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Sample records for policy implementation theory

  1. Using game theory to analyze green stormwater infrastructure implementation policies

    Science.gov (United States)

    William, R. K.; Garg, J.; Stillwell, A. S.

    2017-12-01

    While green stormwater infrastructure is a useful approach in addressing multiple challenges facing the urban environment, little consensus exists on how to best incentivize its adoption by private landowners. Game theory, a field of study designed to model conflict and cooperation between two or more agents, is well-suited to address this policy question. We used a cooperative game theory framework to analyze the impacts of three different policy approaches frequently used to incentivize the uptake of green infrastructure by private landowners: municipal regulation, direct grants, and stormwater fees. The results indicate that municipal regulation leads to the greatest environmental benefits; however, the choice of "best" regulatory approach is dependent on a variety of different factors including political and financial considerations. Policy impacts are also highly dependent on agents' spatial positions within the stormwater network. This finding leads to important questions of social equity and environmental justice.

  2. Shaping legal abortion provision in Ghana: using policy theory to understand provider-related obstacles to policy implementation

    Science.gov (United States)

    2013-01-01

    Background Unsafe abortion is a major public health problem in Ghana; despite its liberal abortion law, access to safe, legal abortion in public health facilities is limited. Theory is often neglected as a tool for providing evidence to inform better practice; in this study we investigated the reasons for poor implementation of the policy in Ghana using Lipsky’s theory of street-level bureaucracy to better understand how providers shape and implement policy and how provider-level barriers might be overcome. Methods In-depth interviews were conducted with 43 health professionals of different levels (managers, obstetricians, midwives) at three hospitals in Accra, as well as staff from smaller and private sector facilities. Relevant policy and related documents were also analysed. Results Findings confirm that health providers’ views shape provision of safe-abortion services. Most prominently, providers experience conflicts between their religious and moral beliefs about the sanctity of (foetal) life and their duty to provide safe-abortion care. Obstetricians were more exposed to international debates, treaties, and safe-abortion practices and had better awareness of national research on the public health implications of unsafe abortions; these factors tempered their religious views. Midwives were more driven by fundamental religious values condemning abortion as sinful. In addition to personal views and dilemmas, ‘social pressures’ (perceived views of others concerning abortion) and the actions of facility managers affected providers’ decision to (openly) provide abortion services. In order to achieve a workable balance between these pressures and duties, providers use their ‘discretion’ in deciding if and when to provide abortion services, and develop ‘coping mechanisms’ which impede implementation of abortion policy. Conclusions The application of theory confirmed its utility in a lower-middle income setting and expanded its scope by showing that

  3. Implementation of Solid Waste Policies in Pernambuco: a study from the institutional theory and interorganizational networks

    Directory of Open Access Journals (Sweden)

    Maria Luciana de Almeida

    2015-09-01

    Full Text Available Solid waste is a problem in the Brazilian context, not only because it is growing in larger proportions than the population and leading to soil and water contamination, but also because it is a vector for diseases and causes economic losses, since much of what is discarded can be reused. After several years of intense debate, the Brazilian law applying to national solid waste policy was sanctioned; this law contains goals to be achieved and challenges to be overcome. Since this is a major issue, the purpose of this paper is to discuss the implementation of public policies on solid waste, emphasizing the initiatives carried out in the state of Pernambuco, from the perspectives of institutional theory and inter-organizational networks. By analysing the provisions of the law, we can observe a coercive tendency to bring the states and municipalities to establish networks in order to meet demands related to solid waste, since the pertinent legislation induces the involved entities to develop this kind of partnership in order to obtain resources

  4. Improving policy implementation through collaborative policymaking

    DEFF Research Database (Denmark)

    Ansell, Christopher; Sørensen, Eva; Torfing, Jacob

    2017-01-01

    We offer a fresh perspective on implementation problems by suggesting that collaborative policy design and adaptive policy implementation will help public policy makers to improve policy execution. Classical implementation theories have focused too narrowly on administrative stumbling blocks and ...... collaborative policymaking and adaptive policy implementation might work in theory and practice......We offer a fresh perspective on implementation problems by suggesting that collaborative policy design and adaptive policy implementation will help public policy makers to improve policy execution. Classical implementation theories have focused too narrowly on administrative stumbling blocks...... and New Public Management has reinforced the split between politics and administration. Attempts to improve policy implementation must begin by looking at policy design, which can be improved through collaboration and deliberation between upstream and downstream actors. We provide a broad overview of how...

  5. You can lead a horse to water … what Self-Determination Theory can contribute to our understanding of clinical policy implementation.

    Science.gov (United States)

    Smith, Geoffrey P; Williams, Theresa M

    2017-01-01

    There has been increasing reliance on policy directives as instruments for shaping clinical practice in health care, despite it being widely recognized that there is a significant translation gap between clinical policy and its implementation. Self-Determination Theory, a widely researched and empirically validated theory of human needs' fulfilment and motivation, offers a potentially valuable theoretical framework for understanding not only why the current policy environment has not led to the anticipated improvement in the quality and safety of clinical care but, importantly, also provides guidance about how organizations can create an environment that can nurture behavioural change in the workforce. We describe an alternative approach to clinical policy-making underpinned by Self-Determination Theory, which we believe has broad application for the science of clinical implementation theory.

  6. Implementing public employment policy

    DEFF Research Database (Denmark)

    Larsen, Flemming; Bredgaard, Thomas

    . But there is an interesting question to investigate here: whether and if so how, NPM-inspired reforms are related to changes in employment policy towards a work-first approach? Are changes in public management systems created as deliberate policy changes, or do they bring about more indirect and unintended policy changes......Like most other areas within welfare policy, the employment and social policy areas are undergoing far-reaching changes in many countries. Partly in the shape of new forms of governance inspired by New Public Management (NPM), partly through new policies oriented towards activation and stronger...... disciplining of the unemployed (work first) (cf.Bredgaard & Larsen, 2005; Sol & Westerweld, 2005). It is, however, remarkable that in the research field there seems to be a division of labour so that changes in public administration and changes in the substance of employment policies are dealt with separately...

  7. Solving the Policy Implementation Problem

    Directory of Open Access Journals (Sweden)

    Gregg A. Garn

    1999-08-01

    Full Text Available When Republican legislators in Arizona failed to approve educational vouchers in four consecutive legislative sessions, a charter school program was approved as a compromise. The charter school policy was written during a special summer session and within three years, over 30,000 students were enrolled in 260 charter schools across the state. Republican policy makers, who failed to enact voucher legislation, proclaimed the charter school program to be an overwhelming success and protected it from amendments by Democrats and potential actions of bureaucrats that could have altered the policy intent. Research on the implementation of policy indicates that state and local implementors frequently undermine or alter legislative intentions. However, when Arizona policy makers approved the charter school policy, they overcame this persistent implementation phenomenon and, in fact, succeeded in preserving the legislative intentions in the working program. This policy study analyzes how they were able to achieve this elusive result. Key policy makers attended to four significant features of policy implementation in creating the charter school policy: communication, financial resources, implementor attitudes, and bureaucratic structure. Manipulating these key variables allowed policy makers to reduce implementation slippage.

  8. Game theory and public policy

    CERN Document Server

    McCain, Roger A

    2015-01-01

    This book provides a critical, selective review of concepts from game theory and their applications in public policy, and further suggests some modifications for some of the models (chiefly in cooperative game theory) to improve their applicability to economics and public policy.

  9. Road pricing policy implementation

    NARCIS (Netherlands)

    Vonk Noordegraaf, D.M.

    2016-01-01

    Urban areas suffer from the negative externalities of road transport like congested road networks, air pollution and road traffic accidents. A measure to reduce these negative externalities is road pricing, meaning policies that impose direct charges on road use (Jones and Hervik, 1992). Since the

  10. Public Professionals and Policy implementation

    NARCIS (Netherlands)

    L.G. Tummers (Lars); B. Vermeeren (Brenda); A.J. Steijn (Bram); V.J.J.M. Bekkers (Victor)

    2012-01-01

    textabstractNowadays, public policies often focus on economic values, such as efficiency and financial transparency. Public professionals often resist implementing such policies. We analyse this using the concept of ‘role conflicts’. We use a novel approach by conceptualizing and measuring

  11. Towards a general theory of implementation

    Science.gov (United States)

    2013-01-01

    Understanding and evaluating the implementation of complex interventions in practice is an important problem for healthcare managers and policy makers, and for patients and others who must operationalize them beyond formal clinical settings. It has been argued that this work should be founded on theory that provides a foundation for understanding, designing, predicting, and evaluating dynamic implementation processes. This paper sets out core constituents of a general theory of implementation, building on Normalization Process Theory and linking it to key constructs from recent work in sociology and psychology. These are informed by ideas about agency and its expression within social systems and fields, social and cognitive mechanisms, and collective action. This approach unites a number of contending perspectives in a way that makes possible a more comprehensive explanation of the implementation and embedding of new ways of thinking, enacting and organizing practice. PMID:23406398

  12. The dominance of the Lisbon agreement as a barrier for an environmentally oriented transport policy in Europe : The gap between theory and implementation in policy integration

    NARCIS (Netherlands)

    Geerlings, H.; Van der Sluis-van Meijeren, M.

    2008-01-01

    There is an increasing demand for policy integration in a number of policy areas. This is also the case when it comes to the ambition to realize a sustainable transport system, where seemingly contrasting issues such as economic growth and the related negative effects, increasing emissions for

  13. Do Economic Theories Inform Policy?

    DEFF Research Database (Denmark)

    Bartalevich, Dzmitry

    Adopting the (institutionalist) premise that ideas and the economic theories within which they are embedded influence policy, the dissertation investigates the influence of the Chicago School of antitrust analysis on the competition policy of the European Union (EU). The dissertation encapsulates...... three articles. The first article employs qualitative content analysis to assess whether and the extent to which the European Commission incorporates Chicago School theory into EU competition policy. It does so on the basis of current Commission Guidelines, Notices, and Block Exemption Regulations...... the Harvard School, the Freiburg School, and considerations for Single Market integration underpin EU merger control, in addition to the influence of the Chicago School. The analysis presented in the articles suggests that the Chicago School has exerted considerable influence over EU competition policy...

  14. Three Decades of Implementation Research in Higher Education: Limitations and Prospects of Theory Development

    Science.gov (United States)

    Kohoutek, Jan

    2013-01-01

    The article adopts a comparative approach to review three periods of theory development in research into higher education policy implementation. Given the conceptual affinity between Cerych and Sabatier's 1986 seminal study into higher education policy implementation and public policy implementation theory, the field of public policy is chosen for…

  15. Fiscal ethics, policies, and theories

    Directory of Open Access Journals (Sweden)

    Andrés Blanco

    2016-08-01

    Full Text Available The connections between ethics, policies and economic theories regarding fiscal matters need a more thorough analysis than the one carried out so far. On one hand, even though there are some ethical proposals on taxation, in general such proposals have not been grounded on explanatory theories of the economy. On the other hand, schools of thought about economy usually fail to ethically justify their political proposals. However, such distinctions cannot be sustained rationally: any ethical proposal concerning fiscal matters involves an explanation of economy, and conversely any proposal related to fiscal policies does not only involve a theory but also an ethical understanding. This article will review such connections, and general conclusions will be applied to two specific cases: first, Rawls’s proposal concerning taxation will be reviewed, having previously studied its descriptive assumptions, and then the lack of an ethical connection between the post Keynesian theory on the monetary circuit and its fiscal proposal will be examined. Finally, a possible “taxation compliance ethic” of tax-payers will be likewise analysed.

  16. Uncertainty quantification theory, implementation, and applications

    CERN Document Server

    Smith, Ralph C

    2014-01-01

    The field of uncertainty quantification is evolving rapidly because of increasing emphasis on models that require quantified uncertainties for large-scale applications, novel algorithm development, and new computational architectures that facilitate implementation of these algorithms. Uncertainty Quantification: Theory, Implementation, and Applications provides readers with the basic concepts, theory, and algorithms necessary to quantify input and response uncertainties for simulation models arising in a broad range of disciplines. The book begins with a detailed discussion of applications where uncertainty quantification is critical for both scientific understanding and policy. It then covers concepts from probability and statistics, parameter selection techniques, frequentist and Bayesian model calibration, propagation of uncertainties, quantification of model discrepancy, surrogate model construction, and local and global sensitivity analysis. The author maintains a complementary web page where readers ca...

  17. Implementing risk-based policies

    International Nuclear Information System (INIS)

    Barill, T.

    1992-01-01

    The principle of risk-based policy is that the protection of human health and the environment is best determined on a case-by-case basis, rather than by a set level of contamination. This paper discusses common techniques used by environmental professionals to effectively implement risk-based policy. Once understood, these principles can be easily applied to provide flexibility in terms of cleanup levels, operations levels and permitting/reporting requirements. Regulations at all levels currently refer to or require assessments of health risk. including RCRA Corrective Action, the Clean Air Act, the Clean Water Act and the Toxics Substances Control Act. A fundamental problem with quantitative risk assessments is that they are based on extrapolating data from a set of laboratory conditions to the real world. A set limit, while easier to handle, allows less contaminated areas to become more contaminated and may require an excessively low cleanup level for more contaminated areas. By using relative risk in assessing a site, factors such as background levels, current and future land use, and health risk can be taken into account

  18. Research on policy implementation: Assessment and prospect

    NARCIS (Netherlands)

    O'Toole, Laurence J.

    2000-01-01

    While policy implementation no longer frames the core question of public management and public policy, some scholars have debated appropriate steps for revitalization. And the practical world stands just as much in need now of valid knowledge about policy implementation as ever. Where has all the

  19. Policy folklists and evolutionary theory.

    Science.gov (United States)

    O'Neill, Barry

    2014-07-22

    Policy folklists present a set of alleged historical facts seen as relevant to some social issue. Although the validity of these folklists is dubious, leaders and writers circulate them in the media, variants arise, and the lists continue on, sometimes for decades. Folklists are repeated because their messages are appealing and their users are credible. Because folklists are on the record, we can examine their origins and changes. This report draws an analogy with evolutionary theory and suggests that biological mechanisms of self-repair, boundary maintenance, plasticity, speciation, and predation have significant interpretations for folklists, and clarify how the lists win the credence of otherwise skeptical people.

  20. Implementation of pro-poor exemption policy in Tanzania: policy versus reality.

    Science.gov (United States)

    Idd, Aisha; Yohana, Odongo; Maluka, Stephen Oswald

    2013-01-01

    Like many other African countries, Tanzania has been implementing user fee policy in its health sector since the early 1990s. Accompanying user fee, mechanisms were designed that exempted the poor and vulnerable groups of the society from paying user charges. Although studies on the implementation of exemption policies in Tanzania exist, very few have documented the actual process of translating exemption policies into actions-the process of implementation. Drawing from policy analysis and implementation theories, this paper documents the implementation of the waiver (need-based exemptions) policy in Tanzania. The findings indicate that waiver systems, while potentially effective in principle, were ineffective in implementation. Lack of specification of criteria by which the poor could be identified made policy implementers at different levels to implement the policy in their own style. Low level of public awareness about the existence of waiver mechanisms hindered the poor to demand exemptions. Furthermore, fear of loss of revenue at the health facilities and ineffective enforcement mechanisms provided little incentives for local government leaders and health workers to communicate the policy to beneficiaries. It is concluded from this study that to better achieve the objectives of the pro-poor exemption policy, it is important to engage policy implementers more actively in the management and implementation of policies. Additionally, it is imperative to understand the behaviour and practices of policy implementers, especially district health managers, health workers and village and ward leaders, who may react negatively to new policies and implement the policies in ways contrary to what policy makers had intended. Copyright © 2013 John Wiley & Sons, Ltd.

  1. Political theory in forest policy science

    NARCIS (Netherlands)

    Jong, de W.; Arts, B.J.M.; Krott, M.

    2012-01-01

    The use of theory in forest policy studies has given a new face to forest policy science, as it matured from an applied academic field to a specialized sub-discipline. In addition to doing science to support policy, forest policy academics engage in research to expand policy sciences. The link to

  2. Education and Homeless Youth: Policy Implementations

    Science.gov (United States)

    Center for Higher Education Policy Analysis, University of Southern California, 2007

    2007-01-01

    "The Navigator" is a free newsletter published by the Center for Higher Education Policy Analysis (CHEPA) focusing on directions and trends in higher education policy. The theme of this issue is: "Education and Homeless Youth: Policy Implementations." The lead article, authored by CHEPA director William G. Tierney, describes CHEPA's study of the…

  3. Organizational theory for dissemination and implementation research.

    Science.gov (United States)

    Birken, Sarah A; Bunger, Alicia C; Powell, Byron J; Turner, Kea; Clary, Alecia S; Klaman, Stacey L; Yu, Yan; Whitaker, Daniel J; Self, Shannon R; Rostad, Whitney L; Chatham, Jenelle R Shanley; Kirk, M Alexis; Shea, Christopher M; Haines, Emily; Weiner, Bryan J

    2017-05-12

    Even under optimal internal organizational conditions, implementation can be undermined by changes in organizations' external environments, such as fluctuations in funding, adjustments in contracting practices, new technology, new legislation, changes in clinical practice guidelines and recommendations, or other environmental shifts. Internal organizational conditions are increasingly reflected in implementation frameworks, but nuanced explanations of how organizations' external environments influence implementation success are lacking in implementation research. Organizational theories offer implementation researchers a host of existing, highly relevant, and heretofore largely untapped explanations of the complex interaction between organizations and their environment. In this paper, we demonstrate the utility of organizational theories for implementation research. We applied four well-known organizational theories (institutional theory, transaction cost economics, contingency theories, and resource dependency theory) to published descriptions of efforts to implement SafeCare, an evidence-based practice for preventing child abuse and neglect. Transaction cost economics theory explained how frequent, uncertain processes for contracting for SafeCare may have generated inefficiencies and thus compromised implementation among private child welfare organizations. Institutional theory explained how child welfare systems may have been motivated to implement SafeCare because doing so aligned with expectations of key stakeholders within child welfare systems' professional communities. Contingency theories explained how efforts such as interagency collaborative teams promoted SafeCare implementation by facilitating adaptation to child welfare agencies' internal and external contexts. Resource dependency theory (RDT) explained how interagency relationships, supported by contracts, memoranda of understanding, and negotiations, facilitated SafeCare implementation by balancing

  4. Implementation of Staff Recruitment Policies and Diversity ...

    African Journals Online (AJOL)

    This paper reports on the findings of a study that delved into these reasons, with specific reference to staff recruitment policies and their implementation. It reports that the fairness of the universities' employee recruitment guidelines and the way these are implemented are significantly and positively with the universities' ...

  5. Nigeria and the enigma of policy implementation | Nnajiofor ...

    African Journals Online (AJOL)

    ... biases and lack of political will/ attitude to policy implementation are the paradoxes of policy implementations. The study shows that until policies are implemented, development of our nation will be unattainable. This calls for a change of attitude on the part of policy implementers and the target beneficiary of public policy.

  6. Environmental policy implementation in developing countries

    International Nuclear Information System (INIS)

    Gamman, J.K.

    1990-01-01

    This study examines why national and international policies intended to protect limited natural resources in developing countries are not effectively implemented. It employs a comparative-policy implementation in three developing countries, Barbados, St. Lucia and St. Kitts, and three foreign assistance agencies, the US Agency for International Development, the Inter-American Development Bank and the Organization of American States. The decision-making process within the countries and donor agencies is closed, preventing key stakeholders from participating. In two instances, the mutually reinforcing behavior of top officials in the countries and the donor agencies led to decisions that prevented natural resources from being protected. In all three cases, strategies to implement environmental policies failed to account for four major elements: national politics, behavior in the donor agency, the culture of decision making, and economic necessity. The existing-decision making process in both developing countries and donor agencies is dysfunctional

  7. Acoustic array systems theory, implementation, and application

    CERN Document Server

    Bai, Mingsian R; Benesty, Jacob

    2013-01-01

    Presents a unified framework of far-field and near-field array techniques for noise source identification and sound field visualization, from theory to application. Acoustic Array Systems: Theory, Implementation, and Application provides an overview of microphone array technology with applications in noise source identification and sound field visualization. In the comprehensive treatment of microphone arrays, the topics covered include an introduction to the theory, far-field and near-field array signal processing algorithms, practical implementations, and common applic

  8. Scientific Integrity Policy Creation and Implementation.

    Science.gov (United States)

    Koizumi, K.

    2017-12-01

    Ensuring the integrity of science was a priority for the Obama Administration. In March 2009, President Obama issued a Presidential Memorandum that recognized the need for the public to be able to trust the science and scientific process informing public policy decisions. In 2010, the White House Office of Science and Technology Policy (OSTP) issued a Memorandum providing guidelines for Federal departments and agencies to follow in developing scientific integrity policies. This Memorandum describes minimum standards for: (1) strengthening the foundations of scientific integrity in government, including by shielding scientific data and analysis from inappropriate political influence; (2) improving public communication about science and technology by promoting openness and transparency; (3) enhancing the ability of Federal Advisory Committees to provide independent scientific advice; and (4) supporting the professional development of government scientists and engineers. The Memorandum called upon the heads of departments and agencies to develop scientific integrity policies that meet these requirements. At the end of the Obama Administration, 24 Federal departments and agencies had developed and implemented scientific integrity policies consistent with the OSTP guidelines. This year, there are significant questions as to the Trump Administration's commitment to these scientific integrity policies and interest in the Congress in codifying these policies in law. The session will provide an update on the status of agency scientific integrity policies and legislation.

  9. [Generic drug policy implementation in Brazil].

    Science.gov (United States)

    Dias, Cláudia Regina Cilento; Romano-Lieber, Nicolina Silvana

    2006-08-01

    A generic drug policy has been implemented in Brazil since 1999. Several political and administrative stages transpired between enactment of the legislation and the actual marketing and consumption of these drugs. This article describes the policy implementation process and examines the country's generic drug legislation, approved from 1999 to 2002. To contextualize these measures, the study compares articles published by two national periodicals and interviews with a government representative involved in drafting the legislation and a representative from the pharmaceutical industry. Generic drugs quickly gained considerable space in the Brazilian pharmaceutical market. Ongoing adaptation of the legislation, media support, and the government's involvement in spreading the policy were key success factors. The population's access to medicines did not increase significantly, but people can now purchase medicines at more affordable prices and with quality assurance and interchangeability.

  10. On the theory of interest rate policy

    Directory of Open Access Journals (Sweden)

    Heinz-Peter Spahn

    2001-12-01

    Full Text Available A new consensus in the theory of monetary policy has been reached pointing to the pivotal role of interest rates that are set in accordance with central banks' reaction functions. The decisive criterion of assessing the Taylor rule, inflation and monetary targeting is not the macrotheoretic foundation of these concepts. They serve as "languages" coordinating heterogeneous beliefs among policy makers and private agents, and should also allow rule-based discretionary policies when markets are in need of leadership. Contrary to the ECB dogma, the Fed is right to have an eye on the risks of inflation and unemployment.

  11. Theories and myths of European foreign policy

    DEFF Research Database (Denmark)

    Manners, Ian James

    2014-01-01

    Thinking about European foreign policy (EFP) can be frustrated by the uncertainties of terms and definitions, as well as by the exclusive tendencies of foreign policy analysis. The uncertainties over how to interpret EFP are multiplied in a more global era reconfigured by globalising...... and transnational policy processes. This analysis includes the consideration of the foreign policies of EU and non-EU states, as well as the impact of the European integration processes on both members and non-members alike. In a similar vein, the chapter seeks to review the literature on collective European......, multilateralising and multipolarising processes. In order to make greater sense of EFP in a global political-cultural context, this chapter will consider the ways in which political theories and cultural myths co-constitute each other in both symbolic and substantive terms. EFP is understood here to involve...

  12. Social determinants of health and health equity policy research: exploring the use, misuse, and nonuse of policy analysis theory.

    Science.gov (United States)

    Embrett, Mark G; Randall, G E

    2014-05-01

    Despite a dramatic growth in SDH/HE (social determinants of health/health equity) public policy research and demonstrated government interest in promoting equity in health policies, health inequities are actually growing among some populations and there is little evidence that "healthy public policies" are being adopted and implemented. Moreover, these issues are typically failing to even reach governments' policy agendas, which is a critical step towards serious debate and the identification of policy options. This systematic review pursues three main objectives. First, is to identify barriers to SDH/HE issues reaching the government policy agenda. Second, to evaluate the characteristics of peer-reviewed research articles that utilize common policy analysis theories. And third, to determine the extent to which the SDH/HE literature utilizes common policy analysis theories. Our systematic review, conducted in June 2012, identified 6200 SDH/HE related articles in the peer-reviewed literature; however, only seven articles explicitly used a commonly recognized policy analysis theory to inform their analysis. Our analysis revealed that the SDH/HE policy literature appears to be focused on advocacy rather than analysis and that the use of policy analysis theory is extremely limited. Our results also suggest that when such theories are incorporated into an analysis they are often not comprehensively employed. We propose explanations for this non-use and misuse of policy analysis theory, and conclude that researchers may have greater influence in helping to get SDH/HE issues onto government policy agendas if they gain a greater understanding of the policy process and the value of incorporating policy analysis theories into their research. Using a policy analysis lens to help identify why healthy public policies are typically not being adopted is an important step towards moving beyond advocacy to understanding and addressing some of the political barriers to reforms

  13. Rational Choise and Policy Implementation; Implications for Interorganizational Network Management

    NARCIS (Netherlands)

    O'Toole, Laurence J.

    1995-01-01

    Research on interorganizational policy implementation continues to be characterized by diverse theoretical approaches. It is perhaps surprising to observe, however, that formal and especially rational-choice approaches have been essentially neglected in the study of policy implementation processes.

  14. Disability Policy Implementation From a Cross-Cultural Perspective.

    Science.gov (United States)

    Verdugo, Miguel A; Jenaro, Cristina; Calvo, Isabel; Navas, Patricia

    2017-07-01

    Implementation of disability policy is influenced by social, political, and cultural factors. Based on published work, this article discusses four guidelines considered critical for successful policy implementation from a cross-cultural perspective. These guidelines are to: (a) base policy implementation on a contextual analysis, (b) employ a value-based approach, (c) align the service delivery system both vertically and horizontally, and (d) engage in a partnership in policy implementation. Public policy should be understood from a systems perspective that includes cross-cultural issues, such as how different stakeholders are acting and the way they plan and implement policy.

  15. Disability Policy Implementation from a Cross-Cultural Perspective

    Science.gov (United States)

    Verdugo, Miguel A.; Jenaro, Cristina; Calvo, Isabel; Navas, Patricia

    2017-01-01

    Implementation of disability policy is influenced by social, political, and cultural factors. Based on published work, this article discusses four guidelines considered critical for successful policy implementation from a cross-cultural perspective. These guidelines are to: (a) base policy implementation on a contextual analysis, (b) employ a…

  16. Realistic nurse-led policy implementation, optimization and evaluation: novel methodological exemplar.

    Science.gov (United States)

    Noyes, Jane; Lewis, Mary; Bennett, Virginia; Widdas, David; Brombley, Karen

    2014-01-01

    To report the first large-scale realistic nurse-led implementation, optimization and evaluation of a complex children's continuing-care policy. Health policies are increasingly complex, involve multiple Government departments and frequently fail to translate into better patient outcomes. Realist methods have not yet been adapted for policy implementation. Research methodology - Evaluation using theory-based realist methods for policy implementation. An expert group developed the policy and supporting tools. Implementation and evaluation design integrated diffusion of innovation theory with multiple case study and adapted realist principles. Practitioners in 12 English sites worked with Consultant Nurse implementers to manipulate the programme theory and logic of new decision-support tools and care pathway to optimize local implementation. Methods included key-stakeholder interviews, developing practical diffusion of innovation processes using key-opinion leaders and active facilitation strategies and a mini-community of practice. New and existing processes and outcomes were compared for 137 children during 2007-2008. Realist principles were successfully adapted to a shorter policy implementation and evaluation time frame. Important new implementation success factors included facilitated implementation that enabled 'real-time' manipulation of programme logic and local context to best-fit evolving theories of what worked; using local experiential opinion to change supporting tools to more realistically align with local context and what worked; and having sufficient existing local infrastructure to support implementation. Ten mechanisms explained implementation success and differences in outcomes between new and existing processes. Realistic policy implementation methods have advantages over top-down approaches, especially where clinical expertise is low and unlikely to diffuse innovations 'naturally' without facilitated implementation and local optimization. © 2013

  17. Theory and practice of population policies in the Soviet Union

    Directory of Open Access Journals (Sweden)

    V. V. Elizarov

    2017-01-01

    Full Text Available The aim of the research, presented in the paper is the analysis for the formation and development of the basic theory of population policies in the scientific school of Professor Dmitry I.Valentey (Lomonosov Moscow State University. The research was dedicated to the 50th anniversary of the Population Chair of Economics Faculty of Lomonosov Moscow State University. The graduates of the Chair worked and continue to work actively in the field of fundamental and applied research in demography, demographic education, ministries and departments of the socio-economic unit.The works of the 1960s – early 90s (monographs, collections of scientific articles, tutorials, which dealt with the concepts and their interrelationships, approaches to understanding the ratio of social policy, population and demographic policies, the structure of these important components of social policy served as the basis for the analysis. In the study the comparative analysis of the positions of different authors has been made, including other research schools, discussion issues are highlighted, relating to the implementation of the population policies. This article shows the realization of the idea of an interdisciplinary approach to the study of problems of population management in practice, including the studies and discussions of representatives of different sciences (demographers, sociologists, historians, economists, geographers, lawyers, etc..In the final part of the paper the practical steps are considered to enhance the population policy in the USSR in the early 80s, regional peculiarities of the phased introduction of new measures to provide state support for families with children in 1981–1983, as well as approaches to development of regional programmes of population policies in the late 70’s and 80’s.The research has received a new analytical material that reveals the attitude on the definition and content of the basic concepts (demographic policy and

  18. From policy to practice: implementation of physical activity and food policies in schools.

    Science.gov (United States)

    Mâsse, Louise C; Naiman, Daniel; Naylor, Patti-Jean

    2013-06-03

    Public policies targeting the school setting are increasingly being used to address childhood obesity; however, their effectiveness depends on their implementation. This study explores the factors which impeded or facilitated the implementation of publicly mandated school-based physical activity and nutrition guidelines in the province of British Columbia (BC), Canada. Semi-structured interviews were conducted with 50 school informants (17 principals - 33 teacher/school informants) to examine the factors associated with the implementation of the mandated Daily Physical Activity (DPA) and Food and Beverage Sales in Schools (FBSS) guidelines. Coding used a constructivist grounded theory approach. The first five transcripts and every fifth transcript thereafter were coded by two independent coders with discrepancies reconciled by a third coder. Data was coded and analysed in the NVivo 9 software. Concept maps were developed and current theoretical perspectives were integrated in the later stages of analysis. The Diffusion of Innovations Model provided an organizing framework to present emergent themes. With the exception of triability (not relevant in the context of mandated guidelines/policies), the key attributes of the Diffusion of Innovations Model (relative advantage, compatibility, complexity, and observability) provided a robust framework for understanding themes associated with implementation of mandated guidelines. Specifically, implementation of the DPA and FBSS guidelines was facilitated by perceptions that they: were relatively advantageous compared to status quo; were compatible with school mandates and teaching philosophies; had observable positive impacts and impeded when perceived as complex to understand and implement. In addition, a number of contextual factors including availability of resources facilitated implementation. The enactment of mandated policies/guidelines for schools is considered an essential step in improving physical activity and

  19. [Municipal health policy planning and implementation].

