieving many specific outcomes. Yet there were significant differences in socioeconomic status and motivation that could affect the ability of agency and nonagency participants to develop and achieve mutually-desired goals.
Shah, Nirali M; Wang, Wenjuan; Bishai, David M
Policy makers in developing countries need to assess how public health programmes function across both public and private sectors. We propose an evaluation framework to assist in simultaneously tracking performance on efficiency, quality and access by the poor in family planning services. We apply this framework to field data from family planning programmes in Ethiopia and Pakistan, comparing (1) independent private sector providers; (2) social franchises of private providers; (3) non-government organization (NGO) providers; and (4) government providers on these three factors. Franchised private clinics have higher quality than non-franchised private clinics in both countries. In Pakistan, the costs per client and the proportion of poorest clients showed no differences between franchised and non-franchised private clinics, whereas in Ethiopia, franchised clinics had higher costs and fewer clients from the poorest quintile. Our results highlight that there are trade-offs between access, cost and quality of care that must be balanced as competing priorities. The relative programme performance of various service arrangements on each metric will be context specific.
Human Resources and Skills Development Canada, 2009
The Canada Education Savings Program is an initiative of the Government of Canada. As part of the Department of Human Resources and Skills Development, the program administers the Canada Education Savings Grant and the Canada Learning Bond. These two initiatives help Canadian families save for a child's post-secondary education in Registered…
Human Resources and Skills Development Canada, 2011
The Canada Education Savings Program has been an initiative of the Government of Canada since 1998. As part of the Department of Human Resources and Skills Development, the program administers the Canada Education Savings Grant and the Canada Learning Bond. These two initiatives help Canadian families save for a child's post-secondary education in…
This first issue of a quarterly newsletter announces the startup of the Tokamak de Varennes, describes Canada's national fusion program, and outlines the Canadian Fusion Fuels Technology Program. A map gives the location of the eleven principal fusion centres in Canada. (L.L.)
This power point presentation addressed the following topics regarding development of natural gas in eastern Canada: (1) the 18 Tcf of proven natural gas reserves at Sable Island, (2) Canadian markets benefiting from the Maritimes and Northeast Pipeline (M and NP), (3) a 20 year franchise agreement between Enbridge Gas and the government of New Brunswick, (4) the 25 year provincial franchise agreement by Sempra Atlantic Gas, and (5) Sable Island's influence on central Canada. The Sable Offshore Energy Project (SOEP) is now producing about 540,000 MMBtu/day from 6 fields. Plans for Tier 2 expansion are underway. Firm contracts for the M and NP are scheduled to transport gas from the SOEP to markets in Nova Scotia, New Brunswick, Maine and New Hampshire. Sable gas is also a potential supply for the Quebec market. Gaz Metropolitain and Enbridge have proposed to build the Cartier Pipeline from the Quebec/New Brunswick border to Quebec City. It is unlikely that Sable Island supply will directly serve the Ontario market. Canadian customers for Sable gas and M and NP service include pulp and paper companies, oil refineries, power generators and local distribution companies (LDC), with the majority of demand coming form the electric power industry. tabs., figs
Pottie, Kevin; Gruner, Doug; Magwood, Olivia
Responsive primary health care systems and services must be at once complex and nimble. Policy makers may wish to believe that existing health systems effectively care for all populations equally, including refugees. However, we know that refugees may require a health equity approach: an approach where all levels of government, all types of health practitioners, and even the public sector, participate to ensure access to effective primary health care. This article outlines some of Canada's healthcare responses for refugee populations. We provide field examples and guidelines that demonstrate responses, as well as ongoing inconsistencies and limitations. Refugee-receiving countries such as Australia, the US and Canada all have stories of success in resettlement and health systems. This article will focus on Canada.
An Empirical Analysis of Citizens' Acceptance Decisions of Electronic-Government Services: A Modification of the Unified Theory of Acceptance and Use of Technology (UTAUT) Model to Include Trust as a Basis for Investigation
Awuah, Lawrence J.
Understanding citizens' adoption of electronic-government (e-government) is an important topic, as the use of e-government has become an integral part of governance. Success of such initiatives depends largely on the efficient use of e-government services. The unified theory of acceptance and use of technology (UTAUT) model has provided a…
Background Canada’s diverse society and statutory commitment to multiculturalism means that the synthesis of knowledge related to the health care experiences of immigrants is essential to realize the health potential for future Canadians. Although concerns about the maternity experiences of immigrants in Canada are relatively new, recent national guidelines explicitly call for tailoring of services to user needs. We are therefore assessing the experiences of immigrant women in Canada accessing maternity-care services. We are focusing on: 1) accessibility and acceptability (as an important dimension of access) to maternity-care services as perceived and experienced by immigrant women, and 2) the birth and postnatal outcomes of these women. Methods The aim of this study is to use a narrative synthesis, incorporating both a systematic review using narrative synthesis of reports of empirical research (qualitative, quantitative, and mixed-method designs), and a literature review of non-empirically based reports, both of which include ‘grey’ literature. The study aims to provide stakeholders with perspectives on maternity-care services as experienced by immigrant women. To achieve this, we are using integrated knowledge translation, partnering with key stakeholders to ensure topic relevancy and to tailor recommendations for effective translation into future policy and practice/programming. Two search phases and a three-stage selection process are being conducted (database search retrieved 1487 hits excluding duplicates) to provide evidence to contribute jointly to both the narrative synthesis and the non-empirical literature review. The narrative synthesis will be informed by the previous framework published in 2006 by Popay et al., using identified tools for each of its four elements. The non-empirical literature review will build upon the narrative-synthesis findings and/or identify omissions or gaps in the empirical research literature. The integrated knowledge
Nguyen, Phuong H; Kim, Sunny S; Keithly, Sarah C; Hajeebhoy, Nemat; Tran, Lan M; Ruel, Marie T; Rawat, Rahul; Menon, Purnima
Although social franchising has been shown to enhance the quality of reproductive health services in developing countries, its effect on nutrition services remains unexamined. This study assessed the effects of incorporating elements of social franchising on shaping the quality of infant and young child feeding (IYCF) counselling facilities and services in Vietnam. Process-related data collected 12 months after the launch of the first franchises were used to compare randomly assigned Alive & Thrive-supported health facilities (AT-F, n = 20) with standard facilities (SF, n = 12) across three dimensions of service quality: 'structure', 'process' and 'outcome' that capture the quality of facilities, service delivery, and client perceptions and use, respectively. Data collection included facility assessments (n = 32), staff surveys (n = 96), counselling observations (n = 137), client exit interviews (n = 137) and in-depth interviews with mothers (n = 48). Structure: AT-F were more likely to have an unshared, well-equipped room for nutrition counselling than SF (65.0% vs 10.0%). Compared with SF providers, AT-F staff had better IYCF knowledge (mean score 9.9 vs 8.8, range 0-11 for breastfeeding; mean score 3.6 vs 3.2, range 0-4 for complementary feeding). AT-F providers also demonstrated significantly better interpersonal communication skills (score 9.6 vs 5.1, range 0-13) and offered more comprehensive counselling sessions. Overall utilization of franchises was low (10%). A higher proportion of pregnant women utilized franchise services (48.9%), compared with mothers with children 6-23.9 months (1.4%). There was no quantitative difference in client satisfaction with counselling services between AT-F and SF, but franchise users praised the AT-F for problem solving related to child feeding. Incorporating elements of social franchising significantly enhances the quality of IYCF counselling services within government primary healthcare facilities, particularly their
Douglas G. Manuel
Full Text Available Abstract Background Worldwide, there is concern that increases in the prevalence of dementia will result in large demands for caregivers and supportive services that will be challenging to address. Previous dementia projections have either been simple extrapolations of prevalence or macrosimulations based on dementia incidence. Methods A population-based microsimulation model of Alzheimer’s and related dementias (POHEM:Neurological was created using Canadian demographic data, estimates of dementia incidence, health status (health-related quality of life and mortality risk, health care costs and informal caregiving use. Dementia prevalence and 12 other measures were projected to 2031. Results Between 2011 and 2031, there was a projected two-fold increase in the number of people living with dementia in Canada (1.6-fold increase in prevalence rate. By 2031, the projected informal (unpaid caregiving for dementia in Canada was two billion hours per year, or 100 h per year per Canadian of working age. Conclusions The projected increase in dementia prevalence was largely related to the expected increase in older Canadians, with projections sensitive to changes in the age of dementia onset.
Manuel, Douglas G; Garner, Rochelle; Finès, Philippe; Bancej, Christina; Flanagan, William; Tu, Karen; Reimer, Kim; Chambers, Larry W; Bernier, Julie
Worldwide, there is concern that increases in the prevalence of dementia will result in large demands for caregivers and supportive services that will be challenging to address. Previous dementia projections have either been simple extrapolations of prevalence or macrosimulations based on dementia incidence. A population-based microsimulation model of Alzheimer's and related dementias (POHEM:Neurological) was created using Canadian demographic data, estimates of dementia incidence, health status (health-related quality of life and mortality risk), health care costs and informal caregiving use. Dementia prevalence and 12 other measures were projected to 2031. Between 2011 and 2031, there was a projected two-fold increase in the number of people living with dementia in Canada (1.6-fold increase in prevalence rate). By 2031, the projected informal (unpaid) caregiving for dementia in Canada was two billion hours per year, or 100 h per year per Canadian of working age. The projected increase in dementia prevalence was largely related to the expected increase in older Canadians, with projections sensitive to changes in the age of dementia onset.
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Durbin, Anna; Moineddin, Rahim; Lin, Elizabeth; Steele, Leah S; Glazier, Richard H
Given that immigration has been linked to a variety of mental health stressors, understanding use of mental health services by immigrant groups is particularly important. However, very little research on immigrants' use of mental health service in the host country considers source country. Newcomers from different source countries may have distinct experiences that influence service need and use after arrival. This population study examined rates of use of primary care and of specialty services for non-psychotic mental health disorders by immigrants to Ontario Canada during their first five years after arrival. Service use by recent immigrants in broad source region groups representing all world regions was compared to use by age-matched Canadian-born or long term immigrants (called long term residents). This matched population-based cross-sectional study assessed likelihood of any use and counts of visits for each of primary care, psychiatric care and hospital care (emergency department visits or inpatient admissions) for non-psychotic mental health disorders from 1993-2012. Adult immigrants living in urban Ontario (n = 912,114) were categorized based on their nine world regions of origin. Sex-stratified conditional logistic regression models and negative binomial models were used to compare service use by immigrant region groups to their age-matched long term residents. Immigrant were more or less likely to access primary mental health care compared to age-matched long term residents, depending on their world region of origin. Regarding specialty mental health care (psychiatry and hospital care), immigrants from all regions used less than long term residents. Across the three mental health services, estimates of use by immigrant region groups compared to long term residents were among the lowest for newcomers from East Asian and Pacific (range: 0.16-0.82) and among the highest for persons from Middle East and North Africa (range: 0.56-1.23). This population
La raccolta delle rimese degli Italiani in Canada nei documento del Banco di Napoli (Servizio Emigrati: 1908-1927 =The collection of remittances of Italians in Canada in the documents of Banco di Napoli (Emigration Service: 1908-1927
Full Text Available L’emigrazione italiana verso il continente americano ha rappresentato un fenomeno dell’età contemporanea di ingenti dimensioni: la grandissima comunità italiana negli Stati Uniti è stata oggetto di numerosi approfondimenti storiografici, letterari, cinematografici, oltre a costituire ormai parte integrante della storia, dell’economia e, in genere, della società americana. Tuttavia, una parte degli emigranti scelse differenti mete: l’America Latina, il Canada. Questo articolo si sofferma sulla nascita e l’integrazione nell’economia canadese della prima comunità italiana −a inizio ‘900− che avrebbe costituito la base per flussi migratori successivi più cospicui, nel secondo dopoguerra. La ricerca, di taglio storico-economico, mette in luce soprattutto l’aspetto finanziario della vicenda, e presenta un’analisi dettagliata –basata sulla documentazione del Servizio Emigrati dell’Archivio Storico del Banco di Napoli– del servizio di raccolta e spedizione in patria delle rimesse degli emigrati da parte delle banche canadesi incaricate: un fenomeno che andò incrementandosi con la crescita della comunità italo-canadese. The Italian emigration to America was a phenomenon of huge dimensions of the contemporary age: the large Italian community in the US has been the subject of numerous insights historiographical, literary, film, besides being now an integral part of the history, of the economy and, in general, of the American society. However, part of the emigrants chose different destinations: Latin America, Canada. This article focuses on the birth and the integration in the Canadian economy of the first Italian community −at the beginning of '900− which would have formed the basis for increased levels of migratory flows, after World War II. The research, historical-economic cutting, highlights especially the financial aspect of the story, and presents a detailed analysis −based on the documentation of the Migrant
Exports of electricity from Canada to the U.S.A. are increasing in importance and have reached a new phase with proposals to build generating stations initially dedicated to export, notably a second nuclear station in New Brunswick. The author considers that the National Energy Board does a good job of protecting Canadian interests. Opposition in the United States comes from within the government or congress rather than from the power industry or public
Wickramasinghe, Kanchana; Steele, Paul; Dawson, Andrew
pesticides and possibly by improving case management in primary care hospitals. Additional research is needed to assess if increasing infrastructure and staff at peripheral hospitals could reduce the overall cost to the government, optimize case management and reduce pressure on secondary services....... prospectively collected over a one-month period from one general hospital (2005) and five peripheral hospitals (2006) in the Anuradhapura district. Data on transfers to secondary- and tertiary-level facilities were obtained for a 6-month period from 30 peripheral hospitals. The cost of the inputs in United...... States dollars (US$), using 2005 figures, was derived from hospital accounts. FINDINGS: The average total cost of treating a self-poisoned patient at the general hospital was US$ 31.83, with ward staff input and drugs being the highest expenditure category and only US$ 0.19 of this sum related to capital...
A brief sketch of the development of Canada's nuclear exports is presented and some of the factors which influence the ability to export reactors have been identified. The potential market for CANDUs is small and will develop slowly. The competition will be tough. There are few good prospects for immediate export orders in the next two or three years. Nonetheless there are reasonable opportunities for CANDU exports, especially in the mid-to-late 1980s. Such sales could be of great benefit to Canada and could do much to sustain the domestic nuclear industry. Apart from its excellent economic and technical performance, the main attraction of the CANDU seems to be the autonomy it confers on purchasing countries, the effectiveness with which the associated technology can be transferred, and the diversification it offers to countries which wish to reduce their dependence on the major industrial suppliers. Each sales opportunity is unique, and marketing strategy will have to be tailored to the customer's needs. Over the next decade, the factors susceptible to Canadian government action which are most likely to influence CANDU exports will be the political commitment of the government to those reactor exports, the performance established by the four 600 MWe CANDUs now nearing completion, the continuing successful operation of the nuclear program in Ontario, and the co-ordination of the different components of Canada's nuclear program (AECL, nuclear industry, utilities, and government) in putting forth a coherent marketing effort and following through with effective project management
Library Research and Statistics. Research on Libraries and Librarianship in 2002; Number of Libraries in the United States and Canada; Highlights of NCES Surveys; Library Acquisition Expenditures, 2001-2002: U.S. Public, Academic, Special, and Government Libraries; LJ Budget Report: A Precarious Holding Pattern; Price Indexes for Public and Academic Libraries; Library Buildings 2002: The Building Buck Doesn't Stop Here.
Lynch, Mary Jo; Oder, Norman; Halstead, Kent; Fox, Bette-Lee
Includes seven reports that discuss research on libraries and librarianship, including academic, public, and school libraries; awards and grants; number of libraries in the United States and Canada; National Center for Education Statistics results; library expenditures for public, academic, special, and government libraries; library budgets; price…
This paper provided an outline of Canada's Clean Air Act and examined some of the regulatory changes that will occur as a result of its implementation. The Act is being introduced to strengthen the legislative basis for taking action on reducing air pollution and GHGs, and will allow the government to regulate both indoor and outdoor air pollutants and GHGs. The Act will require the Ministers of the Environment and Health to establish national air quality objectives, as well as to monitor and report on their attainment. The Canadian Environmental Protection Act will be amended to enable the government to regulate the blending of fuels and their components. The Motor Vehicle Fuel Consumption Standards Act will also be amended to enhance the government's authority to regulate vehicle fuel efficiency. The Energy Efficiency Act will also be expanded to allow the government to set energy efficiency standards and labelling requirements for a wider range of consumer and commercial products. The Act will commit to short, medium and long-term industrial air pollution targets. Regulations will be proposed for emissions from industry; on-road and off-road vehicles and engines; and consumer and commercial products. It was concluded that the Government of Canada will continue to consult with provinces, territories, industries and Canadians to set and reach targets for the reduction of both indoor and outdoor air pollutants and GHG emissions. 6 figs
Ilukor, John; Birner, Regina; Nielsen, Thea
Providing adequate animal health services to smallholder farmers in developing countries has remained a challenge, in spite of various reform efforts during the past decades. The focuses of the past reforms were on market failures to decide what the public sector, the private sector, and the "third sector" (the community-based sector) should do with regard to providing animal health services. However, such frameworks have paid limited attention to the governance challenges inherent in the provision of animal health services. This paper presents a framework for analyzing institutional arrangements for providing animal health services that focus not only on market failures, but also on governance challenges, such as elite capture, and absenteeism of staff. As an analytical basis, Williamson's discriminating alignment hypothesis is applied to assess the cost-effectiveness of different institutional arrangements for animal health services in view of both market failures and governance challenges. This framework is used to generate testable hypotheses on the appropriateness of different institutional arrangements for providing animal health services, depending on context-specific circumstances. Data from Uganda and Kenya on clinical veterinary services is used to provide an empirical test of these hypotheses and to demonstrate application of Williamson's transaction cost theory to veterinary service delivery. The paper concludes that strong public sector involvement, especially in building and strengthening a synergistic relation-based referral arrangement between paraprofessionals and veterinarians is imperative in improving animal health service delivery in developing countries. Copyright © 2015 Elsevier B.V. All rights reserved.