    Science.gov (United States)

    Vilasbôas, Ana Luiza Queiroz; Paim, Jairnilson Silva

    2008-06-01

    Municipal health policy planning can include exemplary practices for expanding the population's access to health services. The current study seeks to analyze the limits and possibilities of planning practices for policy implementation by a municipal health department. The empirical data were analyzed based on a concept of planning practices and the theoretical link between the three spheres of government and the postulate of coherence. The use of unstructured strategic planning practices by the management team allowed a significant expansion in the supply of services to the population, but lacked the scope to overcome the limits imposed on the organization's governability by the health services funding model, characterized by strong induction from the federal level. The project was the most robust vertex in the government triangle and led to the development of initial expertise by the municipal management team, thereby ensuring a certain level of governability over the health project. The goals of increasing the supply of health services were constrained by the method's weakness and the organization's institutional insipience.

  20. Lifelong Learning: Concept, Policy, Instruments and Implementation

    Directory of Open Access Journals (Sweden)

    Metin TOPRAK

    2012-01-01

    Full Text Available European Union has started an education & training initiative under the umbrella of lifelong learning to achieve the 2020 Agenda targets. Th is initiative has nearly half of a century time horizon, and all designed policies and measures have been consolidated under this initiative. Turkish Education authorities have been monitoring this European eff ort closely and made important legal and institutional regulations in recent couple of years. Th is study examines the primary aspects of lifelong learning in detail: conceptual and philosophical background; recognition strategies; the place of formal, non-formal and informal learning in the lifelong learning approach; financing and measurement ways of lifelong learning; and variety of perspectives of international institutions. In addition, education and training strategy of the Europe’s 2020 vision of lifelong learning is also evaluated in detail. Th e human resources vision of the Europe considers education, occupation and economic activities together to allow authorities to plan the future of the European societies. Th e updating mechanisms of this approach are designed both domestically at national and internationally at European levels. It is concluded, in this study, that the lifelong learning policy and implementation of the Europe should be taken as benchmark.

  1. Implementing Internationalization Policy in Higher Education Explained by Regulatory Control in Neoliberal Times

    Science.gov (United States)

    Chang, Dian-Fu

    2015-01-01

    This research investigated the internationalization policy and involved evaluating the effects of policy-driven reform on universities in the context of neoliberal theory. In this study, 293 professors from various universities were invited to express their opinions on the selected indicators reflected the implementation of internationalization in…

  2. Assessment of school wellness policies implementation by benchmarking against diffusion of innovation framework.

    Science.gov (United States)

    Harriger, Dinah; Lu, Wenhua; McKyer, E Lisako J; Pruitt, Buzz E; Goodson, Patricia

    2014-04-01

    The School Wellness Policy (SWP) mandate marks one of the first innovative and extensive efforts of the US government to address the child obesity epidemic and the influence of the school environment on child health. However, no systematic review has been conducted to examine the implementation of the mandate. The study examines the literature on SWP implementation by using the Diffusion of Innovations Theory as a framework. Empirically based literature on SWP was systematically searched and analyzed. A theory-driven approach was used to categorize the articles by 4 diffusion stages: restructuring/redefining, clarifying, routinizing, and multiple stages. Twenty-one studies were identified, and 3 key characteristics of the reviewed literature were captured: (1) uniformity in methodology, (2) role of context in analyzing policy implementation, and (3) lack of information related to policy clarification. Over half of the studies were published by duplicate set of authors, and only 1 study employed a pure qualitative methodology. Only 2 articles include an explicit theoretical framework to study theory-driven constructs related to SWP implementation. Policy implementation research can inform the policy process. Therefore, it is essential that policy implementation is measured accurately. Failing to clearly define implementation constructs may result in misguided conclusion. © 2014, American School Health Association.

  3. Economic theory and climate change policy

    International Nuclear Information System (INIS)

    Peters, I.; Ackerman, F.

    1999-01-01

    Our willingness to embrace climate change policies depends on our perception of their benefits and costs. Evaluation of these costs and benefits requires careful economic analysis. Yet the standard tools for such assessment - computable general equilibrium (CGE) models - are inadequate on several grounds. Their underlying theory suffers from well-known logical difficulties; in general, their equilibria may be neither unique, stable, nor efficient. Moreover, real-world phenomena such as increasing returns to scale, learning, and technological innovation are neglected in CGE models. These phenomena make the resulting equilibria in the models inefficient; in the real world they can lock society into sub-optimal technology choices. They introduce uncertainty and path-dependence, annihilating the concept of a single efficient allocation produced by the unfettered market. Yet conventional economics assesses the cost of policies solely on the basis of their departure from a purportedly efficient equilibrium - ignoring deeper structural changes that are often decisive in practice. New socioeconomic theories and models are emerging that allow for bounded rationality, the limiting and enabling character of institutions, technological change, and the complexities and uncertainties in economic evolution. Meanwhile, existing models should be modified to better reflect real-world phenomena and to abandon unfounded assumptions about the inherent ''inefficiencies'' of government intervention in the market. (author)

  4. Interorganizational Policy Studies: Lessons Drawn from Implementation Research

    NARCIS (Netherlands)

    O'Toole, Laurence J.

    1993-01-01

    Contingency approaches to organizing suggest that policy objectives are more likely to be achieved if the structures employed for implementation mesh with the policy objectives being sought. Interorganizational arrangements are used increasingly in carrying out public programs, and contingency logic

  5. Physically based rendering from theory to implementation

    CERN Document Server

    Pharr, Matt

    2010-01-01

    "Physically Based Rendering, 2nd Edition" describes both the mathematical theory behind a modern photorealistic rendering system as well as its practical implementation. A method - known as 'literate programming'- combines human-readable documentation and source code into a single reference that is specifically designed to aid comprehension. The result is a stunning achievement in graphics education. Through the ideas and software in this book, you will learn to design and employ a full-featured rendering system for creating stunning imagery. This book features new sections on subsurface scattering, Metropolis light transport, precomputed light transport, multispectral rendering, and much more. It includes a companion site complete with source code for the rendering system described in the book, with support for Windows, OS X, and Linux. Code and text are tightly woven together through a unique indexing feature that lists each function, variable, and method on the page that they are first described.

  6. Smoke-free policy implementation: theoretical and practical considerations.

    Science.gov (United States)

    Fallin, Amanda; Goodin, Amie; Rayens, Mary Kay; Morris, Sarah; Hahn, Ellen J

    2014-01-01

    Secondhand smoke exposure is a major public health issue, increasing the risk of cardiovascular and respiratory diseases and cancer. Although best practices for adopting smoke-free policy are well understood, there is limited research on the effective implementation of smoke-free policy. This article presents theoretical and practical considerations for smoke-free policy implementation in three Kentucky communities guided by the Institutional Analysis and Development (IAD) Framework. Although both Danville and Lexington-Fayette County, Kentucky have comprehensive smoke-free policies, Danville had more effective implementation, as well as better outcomes. Further study is needed to understand the critical elements of smoke-free policy implementation and their association with population outcomes. The IAD is a promising model to guide the study of both policy adoption and implementation. © The Author(s) 2015 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

  7. Innovation and entrepreneurship theory, policy and practice

    CERN Document Server

    Carayannis, Elias G; Bakouros, Yannis L

    2015-01-01

    This book aims to meet the needs of education and training in modern techniques of innovation and entrepreneurship, and focuses on the detailed presentation of successful business practices. As today's global economic landscape is changing rapidly, the ability of businesses to introduce new products and services to the market faster than their competitors is perhaps their most distinct competitive advantage. This becomes obvious by the significant market share that the most innovative companies gain while increasing profitability. Extensive research in this field has demonstrated that companies that are constantly innovating normally double their profits compared to others. Moreover, establishing successful practices and policies of innovation management, through which ideas evolve from conception through evaluation to implementation and commercialization, become the basis for economic growth at the firm, industry, national, regional, and global levels. Taking Greece as an example, this volume identifies syst...

  8. Implementing the South African water policy: holding the vision ...

    African Journals Online (AJOL)

    Implementing the South African water policy: holding the vision while exploring an uncharted mountain. HM MacKay, KH Rogers, DJ Roux. Abstract. This paper discusses the long-term implementation of the South African National Water Policy of 1997, and addresses some of the difficult issues of the management and ...

  9. Absolute abundance and relative scarcity : environmental policy with implementation lags

    NARCIS (Netherlands)

    Maria, di C.; Smulders, Sjak; Werf, van der E.

    2012-01-01

    We study the effectiveness of environmental policy in a model with nonrenewable resources and an unavoidable implementation lag. We find that a time lag between the announcement and the implementation of an emissions quota induces an increase in emissions in the period between the policy's

  10. NIGERIA AND THE ENIGMA OF POLICY IMPLEMENTATION Osita ...

    African Journals Online (AJOL)

    NGOZI

    mal- implemented to benefit only a section of the society. The burden of this paper; however is to critically explore the reasons that militate against effective implementation of policies in Nigeria and proffer solutions to these perennial problems in Nigeria. CONCEPT CLARIFICATION: Public Policy: Different definitions of ...

  11. Arts Curriculum Implementation: "Adopt and Adapt" as Policy Translation

    Science.gov (United States)

    Chapman, Sian; Wright, Peter; Pascoe, Robin

    2018-01-01

    This article examines macro, meso, and micro understandings of policy enactment within Western Australian primary school arts education where a new national arts curriculum is being revised and implemented through a process colloquially known as "adopt and adapt." This article focuses on how a government-led implementation policy has…

  12. Developing and implementing global gender policy to reduce HIV ...

    African Journals Online (AJOL)

    Developing and implementing global gender policy to reduce HIV and AIDS in low- and middle -income countries: Policy makers' perspectives. ... Gender inequalities have been recognised as central to the HIV epidemic for many years. In response, a range of gender policies have been developed in attempts to mitigate ...

  13. Language Policy for Education in Multilingual India: Issues and Implementation.

    Science.gov (United States)

    Sridhar, Kamal K.

    A discussion of language policy in India's educational system identifies substantive issues of both theoretical and comparative interest; presents a detailed account of the issues associated with policy-making for language in education in the Indian socio-political context; and discusses the current status of implementation of these policies, with…

  14. Stakeholder engagement for improved school policy: development and implementation.

    Science.gov (United States)

    2010-01-01

    The health and education departments of government share a responsibility for promoting the health of children through policies in the school setting. These policies can be enhanced through the involvement of such stakeholders as school personnel, students, parents or caregivers, health professionals, the non-profit sector and industry. Although there is little evidence-based literature on the roles of stakeholders in school policy development and implementation, stakeholder involvement appears to be critical throughout the policy process. This article discusses stakeholder involvement in the development and implementation of school policies that promote and support healthy eating and physical activity. Canadian examples illustrate stakeholder engagement in this context.

  15. Democratic Model of Public Policy Accountability. Case Study on Implementation of Street Vendors Empowerment Policy in Makassar City

    Directory of Open Access Journals (Sweden)

    Rulinawaty Kasmadsi

    2015-08-01

    Full Text Available Policy accountability is a form of manifestation of public officials responsible to the people. One form of policy accountability that is discussed here is street vendors policy accountability, because they are a group of citizens who have the economic activities in public spaces. The existence of this policy how-ever, the number of street vendors from year to year increase in Makassar City. Therefore, this study seeks to uncover and explain the democratic policy ac-countability through the street vendors’ responses and expectations to the implementation of street ven-dors empowerment policy in Makassar City; and to uncover and explain the democratic policy account-ability through the stakeholders’ responses and ex-pectations to the implementation of street vendors empowerment policy in Makassar City. To achieve these objectives, the study uses democracy theory, in which this theory focuses on togetherness in dis-cussing solutions to the various problems of street vendors and in the policy implementation as well.This study used a qualitative design and case studies strat-egy. Data collection techniques used was observa-tion, interview, and documentation. Data were ana-lyzed with case description its settings. The results of this study pointed out that the interests and needs of the street vendors are not met through the empow-erment policies vendors. This is caused by the ab-sence of accountability forum as a place of togeth-erness all of street vendors empowerment stakehold-ers’. Street vendors empowerment policy in Makassar City are designed base on a top-down approach, so they are considered as objects, which must accept all government programs aimed at them.

  16. Environmental Education Policy Implementation Challenges in ...

    African Journals Online (AJOL)

    This paper analyses teachers' responses to the introduction of environmental education policy in Botswana's primary schools. The 1994 Revised National Policy on Education introduced environmental education into the education system through an infusion approach. This paper reflects on some of the issues and ...

  17. Ideology, Policy and Implementation: Comparative Perspectives ...

    African Journals Online (AJOL)

    This paper provides an exposition and interpretation of the language policies of two African universities, namely the University of Yaoundé 1 in Cameroon and the University of the Western ... Keywords: Language Ideologies, Language Attitudes, Language Policy, University of the Western Cape, University of Yaoundé 1 ...

  18. Explaining willingness of public professionals to implement new policies: A policy alienation framework

    NARCIS (Netherlands)

    L.G. Tummers (Lars)

    2010-01-01

    textabstractNowadays, public professionals are often unwilling to implement new policies. We analyse this problem using an interdisciplinary approach, combining public administration and change management literature. From public administration, we use the policy alienation concept, consisting of

  19. Implementing evidence-based policy in a network setting: road safety policy in the Netherlands.

    Science.gov (United States)

    Bax, Charlotte; de Jong, Martin; Koppenjan, Joop

    2010-01-01

    In the early 1990s, in order to improve road safety in The Netherlands, the Institute for Road Safety Research (SWOV) developed an evidence-based "Sustainable Safety" concept. Based on this concept, Dutch road safety policy, was seen as successful and as a best practice in Europe. In The Netherlands, the policy context has now changed from a sectoral policy setting towards a fragmented network in which safety is a facet of other transport-related policies. In this contribution, it is argued that the implementation strategy underlying Sustainable Safety should be aligned with the changed context. In order to explore the adjustments needed, two perspectives of policy implementation are discussed: (1) national evidence-based policies with sectoral implementation; and (2) decentralized negotiation on transport policy in which road safety is but one aspect. We argue that the latter approach matches the characteristics of the newly evolved policy context best, and conclude with recommendations for reformulating the implementation strategy.

  20. Book Review: Market Liquidity: Theory, Evidence, and Policy

    DEFF Research Database (Denmark)

    Boscan, Luis

    2014-01-01

    Review of: Market Liquidity: Theory, Evidence, and Policy / by Thierry Foucault, Marco Pagano and Ailsa Röell. Oxford University Press. April 2013.......Review of: Market Liquidity: Theory, Evidence, and Policy / by Thierry Foucault, Marco Pagano and Ailsa Röell. Oxford University Press. April 2013....

  1. 7 CFR 1940.305 - Policy implementation.

    Science.gov (United States)

    2010-01-01

    ... Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE, RURAL BUSINESS..., the guide must be consistent with and reflect the objectives and policies contained in § 1940.304 of this subpart. At the same time, however, it must be tailored to take into account important State...

  2. The establishment and implementation of safety culture policy in Indonesia

    International Nuclear Information System (INIS)

    Antariksawan, A.R.; Suharno; Arbie, B.

    2001-01-01

    This paper describes the progress in the establishment and implementation of safety culture in Indonesia, especially in BATAN, with special attention given to the development of safety culture indicators. The spirit of safety culture implementation is marked firstly by declaration of Policy Statement by the Head of BATAN. In order to monitor the implementation of safety culture, six indicators are established. Based on those indicators, it is seemed that at present the progress of implementation of safety culture is quite good enough. (author)

  3. Sermons, Carrots or Sticks? Explaining Successful Policy Implementation in a Low Performance Institution

    Science.gov (United States)

    Salazar-Morales, Diego Alonso

    2018-01-01

    This article explains how after 43 years of unsatisfactory outcomes, the Ministry of Education of Peru (MoE) suddenly ranked at the top of governmental performance tables. To do so, this study relies on implementation and major discussions of policy instrument theories to provide a comprehensive explanation of the reasons underlying the MoE's…

  4. Multinational surveys for monitoring eHealth policy implementations

    DEFF Research Database (Denmark)

    Gilstad, Heidi; Faxvaag, Arild; Hyppönen, Hannele

    2014-01-01

    Development of multinational variables for monitoring eHealth policy implementations is a complex task and requires multidisciplinary, knowledgebased international collaboration. Experts in an interdisciplinary workshop identified useful data and pitfalls for comparative variable development...

  5. Evaluation of complete streets policy implementation by metropolitan planning organizations.

    Science.gov (United States)

    2015-09-01

    Over the last ten years, communities around the country have begun to implement comprehensive reforms : designed to ensure that roadway users of all ages and abilities can safely utilize the transportation system. : This complete streets policy frame...

  6. The influence of formal and informal policies and practices on health care innovation implementation: A mixed-methods analysis.

    Science.gov (United States)

    DiMartino, Lisa D; Birken, Sarah A; Hanson, Laura C; Trogdon, Justin G; Clary, Alecia S; Weinberger, Morris; Reeder-Hayes, Katherine; Weiner, Bryan J

    2018-03-12

    The implementation science literature has contributed important insights regarding the influence of formal policies and practices on health care innovation implementation, whereas informal implementation policies and practices have garnered little attention. The broader literature suggests that informal implementation policies and practices could also influence innovation use. We used the Organizational Theory of Innovation Implementation to further understand the role of formal and informal implementation policies and practices as determinants of implementation effectiveness. We examined their role within the context of initiatives to increase palliative care consultation in inpatient oncology. We used a case study design in two organizational settings within one academic medical center: medical and gynecologic oncology. We completed semistructured interviews with medical (n = 12) and gynecologic (n = 10) oncology clinicians using questions based on organizational theory. Quantitative data assessed implementation effectiveness, defined as aggregated palliative care consult rates within oncology services from 2010 to 2016. Four palliative care clinicians were interviewed to gain additional implementation context insights. Medical oncology employed multiple formal policies and practices including training and clinician prompting to support palliative care consultation and a top-down approach, yet most clinicians were unaware of the policies and practices, contributing to a weak implementation climate. In contrast, gynecologic oncology employed one formal policy (written guideline of criteria for initiating a consult) but also relied on informal policies and practices, such as spontaneous feedback and communication; they adopted a bottom-up approach, contributing to broader clinician awareness and strong implementation climate. Both services exhibited variable, increasing consult rates over time. Informal policies and practices may compensate or substitute for formal

  7. Rethinking immigration policy theory beyond 'Western liberal democracies'.

    Science.gov (United States)

    Natter, Katharina

    2018-01-01

    How do political systems shape immigration policy-making? Explicitly or implicitly, comparative politics and migration policy theories suggest a 'regime effect' that links specific dynamics of immigration policy to liberal democracy. The literature's dominant focus on so-called 'Western liberal democracies', however, has left the 'regime effect' largely untested and research on variations and similarities in immigration policymaking across political systems strikingly undertheorized. This paper challenges the theoretical usefulness of essentialist, dichotomous categories such as Western/non-Western or democratic/autocratic and calls for a more nuanced theorizing of immigration policy-making. It proposes a two-dimensional classification of immigration policy theories, distinguishing between 'issue-specific' theories that capture immigration policy processes regardless of the political system in place and 'regime-specific' theories whose insights are tied to the characteristics of a political system. The paper also advances the 'illiberal paradox' hypothesis to explain why illiberal, autocratic states may enact liberal immigration policies. This theoretical expansion beyond the 'Western' and 'liberal' bubble is illustrated by an analysis of immigration policy-making in 21st century Morocco and Tunisia. Showing how domestic and international institutions, interests, and ideas shape immigration policy-making in Morocco's monarchy and Tunisia's democratic transition, the paper investigates the broader role of political systems in immigration politics and herewith seeks to contribute to a more general and global theorization of immigration policies.

  8. Policy Implementation Decentralization Government in Indonesia

    Directory of Open Access Journals (Sweden)

    Kardin M. Simanjuntak

    2015-06-01

    Full Text Available Decentralization in Indonesia is that reforms not completed and until the current implementation is not maximized or have not been successful. The essence of decentralization is internalising cost and benefit' for the people and how the government closer to the people. That's the most important essence of essence 'decentralization’. However, the implementation of decentralization in Indonesia is still far from the expectations. It is shown that only benefits of decentralization elite and local authorities, decentralization is a neo-liberal octopus, decentralization of public services are lacking in character, decentralization without institutional efficiency, decentralization fosters corruption in the area, and quasi-fiscal decentralization.

  9. From mental health policy development in Ghana to implementation ...

    African Journals Online (AJOL)

    Suggested steps to overcoming the barriers include: revision of mental health policy and legislation; training and capacity development and wider consultation. Conclusion: These results call for well-articulated plans to address the barriers to the implementation of mental health policy in Ghana to reduce the burden ...

  10. Explaining the willingness of public professionals to implement new policies: A policy alienation framework

    NARCIS (Netherlands)

    L.G. Tummers (Lars)

    2011-01-01

    textabstractNowadays, many public policies focus on economic values, such as efficiency and client choice. Public professionals often show resistance to implementing such policies. We analyse this problem using an interdisciplinary approach. From public administration, we draw on the policy

  11. Implementing national qualifications framework policy | Kilfoil | South ...

    African Journals Online (AJOL)

    This article reflects on the implementation of the National Qualifications Framework at tertiary level, using the University of South Africa as a case study and the five stated goals of the NQF as the criteria for measuring the success or otherwise of the enterprise. A brief description is given of the initiatives at Unisa and certain ...

  12. Public policy action and CCC implementation: benefits and hurdles.

    Science.gov (United States)

    Steger, Carter; Daniel, Kelley; Gurian, Gary L; Petherick, J T; Stockmyer, Chris; David, Annette M; Miller, Sara E

    2010-12-01

    Policy change continues to be an increasingly effective means of advancing the agenda of comprehensive cancer control. Efforts have moved progressively from describing how public policy can enhance the comprehensive cancer control agenda to implementation of public policy best practices at both the state and federal levels. The current political and economic contexts bring additional challenges and opportunities to the efforts surrounding comprehensive cancer control and policy. The purpose of this paper is to highlight recent policy successes, to illustrate the importance of policy as a means of advancing the comprehensive cancer control agenda, and to discuss continued policy action as we move forward in a time of healthcare reform and continuing economic uncertainty.

  13. THEORIES AND MODELS OF FISCAL POLICY

    OpenAIRE

    Alina Georgiana SOLOMON

    2013-01-01

    Within the paper “Theories and models of fiscal policy” we made a presentation of the main fiscal theories elaborated by the renowned representatives of the Physiocratic School, of the classic English School and last, but not least, the neoclassic approach of the aforementioned in the vision of Frank Ramsey and Arthur Laffer. The purpose of the paper is to highlight which was the contribution of the fiscal theories and models formulated by scholars and to what extent they contributed to devel...

  14. Development of a South African cybersecurity policy implementation framework

    CSIR Research Space (South Africa)

    Jansen van Vuuren, JC

    2013-03-01

    Full Text Available of the policy is still in its very early stages. In this paper, the authors propose and describe a possible cybersecurity implementation framework for South Africa. This implementation framework is based on previous analysis of structures in other countries, a...

  15. Challenges in actual implementation of health policies: a review of ...

    African Journals Online (AJOL)

    Challenges in actual implementation of health policies: a review of payment exemption in Nigeria. CA Onoka, OE Onwujekwe, BSC Uzochukwu. Abstract. Background: As a response to the negative impact of implementation of user fees for health care services, an exemption scheme from payment was developed in many ...

  16. [Policy, management and participation in health: a reflection based on Habermas' theory of communicative action].

    Science.gov (United States)

    Müller Neto, Júlio Strubing; Artmann, Elizabeth

    2012-12-01

    The article discusses the appropriation of the theory developed by Habermas to analyze health policies and management. The fundamental concepts of the discursive theory of democracy as a deliberative policy, procedural democracy, the public sphere and civil society are analyzed. An attempt is made to demonstrate that the concepts of deliberative policies are grounded on basic theoretical categories of Habermas's conception of language, namely the theory of communicative action (TCA): lifeworld and system; communicative action and discourse; the ideal speech situation. The possibility of translating the categories presented in analytical categories, such as the experiences of social participation in deliberative forums and the results for the formulation and implementation of policies and health management is discussed. The conclusion drawn is that the theoretical categories reveal great explanatory potential and analytical categories are important provided that they are mediated and contextualized.

  17. INVESTIGATION OF FISCAL AND BUDGETARY POLICIES BASED ON ECONOMIC THEORIES

    Directory of Open Access Journals (Sweden)

    EMILIA CAMPEANU

    2011-04-01

    Full Text Available Empirical analysis of fiscal and budgetary policies cannot be achieved without first knowing how they are viewed in the economic theories. This approach is important to indicate the position and implications of fiscal and budgetary policy tools in the economic theory considering their major differences. Therefore, the paper aims is to investigate the fiscal and budgetary policies based on economic theories such as neoclassical, Keynesian and neo-Keynesian theory in order to indicate their divergent points. Once known these approaches at the economic theory level is easier to establish the appropriate measures taking into consideration the framing of a country economy in a certain pattern. This work was supported from the European Social Fund through Sectoral Operational Programme Human Resources Development 2007-2013, project number POSDRU/89/1.5/S/59184 „Performance and excellence in postdoctoral research in Romanian economics science domain” (contract no. 0501/01.11.2010.

  18. Implementation research evidence uptake and use for policy-making

    Directory of Open Access Journals (Sweden)

    Panisset Ulysses

    2012-07-01

    Full Text Available Abstract A major obstacle to the progress of the Millennium Development Goals has been the inability of health systems in many low- and middle-income countries to effectively implement evidence-informed interventions. This article discusses the relationships between implementation research and knowledge translation and identifies the role of implementation research in the design and execution of evidence-informed policy. After a discussion of the benefits and synergies needed to translate implementation research into action, the article discusses how implementation research can be used along the entire continuum of the use of evidence to inform policy. It provides specific examples of the use of implementation research in national level programmes by looking at the scale up of zinc for the treatment of childhood diarrhoea in Bangladesh and the scaling up of malaria treatment in Burkina Faso. A number of tested strategies to support the transfer of implementation research results into policy-making are provided to help meet the standards that are increasingly expected from evidence-informed policy-making practices.

  19. Issues in International Climate Policy: Theory and Policy

    NARCIS (Netherlands)

    Ierland, van E.C.; Gupta, J.; Kok, M.T.J.

    2003-01-01

    Climate change is currently at the center of scientific and political debate, and the need for well-designed international climate policies is widely recognized. Despite this, the complexity of both the climate change problem and the international negotiation process has resulted in a large number

  20. Homeless Educational Policy: Exploring a Racialized Discourse Through a Critical Race Theory Lens

    Science.gov (United States)

    Aviles de Bradley, Ann

    2015-01-01

    A qualitative research study conducted in two public high schools in an urban area of the Midwest sought to explore the issue of race as it pertains to educational policy implementation for unaccompanied homeless youth of color. Critical Race Theory (CRT) served as the guiding frame and method, uncovering the underlying theme of race in school…

  1. Implementing Health Policy: Lessons from the Scottish Well Men's Policy Initiative.

    Science.gov (United States)

    Douglas, Flora; van Teijlingen, Edwin; Smith, Cairns; Moffat, Mandy

    2015-01-01

    Little is known about how health professionals translate national government health policy directives into action. This paper examines that process using the so-called Well Men's Services (WMS) policy initiative as a 'real world' case study. The WMS were launched by the Scottish Government to address men's health inequalities. Our analysis aimed to develop a deeper understanding of policy implementation as it naturally occurred, used an analytical framework that was developed to reflect the 'rational planning' principles health professionals are commonly encouraged to use for implementation purposes. A mixed-methods qualitative enquiry using a data archive generated during the WMS policy evaluation was used to critically analyze (post hoc) the perspectives of national policy makers, and local health and social care professionals about the: (a) 'policy problem', (b) interventions intended to address the problem, and (c) anticipated policy outcomes. This analysis revealed four key themes: (1) ambiguity regarding the policy problem and means of intervention; (2) behavioral framing of the policy problem and intervention; (3) uncertainty about the policy evidence base and outcomes, and; (4) a focus on intervention as outcome . This study found that mechanistic planning heuristics (as a means of supporting implementation) fails to grapple with the indeterminate nature of population health problems. A new approach to planning and implementing public health interventions is required that recognises the complex and political nature of health problems; the inevitability of imperfect and contested evidence regarding intervention, and, future associated uncertainties.