Lavergne, M Ruth; Law, Michael R; Peterson, Sandra; Garrison, Scott; Hurley, Jeremiah; Cheng, Lucy; McGrail, Kimberlyn
We studied the effects of incentive payments to primary care physicians for the care of patients with diabetes, hypertension, and Chronic Obstructive Pulmonary Disease (COPD) in British Columbia, Canada. We used linked administrative health data to examine monthly primary care visits, continuity of care, laboratory testing, pharmaceutical dispensing, hospitalizations, and total h ealth care spending. We examined periods two years before and two years after each incentive was introduced, and used segmented regression to assess whether there were changes in level or trend of outcome measures across all eligible patients following incentive introduction, relative to pre-intervention periods. We observed no increases in primary care visits or continuity of care after incentives were introduced. Rates of ACR testing and antihypertensive dispensing increased among patients with hypertension, but none of the other modest increases in laboratory testing or prescriptions dispensed reached statistical significance. Rates of hospitalizations for stroke and heart failure among patients with hypertension fell relative to pre-intervention patterns, while hospitalizations for COPD increased. Total hospitalizations and hospitalizations via the emergency department did not change. Health care spending increased for patients with hypertension. This large-scale incentive scheme for primary care physicians showed some positive effects for patients with hypertension, but we observe no similar changes in patient management, reductions in hospitalizations, or changes in spending for patients with diabetes and COPD. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.
Durbin, Anna; Bondy, Susan J; Durbin, Janet
We examined income source and match between recommended and received care among users of community mental health services. We conducted a secondary analysis of needs-based planning data on adults in Ontario community mental health programs from 2000 to 2002. The outcome was whether clients were severely underserved (yes/no) based on the match between level of care recommended and received. A logistic regression model investigated if income source predicted this outcome. 13% of clients were severely underserved. Over 40% were on public assistance and they had a higher risk of being severely undeserved than the others. Men were at greater risk. One aim of mental health reform is to increase access to care for vulnerable individuals. The finding that among users of community mental health services, individuals with public assistance income support are most vulnerable to being severely underserved should be considered by service planners and providers.
Canadian uranium exploration and development efforts in 1985 and 1986 resulted in a significant increase in estimates of measured uranium resources. New discoveries have more than made up for production during 1985 and 1986, and for the elimination of some resources from the overall estimates, due to the sustained upward pressure on production costs and the stagnation of uranium prices in real terms. Canada possesses a large portion of the world's uranium resources that are of current economic interest and remains the major focus of inter-national uranium exploration activity. Expenditures for uranium exploration in Canada in 1985 and 1986 were $32 million and $33 million, respectively. Although much lower than the $130 million total reported for 1979, expenditures for 1987 are forecast to increase. Exploration and surface development drilling in 1985 and 1986 were reported to be 183 000 m and 165σ2 000 m, respectively, 85 per cent of which was in Saskatchewan. Canada has maintained its position as the world's leading producer and exporter of uranium. By the year 2000, Canada's annual uranium requirements will be about 2 100 tU. Canada's known uranium resources are more than sufficient to meet the 30-year fuel requirements of those reactors in Canada that are either in operation now or expected to be in service by the late 1990s. A substantial portion of Canada's identified uranium resources is thus surplus to Canadian needs and available for export. Annual sales currently approach $1 billion, of which exports account for 85 per cent. Forward domestic and export contract commitments totalled 73 000 tU and 62 000 tU, respectively, as of early 1987
Chow, Henry P. H.
This study explored the health care service needs and the major correlates of quality of life among 127 community-dwelling elderly Chinese immigrants in a western Canadian city. Participants were interviewed in their homes by trained, bilingual interviewers employing a structured questionnaire that covered a wide range of topics including health…
Lo, Carson K; Kennedy, V Logan; Yudin, Mark H; Shapiro, Heather M; Loutfy, Mona
In the modern era of HIV care, a multitude of clinical needs have emerged; one such need is the growing sub-specialty of HIV and reproductive health. In 2007, a study surveying Canadian fertility clinics found limited access to fertility services for HIV-positive patients. Given the extensive efforts made to address this lack of services, a follow-up assessment was warranted. This study aimed to compare the access to Canadian fertility clinics and services for HIV-positive individuals and couples in 2014 and 2007. Surveys were sent to medical or laboratory directors of assisted reproductive technology (ART) clinics in 2014 and results were compared to those sent in 2007. Main outcome measures included: the proportion of fertility clinics willing to provide ART to people with HIV, the specific services offered, and whether the 2012 Canadian HIV Pregnancy Planning Guidelines were implemented to inform practice. Across Canadian provinces, 20/34 (59%) clinics completed the survey. Ninety-five percent (19/20) of clinics accepted HIV-positive patients for consultation. Only 50% (10/20) of clinics in four provinces offered a full range of ART (defined as including in vitro fertilization [IVF]). Ten clinics (50%) in five provinces were aware that guidelines exist; half (n = 5) having read them and four reporting implementation of all the guidelines' recommendations in their practice. Compared to 2007, more clinics had implemented separate facilities (p = 0.028) to treat HIV-positive individuals, offered IVF (p = 0.013) for HIV-positive female partners, sperm washing (p = 0.033) for HIV-positive male partners, and risk reduction techniques to couples with HIV-positive men and women (p = 0.006). Access to fertility clinics for people with HIV has improved over time but is still regionally dependent and access to full ART remains limited. These findings suggest the need for advocacy targeted towards geographical-specific areas and optimizing access to
Parslow, Ruth A; Jorm, Anthony F; Christensen, Helen; Broom, Dorothy H; Strazdins, Lyndall; D' Souza, Rennie M
This study sought to identify the extent to which employee level and work stressors were associated with mental health problems experienced by Australian government employees, and with their use of primary care services. 806 government employees aged between 40 and 44 years were surveyed as part of an epidemiological study conducted in Australia. Data collected from participants included sociodemographic attributes, physical health, psychological measures and work stressors relating to job control, job demands, job security and skills discretion at work. For 88% of these participants, information on visits made to general practitioners (GPs) for the six months before and after their survey interview was obtained from health insurance records. When work stress and personal factors were taken into account, men at more junior levels reported better mental health, more positive affect and used fewer GP services. Women at middle-management levels obtained less GP care than their more senior counterparts. Both men and women who reported higher levels of work stress were found to have poorer mental health and well-being. The impact of such stressors on GP service use, however, differed for men and women. Measures of work stress and not employee level affect the mental health and well-being of government employees. For governments with responsibility for funding health care services, reducing work stress experienced by their own employees offers potential benefits by improving the health of their workforce and reducing outlays for such services.
Durbin, Anna; Moineddin, Rahim; Lin, Elizabeth; Steele, Leah S; Glazier, Richard H
Objective While newcomers are often disproportionately concentrated in disadvantaged areas, little attention is given to the effects of immigrants’ postimmigration context on their mental health and care use. Intersectionality theory suggests that understanding the full impact of disadvantage requires considering the effects of interacting factors. This study assessed the inter-relationship between recent immigration status, living in deprived areas and service use for non-psychotic mental health disorders. Study design Matched population-based cross-sectional study. Setting Ontario, Canada, where healthcare use data for 1999–2012 were linked to immigration data and area-based material deprivation scores. Participants Immigrants in urban Ontario, and their age-matched and sex-matched long-term residents (a group of Canadian-born or long-term immigrants, n=501 417 pairs). Primary and secondary outcome measures For immigrants and matched long-term residents, contact with primary care, psychiatric care and hospital care (emergency department visits or inpatient admissions) for non-psychotic mental health disorders was followed for 5 years and examined using conditional logistic regression models. Intersectionality was investigated by including a material deprivation quintile by immigrant status (immigrant vs long-term resident) interaction. Results Recent immigrants in urban Ontario were more likely than long-term residents to live in most deprived quintiles (immigrants—males: 22.8%, females: 22.3%; long-term residents—both sexes: 13.1%, pimmigrants than for long-term residents. Immigrants used less mental health services than long-term residents. Conclusions This study adds to existing research by suggesting that immigrant status and deprivation have a combined effect on recent immigrants’ care use for non-psychotic mental health disorders. In settings where immigrants are over-represented in deprived areas, policymakers focused on increasing
As Canada's fusion programs have grown, Canadian capabilities in fusion science and technology have grown and matured with them. The fusion capabilities described in this booklet have come from a coordinated national effort. The Government of Canada is committed to continuing its fusion energy program, and to supporting global fusion efforts. These first pages provide an overview of Canada's fusion work and its underlying basis of science and technology
This presentation outlines the steps in integrating of hydrogen into Canada's energy future. Canada's hydrogen and fuel cell investment is primarily driven by two government commitments - climate change commitments and innovation leadership commitments. Canada's leading hydrogen and fuel cell industry is viewed as a long-term player in meeting the above commitments. A hydrogen and fuel cell national strategy is being jointly developed to create 'Win-Wins' with industry
Canada's World is a three-year citizens' dialogue aimed at advancing a new vision for Canadian international policy. Unlike traditional policy reviews and consultations led by government, this initiative is funded by individuals, business, international organizations and foundations who wish to enhance Canada's ...
F. O. Oladipo
Full Text Available The study examined the utilization of farm waste among farmers in Irepodun Local Government Area of Kwara State, Nigeria. Structured interview schedule was used to elicit data from 120 farmers in the study area. Results revealed that more than half (58.4% of the respondents were crop farmers who grow majorly maize and cassava on a subsistence scale. The major farm wastes generated in the area were maize cobs, husk and stalk (62.5% and cassava stalk and peels (60%. Majority of the farmers got rid of their farm waste through burning while more than half of the respondents do not utilize the waste they generate from their farms. The major constraints militating against farm waste utilization includes inadequate access to extension services, inadequate awareness of benefits of farm waste, inadequate facilities for processing of farm wastes to other products and low knowledge on usage of farm waste. Logistic regression modeling results revealed that farmers who are more likely to utilize their farm waste efficiently are those with higher level of education and more years of experience in farming. It was therefore recommended that extension agencies should embark on enlightenment campaigns and trainings of farmers on various innovative ways of farm wastes utilization in order to facilitate more efficient and environmental friendly farm waste utilization initiatives in the area.
1 - Nuclear 2007 highlights: New Build Applications and Environmental Assessments (Ontario Power Generation (OPG), Bruce Power, Bruce Power Alberta), Refurbishments (Bruce Power's Bruce A Units 1 and 2 Restart Project, NB Power's Refurbishment of Point Lepreau, New Brunswick, Atomic Energy of Canada Limited (AECL) NRU 50. Anniversary, expansion of the solid radioactive waste storage facilities at Gentilly-2 nuclear generating station, Ontario Power Generation (OPG) Deep Geologic Repository..); 2. Nuclear overview: a. Energy policy (Future of nuclear power, state of the projects, schedule, Refurbishment), b. Public acceptance, Statements from Government Officials in Canada; c. Nuclear equipment (number and type); d. Nuclear waste management, Deep Geologic Repository; e. Nuclear research at AECL; f. Other nuclear activities (Cameco Corporation, MDS Nordion); 3. Nuclear competencies; 4. WIN 2007 Main Achievements: GIRLS Science Club, Skills Canada, WiN-Canada Web site, Book Launch, WINFO, 2007 WiN-Canada conference 4 - Summary: - 14.6% of Canada's electricity is provided by Candu nuclear reactors; Nuclear equipment: 10 Research or isotope producing reactors - Pool-Type; Slowpoke 2; Sub-Critical assembly; NRU; and Maple; 22 Candu reactors providing electricity production - 18 of which are currently operating. Public acceptance: 41% feel nuclear should play more of a role, 67% support refurbishment, 48% support new build, 13% point gender gap in support, with men supporting more than women. Energy policy: Future of nuclear power - recognition that nuclear is part of the solution across Canada; New Build - 3 applications to regulator to prepare a site for new build, in Provinces of Ontario and Alberta, with one feasibility study underway in New Brunswick; Refurbishment - Provinces of Ontario (2010) and New Brunswick (2009). Nuclear waste management policy: Proposal submitted to regulator to prepare, construct and operate a deep geologic disposal facility in Ontario
Østergaard Madsen, Christian
The Danish Digitization strategy 2011-2015 made e-government channels mandatory within multiple areas, including public benefits. Although most Danes have adopted the e-government channels, many keep using traditional channels. Moreover, some have their own ways of interpreting and using the e-government...... other, to claim economic benefits. The thesis positions itself within channel choice studies in the e-government research field. It contributes to this literature by studying citizens’ actual use of e-government and traditional channels in a post-adoption and mandatory setting. It applies Domestication...
... DEPARTMENT OF THE INTERIOR National Park Service [NPS-WASO-NRNHL-0212-9515; 2280-665] Government-to-Government Telephonic Consultation Meetings AGENCY: National Park Service, Interior. SUMMARY: The National Park Service announces two telephonic government- to-government consultation meetings with Indian...
Beaujot, R P
In Canada the current 1.3% population growth rate is causing some concern. Those concerned argue that such a rate of growth in combination with high levels of consumption could jeopardize the country's resource base and its comfortable style of living. Many Canadians are questioning high levels of immigration, for now that the fertility level is below replacement level, net immigration contributes substantially to population growth (over 1/3 in 1976). The growing proportion of non-Europeans among recent immigrants is causing resentment, and, in a tight job market, immigrants are regarded as threats to the World War 2 baby boom cohort who are now at working ages. The baby boom generation also puts stress on housing and health services, and it will increase the need for pension checks as it ages. Although French fertility is no longer high and immigration is no longer dominated by the British, the French group's 200-year struggle to preserve its identity continues on in the current effort of the Quebec government to enforce the use of French language by law within that province. Geography and climate dictate another demographic fact that divides the country and pervades its history. In addition to intense regionalism, uneven population distribution is responsible for 2 other concerns: the rapid growth of several already large cities and depopulation of many small communities. Focus in this discussion is on Canada's population growth in the past and as projected for the future, historical and current fertility, mortality and immigration trends, the search for a new immigration policy, the impact of the baby boom generation on the population's age structure and the problems this creates, and recent shifts in population distribution and in the country's ethnic and linguistic makeup. The population policy proposals evolved thus far involve to a great extent the use of immigration as a lever for achieving given population objectives.
Charles F. Webber
Full Text Available Alberta, Canada, is the site of large-scale educational change initiatives legislated by the provincial government. The mandates have sparked heated public debate over the appropriateness, wisdom, and utility of the reforms. This article summarizes the views of representatives of several educational interest groups and offers suggestions for making change more meaningful and successful.
Alissa M. Greer
Full Text Available Abstract Background Engaging people with drug use experience, or ‘peers,’ in decision-making helps to ensure harm reduction services reflect current need. There is little published on the implementation, evaluation, and effectiveness of meaningful peer engagement. This paper aims to describe and evaluate peer engagement in British Columbia from 2010–2014. Methods A process evaluation framework specific to peer engagement was developed and used to assess progress made, lessons learned, and future opportunities under four domains: supportive environment, equitable participation, capacity building and empowerment, and improved programming and policy. The evaluation was conducted by reviewing primary and secondary qualitative data including focus groups, formal documents, and meeting minutes. Results Peer engagement was an iterative process that increased and improved over time as a consequence of reflexive learning. Practical ways to develop trust, redress power imbalances, and improve relationships were crosscutting themes. Lack of support, coordination, and building on existing capacity were factors that could undermine peer engagement. Peers involved across the province reviewed and provided feedback on these results. Conclusion Recommendations from this evaluation can be applied to other peer engagement initiatives in decision-making settings to improve relationships between peers and professionals and to ensure programs and policies are relevant and equitable.
Durbin, Anna; Moineddin, Rahim; Lin, Elizabeth; Steele, Leah S; Glazier, Richard H
While newcomers are often disproportionately concentrated in disadvantaged areas, little attention is given to the effects of immigrants' postimmigration context on their mental health and care use. Intersectionality theory suggests that understanding the full impact of disadvantage requires considering the effects of interacting factors. This study assessed the inter-relationship between recent immigration status, living in deprived areas and service use for non-psychotic mental health disorders. Matched population-based cross-sectional study. Ontario, Canada, where healthcare use data for 1999-2012 were linked to immigration data and area-based material deprivation scores. Immigrants in urban Ontario, and their age-matched and sex-matched long-term residents (a group of Canadian-born or long-term immigrants, n=501,417 pairs). For immigrants and matched long-term residents, contact with primary care, psychiatric care and hospital care (emergency department visits or inpatient admissions) for non-psychotic mental health disorders was followed for 5 years and examined using conditional logistic regression models. Intersectionality was investigated by including a material deprivation quintile by immigrant status (immigrant vs long-term resident) interaction. Recent immigrants in urban Ontario were more likely than long-term residents to live in most deprived quintiles (immigrants--males: 22.8%, females: 22.3%; long-term residents--both sexes: 13.1%, pdeprived circumstances was associated with greater use of mental health services, but increases were smaller for immigrants than for long-term residents. Immigrants used less mental health services than long-term residents. This study adds to existing research by suggesting that immigrant status and deprivation have a combined effect on recent immigrants' care use for non-psychotic mental health disorders. In settings where immigrants are over-represented in deprived areas, policymakers focused on increasing immigrants
Brennan, David J; Lachowsky, Nathan J; Georgievski, Georgi; Rosser, Brian R Simon; MacLachlan, Duncan; Murray, James
effectively (35/147, 23.8%); getting tested for HIV (43/125, 34.4%) or STIs (42/147, 28.6%); asking for their partners' HIV statuses (37/147, 25.2%); and serosorting (26/147, 17.7%). Few MISM reported no changes (15/147, 10.2%) and most would use these services again (98/117, 83.8%). Most MISM who did not use online outreach said they did not need these services (1074/1559, 68.89%) or were unaware of them (496/1559, 31.82%). This is the first online outreach evaluation study of MISM in Canada. Online outreach services are a relatively new and underdeveloped area of intervention, but are a promising health promotion strategy to provide service referrals and engage diverse groups of MISM in sexual health education.
Lachowsky, Nathan J; Georgievski, Georgi; Rosser, Brian R Simon; MacLachlan, Duncan; Murray, James
.6%); asking for their partners’ HIV statuses (37/147, 25.2%); and serosorting (26/147, 17.7%). Few MISM reported no changes (15/147, 10.2%) and most would use these services again (98/117, 83.8%). Most MISM who did not use online outreach said they did not need these services (1074/1559, 68.89%) or were unaware of them (496/1559, 31.82%). Conclusions This is the first online outreach evaluation study of MISM in Canada. Online outreach services are a relatively new and underdeveloped area of intervention, but are a promising health promotion strategy to provide service referrals and engage diverse groups of MISM in sexual health education. PMID:26681440
Hovdestad, W; Shields, M; Williams, G; Tonmyr, L
Young mothers' families are at increased risk of child maltreatment and other poor health and social outcomes. Chi-square analyses of pooled child welfare services data from the Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2003; CIS-2008) were used to compare 284 teen mothers (18 years or younger) and 800 young mothers (19-21 years) and their families with 5752 families where the mother was 22 years or older. Twenty-six percent of young mothers were 18 years or younger. Most (68% of teen-mother families and 57% of families with a young adult mother) received social assistance as their main source of income compared with 36% of families with a mother aged 22 years or older. Teen and young adult mothers were more likely than those aged 22 or older to have childhood histories of out-of-home care (31% and 23% vs. 10%) and were more likely to have risk factors such as alcohol abuse (25% and 23% vs. 18%) and few social supports (46% and 41% vs. 37%). Secondary caregivers in families with young mothers also had more risk factors. Teen and young adult mother families were more likely to have their child placed out-of-home during the investigation (29% and 27% vs. 17%). All were equally likely to be victims of domestic violence and to have mental health issues. Within this sample of high-risk families, young mothers' families were more at risk than comparison families. Mothers' youth may be a useful criterion to identify families for targeted interventions.
15 avr. 2016 ... Canada's Centre for International Governance Innovation and Indonesia's Centre for Strategic and International Studies organized the Indonesia-Canada Bilateral Forum, Innovation and Change: Forging the New Indonesia-Canada Partnership. IDRC co-sponsored the meeting, held May 26-27, 2015.
Philippe De Donder
Full Text Available Canada Post’s lettermail volumes are plummeting, largely due to the explosion of electronic communication, with no evident sign of stabilizing. E-commerce parcel deliveries are on the rise, but not nearly at the rate necessary to offset the decline in lettermail, and there are many private courier companies competing for that business. Meanwhile, even as the number of Canadian home addresses continues to increase, Canada Post’s plan to end the remnants of door-to-door home delivery, had to be halted in light of the new Liberal government’s promise to maintain the service. The extraordinary disruption that electronic media has caused to the model of stateowned postal services, with their mandate to provide universal delivery, may seem dire. And the threat is indeed urgent. But there are solutions to help Canada Post remain healthy in reforms that have occurred to postal systems elsewhere. This does not necessarily mean immediate privatization (although that has been achieved with some success in Europe: The burden of universal service obligations in a country as expansive and minimally populated as Canada is, could make it difficult for the government to realize appropriate value in selling Canada Post. But if the Liberal government intends to help Canada Post endure in this environment, it should allow the corporation to introduce some basic elements of competition and marketbased reform. The reality is that most Canadian mail today is sent by large firms to customers and other businesses. And most mail is delivered in urban areas, where delivery costs are lowest. But because Canada Post is required to charge identical prices to all customers, urban households essentially help subsidize the postage costs of big business and rural recipients. This need not be the case: Canada Post would be more successful if it could charge varying rates (capped at a maximum based on the type of sender, volume, and the mail’s destination. One could also
Yadav, Vikas; Kumar, Somesh; Balasubramaniam, Sudharsanam; Srivastava, Ashish; Pallipamula, Suranjeen; Memon, Parvez; Singh, Dinesh; Bhargava, Saurabh; Sunil, Greeshma Ann; Sood, Bulbul
Despite provision of accreditation of private sector health providers in government-led schemes for maternity services in India, their participation has been low. This has led to an underutilisation of their presence, resources and expertise for providing quality maternal and newborn health services. This study explores the perception of various stakeholders on expectations, benefits, barriers and facilitators to private sector participation in government-led schemes-specifically Janani Suraksha Yojana (JSY)-for maternity service delivery. Narrative-based qualitative study. Face-to-face in-depth interviews were conducted with study participants. The interviews were transcribed, translated and analysed using a reflexive and inductive approach to allow codes, categories and themes to emerge from within the data. Private obstetricians, government health officials and FOGSI (Federation of Obstetrics and Gynaecological Societies of India) members, Jharkhand and Uttar Pradesh, India. Eighteen purposefully selected private obstetricians from 9 cities across states of Uttar Pradesh and Jharkhand, 11 government health officials and 2 FOGSI members. The major factors serving as barriers to participation of private practitioners in JSY-which emerged on thematic analysis-were low reimbursement amounts, delayed reimbursements, process of interaction with the government and administrative issues, previous experiences and trust deficit, lack of clarity on the accreditation process and patient-level barriers. On the other hand, factors which were facilitators to participation of private practitioners were ease of process, better communication, branding, motivation of increasing clientele as well as satisfaction of doing social service. Factors such as financial processes and administrative delays, mistrust between the stakeholders, ambiguity in processes, lack of transparency and lack of ease in the process of empanelment of private sector are hindering effective public
Full Text Available BACKGROUND: Assessment of current wait times for specialist health services in Canada is a key method that can assist government and health care providers to plan wisely for future health needs. These data are not readily available. A method to capture wait time data at the time of consultation or procedure has been developed, which should be applicable to other specialist groups and also allows for assessment of wait time trends over intervals of years.
In 1988 Canada's five uranium producers reported output of concentrate containing a record 12,470 metric tons of uranium (tU), or about one third of total Western world production. Shipments exceeded 13,200 tU, valued at $Cdn 1.1 billion. Most of Canada's uranium output is available for export for peaceful purposes, as domestic requirements represent about 15 percent of production. The six uranium marketers signed new sales contracts for over 11,000 tU, mostly destined for the United States. Annual exports peaked in 1987 at 12,790 tU, falling back to 10,430 tU in 1988. Forward domestic and export contract commitments were more than 70,000 tU and 60,000 tU, respectively, as of early 1989. The uranium industry in Canada was restructured and consolidated by merger and acquisition, including the formation of Cameco. Three uranium projects were also advanced. The Athabasca Basin is the primary target for the discovery of high-grade low-cost uranium deposits. Discovery of new reserves in 1987 and 1988 did not fully replace the record output over the two-year period. The estimate of overall resources as of January 1989 was down by 4 percent from January 1987 to a total (measured, indicated and inferred) of 544,000 tU. Exploration expenditures reached $Cdn 37 million in 1987 and $59 million in 1988, due largely to the test mining programs at the Cigar Lake and Midwest projects in Saskatchewan. Spot market prices fell to all-time lows from 1987 to mid-1989, and there is little sign of relief. Canadian uranium production capability could fall below 12,000 tU before the late 1990s; however, should market conditions warrant output could be increased beyond 15,000 tU. Canada's known uranium resources are more than sufficient to meet the 30-year fuel requirements of those reactors in Canada that are now or are expected to be in service by the late 1990s. There is significant potential for discovering additional uranium resources. Canada's uranium production is equivalent, in
Underwood, Kathryn; Trent-Kratz, Marion
Increasingly, governments are seeking ways to integrate early childhood education and care services as a social policy strategy to maximize child and family outcomes. This study examines the role of a school-based parenting and family literacy program to a system of services in one community in Ontario, Canada. Using an appreciative inquiry…
Flak, Leif Skiftenes; Rose, Jeremy
The e-government field, like most young fields, lacks a strong body of well-developed theory. One strategy for coping with theoretical immaturity is to import and adapt theories from other, more mature fields. This study reviews Stakeholder Theory (ST) and investigates its potential in relation...... to e-Government. Originally a management theory, stakeholder theory advocates addressing the concerns of all stakeholders in a firm, as opposed to concentration on the interests of senior managers and stockholders. Apart from the original profit focus, there is no serious conceptual mismatch between...... stakeholder theory and government’s objective of providing policy and services for citizens and organizations – society’s stakeholders. Potential problems with adapting a management theory to a government setting are discussed. The paper further discusses how information technology impacts a stakeholder model...
Jayalakshmi, Rajeev; Suhita, Chatterjee Chopra
In contrast to India's poor performance in palliative and end-of-life care, the state of Kerala has gained considerable attention for its palliative care (PC) policy. This study tried to understand the structure, organization, and delivery of the program currently offered to the rural population, and its conformity to the state's PC policy and guidelines for Local Self-government Institutions (LSGIs). A descriptive research design involving a review of Kerala palliative policy and guidelines for LSGIs was followed by direct field observation and interviews of stakeholders. Two LSGIs in rural Kerala served also by a nongovernmental organization (NGO), were selected. Data were collected from health workers (doctors, nurses, and PC nurses), government stakeholders (LSGI members and representatives of the National Health Mission), and the health workers and officials of NGO. The program in two LSGIs varies considerably in terms of composition of the palliative team, infrastructure and human resource, cost, and type of service provided to the community. A comparative assessment with a nongovernmental service provider shows that the services offered by the LSGIs seemed to be restricted in scope to meet the needs of the resource-stricken community. Compliance with policy guidelines seems to be poor for both the LSGIs. Despite a robust policy, the palliative program lacks a public health approach to end-of-life care. A structural reconfiguration of the delivery system is needed, involving greater state responsibility and political will in integrating PC within a broader social organization of care.
The purpose of this paper is to provide an update on the Government of Canada's programs in alternative isotope production methods for securing supply of technetium 99m for Canadians. The supply disruptions of isotopes in 2007 and 2009/2010 caused by unplanned outages at AECL's National Research Universal (NRU) reactor highlighted the fragility of the supply chain that delivers medical isotopes, specifically Technetium 99m (Tc99m) to patients in Canada and globally. Tc99m, which is derived from its parent, molybdenum99 (Mo99) is the most widely used medical isotope for imaging, and accounts for 80 percent of nuclear medicine diagnostic procedures. Prior to the outage, nearly all the Mo99 produced for the world market came from five aging government owned research reactors in Canada, France, the Netherlands, Belgium and South Africa. The NRU, the largest of these, produced about 30 to 40 percent of the world supply of isotopes prior to 2009 - since its return to service in 2010, its world market share is estimated at 15 to 20%.
Full Text Available Background A number of developing countries have contracted out public health facilities to the Non-Government Organizations (NGOs in order to improve service utilization. However, there is a paucity of in-depth qualitative information on barriers to access services as a result of contracting from service users’ perspective. The objective of this study was to explore perceived barriers to utilizing Maternal and Neonatal Health (MNH services, in health facilities contracted out by government to NGO for service provision versus in those which are managed by government (non-contracted. Methods A community-based qualitative exploratory study was conducted between April to September 2012 at two contracted-out and four matched non-contracted primary healthcare facilities in Thatta and Chitral, rural districts of Pakistan. Using semi-structured guide, the data were collected through thirty-six Focus Group Discussions (FGDs conducted with mothers and their spouses in the catchment areas of selected facilities. Thematic analysis was performed using NVivo version 10.0 in which themes and sub-themes emerged. Results Key barriers reported in contracted sites included physical distance, user charges and familial influences. Whereas, poor functionality of health centres was the main barrier for non-contracted sites with other issues being comparatively less salient. Decision-making patterns for participants of both catchments were largely similar. Spouses and mother-in-laws particularly influenced the decision to utilize health facilities. Conclusion Contracting out of health facility reduces supply side barriers to MNH services for the community served but distance, user charges and low awareness remain significant barriers. Contracting needs to be accompanied by measures for transportation in remote settings, oversight on user fee charges by contractor, and strong communitybased behavior change strategies.
... Government Accountability Office (GAO) Report to Congressional Requesters Entitled ``Social Security... Organizations: --Group Exemptions: Creating a Higher Degree of Transparency, Accountability, and Responsibility. Employee Plans: --Recommendations Regarding Pension Outreach to the Small Business Community. Last minute...
.... It reviews the structure of Individual Retirement Accounts and the Employee Retirement Income Security Act, which governs private-sector retirement plans and their treatment by the Internal Revenue Code...
Евгений Геннадьевич Панкратов
Full Text Available This article analyzes the existing methods of e-government systems audit, their shortcomings are examined. The approaches to improve existing techniques and adapt them to the specific characteristics of e-government systems are suggested. The paper describes the methodology, providing possibilities of integrated assessment of information systems. This methodology uses systems maturity models and can be used in the construction of e-government rankings, as well as in the audit of their implementation process. Maturity models are based on COBIT, COSO methodologies and models of e-government, developed by the relevant committee of the UN. The methodology was tested during the audit of information systems involved in the payment of temporary disability benefits. The audit was carried out during analysis of the outcome of the pilot project for the abolition of the principle of crediting payments for disability benefits.DOI: http://dx.doi.org/10.12731/2218-7405-2014-2-5
Salih Börteçine Avci
Full Text Available This study focuses on the impact of corporate governance, supply chain network governance and competencies such as sales and logistics competence on buyers’ intention to relationship continuity. A total number of 258 questionnaires were distributed to Turkish manufacturing firms, selected using cross-sectional sampling method from the Istanbul and Edirne Chamber of Commerce and Industry in Turkey. The data of survey was analysed using PLS-SEM model with WARP PLS 5.0 software. Our findings indicate that corporate governance and supply chain network governance seem to have a positive effect on sales competence and logistics competence, and together, they influence buyers’ intention to relationship continuity. In this respect, the outcomes of this study may provide valuable insights for the third-party logistics (3PL literature in terms of buyers’ intention to relationship continuity.
.... The Senior Executive Service (SES) selection process for the Department of the Navy (DON) is analyzed and compared to the SES selection process used by the Immigration and Naturalization Service...
Özden Demircioğlu Faydalı
At the end of the survey, it was understood that public librarians accept and want the transferring of public libraries to the local governments in principle, however, they think that it would be appropriate to realize this by providing the proper conditions. Besides, librarians do not consider the approaches in the legal process that was initiated about the handover of public libraries to the local governments as trustworthy in this period.
Hanousek, Jan; Palda, F.
Roč. 57, č. 2 (2004), s. 237-252 ISSN 0023-5962 R&D Projects: GA ČR GA402/04/0166 Institutional research plan: CEZ:AV0Z7085904 Keywords : government services and the civic duty * taxes * Czech and Slovak Republics, Hungary, Poland Subject RIV: AH - Economics Impact factor: 0.590, year: 2004 http://search. ebscohost .com/login.aspx?direct=true&db=a9h&AN=13112464&site=ehost-live
In my previous research, I carried out an in-depth review of the financial management of local governments and the development of their indebtedness in the period between 2004 and 2010. I sought to put the object of my research – an area that has recently come into the focus of special attention – in a different perspective. As the first step of the present study, the concept of the deficit mechanism will be extended in order to identify the factors which influence local government deficit an...
Townsend, Anne; Cox, Susan M
Although there is extensive information about why people participate in clinical trials, studies are largely based on quantitative evidence and typically focus on single conditions. Over the last decade investigations into why people volunteer for health research have become increasingly prominent across diverse research settings, offering variable based explanations of participation patterns driven primarily by recruitment concerns. Therapeutic misconception and altruism have emerged as predominant themes in this literature on motivations to participate in health research. This paper contributes to more recent qualitative approaches to understanding how and why people come to participate in various types of health research. We focus on the experience of participating and the meanings research participation has for people within the context of their lives and their health and illness biographies. This is a qualitative exploratory study informed by grounded theory strategies. Thirty-nine participants recruited in British Columbia and Manitoba, Canada, who had taken part in a diverse range of health research studies participated in semi-structured interviews. Participants described their experiences of health research participation including motivations for volunteering. Interviews were recorded, transcribed, and analyzed using constant comparisons. Coding and data management was supported by Nvivo-7. A predominant theme to emerge was 'participation in health research to access health services.' Participants described research as ways of accessing: (1) Medications that offered (hope of) relief; (2) better care; (3) technologies for monitoring health or illness. Participants perceived standard medical care to be a "trial and error" process akin to research, which further blurred the boundaries between research and treatment. Our findings have implications for recruitment, informed consent, and the dichotomizing of medical/health procedures as either research or
textabstractCorporate scandals during the last decade fostered many Corporate Governance reports. These reports aimed at restoring checks and balances in companies to prevent fraudulent behaviour and restore public trust. One of the functions active in many organizations is Internal Audit. This
... THE TREASURY (CONTINUED) EMPLOYMENT TAXES AND COLLECTION OF INCOME TAX AT SOURCE EMPLOYMENT TAXES AND COLLECTION OF INCOME TAX AT SOURCE Federal Insurance Contributions Act (Chapter 21, Internal Revenue Code of... residence of the employee is immaterial. It is also immaterial whether the foreign government grants an...
Nathwani, J.; Wallace, D.