  2. Highlights of policies, programmes and implementation

    International Nuclear Information System (INIS)

    Anon.

    1995-01-01

    Energy consumption in India is growing at a steady rate of 6% per annum from 649 million tonnes of oil equivalent (MTOE) in 1973 to 2019 MTOE in 1993. At this rate, the per capita consumption of energy is projected to increase by 145% by the year 2010 from 226 kg to 554 kg of oil equivalent. Oil consumption is likely to grow by 5.25% per year to 149 MMT by the year 2010 from 62.4 MMTs in 1993-94, assuming a modest GDP growth rate of 5%. The share of oil and gas in primary energy consumption in India would be in the region of 38 to 40 per cent compared with the world average of 60 percent to 61 percent. India's demand for petroleum products is growing at a rapid rate, having virtually doubled from 30 million tonnes a year in 1980-81 to almost 60 million tonnes in 1992-93. Current estimates indicate that it would reach a level of about 80 million tonnes by 1996-97 and increase further to about 100 million tonnes by the year 2001-02. With a view to meeting this growing demand, the New Hydrocarbon Policy aims at a significant increase in investment in oil exploration and production

  3. Employers and the Implementation of Active Labor Market Policies

    Directory of Open Access Journals (Sweden)

    Thomas Bredgaard

    2016-03-01

    Full Text Available Active labor market policies (ALMPs are an important instrument for governments in dealing with the new challenges of globalization, flexibilization, and individualization of labor markets. Politics and research has focused on the supply-side of the labor market, that is, regulating the rights and obligations of the target groups of ALMPs (mainly unemployed and inactive persons. The role and behavior of employers is under-researched and under-theorized in the vast literature on ALMPs and industrial relations. In this article, we analyze ALMPs from the employers’ perspective by examining the determinants of firms’ participation in providing wage subsidy jobs for the unemployed. First, we examine the historical background to the introduction and development of wage subsidy schemes as an important ALMP instrument in Denmark. Second, we derive theoretical arguments and hypotheses about employers’ participation in ALMPs from selected theories. Third, we use data from a survey of Danish firms conducted in 2013 to characterize the firms that are engaged in implementing wage subsidy jobs and hypotheses are tested using a binary logistical regression to establish why firms voluntarily engage in reintegrating unemployed back into the labor market. We find that the firms which are most likely to participate in the wage subsidy scheme are characterized by many unskilled workers, a higher coverage of collective agreements, a deteriorating economic situation, a Danish ownership structure, and are especially found in the public sector. This shows that the preference formation of firms is more complex than scholars often assume.

  4. Mechanisms of discretionary fiscal policy implementation at subfederal level

    Directory of Open Access Journals (Sweden)

    Alsu Mahmutovna Galiakhmetova

    2015-06-01

    Full Text Available Objective to identify new approaches to implementation of effective discretionary fiscal policy to stimulate socioeconomic development at the subfederal level. Methods the study used comparative methods of economic analysis and logic synthesis. The basic methodological principles were used like dialectical approach to the cognition of socioeconomic phenomena in the area of discretionary fiscal policy at the subfederal level in the context of the comprehensive objective and subjective factors as well as the methodological principle ndash the unity of historical and logical systematic approach to economic phenomena and processes of mechanisms formation for the implementation of discretionary fiscal policy. Results the diagnostics is conducted of the current socioeconomic processes in the region implemented by the Tatarstan executive bodies of state power and administration of discretionary policy in the sphere of agriculture the economic levers are considered that determine the mechanisms of maneuvering of the regional budget expenses that affect the acceleration of socioeconomic development. Scientific novelty the paper presents new approaches to the formation of mechanisms for the effective implementation of discretionary policy at the subfederal level. Practical value the main provisions and conclusions of the article can be used in scientific and pedagogical activity when considering the issues of the nature and trends of modern discretionary fiscal policy. nbsp

  5. Use of implementation theory: a focus on PARIHS.

    Science.gov (United States)

    Ullrich, Philip M; Sahay, Anju; Stetler, Cheryl B

    2014-02-01

    Limited understanding and application of theory in implementation research contributes to variable effectiveness of implementation studies. Better understanding of direct experiences with theory could improve implementation research and the potency of interventions. This study was a conceptual exercise aimed at characterizing experiences with and applications of the Promoting Action on Research Implementation in Health Services (PARIHS) framework. This was a structured, qualitative study involving document reviews and interviews used to answer the following overarching questions about nine implementation research centers: Why and how was PARIHS used? What strengths and weaknesses were identified for PARIHS? PARIHS was being used for varied purposes, at varied levels, in varied ways, and to a varying extent within and across centers. Lack of implementation theory use in investigators' early years was common. Variability in the nature of theory use was attributable to characteristics of the centers, individual investigators, and features of PARIHS. Strengths and weaknesses of the PARIHS framework were identified. The study provides information to researchers and theorists about the use of one well-known implementation framework. The information suggests areas for improvements in PARIHS as well as theory use in general, and should assist in the development of theory-based programs of research. Published 2013. This article is a U.S. Government work and is in the public domain in the USA.

  6. Digitally assisted pipeline ADCs theory and implementation

    CERN Document Server

    Murmann, Boris

    2007-01-01

    List of Figures. List of Tables. Acknowledgements. Preface. 1: Introduction. 1. Motivation. 2. Overview. 3. Chapter Organization. 2: Performance Trends. 1. Introduction. 2. Digital Performance Trends. 3. ADC Performance Trends. 3: Scaling Analysis. 1. Introduction. 2. Basic Device Scaling from a Digital Perspective. 3. Technology Metrics for Analog Circuits. 4. Scaling Impact on Matching-Limited Circuits. 5. Scaling Impact on Noise-Limited Circuits. 4: Improving Analog Circuit Efficiency. 1. Introduction. 2. Analog Circuit Challenges. 3. The Cost of Feedback. 4. Two-Stage Feedback Amplifier vs. Open-Loop Gain Stage. 5. Discussion. 5: Open-Loop Pipelined ADCs. 1. A Brief Review of Pipelined ADCs. 2. Conventional Stage Implementation. 3. Open-Loop Pipeline Stages. 4. Alternative Transconductor Implementations. 6: Digital Nonlinearity Correction. 1. Overview. 2. Error Model and Digital Correction. 3. Alternative Error Models. 7: Statistics-Based Parameter Estimation. 1. Introduction. 2. Modulation Approach. 3. R...

  7. The Ion Funnel: Theory, Implementations, and Applications

    Science.gov (United States)

    Kelly, Ryan T.; Tolmachev, Aleksey V.; Page, Jason S.; Tang, Keqi; Smith, Richard D.

    2009-01-01

    The electrodynamic ion funnel has enabled the manipulation and focusing of ions in a pressure regime (0.1 to 30 Torr) that has challenged traditional approaches, providing the basis for much greater mass spectrometer ion transmission efficiencies. The initial ion funnel implementations aimed to efficiently capture ions in the expanding gas jet of an electrospray ionization source and radially focus them for efficient transfer through a conductance limiting orifice. We review the improvements in fundamental understanding of ion motion in ion funnels, the evolution in its implementations that have brought the ion funnel to its current state of refinement, as well as applications of the ion funnel for purposes such as ion trapping, ion cooling, low pressure electrospray, and ion mobility spectrometry. PMID:19391099

  8. Theories of State Analyzing the Policy Process,

    Science.gov (United States)

    1973-11-01

    Mean, early sociologists; William Graham Sumner; Kurt Lewin, the social psychologist who emphasized group cohesiveness in group dynamics; Wilfred ... Bion ; Leon Festinger, who studied "cognitive dissonance" Harold Kelley, Stanley Schachter and Dorwin Cartwright. 63 For application to policy-making in

  9. Creative city policy : Bridging the gap with theory

    NARCIS (Netherlands)

    Trip, J.J.; Romein, A.

    2010-01-01

    The creative city concept is popular among researchers and policy-makers. On the one hand, academic literature elaborates, on a conceptual level, the importance of creativity and innovation for urban competitiveness; on the other, numerous cities develop and implement creative city policies in

  10. Implementation of U.S. Policy in the Arctic

    Science.gov (United States)

    2013-05-23

    the Convention on International Trade in Endangered Species of Wild Fauna and Flora, the Convention on Long Range Transboundary Air Pollution and...security and economic goals. In light of these recent environmental changes around the globe, there has been an increase in human activity in the...these policies will shed light on how America has not adequately implemented its Arctic policy. Finally, at detailed assessment of actions taken by USG

  11. Music Participation: Theory, Research, and Policy.

    Science.gov (United States)

    Gates, J. Terry

    1991-01-01

    Bases a music participation theory on findings in music education, ethnomusicology, and sociology of leisure. Posits six types of music participants: professionals, apprentices, amateurs, hobbyists, recreationists, and dabblers. Distinguishes each type by theoretical variations in cost-benefit relationships as perceived by participants. Discusses…

  12. Endogenous growth theory and regional development policy

    Directory of Open Access Journals (Sweden)

    Cvetanović Slobodan

    2015-01-01

    Full Text Available The numerous versions of endogenous explanations of economic growth emphasize the importance of technological change driving forces, as well as the existence of appropriate institutional arrangements. Endogenous growth theory contributes to a better understanding of various experiences with long-term growth of countries and regions. It changes the key assumptions of the Neoclassical growth theory and participates in the modern regional development physiology explanation. Based on these conclusions, the paper: a explicates the most important theoretical postulates of the theory, b explains the most important factors of economic growth in the regions in light of the Endogenous growth theory messages and c emphasizes the key determinants of regional competitiveness which in our view is conceptually between the phenomena of micro- and macro-competitiveness and represents their necessary and unique connection. First of all, micro-competitiveness is transformed into a regional competitiveness; then regional competitiveness is transformed into a macro-competitiveness. In turn, macro - influences the microeconomic competitiveness, and the circle is closed. After that, the process starts over again.

  13. Analysis of selected policies towards universal health coverage in Uganda: the policy implementation barometer protocol.

    Science.gov (United States)

    Hongoro, Charles; Rutebemberwa, Elizeus; Twalo, Thembinkosi; Mwendera, Chikondi; Douglas, Mbuyiselo; Mukuru, Moses; Kasasa, Simon; Ssengooba, Freddie

    2018-01-01

    Policy implementation remains an under researched area in most low and middle income countries and it is not surprising that several policies are implemented without a systematic follow up of why and how they are working or failing. This study is part of a larger project called Supporting Policy Engagement for Evidence-based Decisions (SPEED) for Universal Health Coverage in Uganda. It seeks to support policymakers monitor the implementation of vital programmes for the realisation of policy goals for Universal Health Coverage. A Policy Implementation Barometer (PIB) is proposed as a mechanism to provide feedback to the decision makers about the implementation of a selected set of policy programmes at various implementation levels (macro, meso and micro level). The main objective is to establish the extent of implementation of malaria, family planning and emergency obstetric care policies in Uganda and use these results to support stakeholder engagements for corrective action. This is the first PIB survey of the three planned surveys and its specific objectives include: assessment of the perceived appropriateness of implementation programmes to the identified policy problems; determination of enablers and constraints to implementation of the policies; comparison of on-line and face-to-face administration of the PIB questionnaire among target respondents; and documentation of stakeholder responses to PIB findings with regard to corrective actions for implementation. The PIB will be a descriptive and analytical study employing mixed methods in which both quantitative and qualitative data will be systematically collected and analysed. The first wave will focus on 10 districts and primary data will be collected through interviews. The study seeks to interview 570 respondents of which 120 will be selected at national level with 40 based on each of the three policy domains, 200 from 10 randomly selected districts, and 250 from 50 facilities. Half of the respondents at

  14. Implementation lessons for school food policies and marketing restrictions in the Philippines: a qualitative policy analysis.

    Science.gov (United States)

    Reeve, Erica; Thow, Anne Marie; Bell, Colin; Engelhardt, Katrin; Gamolo-Naliponguit, Ella Cecilia; Go, John Juliard; Sacks, Gary

    2018-01-23

    The school environment can enhance children's skills, knowledge and behaviours in relation to healthy eating. However, in many countries, unhealthy foods are commonly available in schools, and children can be exposed to aggressive marketing by the food industry. Taking the perspective of policymakers, this study aimed to identify barriers and enablers to effective school food policy development and implementation in the Philippines. In May 2016, semi-structured interviews were conducted with 21 policymakers and stakeholders involved in school food policymaking and implementation in the Philippines. The Health Policy Analysis Triangle was used to identify interview questions and to guide the thematic analysis. These included the political and socio-environmental context, strengths and limitations of existing policy content, roles and behaviours of actors, implementation processes, policy outcomes, and opportunities to improve policy coherence. The Department of Education's policy 'Orders' represented a relatively strong policy framework for the education sector of the Philippines. However, a lack of human and financial resources for implementation, planning, and policy enforcement limited the impact of the policy on the healthiness of school food provision. Ambiguity in policy wording allowed a wide interpretation of the foods eligible to be provided in schools, and led to difficulties in effective monitoring and enforcement. Food companies used existing relationships with schools to promote their brands and compromise the establishment of a stronger food policy agenda. We found a motivated group of actors engaging in policy-oriented learning and advocating for a stronger policy alternative so as to improve the school food environment. The adoption of policy mechanisms being used to promote healthy dietary practices in the school setting will be strengthened by more robust implementation planning processes, and resources to support implementation and enforcement

  15. Affective Policy Performance Evaluation Model: A Case of an International Trade Policy Implementation

    Directory of Open Access Journals (Sweden)

    Inwon Kang

    2018-01-01

    Full Text Available Firms often superficially adopt policies because of governmental rules and regulations, so as to avoid penalties or to gain benefits. However, the evaluation and characterization of those kinds of adoptions as policy performance distorts the true level of policy performance: social sustainability. This study proposes an affective policy performance evaluation model. The attitudes of employees toward adopting a policy are characterized into genuine and superficial compliance. Their behaviors are explained through voluntary and opportunistic adoptions. In order to validate the proposed model, a survey was conducted on an international trade policy target group (n = 216 for the Strategic Trade Control System (STCS, in order to understand their attitudes toward adopting the policy. The survey data was analyzed by a structural equation modeling method. The measures of the factors in the proposed model are adopted and modified from existing studies. The most effective resources of policy implementation on the firms’ genuine and superficial compliance and ultimately on the firms’ voluntary policy adoption are revealed through the analysis. Based on the results, this study presents a strategy for allocating and managing policy implementation resources to exclusively encourage firms’ trade policy adoptions.

  16. The radon transform. Theory and implementation

    International Nuclear Information System (INIS)

    Toft, P.

    1996-01-01

    The subject of this Ph.D. thesis is the mathematical Radon transform, which is well suited for curve detection in digital images, and for reconstruction of tomography images. The thesis is divided into two main parts. Part I describes the Radon- and the Hough-transform and especially their discrete approximations with respect to curve parameter detection in digital images. The sampling relationships of the Radon transform is reviewed from a digital signal processing point of view. The discrete Radon transform is investigated for detection of curves, and aspects regarding the performance of the Radon transform assuming various types of noise is covered. Furthermore, a new fast scheme for estimating curve parameters is presented. Part II of the thesis describes the inverse Radon transform in 2D and 3D with focus on reconstruction of tomography images. Some of the direct reconstruction schemes are analyzed, including their discrete implementation. Furthermore, several iterative reconstruction schemes based on linear algebra are reviewed and applied for reconstruction of Positron Emission Tomography (PET) images. A new and very fast implementation of 2D iterative reconstruction methods is devised. In a more practical oriented chapter, the noise in PET images is modelled from a very large number of measurements. Several packagers for Radon- and Hough-transform based curve detection and direct/iterative 2D and 3D reconstruction have been developed and provided for free. (au) 140 refs

  17. The implementation of Health in All Policies initiatives: a systems framework for government action.

    Science.gov (United States)

    Shankardass, Ketan; Muntaner, Carles; Kokkinen, Lauri; Shahidi, Faraz Vahid; Freiler, Alix; Oneka, Goldameir; M Bayoumi, Ahmed; O'Campo, Patricia

    2018-03-15

    There has been a renewed interest in broadening the research agenda in health promotion to include action on the structural determinants of health, including a focus on the implementation of Health in All Policies (HiAP). Governments that use HiAP face the challenge of instituting governance structures and processes to facilitate policy coordination in an evidence-informed manner. Due to the complexity of government institutions and the policy process, systems theory has been proposed as a tool for evaluating the implementation of HiAP. Our multiple case study research programme (HiAP Analysis using Realist Methods On International Case Studies - HARMONICS) has relied on systems theory and realist methods to make sense of how and why the practices of policy-makers (including politicians and civil servants) from specific institutional environments (policy sectors) has either facilitated or hindered the implementation of HiAP. Herein, we present a systems framework for the implementation of HiAP based on our experience and empirical findings in studying this process. We describe a system of 14 components within three subsystems of government. Subsystems include the executive (heads of state and their appointed political elites), intersectoral (the milieu of policy-makers and experts working with governance structures related to HiAP) and intrasectoral (policy-makers within policy sectors). Here, HiAP implementation is a process involving interactions between subsystems and their components that leads to the emergence of implementation outcomes, as well as effects on the system components themselves. We also describe the influence of extra-governmental systems, including (but not limited to) the academic sector, third sector, private sector and intergovernmental sector. Finally, we present a case study that applies this framework to understand the implementation of HiAP - the Health 2015 Strategy - in Finland, from 2001 onward. This framework is useful for helping to

  18. India′s draft National Health Policy, 2015: Improving policy to implementation effectiveness

    Directory of Open Access Journals (Sweden)

    Nata Menabde

    2015-01-01

    Full Text Available As the Government of India is working on drafting a new National Health Policy, developing national health accounts, and planning for a "health assurance mission," this opportunity has the potential to transform health status of millions of Indians and achieve universal health coverage. The draft of new National Health Policy of India was put in public domain for comments in early 2015. This editorial reviews the draft National Health Policy 2015 and proposes a few steps to improve implementation effectiveness.

  19. Policy Implementation beyond the Management of Change: A Case Study in Managing the Policy Process.

    Science.gov (United States)

    Welton, John; Evans, Jennifer

    Using the 1981 Education Act of England and Wales as a case study, this paper develops a conceptual framework of education legislation as a significant reference point in the process of negotiation and bargaining that initiates legislation and continues throughout the period of policy implementation. A model of the policy process and the…

  20. The implementation of the Nuclear Waste Policy Act of 1982

    International Nuclear Information System (INIS)

    Gale, R.W.

    1986-01-01

    This paper reviews the status of implementation of the Nuclear Waste Policy Act of 1982. The general conclusions are that the Act is a good one, although not perfect, and that it can be implemented on schedule if there can be better interaction between the Federal, State and Tribal entities with less resort to time consuming litigation. A review is made of the progress to date as it appears to the U.S. DOE

  1. Progress with Implementing Energy Efficiency Policies in the G8

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2009-07-01

    At the 2008 G8 Summit in Hokkaido, leaders reaffirmed the critical role improved energy efficiency can play in addressing energy security, environmental and economic objectives. They went even farther than in previous Summits and committed to maximising implementation of the 25 IEA energy efficiency recommendations prepared for the G8. The imperative to enhance energy efficiency remains a priority for all countries. To support governments with their implementation of energy efficiency, the IEA recommended the adoption of a broad range of specific energy efficiency policy measures to the G8 Summits in 2006, 2007 and 2008. The consolidated set of recommendations from these Summits covers 25 fields of action across seven priority areas: cross-sectoral activity, buildings, appliances, lighting, transport, industry and power utilities. If governments want to significantly improve energy efficiency, the IEA considers that no single policy implemented in isolation will be effective at achieving this aim. The IEA Secretariat recommends that governments implement a full set of appropriate measures. The IEA estimates that if implemented globally without delay, the proposed actions could save around 8.2 GtCO2/yr by 2030 -- equivalent to twice the EU's yearly emissions. This report evaluates the progress of the G8 countries in implementing energy efficiency policy, including the 25 G8/IEA recommendations. Information in this report is current up to 31 March 2009.

  2. Using of Protectionism Policy Tools in the context of WTO from the Perspective of Dependency Theory

    Directory of Open Access Journals (Sweden)

    Göksel KARAŞ

    2017-12-01

    Full Text Available Since the 1980s, when neoliberal policies have been intensively implemented, the distribution of income between developed and less developed countries in the world has begun to increase inequality. There are discourses that the neoliberal view suggests that today's wealthy countries are successful with free market economics, so that all countries in the world must move to a free market economy system and that neoliberal policies are the only way for development. According to the neoliberal policy which advocates the state neutrality in the economy, the role of the state in the economy should be reduced. As a result, weakening the effectiveness of government policy-setting and implementation in the economy is intended. Thus, developed countries direct the underdeveloped or developing countries in the direction of their own interests. The result of these discourses, the theory of dependence which states that there is a relationship between developed and underdeveloped countries based on power and control, that underdevelopment of underdeveloped countries should be sought in the development process of developed countries has come out. The aim of the study is to assess the results of the use of defense measures in the trade policy implemented under the World Trade Organization (WTO, based on the assumptions of the dependency theory. When the use of defense instruments in trade policy is examined, it appears that these instruments have been effectively used by developed countries that advocate and enforce the free market economy in the world.

  3. The Theory of Optimal Taxation: What is the Policy Relevance?

    OpenAIRE

    Birch Sørensen, Peter

    2006-01-01

    The paper discusses the implications of optimal tax theory for the debates on uniform commodity taxation and neutral capital income taxation. While strong administrative and political economy arguments in favor of uniform and neutral taxation remain, recent advances in optimal tax theory suggest that the information needed to implement the differentiated taxation prescribed by optimal tax theory may be easier to obtain than previously believed. The paper also points to the strong similarity b...

  4. Extent of implementation of collection development policies in ...

    African Journals Online (AJOL)

    The study is a survey research on the extent of implementation of collection development policies in academic libraries in Imo state. The population of the study comprises five (5) academic libraries in the area of study. The academic libraries understudy are: Imo State University Owerri (IMSU), Federal University of ...

  5. From mental health policy development in Ghana to implementation ...

    African Journals Online (AJOL)

    6The Mental Health and Poverty Project (MHaPP) is a Research Programme Consortium (RPC) funded by the UK Department for. International ... improving mental health care delivery, progress in the implementation of mental health policy still remains slow in. Sub-Saharan Africa? A qualitative survey of a selected group of ...

  6. Promoting Implementation of Tobacco Control Laws and Policies in ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Promoting Implementation of Tobacco Control Laws and Policies in Nigeria. The looming tobacco epidemic and its potential for thwarting development has prompted most governments in sub-Saharan Africa to ratify the World Health Organization's Framework Convention on Tobacco Control (WHO-FCTC). Ratifying ...

  7. Prohibiting physicians' dual practice in Iran: Policy options for implementation.

    Science.gov (United States)

    Bazyar, Mohammad; Rashidian, Arash; Jahanmehr, Nader; Behzadi, Faranak; Moghri, Javad; Doshmangir, Leila

    2018-04-23

    In Iran, based on the recent national policy documents, physician dual practice (PDP) has been prohibited. This study aimed to develop policy options (POs) to implement physicians' dual practice prohibition law in Iran. International evidence published in English and local documents published in Persian about PDP analyzed and results (advantages, disadvantages, challenges and requirements to ban PDP, and applied policies to limit the dual practice) were extracted. Results discussed among the research team in 5 rounds of meetings. In each meeting, any possible PO to limit PDP in Iran was proposed based on brainstorming technique and 12 POs were developed. These 12 POs and their advantages and disadvantages were discussed in a focus group discussion attended by 14 informed policy makers, and 3 additional POs were added. Fifteen POs were developed. Each PO has its own advantages and disadvantages. It is worth to highlight that not only are the proposed POs not mutually exclusive but they are also mutually reinforcing; that is, each of these POs can be applied alone or they can be implemented alongside each other simultaneously. No single optimal PO exists for dealing with the dual practice in Iranian health system. Implementing a mix of POs could reduce possible complications of each PO and increase the chance of successful implementation of the law. It is advisable to follow a conservative and incremental approach and start with POs that will cause less resistance and political challenges. Copyright © 2018 John Wiley & Sons, Ltd.

  8. Local Voice and Benefit in the Implementation of RWM Policy

    International Nuclear Information System (INIS)

    Blowers, Andrew

    2009-01-01

    In several countries key decisions have been taken on the options for the long-term management of radioactive waste and most have opted for deep geological disposal as the best available approach; in a few cases (Finland, Sweden, USA, France), progress has been made towards the selection of a site for a repository. The author considers that, as the emphasis shifts from the assessment of options to the implementation of proposals so there is a corresponding shift from generic to specific concerns and from national policy to specific and local siting issues. Questions of local voice and benefit, of involvement in decision making and the well being of communities come more and more to command the attention of policy makers. In setting out strategies for implementation it is necessary to take into account the contextualising elements which influence the framing and development of policy, among which three elements in particular: timescale, discourse, and community. Each of these three contextualising elements poses issues for the continuing implementation of policies and programmes of radioactive waste management. For the author, these key issues are fairness, power, and well being, and although there is manifestly a new approach to radioactive waste management, most countries are only at the beginning of the process of implementation. The politics and practicalities of introducing innovative approaches designed to transform perceptions and practices poses some difficult problems which can be identified by asking the questions: Where? How? When? and Who?

  9. Extent of implementation of Collection Development Policies (CDP ...

    African Journals Online (AJOL)

    The study was on the extent of implementation of collection development policies by public University libraries in the Niger Delta Area, Nigeria. Descriptive survey design was employed. Population for the study consisted of all the 16 Colle ction Development Librarians in the Area studied. No sample was used because the ...

  10. Towards implementing a records management policy at the National ...

    African Journals Online (AJOL)

    Towards implementing a records management policy at the National University of Science and Technology. ... records management committee that will facilitate and present records management plans and budgets to the top university management; promote awareness through extensive training of all staff handling records ...

  11. A game theory analysis of green infrastructure stormwater management policies

    Science.gov (United States)

    William, Reshmina; Garg, Jugal; Stillwell, Ashlynn S.

    2017-09-01

    Green stormwater infrastructure has been demonstrated as an innovative water resources management approach that addresses multiple challenges facing urban environments. However, there is little consensus on what policy strategies can be used to best incentivize green infrastructure adoption by private landowners. Game theory, an analysis framework that has historically been under-utilized within the context of stormwater management, is uniquely suited to address this policy question. We used a cooperative game theory framework to investigate the potential impacts of different policy strategies used to incentivize green infrastructure installation. The results indicate that municipal regulation leads to the greatest reduction in pollutant loading. However, the choice of the "best" regulatory approach will depend on a variety of different factors including politics and financial considerations. Large, downstream agents have a disproportionate share of bargaining power. Results also reveal that policy impacts are highly dependent on agents' spatial position within the stormwater network, leading to important questions of social equity and environmental justice.

  12. Racial-Equity Policy as Leadership Practice: Using Social Practice Theory to Analyze Policy as Practice

    Science.gov (United States)

    Feldman, Sue; Winchester, Ilana

    2015-01-01

    This, primarily theoretical, paper takes up the longstanding problem of the disconnection between education policy and leadership practice. The authors propose the use of social practice theory as a tool for educational leaders at the state, school district, and school levels, to eliminate the disconnection between policy design and leadership…

  13. Implementing health policy: lessons from the Scottish Well Mens policy initiative

    Directory of Open Access Journals (Sweden)

    Flora Douglas

    2015-12-01

    Full Text Available Background: Little is known about how health professionals translate national government health policy directives into action. This paper examines that process using the so-called Well Men's Services (WMS policy initiative as a ‘real world’ case study. The WMS were launched by the Scottish Government to address men's health inequalities. Our analysis aimed to develop a deeper understanding of policy implementation as it naturally occurred, used an analytical framework that was developed to reflect the ‘rational planning' principles health professionals are commonly encouraged to use for implementation purposes. Methods and materials: A mixed-methods qualitative enquiry using a data archive generated during the WMS policy evaluation was used to critically analyze (post hoc the perspectives of national policy makers, and local health and social care professionals about the: (a ‘policy problem’, (b interventions intended to address the problem, and (c anticipated policy outcomes. Results and conclusions: This analysis revealed four key themes: (1 ambiguity regarding the policy problem and means of intervention; (2 behavioral framing of the policy problem and intervention; (3 uncertainty about the policy evidence base and outcomes, and; (4 a focus on intervention as outcome. This study found that mechanistic planning heuristics (as a means of supporting implementation fails to grapple with the indeterminate nature of population health problems. A new approach to planning and implementing public health interventions is required that recognises the complex and political nature of health problems; the inevitability of imperfect and contested evidence regarding intervention, and, future associated uncertainties.

  14. Current Trends in Foreign Trade Theory and Policy

    Directory of Open Access Journals (Sweden)

    Zdzisław W. Puślecki

    2017-12-01

    Full Text Available In this research work, Author focus on the current analysis trends in foreign trade theory and policy. Accordance with the foreign trade policy theory further trade liberalisation and improved framework policies would increase trade and promote growth. It must be emphasized that openness to trade is associated with higher incomes and growth and there is the need for new approaches to trade cooperation in light of the forces that are currently re-shaping international business. What indicates the importance and innovativeness of the research is the presentation of the new models of the foreign trade policy and trade interests. First of all, it must underline that in the new theoretical terms in demand for trade policy very important is factor specificity. The low specificity of factors means that factor returns are equalized throughout a region’s economy. On the other hand, some factors are stuck in their present uses; therefore, factor returns are not equalized throughout a region’s economy but are industry specific. The main objective of the research task is to give a comprehensive analysis of current trends in foreign trade theory and policy and in particular models of foreign trade policy, trade interests indicated by export orientation and import sensitivity, foreign trade policy in different types of authoritarian regimes, protectionist pressures in different political system, the level of protectionist pressures, the tendencies to bilateralism in the foreign trade policy. It should be stressed that free trade in itself is not responsible for economic growth, but more significant are the determining macroeconomic stability and increasing investment.