Canada urgently requires a rigorous debate on the strategic options for ensuring a robust, reliable, and affordable supply of radioactive isotopes. Should the debate be confined to how Canada can best develop the necessary technologies solely for our own use or should Canada abandon the idea of producing its own isotope supply and any future aspirations to serve the global market? Canada's Isotope Crisis focuses on the central policy question: do we dare to try to shape the future or do we retreat into silence because we are not prepared to make the necessary investments for the future well-being of Canadians? This volume showcases pointed essays and analysis from members of the academy and individuals who have made contributions to the development of medical isotopes and pioneered their use in medical practice. It also includes commentary from those involved in the production, manufacturing, processing, and distribution of isotopes. Canada's Isotope Crisis is a multi-disciplinary effort that addresses the global dimension of isotope supply and combines expert opinions on the present and past with knowledge of the relevant government agencies and the basis for their decisions at critical junctures.
The approach taken to nuclear criticality safety in Canada has been influenced by the historical development of participants. The roles played by governmental agencies and private industry since the Atomic Energy Control Act was passed into Canadian Law in 1946 are outlined to set the scene for the current situation and directions that may be taken in the future. Nuclear criticality safety puts emphasis on the control of materials called special fissionable material in Canada. A brief account is given of the historical development and philosophy underlying the existing regulations governing special fissionable material. Subsequent events have led to a change in emphasis in the regulatory process that has not yet been fully integrated into Canadian legislation and regulations. Current efforts towards further development of regulations governing the practice of nuclear criticality safety are described. (auth)
The approach taken to nuclear criticality safety in Canada has been influenced by the historical development of participants. The roles played by governmental agencies and private industry since the Atomic Energy Control Act was passed into Canadian Law in 1946 are outlined to set the scene for the current situation and directions that may be taken in the future. Nuclear criticality safety puts emphasis on the control of materials called special fissionable material in Canada. A brief account is given of the historical development and philosophy underlying the existing regulations governing special fissionable material. Subsequent events have led to a change in emphasis in the regulatory process that has not yet been fully integrated into Canadian legislation and regulations. Current efforts towards further development of regulations governing the practice of nuclear criticality safety are described
Grant, Suzanne; Ring, Adele; Gabbay, Mark; Guthrie, Bruce; McLean, Gary; Mair, Frances S; Watt, Graham; Heaney, David; O'Donnell, Catherine
In the UK National Health Service, primary care organisation (PCO) managers have traditionally relied on the soft leadership of general practitioners based on professional self-regulation rather than direct managerial control. The 2004 general medical services contract (nGMS) represented a significant break from this arrangement by introducing new performance management mechanisms for PCO managers to measure and improve general practice work. This article examines the impact of nGMS on the governance of UK general practice by PCO managers through a qualitative analysis of data from an empirical study in four UK PCOs and eight general practices, drawing on Hood's four-part governance framework. Two hybrids emerged: (i) PCO managers emphasised a hybrid of oversight, competition (comptrol) and peer-based mutuality by granting increased support, guidance and autonomy to compliant practices; and (ii) practices emphasised a broad acceptance of increased PCO oversight of clinical work that incorporated a restratified elite of general practice clinical peers at both PCO and practice levels. Given the increased international focus on the quality, safety and efficiency in primary care, a key issue for PCOs and practices will be to achieve an effective, contextually appropriate balance between the counterposing governance mechanisms of peer-led mutuality and externally led comptrol. © 2015 The Authors. Sociology of Health & Illness © 2015 Foundation for the Sociology of Health & Illness/John Wiley & Sons Ltd.
Full Text Available If there’s one thing Canadians agree on, it’s that Canada’s wireless industry can and should be more competitive. The federal government is on side with the policy objective of having four carriers in every region and has responded with policies that provide commercial advantages to entrants. But, the rub is that there has not been a study that actually assesses the state of competition in wireless services in Canada, until now. Those in favour of policies that will promote and sustain entry point to Canada’s high average revenue per user and low wireless penetration rate (mobile connections per capita as evidence that there is insufficient competition. The difficulty is that the facts are not consistent with this simplistic analysis. Measurements of wireless penetration are skewed toward countries that maintain the Calling Party Pays Protocol and favour pay-as-you-go plans, both of which encourage inflated user counts. Canada’s participation per capita on monthly plans and minutes of voice per capita are not outliers. Moreover, in terms of smartphone adoption and smartphone data usage, Canada is a global leader, contributing to high average revenue per user. Consistent with being world leaders in the rollout of high speed wireless networks, Canada lead its peer group in capital expenditures per subscriber in 2012: the competition of importance to Canadians is not just over price, but also over the quality of wireless networks. In any event, none of the measures typically used in international comparisons are relevant to assessing the competitiveness of Canadian wireless services. The appropriate competitive analysis recognizes two relevant features of the technology of wireless services: (i high fixed and sunk capital costs; and (ii economies of scale and scope. The implications of these are that profitability requires mark ups over short run measures of cost — high gross margins — and that there will be a natural, upper limit on
Islam, Ziaul; Sarker, Abdur Razzaque; Anwar, Shahela; Kabir, Humayun; Gazi, Rukhsana
To estimate additional total cost and average cost of integrating the demand-based reproductive health commodity model into the existing Government and NGO facilities in Bangladesh. Activity based cost analysis was conducted during 2006-2008 in two low performing rural sub-districts (Nabigong and Raipur sub-district) and one urban slum area in Dhaka city, Bangladesh. Activity-based cost data were collected using ingredient approach, which comprised of listing all types of inputs by activity, quantities and prices for each input. Total cost was presented according to capital and recurrent items. The supply side perspective was considered for entire analysis. The total cost of integrating demand-based reproductive health commodity (DBRHC) model into the Government and NGO service delivery system was estimated to BDT 18,667,634 (US$274,524). The proportion of capital cost was 59 % and the recurrent cost was 41 % of the total cost. The average cost per beneficiaries was BDT 230 (US$3.38) only for introducing this model into the existing health system. The built-in interventions of DBRHC model were doable at low-cost at the selected Government and NGO settings at the grass-root level. The model has potential of further cost containment during scaling up-if the intervention costs are adjusted with the existing functionaries of the Government and NGOs.
... Material From Canada AGENCY: Animal and Plant Health Inspection Service, USDA. ACTION: Proposed rule... remove the exemption that allows wood packaging material from Canada to enter the United States without... spread of pests via wood packaging material from Canada. DATES: We will consider all comments that we...
... holidays. Fax: 202-493-2251. For service information identified in this AD, contact Pratt & Whitney Canada...-14] RIN 2120-AA64 Airworthiness Directives; Pratt & Whitney Canada Turboprop Engines AGENCY: Federal... new airworthiness directive (AD) for all Pratt & Whitney Canada (P&WC) PW118, PW118A, PW118B, PW119B...
Transnational commercial surrogacy represents a form of medical tourism undertaken by intended parents who seek to hire women in other countries, increasingly often in the global South, as surrogates. While much of the scholarly literature focuses on the conditions of surrogacy within host countries, such as India, there has been limited analysis of transnational surrogacy focused upon origin countries. In this article, I build upon the scholarship that explores the impact of host country structures on transnational surrogacy, with special attention to the significance of Canadian citizenship policy through analysis of legislation and policy vis-à-vis transnational commercial surrogacy. The Canadian case demonstrates clear contradictions between the legislation and policy that is enacted domestically to prohibit commercial surrogacy within Canada and legislation and policy that implicitly sanctions commercial surrogacy through the straightforward provision of citizenship for children born of such arrangements abroad. The ethical underpinnings of Canada's domestic prohibition of commercial surrogacy, which is presumed to exploit women and children and to impede gender equality, are violated in Canada's bureaucratic willingness to accept children born of transnational commercial surrogacy as citizens. Thus, the ethical discourses apply only to Canadian citizens within Canadian geography. The failure of the Canadian government to hold Canadian citizens who participate in transnational commercial surrogacy to the normative imperatives that prohibit the practice within the country, or to undertake a more nuanced, and necessarily controversial, discussion of commercial surrogacy reinforces transnational disparities in terms of whose bodies may be commodified as a measure of gendered inequality. Copyright © 2014 Elsevier Ltd. All rights reserved.
Paredes-Solís, Sergio; Andersson, Neil; Ledogar, Robert J; Cockcroft, Anne
Abstract Background Unofficial payments in health services around the world are widespread and as varied as the health systems in which they occur. We reviewed the main lessons from social audits of petty corruption in health services in South Asia (Bangladesh, Pakistan), Africa (Uganda and South Africa) and Europe (Baltic States). Methods The social audits varied in purpose and scope. All covered representative sample communities and involved household interviews, focus group discussions, in...
identified in Acquisition Research Program (ARP) reports, and specifically discussed in “Managing the Service Supply Chain in the Department of Defense...Apte, U., & Rendon, R. (2008). Managing the service supply chain in the Department of Defense: An empirical study of current management practices... Supply Chain in the Department of Defense: An Empirical Study of Current Management Practices,” sponsored by the Acquisition Research Program and led by
The role of family planning in achieving safe pregnancy for serodiscordant couples: commentary from the United States government's interagency task force on family planning and HIV service integration.
Mason, Jennifer; Medley, Amy; Yeiser, Sarah; Nightingale, Vienna R; Mani, Nithya; Sripipatana, Tabitha; Abutu, Andrew; Johnston, Beverly; Watts, D Heather
People living with HIV (PLHIV) have the right to exercise voluntary choices about their health, including their reproductive health. This commentary discusses the integral role that family planning (FP) plays in helping PLHIV, including those in serodiscordant relationships, achieve conception safely. The United States (US) President's Emergency Plan for AIDS Relief (PEPFAR) is committed to meeting the reproductive health needs of PLHIV by improving their access to voluntary FP counselling and services, including prevention of unintended pregnancy and counselling for safer conception. Inclusion of preconception care and counselling (PCC) as part of routine HIV services is critical to preventing unintended pregnancies and perinatal infections among PLHIV. PLHIV not desiring a current pregnancy should be provided with information and counselling on all available FP methods and then either given the method onsite or through a facilitated referral process. PLHIV, who desire children should be offered risk reduction counselling, support for HIV status disclosure and partner testing, information on safer conception options to reduce the risk of HIV transmission to the partner and the importance of adhering to antiretroviral treatment during pregnancy and breastfeeding to reduce the risk of vertical transmission to the infant. Integration of PCC, HIV and FP services at the same location is recommended to improve access to these services for PLHIV. Other considerations to be addressed include the social and structural context, the health system capacity to offer these services, and stigma and discrimination of providers. Evaluation of innovative service delivery models for delivering PCC services is needed, including provision in community-based settings. The US Government will continue to partner with local organizations, Ministries of Health, the private sector, civil society, multilateral and bilateral donors, and other key stakeholders to strengthen both the policy and
This publication provides a panoramic overview of Canada's energy situation at the beginning of the 21st century, presenting the issues that drive the country's energy policy, and a look at the various technologies by which energy is produced, its sources, transformation and the infrastructure required to deliver it to the consumer. Energy consumption by sectors of the economy, energy conservation and energy conservation issues are analyzed, and details of the lines of actions designed by the federal government to achieve its energy policy objectives are explained. Appendix One provides more detail on the complex issue of climate change, while Appendix Two provides some energy-related statistics, extracted from a database of energy statistics which are also available in graphic or spreadsheet format at http://www.nrcan.gc.ca/es/ener2000. 12 tabs., 40 figs
partie de l’apport vital des exportations d’énergie à la croissance et à la prospérité économique du Canada et des États-Unis. Il faut tenir compte...Her Majesty the Queen in Right of Canada, as represented by the Minister of National Defence, 2010 © Sa Majesté la Reine (en droit du Canada), telle...que représentée par le ministre de la Défense nationale, 2010 DRDC CORA CR 2010-274 i Abstract …….. Various government Ministers have
Canada has a great national asset in its ability to generate electricity economically from its abundant hydro, coal, and uranium resources. Its nuclear industry has an excellent product. Despite lack of orders for now, the CANDU will be a competitive force when the reactor market recovers. Canada has a proven record of reliability for electricity trade with the United States. There appear to be some opportunities for plants in Canada dedicated to the export of electric power. The federal government is prepared to work closely with the provinces to develop projects which will be attractive to customers in the United States
Peters, Wayne D.; Turk, James L.
According to these authors, Canada is in need of a new science policy and strategy. The current direction of the federal government is threatening to impede scientific progress and compromise the integrity and independence of public science. This is reflected in the government's waning commitment to funding basic research; its attempts to steer…
d'Haenens, L.S.J.; Proulx, S.
This article looks at policy options taken by the Canadian government in an age of globalization and information. A first part explores federal government initiatives pertaining to Canada's preparedness for the information society. A second part assesses some provincial government policy options,
This paper discusses Canada's energy policy and insights from the Canadian Energy Forums. The Energy Council of Canada held a series of Canadian Energy Forums leading up to Canada hosting the World Energy Congress Montreal 2010 in September. The Cross-Canada Forums focused upon specific regions of Canada and obtained from governments, industry and other stake holders, perspectives and planned policy actions to address present and future energy challenges.
... SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) EMPLOYMENT TAXES AND COLLECTION OF INCOME TAX AT SOURCE EMPLOYMENT TAXES AND COLLECTION OF INCOME TAX AT SOURCE Federal Unemployment Tax Act (Chapter 23, Internal... purposes of this exception, the citizenship or residence of the employee is immaterial. ...
Weske, Ulrike; Leisink, Peter; Knies, Eva
The financial and economic crisis has led to fiscal austerity measures and reform policies in the Netherlands that have had a direct impact on municipalities. Decreased municipal budgets have forced municipalities to cut public services and lower the employment conditions of municipal employees. It
van den Boer, Yvon; Pieterson, Willem; Arendsen, Rex; van Dijk, Jan
With a growing number of available communication channels and the increasing role of other information sources, organizations are urged to rethink their service strategies. Most theories are limited to a one-dimensional focus on source or channel choice and do not fit into today's networked
Full Text Available Abstract Background Improving provider performance is central to strengthening health services in developing countries. Because of critical shortages of physicians, many clinics in sub-Saharan Africa are led by nurses. In addition to clinical skills, nurse managers need practical managerial skills and adequate resources to ensure procurement of essential supplies, quality assurance implementation, and productive work environment. Giving nurses more autonomy in their work empowers them in the workplace and has shown to create positive influence on work attitudes and behaviors. The Infectious Disease Institute, an affiliate of Makerere University College of Health Science, in an effort to expand the needed HIV services in the Ugandan capital, established a community-university partnership with the Ministry of Health to implement an innovative model to build capacity in HIV service delivery. This paper evaluates the impact on the nurses from this innovative program to provide more health care in six nurse managed Kampala City Council (KCC Clinics. Methods A mixed method approach was used. The descriptive study collected key informant interviews from the six nurse managers, and administered a questionnaire to 20 staff nurses between September and December 2009. Key themes were manually identified from the interviews, and the questionnaire data were analyzed using SPSS. Results Introducing new HIV services into six KCC clinics was positive for the nurses. They identified the project as successful because of perceived improved environment, increase in useful in-service training, new competence to manage patients and staff, improved physical infrastructure, provision of more direct patient care, motivation to improve the clinic because the project acted on their suggestions, and involvement in role expansion. All of these helped empower the nurses, improving quality of care and increasing job satisfaction. Conclusions This community-university HIV
Nankumbi, Joyce; Groves, Sara; Leontsini, Elli; Kyegombe, Nambusi; Coutinho, Alex; Manabe, Yuka
Improving provider performance is central to strengthening health services in developing countries. Because of critical shortages of physicians, many clinics in sub-Saharan Africa are led by nurses. In addition to clinical skills, nurse managers need practical managerial skills and adequate resources to ensure procurement of essential supplies, quality assurance implementation, and productive work environment. Giving nurses more autonomy in their work empowers them in the workplace and has shown to create positive influence on work attitudes and behaviors. The Infectious Disease Institute, an affiliate of Makerere University College of Health Science, in an effort to expand the needed HIV services in the Ugandan capital, established a community-university partnership with the Ministry of Health to implement an innovative model to build capacity in HIV service delivery. This paper evaluates the impact on the nurses from this innovative program to provide more health care in six nurse managed Kampala City Council (KCC) Clinics. A mixed method approach was used. The descriptive study collected key informant interviews from the six nurse managers, and administered a questionnaire to 20 staff nurses between September and December 2009. Key themes were manually identified from the interviews, and the questionnaire data were analyzed using SPSS. Introducing new HIV services into six KCC clinics was positive for the nurses. They identified the project as successful because of perceived improved environment, increase in useful in-service training, new competence to manage patients and staff, improved physical infrastructure, provision of more direct patient care, motivation to improve the clinic because the project acted on their suggestions, and involvement in role expansion. All of these helped empower the nurses, improving quality of care and increasing job satisfaction. This community-university HIV innovative model was successful from the point of view of the nurses
Canada's Green Plan is the national strategy and action plan for sustainable development launched by the federal government. The Green Plan's goal is 'to secure for current and future generations a safe and healthy environment and a sound and prosperous economy.' It represents a fundamental shift in the way the federal government views economic development and environmental protection: they are inextricably linked; both are critical to the health and well-being of Canadians. Substantial development has been made in Canada, with advances being made on the Green Plan's short-term objectives and on our longer term priorities
Colbran, Richard; Ramsden, Robyn; Stagnitti, Karen; Adams, Samantha
Organisation performance measurement is relevant for non-profit charitable organisations as they strive for security in an increasingly competitive funding environment. This study aimed to identify the priority measures and indicators of organisational performance of an Australian non-government charitable organisation that delivers non-acute health services. Seventy-seven and 59 participants across nine stakeholder groups responded to a two-staged Delphi technique study of a case study organisation. The stage one questionnaire was developed using information garnered through a detailed review of literature. Data from the first round were aggregated and analysed for the stage two survey. The final data represented a group consensus. Quality of care was ranked the most important of six organisational performance measures. Service user satisfaction was ranked second followed by financial performance, internal processes, employee learning and growth and community engagement. Thirteen priority indicators were determined across the six measures. Consensus was reached on the priority organisational performance measures and indicators. Stakeholders of the case study organisation value evidence-based practice, technical strength of services and service user satisfaction over more commercially orientated indicators.
Baylis, Françoise; Downie, Jocelyn; Snow, Dave
The Assisted Human Reproduction Act (AHR Act) came into effect in 2004. The AHR Act stipulates in s.12 that no reimbursement of expenditures incurred in the course of donating gametes, maintaining or transporting in vitro embryos, or providing surrogacy services is permitted, except in accordance with the regulations and with receipts. Ten years later, Health Canada still has not drafted the regulations governing reimbursement. Section 12 is therefore still not in force. Health Canada and others have asserted that there is a Health Canada policy on reimbursement and that reimbursement with receipts is legally permissible. We dispute the existence of such a policy and its legitimacy (if it exists). We also challenge the decision by Health Canada not to produce regulations and thereby make it possible for Parliament to bring s.12 into force. This intentional lack of action is worrisome on at least two fronts. First, it sidesteps the processes required for regulations and thereby ducks the Parliamentary oversight very deliberately built into the AHR Act. Second, it leaves Canadians who provide and who access assisted human reproduction uncertain about what is and is not permitted, and therefore fearful of, or at risk of, prosecution. We conclude that Health Canada should take the steps necessary to put regulations in front of Parliament so that Parliament will then be able to pass regulations and bring s.12 into force. Canadians should demand no less.
Dr. K.W.C.U.K Kendangamuwa
Full Text Available Abstract Introduction 5S is the stepping stone for many quality improvement concepts and its roots date back to 16th century. When successfully implemented 5S gives many benefits to the organization as well as its stakeholders. Though 5S itself has a tool to sustain most of the organizations find it difficult to sustain the 5S practice over the time. Therefore the objective of this study was to find out the factors contributing to sustainability of 5S programmes in Government Hospitals in RDHS area Kurunegala. Methodology This study was a descriptive cross sectional study with two components. First component was to identify the 5S sustaining hospitals from not sustaining hospitals by validated evaluation sheet. Second component was to determine the factors contributing to sustainability of 5S programmes in selected study setting. Self-administrated questionnaire was used for this purpose. Total study population was 543 employees of all the categories of hospital staff. Calculated sample size was 422 and 375 were responded to the questionnaire giving response rate of 88.9. Results The study revealed that the implemented 5S programmes were sustaining in eight hospitals out of ten i.e. sustaining rate was 80. When it considered the degree of sustainability 50 of the selected hospitals reported more than 70 sustainability. This was considered as favourable trend in government health sector in healthcare quality point of view. Ten factors were studied as contributing factors for the 5S sustainability. Socio- demographic factors were also considered. Those ten factors were top management commitment leadership of the organization commitment of middle amp frontline managers commitment amp satisfaction of employees training amp changing attitude of employees motivation of employees organizational culture group cohesiveness community participation and customer satisfaction. Study revealed that organizational leadership customer satisfaction community
Energy security strategies for Canada were presented in this paper. Article 6.05 of North American Free Trade Agreement (NAFTA) prohibits Canada from reducing the proportion of energy exported to the United States or Mexico. Between 1982 and 2002, natural gas consumption in Canada rose by 96 per cent while exports increased by 396 per cent. Crude oil consumption increased by 29 per cent, while exports rose by 595 per cent. Government practices have tended towards extracting and exporting resources as quickly as possible with no consideration to resource availability for future generations. In addition, much of the value of Canadian resources has been given to private corporations. The environment has been damaged in order to enable faster extraction, and First Nations, employees, and communities have been placed at the mercy of corporations and international markets. Canada's unique cultural and societal arrangements have not been protected. Four principles to address these concerns were presented: (1) managing non-renewable resources as responsible stewards and conserving their economic availability for future generations; (2) ensuring that the benefits from fossil fuels are invested in other forms of capital that will ensure the future prosperity and energy security of Canada; (3) ensuring that the extraction and use of resources has minimal impacts on the planet and (4) a re-direction of the proceeds from resource exploitation towards education, social and health services, land claims and land use settlements, and the elimination of poverty among First Nations people. It was suggested that energy-related jobs and workers should be protected through the development of an industrial strategy which includes investment in renewable energy development and re-training programs for workers. Consistent depoliticized policies are needed to reduce the impact on low-income Canadians of free-market price swings and the unavoidable costs of environmental protection. It was
Energy security strategies for Canada were presented in this paper. Article 6.05 of North American Free Trade Agreement (NAFTA) prohibits Canada from reducing the proportion of energy exported to the United States or Mexico. Between 1982 and 2002, natural gas consumption in Canada rose by 96 per cent while exports increased by 396 per cent. Crude oil consumption increased by 29 per cent, while exports rose by 595 per cent. Government practices have tended towards extracting and exporting resources as quickly as possible with no consideration to resource availability for future generations. In addition, much of the value of Canadian resources has been given to private corporations. The environment has been damaged in order to enable faster extraction, and First Nations, employees, and communities have been placed at the mercy of corporations and international markets. Canada's unique cultural and societal arrangements have not been protected. Four principles to address these concerns were presented: (1) managing non-renewable resources as responsible stewards and conserving their economic availability for future generations; (2) ensuring that the benefits from fossil fuels are invested in other forms of capital that will ensure the future prosperity and energy security of Canada; (3) ensuring that the extraction and use of resources has minimal impacts on the planet and (4) a re-direction of the proceeds from resource exploitation towards education, social and health services, land claims and land use settlements, and the elimination of poverty among First Nations people. It was suggested that energy-related jobs and workers should be protected through the development of an industrial strategy which includes investment in renewable energy development and re-training programs for workers. Consistent depoliticized policies are needed to reduce the impact on low-income Canadians of free-market price swings and the unavoidable costs of environmental protection. It
Canada's greenhouse gas (GHG) emissions continue to increase despite ratification of the Kyoto Protocol. Combined, the growth in GH G emissions from oil and gas, electricity, heat generation, and road transportation accounted for nearly 80 per cent of the emission growth in Canada's total emissions between 1990 and 2004. Although Canada's high emission level has been attributed to economic growth and climatic and geographic constraints, this paper argued that the successful curtailment of emissions in countries similar to Canada indicates that successful emission control is an effect of conscious policy choices rather than economic and structural factors. Despite being a much smaller country, Norway has had similar levels of oil and gas production to Canada. However, Norway was one of the first countries to implement a carbon dioxide (CO 2 ) tax in 1991, from which the petroleum industry is not exempted. Norway credits the tax for the emissions-efficiency gains that have been achieved in the production of oil. In response to increased needs for electricity and heat generation, the Norwegian government has stated that new licenses for gas-fired power plants will be based on carbon capture and storage (CSS) technology. Over the 1990-20045 period, the United Kingdom (UK) saw a 26 per cent decrease in emissions from power stations despite a 24 per cent increase in electricity use. The decrease has been attributed to a shift from coal to natural gas as well as to improved catalytic emissions controls. The UK government has also created a Carbon Trust and a Low Carbon Buildings Programme. In 2001, the UK introduced the Climate Change Levy, a set of agreements with industry to promote efficiency and emissions control. A number of European countries are now starting to apply the European Union (EU) Energy Performance of Buildings Directive, which sets high standards for the energy-efficiency of new buildings. The German government attributes a drop in GHG emissions from
After nuclear disaster, residents of 8 towns and villages of Futaba county within Alert area moved to the west and further removed far. Public offices were also moved. On March 12 health services were started to accept refugee residents at the first refuge. From the end of March to the first part of April they moved to second refuge at specified hotel or inn prepared for a long-term refugee life and then they removed from second refuge to temporary dwelling or loan house. Some of them moved to temporary dwelling at Iwaki city and totaled to more than 20000. New organization of the Fukushima prefecture was established in Iwaki city to start health services for refugee including mental cares. (T. Tanaka)
... 7 Agriculture 5 2010-01-01 2010-01-01 false Gypsy moth infested areas in Canada. 319.77-3 Section... INSPECTION SERVICE, DEPARTMENT OF AGRICULTURE FOREIGN QUARANTINE NOTICES Gypsy Moth Host Material from Canada § 319.77-3 Gypsy moth infested areas in Canada. The following areas in Canada are known to be infested...
Pelausa, E O
A survey was conducted to assess practice conditions in Atlantic Canada for 1996. Otolaryngologists in Nova Scotia, New Brunswick, Prince Edward Island, and Newfoundland/Labrador with at least 1 year of practice experience in the area were canvassed regarding general work concerns, office and OR waiting lists, income, support services, job satisfaction, future plans and personal recommendations for improvement. Nineteen of 40 surveyed responded (47.5%). The results revealed that Atlantic Canadians had to wait considerably longer than average Canadians for ENT services. This was particularly true for Nova Scotians who had to wait often more than double the national average. Forty-seven and a half percent of practitioners were dissatisfied with the practice climate, with many merely trying to maintain status quo. Increasing government constraints and budget cuts have led to practice protectionism and the loss of collegiality. There is little optimism for the future, with 42% predicting continued deterioration in the next 5 years. As a result, up to 58% are considering relocating elsewhere. Despite diminishing returns, these specialists continue to provide the best possible care for their patient patients--hoping for a better tomorrow.
Bailie, Ross S; Si, Damin; Dowden, Michelle C; Connors, Christine M; O'Donoghue, Lynette; Liddle, Helen E; Kennedy, Catherine M; Cox, Rhonda J; Burke, Hugh P; Thompson, Sandra C; Brown, Alex D H
To describe delivery of child health services in Australian Aboriginal communities, and to identify gaps in services required to improve the health of Aboriginal children. Cross-sectional baseline audit for a quality improvement intervention. 297 children aged at least 3 months and under 5 years in 11 Aboriginal communities in the Northern Territory, Far West New South Wales and Western Australia in 2006. Adherence to guideline-scheduled services including clinical examinations, brief interventions or advice on health-related behaviour and risks, and enquiry regarding social conditions; and recorded follow-up of identified problems. Documentation of delivery of specific clinical examinations (26%-80%) was relatively good, but was poorer for brief interventions or advice on health-related behaviour and risks (5%-36%) and enquiry regarding social conditions (3%-11%). Compared with children in Far West NSW and WA, those attending NT centres were significantly more likely to have a record of growth faltering, underweight, chronic ear disease, anaemia, or chronic respiratory disease (P < 0.005). Only 11%-13% of children with identified social problems had an assessment report on file. An action plan was documented for 22% of children with growth faltering and 13% with chronic ear disease; 43% of children with chronic respiratory disease and 31% with developmental delay had an assessment report on file. Existing systems are not providing for adequate follow-up of identified medical and social problems for children living in remote Aboriginal communities; development of systems for immediate and longer-term sustainable responses to these problems should be a priority. Without effective systems for follow-up, screening children for disease and adverse social circumstances will result in little or no benefit.
Agnew, Carson E.; Bhagat, Jai; Hopper, Edwin A.; Kiesling, John D.; Exner, Michael L.; Melillo, Lawrence; Noreen, Gary K.; Parrott, Billy J.
Mobile satellite service (MSS) has been under development in the United States for more than two decades. The service will soon be provided on a commercial basis by a consortium of eight U.S. companies called the American Mobile Satellite Consortium (AMSC). AMSC will build a three-satellite MSS system that will offer superior performance, reliability and cost effectiveness for organizations requiring mobile communications across the U.S. The development and operation of MSS in North America is being coordinated with Telesat Canada and Mexico. AMSC expects NASA to provide launch services in exchange for capacity on the first AMSC satellite for MSAT-X activities and for government demonstrations.
The radiological surveillance program of the Department of National Health and Welfare is conducted for the purpose of determining levels of environmental radioactivity in Canada and assessing the resulting population exposures. During 1986 the program was strongly influenced by radioactive fallout on Canada resulting from the Chernobyl nuclear reactor accident on April 26, 1986 in the Soviet Ukraine. The Environmental Radiation Hazards Division (ERHD) increased its frequency of analyses of environmental samples immediately following the accident. Interim screening limits for foodstuffs were developed. A measurement program for radioactivity in domestic and imported foods was implemented. The ERHD measurement program was supplemented by additional measurements conducted by many other private and government laboratories. Radiation doses to Canadian from Chernobyl fallout were extremely low with no group in the population receiving more than 10 microsieverts
A Canadian adaptation of the Automated Self-Administered 24-hour Dietary Assessment Tool (ASA24-Canada), developed by the Food Directorate at Health Canada in collaboration with NCI, has been freely available since April 2014.
Voyageur, Cora J.
The social, economic, and political regulation of Canada's First Nations was codified in the Indian Act. Rooted in colonialism and paternalism, the Indian Act was created by the government of Canada to fulfill three functions: (1) to define who was and was not an Indian; (2) to civilize the Indian; and (3) to manage the Indian people and their…
Based on a survey of approximately 40 professionals involved in various disciplines associated with international education across Canada, this study examines Canada's (federal, provincial, and territorial government) offering of scholarships to international students. Focused at the university level, the study elaborates on relevant international…
Candra, S.; E Gunawan, F.
In digital economy, government of Indonesia uses the internet to deliver services and to communicate with citizens and organizations. One of applications are e-Procurement and LPSE is a unit to hold the service system of e-Procurement. Procurement of goods and services electronically in addition will increase transparency and accountability, improve market access and healthy competition, as well as improving the efficiency of the procurement process. Based on the background and specific objectives to be achieved, then the research will be viewed from e-Marketplace participation, Trust and its impact on the performance of existing procurement within the institution. Methods of data analysis used in this research is by using analysis of Structural Equation Modelling (SEM) by using the program Partial Least Square (PLS) to examine the relationship between variables. The population used in this study is an enterprise as well as other clients using the system LPSE Bekasi District. There are three part in this study population, namely the provision of a company, customer, and supplier of LPSE users amounted to 60 users. From data analysis, there are one hypothesis that rejected. The implication of this study are implementation of e-procurement and e-marketplace participation giving impact to procurement performance.
Pollitt, Christopher; Bouckaert, Geert; Dooren, Wouter van
.... The goods and services government provides, its redistributive and regulatory powers, and how those are exercised affect the way business is conducted and people live their lives in every country...
This Guide focuses primarily on Lean production, which is an organizational improvement philosophy and set of methods that originated in manufacturing but has been expanded to government and service sectors.
Topic: SMALLHOLDERS, AQUACULTURE, INFORMATION DISSEMINATION, INFORMATION TECHNOLOGY, Governance, FISH DISEASES, RURAL DEVELOPMENT, SOUTH ASIA, Gender. Region: Sri Lanka, Central Asia, Far East Asia, South Asia, Canada. Program: Agriculture and Food Security. Total Funding: CA$ ...
Monteiro, J.; Civettini, S.
Taxi and limousine service plays an important role in the movement of people within a city. In 2004, the total revenue in this industry in Canada was $1.305 billion, and an estimated 35,339 carriers served the industry. In Canada, economic and safety regulations of taxi supply were imposed in most cities during the 1930s and 1940s and continue to this date. Although the industry is regulated, the competition law also applies. The appropriateness of these regulations continues to be challenged and regulatory reforms in the major cities in Canada have concentrated their efforts on increasing the rate of services, improving the quality of vehicles and enhancing the training of taxi drivers. Indicators for the 1999-2004 period reveal that the taxi and limousine industry in Canada did not perform very well. Revenue increased by only 1.7 per cent per year and margins deteriorated by -1.78 per cent together with the operating ratio. The purpose of this paper was to examine the taxi and limousine industry in Canada. First, the structure of the industry in Canada was examined followed by a review of the economic regulation of the industry. Recent regulatory developments in Canada and in other countries were then reviewed with arguments for or against deregulation. 28 refs., 2 tabs
Design approaches are now being applied all over the world as a powerful approach to innovating public policies and services. Christian Bason, author of Leading public design: Discovering human-centred governance, argues that by bringing design methods into play, public managers can lead change...... with citizens at the centre, and discover a new model for steering public organisations: human-centred governance....
Business decisions relating to the electric power sector are a provincial responsibility in Canada. The federal government looks to the three nuclear utilities to manage their nuclear assets and maintain them in a way that maximizes their reliability, efficiency and overall performance. A significant development in Canada's nuclear sector in the past year was the Ontario Hydro Nuclear Asset Optimization Plan. Structural change in the North American electricity market is a major impetus for decisions regarding nuclear assets by Canada's electric power utilities. The Ontario government is now taking steps to introduce competition in the Ontario Electricity market. The province of New Brunswick, which has one reactor at Point Lepreau which supplies one-third of the province's electricity, is also taking measures to introduce competition in its electricity market. (author)
The preparedness of utilities and government agencies at various levels for dealing with nuclear emergencies occurring at nuclear reactors in Canada is reviewed and assessed. The review is centered on power reactors, but selected research reactors are included also. Emergency planning in the U.S.A., Germany and France, and international recommendations on emergency planning are reviewed to provide background and a basis for comparison. The findings are that Canadians are generally well protected by existing nuclear emergency plans at the electric utility and provincial levels but there are improvements that can be made, mainly at the federal level and in federal-provincial coordination. Ten issues of importance are identified: commitment to nuclear emergency planning by the federal government; division of federal and provincial roles and responsibilities; auditing of nuclear emergency preparedness of all levels of government and of electric utilities; the availability of technical guidance appropriate to Canada; protective action levels for public health and safety; communication with the public; planning and response for the later phases of a nuclear emergency; off-site exercises and training; coordination of international assistance; and emergency planning for research reactors. (L.L.) 79 refs., 2 tabs
Sollid Stephen JM
Full Text Available Abstract Background On July 22, 2011, a single perpetrator killed 77 people in a car bomb attack and a shooting spree incident in Norway. This article describes the emergency medical service (EMS response elicited by the two incidents. Methods A retrospective and observational study was conducted based on data from the EMS systems involved and the public domain. The study was approved by the Data Protection Official and was defined as a quality improvement project. Results We describe the timeline and logistics of the EMS response, focusing on alarm, dispatch, initial response, triage and evacuation. The scenes in the Oslo government district and at Utøya island are described separately. Conclusions Many EMS units were activated and effectively used despite the occurrence of two geographically separate incidents within a short time frame. Important lessons were learned regarding triage and evacuation, patient flow and communication, the use of and need for emergency equipment and the coordination of helicopter EMS.