  15. Qualitative analysis of the dynamics of policy design and implementation in hospital funding reform.

    Directory of Open Access Journals (Sweden)

    Karen S Palmer

    Full Text Available As in many health care systems, some Canadian jurisdictions have begun shifting away from global hospital budgets. Payment for episodes of care has begun to be implemented. Starting in 2012, the Province of Ontario implemented hospital funding reforms comprising three elements: Global Budgets; Health Based Allocation Method (HBAM; and Quality-Based Procedures (QBP. This evaluation focuses on implementation of QBPs, a procedure/diagnosis-specific funding approach involving a pre-set price per episode of care coupled with best practice clinical pathways. We examined whether or not there was consensus in understanding of the program theory underpinning QBPs and how this may have influenced full and effective implementation of this innovative funding model.We undertook a formative evaluation of QBP implementation. We used an embedded case study method and in-depth, one-on-one, semi-structured, telephone interviews with key informants at three levels of the health care system: Designers (those who designed the QBP policy; Adoption Supporters (organizations and individuals supporting adoption of QBPs; and Hospital Implementers (those responsible for QBP implementation in hospitals. Thematic analysis involved an inductive approach, incorporating Framework analysis to generate descriptive and explanatory themes that emerged from the data.Five main findings emerged from our research: (1 Unbeknownst to most key informants, there was neither consistency nor clarity over time among QBP designers in their understanding of the original goal(s for hospital funding reform; (2 Prior to implementation, the intended hospital funding mechanism transitioned from ABF to QBPs, but most key informants were either unaware of the transition or believe it was intentional; (3 Perception of the primary goal(s of the policy reform continues to vary within and across all levels of key informants; (4 Four years into implementation, the QBP funding mechanism remains

  16. Development of Taiwanese government’s climate policy after the Kyoto protocol: Applying policy network theory as an analytical framework

    International Nuclear Information System (INIS)

    Shyu, Chian-Woei

    2014-01-01

    Given its limited involvement in and recognition by international organizations, Taiwan is not presently a signatory to the United Nations Framework Convention on Climate Change (UNFCCC) or the Kyoto Protocol. The objective of this study is to analyze how and the extent to which changes in an exogenous factor, namely the Kyoto Protocol and Post-Kyoto climate negotiations, affect and ultimately lead to the formulation of and changes in the Taiwanese government's climate policy. This study applies policy network theory to examine the development of and changes in the Taiwanese government's climate policy. The results demonstrate that international climate agreements and negotiations play a key role in the development of, changes to, and transformation of Taiwan's climate policy. Scarce evidence was found in this study to demonstrate that domestic or internal factors affect climate change policy. Despite its lack of participation in the UNFCCC and the Kyoto Protocol, Taiwan has adopted national climate change strategies, action plans, and programs to reduce greenhouse gas emissions. However, these climate policies and measures are fairly passive and aim to only conform to the minimal requirements for developing countries under international climate agreements and negotiations. This process results in inconsistent and variable climate policies, targets, and regulations. - Highlights: • Taiwan is not a signatory to the UNFCCC or its Kyoto Protocol. • International climate agreements strongly affected Taiwan's climate policy. • Little evidence was found that domestic factors affect Taiwan's climate policy. • New climate policies, regulations, and laws are formulated and implemented. • Climate policies, targets, and regulations change frequently and are inconsistent

  17. Implementing AIDS policy in post-apartheid South Africa.

    Science.gov (United States)

    Schneider, H; Stein, J

    2001-03-01

    In common with the rest of the Southern African sub-continent. South Africa is currently experiencing a serious HIV epidemic. When it came into power in 1994, the new, Mandela-led government immediately mobilised funds and adopted a far-reaching AIDS Plan for the country. However, the implementation of AIDS policy in the first four years after 1994 has been characterised by a lack of progress and a breakdown of trust and co-operation, both within government and between government and NGOs. This paper outlines the political context which shaped the development of the AIDS Policy, then examines the difficulties of implementing a comprehensive response to AIDS in a country undergoing restructuring at every level. It questions the notion of "inadequate political will" as an explanation for lack of progress. Involvement by politicians has, in fact, been experienced as a double-edged sword in South Africa, with inappropriate, "quick-fix" actions creating conflict and hampering a more longer-term, effective response. The paper also highlights the importance of groupings outside of government in promoting effective policy actions, and the types of leadership required to mobilise a broad range of actors around a common vision. It concludes by emphasising the need to develop approaches to policy implementation rooted in the possibilities and constraints of the local situation, rather than relying on universal blue-prints developed out of context.

  18. On Health Policy and Management (HPAM: Mind the Theory-Policy-Practice Gap

    Directory of Open Access Journals (Sweden)

    David Chinitz

    2014-12-01

    Full Text Available We argue that the field of Health Policy and Management (HPAM ought to confront the gap between theory, policy, and practice. Although there are perennial efforts to reform healthcare systems, the conceptual barriers are considerable and reflect the theory-policy-practice gap. We highlight four dimensions of the gap: 1 the dominance of microeconomic thinking in health policy analysis and design; 2 the lack of learning from management theory and comparative case studies; 3 the separation of HPAM from the rank and file of healthcare; and 4 the failure to expose medical students to issues of HPAM. We conclude with suggestions for rethinking the field of HPAM by embracing broader perspectives, e.g. ethics, urban health, systems analysis and cross-national analyses of healthcare systems.

  19. Progress Implementing the IEA 25 Energy Efficiency Policy Recommendations

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-07-01

    Significantly improving energy efficiency remains a priority for all countries. Meetings of G8 leaders and IEA ministers reaffirmed the critical role that improved energy efficiency can play in addressing energy security, environmental and economic challenges. Many IEA publications have also documented the essential role of energy efficiency. For example, the World Energy Outlook and the Energy Technology Perspectives reports identify energy efficiency as the most significant contributor to achieving energy security, economic and environmental goals. Energy efficiency is clearly the “first fuel” in the delivery of energy services in the coming low-carbon energy future. To support governments in their implementation of energy efficiency, the IEA recommended the adoption of specific energy efficiency policy measures to the G8 summits in 2006, 2007 and 2008. The consolidated set of recommendations to these summits is known as the ‘IEA 25 energy efficiency policy recommendations’ because it covers 25 fields of action across seven priority areas: cross-sectoral activity, buildings, appliances, lighting, transport, industry and energy utilities. The IEA estimates that if implemented globally without delay, the proposed actions could save as much as 7.6 giga tonnes (Gt) CO2/year by 2030 – almost 1.5 times the current annual carbon dioxide (CO2) emissions of the United States. The IEA 25 energy efficiency policy recommendations were developed to address policy gaps and priorities. This has two implications. First, the recommendations do not cover the full range of energy efficiency policy activity possible. Rather, they focus on priority energy efficiency policies identified by IEA analysis. Second, while IEA analysis, the energy efficiency professional literature and engagement with experts clearly demonstrate the broad benefits of these IEA priority measures, the recommendations are not weighted to reflect the different energy end-use make up of different

  20. From Tobacco to Obesity Prevention Policies: A Framework for Implementing Community-Driven Policy Change.

    Science.gov (United States)

    Walter, Lauren; Dumke, Kelly; Oliva, Ariana; Caesar, Emily; Phillips, Zoë; Lehman, Nathan; Aragon, Linda; Simon, Paul; Kuo, Tony

    2018-04-01

    Efforts to reverse the obesity epidemic require policy, systems, and environmental (PSE) change strategies. Despite the availability of evidence-based and other promising PSE interventions, limited evidence exists on the "how-to" of transitioning them into practice. For the past 13 years, the Los Angeles County Department of Public Health has been building capacity among community residents and other stakeholders to create effective community coalitions and to implement well-designed policy strategy campaigns using an evidence-based approach to policy change, the policy adoption model (PAM). Implementing a phase-based approach to policy change, the PAM was initially used to support the passage of over 140 tobacco control and prevention policies in Los Angeles County. Following these successes, Los Angeles County Department of Public Health applied the PAM to obesity prevention, operationalizing the policy process by training community residents and other stakeholders on the use of the model. The PAM has shown to be helpful in promoting PSE change in tobacco control and obesity prevention, suggesting a local-level model potentially applicable to other fields of public health seeking sustainable, community-driven policy change.

  1. Using institutional theory with sensemaking theory: a case study of information system implementation in healthcare

    DEFF Research Database (Denmark)

    Jensen, Tina Blegind; Kjærgaard, Annemette; Svejvig, Per

    2009-01-01

    Institutional theory has proven to be a central analytical perspective for investigating the role of social and historical structures of information systems (IS) implementation. However, it does not explicitly account for how organisational actors make sense of and enact technologies in their local...... context. We address this limitation by exploring the potential of using institutional theory with sensemaking theory to study IS implementation in organisations. We argue that each theoretical perspective has its own explanatory power and that a combination of the two facilitates a much richer...... interpretation of IS implementation by linking macro- and micro-levels of analysis. To illustrate this, we report from an empirical study of the implementation of an Electronic Patient Record (EPR) system in a clinical setting. Using key constructs from the two theories, our findings address the phenomenon...

  2. Cultural theory and aircraft noise policy in the Netherlands

    NARCIS (Netherlands)

    Kroesen, M.; Huys, M.

    2009-01-01

    In this paper we apply cultural theory to understand the constitution of aircraft noise policy at Amsterdam Schiphol, the largest airport in the Netherlands. In line with Smit and Van Gunsteren (1997) this constitution is identified as an alliance between the hierarchical and egalitarian way of

  3. Polarisation, Radicalisation and Social Policy: Evaluating the Theories of Change

    Science.gov (United States)

    Lub, Vasco

    2013-01-01

    This article evaluates the validity of "theories of change" of anti-polarisation and anti-radicalisation interventions. Assumptions of four dominant social policies are confronted with the literature. In addition, epistemological issues are discussed. Notions of "what works and why", do not equate to straightforward…

  4. Classical Stasis Theory and the Analysis of Public Policy.

    Science.gov (United States)

    Hatch, Gary Layne

    In classical Greece, there was a close tie between rhetoric and the practice and theory of public policy. Gradually, however, rhetoric became increasingly concerned with style and literary criticism, while philosophers began to debate political issues apart from the practical affairs of the polis. Because rhetoric provides a model that can still…

  5. Theories of the firm, competitive advantage and government policy

    NARCIS (Netherlands)

    Elfring, T.; De Man, Ard Pieter

    1998-01-01

    To improve the effectiveness of government policy, it is necessary to develop a good picture of what a firm in a knowledge-intensive economy is and does. In this paper, we have drawn on the recent surge of books and articles on the resource- and knowledge-based theories of the firm and their

  6. Theories of the firm: competitive advantage and government policy

    NARCIS (Netherlands)

    Elfring, T.; Man, de A.P.

    1998-01-01

    To improve the effectiveness of government policy, it is necessay to develop a good picture of what a firms in a knowledge-intensive economy is and does. In this paper, we have drawn on the recent surge of books and articles on the resource- and knowledge-based theories of the firm and their

  7. Implementation of static generalized perturbation theory for LWR design applications

    International Nuclear Information System (INIS)

    Byron, R.F.; White, J.R.

    1987-01-01

    A generalized perturbation theory (GPT) formulation is developed for application to light water reactor (LWR) design. The extensions made to standard generalized perturbation theory are the treatment of thermal-hydraulic and fission product poisoning feedbacks, and criticality reset. This formulation has been implemented into a standard LWR design code. The method is verified by comparing direct calculations with GPT calculations. Data are presented showing that feedback effects need to be considered when using GPT for LWR problems. Some specific potential applications of this theory to the field of LWR design are discussed

  8. The spirit of democracy in the implementation of public information policy at the provincial government of West Java

    Science.gov (United States)

    Sjoraida, D. F.; Asmawi, A.; Anwar, R. K.

    2018-03-01

    This article analyses the implementation of Law Number 14/2008 on Public Information Disclosure on the Provincial Government of West Java. This descriptive-qualitative study presents a discussion of the spirit of democracy in the implementation of the abovem-entioned policy in West Java Province. With the theory of policy implementation and democratization, data obtains that the element of democratic spirit in the implementation of public information policy in the government of West Java is quite thick. Therefore, there must be a massification of the implementation of the law in West Java, especially its socialization to districts/cities and society in general. It was found that the democratization of the West Java Provincial Government in implementing the Act has been well received in the community. However, the lack of publicity about this Law can reduce the strength of moral messages that exist in the law to the public.

  9. School wellness team best practices to promote wellness policy implementation.

    Science.gov (United States)

    Profili, Erika; Rubio, Diana S; Lane, Hannah G; Jaspers, Lea H; Lopes, Megan S; Black, Maureen M; Hager, Erin R

    2017-08-01

    Schools with wellness teams are more likely to implement federally mandated Local Wellness Policies (LWPs, Local Education Agency-level policies for healthy eating/physical activity). Best practices have been developed for wellness teams based on minimal empirical evidence. The purpose of this study is to determine, among schools with wellness teams, associations between LWP implementation and six wellness team best practices (individually and as a sum score). An online survey targeting Maryland school wellness leaders/administrators (52.4% response rate, 2012-2013 school year) was administered that included LWP implementation (17-item scale: categorized as no, low, and high implementation) and six wellness team best practices. Analyses included multi-level multinomial logistic regression. Wellness teams were present in 311/707 (44.0%) schools, with no (19.6%), low (36.0%), and high (44.4%) LWP implementation. A sum score representing active wellness teams (mean=2.6) included: setting healthy eating/physical activity goals (66.9%), informing the public of LWP activities (71.4%), meeting ≥4times/year (45.8%), and having school staff (46.9%), parent (25.4%), or student (14.8%) representation. In adjusted models, goal setting, meeting ≥4times/year, and student representation were associated with high LWP implementation. For every one-unit increase in active wellness team sum score, schools were 41% more likely to be in high versus no implementation (Likelihood Ratio=1.41, 95% C.I.=1.13, 1.76). In conclusion, wellness teams meeting best practices are more likely to implement LWPs. Interventions should focus on the formation of wellness teams with recommended composition/activities. Study findings provide support for wellness team recommendations stemming from the 2016 Healthy, Hunger-Free Kids Act final rule. Copyright © 2017. Published by Elsevier Inc.

  10. EXPLORING TAX HOLIDAY POLICY IMPLEMENTATION FOR INDONESIAN INVESTMENT CLIMATE: HAS IT BEEN EFFECTIVE?

    Directory of Open Access Journals (Sweden)

    Mulyono R.D.P.

    2017-07-01

    Full Text Available This study aims to explore the reasons for the ineffectiveness of tax holiday policy implementation in Indonesia as well as the government’s strategies to improve the investment climate. This research uses exploratory study type which does not test theory or hypothesis by using preliminary survey method, conducting direct or indirect interview via e-mail to certain informant by giving questionnaire and direct observation passively observing the field and related websites supporting statistical data in this study in depth. In testing the validity of research data used source triangulation and method triangulation. The progress that has been achieved to date in the implementation of tax holiday policy is to provide ease of bureaucracy administration and simplicity of licensing services in investing by improving coordination among government to improve foreign investors' confidence when investing in Indonesia. So technically, the implementation of tax holiday policy is quite effective in attracting foreign direct investment because it can perform the right obligations according to the regulations. In the investment point of view, tax holiday policy is not effective in attracting foreign direct investment or not becoming the main factor of investor's goal in investment. The cause of the ineffectiveness of the tax holiday policy in attracting foreign direct investment in Indonesia is another indicator that becomes an assessment among others the ease of investment licensing, infrastructure, electricity supply, investor protection, minority and tax administration. Indonesian government's strategy to improve the investment climate is through deregulation, debureaucracy, law enforcement and business certainty for investors.

  11. Implementing a Pediatric Fall Prevention Policy and Program.

    Science.gov (United States)

    Murray, Elizabeth; Vess, Joy; Edlund, Barbara J

    2016-01-01

    Preventing patient falls begins with an accurate assessment of a patient's risk of falling followed by the initiation and continued evaluation of a fall prevention program based on patient-specific identified risks. Children have a normal tendency to fall based on developmental growth, and each child is different in physical and cognitive abilities. Falls may occur both in and out of the hospital setting. Prevention programs that have revealed the most favorable restuls include the use of a validated fall risk assessment tool. The Humpty Dumpty fall Scale is a screening tool specifically developed for pediatric patients to assess risk for fall. This project developed a pediatric fall prevention policy and implemented an inpatient pediatric fall prevention program. Pediatric staff contributed to the development of this policy and program by providing feedback, support, and cooperation, which was instrumental in the success of this program resulting in no falls after implementation.

  12. Dynamics in national agri-environmental policy implementation under changing EU policy priorities

    DEFF Research Database (Denmark)

    Vesterager, Jens Peter; Frederiksen, P.; Kristensen, Søren Bech Pilgaard

    2016-01-01

    decision structures in the Netherlands, Denmark, Greece, Austria and Romania. Second, we examine the extent to which various factors have influenced the development of national policies over time. The study identifies development based on the theory of ‘process of institutional change’, i.e. we...

  13. Developing and implementing an oral care policy and assessment tool.

    LENUS (Irish Health Repository)

    Stout, Michelle

    2012-01-09

    Oral hygiene is an essential aspect of nursing care. Poor oral care results in patients experiencing pain and discomfort, puts individuals at risk of nutritional deficiency and infection, and has an adverse effect on quality of life. This article describes how an oral care policy and assessment tool were updated to ensure the implementation of evidence-based practice at one hospital in the Republic of Ireland.

  14. Best practices: implementation of a glucose screening program based on diffusion of innovation theory methods.

    Science.gov (United States)

    Nicol, Ginger E; Morrato, Elaine H; Johnson, Mark C; Campagna, Elizabeth; Yingling, Michael D; Pham, Victor; Newcomer, John W

    2011-01-01

    There is public health interest in the identification and treatment of modifiable cardiometabolic risk factors among patients treated with antipsychotic medications. However, best-practice screening recommendations endorsed by multiple medical organizations have not translated into real-world clinical practice. Quality improvement strategies may help to address the gap between policy and implementation. This column describes the successful implementation of a best-practice glucose screening program in a large network of community mental health centers that was based on Six Sigma and diffusion of innovation theory.

  15. Health-Education Policy Interface: The Implementation of the Eat Well Be Active Policies in Schools

    Science.gov (United States)

    Leow, Anthony Chee Siong; Macdonald, Doune; Hay, Peter; McCuaig, Louise

    2014-01-01

    While grappling with their traditional core business of imbuing students with official curricular knowledge, schools have simultaneously, increasing demands to take on health promotion responsibilities. This paper examines the mandated implementation of the Eat Well Be Active (EWBA) Action Plan and its subsidiary "Smart" policies in…

  16. Implementing European climate adaptation policy. How local policymakers react to European policy

    Directory of Open Access Journals (Sweden)

    Thomas Hartmann

    2015-04-01

    Full Text Available EU policy and projects have an increasing influence on policymaking for climate adaptation. This is especially evident in the development of new climate adaptation policies in transnational city networks. Until now, climate adaptation literature has paid little attention to the influence that these EU networks have on the adaptive capacity in cities. This paper uses two Dutch cities as an empirical base to evaluate the influence of two EU climate adaptation projects on both the experience of local public officials and the adaptive capacity in the respective cities. The main conclusion is that EU climate adaptation projects do not automatically lead to an increased adaptive capacity in the cities involved. This is due to the political opportunistic use of EU funding, which hampers the implementation of climate adaptation policies. Furthermore, these EU projects draw attention away from local network building focused on the development and implementation of climate adaptation policies. These factors have a negative cumulative impact on the performance of these transnational policy networks at the adaptive capacity level in the cities involved. Therefore, in order to strengthen the adaptive capacity in today’s European cities, a context-specific, integrative approach in urban planning is needed at all spatial levels. Hence, policy entrepreneurs should aim to create linkage between the issues in the transnational city network and the concerns in local politics and local networks.

  17. Challenges in identifying barriers to adoption in a theory-based implementation study: lessons for future implementation studies

    Directory of Open Access Journals (Sweden)

    Hanbury Andria

    2012-11-01

    Full Text Available Abstract Background Exploring barriers to the uptake of research based recommendations into practice is an important part of the development of implementation programmes. Techniques to identify barriers can include use of theory-informed questionnaires and qualitative interviews. Conceptualising and measuring theory-informed factors, and engaging health professionals’ to uncover all potential barriers, can be a difficult task. This paper presents a case study of the process of trying to identify, systematically, the key factors influencing health professionals’ referrals for women diagnosed with mild to moderate postnatal depression for psychological treatment. The paper illustrates how the factors were conceptualised and measured and explores the real world challenges experienced, with implications for future implementation studies. Methods Theory-informed factors were conceptualised and measured using a questionnaire and interviews. The questionnaire was piloted, before being administered to general practitioners, practice nurses and health visitors working in general practices in one area of the UK NHS. The interviews were conducted with a small sample of general practitioners who had not completed the questionnaire, further exploring factors influencing their referral decisions in the local context. Results The response rate to the questionnaire was low (19%, despite selecting the recommendation to target through engagement with local stakeholders and surveying local health professionals, and despite using two reminders, an incentive prize, and phone calls to practice managers to bolster response rates. Conclusions Two significant challenges to achieving higher response rates and successfully exploring local context were identified: the difficulties of developing a robust- but feasible- questionnaire to explore theory-informed factors, and targeting recommendations that are important to policy makers, but which health professionals view

  18. Implementation of Ecological Policies in Danube Delta Area

    Directory of Open Access Journals (Sweden)

    Trifon Belacurencu

    2007-04-01

    Full Text Available Public authorities and the local community have become lately increasingly aware of the complex relationship between the environment and the economic activity and of the need for integrating environmental requirements into economic activities. Therefore, a strategy that aims at a sustained development which takes into account the environmental aspects is imperative. Environmental policies represent a set of measures and tools with the objective of controlling and limiting the process of deterioration of environment quality. The design of environmental policies for the Danube Delta is not an easy task, due primarily to the major changes that affect the deltaic ecosystem, the patterns of behavior and consumption, poverty and isolation of the local communities, etc. The environmental policies in the Danube Delta have no longer an auxiliary role, rather reactive, but instead they are meant to set objectives at the economic, legal, educational and social levels and to guide the strategy for their achievement. In this paper I have outlined both the objectives of the environmental policies and the types of measures (general, direct and indirect for their implementation in the area of the Danube Delta.

  19. Evolutionary Theory and Economic Policy with Reference to Sustainability

    OpenAIRE

    John M. Gowdy

    2005-01-01

    The policy recommendations of most economists are driven by a view of economic reality embodied in Walrasian general equilibrium theory. Ironically, the Walrasian system has been all but abandoned by leading economic theorists. It has been demonstrated to be theoretically untenable, its basic assumptions about human decision making have been empirically falsified, and it consistently makes poor predictions of economic behavior. The current revolution in welfare economics offers opportunities ...

  20. An Eclectic Theory of Entrepreneurship: Policies, Institutions and Culture

    OpenAIRE

    Ingrid Verheul; Sander Wennekers; David Audretsch; Roy Thurik

    2001-01-01

    textabstractThe level of entrepreneurship differs considerably across countries and periods. Both the causes and consequences of entrepreneurship are a matter of extensive scientific debate as well as of great policy importance. A high level of entrepreneurial activity is assumed and shown to contribute to innovative activities, competition, economic growth and job creation. The present paper deals with the determinants of entrepreneurship. An eclectic theory of entrepreneurship is introduced...

  1. Sabbatical policies and their implementation at United States dental schools.

    Science.gov (United States)

    Neidle, E A

    1978-11-01

    An ad hoc Committee on Sabbaticals created by the Council of Faculties of the AADS surveyed sabbatical policies and their implementation at dental schools in the United States. Data from a questionnaire completed by 56 of 60 members of the Council of Faculties reveal that a majority of U.S. dental schools have sabbatical policies but that dental educators are less likely to apply for or to be awarded sabbaticals than educators from other parts of the university, except perhaps the medical school. Information was also obtained on the regulations governing sabbaticals--interval between leaves, rates of remuneration, and rules defining how the leave may be spent. Finally, suggestions are made as to how this important benefit of academic life might be made more available to dental educators.

  2. Hiding in plain sight: communication theory in implementation science.

    Science.gov (United States)

    Manojlovich, Milisa; Squires, Janet E; Davies, Barbara; Graham, Ian D

    2015-04-23

    Poor communication among healthcare professionals is a pressing problem, contributing to widespread barriers to patient safety. The word "communication" means to share or make common. In the literature, two communication paradigms dominate: (1) communication as a transactional process responsible for information exchange, and (2) communication as a transformational process responsible for causing change. Implementation science has focused on information exchange attributes while largely ignoring transformational attributes of communication. In this paper, we debate the merits of encompassing both paradigms. We conducted a two-staged literature review searching for the concept of communication in implementation science to understand how communication is conceptualized. Twenty-seven theories, models, or frameworks were identified; only Rogers' Diffusion of Innovations theory provides a definition of communication and includes both communication paradigms. Most models (notable exceptions include Diffusion of Innovations, The Ottawa Model of Research Use, and Normalization Process Theory) describe communication as a transactional process. But thinking of communication solely as information transfer or exchange misrepresents reality. We recommend that implementation science theories (1) propose and test the concept of shared understanding when describing communication, (2) acknowledge that communication is multi-layered, identify at least a few layers, and posit how identified layers might affect the development of shared understanding, (3) acknowledge that communication occurs in a social context, providing a frame of reference for both individuals and groups, (4) acknowledge the unpredictability of communication (and healthcare processes in general), and (5) engage with and draw on work done by communication theorists. Implementation science literature has conceptualized communication as a transactional process (when communication has been mentioned at all), thereby

  3. From theory based policy evaluation to SMART Policy Design: Lessons learned from 20 ex-post evaluations of energy efficiency instruments

    International Nuclear Information System (INIS)

    Harmelink, Mirjam; Harmsen, Robert; Nilsson, Lars

    2007-01-01

    This article presents the results of an in-depth ex-post analysis of 20 energy efficiency policy instruments applied across different sectors and countries. Within the AID-EE project, we reconstructed and analysed the implementation process of energy efficiency policy instruments with the aim to identify key factors behind successes and failures. The analysis was performed using a uniform methodology called 'theory based policy evaluation'. With this method the whole implementation process is assessed with the aim to identify: (i) the main hurdles in each step of the implementation process, (ii) key success factors for different types of instruments and (iii) the key indicators that need to be monitored to enable a sound evaluation of the energy efficiency instruments. Our analysis shows that: Energy efficiency policies often lack quantitative targets and clear timeframes; Often policy instruments have multiple and/or unclear objectives; The need for monitoring information does often not have priority in the design phase; For most instruments, monitoring information is collected on a regular basis. However, this information is often insufficient to determine the impact on energy saving, cost-effectiveness and target achievement of an instrument; Monitoring and verification of actual energy savings have a relatively low priority for most of the analyzed instruments. There is no such thing as the 'best' policy instrument. However, typical circumstances in which to apply different types of instruments and generic characteristics that determine success or failure can be identified. Based on the assessments and the experience from applying theory based policy evaluation ex-post, we suggest that this should already be used in the policy formulation and design phase of instruments. We conclude that making policy theory an integral and mandated part of the policy process would facilitate more efficient and effective energy efficiency instruments

  4. The Tevatron tune tracker pll - theory, implementation and measurements

    Energy Technology Data Exchange (ETDEWEB)

    Tan, Cheng-Yang; /Fermilab

    2004-12-01

    The Tevatron tune tracker is based on the idea that the transverse phase response of the beam can be measured quickly and accurately enough to allow us to track the betatron tune with a phase locked loop (PLL). The goal of this paper is to show the progress of the PLL project at Fermilab. We will divide this paper into three parts: theory, implementation and measurements. In the theory section, we will use a simple linear model to show that our design will track the betatron tune under conditions that occur in the Tevatron. In the implementation section we will break down and examine each part of the PLL and in some cases calculate the actual PLL parameters used in our system from beam measurements. And finally in the measurements section we will show the results of the PLL performance.

  5. Policy options for effective REDD+ implementation in Indonesia

    DEFF Research Database (Denmark)

    Saito, Moeko; Sikor, T.; Kurniawan, Y.

    2015-01-01

    Indonesia, which contains the third-largest area of tropical forest in the world, is currently exploring policy options for the effective implementation of REDD+, the global initiative to reduce emissions from deforestation and forest degradation. This article analyses the major questions regarding...... the effective distribution of benefits on the basis of three village case studies in Kutai Barat district in the province of East Kalimantan. The case studies demonstrate that companies are unlikely to take up compensation payments for stopping large-scale activities that cause deforestation and forest......, and in particular recognition of customary forest tenure through communal titles, which is more advantageous than the transfer of individual titles to households....

  6. Policy options for effective REDD+ implementation in Indonesia

    DEFF Research Database (Denmark)

    Saito, Moeko; Sikor, T.; Kurniawan, Y.

    2015-01-01

    Indonesia, which contains the third-largest area of tropical forest in the world, is currently exploring policy options for the effective implementation of REDD+, the global initiative to reduce emissions from deforestation and forest degradation. This article analyses the major questions regarding...... the effective distribution of benefits on the basis of three village case studies in Kutai Barat district in the province of East Kalimantan. The case studies demonstrate that companies are unlikely to take up compensation payments for stopping large-scale activities that cause deforestation and forest...

  7. Translating Unstructured Workflow Processes to Readable BPEL: Theory and Implementation

    DEFF Research Database (Denmark)

    van der Aalst, Willibrordus Martinus Pancratius; Lassen, Kristian Bisgaard

    2008-01-01

    and not easy to use by end-users. Therefore, we provide a mapping from Workflow Nets (WF-nets) to BPEL. This mapping builds on the rich theory of Petri nets and can also be used to map other languages (e.g., UML, EPC, BPMN, etc.) onto BPEL. In addition to this we have implemented the algorithm in a tool called...... WorkflowNet2BPEL4WS....

  8. Understanding the work of telehealth implementation using Normalization Process Theory

    OpenAIRE

    Morrison, Janet Gwyneth

    2014-01-01

    This dissertation uses the theoretical constructs of Normalization Process Theory (NPT) to examine the successful implementation of an innovative telehealth service that delivers occupational health nursing services to a large healthcare employee population over a wide geographic area. Telehealth services have come to be regarded as a possible means to improve access to health care services, clinical efficiency, and cost effectiveness in an era where there are shrinking resources and growing ...

  9. A computer implementation of a theory of human stereo vision.

    Science.gov (United States)

    Grimson, W E

    1981-05-12

    Recently, Marr & Poggio (1979) presented a theory of human stereo vision. An implementation of that theory is presented, and consists of five steps. (i) The left and right images are each filtered with masks of four sizes that increase with eccentricity; the shape of these masks is given by delta 2G, the Laplacian of a Gaussian function. (ii) Zero crossings in the filtered images are found along horizontal scan lines. (iii) For each mask size, matching takes place between zero crossings of the same sign and roughly the same orientation in the two images, for a range of disparities up to about the width of the mask's central region. Within this disparity range, it can be shown that false targets pose only a simple problem. (iv) The output of the wide masks can control vergence movements, thus causing small masks to come into correspondence. In this way, the matching process gradually moves from dealing with large disparities at a low resolution to dealing with small disparities at a high resolution. (v) When a correspondence is achieved, it is stored in a dynamic buffer, called the 2 1/2-dimensional sketch. To support the adequacy of the Marr-Poggio model of human stereo vision, the implementation was tested on a wide range of stereograms from the human stereopsis literature. The performance of the implementation is illustrated and compared with human perception. Also statistical assumptions made by Marr & Poggio are supported by comparison with statistics found in practice. Finally, the process of implementing the theory has led to the clarification and refinement of a number of details within the theory; these are discussed in detail.

  10. Development of a theory of implementation and integration: Normalization Process Theory

    Directory of Open Access Journals (Sweden)

    May Carl R

    2009-05-01

    Full Text Available Abstract Background Theories are important tools in the social and natural sciences. The methods by which they are derived are rarely described and discussed. Normalization Process Theory explains how new technologies, ways of acting, and ways of working become routinely embedded in everyday practice, and has applications in the study of implementation processes. This paper describes the process by which it was built. Methods Between 1998 and 2008, we developed a theory. We derived a set of empirical generalizations from analysis of data collected in qualitative studies of healthcare work and organization. We developed an applied theoretical model through analysis of empirical generalizations. Finally, we built a formal theory through a process of extension and implication analysis of the applied theoretical model. Results Each phase of theory development showed that the constructs of the theory did not conflict with each other, had explanatory power, and possessed sufficient robustness for formal testing. As the theory developed, its scope expanded from a set of observed regularities in data with procedural explanations, to an applied theoretical model, to a formal middle-range theory. Conclusion Normalization Process Theory has been developed through procedures that were properly sceptical and critical, and which were opened to review at each stage of development. The theory has been shown to merit formal testing.

  11. Technical analysis, contestation and politics in policy agenda setting and implementation

    NARCIS (Netherlands)

    Koduah, Augustina; Dijk, van Han; Agyepong, Irene Akua

    2016-01-01

    Background: Why issues get on the policy agenda, move into policy formulation and implementation while others drop off in the process is an important field of enquiry to inform public social policy development and implementation. This paper seeks to advance our understanding of health policy

  12. FLEXIBLE AND IMPROVED IMPLEMENTATION OF THE EUROPEAN NEIGHBOURHOOD POLICY

    Directory of Open Access Journals (Sweden)

    Marcela SLUSARCIUC

    2014-10-01

    Full Text Available The European Neighbourhood Policy is at crossroads meaning that the actual frame of geopolitical movements imposes a new reshaping mainly on the Eastern side caused by the Ukraine issue. The implementation of the ENP through the European Neighbourhood Partnership Instrument, financial umbrella for the Joint Operational Programmes (JOPs, is already a challenging exercise for the Member States working together with the Partner Countries in order to develop an area of prosperity and good neighbourliness. This paper proposes a pack of features and recommendations arisen from the experiences gained by the implementation bodies of the JOPs along the European Union Eastern border, beneficiaries and other experts in cross-border cooperation. The main issues approached aim the improvement of the future cross-border programmes in terms of flexibility, transparency and efficiency: stakeholders consultation all along the programme cycle, a new mix of funding sources, gradual involvement of new types of beneficiaries and programme evaluation.

  13. Ecosystem change and human health: implementation economics and policy.

    Science.gov (United States)

    Pattanayak, S K; Kramer, R A; Vincent, J R

    2017-06-05

    Several recent initiatives such as Planetary Health , EcoHealth and One Health claim that human health depends on flourishing natural ecosystems. However, little has been said about the operational and implementation challenges of health-oriented conservation actions on the ground. We contend that ecological-epidemiological research must be complemented by a form of implementation science that examines: (i) the links between specific conservation actions and the resulting ecological changes, and (ii) how this ecological change impacts human health and well-being, when human behaviours are considered. Drawing on the policy evaluation tradition in public economics, first, we present three examples of recent social science research on conservation interventions that affect human health. These examples are from low- and middle-income countries in the tropics and subtropics. Second, drawing on these examples, we present three propositions related to impact evaluation and non-market valuation that can help guide future multidisciplinary research on conservation and human health. Research guided by these propositions will allow stakeholders to determine how ecosystem-mediated strategies for health promotion compare with more conventional biomedical prevention and treatment strategies for safeguarding health.This article is part of the themed issue 'Conservation, biodiversity and infectious disease: scientific evidence and policy implications'. © 2017 The Authors.

  14. The implementation of payment reform upon policy innovation management

    Directory of Open Access Journals (Sweden)

    An-min WANG

    2014-08-01

    Full Text Available With the implementation of universal health care, participants are basically saturated and the increase space of the health insurance fund is limited, so the government proceeded the total amount control of medicare reform, medicare management into a new stage,which emphasized the importance of medicare quality. So the hospital has to face the challenge of policy management, cost control, and the best medical treatment should be linked with the business development. The hospital should change concepts and keep aware of the health care quality, implement the rules of the three reasonable requirements, relying on and striving for the health insurance policies. The limited medical resources could be fully applied by the innovation of health care management, such as cancer chemotherapy and single disease daytime ward, selective operation and oncology booking service. More effective services should be provided while developing key disciplines, developing new technology to improve the quality of the hospital,be initiative to meet the payment reform to achieve the same purpose of hospital,patients and the government.

  15. Implementing Health and Safety Policy Changes at the High School Level From a Leadership Perspective

    Science.gov (United States)

    Pagnotta, Kelly D.; Mazerolle, Stephanie M.; Pitney, William A.; Burton, Laura J.; Casa, Douglas J.

    2016-01-01

    Context:  Although consensus statements and recommendations from professional organizations aim to reduce the incidence of injury or sudden death in sport, nothing is mandated at the high school level. This allows states the freedom to create and implement individual policies. An example of a recommended policy is heat acclimatization. Despite its efficacy in reducing sudden death related to heat stroke, very few states follow the recommended guidelines. Objective:  To retroactively examine why and how 3 states were able to facilitate the successful creation and adoption of heat-acclimatization guidelines. Design:  Qualitative study. Setting:  High school athletic associations in Arkansas, Georgia, and New Jersey. Patients or Other Participants:  Eight men and 3 women (n = 11; 6 athletic trainers; 2 members of high school athletic associations; 2 parents; 1 physician) participated. Participant recruitment ceased when data saturation was reached. Data Collection and Analysis:  All phone interviews were digitally recorded and transcribed verbatim. A grounded-theory approach guided analysis and multiple analysts and peer review were used to establish credibility. Results:  Each state had a different catalyst to change (student-athlete death, empirical data, proactivity). Recommendations from national governing bodies guided the policy creation. Once the decision to implement change was made, the states displayed 2 similarities: shared leadership and open communication between medical professionals and members of the high school athletic association helped overcome barriers. Conclusions:  The initiating factor that spurred the change varied, yet shared leadership and communication fundamentally allowed for successful adoption of the policy. Our participants were influenced by the recommendations from national governing bodies, which align with the institutional change theory. As more states begin to examine and improve their health and safety policies

  16. Implementing Health and Safety Policy Changes at the High School Level From a Leadership Perspective.

    Science.gov (United States)

    Pagnotta, Kelly D; Mazerolle, Stephanie M; Pitney, William A; Burton, Laura J; Casa, Douglas J

    2016-04-01

    Although consensus statements and recommendations from professional organizations aim to reduce the incidence of injury or sudden death in sport, nothing is mandated at the high school level. This allows states the freedom to create and implement individual policies. An example of a recommended policy is heat acclimatization. Despite its efficacy in reducing sudden death related to heat stroke, very few states follow the recommended guidelines. To retroactively examine why and how 3 states were able to facilitate the successful creation and adoption of heat-acclimatization guidelines. Qualitative study. High school athletic associations in Arkansas, Georgia, and New Jersey. Eight men and 3 women (n = 11; 6 athletic trainers; 2 members of high school athletic associations; 2 parents; 1 physician) participated. Participant recruitment ceased when data saturation was reached. All phone interviews were digitally recorded and transcribed verbatim. A grounded-theory approach guided analysis and multiple analysts and peer review were used to establish credibility. Each state had a different catalyst to change (student-athlete death, empirical data, proactivity). Recommendations from national governing bodies guided the policy creation. Once the decision to implement change was made, the states displayed 2 similarities: shared leadership and open communication between medical professionals and members of the high school athletic association helped overcome barriers. The initiating factor that spurred the change varied, yet shared leadership and communication fundamentally allowed for successful adoption of the policy. Our participants were influenced by the recommendations from national governing bodies, which align with the institutional change theory. As more states begin to examine and improve their health and safety policies, this information could serve as a valuable resource for athletic trainers in other states and for future health and safety initiatives.

  17. Policy Implementation Of Poverty Reduction In The District Kutai Kartanegara In East Kalimantan Province

    Directory of Open Access Journals (Sweden)

    Saipul

    2015-01-01

    Full Text Available ABSTRACT In the implementation of poverty reduction policies of Kutai Kartanegara regency factual research communication in the form of co-ordination Unit SKPD with the Local Government and Regional Work Unit is not maximized so that the Governments poverty reduction of Kutai Kartanegara Regency gives not optimal result as a concept in policy implementation by Goggin 1990 the similarity perception in implementing the policy is an essential condition for the successful implementation of the policy along with the division of functions and roles in the bureaucratic structure that implements public policy should be run and the executor implementor implementation of government policies either parallel or multilevel should make shapes patterns of certain communications in order to facilitate in making the relationship of the parties involved in the implementation of government policy.

  18. Understanding Policy Intentions Is Critical for Successful Policy Implementation within the Technical and Vocational Education and Training College's Sector

    Science.gov (United States)

    Sebele, Ntlantla

    2015-01-01

    Public policy implementation is frequently regarded as problematic globally and reasons for these vary. In particular, the Technical and Vocational Education and Training (TVET) sector has been criticized for lack of delivery and most of the criticism is directed towards the non-implementation of government policy. In South Africa managers of TVET…

  19. Implementing the data preservation and open access policy in CMS

    International Nuclear Information System (INIS)

    Lassila-Perini, K; Lampén, T; Luukka, P; Alverson, G; Cabrillo, I; Calderon, A; Marco, J; Colling, D; Huffman, A; Hildreth, M; McCauley, T; Sonnenschein, L

    2014-01-01

    Implementation of the CMS policy on long-term data preservation, re-use and open access has started. Current practices in providing data additional to published papers and distributing simplified data-samples for outreach are promoted and consolidated. The first measures have been taken for analysis and data preservation for the internal use of the collaboration and for open access to part of the data. Two complementary approaches are followed. First, a virtual machine environment, which will pack all ingredients needed to compile and run a software release with which the legacy data was reconstructed. Second, a validation framework, maintaining the capability not only to read the old raw data, but also to reprocess them with an updated release or to another format to help ensure long-term reusability of the legacy data.

  20. Implementation of a financial guarantee policy at the CNSC

    International Nuclear Information System (INIS)

    Barker, R.

    2011-01-01

    The Canadian Nuclear Safety Commission (CNSC) was established in 2000 under the Nuclear Safety and Control Act (NSCA) to replace the Atomic Energy Control Board (AECB). Prior to the coming in force of the NSCA, financial guarantees associated with licensed activities were not prescribed in the Atomic Energy Control Act or its regulations. Under the NSCA, the Commission Tribunal 'the Commission' was given authority to impose conditions in licences requiring financial guarantees from licensees. Other provisions of the NSCA provided information on the application of financial guarantees and for refunds when decommissioning obligations had been met. Since 2000, the application of financial guarantees has been primarily focussed on licences issued pursuant to the Class I Nuclear Facilities Regulations and the Uranium Mines and Mills Regulations. This was to assure that the requirements for financial guarantees were initially directed at the high risk, complex facilities licensed by the CNSC. However, all licensees have not yet been required to provide a financial guarantee for all licensed facilities, activities or licence types. Additionally, CNSC expectations in relation to when financial guarantees, associated decommissioning plans and cost estimates need to be reviewed, updated and submitted, and what they should entail have been evolving, indicating a need for a clear CNSC policy on the subject. Consequently, the CNSC is proceeding with the development of a financial guarantee policy and implementation plan to assure that generators of nuclear waste will have the financial resources available to decommission nuclear facilities, operations and devices and that this activity will not fall to government as a future liability. This program will require approval by the Commission, planned for 2012. This paper will further describe this policy and its possible outcomes. (author)

  1. School Autonomy and Accountability in Thailand: Does the Gap between Policy Intent and Implementation Matter?

    Science.gov (United States)

    Patrinos, Harry Anthony; Arcia, Gustavo; Macdonald, Kevin

    2015-01-01

    This article contrasts policy intent and policy implementation in school autonomy and accountability. The analysis uses a conceptual framework based on the interaction between school autonomy, student assessment, and accountability as elements of a closed system. The article analyzes the implementation of school autonomy and accountability policy,…

  2. Analysis of Implementation The Policy on Malaria Elimination in Indonesia

    Directory of Open Access Journals (Sweden)

    Betty Roosihermiatie

    2016-01-01

    Full Text Available Background: As a tropic country Indonesia still faces malaria problems. In Asean, indonesia is one of three countries with the highest malaria morbidity. In 2007, 396 (80% of 495 districts/municipalities in indonesia are malaria. In 2009 the government issued a decree of the minister of health No 293 on malaria elimination. The study aimed to analyze the implementation decree of Ministry of Health No. 293/2009 on malaria elimination. Methods: It was a descriptive study. The study was conducted in 4 provinces, and 4 districts based on malaria elimination stages as in Bali province and Karangasem district, Riau islands province and Bintan district, West Nusa Tenggara province and west Lombok district, and Maluku province and South Halmahera district. The stakeholders were Heads and malaria programmers at province/district Health Offices and the related programs. Data were collected by focus group discussion and secondary data were taken. Data were collected by focus group discussion and secondary data. Analysis for Ministry of Health decree No.293 year 2009 on 1 Comphrehend, 2 Implementation, and, 3 Comittment, 4 Innovation intervension to support malaria elimination, 5 Sustainability of activity community empowerment, 6 Proportion of budget. Results: showed there was district that had not issued local policy on malaria elimination, the implementation with comittment especially that health centers in areas under study corfi rm diagnose by laboratory examination and malaria treatment by Artemisin Combined Therapy (ACT, although there were still treatment to clinical malaria, innovation activities were of bersifat local spesifi c, and reward for Juru Malaria Desa or malaria cadre to increase malaria suspect case detection, and with district budget for malaria program ranged 0,95-5,6% of the total budget. Recomendations: It suggested to advocate all malaria endemic areas to issue local policy on malaria elimination, decide intervension of the

  3. Curriculum Policies and Discourse Theory: a case study

    Directory of Open Access Journals (Sweden)

    Jair Jonko Araujo

    2017-01-01

    Full Text Available This paper presents a case study which discusses the new meanings produced in the Federal Institute Sul-rio-grandense (IFSul curriculum policies. The use of Policy Cycle, as proposed by Ball, and the Discourse Theory (DT by Laclau, strengthened the analysis of meanings in a non-hierarchical way between the different contexts involved in the construction of such policies. In the process of analysing the MEC and IFSul official documents and interviews with managers and teachers from the institution, we decided to identify, assisted by the tool WordSmitht, meanings and displacements around the signifiers: teaching, research, extension and articulation. In this study, by exemplifying the DT concepts potential, the analysis of the signifier „extension‟ was carried out, which resulted in the perception that there is some difficulty to the fixation of meaning to this education dimension and that the managers‟ expectations, understood by the teachers, is that the latter are able to accomplish their tasks and achieve their objectives.

  4. National ownership in the implementation of global climate policy in Uganda

    DEFF Research Database (Denmark)

    Olsen, K.H.

    2006-01-01

    first. Against this background, Uganda's policy response to climate change is reviewed. National climate policies are found not to exist, and the implementation of global policies is not integrated into national policy frameworks, partly due to conflicting national and global priorities. Given limited...... national awareness and the fact that climate policy is marginal compared to other national interests in Uganda, the experiences with donor support for the implementation of global climate policy nationally are analysed. This article demonstrates that neither national policies nor national management...

  5. Theories to aid understanding and implementation of interprofessional education.

    Science.gov (United States)

    Sargeant, Joan

    2009-01-01

    Multiple events are calling for greater interprofessional collaboration and communication, including initiatives aimed at enhancing patient safety and preventing medical errors. Education is 1 way to increase collaboration and communication, and is an explicit goal of interprofessional education (IPE). Yet health professionals to date are largely educated in isolation. IPE differs from most traditional continuing education in that knowledge is largely socially created through interactions with others and involves unique collaborative skills and attitudes. It requires thinking differently about what constitutes teaching and learning. The article draws upon a small number of social and learning theories to explain the rationale for IPE needing a new way of thinking, and proposes approaches to guide development and implementation of IP continuing education. Social psychology and complexity theory explain the influence of the dynamism and interaction of internal (cognitive) and external (environmental) factors upon learning and set the stage for IPE. Theories related to professionalism and stereotyping, communities of practice, reflective learning, and transformative learning appear central to IPE and guide specific educational interventions. In sum, IPE requires CE to adopt new content, recognize new knowledge, and use new approaches for learning; we are now in a different place.

  6. From policy implementation to business process management : Principles for creating flexibility and agility

    NARCIS (Netherlands)

    Gong, Y.; Janssen, M.

    2012-01-01

    Organizations are required to comply with changes in legislation and policy. Yet the implementation of new legislation is often expensive, can have long lead times and is prone to failure. The existing situation significantly constrains policy-making. To improve this, policy makers and policy

  7. The fit between health impact assessment and public policy: practice meets theory.

    Science.gov (United States)

    Harris, Patrick; Sainsbury, Peter; Kemp, Lynn

    2014-05-01

    The last decade has seen increased use of health impact assessment (HIA) to influence public policies developed outside the Health sector. HIA has developed as a structured, linear and technical process to incorporate health, broadly defined, into policy. This is potentially incongruent with complex, non-linear and tactical policy making which does not necessarily consider health. HIA research has however not incorporated existing public policy theory to explain practitioners' experiences with HIA and policy. This research, therefore, used public policy theory to explain HIA practitioners' experiences and investigate 'What is the fit between HIA and public policy?' Empirical findings from nine in-depth interviews with international HIA practitioners were re-analysed against public policy theory. We reviewed the HIA literature for inclusion of public policy theories then compared these for compatibility with our critical realist methodology and the empirical data. The theory 'Policy Cycles and Subsystems' (Howlett et al., 2009) was used to re-analyse the empirical data. HIAs for policy are necessarily both tactical and technical. Within policy subsystems using HIA to influence public policy requires tactically positioning health as a relevant public policy issue and, to facilitate this, institutional support for collaboration between Public Health and other sectors. HIA fits best within the often non-linear public policy cycle as a policy formulation instrument. HIA provides, tactically and technically, a space for practical reasoning to navigate facts, values and processes underlying the substantive and procedural dimensions of policy. Re-analysing empirical experiential data using existing public policy theory provided valuable explanations for future research, policy and practice concerning why and how HIA fits tactically and technically with the world of public policy development. The use of theory and empiricism opens up important possibilities for future

  8. Tensions in implementing the “energy-conservation/carbon-reduction” policy in Taiwanese culture

    International Nuclear Information System (INIS)

    Chiu, Mei-Shiu

    2013-01-01

    The aim of this study is to investigate the Taiwanese public's perceptions of tensions between the implementation of an energy policy and the practice of traditional culture. The energy policy calls for public actions to conserve energy and reduce carbon emissions. The research participants are 94 people, selected by balancing sexes, ages, and residential areas, from a wide range of vocations. The research data were collected by semi-structured interview with the participants individually. Interview questions were designed to elicit the participants' constructs, beliefs, behaviours, and tensions in relation to energy policy and traditional culture. Data analysis was performed based on a qualitative methodology by the procedure of open coding, theme finding, constant comparison, and theory generation. The analysis identifies four tensions: (1) tensions in knowledge bases between energy conservation and carbon reduction, (2) tensions in lifestyles between having and being, (3) tensions in social systems between authority and conformity, and (4) tensions in creation boundaries between technology and nature. The themes underlying the four tensions are uncertainty, pleasure, power, and control, respectively. Solutions to the four tensions may include practical knowledge, pragmatic idealism, hierarchical collaboration, and sustainable innovation. - Highlights: ► Tensions occur between energy policy and traditional culture. ► Tensions occur in knowledge, life, society, and creation in Taiwan. ► The themes of the four tensions are uncertainty, pleasure, power, and control

  9. Solving the Policy Implementation Problem: The Case of Arizona Charter Schools.

    Science.gov (United States)

    Garn, Gregg A.

    1999-01-01

    Analyzes how Arizona charter school policymakers succeeded in preserving the legislative intentions of the state's charter school program. Identifies four key features of policy implementation that created the charter school policy: communication, financial resources, implementor attitudes, and bureaucratic structure. (SLD)

  10. Higher Education Policies and Their Implementations in Pakistan from Its Establishment to Date

    Directory of Open Access Journals (Sweden)

    M. Nur PAKDEMİRLİ

    2015-12-01

    Full Text Available akistan was a state established on August 14, 1947 with separation from India. From the beginning, new educational policies and plans including higher education was determined by almost all of the governments. Th ese new policies were sometimes considered as reforms. Refl ections of education policies and implementations varied over the time depending on the world-views of the leaders. In this paper, higher education policies and the implementations from its establishment to present time are discussed.

  11. Policy-Making Theory as an Analytical Framework in Policy Analysis: Implications for Research Design and Professional Advocacy.

    Science.gov (United States)

    Sheldon, Michael R

    2016-01-01

    Policy studies are a recent addition to the American Physical Therapy Association's Research Agenda and are critical to our understanding of various federal, state, local, and organizational policies on the provision of physical therapist services across the continuum of care. Policy analyses that help to advance the profession's various policy agendas will require relevant theoretical frameworks to be credible. The purpose of this perspective article is to: (1) demonstrate the use of a policy-making theory as an analytical framework in a policy analysis and (2) discuss how sound policy analysis can assist physical therapists in becoming more effective change agents, policy advocates, and partners with other relevant stakeholder groups. An exploratory study of state agency policy responses to address work-related musculoskeletal disorders is provided as a contemporary example to illustrate key points and to demonstrate the importance of selecting a relevant analytical framework based on the context of the policy issue under investigation. © 2016 American Physical Therapy Association.

  12. Implementing section 1332, Energy Policy Act of 1992

    International Nuclear Information System (INIS)

    Atwood, T.

    1993-01-01

    Sections 1332 Clean Coal Technology, and 1608 Environmental Technology of the Energy Policy Act of 1992 (EPACT) describe two technology Transfer Programs for creating jobs and reducing the trade deficit for the US, through providing financial assistance for projects to improve energy efficiency and reduce environmental emissions including open-quotes Greenhouse Gases.close quotes These projects are to be located in countries which are supported by the Agency for International Development (AID) or in countries with an economy in transition from a non-market to a market economy. The legislation requires a very similar approach for the two programs. Working with AID the DOE is to: (1) complete in 150 days an agreement with the appropriate US agencies for conducting the program in the host countries; (2) issue in 240 days a list of potential projects; (3) within one year issue a solicitation and (4) within 120 days after receipt of proposals make selection. In addition, the programs are to develop a procedure for providing financial assistance to projects applying for solicitations in other countries. After an initial consultation with US Treasury, Export-Import Bank, Overseas Private Investment Corp. (OPIC), and AID concerning Organization for Economic Cooperative Development rules for export credits, and the most appropriate means of financing projects under the Transfer Programs, it became apparent that, in addition to providing financing for projects through DOE programs, a more efficient, economical and prudent approach to implementing a transfer program would involve the financing of projects through organizations already experienced in the development of overseas investments. The program approach for implementation of these technology transfer programs is discussed

  13. Low-voltage CMOS operational amplifiers theory, design and implementation

    CERN Document Server

    Sakurai, Satoshi

    1995-01-01

    Low-Voltage CMOS Operational Amplifiers: Theory, Design and Implementation discusses both single and two-stage architectures. Opamps with constant-gm input stage are designed and their excellent performance over the rail-to-rail input common mode range is demonstrated. The first set of CMOS constant-gm input stages was introduced by a group from Technische Universiteit, Delft and Universiteit Twente, the Netherlands. These earlier versions of circuits are discussed, along with new circuits developed at the Ohio State University. The design, fabrication (MOSIS Tiny Chips), and characterization of the new circuits are now complete. Basic analog integrated circuit design concepts should be understood in order to fully appreciate the work presented. However, the topics are presented in a logical order and the circuits are explained in great detail, so that Low-Voltage CMOS Operational Amplifiers can be read and enjoyed by those without much experience in analog circuit design. It is an invaluable reference boo...

  14. A LEGISLATIVE CASE STUDY OF THE EVOLUTION OF POLYVICTIMIZATION RESEARCH AND POLICY IMPLEMENTATION: MENTAL HEALTH PROFESSIONALS' DUTY TO ENGAGE IN PUBLIC POLICY ADVOCACY.

    Science.gov (United States)

    Culyba, Alison Journey; Patton, William Wesley

    2016-01-01

    One reason that scientific research takes so long to reach patients is that medical researchers and practitioners often lack training in public policy implementation theory and strategy. General medical and specific psychiatric ethical precepts in the United States and in international ethics codes invest public policy duties in psychiatric researchers and individual clinicians. This essay discusses those medical ethical rules and suggests means for training psychiatrists to meet their public health policy duties in legal fora. The discussion presents a case study of the evolution of polyvictimization research, its initial lack of implementation in clinical practice and public policy debates, and a detailed demonstration of the incorporation of polyvictimization research in informing legislative action. Through systematic efforts to expand training and involvement of psychiatrists, we can expedite the implementation of psychiatric research by marshalling individual psychiatrists to affect decisions in legislative, executive, and judicial proceedings. These individual efforts can occur synergistically with ongoing psychiatric and psychological organizations' efforts to better effect timely incorporation of evidence-based policies to improve mental health at the local, state, national, and international levels.

  15. Barriers to implementing a health policy curriculum in medical schools

    Directory of Open Access Journals (Sweden)

    Mohammed R

    2017-12-01

    Full Text Available Raihan Mohammed, Jamil Shah Foridi, Innocent OgunmwonyiFaculty of Medicine, University of Cambridge, Cambridge, UKAs clinical medical students, we read with great interest the perspective by Malik et al.1 Although medical schools excel at educating students on the pathology and treatment of diseases, we agree on the severe deficiency in teaching health policy (HP in the medical curriculum. However, the authors fail to include challenges facing this implementation, which is an important aspect of the analysis. Thus, here we outline 3 key barriers that must be considered when including HP teaching in the medical curricula.First, as the authors mention, the medical curriculum is already saturated and there is insufficient space to add obligatory HP learning in timetables. The UK curriculum is so packed that lecturers resort to teaching facts, which students then rote-learn and commit to memory. This leaves little time for students to develop a deep understanding of the pathophysiology of diseases and subsequent management, and they also fail to develop core lifelong skills, including problem solving and critical thinking.2 It is well acknowledged that the medical course is extremely rigorous, and up to 90% of students have admitted to suffering from stress and up to 75% have complained of burnout.3 With mental health issues among students reaching epidemic levels, adding HP lectures to the timetable would put undue strain on both the medical school curricula and the students.View the original article by Malik et al.

  16. Chain-computerisation for interorganisational public policy implementation : A new approach to developing non-intrusive information infrastructures that improve public policy implementation

    NARCIS (Netherlands)

    Grijpink, J.H.A.M.

    1999-01-01

    In two articles the author presents some key elements from his recently completed thesis about functional, non-intrusive information infrastructures for interorganisational public policy implementation. The development of these information infrastructures requires a new approach,

  17. Towards local implementation of Dutch health policy guidelines: a concept-mapping approach

    NARCIS (Netherlands)

    Kuunders, T.J.M.; Bon-Martens, M.J.H. van; Goor, I.A.M. van de; Paulussen, T.G.W.M.; Oers, H.A.M. van

    2017-01-01

    To develop a targeted implementation strategy for a municipal health policy guideline, implementation targets of two guideline users [Regional Health Services (RHSs)] and guideline developers of leading national health institutes were made explicit. Therefore, characteristics of successful

  18. Towards local implementation of Dutch health policy guidelines : A concept-mapping approach

    NARCIS (Netherlands)

    Kuunders, T.J.M.; Van Bon-martens, M.J.H.; Van De Goor, L.A.M.; Paulussen, T.G.W.M.; Van Oers, J.A.M.