Background On July 22, 2011, a single perpetrator killed 77 people in a car bomb attack and a shooting spree incident in Norway. This article describes the emergency medical service (EMS) response elicited by the two incidents. Methods A retrospective and observational study was conducted based on data from the EMS systems involved and the public domain. The study was approved by the Data Protection Official and was defined as a quality improvement project. Results We describe the timeline and logistics of the EMS response, focusing on alarm, dispatch, initial response, triage and evacuation. The scenes in the Oslo government district and at Utøya island are described separately. Conclusions Many EMS units were activated and effectively used despite the occurrence of two geographically separate incidents within a short time frame. Important lessons were learned regarding triage and evacuation, patient flow and communication, the use of and need for emergency equipment and the coordination of helicopter EMS. PMID:22280935
Alghamdi, Saleh Abdulqader
Electronic Government (E-Government) has become very important in recent years. It can be described as a system of digital interaction between a government and other parties, such as citizens, companies, employees, ministries and other government organisations. One of the most important elements of implementing E-Government systems is the interaction between users and E-Government systems, specifically the adoption and utilisation by those users, who are the main target of such systems. Howev...
Pontoppidan, Caroline Aggestam; Chow, Danny; Day, Ronald
In our comparative study, we surveyed an emerging literature on the use of consolidation in government accounting and develop a research agenda. We find heterogeneous approaches to the development of consolidation models across the five countries (Australia, New Zealand, UK, Canada and Sweden......) are influenced by constitutional or jurisdictional notions of consolidation boundaries. The localization of globalized or generic concepts of consolidation is driven largely by government priorities or preoccupations rather than necessarily user demand. We propose that we need to better understand the relevance...... of financial reporting (GAAP)-based reforms when compared with budget-centric systems of accounting, which dominate government decision-making. At a trans-national level, there is a need to examine the embedded or implicit contests or ‘trials of strength’ between nations and/or institutions jockeying...
Full Text Available Este artigo estabelece uma discussão acerca da criação das comunidades de inteligência no mundo ocidental e analisa como a formação da comunidade de informações no Chile pode ser enquadrada dentro deste padrão. O artigo destaca o papel da comunidade no processo de repressão durante a ditadura militar chilena (1973-1989 e o seu fracasso no que diz respeito ao cumprimento das funções típicas de um serviço de inteligência.This article discusses the creation of the intelligence communities in the occidental world and analyze how the Chilean information community can be understood according to this pattern. It also focuses on the role of the intelligence communities during the repression processes in the Chilean military dictatorship (1973-1989 and its failure related to fulfilling the typical functions of an intelligence service.
Full Text Available In the context of the changes that have occurred in the Romanian society, the public authorities are required to play a coordinating role in providing the framework for a sustainable and balanced development of the national territory, and to ensure the quality of life of the citizens. In order to achieve these goals of social responsibility, the public administration authorities must build and adapt the tools of public territorial action based on their specificity and within the existing legal framework and resources,. Thus, the study shows the national and European context that frames the actions of public administration for what concerns the sustainable territorial development. It analyzes the characteristics of administrative-territorial structures of Romania, highlighting their socio-demographic diversity and the territorial forms of institutional cooperation. The approach of these issues is based in the first instance on an analysis of the European strategic documents in the field, as well as on the national regulations concerning the organization and functioning of public administration and territorial planning. The implementation of decentralization and local public autonomy has led to the capitalization of the local potential of some administrative divisions and caused a competition and a difficult cooperation between them. By analogy with the provisions of the quality standards regarding the responsibilities of the organizations towards customers, the study illustrates and analyzes the responsibilities and limits of public administration authorities in promoting sustainable development, territorial equity and the quality of life for the users of public services, i.e. the community members.
Bhanderi, D J; Mukherjee, S M; Gohel, Manisha K; Christian, D S
A multi-indicator thirty cluster survey was conducted during February- March 2008 in the rural areas of Anand district of Gujrat state to assess the utilization of the reproductive and child health services provided through government sector. In each selected village minimum 40 households were visited till total eight children in age group 12-23 months, at least two antenatal mothers in last trimester and five mothers who delivered in last year were studied. A total of 555 children of age less than three years & 1481 women in reproductive age group were included in the study. 74.8% of the children had institutional delivery. Birth registration was almost 100%. Immunization coverage was 84.5%. Registration of children and pregnant mothers under Mamta Abhiyan(MA) were 91% and 84 % respectively. Only 53% children were brought to Mamta Diwas Kendra regularly. Vitamin A coverage to children was 76.9%. Tetanus toxoid coverage of pregnant women was 85.1%, while Iron tablets were provided to 48.3% women. 43% of the postnatal mothers had no post-partum visit. Utilization of government schemes among postnatal women was 9% to 20%.
compilation of 92 countries, Canada finds itself in the middle of the pack with the 35th highest tax burden on capital. The blame for this is shared by provincial and federal governments. In recent years, governments in Newfoundland and Labrador, New Brunswick, Alberta and B.C. have all raised business taxes (Alberta now has a higher corporate income tax than B.C. Ontario or Quebec. Quebec has scaled back incentives for investors, Manitoba increased its sales tax, and B.C. eliminated the harmonized sales tax, reintroducing the burden on business inputs implicit in the provincial retail sales tax. With the U.S. election of Donald Trump and a Republican Congress promising to reduce corporate income tax rates, as well as the recent affirmation by British Prime Minister Theresa May to lower the U.K. corporate income tax rate to 17 per cent, the pressure will be to reduce, not increase corporate income taxes in the next several years. Should the U.S. dramatically reduce its corporate tax rate, Canada will lose its business tax advantage altogether. Just as concerning, Canada has created a tax system that discriminates against the service sector, including transportation, communications, construction, trade, and business and financial services, all of which are among the fastest-growing sectors, and play a key role in facilitating innovation, infrastructure and trade. Canada’s tax policies continue to favour slower-growing sectors, namely manufacturing and resources. The good news is that Canada can regain competitiveness without drastic tax reform. It is clear that there needs to be greater neutrality among sectors so that service industries are not discriminated against (the same is true for large businesses versus small businesses. Meanwhile, those provinces that still have a retail sales tax can improve their attractiveness by moving to the HST, as other provinces have. The federal government is also in the midst of reviewing subsidies and other tax expenditures that create
Taylor, A.; Hornung, R.; Cairns, S.
Canada's leading energy and resource companies along with the Pembina Institute for Appropriate Development have collaborated in the Triple E Tax Shift Research Collaborative which examines the use of environmental tax shifting in Canada. The objective is to design, evaluate and advance federal and provincial environmental tax shifts that will influence individual behaviour and decisions to improve ecological integrity through measurable reductions in materials and energy throughput, and to maintain or increase economic competitiveness through the creation of a tax framework that would encourage businesses to improve energy efficiency. Another objective is to increase employment and social benefits through more employment opportunities and improved quality of life. Environmental tax shifting means shifting a portion of a government's tax base onto goods, services and activities associated with harmful environmental impacts that add to societal costs. Tax shifting can be implemented by offering rebates to consumers of environmental significant goods, or by adjustments to existing taxes so that environmentally sensitive goods are taxed at a lower rate than environmentally harmful goods and services. Environmental tax shifting can also be implemented by reducing existing environmental taxes and introducing a carbon dioxide emissions tax. This report is the first product of the collaboration and is intended to promote public dialogue on the subject and identify ways to implement environmental tax shifting. tabs., figs
The structure of capital costs during NPP construction in Canada is considered. Capital costs comprise direct costs (cost of the ground and ground rights, infrastructure, reactor equipment, turbogenerators, electrotechnical equipment, auxiliary equipment), indirect costs (construction equipment and services, engineering works and management services, insurance payments, freight, training, operating expenditures), capital per cents for the period of construction and cost of heavy water storages. It proceeds from the analysis of the construction cost structure for a NPP with the CANDU reactor of unit power of 515, 740 and 880 MW, that direct costs make up on the average 62%
Charlene M. T. Robertson
Full Text Available Newly emerging health technologies are being developed to care for children with complex cardiac defects. Neurodevelopmental and childhood school-related outcomes are of great interest to parents of children receiving this care, care providers, and healthcare administrators. Since the 1970s, neonatal follow-up clinics have provided service, audit, and research for preterm infants as care for these at-risk children evolved. We have chosen to present for this issue the mechanism for longitudinal follow-up of survivors that we have developed for western Canada patterned after neonatal follow-up. Our program provides registration for young children receiving complex cardiac surgery, heart transplantation, ventricular assist device support, and extracorporeal life support among others. The program includes multidisciplinary assessments with appropriate neurodevelopmental intervention, active quality improvement evaluations, and outcomes research. Through this mechanism, consistently high (96% follow-up over two years is maintained.
Full Text Available No longer restricted to access to information laws and accountability measures, “open government” is now associated with a broad range of goals and functions, including public participation, open data, the improvement of public services and government efficiency. The 59 country strong Open Government Partnership (OGP suggests that consensus on the value of open government is emerging amongst public officials. Similarly, academics have shown a renewed interest in open government as they discuss, debate and critique the meaning and role of open government reforms today. Yet, despite the diverse aims and tools characterizing contemporary open government, public officials and academics typically approach the subject as a cohesive unit of analysis, making sweeping—and generally non-empirical—claims about its implications, without accounting for the homegrown flavours that may characterize open government in practice. Simply put, the practice and study of contemporary open government suffers a lack of definitional clarity: what exactly is open government today, and how does it vary across governments? In response to these questions, this paper analyses the content of open government policy documents in seven OGP member states (Azerbaijan, Brazil, Canada, Netherlands, Kenya, United Kingdom, and the United States, providing the first systematic, empirically-grounded multi-country comparison of contemporary open government. The paper suggests where the term departs from and retains its original meaning, and how its definition varies across different governments
Sørensen, Eva; Torfing, Jacob; Peters, B. Guy
, but all these forms represent means of governing involving mixtures of state action with the actions of other entities.This book explores thoroughly this meaning of governance, and links it to broader questions of governance. In the process of explicating this dimension of governance the authors also...... explore some of the more fundamental questions about governance theory. For example, although governance is talked about a great deal political science has done relatively little about how to measure this concept. Likewise, the term multi-level governance has become widely used but its important...... to understand that idea more fully and see how it functions in the context of interactive forms of governance. The authors also link governance to some very fundamental questions in political science and the social sciences more broadly. How is power exercised in interactive governance? How democratic...
Ruys, P.H.M.; van den Brink, J.R.; Semenov, R.
Cooperative behavior as well as other cultural rules and values are made explicit in organizational units that procure and provide a common service. The common service is procured by a club, which consists of a user-value function, a representation governance, and a budget-allocation function. The
Catherine E. Gordon
Full Text Available In this article, the educational attainment of Indigenous peoples of working age (25 to 64 years in Canada is examined. This diverse population has typically had lower educational levels than the general population in Canada. Results indicate that, while on the positive side there are a greater number of highly educated Indigenous peoples, there is also a continuing gap between Indigenous and non-Indigenous peoples. Data also indicate that the proportion with less than high school education declined, which corresponds with a rise of those with a PSE; the reverse was true in 1996. Despite these gains, however, the large and increasing absolute numbers of those without a high school education is alarming. There are intra-Indigenous differences: First Nations with Indian Status and the Inuit are not doing as well as non-Status and Métis peoples. Comparisons between the Indigenous and non-Indigenous populations reveal that the documented gap in post-secondary educational attainment is at best stagnant. Out of the data analysis, and based on the history of educational policy, we comment on the current reform proposed by the Government of Canada, announced in February of 2014, and propose several policy recommendations to move educational attainment forward.
A series of definitions of tools and processes for developing a national strategy to select and designate areas for protection and preservation in their natural state in Canada, were presented. Through a series of on-site visits, and the advice and experience of hundreds of Canadians, a common vision of protected areas across the country and clear principles for planning were developed. Partnerships and collaboration between governments, native peoples and non-governmental groups were the guiding principles of the Committee`s deliberations. Ecological factors were said to have been fully considered before any of the decisions were made. Aboriginal peoples` rights to continue their traditional use of the land were taken into account and supported. Twenty recommendations that were both practical and practicable were made that would enhance the rate of progress and enable Canada to complete the network of protected areas by the year 2000, in line with national and international commitments. Effective communication by all interested parties, commitment to action by the highest levels of government with appropriate infrastructure and resources, flexibility and innovation in the use of resources, and agreed-upon priorities were cited as the keys to success.
Kral, Michael J
Indigenous youth suicide incidence is high globally, and mostly involves young males. However, the Inuit of Arctic Canada have a suicide rate that is among the highest in the world (and ten times that for the rest of Canada). The author suggests that suicide increase has emerged because of changes stemming in part from the Canadian government era in the Arctic in the 1950s and 1960s. The effects of government intervention dramatically affected kin relations, roles, and responsibilities, and affinal/romantic relationships. Suicide is embedded in these relationships. The author also discusses the polarization between psychiatric and indigenous/community methods of healing, demonstrating that government-based intervention approaches to mental health are not working well, and traditional cultural healing practices often take place outside of the mainstream clinics in these communities. The main questions of the paper are: Who should control suicide prevention? What is the best knowledge base for suicide prevention?
Full Text Available This paper examines the current health care reform issues in Canada. The provincial health insurance plans of the 1960s and 1970s had the untoward effects of limiting the federal government's clout for cost control and of promoting a system centered on inpatient and medical care. Recently, several provincial commissions reported that the current governance structures and management processes are outmoded in light of new knowledge, new fiscal realities and the evolution of power among stake-holders. They recommend decentralized governance and restructuring for better management and more citizen participation. Although Canada's health care system remains committed to safeguarding its guiding principles, the balance of power may be shifting from providers to citizens and "technocrats". Also, all provinces are likely to increase their pressure on physicians by means of salary caps, by exploring payment methods such as capitation, limiting access to costly technology, and by demanding practice changes based on evidence of cost-effectiveness.
... 49 Transportation 7 2010-10-01 2010-10-01 false Government officials on official government...) FEDERAL TRANSIT ADMINISTRATION, DEPARTMENT OF TRANSPORTATION CHARTER SERVICE Exceptions § 604.6 Government officials on official government business. (a) A recipient may provide charter service to government...
G. van der Walt
Full Text Available Some form of accountability and power structure binds all organisations. Such structures are typically referred to as the “governance” structure of the organisation. In organisations that have relatively mature project applications and methodologies in place, governance mechanisms are established on more permanent bases. With its focus on performance, results and outcomes, project governance establishes decision-making structures, as well as accountability and responsibility mechanisms in public institutions to oversee projects. As government institutions increasingly place emphasis on project applications for policy implementation and service delivery initiatives, mechanisms or structures should be established to facilitate clear interfaces between the permanent organisation and the temporary project organisation. Such mechanisms or structures should enhance the governance of projects, that is, the strategic alignment of projects, the decentralisation of decision- making powers, rapid resource allocation, and the participation of external stakeholders. The purpose of this article is to explore the concept “project governance”, and to highlight examples of project governance as applied in selected government departments in provincial and national spheres. This would enable the establishment of best practice examples and assist to develop benchmarks for effective project applications for service delivery improvement.
The history of government intervention in Canada's economy from the nineteenth century through the Depression and the two world wars can be divided into two periods. Approaches to analysis of business-government relations focus on cultural and ideological origins of interventionist policies or emphasize structural and political factors. (KC)
Borchorst, Nikolaj Gandrup; McPhail, Brenda; Smith, Karen Louise
This paper explores in situ citizen service encounters in government offices. Drawing upon ethnographically informed fieldwork in Canada and Denmark, we discuss the challenges to supporting citizens in constructing and performing identities in public service settings. Our data suggests...... that citizens make use of at least three strategies in their attempts to perform the appropriate identities needed to “fit within the system” in specific encounters with government. There exists a strong correlation between citizens’ ability to perform identities that are compatible with the bureaucratic...... of surrounding stakeholders and intermediaries. This collaboration and the performing of multiple identities raises challenges for the design of e-government systems aimed at supporting physical and digital citizen service provision, as well as issues regarding privacy, citizenship, and public service quality...
A review of the trends and activities in the upstream petroleum industry during 1996 were presented, emphasizing the significance of the industry' contribution to Canada's economy. Among the areas included were highlights of Canada's hydrocarbon reserves, conventional production, frontier production, and non-conventional (oil sands) production. New market opportunities and activities in the pipeline transportation sector were also discussed. Environmental issues including health and safety received due attention. In this regard, the industry's efforts to work with government and other stakeholders to ensure that requirements for land use are balanced with the need to protect wilderness and wildlife habitat, received special mention. 16 figs
The education of First Nations students in Canada on reserve is the legal responsibility of the federal government. This article reviews and critiques the federal government's past and current special education policies and practices in regard to First Nations schools throughout Canada. The author has found that rather than establishing a…
Full Text Available Externally provisioned cloud services enable flexible and on-demand sourcing of IT resources. Cloud computing introduces new challenges such as need of business process redefinition, establishment of specialized governance and management, organizational structures and relationships with external providers and managing new types of risk arising from dependency on external providers. There is a general consensus that cloud computing in addition to challenges brings many benefits but it is unclear how to achieve them. Cloud computing governance helps to create business value through obtain benefits from use of cloud computing services while optimizing investment and risk. Challenge, which organizations are facing in relation to governing of cloud services, is how to design and implement cloud computing governance to gain expected benefits. This paper aims to provide guidance on implementation activities of proposed Cloud computing governance lifecycle from cloud consumer perspective. Proposed model is based on SOA Governance Framework and consists of lifecycle for implementation and continuous improvement of cloud computing governance model.
Governing education. Trends in Dutch education policy 1990-2010 The Dutch government is responsible for e a cohesive and properly functioning education system. This report discusses the way in which the government fulfilled that responsibility in the period 1990-2010. The study is
Woodcock, Stuart; Reupert, Andrea
The purpose of this research was to (i) identify Australian, Canadian and United Kingdom (UK) pre-service teachers' use, confidence and success of various classroom management strategies and (ii) to ascertain any significant differences between the three cohorts. Significant differences were found amongst the cohort with the UK pre-service…
ROSS, MURRAY G.
THE CONCEPT OF COMMUNITY SERVICE AFFECTS THE CHARACTER OF THE WHOLE UNIVERSITY--THE NUMBER AND KIND OF STUDENTS, VARIETY OF FACULTIES, FOCUS OF RESEARCH PROGRAMS, AND THE PACE AND NATURE OF THE UNIVERSITY'S GROWTH. TRADITIONAL GERMAN EMPHASIS ON RESEARCH AND GRADUATE WORK AND BRITISH EMPHASIS ON THE STUDENT AND TEACHING, WHILE STILL EVIDENT IN THE…
Sladeczek, Ingrid E.; Fontil, Laura; Miodrag, Nancy; Karagiannakis, Anastasia; Amar, Daniel; Amos, Janet
This study compares two service delivery models (community-based and centre-based), examining them in light of children's adaptive and maladaptive behaviours, and parental perceptions of stress and of care. More specifically, parents of 96 children with developmental delays assessed their children's adaptive and maladaptive behaviours and rated…
Clinical audit has been defined as the systematic, critical analysis of the quality of dental care, including the procedures and processes used for diagnosis, intervention and treatment, the use of resources and the resulting outcome and quality of life as assessed by both professionals and patients. The aim of clinical audit is to encourage dentists to self-examine different aspects of their practices, to implement improvements where the need is identified and to reexamine, from time to time, those areas that have been audited to ensure that a high quality of service is being maintained or further improved. Since 1st April 2001, all general dental practitioners (principals and assistants) working in the General Dental Services (GDS) have been required to participate in a rolling programme of at least 15 hours of clinical audit or peer review every three years. The first three-year cycle ended on 31st March 2004. By the end of December 2003, 96% of dentists had either under- taken or committed to undertake clinical audit/peer review activities. This initiative, in conjunction with the voluntary clinical audit and peer review schemes which preceded it, has provided opportunities for dentists and their practices to use these activities to assist in quality improvements in their practices, for the benefit of their patients. However, there are other methods for carrying out clinical audit and, in the NHS, there is a need to link it to clinical governance. This paper gives a progress report on an approach that has been piloted by Southend Primary Care Trust (PCT). It deals with the rationale for the project and outlines the methods used. It does not report results. These will follow in a subsequent paper.
Pontoppidan, Caroline Aggestam; Chow, Danny; Day, Ronald
In our comparative study, we surveyed an emerging literature on the use of consolidation in government accounting and develop a research agenda. We find heterogeneous approaches to the development of consolidation models across the five countries (Australia, New Zealand, UK, Canada and Sweden...... of financial reporting (GAAP)-based reforms when compared with budget-centric systems of accounting, which dominate government decision-making. At a trans-national level, there is a need to examine the embedded or implicit contests or ‘trials of strength’ between nations and/or institutions jockeying...... for influence. We highlight three arenas where such contests are being played out: 1. Statistical versus GAAP notions of accounting value, which features in all accounting debates over the merits and costs of ex-ante versus ex-post notions of value (i.e., the relevance versus reliability debate); 2. Private...
Khan, Muhammad Ehsan
FOUNDATION OF GOVERNANCEGovernanceDefining GovernanceGovernance at Multiple LevelsSummaryReferencesTransaction Cost EconomicsTransactions-Core Elements and Attributes Behavioral Assumptions Governance Structure AttributesHazards of Concern Incomplete Contracting Bilateral Dependency and Fundamental Transformation Adaptation or MaladaptationLinking Governance, Governance Structures, and ContractsThe Impact of Asset Specificity and Behavioral Assumptions on ContractsAp
... 39 Postal Service 1 2010-07-01 2010-07-01 false Government. 259.1 Section 259.1 Postal Service....1 Government. (a) Policy. The Postal Service cooperates with Federal Agencies whenever the overall costs to Government will be reduced. Assistance in a number of special projects and programs is provided...
Labib, H.; Casaubon, R.; Peluso, T.
This long-term projection of energy supply, demand, consumption, production and greenhouse gas emissions from now until 2020 identified pressure points and emerging issues in Canadian energy markets. It contributed to public discussions on energy and related economic and environmental issues in Canada and provided a reference scenario from which new energy and climate change policies can be evaluated. Energy projections were developed based on the relationships between energy production, consumption and prices, as well as economic, technological and policy factors. The report included government implemented initiatives that promote energy efficiency or increase the use of alternative energy. This Outlook to 2020 is sensitive to key assumptions about economic growth, oil sands development and the electricity generation mix. It is based on a specific set of assumptions regarding oil price and economic growth. This outlook assumes crude oil prices to be nearly twice that of the last outlook in 1999 and natural gas prices are assumed to be three times higher. The outlook also assumes that the Mackenzie Delta gas pipeline will be in service by 2011. Other principal assumptions used to develop this outlook were that population will grow by 0.7 percent annually and that all but two of Canada's nuclear power plants will stay in service for at least eight more years. The outlook revealed that total energy demand is projected to grow by 1.3 percent per year. The fuel mix will not change much over this period because the prices of different energy sources will remain the same. Energy intensity is expected to improve by about 0.25 per cent annually in the residential and commercial sectors due to stock turn over and appliance regulations. Total energy demand will increase by 1 per cent per year for the residential sector, and at 2.4 percent per year for the commercial sector. Transportation demand is expected to grow by 1.6 per cent per year, while industrial energy intensity
Vallat, B; Mallet, E
As an effect of increased globalisation, animal diseases, in particular those transmissible to man, have an immediate global economic and social impact. This fact, dramatically illustrated by the current avian influenza epizootic in South-East Asia and Eastern Europe, clearly demonstrates the crucial importance of the national Veterinary Services (VS) for the prevention, early detection and response for the efficient control of animal diseases. Complying with this mission for the VS presupposes the existence of appropriate governance and legislation and of an official system to control their quality and reliability- an obvious weakness in many developing and in transition countries. The World Organisation for Animal Health (OIE) has therefore developed a project aiming at strengthening the VS in those countries facing the greatest animal health threats and to bring them into line with OIE international standards already adopted by the same countries. Based on the evaluation of the VS and subsequent actions at the global, regional and national levels, the project will have a significant beneficial impact on the targeted countries as well as the international community as a whole, not only in the fields of agriculture, food security and production, and food safety, but also for the local and global prevention of emerging and re-emerging diseases of veterinary and public health importance. The project will be implemented in strong collaboration with the Food and Agriculture Organization. The actions proposed must be considered eligible for the concept of International Public Good.
Stewart, M; Dennis, C L; Kariwo, M; Kushner, K E; Letourneau, N; Makumbe, K; Makwarimba, E; Shizha, E
This study examines challenges faced by refugee new parents from Africa in Canada. Refugee new parents from Zimbabwe (n = 36) and Sudan (n = 36) were interviewed individually about challenges of coping concurrently with migration and new parenthood and completed loneliness and trauma/stress measures. Four group interviews with refugee new parents (n = 30) were subsequently conducted. Participants reported isolation, loneliness, and stress linked to migration and new parenthood. New gender roles evoked marital discord. Barriers to health-related services included language. Compounding challenges included discrimination, time restrictions for financial support, prolonged immigration and family reunification processes, uncoordinated government services, and culturally insensitive policies. The results reinforce the need for research on influences of refugees' stressful experiences on parenting and potential role of social support in mitigating effects of stress among refugee new parents. Language services should be integrated within health systems to facilitate provision of information, affirmation, and emotional support to refugee new parents. Our study reinforces the need for culturally appropriate services that mobilize and sustain support in health and health related (e.g., education, employment, immigration) policies.
The u.s. government bulks large in the nation's financial markets. The huge volume of government-issued and -sponsored debt affects the pricing and volume ofprivate debt and, consequently, resource allocation between competing alternatives. What is often not fully appreciated is the substantial influence the federal government wields overresource allocation through its provisionofcreditandrisk-bearing services to the private economy. Because peopleand firms generally seekto avoid risk, atsomeprice they are willing to pay another party to assume the risk they would otherwise face. Insurance companies are a class of private-sector firms one commonly thinks of as providing these services. As the federal government has expanded its presence in the U.S. economy during this century, it has increasingly developed programs aimed at bearing risks that the private sector either would not take on at any price, or would take on but atapricethoughtto besogreatthatmostpotentialbeneficiarieswouldnotpurchase the coverage. To...
Brown, P.A.; Letourneau, C.
The 1996 Policy Framework for Radioactive Waste established the approach in Canada for dealing with all radioactive waste, and defined the respective roles of Government and waste producers and owners. The Policy Framework sets the stage for the development of institutional and financial arrangements to implement long-term waste management solutions in a safe, environmentally sound, comprehensive, cost-effective and integrated manner. For nuclear fuel waste, a 10-year environmental review of the concept to bury nuclear fuel waste bundles at a depth of 500 m to 1000 m in stable rock of the Canadian Shield was completed in March 1998. The Review Panel found that while the concept was technically safe, it did not have the required level of public acceptability to be adopted at this time as Canada's approach for managing its nuclear fuel waste. The Panel recommended that a Waste Management Organization be established at arm's length from the nuclear industry, entirely funded by the waste producers and owners, and that it be subject to oversight by the Government. In its December 1998 Response to the Review Panel, the Government of Canada provided policy direction for the next steps towards developing Canada's approach for the long-term management of nuclear fuel waste. The Government chose to maintain the responsibility for long-term management of nuclear fuel waste close with the producers and owners of the waste. This is consistent with its 1996 Policy Framework for Radioactive Waste. This approach is also consistent with experience in many countries. In addition, the federal government identified the need for credible federal oversight. Cabinet directed the Minister of NRCan to consult with stakeholders, including the public, and return to ministers within 12 months with recommendations on means to implement federal oversight. (author)
Association of Universities and Colleges of Canada Partnership 2007-2009. For almost 30 years, IDRC has enabled the Association of Universities and Colleges of Canada to provide Canadian universities with liaison and information services on international development through its International Relations Division.
Hankivsky, Olena; De Leeuw, Sarah
... recycled) that is processed chlorineand acid-free. Library and Archives Canada Cataloguing in Publication Health inequities in Canada : intersectional frameworks and practices / edited by Olena Hankivsky. Includes bibliographical references and index. ISBN 978-0-7748-1975-6 (bound); ISBN 978-0-7748-1972-5 (pbk) 1. Health services accessibi...
A short bulletin from the National Fusion Program highlighting in this issue Europe proposes Canada's participation in ITER, tritium for JET, CCFM/TdeV-Tokamak helium pumping and TdeV update, ITER-related R and D at CFFTP, ITER Deputy Director visits Canada, NFP Director to Chair IFRC, Award for Akira Hirose. 3 figs
Rose, Jeremy; Persson, John Stouby; Heeager, Lise Tordrup
Public sector managers take much of the responsibility for selecting, commissioning, implementing and realising benefits from information technology (IT) projects. However, e-Government initiatives often suffer from complexity, vision failure, lack of goal clarity and insufficient commitment...... in the public administration literature. Four value positions relevant to e-Government together with their IT assumptions are identified; they reflect the ideals of professionalism, efficiency, service and engagement. A qualitative investigation of Danish local authority managers displays both value congruence...
.... Paul Park Refining Co. LLC, Suncor Energy Marketing, Inc., United Refining Company v. Enbridge Energy..., Inc., Phillips 66 Canada ULC, St. Paul Park Refining Co. LLC, Suncor Energy Marketing, Inc., and... assistance with any FERC Online service, please email [email protected] , or call (866) 208-3676...
Over the past few decades, there has been growing interest in supporting innovation in the public sector as a means of increasing the efficiency and quality of government services. Generally speaking, innovation in government could be defined as “The creation and implementation of new processes, products, services and methods of delivery which result in significant improvements in outcome efficiency, effectiveness or quality’’ . A ‘Process Innovation’ is an activity oriented mainly towards enhancing ‘efficiency’. A ‘Product or Service Innovation’ is an activity oriented mainly towards enhancing the ‘effectiveness’ of government. A ‘Policy Innovation’ is mainly oriented at enhancing outcomes. These categorisations are important for identifying and selecting the metrics of measurement and to make distinctions between inputs, outputs, and outcomes. (Author)
This discussion paper was prepared by the Department of Energy, Mines and Resources Canada to provide information about Canada's resource potential, the contribution of energy to the Canadian economy, Canada's place in the world energy market, and the outlook for the development of Canadian energy resources. In addition, it provides background information on issues such as: energy and the environment, energy security, Canadian ownership of energy resources, energy R and D, and energy conservation. Finally, it concludes with an indication of some of the key challenges facing the energy sector. The paper is intended to inform the public and to serve as a reference document for those participating in the review of Canada's energy options. The paper was prepared before Canada and the U.S. agreed in principle on a free trade agreement (FTA) and does not include a discussion of the FTA or its potential impacts on the energy sector
Caldbick, Sam; Wu, Xiaojing; Lynch, Tom; Al-Khatib, Naser; Andkhoie, Mustafa; Farag, Marwa
Pharmaceutical expenditures account for approximately 15.9 % of total health expenditures in Canada. Unlike hospital and physician services, in which costs are universally covered, most pharmacological therapy does not fall under the umbrella of 'medically necessary' services set out by the Canada Health Act, and therefore is funded through a mix of public and private plans. Little is known about the actual financial burden experienced by Canadians from out-of-pocket drug expenditures (OOPDE). This paper examines the burden of OOPDE in Canada. 1.1 % of Canadian households exceed our catastrophic threshold (9 %) of the drug budget share. Additionally, 2.6 and 8.2 % of households exceed lower thresholds of 6 and 3 % respectively. We find an inverse relationship between household income and the burden of OPPDE. Low-income households have the highest likelihood of being in the 'catastrophic' drug expenditure category. This finding suggests that a vulnerable population of 'working poor' are likely to be experiencing disproportionate financial burden because they are not eligible for public assistance programs. Seniors experience the highest burden of OPPDE when compared to other age groups. We also find that there is significant interprovincial variation in the burden of OOPDE, which partly reflects different provincial government drug coverage policies.
Full Text Available The public-oriented goals of the open government movement promise increased transparency and accountability of governments, enhanced citizen engagement and participation, improved service delivery, economic development and the stimulation of innovation. In part, these goals are to be achieved by making more and more government information public in reusable formats and under open licences. This paper identifies three broad privacy challenges raised by open government. The first is how to balance privacy with transparency and accountability in the context of “public” personal information. The second challenge flows from the disruption of traditional approaches to privacy based on a collapse of the distinctions between public and private sector actors. The third challenge is that of the potential for open government data—even if anonymized—to contribute to the big data environment in which citizens and their activities are increasingly monitored and profiled.
Galløe, Lotte Rannveig
as the child’s best teacher”. The program involves parents as facilitators modifying the child’s behavior instead of working directly on the child, thereby widening the target of intervention. PMTO exemplifies an arrangement that engages the private sphere in the conduct of public governance aiming at creating......In my presentation I will explore the concept, ‘technology of the future’, in public governance. Public governance within social services aims at changing the existing conditions for the marginalized citizens including children with special needs. I pose the question: what happens if public...... governance seek to chance the possible future conditions and targets the marginalized child’s relatives? Parent Management Training (PMTO) is studied as a technology of the future that expands and transforms governance. PMTO targets parents with aggressive and asocial children and aims to “create the parent...
Mushtaq H. Khan
Poverty reduction is a function of economic growth, income distribution and distribution changes. Governance can impact both growth and income distribution. The dominant market-enhancing governance paradigm seeks to enhance the efficiency of markets through ‘good governance’ reforms, ostensibly to trigger or sustain growth. ‘Pro-poor’ good governance reforms purport to enhance the scale and efficiency of service delivery to the poor. The good governance approach to enhancing growth is dispute...
Gilbert, R.; Cormier, A.; Lavallee, P.