    To develop a targeted implementation strategy for a municipal health policy guideline, implementation targets of two guideline users [Regional Health Services (RHSs)] and guideline developers of leading national health institutes were made explicit. Therefore, characteristics of successful

  19. E-Policy and higher education: from formulation to implementation ...

    African Journals Online (AJOL)

    In so doing, I provide a basis for discourse about current international trends influencing e-policy in higher education. In conclusion an analysis of the government's (South Africa) e-policy and its impact on the e-policy of higher education is also provided. South African Journal of Higher Education Vol. 21 (6) 2008: pp. 643- ...

  20. Implementational and Ideological Spaces in Bilingual Education Language Policy

    Science.gov (United States)

    Johnson, David Cassels

    2010-01-01

    This paper presents results from an ethnography of language policy which examined language policy appropriation for bilingual learners in a large urban US school district. The purpose of this article is to explore the space left by current US language policy for developmental bilingual education and, specifically, the focus is on how a group of…

  1. 'Implementation deficit' and 'street-level bureaucracy': policy, practice and change in the development of community nursing issues.

    Science.gov (United States)

    Bergen, Ann; While, Alison

    2005-01-01

    The present paper examines the mechanisms by which health and social care policies put forward by the Government may be translated into community nursing practice. Data from a research project on community nurse case managers were re-examined in the light of two classic theories often cited by policy analysts (i.e. implementation theory and 'street-level bureaucracy'). It was found that the extent to which nurses adopted the case management role, and the model of choice, depended on four major interrelated variables, namely: (1) the clarity of policy guidance; (2) the extent to which it coincided with professional (nursing) values; (3) local practices and policies; and (4) the personal vision of the community nurse. It is argued that this framework may have wider relevance, and this was tested out in two ways. First, major change in one of these variables (Government policy) over time was analysed for its effect on case management practice via the remaining variables. Secondly, an unrelated, but policy-initiated, nursing issue (nurse prescribing) was briefly examined in the light of the framework. It is suggested that this framework may be of some use when considering the likely practice response to policy-related changes in community nursing.

  2. THE COMMON EU AGRICULTURAL POLICY AND ITS IMPLEMENTATION IN ROMANIA

    Directory of Open Access Journals (Sweden)

    PORUMBACEAN CLAUDIU

    2010-09-01

    Full Text Available Romania’s negotiations to become a European Union member were officially inaugurated on February 15, 2000. Agriculture is the largest negotiation chapter. The enlargement had and will certainly have positive effects upon the Romanian agriculture: stimulation of trade exchanges as a consequence of the dropping up of the customs duties, the increase of the agricultural products and,consequently, of the farmers’ income, the access to a much bigger market, of 450 million inhabitants.In order for the Romanian agricultural and food sector to become a competitive one, priority measures and steps are necessary both in the vegetal sector and in the animal-breeding and meat and diary products processing sectors. Once the enlargement achieved, Romanian agriculture is taking the advantage of different types of assistance within the framework of the CommonAgricultural Policy, but in order to absorb these funds it is important to know the governing principles. The basic principle of the community policy is to stimulate the farmers to adjust to the market signals, to produce what it is required to be produced on the market. Thus, the farmer will be determined to adjust the target with every quantity required, depending upon cost and qualitycompetitiveness. This concept is called “decoupling”, meaning the decoupling of the production subsidies and their connection to the surface.Romania’s tradition in animal-breeding for milk production may be an advantage for the implementation of chances to become an active participant to the intra-community trade. But tradition is not enough for Romania to be able to take advantage of the export opportunities. For this, we will have to improve the raw material milk quality and also of the products resulting from the processing, in order to allow the adjustment to the EU standards. Achieving the quality and cleaning parameters shall be performed by steps, until the end of the year 2009, mainly by adjusting the race

  3. Processes of local alcohol policy-making in England: Does the theory of policy transfer provide useful insights into public health decision-making?

    Science.gov (United States)

    Gavens, Lucy; Holmes, John; Buykx, Penny; de Vocht, Frank; Egan, Matt; Grace, Daniel; Lock, Karen; Mooney, John D; Brennan, Alan

    2017-06-13

    Recent years have seen a rise in new and innovative policies to reduce alcohol consumption and related harm in England, which can be implemented by local, as opposed to national, policy-makers. The aim of this paper is to explore the processes that underpin the adoption of these alcohol policies within local authorities. In particular, it aims to assess whether the concept of policy transfer (i.e. a process through which knowledge about policies in one place is used in the development of policies in another time or place) provides a useful model for understanding local alcohol policy-making. Qualitative data generated through in-depth interviews and focus groups from five case study sites across England were used to explore stakeholder experiences of alcohol policy transfer between local authorities. The purposive sample of policy actors included representatives from the police, trading standards, public health, licensing, and commissioning. Thematic analysis was used inductively to identify key features in the data. Themes from the policy transfer literature identified in the data were: policy copying, emulating, hybridization, and inspiration. Participants described a multitude of ways in which learning was shared between places, ranging from formal academic evaluation to opportunistic conversations in informal settings. Participants also described facilitators and constraints to policy transfer, such as the historical policy context and the local cultural, economic, and bureaucratic context, which influenced whether or not a policy that was perceived to work in one place might be transferred successfully to another context. Theories of policy transfer provide a promising framework for characterising processes of local alcohol policy-making in England, extending beyond debates regarding evidence-informed policy to account for a much wider range of considerations. Applying a policy transfer lens enables us to move beyond simple (but still important) questions of

  4. Studying Human Resource Information Systems Implementation using Adaptive Structuration Theory: The Case of an HRIS Implementation at Dow Chemical Company

    NARCIS (Netherlands)

    Ruel, Hubertus Johannes Maria; Chiemeke, Charles C.; Bondarouk, Tatiana; Ruel, Hubertus Johannes Maria; Guiderdoni-Jourdain, Karine; Oiry, Ewan

    2009-01-01

    Research on Human Resource Information Systems (HRIS) implementation lacks theoretical depth and richness. For that reason this paper applies a theory to HRIS implementation developed by Gerardine DeSanctis and Marshal Scott Poole originally for studying information systems implementation, namely

  5. National health insurance policy in Nepal: challenges for implementation

    Directory of Open Access Journals (Sweden)

    Shiva Raj Mishra

    2015-08-01

    Full Text Available The health system in Nepal is characterized by a wide network of health facilities and community workers and volunteers. Nepal's Interim Constitution of 2007 addresses health as a fundamental right, stating that every citizen has the right to basic health services free of cost. But the reality is a far cry. Only 61.8% of the Nepalese households have access to health facilities within 30 min, with significant urban (85.9% and rural (59% discrepancy. Addressing barriers to health services needs urgent interventions at the population level. Recently (February 2015, the Government of Nepal formed a Social Health Security Development Committee as a legal framework to start implementing a social health security scheme (SHS after the National Health Insurance Policy came out in 2013. The program has aimed to increase the access of health services to the poor and the marginalized, and people in hard to reach areas of the country, though challenges remain with financing. Several aspects should be considered in design, learning from earlier community-based health insurance schemes that suffered from low enrollment and retention of members as well as from a pro-rich bias. Mechanisms should be built for monitoring unfair pricing and unaffordable copayments, and an overall benefit package be crafted to include coverage of major health services including non-communicable diseases. Regulations should include such issues as accreditation mechanisms for private providers. Health system strengthening should move along with the roll-out of SHS. Improving the efficiency of hospital, motivating the health workers, and using appropriate technology can improve the quality of health services. Also, as currently a constitution drafting is being finalized, careful planning and deliberation is necessary about what insurance structure may suit the proposed future federal structure in Nepal.

  6. Interest Rate Dynamics and Monetary Policy Implementation in Switzerland

    OpenAIRE

    Puriya Abbassi; Dieter Nautz; Christian Offermanns

    2010-01-01

    The maturity of the operational target of monetary policy is a distinguishing feature of the SNB's operational framework of monetary policy. While most central banks use targets for the overnight rate to signal the policy-intended interest rate level, the SNB announces a target range for the three-month Libor. This paper investigates the working and the consequences of the SNB's unique operational framework for the behavior of Swiss money market rates before and during the financial crisis.

  7. An Analysis of Campus Violence Threat Assessment Policy Implementation at Michigan Community Colleges

    Science.gov (United States)

    Panico, Russell T., Jr.

    2016-01-01

    This dissertation evaluated campus violence threat assessment policy and procedure implementation at the community college level of higher education. The importance of this topic was to provide a manageable and collaborative initiative for leadership at institutions of higher learning to identify, develop, implement, and evaluate a policy that can…

  8. Characteristics and Differences of Lifelong Learning Policy Implementation for the Elderly in Thailand

    Science.gov (United States)

    Dhirathiti, Nopraenue S.; Pichitpatja, Pojjana

    2018-01-01

    The study examined the process of policy implementation of lifelong learning for the elderly in Thailand, covering four main regions within the country. The study empirically compared inputs, processes, outputs, and outcomes of policy implementation in the north, south, northeast, and central regions of Thailand and captured the rigor of policy…

  9. 77 FR 15052 - National Ocean Council-National Ocean Policy Draft Implementation Plan

    Science.gov (United States)

    2012-03-14

    ... QUALITY National Ocean Council--National Ocean Policy Draft Implementation Plan AGENCY: Council on... essential to public health and national security. Next, public comments on the draft Implementation Plan... Executive Order 13547 establishing a National Policy for the Stewardship of the Ocean, our Coasts, and the...

  10. How to manage barriers to formation and implementation of policy packages in transport

    DEFF Research Database (Denmark)

    Åkerman, Jonas; Gudmundsson, Henrik; Sørensen, Claus Hedegaard

    2011-01-01

    for policy formation and implementation. Secondly, we carried out an empirical analysis of barriers and success factors in four cases of policy packaging: Urban Congestion Charging; National Heavy Vehicle Fees; Aviation in the European Emissions Trading System and The EU’s First Railway Package. The third......The aim of this study has been to explore success factors and barriers to the formation and implementation of single policy measures and policy packages in transport, and to identify strategies to manage such barriers. As a first step, we developed a typology of barriers and success factors...... and final task was to identify more general strategies to manage barriers in policy formation and implementation. A main conclusion in this report is that a conscious application of these strategies may contribute significantly to successful formation and implementation of even controversial policies...

  11. Criteria for selecting implementation science theories and frameworks: results from an international survey

    Directory of Open Access Journals (Sweden)

    Sarah A. Birken

    2017-10-01

    Full Text Available Abstract Background Theories provide a synthesizing architecture for implementation science. The underuse, superficial use, and misuse of theories pose a substantial scientific challenge for implementation science and may relate to challenges in selecting from the many theories in the field. Implementation scientists may benefit from guidance for selecting a theory for a specific study or project. Understanding how implementation scientists select theories will help inform efforts to develop such guidance. Our objective was to identify which theories implementation scientists use, how they use theories, and the criteria used to select theories. Methods We identified initial lists of uses and criteria for selecting implementation theories based on seminal articles and an iterative consensus process. We incorporated these lists into a self-administered survey for completion by self-identified implementation scientists. We recruited potential respondents at the 8th Annual Conference on the Science of Dissemination and Implementation in Health and via several international email lists. We used frequencies and percentages to report results. Results Two hundred twenty-three implementation scientists from 12 countries responded to the survey. They reported using more than 100 different theories spanning several disciplines. Respondents reported using theories primarily to identify implementation determinants, inform data collection, enhance conceptual clarity, and guide implementation planning. Of the 19 criteria presented in the survey, the criteria used by the most respondents to select theory included analytic level (58%, logical consistency/plausibility (56%, empirical support (53%, and description of a change process (54%. The criteria used by the fewest respondents included fecundity (10%, uniqueness (12%, and falsifiability (15%. Conclusions Implementation scientists use a large number of criteria to select theories, but there is little

  12. Criteria for selecting implementation science theories and frameworks: results from an international survey.

    Science.gov (United States)

    Birken, Sarah A; Powell, Byron J; Shea, Christopher M; Haines, Emily R; Alexis Kirk, M; Leeman, Jennifer; Rohweder, Catherine; Damschroder, Laura; Presseau, Justin

    2017-10-30

    Theories provide a synthesizing architecture for implementation science. The underuse, superficial use, and misuse of theories pose a substantial scientific challenge for implementation science and may relate to challenges in selecting from the many theories in the field. Implementation scientists may benefit from guidance for selecting a theory for a specific study or project. Understanding how implementation scientists select theories will help inform efforts to develop such guidance. Our objective was to identify which theories implementation scientists use, how they use theories, and the criteria used to select theories. We identified initial lists of uses and criteria for selecting implementation theories based on seminal articles and an iterative consensus process. We incorporated these lists into a self-administered survey for completion by self-identified implementation scientists. We recruited potential respondents at the 8th Annual Conference on the Science of Dissemination and Implementation in Health and via several international email lists. We used frequencies and percentages to report results. Two hundred twenty-three implementation scientists from 12 countries responded to the survey. They reported using more than 100 different theories spanning several disciplines. Respondents reported using theories primarily to identify implementation determinants, inform data collection, enhance conceptual clarity, and guide implementation planning. Of the 19 criteria presented in the survey, the criteria used by the most respondents to select theory included analytic level (58%), logical consistency/plausibility (56%), empirical support (53%), and description of a change process (54%). The criteria used by the fewest respondents included fecundity (10%), uniqueness (12%), and falsifiability (15%). Implementation scientists use a large number of criteria to select theories, but there is little consensus on which are most important. Our results suggest that the

  13. Designing theoretically-informed implementation interventions: Fine in theory, but evidence of effectiveness in practice is needed

    Directory of Open Access Journals (Sweden)

    Reeves Scott

    2006-02-01

    Full Text Available Abstract The Improved Clinical Effectiveness through Behavioural Research Group (ICEBeRG authors assert that a key weakness in implementation research is the unknown applicability of a given intervention outside its original site and problem, and suggest that use of explicit theory offers an effective solution. This assertion is problematic for three primary reasons. First, the presence of an underlying theory does not necessarily ease the task of judging the applicability of a piece of empirical evidence. Second, it is not clear how to translate theory reliably into intervention design, which undoubtedly involves the diluting effect of "common sense." Thirdly, there are many theories, formal and informal, and it is not clear why any one should be given primacy. To determine whether explicitly theory-based interventions are, on average, more effective than those based on implicit theories, pragmatic trials are needed. Until empirical evidence is available showing the superiority of theory-based interventions, the use of theory should not be used as a basis for assessing the value of implementation studies by research funders, ethics committees, editors or policy decision makers.

  14. The DOE's radioactively contaminated metal recycling: The policy and its implementation

    International Nuclear Information System (INIS)

    Warren, S.; Rizkalla, E.

    1997-01-01

    Millions of tons of potentially recoverable materials have accumulated over the years at U.S. DOE sites and facilities now undergrowing environmental restoration. These materials include thousands of tones of scrap metals, both radioactively contaminated and not. This article discusses the DOE's policy on contaminated metal recycling and its implementation in the following topic areas: the recycling policy concept; an innovative policy development approach; the policy itself; stakeholder input into the final policy; innovative approaches to implementation; other recycling initiatives; standardized LLW disposal container development. 3 figs

  15. Partners for a healthy city: implementing policies and environmental changes within organizations to promote health.

    Science.gov (United States)

    Feyerherm, Laura; Tibbits, Melissa; Wang, Hongmei; Schram, Sarah; Balluff, Mary

    2014-07-01

    Current research has suggested that obesity prevention efforts should promote policy and environmental changes. The Partners for a Healthy City project, implemented in Douglas County, Nebraska, focused on collaborating with local organizations to help them select and implement 1 or more policies that promoted healthy eating and physical activity. Of the 346 organizations participating in the project and completing the follow-up assessment, 92% implemented at least 1 new policy or expanded an existing policy related to healthy food and drink options and physical activity, totaling 952 individual policy changes. Common policies included providing water as the primary beverage and installing bike racks to support active commuting to and from work. These findings suggest widespread support for policy changes that promote community health.

  16. A Training Intervention for Supervisors to Support a Work-Life Policy Implementation

    Directory of Open Access Journals (Sweden)

    Naima Laharnar

    2013-09-01

    Conclusion: CBT is an effective strategy to increase supervisors' knowledge and awareness to support policy implementation. The lack of supervisor training and knowledge of an important but complex employee benefit exposes a serious impediment to effective policy implementation and may lead to negative outcomes for the organization and the employee, supporting the Ryan-Kossek model. The results further demonstrate that long-time employees need supplementary training on complex workplace policies such as FMLA.

  17. Memoranda about Implementation of the Cancer Guidelines and Accompanying Supplemental Guidance - Science Policy Council Cancer Guidelines Implementation Workgroup Communication I and II

    Science.gov (United States)

    Memoranda from the Chair of EPA's Science Policy Council to the Science Policy Council and the Science Policy Council Steering Committee regarding Implementation of the Cancer Guidelines and Accompanying Supplemental Guidance.

  18. Promoting Implementation of Tobacco Control Laws and Policies in ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Following an analysis of six possible areas for action, the government chose smoke-free initiatives and taxation disincentives as priorities. This grant will support enforcement of an existing smoke-free policy in Abuja State and its introduction in Osun State, and initiate policy discussion on the use of taxation as a tool for ...

  19. Towards the implementation of the Nigerian cultural policy for the ...

    African Journals Online (AJOL)

    Nigeria is among one of the African countries that took a cue from Ghana to formulate its national cultural policy at the insistence of the United Nations Education Scientific and Cultural Organisation (UNESCO). Since 1976 when Nigerian formulated her cultural policy till date (2009), gaping loopholes exist which hinder the ...

  20. Adopting and Implementing CSR Policies in Travel Agency Business: The Case of Romania

    Directory of Open Access Journals (Sweden)

    Ovidiu-Ioan Moisescu

    2015-12-01

    Full Text Available The paper investigates the extent to which Romania’s largest travel agencies adopt and implement corporate social responsibility (CSR policies, correlating these findings with their business performance reflected by their net turnover and net profit. In order to evaluate the level of CSR policies adoption and implementation, an online survey was conducted among top managers from each travel agency. The questionnaire comprised several sets of items reflecting workplace, environmental, marketplace, community, and, respectively, company values policies. Our results point to the fact that the CSR policies adopted and implemented to the highest degree are those concerning the marketplace, while the least embraced CSR policies refer to the environment. Our findings also suggest that there are several CSR policies which are adopted and implemented to a higher degree by larger travel agencies in terms of net turnover, while some other CSR policies are adopted more thoroughly by smaller ones. The results also indicate positive correlations between the profitability of travel agencies and the adoption and implementation of certain CSR policies. Last but not least, our research suggests that marketplace policies adoption and implementation could have a significant positive impact on business performance of travel agencies in terms of both net turnover and net profitability.

  1. Learning from doing: the case for combining normalisation process theory and participatory learning and action research methodology for primary healthcare implementation research.

    Science.gov (United States)

    de Brún, Tomas; O'Reilly-de Brún, Mary; O'Donnell, Catherine A; MacFarlane, Anne

    2016-08-03

    The implementation of research findings is not a straightforward matter. There are substantive and recognised gaps in the process of translating research findings into practice and policy. In order to overcome some of these translational difficulties, a number of strategies have been proposed for researchers. These include greater use of theoretical approaches in research focused on implementation, and use of a wider range of research methods appropriate to policy questions and the wider social context in which they are placed. However, questions remain about how to combine theory and method in implementation research. In this paper, we respond to these proposals. Focussing on a contemporary social theory, Normalisation Process Theory, and a participatory research methodology, Participatory Learning and Action, we discuss the potential of their combined use for implementation research. We note ways in which Normalisation Process Theory and Participatory Learning and Action are congruent and may therefore be used as heuristic devices to explore, better understand and support implementation. We also provide examples of their use in our own research programme about community involvement in primary healthcare. Normalisation Process Theory alone has, to date, offered useful explanations for the success or otherwise of implementation projects post-implementation. We argue that Normalisation Process Theory can also be used to prospectively support implementation journeys. Furthermore, Normalisation Process Theory and Participatory Learning and Action can be used together so that interventions to support implementation work are devised and enacted with the expertise of key stakeholders. We propose that the specific combination of this theory and methodology possesses the potential, because of their combined heuristic force, to offer a more effective means of supporting implementation projects than either one might do on its own, and of providing deeper understandings of

  2. The project organization as a policy tool in implementing welfare reforms in the public sector.

    Science.gov (United States)

    Jensen, Christian; Johansson, Staffan; Löfström, Mikael

    2013-01-01

    Organizational design is considered in policy literature as a forceful policy tool to put policy to action. However, previous research has not analyzed the project organization as a specific form of organizational design and, hence, has not given much attention to such organizations as a strategic choice when selecting policy tools. The purpose of the article is to investigate the project as a policy tool; how do such temporary organizations function as a specific form of organization when public policy is implemented? The article is based on a framework of policy implementation and is illustrated with two welfare reforms in the Swedish public sector, which were organized and implemented as project organizations. The case studies and the analysis show that it is crucial that a project organization fits into the overall governance structure when used as a policy tool. If not, the project will remain encapsulated and will not have sufficient impact on the permanent organizational structure. The concept of encapsulation indicates a need to protect the project from a potential hostile environment. The implication of this is that organizational design as a policy tool is a matter that deserves more attention in the strategic discussion on implementing public policies and on the suitability of using certain policy tools. Copyright © 2012 John Wiley & Sons, Ltd.

  3. Application of Implementation Science Methodology to Immediate Postpartum Long-Acting Reversible Contraception Policy Roll-Out Across States.

    Science.gov (United States)

    Rankin, Kristin M; Kroelinger, Charlan D; DeSisto, Carla L; Pliska, Ellen; Akbarali, Sanaa; Mackie, Christine N; Goodman, David A

    2016-11-01

    Purpose Providing long-acting reversible contraception (LARC) in the immediate postpartum period is an evidence-based strategy for expanding women's access to highly effective contraception and for reducing unintended and rapid repeat pregnancy. The purpose of this article is to demonstrate the application of implementation science methodology to study the complexities of rolling-out policies that promote immediate postpartum LARC use across states. Description The Immediate Postpartum LARC Learning Community, sponsored by the Association of State and Territorial Health Officials (ASTHO), is made up of multi-disciplinary, multi-agency teams from 13 early-adopting states with Medicaid reimbursement policies promoting immediate postpartum LARC. Partners include federal agencies and maternal and child health organizations. The Learning Community discussed barriers, opportunities, strategies, and promising practices at an in-person meeting. Implementation science theory and methods, including the Consolidated Framework for Implementation Research (CFIR), and a recent compilation of implementation strategies, provide useful tools for studying the complexities of implementing immediate postpartum LARC policies in birthing facilities across early adopting states. Assessment To demonstrate the utility of this framework for guiding the expansion of immediate postpartum LARC policies, illustrative examples of barriers and strategies discussed during the in-person ASTHO Learning Community meeting are organized by the five CFIR domains-intervention characteristics, outer setting, inner setting, characteristics of the individuals involved, and process. Conclusion States considering adopting policies can learn from ASTHO's Immediate Postpartum LARC Learning Community. Applying implementation science principles may lead to more effective statewide scale-up of immediate postpartum LARC and other evidence-based strategies to improve women and children's health.

  4. Elaborating on theory with middle managers' experience implementing healthcare innovations in practice.

    Science.gov (United States)

    Birken, Sarah A; DiMartino, Lisa D; Kirk, Meredith A; Lee, Shoou-Yih D; McClelland, Mark; Albert, Nancy M

    2016-01-04

    The theory of middle managers' role in implementing healthcare innovations hypothesized that middle managers influence implementation effectiveness by fulfilling the following four roles: diffusing information, synthesizing information, mediating between strategy and day-to-day activities, and selling innovation implementation. The theory also suggested several activities in which middle managers might engage to fulfill the four roles. The extent to which the theory aligns with middle managers' experience in practice is unclear. We surveyed middle managers (n = 63) who attended a nursing innovation summit to (1) assess alignment between the theory and middle managers' experience in practice and (2) elaborate on the theory with examples from middle managers' experience overseeing innovation implementation in practice. Middle managers rated all of the theory's hypothesized four roles as "extremely important" but ranked diffusing and synthesizing information as the most important and selling innovation implementation as the least important. They reported engaging in several activities that were consistent with the theory's hypothesized roles and activities such as diffusing information via meetings and training. They also reported engaging in activities not described in the theory such as appraising employee performance. Middle managers' experience aligned well with the theory and expanded definitions of the roles and activities that it hypothesized. Future studies should assess the relationship between hypothesized roles and the effectiveness with which innovations are implemented in practice. If evidence supports the theory, the theory should be leveraged to promote the fulfillment of hypothesized roles among middle managers, doing so may promote innovation implementation.

  5. Implementation challenges of free maternity services policy in Kenya: the health workers' perspective.

    Science.gov (United States)

    Wamalwa, Emmanuel Wekesa

    2015-01-01

    Kenya implemented the policy of free maternity services to reduce maternal mortality and morbidity. For successful implementation of this policy, there is need to monitor the implementation progress, identify the challenges and mitigate them and determine better strategies for implementation based on emerging implementation issues. This study was carried out to determine the challenges facing policy implementation and strategies for better implementation. This was a cross-sectional descriptive study carried at the Rift Valley Provincial General Hospital (RVPGH) and Bondeni maternity. All the staff who work at Bondeni Maternity (including nursing officer in-charge) were included in the study. All the staff who work at the Maternity Unit of the RVPGH were included in the study, as well as the Medical Superintendent of the facility. A total of 110 respondents were sampled. A questionnaire and interview guide were used to collect data. Data was analyzed using SPSS software. A response rate of 91% (n=100) was achieved. Major implementation challenges include inadequate supplies (86%), inadequate funding (38%), staff shortage (92%), lack of motivation among health workers (62%), overwhelming workload (89%) and abuse of services by clients (32%). Strategies for better implementation include employment of more staff, motivation of health workers, improvement in policy financing, training of health workers and provision of adequate supplies. Implementation of free maternity services policy in Kenya is facing challenges but there exists strategies, which, if implemented, will help address these challenges.

  6. Technical analysis, contestation and politics in policy agenda setting and implementation : the rise and fall of primary care maternal services from Ghana’s capitation policy

    NARCIS (Netherlands)

    Koduah, A.; Dijk, van J.W.M.; Agyepong, I.A.

    2016-01-01

    Background: Why issues get on the policy agenda, move into policy formulation and implementation while others drop off in the process is an important field of enquiry to inform public social policy development and implementation. This paper seeks to advance our understanding of health policy agenda

  7. Malaria Treatment Policy Change and Implementation: The Case of Uganda

    Directory of Open Access Journals (Sweden)

    Miriam Nanyunja

    2011-01-01

    Full Text Available Malaria due to P. falciparum is the number one cause of morbidity and mortality in Uganda where it is highly endemic in 95% of the country. The use of efficacious and effective antimalarial medicines is one of the key strategies for malaria control. Until 2000, Chloroquine (CQ was the first-line drug for treatment of uncomplicated malaria in Uganda. Due to progressive resistance to CQ and to a combination of CQ with Sulfadoxine-Pyrimethamine, Uganda in 2004 adopted the use of ACTs as first-line drug for treating uncomplicated malaria. A review of the drug policy change process and postimplementation reports highlight the importance of managing the policy change process, generating evidence for policy decisions and availability of adequate and predictable funding for effective policy roll-out. These and other lessons learnt can be used to guide countries that are considering anti-malarial drug change in future.

  8. Malaria treatment policy change and implementation: the case of Uganda.

    Science.gov (United States)

    Nanyunja, Miriam; Nabyonga Orem, Juliet; Kato, Frederick; Kaggwa, Mugagga; Katureebe, Charles; Saweka, Joaquim

    2011-01-01

    Malaria due to P. falciparum is the number one cause of morbidity and mortality in Uganda where it is highly endemic in 95% of the country. The use of efficacious and effective antimalarial medicines is one of the key strategies for malaria control. Until 2000, Chloroquine (CQ) was the first-line drug for treatment of uncomplicated malaria in Uganda. Due to progressive resistance to CQ and to a combination of CQ with Sulfadoxine-Pyrimethamine, Uganda in 2004 adopted the use of ACTs as first-line drug for treating uncomplicated malaria. A review of the drug policy change process and postimplementation reports highlight the importance of managing the policy change process, generating evidence for policy decisions and availability of adequate and predictable funding for effective policy roll-out. These and other lessons learnt can be used to guide countries that are considering anti-malarial drug change in future.

  9. DOE's radioactively - contaminated metal recycling: The policy and its implementation

    International Nuclear Information System (INIS)

    Warren, S.; Rizkalla, E.

    1997-01-01

    In 1994, the Department of Energy's Office of Environmental Restoration initiated development of a recycling policy to minimize the amount of radioactively-contaminated metal being disposed of as waste. During the following two years, stakeholders (including DOE and contractor personnel, regulators, members of the public, and representatives of labor and industry) were invited to identify key issues of concern, and to provide input on the final policy. As a result of this process, a demonstration policy for recycling radioactively-contaminated carbon steel resulting from decommissioning activities within the Environmental Management program was signed on September 20, 1996. It specifically recognizes that the Office of Environmental Management has a tremendous opportunity to minimize the disposal of metals as waste by the use of disposal containers fabricated from contaminated steel. The policy further recognizes the program's demand for disposal containers, and it's role as the major generator of radioactively-contaminated steel

  10. Technology Opportunities: Implementation of Deployment Health Policy in Operational Theaters

    National Research Council Canada - National Science Library

    Martinez-Lopez, Lester

    2004-01-01

    It is U.S. policy that medical and personnel information systems be designed, integrated, and utilized with military medical surveillance to protect the physical and mental health of Service members throughout...