Electric mobility is an important emerging industry in Canada, where there is significant expertise in electric and hybrid vehicles, batteries, hybrid technologies, grid-connected technologies and fuel cell vehicles. This paper presented a case for the formation of Electric Mobility Canada, a proposed network of private companies and public sector agencies that aims to stimulate industry and provide support to government agencies involved with meeting Canada's obligations under the Kyoto Protocol, as well as in new industry sectors. The environmental, health, economic and industrial benefits of electric mobility were outlined. Current programs for electric mobility were reviewed, and details of financial incentives and initiatives were presented. An overview of electric mobility programs in the United States and Europe was provided. Research and development needs were evaluated. The former Electric Vehicle Association of Canada was discussed. An organizational structure for the proposed network was presented, along with a mission statement and outline of future goals. Recommendations for the future of the network included identifying short and long-term market opportunities for electric mobility technologies for all surface transport modes in Canada; determining research and development needs and appropriate funding and investment opportunities; determining other actions necessary to allow the electric mobility industry to play a growing role in meeting Canada's transport needs; and raising public awareness of the importance of electric mobility trends. It was concluded that the federal government should be approached for start-up funds for the network, which will be followed by further investment from provincial and business interests once the network is in place and functioning. 84 refs
Designed for use in a bilingual program, this basic French reader centers around a trip to Canada. It contains reading selections, two short poems, the words and music of a song entitled "La cigale et la fourmi," and several oral and written exercises. (PMP)
An overview of the wind turbine market in Canada was presented. Canada is now experiencing increased turbine vendor competition. Trends in wind turbine OEM market shares in Canada have increased from 10 per cent in 2000 to over 70 per cent in 2007. Several major companies in Canada have signed large-scale orders for delivery in 2010. It is expected that future wind turbine demands in all areas of Canada will increase. However, projections for Canadian wind growth demonstrate the difficulties provinces are now facing in trying to attract manufacturing investment away from the United States. Growth in wind turbine investment is in the process of creating a more robust North American wind turbine generator chain. However, the majority of new facilities are located in the United States. It is not known if Quebec's wind turbine generators will be viable outside of fulfilling Hydro-Quebec's tendering process. Canada's wind industry must consider equipment transport costs as well as a shortage of operating and maintenance service infrastructure. It was concluded that growth in the United States is expected to have a positive impact on Canadian wind energy customers. tabs., figs
Hauptbeschreibung The dynamics of the relationship between service recipient and service provider in IS outsourcing relationships recently gained increased attention as relationships are believed to have a considerable influence on IS outsourcing success. This study adds to this growing field of interest by developing an IS outsourcing relationship framework in the form of a process model. Three rather disjointed areas of research, namely contractual governance, relational norms, and control, have been set in a common context by interrelating them as the three main governance modes
Hyshka, Elaine; Butler-McPhee, Janet; Elliott, Richard; Wood, Evan; Kerr, Thomas
Internationally, illegal drug use remains a major public health problem. In response, many countries have begun to shift their illegal drug policies away from enforcement and towards public health objectives. Recently, both the Global Commission on Drug Policy and the Supreme Court of Canada have endorsed this change in direction, supporting empirically sound illegal drug policies that reduce criminalization and stigmatization of drug users and bolster treatment and harm reduction efforts. Until recently, Canada was a participant in this growing movement towards rational drug policy. Unfortunately, in recent years, policy changes have made Canada one of the few remaining advocates of a "war-on-drugs" approach. Indeed, the current government has implemented a number of new illegal drug policies that contradict well-established scientific evidence from public health, criminology and other fields. As such, their approach is expected to do little to reduce the harms associated with substance use in Canada. The authors call on the current government to heed the recommendations of the Global Commission's report and learn from the many countries that are innovating in illegal drug policy by prioritizing evidence, human rights and public health.
... to the Government of, or persons in, the FRY (S&M). 585.517 Section 585.517 Money and Finance... persons in, the FRY (S&M). (a) The provision to the Government of the FRY (S&M), or to a person in the FRY... Government of the FRY (S&M) or to a person in the FRY (S&M): (1) Provision of legal advice and counselling to...
This project aims to reduce maternal, newborn, and child deaths in Tanzania. Topic: MATERNAL AND CHILD HEALTH, TANZANIA, MATERNAL MORTALITY, RURAL AREAS, HEALTH SERVICES, AFRICA, INCLUSIVE DEVELOPMENT, INFANT MORTALITY. Region: Tanzania, Canada. Program: Innovating for Maternal ...
Sabel, C.F.; Zeitlin, J.; Levi-Faur, D.
A secular rise in volatility and uncertainty is overwhelming the capacities of conventional hierarchical governance and ‘command-and-control’ regulation in many settings. One significant response is the emergence of a novel, ‘experimentalist’ form of governance that establishes deliberately
and growth. However, interactive governance is not a property or effect of institutions; nor does it apply solely to those individuals who seek success above everything else. It is connective more than individualistic or collectivistic in nature; and it manifests a governability capacity which...
Slocombe, J Owen D
A World Association for the Advancement of Veterinary Parasitology tradition for its conference is to present some highlights of the country hosting the event, and with an emphasis on the history of, and research in, veterinary parasitology. A review of Canada's peoples, physiography, climate, natural resources, agriculture, animal populations, pioneers in veterinary parasitology, research accomplishments by other veterinary parasitologists, centres for research in veterinary parasitology, and major current research had been presented at a World Association for the Advancement of Veterinary Parasitology Conference in Canada in 1987, and was published. The present paper updates the information on the above topics for the 22 years since this conference was last held in Canada.
... residents of Canada. 1.6049-8 Section 1.6049-8 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE... original issue discount paid to residents of Canada. (a) Interest subject to reporting requirement. For... nonresident alien individual is an individual who resides in Canada and is not a United States citizen. The...
... Federal holidays. For service information identified in this AD, contact Pratt & Whitney Canada, 1000... Directives; Eclipse Aerospace, Inc. Airplanes Equipped With Pratt & Whitney Canada, Corp. PW610F-A Engines..., Inc. Model EA500 airplanes equipped with Pratt & Whitney Canada, Corp. (P&WC) Model PW610F-A engines...
Oil sands production now accounts for 1 out of every 2 barrels of supply in Western Canada. It is anticipated that Alberta's oil sands sector will experience significant growth over the next few decades. This paper provided an outline of the challenges and economic impacts resulting from oil sands development in Canada. Alberta's oil sands reserves are estimated at 175 billion barrels that are deemed economically recoverable using current technology. At current production levels, reserves will sustain production of 2.5 million barrels per day for the next 200 years. A study by the Canadian Energy Research Institute (CERI) has forecast $100 billion in investment for the 2000-2020 period. Numerous companies hold leases and are planning new projects. A number of recent advances in oil sands technology are expected to further reduce costs as development matures. A royalty and tax regime that provides long-term fiscal certainty is a key factor that supports current oil sands growth forecasts. The CERI study has indicated that economic spinoffs from oil sands development relate to employment generated outside of Alberta, and that the largest percentage of government revenue accrues to the federal government. However, development may be constrained because the pace of growth in the sector may exceed underlying infrastructure related to roads, housing and municipal services. An adequate workforce of qualified trades and technical and professional people is also crucial. Several pipeline projects have been proposed to deliver oil sands crudes to new markets over the next decade. It was concluded that the billions of dollars invested in oil sands in Alberta will contribute to the economic prosperity of the entire country. 11 figs
Ottensmeyer, C. Andrea; Chattha, Sanmeet; Jayawardena, Shemayi; McBoyle, Kelly; Wrong, Christine; Ellerton, Cindy; Mathur, Sunita; Brooks, Dina
Purpose: To analyze weekend physiotherapy services in acute-care community hospitals across Canada. Method: Questionnaires were mailed to acute-care community hospitals (institutions with >100 inpatient beds, excluding psychiatric, mental health, paediatric, rehabilitation, tertiary, and long-term care facilities) across Canada from January to April 2010. The questionnaire collected information on patient referral criteria, staffing, workload, and compensation for weekend physiotherapy servic...
All wells drilled in Western Canada during the first nine months of 1999 are listed and sorted into 12 geographical areas used in the Petroleum Services Association of Canada (PSAC) well cost study. Each area represents wells of common drilling, production and depth characteristics. Area totals for well counts and meters drilled were determined from the sorting process. Previous years' activities are reviewed and various operators and PSAC members contacted to review upcoming programs. In addition, trends and other projections were consulted to develop an estimate of drilling activity for the rest of 1999 as well as a projection of drilling activity for 2000. The historical and projected drilling activities were tabulated and plotted for each area. Average drilling costs for each area were determined, and the total expenditures were calculated for each area by multiplying the the projected meterage by the adjusted drilling costs. All costs were allocated to various services and products utilizing percentages determined in the Well Cost Study. During the sorting process, a list was developed of the major operators in each area, which list is included in the report along with average depths and types of wells drilled by the various operators in each area. The costs included in the report include only drilling and completion operations, starting with the building of the location prior to drilling, and ending with the installation of the wellhead after construction. 5 tabs
Full Text Available BACKGROUND: Periodically surveying wait times for specialist health services in Canada captures current data and enables comparisons with previous surveys to identify changes over time.
Mahoney, C.; Hopkinson, C.; Hall, R.; Filiatrault, M.
The northern extent of Canada's northern boreal forest is largely inaccessible resulting in logistical, financial, and human challenges with respect to obtaining concise and accurate forest resource inventory (FRI) attributes such as stand height, aboveground biomass and forest carbon stocks. This challenge is further exacerbated by mandated government resource management and reporting of key attributes with respect to assessing impacts of natural disturbances, monitoring wildlife habitat and establishing policies to mitigate effects of climate change. This study presents a framework methodology utilized to inventory canopy height and crown closure over a 420,000 km2 area in Canada's Northwest Territories (NWT) by integrating field, LiDAR and satellite remote sensing data. Attributes are propagated from available field to coincident airborne LiDAR thru to satellite laser altimetry footprints. A quality controlled form of the latter are then submitted to a k-nearest neighbor (kNN) imputation algorithm to produce a continuous map of each attribute on a 30 m grid. The resultant kNN stand height (r=0.62, p=0.00) and crown closure (r=0.64, p=0.00) products were identified as statistically similar to a comprehensive independent airborne LiDAR source. Regional uncertainty can be produced with each attribute to identify areas of potential improvement through future strategic data acquisitions or the fine tuning of model parameters. This study's framework concept was developed to inform Natural Resources Canada - Canadian Forest Service's Multisource Vegetation Inventory and update vast regions of Canada's northern forest inventories, however, its applicability can be generalized to any environment. Not only can such a framework approach incorporate other data sources (such as Synthetic Aperture Radar) to potentially better characterize forest attributes, but it can also utilize future Earth observation mission data (for example ICESat-2) to monitor forest dynamics and the
Kofi Wireko, Joseph; Skouby, Knud Erik
Most developing countries, especially in Africa are fighting corruption as a major barrier to development, and e-government is seen as a new way of addressing it. Besides generally being recognized as cost-efficient, e-government is thought to reduce corruption through increased transparency, bet...
Corporate governance (CG) is a journey, not a destination. The International Finance Corporation (IFC) China Corporate Governance Program started its journey in ten cities of China in 2009 and sowed 'seeds' on the ground. Today, some of those seeds are germinating, blossoming, and bearing fruit. This smart lesson describes what steps we took, including selecting partners, mapping the journ...
Government taxation and regulation have a profound influence on mineral operations. In Canada, taxation occurs both on the federal and provincial levels. In addition, both federal and provincial regulations also affect mine operations, sometimes with overlapping, or conflicting, legislation and jurisdiction. Three broad areas of regulation affect the mine production of uranium in Canada: (1) mining law or mineral rights; (2) the licensing procedures; and (3) regulation of occupational health and safety
The current consensus on climatic change in Canada is briefly summarized, noting the results of modelling of the effects of a doubling of atmospheric CO 2 , the nonuniformity of climate change across the country, the uncertainties in local responses to change, and the general agreement that 2-4 degrees of warming will occur for each doubling of CO 2 . Canadian government response includes programs aimed at reducing the uncertainties in the scientific understanding of climate change and in the socio-economic response to such change. Canadian climate change programs include participation in large-scale experiments on such topics as heat transport in the ocean, and sources and sinks of greenhouse gases; development of next-generation climate models; studying the social and economic effects of climate change in the Great Lakes Basin and Mackenzie River Basin; investigation of paleoclimates; and analysis of climate data for long-term trends
Lanphier, C. Michael
Traces the types and numbers of refugees to Canada since World War II. Reviews key developments in Canadian refugee policy and practices before discussing the nation's response to the current refugee situation. (Author/MK)
Fusion Canada's publication of the National Fusion Program. Included in this issue is the CFFTP Industrial Impact Study, CCFM/TdeV Update:helium pumping, research funds, and deuterium in beryllium - high temperature behaviour. 3 figs
Loos, Gregory P
Globalization's profound influence on social and political institutions need not be negative. Critics of globalization have often referred to the "Impossible Trinity" because decision-making must 1. respect national sovereignty, 2. develop and implement firm regulation, and 3. allow capital markets to be as free as possible. To many, such goals are mutually exclusive because history conditions us to view policy-making and governance in traditional molds. Thus, transnational governance merely appears impossible because current forms of governance were not designed to provide it. The world needs new tools for governing, and its citizens must seize the opportunity to help develop them. The rise of a global society requires a greater level of generality and inclusion than is found in most policy bodies today. Politicians need to re-examine key assumptions about government. States must develop ways to discharge their regulatory responsibilities across borders and collaborate with neighboring jurisdictions, multilateral bodies, and business. Concepts such as multilateralism and tripartism show great promise. Governments must engage civil society in the spirit of shared responsibility and democratic decision-making. Such changes will result in a renewal of the state's purpose and better use of international resources and expertise in governance.
Canada is a major producer and shipper of radioactive material. Each year more than a million packages are transported in Canada. The safety record with the transport of RAM in Canada has historically been excellent. There have never been any serious injuries, overexposure or fatality or environmental consequences attributable to the radioactive nature of such material being transported or being involved in a transport accident. In Canada, the Canadian Nuclear Safety Commission (CNSC) is the prime agency of the federal government entrusted with regulating all activities related to the use of nuclear energy and nuclear substances including the packaging and transport of nuclear substances. The mission of the CNSC is to regulate the use of nuclear energy and materials to protect health, safety, security of the person and the environment and to respect Canada's international commitments on the peaceful use of nuclear energy. The division of responsibility for the regulation of transport of radioactive material has been split between Transport Canada and the CNSC. The governing Transport Canada's regulations are Transport of Dangerous Goods (TDG) Regulations and the CNSC regulations are Packaging and Transport of Nuclear Substances Regulations (PTNSR). Canada has actively participated in the development of the IAEA regulations for the safe transport of radioactive material since 1960. As an IAEA member state, Canada generally follows the requirements of IAEA regulations with few deviations. The Nuclear Safety and Control Act (NSCA) strongly supports Canada's international obligations to ensure safe packaging, transport, storage and disposal of nuclear substances, prescribed equipment and prescribed information. Prescribed equipment and prescribed information are defined in the CNSC General Nuclear Safety and Control Regulations. This paper presents the current CNSC regulatory requirements and initiatives taken by the CNSC to improve its effectiveness and efficiency
Garg, R. [Canadian Nuclear Safety Commission, Ottawa (Canada)
Canada is a major producer and shipper of radioactive material. Each year more than a million packages are transported in Canada. The safety record with the transport of RAM in Canada has historically been excellent. There have never been any serious injuries, overexposure or fatality or environmental consequences attributable to the radioactive nature of such material being transported or being involved in a transport accident. In Canada, the Canadian Nuclear Safety Commission (CNSC) is the prime agency of the federal government entrusted with regulating all activities related to the use of nuclear energy and nuclear substances including the packaging and transport of nuclear substances. The mission of the CNSC is to regulate the use of nuclear energy and materials to protect health, safety, security of the person and the environment and to respect Canada's international commitments on the peaceful use of nuclear energy. The division of responsibility for the regulation of transport of radioactive material has been split between Transport Canada and the CNSC. The governing Transport Canada's regulations are Transport of Dangerous Goods (TDG) Regulations and the CNSC regulations are Packaging and Transport of Nuclear Substances Regulations (PTNSR). Canada has actively participated in the development of the IAEA regulations for the safe transport of radioactive material since 1960. As an IAEA member state, Canada generally follows the requirements of IAEA regulations with few deviations. The Nuclear Safety and Control Act (NSCA) strongly supports Canada's international obligations to ensure safe packaging, transport, storage and disposal of nuclear substances, prescribed equipment and prescribed information. Prescribed equipment and prescribed information are defined in the CNSC General Nuclear Safety and Control Regulations. This paper presents the current CNSC regulatory requirements and initiatives taken by the CNSC to improve its effectiveness and
In July 1990, Greenpeace distributed a 16-page treatise entitled 'Canada's Radiation Scandal' to a wide audience. The bottom line of the Greenpeace critique was that 'Canada's radiation limits are among the worst in the developed world'. This is a commentary on the Greenpeace pamphlet from the Atomic Energy Control Board (AECB), the body that sets and enforces radiation standards covering the use of nuclear energy in Canadian industry, science and medicine
Malone, Alexandra; Mitrovic, Milenka; Grant, Andrea
Carbon capture and storage (CCS) is a critical technology for Canada to make meaningful emissions reductions in the fossil fuels sector. Canada is a global leader in CCS, and both federal and provincial governments are taking action to advance the deployment of this technology, including allocating over CAD 3.5 billion in public funding to CCS. These investments support several interdependent initiatives focusing on addressing the challenges facing CCS, supporting innovation, accelerating deployment, and facilitating information sharing. Canada is also committed to working internationally to ensure that our efforts at home contribute to the overall global advancement of CCS.
Kjær, Poul F.; Vetterlein, Antje
, legal and cultural, on a global scale. Against this background, this special issue sets out to explore the multifaceted meaning, potential and impact as well as the social praxis of regulatory governance. Under the notions rules, resistance and responsibility the special issue pins out three overall......Regulatory governance frameworks have become essential building blocks of world society. From supply chains to the regimes surrounding international organizations, extensive governance frameworks have emerged which structure and channel a variety of social exchanges, including economic, political...
... agencies in assessing the capacity and ability of the Federal acquisition workforce to develop, manage, and... projects found cost overruns of 26 percent, totaling $295 billion over the life of the projects. Improved... serve the Federal Government's needs and to manage the risk associated with the goods and services being...