  11. HIV policy implementation in two health and demographic surveillance sites in Uganda: findings from a national policy review, health facility surveys and key informant interviews.

    Science.gov (United States)

    McRobie, Ellen; Wringe, Alison; Nakiyingi-Miiro, Jessica; Kiweewa, Francis; Lutalo, Tom; Nakigozi, Gertrude; Todd, Jim; Eaton, Jeffrey William; Zaba, Basia; Church, Kathryn

    2017-04-05

    Successful HIV testing, care and treatment policy implementation is essential for realising the reductions in morbidity and mortality those policies are designed to target. While adoption of new HIV policies is rapid, less is known about the facility-level implementation of new policies and the factors influencing this. We assessed implementation of national policies about HIV testing, treatment and retention at health facilities serving two health and demographic surveillance sites (HDSS) (10 in Kyamulibwa, 14 in Rakai). Ugandan Ministry of Health HIV policy documents were reviewed in 2013, and pre-determined indicators were extracted relating to the content and nature of guidance on HIV service provision. Facility-level policy implementation was assessed via a structured questionnaire administered to in-charge staff from each health facility. Implementation of policies was classified as wide (≥75% facilities), partial (26-74% facilities) or minimal (≤25% facilities). Semi-structured interviews were conducted with key informants (policy-makers, implementers, researchers) to identify factors influencing implementation; data were analysed using the Framework Method of thematic analysis. Most policies were widely implemented in both HDSS (free testing, free antiretroviral treatment (ART), WHO first-line regimen as standard, Option B+). Both had notable implementation gaps for policies relating to retention on treatment (availability of nutritional supplements, support groups or isoniazid preventive therapy). Rakai implemented more policies relating to provision of antiretroviral treatment than Kyamulibwa and performed better on quality of care indicators, such as frequency of stock-outs. Factors facilitating implementation were donor investment and support, strong scientific evidence, low policy complexity, phased implementation and effective planning. Limited human resources, infrastructure and health management information systems were perceived as major

  12. Implementing the theories: A fully integrated project control system that's implemented and works

    International Nuclear Information System (INIS)

    Harris, R.E.

    1994-01-01

    Using the theories presented in DOE Orders 4700.1, 1332.1A, and Notice 4700.5 as the basis for system design, the Fernald Environmental Restoration Management Corporation (FERMCO) has developed and implemented a Project Control System (PCS) that complies with requirements and provides DOE and FERMCO management with timely performance measurement information. To this extent, the FERMCO PCS probably is similar to the systems of the majority of the contractors in the DOE complex. In fact. this facet of the FERMCO PCS generally mirrors those used on projects around the world by FERMCO's parent company, Fluor Daniel. Starting with this open-quotes platformclose quotes, the vision and challenge of creating a fully integrated system commenced. An open-architecture systems approach is the factor that most greatly influenced and enabled the successful development and implementation of the Project Control System for the Fernald Environmental Management Project. All aspects of a fully integrated system were considered during the design phase. The architecture of the FERMCO system enables seamless, near real-time, transfer of data both from and to the Project Control System with all other related systems. The primary systems that provide and share data with the Project Control System include those used by the Payroll, Accounting, Procurement, and Human Resources organizations. To enable data linking with these organizations, the resource codes were designed to map many-to-one from their detailed codes to the summarized codes used in the PCS

  13. Evidence uncovered: long-term interest rates, monetary policy, and the expectations theory

    OpenAIRE

    Jennifer E. Roush

    2001-01-01

    A large body of literature has failed to find conclusive evidence that the expectations theory of the term structure holds in U.S. data. This paper asks more narrowly whether the theory holds conditional on an exogenous change in monetary policy. We argue that previous work on the expectation theory has failed to sufficiently account for interactions between monetary policy and bond markets in the determination of long and short interest rates. Using methods that directly account for this int...

  14. Örn B. Bodvarsson & Hendrik Van den Berg, The Economics of Immigration: Theory and Policy

    OpenAIRE

    DOUGLAS, Kacey

    2015-01-01

    Abstract. The Economics of Immigration: Theory and Policy (Second edition)is designed as a survey book that addresses all facets of immigration. Though there is a great amount of information regarding immigration, the complexity of the topic has resulted in an absence of any comprehensive book the covers a wide range of issues. The book covers immigration theory, empirical evidence regarding those theories, special issues in immigration, and immigration policy throughout the world. Designed a...

  15. Implementing hospital quality assurance policies in Iran: balancing licensing, annual evaluation, inspections and quality management systems.

    Science.gov (United States)

    Aghaei Hashjin, Asgar; Delgoshaei, Bahram; Kringos, Dionne S; Tabibi, Seyed Jamaladin; Manouchehri, Jila; Klazinga, Niek S

    2015-01-01

    The purpose of this paper is to provide an overview of applied hospital quality assurance (QA) policies in Iran. A mixed method (quantitative data and qualitative document analysis) study was carried out between 1996 and 2010. The QA policy cycle forms a tight monitoring system to assure hospital quality by combining mandatory and voluntary methods in Iran. The licensing, annual evaluation and grading, and regulatory inspections statutorily implemented by the government as a national package to assure and improve hospital care quality, while implementing quality management systems (QMS) was voluntary for hospitals. The government's strong QA policy legislation role and support has been an important factor for successful QA implementation in Iran, though it may affected QA assessment independency and validity. Increased hospital evaluation independency and repositioning, updating standards, professional involvement and effectiveness studies could increase QA policy impact and maturity. The study highlights the current QA policy implementation cycle in Iranian hospitals. It provides a basis for further quality strategy development in Iranian hospitals and elsewhere. It also raises attention about finding the optimal balance between different QA policies, which is topical for many countries. This paper describes experiences when implementing a unique approach, combining mandatory and voluntary QA policies simultaneously in a developing country, which has invested considerably over time to improve hospital quality. The experiences with a mixed obligatory/voluntary approach and comprehensive policies in Iran may contain lessons for policy makers in developing and developed countries.

  16. Exporting under trade policy uncertainty: Theory and evidence

    OpenAIRE

    Handley, Kyle

    2011-01-01

    Policy commitment and credibility are important for inducing agents to make costly, irreversible investments. Policy uncertainty can delay investment and reduce the response to policy change. I provide theoretical and novel quantitative evidence for these effects by focusing on trade policy, a ubiquitous but often overlooked source of uncertainty, when a firm's cost of export market entry is sunk. While an explicit purpose of the World Trade Organization (WTO) is to secure long term market ac...

  17. Implementing Health in All Policies - Time and Ideas Matter Too! Comment on "Understanding the Role of Public Administration in Implementing Action on the Social Determinants of Health and Health Inequities".

    Science.gov (United States)

    Clavier, Carole

    2016-06-20

    Carey and Friel suggest that we turn to knowledge developed in the field of public administration, especially new public governance, to better understand the process of implementing health in all policies (HiAP). In this commentary, I claim that theories from the policy studies bring a broader view of the policy process, complementary to that of new public governance. Drawing on the policy studies, I argue that time and ideas matter to HiAP implementation, alongside with interests and institutions. Implementing HiAP is a complex process considering that it requires the involvement and coordination of several policy sectors, each with their own interests, institutions and ideas about the policy. Understanding who are the actors involved from the various policy sectors concerned, what context they evolve in, but also how they own and frame the policy problem (ideas), and how this has changed over time, is crucial for those involved in HiAP implementation so that they can relate to and work together with actors from other policy sectors. © 2016 by Kerman University of Medical Sciences.

  18. Alignment of Organizational Security Policies -- Theory and Practice

    NARCIS (Netherlands)

    Dimkov, T.

    2012-01-01

    To address information security threats, an organization defines security policies that state how to deal with sensitive information. These policies are high-level policies that apply for the whole organization and span the three security domains: physical, digital and social. One example of a

  19. Understanding Australian policies on public health using social and political science theories: reflections from an Academy of the Social Sciences in Australia Workshop.

    Science.gov (United States)

    Baum, Fran; Graycar, Adam; Delany-Crowe, Toni; de Leeuw, Evelyne; Bacchi, Carol; Popay, Jennie; Orchard, Lionel; Colebatch, Hal; Friel, Sharon; MacDougall, Colin; Harris, Elizabeth; Lawless, Angela; McDermott, Dennis; Fisher, Matthew; Harris, Patrick; Phillips, Clare; Fitzgerald, Jane

    2018-04-19

    There is strong, and growing, evidence documenting health inequities across the world. However, most governments do not prioritize policies to encourage action on the social determinants of health and health equity. Furthermore, despite evidence concerning the benefits of joined-up, intersectoral policy to promote health and health equity, it is rare for such policy approaches to be applied systematically. To examine the usefulness of political and social science theory in understanding the reasons for this disjuncture between evidence and practice, researchers and public servants gathered in Adelaide for an Academy of the Social Sciences in Australia (ASSA) Workshop. This paper draws together the learnings that emerged from the Workshop, including key messages about the usefulness of various theories as well as insights drawn from policy practice. Discussions during the Workshop highlighted that applying multiple theories is particularly helpful in directing attention to, and understanding, the influence of all stages of the policy process; from the construction and framing of policy problems, to the implementation of policy and evaluation of outcomes, including those outcomes that may be unintended. In addition, the Workshop emphasized the value of collaborations among public health researchers, political and social scientists and public servants to open up critical discussion about the intersections between theory, research evidence and practice. Such critique is vital to render visible the processes through which particular sources of knowledge may be privileged over others and to examine how political and bureaucratic environments shape policy proposals and implementation action.

  20. California renewable energy policy and implementation issues: An overview of recent regulatory and legislative action

    Energy Technology Data Exchange (ETDEWEB)

    Wiser, R.; Pickle, S.; Goldman, C.

    1996-09-01

    This paper has three primary goals: (1) to provide a brief account of recent events in California renewables policy; (2) to outline the California State Legislature`s ultimate decision on renewable energy policy; and (3) to aid other states in their efforts with renewables policy by summarizing some of the key implementation issues and political conflicts that may occur when crafting some of the potential threats and opportunities that electricity restructuring presents to the development of renewable energy. We then outline the renewables policy debate in California since the California Public Utility Commission`s ``Blue Book``, including both regulatory and legislative developments. We also provide some insight into the minimum renewables purchase requirement (MRPR) versus surcharge-based renewables policy debate in California. Finally, we identify and discuss key renewables policy implementation issues that have driven the dialogue and recent decisions in California`s renewables policy.

  1. Factors influencing the acceptability of energy policies : A test of VBN theory

    NARCIS (Netherlands)

    Steg, L; Dreijerink, L; Abrahamse, W

    2005-01-01

    This paper examines factors influencing the acceptability of energy policies aimed to reduce the emission of CO2 by households. More specifically, it is Studied to what extent the value-belief-norm theory of environmentalism (VBN theory; Stern, [(2000). Toward a coherent theory of environmentally

  2. Design and implementation of carbon cap and dividend policies

    Energy Technology Data Exchange (ETDEWEB)

    Kunkel, Catherine M. [Energy and Resources Group (United States); Kammen, Daniel M. [Goldman School of Public Policy, University of California, Berkeley, CA 94720-3050 (United States)

    2011-01-15

    An important concept in discussions of carbon management policies is cap and dividend, where some fraction of the revenues of an auction on emission allowances is returned to citizens on an equal per capita basis. This policy tool has some important features; it emphasizes the fact that the atmosphere is a common property resource, and it is a highly transparent measure that can be effectively used to protect the income of low-income individuals. In this paper we examine this policy in the California context, and focus on the costs and impacts of a cap and dividend scheme when applied to carbon emissions associated with electricity, natural gas and transportation services. We find that cap and dividend can effectively be used to address the economic impacts of carbon management policies, making them progressive for the lowest-income members of society. We find that the majority of households receive positive net benefits from the policy even with the government retaining half of the auction revenue. If auction revenues are instead dedicated only to low-income households, the majority of low-income households can be fully compensated even with the state government retaining upwards of 90% of auction revenues for other purposes. (author)

  3. MODERN APPROACHES TO THE IMPLEMENTATION OF MONETARY POLICY AND THE REGULATION OF FINANCIAL SYSTEMS

    Directory of Open Access Journals (Sweden)

    Radu CUHAL

    2013-01-01

    Full Text Available This study determines the modern approaches to the implementation of monetary policy and regulation of financial systems. Set of measures to prevent and overcome the financial crisis is grounded taking into consideration different areas of research and the IMF. New tasks of monetary policy in central banks are specified and they are intended to ensure the financial stability of the state (within the common fiscal policy. The main directions of elaboration and implementation of new monetary policy mechanism, which is intended to ensure the effective solution of problems in macro prudential supervision and financial stability, are examined.

  4. Modern approaches to the implementation of monetary policy and the regulation of financial systems

    Directory of Open Access Journals (Sweden)

    Basistîi Nicolae

    2013-01-01

    Full Text Available This study determines the modern approaches to the implementation of monetary policy and regulation of financial systems. Set of measures to prevent and overcome the financial crisis is grounded taking into consideration different areas of research and the IMF.New tasks of monetary policy in central banks are specified and they are intended to ensure the financial stability of the state (within the common fiscal policy.The main directions of elaboration and implementation of new monetary policy mechanism, which is intended to ensure the effective solution of problems in macro prudential supervision and financial stability, are examined.

  5. Adapting public policy theory for public health research: A framework to understand the development of national policies on global health.

    Science.gov (United States)

    Jones, Catherine M; Clavier, Carole; Potvin, Louise

    2017-03-01

    National policies on global health appear as one way that actors from health, development and foreign affairs sectors in a country coordinate state action on global health. Next to a burgeoning literature in which international relations and global governance theories are employed to understand global health policy and global health diplomacy at the international level, little is known about policy processes for global health at the national scale. We propose a framework of the policy process to understand how such policies are developed, and we identify challenges for public health researchers integrating conceptual tools from political science. We developed the framework using a two-step process: 1) reviewing literature to establish criteria for selecting a theoretical framework fit for this purpose, and 2) adapting Real-Dato's synthesis framework to integrate a cognitive approach to public policy within a constructivist perspective. Our framework identifies multiple contexts as part of the policy process, focuses on situations where actors work together to make national policy on global health, considers these interactive situations as spaces for observing external influences on policy change and proposes policy design as the output of the process. We suggest that this framework makes three contributions to the conceptualisation of national policy on global health as a research object. First, it emphasizes collective action over decisions of individual policy actors. Second, it conceptualises the policy process as organised interactive spaces for collaboration rather than as stages of a policy cycle. Third, national decision-making spaces are opportunities for transferring ideas and knowledge from different sectors and settings, and represent opportunities to identify international influences on a country's global health policy. We discuss two sets of challenges for public health researchers using interdisciplinary approaches in policy research. Copyright

  6. Defining Moments in Policy Development, Direction, and Implementation in Irish Initial Teacher Education Policy

    Science.gov (United States)

    O'Doherty, Teresa

    2014-01-01

    This paper explores the impact of significant OECD documents on the development of Irish education policy, specifically teacher education policy, over the last half century. While other commentators have argued that Irish education has been predominantly influenced by policy developments in the UK, US or Europe, this paper identifies the OECD as a…

  7. Career Development for Youth with Disabilities in South Korea: The Intersection of Culture, Theory, and Policy

    Directory of Open Access Journals (Sweden)

    Jina Chun

    2016-09-01

    Full Text Available Youth with disabilities face difficulties resulting from attitudinal, environmental, and organizational barriers not only in initially accessing and entering school (World Health Organization [WHO], 2011, but also as they transition from school age youth to working adults. With a focus on facilitating a better understanding of the issues, challenges, and solutions associated with the design and implementation of career development services for youth with disabilities, this article describes the status quo for students with disabilities in South Korea and then discusses career development services that potentially reduce variation, help facilitate optimal career development, and promote future employment opportunities. To accomplish this task, we explore the intersection of culture, theory, and policy in the Korean transition service delivery system.

  8. Energy shocks, crises and the policy process: A review of theory and application

    International Nuclear Information System (INIS)

    Grossman, Peter Z.

    2015-01-01

    What motivates changes in energy policy? Typically, the process begins with a notable exogenous event, a shock. Often, the shock leads to what is perceived to be a crisis. This review essay surveys theories of crisis policymaking from the social science literature and considers their application to changes in energy policy. Two cases — one from the U.S., the other from Germany — are examined in more detail from the standpoint of the theories discussed. Suggestions are made for improving energy policy analysis in the future. - Highlights: • An analysis of the idea of “crisis” and its application to energy. • A review of theories and models of the policy process and of policy change. • Theory applied to two energy cases. • Suggestion as to how the analysis of energy policymaking might be approached in the future

  9. Links in a distributed database: Theory and implementation

    International Nuclear Information System (INIS)

    Karonis, N.T.; Kraimer, M.R.

    1991-12-01

    This document addresses the problem of extending database links across Input/Output Controller (IOC) boundaries. It lays a foundation by reviewing the current system and proposing an implementation specification designed to guide all work in this area. The document also describes an implementation that is less ambitious than our formally stated proposal, one that does not extend the reach of all database links across IOC boundaries. Specifically, it introduces an implementation of input and output links and comments on that overall implementation. We include a set of manual pages describing each of the new functions the implementation provides

  10. Environmental Education Policy Implementation in Botswana:The ...

    African Journals Online (AJOL)

    It focuses on environmental education as practised by education officers and school heads. The results indicate some constraints regarding the logistics and official commitment of these key role players. The paper also puts forward some recommendations for further research and review of environmental education policy ...

  11. The stuttering implementation of language policies in the South ...

    African Journals Online (AJOL)

    The article decries the lack of commitment on the part of native speakers of indigenous African languages, in some instances, to invest in their languages, as a retrogressive step in the promotion and development of these languages. Keywords: Language policy, African languages, multilingualism, indigenous African ...

  12. Implementation challenges of free maternity services policy in Kenya ...

    African Journals Online (AJOL)

    100) was achieved. Major implementation challenges include inadequate supplies (86%), inadequate funding (38%), staff shortage (92%), lack of motivation among health workers (62%), overwhelming workload (89%) and abuse of services by ...

  13. Immediate challenge of combating climate change: Effective implementation of energy efficiency policies

    Energy Technology Data Exchange (ETDEWEB)

    Morvaj, Zoran; Bukarica, Vesna

    2010-09-15

    Energy efficiency is the most readily available, rapid and cost-effective way to achieve desired greenhouse gases reductions. Therefore, it is the focus of energy and climate change policies world wide. The results of these policies are still missing in the desired extent, even in the EU, which has the most advanced energy efficiency policy. The main reason behind this policy failure is a complete lack of focus on implementing capacities that would ensure full policy uptake. Embracing full-scale energy management systems in public and business sectors and mobilisation of and cooperation between all stakeholders are the way towards higher efficiency.

  14. U.S. weapons-useable plutonium disposition policy: Implementation of the MOX fuel option

    International Nuclear Information System (INIS)

    Woods, A.L.; Gonzalez, V.L.

    1998-10-01

    A comprehensive case study was conducted on the policy problem of disposing of US weapons-grade plutonium, which has been declared surplus to strategic defense needs. Specifically, implementation of the mixed-oxide fuel disposition option was examined in the context of national and international nonproliferation policy, and in contrast to US plutonium policy. The study reveals numerous difficulties in achieving effective implementation of the mixed-oxide fuel option including unresolved licensing and regulatory issues, technological uncertainties, public opposition, potentially conflicting federal policies, and the need for international assurances of reciprocal plutonium disposition activities. It is believed that these difficulties can be resolved in time so that the implementation of the mixed-oxide fuel option can eventually be effective in accomplishing its policy objective

  15. Implementing Indigenous Education Policy Directives in Ontario Public Schools: Experiences, Challenges and Successful Practices

    Directory of Open Access Journals (Sweden)

    Emily Milne

    2017-08-01

    Full Text Available The Ontario Ministry of Education has declared a commitment to Indigenous student success and has advanced a policy framework that articulates inclusion of Indigenous content in schooling curriculum (Ontario Ministry of Education, 2007. What are the perceptions among educators and parents regarding the implementation of policy directives, and what is seen to encourage or limit meaningful implementation? To answer these questions, this article draws on interviews with 100 Indigenous (mainly Haudenosaunee, Anishinaabe, and Métis and non-Indigenous parents and educators from Ontario Canada. Policy directives are seen to benefit Indigenous and non-Indigenous students. Interviews also reveal challenges to implementing Indigenous curricular policy, such as unawareness and intimidation among non-Indigenous educators regarding how to teach material. Policy implications are considered.

  16. U.S. weapons-usable plutonium disposition policy: Implementation of the MOX fuel option

    Energy Technology Data Exchange (ETDEWEB)

    Woods, A.L. [ed.] [Amarillo National Resource Center for Plutonium, TX (United States); Gonzalez, V.L. [Texas A and M Univ., College Station, TX (United States). Dept. of Political Science

    1998-10-01

    A comprehensive case study was conducted on the policy problem of disposing of US weapons-grade plutonium, which has been declared surplus to strategic defense needs. Specifically, implementation of the mixed-oxide fuel disposition option was examined in the context of national and international nonproliferation policy, and in contrast to US plutonium policy. The study reveals numerous difficulties in achieving effective implementation of the mixed-oxide fuel option including unresolved licensing and regulatory issues, technological uncertainties, public opposition, potentially conflicting federal policies, and the need for international assurances of reciprocal plutonium disposition activities. It is believed that these difficulties can be resolved in time so that the implementation of the mixed-oxide fuel option can eventually be effective in accomplishing its policy objective.

  17. Evidence-informed policy formulation and implementation: a comparative case study of two national policies for improving health and social care in Sweden.

    Science.gov (United States)

    Strehlenert, H; Richter-Sundberg, L; Nyström, M E; Hasson, H

    2015-12-08

    Evidence has come to play a central role in health policymaking. However, policymakers tend to use other types of information besides research evidence. Most prior studies on evidence-informed policy have focused on the policy formulation phase without a systematic analysis of its implementation. It has been suggested that in order to fully understand the policy process, the analysis should include both policy formulation and implementation. The purpose of the study was to explore and compare two policies aiming to improve health and social care in Sweden and to empirically test a new conceptual model for evidence-informed policy formulation and implementation. Two concurrent national policies were studied during the entire policy process using a longitudinal, comparative case study approach. Data was collected through interviews, observations, and documents. A Conceptual Model for Evidence-Informed Policy Formulation and Implementation was developed based on prior frameworks for evidence-informed policymaking and policy dissemination and implementation. The conceptual model was used to organize and analyze the data. The policies differed regarding the use of evidence in the policy formulation and the extent to which the policy formulation and implementation phases overlapped. Similarities between the cases were an emphasis on capacity assessment, modified activities based on the assessment, and a highly active implementation approach relying on networks of stakeholders. The Conceptual Model for Evidence-Informed Policy Formulation and Implementation was empirically useful to organize the data. The policy actors' roles and functions were found to have a great influence on the choices of strategies and collaborators in all policy phases. The Conceptual Model for Evidence-Informed Policy Formulation and Implementation was found to be useful. However, it provided insufficient guidance for analyzing actors involved in the policy process, capacity-building strategies

  18. Law Policy Implementation as the Determinant of the Legal Development of Society

    Directory of Open Access Journals (Sweden)

    Bakardzhiev Ya. V.

    2015-04-01

    Full Text Available The article focuses on the forms and mechanism of implementation of law policy, aspects of its interaction with different legal and social factors and determinants specifying its formation and enforcement.

  19. Nigerian nation-building and public policy implementation: from the ...

    African Journals Online (AJOL)

    Seeing to the genuine completion of goods according to the set standard and effectuation of good ideas, have always been the problem of humanity in terms of nation building. Recorded failures amidst plethora of theories and practices adduced to remedy the situation are indicative of basic lack. It is lack of application of ...

  20. The Implementation of Preferential Procurement Policy in Gauteng Province: Challenges and Solutions

    Directory of Open Access Journals (Sweden)

    John Nkwananchi Hlakudi

    2015-03-01

    Full Text Available The South African government established the Preferential Procurement Policy (PP Policy to provide Historically Disadvantaged Individuals (HDIs economic opportunity in the state procurement process. There were a number of challenges in the implementation of the policy. The challenges include non compliance with procurement processes, limited knowledge of preferential procurement targets, late payments of suppliers, and fraud and corruption. In addition to putting measures to improve inefficiencies embedded in the preferential procurement system, this article asserts that the achievement of the objectives of the Preferential Procurement Policy lies mainly in the commitment by top management and the empowerment of the people tasked with the implementation of the policy. This means that the top management should receive training about the importance of the policy to create economic opportunities for black people. Furthermore, Supply Chain Management (SCM officials in government should be given appropriate authority in the public procurement system.

  1. National ownership in the implementation of global climate policy in Uganda

    DEFF Research Database (Denmark)

    Olsen, K.H.

    2006-01-01

    question asked is to what extent external interventions have formed part of a country-driven approach in Uganda. The conflicting national and global priorities concerning the need for adaptation to the impacts of climate change versus the need for global mitigation of greenhouse gases (GHGs) are explored...... first. Against this background, Uganda's policy response to climate change is reviewed. National climate policies are found not to exist, and the implementation of global policies is not integrated into national policy frameworks, partly due to conflicting national and global priorities. Given limited......This article explores the history, from a developing country perspective, of how external interventions to implement global policies on the Climate Convention and the Clean Development Mechanism (CDM) have been integrated into national development policy frameworks in the period 1990-2005. The main...

  2. Barriers and challenges of implementing tobacco control policies in hospitals: applying the institutional analysis and development framework to the Catalan Network of Smoke-Free Hospitals.

    Science.gov (United States)

    Martinez, Cristina

    2009-08-01

    This article analyzes tobacco control policies in hospitals based on the experience of the Catalan Network of Smoke-Free Hospitals, Spain. The objective is to understand through this case study how tobacco policies are designed and implemented in health care organizations. Because tobacco control is a public health issue, governmental, institutional, and professional involvement is necessary. This article identifies and examines the structure and relationships among the different actors involved in the tobacco control policies in health care organizations using Ostrom's Institutional Analysis and Development framework.This theory helps one understand the policy failures and rethink the future challenges. Critical issues should be reviewed to enhance implementation of smoke-free hospitals-such as assuring the compliance of nonsmoking areas and introducing compulsory tobacco cessation activities that are promoted and monitored by the public administration. The author suggests that relying primarily on an organization's interpretation of rules leads to irregular implementation.

  3. Environment Protection and Implementation of its Policies in Romania

    Directory of Open Access Journals (Sweden)

    Marieta Stanciu

    2008-11-01

    Full Text Available In its step European Union Starts from the idea there is no contradiction between economic growth and maintaining an acceptable qualitative level of environment. That’s whip the measures of environment integration amoug the economic and politic activities must action together in order to reduce polluation and improve economy’s function.In conclusion, the best strategy for environment integration in to the economic policy must be the creation on improvement of environment goods market function.

  4. The Soviet Union and population: theory, problems, and population policy.

    Science.gov (United States)

    Di Maio, A J

    1980-04-01

    Until the important public dialog on 3rd World population issues began in the Soviet Uuion in 1965, ideological limitations and bureaucratic interests prevented policy makers from recognizing the existence of a world of national "population problem." Since then, freer discussions of the Soviet Union's surprising decline in birthrate and labor shortages have led to serious policy questions. Conflicting policy goals, however, have resulted in only modest pronatalist policies. The Soviet population problem is a result of interregional disparities in population growth rates between the highly urbanized Soviet European populations with low birth rates and the least urbanized Central Asians with dramatically higher birth rates. As a result, these essentially Muslim people will provide the only major increases in labor resources and an increasing percentage of Soviet armed forces recruits. Policy planners are thus faced with difficult options. Current policies stressing technological transfers from the west and greater labor productivity, however, are unlikely to solve further labor shortages and regional imbalances. Ultimately, nonEuropana regions will be in an improved bargaining position for more favorable nationwide economic policies and for a greater role in policy planning.

  5. Awareness, Facilitators, and Barriers to Policy Implementation Related to Obesity Prevention for Primary School Children in Malaysia.

    Science.gov (United States)

    Chan, Camelina; Moy, Foong Ming; Lim, Jennifer N W; Dahlui, Maznah

    2018-03-01

    To assess the awareness, facilitators, and barriers to policy implementation related to obesity prevention for primary school children. A cross-sectional study administered using an online questionnaire. Conducted in 447 primary schools in a state in Malaysia. One school administrator from each school served as a participant. The questionnaires consisted of 32 items on awareness, policy implementation, and facilitators and barriers to policy implementation. Descriptive analysis was used to describe the awareness, facilitators, and barriers of policies implementation. Association between schools' characteristics and policy implementation was assessed using logistic regression. The majority (90%) of school administrators were aware of the policies. However, only 50% to 70% of schools had implemented the policies fully. Reported barriers were lack of equipment, insufficient training, and limited time to complete implementation. Facilitators of policy implementation were commitment from the schools, staff members, students, and canteen operators. Policy implementation was comparable in all school types and locality; except the policy on "Food and Drinks sold at the school canteens" was implemented by more rural schools compared to urban schools (odds ratio: 1.74, 95% confidence interval: 1.13-2.69). Majority of the school administrators were aware of the existing policies; however, the implementation was only satisfactory. The identified barriers to policy implementation were modifiable and thus, the stakeholders should consider restrategizing plans in overcoming them.

  6. Explaining willingness of public professionals to implement public policies: Content, context and personality characteristics

    OpenAIRE

    Steijn, Bram; Tummers, Lars; Bekkers, Victor

    2009-01-01

    textabstractCurrently, there is an intense debate on pressures facing public professionals. This debate often focuses on the (un)willingness of professionals - such as teachers and physicians - to implement new policies. In explaining this willingness, scholars often looked at the policy content, using qualitative case-studies. This has not led to a satisfactory explanatory framework. The aim of this research is twofold: (1) building a more all-encompassing, three-factor model (policy content...

  7. Researching implementation of formative assessment in different educational cultures in order to change educational policy

    DEFF Research Database (Denmark)

    Dolin, Jens

    2015-01-01

    This paper reports from a four year international research project, Assess Inquiry in Science, Technology and Mathematics Education (ASSIST-ME) involving 10 partners in 8 European countries (http://assistme.ku.dk/), running 2012-2016. The project combines research on implementation of innovative...... assessment methods with a policy aspect in order to influence educational policy....

  8. Explaining willingness of public professionals to implement public policies: Content, context and personality characteristics

    NARCIS (Netherlands)

    A.J. Steijn (Bram); L.G. Tummers (Lars); V.J.J.M. Bekkers (Victor)

    2009-01-01

    textabstractCurrently, there is an intense debate on pressures facing public professionals. This debate often focuses on the (un)willingness of professionals - such as teachers and physicians - to implement new policies. In explaining this willingness, scholars often looked at the policy content,

  9. Adopting and Implementing Globalised Policies of Intercultural Education: The Example of Cyprus

    Science.gov (United States)

    Hajisoteriou, Christina; Angelides, Panayiotis

    2017-01-01

    Globalisation has heavily influenced the terrain of intercultural education policy development and implementation in multiple countries around the world. To this end, in this article, we seek to introduce a broader focus of analysis encompassing not only the development of globalised policies of intercultural education, but also the adoption,…

  10. EXplaining The Willingness Of Public Professionals To Implement Public Policies: Content, Context, And Personality Characteristics

    NARCIS (Netherlands)

    L.G. Tummers (Lars); A.J. Steijn (Bram); V.J.J.M. Bekkers (Victor)

    2012-01-01

    textabstractThe willingness of public professionals to implement policy programmes is important for achieving policy performance. However, few scholars have developed and tested systematic frameworks to analyze this issue. In this study, we address this by building and testing an appropriate

  11. A District's Use of Data and Research to Inform Policy Formation and Implementation

    Science.gov (United States)

    Seager, Andrew; Madura, John P.; Cox, Joshua; Carey, Rebecca

    2015-01-01

    This descriptive study of a change initiative by the Syracuse (NY) City School District informs the question, "How do school boards and districts better use research and data to inform policy decisions?" Researchers used interviews and artifacts to describe how the district developed and implemented a new discipline policy, the Syracuse…

  12. Evaluation of Alabama Public School Wellness Policies and State School Mandate Implementation

    Science.gov (United States)

    Gaines, Alisha B.; Lonis-Shumate, Steven R.; Gropper, Sareen S.

    2011-01-01

    Background: This study evaluated wellness policies created by Alabama public school districts and progress made in the implementation of Alabama State Department of Education (ALSDE) school food and nutrition mandates. Methods: Wellness policies from Alabama public school districts were compared to minimum requirements under the Child Nutrition…

  13. Balancing Tensions in Educational Policy Reforms: Large-Scale Implementation of Assessment for Learning in Norway

    Science.gov (United States)

    Hopfenbeck, Therese N.; Flórez Petour, María Teresa; Tolo, Astrid

    2015-01-01

    This study investigates how different stakeholders in Norway experienced a government-initiated, large-scale policy implementation programme on "Assessment for Learning" ("AfL"). Data were collected through 58 interviews with stakeholders in charge of the policy; Ministers of Education and members of the Directorate of…

  14. Towards local implementation of Dutch health policy guidelines: a concept-mapping approach.

    Science.gov (United States)

    Kuunders, Theo J M; van Bon-Martens, Marja J H; van de Goor, Ien A M; Paulussen, Theo G W M; van Oers, Hans A M

    2017-02-22

    To develop a targeted implementation strategy for a municipal health policy guideline, implementation targets of two guideline users [Regional Health Services (RHSs)] and guideline developers of leading national health institutes were made explicit. Therefore, characteristics of successful implementation of the guideline were identified. Differences and similarities in perceptions of these characteristics between RHSs and developers were explored. Separate concept mapping procedures were executed in two RHSs, one with representatives from partner local health organizations and municipalities, the second with RHS members only. A third map was conducted with the developers of the guideline. All mapping procedures followed the same design of generating statements up to interpretation of results with participants. Concept mapping, as a practical implementation tool, will be discussed in the context of international research literature on guideline implementation in public health. Guideline developers consider implementation successful when substantive components (health issues) of the guidelines, content are visible in local policy practice. RHSs, local organizations and municipalities view the implementation process itself within and between organizations as more relevant, and state that usability of the guideline for municipal policy and commitment by officials and municipal managers are critical targets for successful implementation. Between the RHSs, differences in implementation targets were smaller than between RHSs and guideline developers. For successful implementation, RHSs tend to focus on process targets while developers focus more on the thematic contents of the guideline. Implications of these different orientations for implementation strategies are dealt with in the discussion. © The Author 2017. Published by Oxford University Press.

  15. Waste Management Policy Implementation in South Africa: An ...

    African Journals Online (AJOL)

    The need to eliminate plastic shopping bags from South Africa's environment has resulted in the formation and implementation of the Plastic Carrier Bags and Plastics Flat Bags Regulations (hereafter referred to as the Plastic Bags Regulations).The new law requires manufacturers to produce thicker, reusable and ...

  16. Factors affecting ICT Policy Implementation in Rural Namibian Schools

    African Journals Online (AJOL)

    In order to describe the rural area situation with regard to ICT implementation in the education sector, a quantitative approach was used to collect data from a sample 137 science teachers and 107 principals out of the 163 participating secondary schools in three rural regions. In this research school level data were used to ...

  17. Sexual Harassment in Public Schools: Policy Design, Policy Implementation, and the Perceptions of Employees Participating in Investigations

    Science.gov (United States)

    Bratge, Katrina

    2009-01-01

    This study of two cases of sexual harassment investigates employee perceptions and organizational characteristics associated with policy and implementation procedures in two public school districts in New York State which experienced different outcomes to litigation in response to formal complaints of sexual harassment. Using documentary evidence…

  18. Industrial Policy Approaches from Theory to Practice in European Union

    Directory of Open Access Journals (Sweden)

    Anca Dachin

    2006-12-01

    Full Text Available The main debate about industrial policy consists of the attitude regarding the role of state versus market. The admission of possible market failures was the inspiration source for policies in the field of competition strengthening, supply of public goods, overcoming the deficit of capital etc. The general objectives of industrial policy may vary from the absolute role of the market to the market control. The European Community has applied a diversity of policies, differentiated from one period to another, in connection with the competition pressure on the world market and with the European integration stages. The EC had at its beginning a complete faith in the market mechanism, then a period of protectionism followed, as an answer to the oil shock and to the pressure of competition on international markets, especially coming from large American and Japanese companies. During the period 1985-1990, the European Community began to establish an industrial policy to encourage partnership between European companies and to promote cooperation in the field of research and development. In 1990 the European Commission proposed a new coherent concept of market oriented industrial policy, according to the model of neutral policy. Industrial policy is strongly connected to the competition policy. Especially after 1995, there have been signs of worry about the lower competitiveness in terms of productivity growth rate, expenditures for research and innovation capacity compared to USA and Japan. In addition, the European industry must face the competition pressure coming from the emergence of countries, mainly those from South-East Asia. In this context, the key factor which ensures a favorable perspective for the industry is competitiveness. This also implies expected positive effects of EU enlargement. The decision to sustain competitiveness was already taken in Lisbon, where a modern strategy was presented. Its priorities are the creation of a suitable

  19. Industrial Policy Approaches from Theory to Practice in European Union

    Directory of Open Access Journals (Sweden)

    Anca Dachin

    2006-10-01

    Full Text Available The main debate about industrial policy consists of the attitude regarding the role of state versus market. The admission of possible market failures was the inspiration source for policies in the field of competition strengthening, supply of public goods, overcoming the deficit of capital etc. The general objectives of industrial policy may vary from the absolute role of the market to the market control. The European Community has applied a diversity of policies, differentiated from one period to another, in connection with the competition pressure on the world market and with the European integration stages. The EC had at its beginning a complete faith in the market mechanism, then a period of protectionism followed, as an answer to the oil shock and to the pressure of competition on international markets, especially coming from large American and Japanese companies. During the period 1985-1990, the European Community began to establish an industrial policy to encourage partnership between European companies and to promote cooperation in the field of research and development. In 1990 the European Commission proposed a new coherent concept of market oriented industrial policy, according to the model of neutral policy. Industrial policy is strongly connected to the competition policy. Especially after 1995, there have been signs of worry about the lower competitiveness in terms of productivity growth rate, expenditures for research and innovation capacity compared to USA and Japan. In addition, the European industry must face the competition pressure coming from the emergence of countries, mainly those from South-East Asia. In this context, the key factor which ensures a favorable perspective for the industry is competitiveness. This also implies expected positive effects of EU enlargement. The decision to sustain competitiveness was already taken in Lisbon, where a modern strategy was presented. Its priorities are the creation of a suitable

  20. Strength and Comprehensiveness of District School Wellness Policies Predict Policy Implementation at the School Level

    Science.gov (United States)

    Schwartz, Marlene B.; Henderson, Kathryn E.; Falbe, Jennifer; Novak, Sarah A.; Wharton, Christopher M.; Long, Michael W.; O'Connell, Meghan L.; Fiore, Susan S.

    2012-01-01

    Background: In 2006, all local education agencies in the United States participating in federal school meal programs were required to establish school wellness policies. This study documented the strength and comprehensiveness of 1 state's written district policies using a coding tool, and tested whether these traits predicted school-level…

  1. From Policy to Practice: Implementation of Water Policies in Child Care Centers in Connecticut

    Science.gov (United States)

    Middleton, Ann E.; Henderson, Kathryn E.; Schwartz, Marlene B.

    2013-01-01

    Objective: Child care policies may contribute to healthy beverage consumption patterns. This study documented availability and accessibility of water and correspondence with state and federal policy and accreditation standards in child care centers. Design: One-day observations were conducted in a random sample of 40 Child and Adult Care Food…

  2. Street-level diplomacy? Communicative and adaptive work at the front line of implementing public health policies in primary care.

    Science.gov (United States)

    Gale, Nicola; Dowswell, George; Greenfield, Sheila; Marshall, Tom

    2017-03-01

    Public services are increasingly operating through network governance, requiring those at all levels of the system to build collaborations and adapt their practice. Agent-focused implementation theories, such as 'street-level bureaucracy', tend to focus on decision-making and the potential of actors to subvert national policy at a local level. While it is acknowledged that network leaders need to be adaptable and to build trust, much less consideration has been given to the requirement for skills of 'diplomacy' needed by those at the front line of delivering public services. In this article, drawing on theoretical insights from international relations about the principles of 'multi-track diplomacy', we propose the concept of street level diplomacy, offer illustrative empirical evidence to support it in the context of the implementation of public health (preventative) policies within primary care (a traditionally responsive and curative service) in the English NHS and discuss the contribution and potential limitations of the new concept. The article draws on qualitative data from interviews conducted with those implementing case finding programmes for cardiovascular disease in the West Midlands. The importance of communication and adaptation in the everyday work of professionals, health workers and service managers emerged from the data. Using abductive reasoning, the theory of multi-track diplomacy was used to aid interpretation of the 'street-level' work that was being accomplished. Copyright © 2017. Published by Elsevier Ltd.

  3. The Relation Between Policies Concerning Corporate Social Responsibility (CSR) and Philosophical Moral Theories - An Empirical Investigation

    DEFF Research Database (Denmark)

    Frederiksen, Claus Strue

    2010-01-01

    This article examines the relation between policies concerning Corporate Social Responsibility (CSR) and philosophical moral theories. The objective is to determine which moral theories form the basis for CSR policies. Are they based on ethical egoism, libertarianism, utilitarianism or some kind...... of common-sense morality? In order to address this issue, I conducted an empirical investigation examining the relation between moral theories and CSR policies, in companies engaged in CSR. Based on the empirical data I collected, I start by suggesting some normative arguments used by the respondents....... Secondly, I suggest that these moral arguments implicitly rely on some specific moral principles, which I characterise. Thirdly, on the basis of these moral principles, I suggest the moral theories upon which the CSR policies are built. Previous empirical studies examining the relation between...

  4. Moving towards a new vision: implementation of a public health policy intervention.

    Science.gov (United States)

    Valaitis, Ruta; MacDonald, Marjorie; Kothari, Anita; O'Mara, Linda; Regan, Sandra; Garcia, John; Murray, Nancy; Manson, Heather; Peroff-Johnston, Nancy; Bursey, Gayle; Boyko, Jennifer

    2016-05-17

    Public health systems in Canada have undergone significant policy renewal over the last decade in response to threats to the public's health, such as severe acute respiratory syndrome. There is limited research on how public health policies have been implemented or what has influenced their implementation. This paper explores policy implementation in two exemplar public health programs -chronic disease prevention and sexually-transmitted infection prevention - in Ontario, Canada. It examines public health service providers', managers' and senior managements' perspectives on the process of implementation of the Ontario Public Health Standards 2008 and factors influencing implementation. Public health staff from six health units representing rural, remote, large and small urban settings were included. We conducted 21 focus groups and 18 interviews between 2010 (manager and staff focus groups) and 2011 (senior management interviews) involving 133 participants. Research assistants coded transcripts and researchers reviewed these; the research team discussed and resolved discrepancies. To facilitate a breadth of perspectives, several team members helped interpret the findings. An integrated knowledge translation approach was used, reflected by the inclusion of academics as well as decision-makers on the team and as co-authors. Front line service providers often were unaware of the new policies but managers and senior management incorporated them in operational and program planning. Some participants were involved in policy development or provided feedback prior to their launch. Implementation was influenced by many factors that aligned with Greenhalgh and colleagues' empirically-based Diffusion of Innovations in Service Organizations Framework. Factors and related components that were most clearly linked to the OPHS policy implementation were: attributes of the innovation itself; adoption by individuals; diffusion and dissemination; the outer context

  5. Rethinking Careers Education and Guidance: Theory, Policy and Practice.

    Science.gov (United States)

    Watts, A. G.; Law, Bill; Killeen, John; Kidd, Jennifer M.; Hawthorn, Ruth

    This book contains 21 papers on the theory, context, provision, practice, and development of career counseling and guidance in Great Britain. The following papers are included: "Preface" (Tony Watts et al.); "The Social Context of Guidance" (John Killeen); "Career Theory" (John Killeen); "A Career-Learning…

  6. Assessing behavioural intention of small and medium enterprises in implementing an HIV/AIDS policy and programme

    Directory of Open Access Journals (Sweden)

    A. Parsadh

    2005-10-01

    Full Text Available Small and Medium Enterprises (SMEs are likely to feel the impact of an HIV/AIDS epidemic through reduced productivity and an increased percentage of absenteeism; staff turnover; recruitment and training costs; cost of employee benefits; and poor staff morale. One of the interventions is to implement an HIV/AIDS policy and programme, yet a literature search showed that psychological studies of SMEs in implementing an HIV/AIDS policy and programme are limited. The present study utilised the model of the theory of planned behaviour (Ajzen, 1988, 1991, which is an extension of the theory of reasoned action (Fishbein & Ajzen, 1975; Ajzen & Fishbein, 1980. The intention to implement an HIV/AIDS policy and programme was predicted by the theory of planned behaviour constructs such as attitude, subjective norm and perceived behavioural control. The theory of planned behaviour was found to have limited use in assessing behavioural intention of SMEs in implementing an HIV/AIDS policy and programme. Opsomming Die uitwerking van die MIV/VIGS pandemie op Klein en Medium Sake-ondernemings sal tot gevolg hê ’n afname in produktiwiteit; ’n toename in personeelafwesigheid, personeelomset, personeelwerwing en –opleidingskoste, personeelvoordele; en swak personeel moraal tot gevolg hê. Een manier om die probleem aan te spreek is om ’n MIV/VIGS beleid en program te implimenteer. Navorsing toon dat psigologiese studies van klein en medium sakeondernemings om ’n HIV/VIGS beleid en program te implimenteer, beperk is. Hierdie navorsing steun op die teorie van planmatige gedrag (Ajzen, 1988; 1991, wat ’n verlenging is van die teorie van beredeneerde optrede (Fishbein & Ajzen, 1975; Ajzen & Fishbein, 1980. Die oogmerk met die implimentering van ’n MIV/VIGS beleid en program is bepaal deur die teorie van planmagtige gedrag soos waargeneem in houding, subjektiewe norme en waargenome gedragskontrole. Die resultate toon dat die teorie van planmagtige gedrag

  7. Nonmedical Prescription Drug Use: Theory and Policy Implications

    OpenAIRE

    Gabriele Camera; Bryan Engelhardt

    2014-01-01

    The illicit nonmedical use of prescription drugs is studied in a model where individuals with imperfectly observable health conditions seek prescription drugs for either medical or nonmedical reasons. The equilibrium number of medical and nonmedical users is endogenous and depends on economic and non-economic barriers to drugs consumption, such as pricing, health care costs, refill policies, monitoring programs, and the medical community’s prescription standards. The results show policies cen...

  8. Endogenous development. Theories and policies of territorial development

    OpenAIRE

    Vázquez Barquero , Antonio

    2007-01-01

    Endogenous development is an interpretation that includes different points of view which share the same theoretical and policy patterns. It is a territorial approach to development that refers to growth and capital accumulation processes of territories that have their own culture and institutions, upon which investment decisions are made. From this perspective, endogenous development policy is the local actors answer to the challenge of globalization. The paper argues that endogenous developm...

  9. An interoperable architecture and principles for implementing strategy and policy in operational processes

    NARCIS (Netherlands)

    Gong, Y.; Janssen, M.

    2013-01-01

    In today's economy managers expect new strategies and policies to be implemented quickly. Yet practice shows that current systems are not able to implement changes within a short time frame. Nowadays a variety of technologies including semantic web services, business rules and software agents are

  10. Tracing the Policy Mediation Process in the Implementation of a Change in the Life Sciences Curriculum

    Science.gov (United States)

    Singh-Pillay, Asheena; Alant, Busisiwe

    2015-01-01

    This paper accounts for the enacted realities of curriculum reform in South Africa, in particular the mediation of curriculum change. Curriculum implementation is viewed as a complex networked process of transforming or mediating policy into classroom practice. The fact that curriculum implementation is seen as problematic requires attention for…

  11. Evaluation of implementation viability gap funding (VGF) policy on toll road investment in Indonesia

    Science.gov (United States)

    Mahani, Iris; Tamin, Rizal Z.; Pribadi, Krishna S.; Wibowo, Andreas

    2017-11-01

    VGF policy for toll road investment in Indonesia must be reviewed. Since 2012 the Government of Indonesia (GOI) has issued viability gap funding (VGF) policy for PPP infrastructure project through ministry of finance decision (PMK) No.223/2012. One of VGF purpose is to improve the financial feasibility. In the toll road investment in Indonesia, the implementation of this policy has some problems. This study aimed to evaluate the policy by seeking implementation constraints so can be given an alternative. This research was conducted qualitatively, included aspects of implementation process VGF policy. The analysis process is based on literature study and in-depth interviews to related parties include business entity, ministry of finance, and the ministry of public works, Indonesia Toll Road Authority (BPJT) and professional societies. The literature review conducted by reviewing existing policies and best practices in countries that already practice VGF. The conclusion of this study are 1) There is a conflict of regulation in viability gap funding (VGF) for toll road investment in Indonesia; 2) If Government of Indonesia (GOI) want implement construction grant as VGF, so the regulation must improve in time limited for submission and clearly define limited given in regulation; 3) If GOI want implement partial construction as VGF, so the regulation must be improve in guideline for submission and given.

  12. Designing and implementing science-based methane policies

    Science.gov (United States)

    George, F.

    2017-12-01

    The phenomenal growth in shale gas production across the U.S. has significantly improved the energy security and economic prospects of the country. Natural gas is a "versatile" fuel that has application in every major end-use sector of the economy, both as a fuel and a feedstock. Natural gas has also played a significant role in reducing CO2 emissions from the power sector by displacing more carbon intensive fossil fuels. However, emissions of natural gas (predominantly methane) from the wellhead to the burner tip can erode this environmental benefit. Preserving the many benefits of America's natural gas resources requires smart, science-based policies to optimize the energy delivery efficiency of the natural gas supply chain and ensure that natural gas remains a key pillar in our transition to a low-carbon economy. Southwestern Energy (SWN) is the third largest natural gas producer in the United States. Over the last several years, SWN has participated in a number of scientific studies with regulatory agencies, academia and non-governmental entities that have led to over a dozen peer-reviewed papers on methane emissions from oil and gas operations. This presentation will review how our participation in these studies has informed our internal policies and procedures, as well as our external programs, including the ONE Future coalition (ONE Future). In particular, the presentation will highlight the impact of such studies on our Leak Detection and Repair (LDAR) program, designing new methane research and on the ONE Future initiatives - all with the focus of improving the delivery efficiency of oil and gas operations. Our experience supports continued research in the detection and mitigation of methane emissions, with emphasis on longer duration characterization of methane emissions from oil and gas facilities and further development of cost-effective methane detection and mitigation techniques. We conclude from our scientific and operational experiences that a

  13. Entrepreneurship policies and the development of regional innovation systems: theory, policy and practice

    OpenAIRE

    Lawton-Smith, Helen

    2017-01-01

    The paper provides an appraisal and synthesis of the regional innovation systems approach in relation to entrepreneurship policies. It addresses a number of areas where theoretical, empirical and policy-based issues are currently under-developed in relation to entrepreneurship and entrepreneurship policy.

  14. Implementing nationally determined contributions: building energy policies in India’s mitigation strategy

    Science.gov (United States)

    Yu, Sha; Evans, Meredydd; Kyle, Page; Vu, Linh; Tan, Qing; Gupta, Ashu; Patel, Pralit

    2018-03-01

    The Nationally Determined Contributions are allowing countries to examine options for reducing emissions through a range of domestic policies. India, like many developing countries, has committed to reducing emissions through specific policies, including building energy codes. Here we assess the potential of these sectoral policies to help in achieving mitigation targets. Collectively, it is critically important to see the potential impact of such policies across developing countries in meeting national and global emission goals. Buildings accounted for around one third of global final energy use in 2010, and building energy consumption is expected to increase as income grows in developing countries. Using the Global Change Assessment Model, this study finds that implementing a range of energy efficiency policies robustly can reduce total Indian building energy use by 22% and lower total Indian carbon dioxide emissions by 9% in 2050 compared to the business-as-usual scenario. Among various policies, energy codes for new buildings can result in the most significant savings. For all building energy policies, well-coordinated, consistent implementation is critical, which requires coordination across different departments and agencies, improving capacity of stakeholders, and developing appropriate institutions to facilitate policy implementation.

  15. The theory and practice of innovation policy : an international research handbook

    NARCIS (Netherlands)

    Smits, R.E.H.M.; Kuhlmann, S.; Shapira, P.

    2010-01-01

    This comprehensive Handbook explores the interactions between the practice, policy, and theory of innovation. The goal is twofold: to increase insight into this dynamic process, searching for options to improve the effectiveness and efficiency of both policy and innovative practice, and to

  16. Waste management policy and its implementation in Argentina

    International Nuclear Information System (INIS)

    Migliori de Beninson, A.; Palacios, E.

    1984-01-01

    The Argentine nuclear programme is an example of an expanding nuclear power development programme which provides for the reprocessing of spent fuel and the recycling of the plutonium produced. It also covers all stages of the natural uranium fuel cycle. The present paper outlines the radioactive waste management policy behind the programme, with particular reference to high-level waste and actinides. The basic criteria are the limitation of individual risks, taking into account the probability of, and doses resulting from, events disrupting the geological insulation, and the optimization of protection engineering aspects, equal monetary weight being given to present and future collective doses. An estimate of the impact (represented by the collective dose due to the repository) per unit of electricity generated by the nuclear programme has been used to analyse the acceptability of the solution adopted. (author)

  17. Strategies to manage barriers in policy formation and implementation of road pricing packages

    DEFF Research Database (Denmark)

    Sørensen, Claus Hedegaard; Isaksson, Karolina; Macmillen, James

    2014-01-01

    In the transport policy domain, as in other highly-contested spheres of public policy, it is commonplace for certain policy measures to emerge as promising only to then remain unimplemented. Road pricing is one example of a theoretically well-developed transport policy measure that has proven...... for the formulation and implementation of politically-contentious road pricing packages-addressing issues of measure combination, flexibility, legitimacy, communication, timing and organisational dynamics. While acknowledging the primacy of broader external and contextual issues, the conclusion is that taking...

  18. Applying policy network theory to policy-making in China: the case of urban health insurance reform.

    Science.gov (United States)

    Zheng, Haitao; de Jong, Martin; Koppenjan, Joop

    2010-01-01

    In this article, we explore whether policy network theory can be applied in the People's Republic of China (PRC). We carried out a literature review of how this approach has already been dealt with in the Chinese policy sciences thus far. We then present the key concepts and research approach in policy networks theory in the Western literature and try these on a Chinese case to see the fit. We follow this with a description and analysis of the policy-making process regarding the health insurance reform in China from 1998 until the present. Based on this case study, we argue that this body of theory is useful to describe and explain policy-making processes in the Chinese context. However, limitations in the generic model appear in capturing the fundamentally different political and administrative systems, crucially different cultural values in the applicability of some research methods common in Western countries. Finally, we address which political and cultural aspects turn out to be different in the PRC and how they affect methodological and practical problems that PRC researchers will encounter when studying decision-making processes.

  19. Making a clever intelligent agent: The theory behind the implementation

    NARCIS (Netherlands)

    Raine, Roxanne B.; Raine, Roxanne

    2009-01-01

    The study of how humans establish mutual understanding is intertwined with the design of artificial conversation systems [1,2,3,4,5]. The focus of this paper is perspective-taking in and artificial imitation of communication. Regardless of whether an engineer takes psychological theory into

  20. The Theory and Implementation of Electronic Voting Systems

    DEFF Research Database (Denmark)

    Damgård, Ivan Bjerre; Groth, Jens; Salomonsen, Gorm

    2002-01-01

    We describe the theory behind a practical voting scheme based on homomorphic encryption. We give an example of an ElGamal-style encryption scheme, which can be used as the underlying cryptosystem. Then, we present efficient honest verifier zero-knowledge proofs that make the messages in the voting...

  1. Projecting Grammatical Features in Nominals: Cognitive Processing Theory & Computational Implementation

    Science.gov (United States)

    2010-03-01

    functionality and plausibility distinguishes this research from most research in computational linguistics and computational psycholinguistics . The... Psycholinguistic Theory There is extensive psycholinguistic evidence that human language processing is essentially incremental and interactive...challenges of psycholinguistic research is to explain how humans can process language effortlessly and accurately given the complexity and ambiguity that is

  2. Implementation of information security policies in public organizations : Top management as a success factor

    OpenAIRE

    Kamariza, Yvette

    2017-01-01

    The purpose of this thesis is to investigate potential success factors related to the implementation of an information security in organizations, with a specific focus on the role of top management in implementing information security policies in organizations. The following are the research questions: What are the factors related to the implementation of an information security in organization according to the literature and what is the organization’s view of these factors? What is the role ...

  3. FDI Global Caries Initiative; implementing a paradigm shift in dental practice and the global policy context.

    Science.gov (United States)

    Fisher, J; Johnston, S; Hewson, N; van Dijk, W; Reich, E; Eiselé, J-L; Bourgeois, D

    2012-08-01

    The implementation of a new paradigm for caries management is necessary for the profession to respond effectively to changing population health needs. The FDI Global Caries Initiative (GCI) is a 10 year programme aimed at developing and implementing a new paradigm for caries management, one that would contribute to a common vision of health. The article reviews the global health policy landscape and examines how it might influence and shape the implementation of the GCI. © 2012 FDI World Dental Federation.

  4. National public health policy in a local context--implementation in two Swedish municipalities.

    Science.gov (United States)

    Jansson, Elisabeth; Fosse, Elisabeth; Tillgren, Per

    2011-12-01

    In 2003 the wide-ranging Swedish National Public Health Policy (SNPHP), with a focus on health determinants, was adopted by the Swedish parliament. In the context of multilevel governance, SNPHP implementation is dependent on self-governed municipalities and counties. The aim of the study is, from a municipal perspective, to investigate public-health policies in two municipalities. Content analysis of documents and interviews provided a foundation for an explorative case study. The SNPHP at national level is overriding but politically controversial. At local level, a health-determinants perspective was detectable in the policies implemented, but none regarding to health equality. At local level, the SNPHP is not regarded as implementable; rather, limited parts have, to varying degrees, been reconciled with local public-health goals, according to municipal needs and conditions. A success-promoting factor in the two municipalities was the presence of committed and knowledgeable actors/implementers. Also, the municipality with a more centrally controlled and stable party-political leadership succeeded better in implementing structural and intersectoral community-wide policies for coordinated local health promotion. The contents of national and local public-health policies differ, and municipalities that have implemented their own local health policies do not seem to regard the SNPHP as justifiable or adoptable. If the SNPHP overall aim regarding equal health is to be achieved homogeneously in Swedish municipalities, its contents and purpose need clearer management and negotiation, so that implementation of the national policy locally is understandable and motivated. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  5. The Impact of Implementing Tobacco Control Policies: The 2017 Tobacco Control Policy Scorecard.

    Science.gov (United States)

    Levy, David T; Tam, Jamie; Kuo, Charlene; Fong, Geoffrey T; Chaloupka, Frank

    2018-01-17

    The Tobacco Control Scorecard, published in 2004, presented estimates of the effectiveness of different policies on smoking rates. Since its publication, new evidence has emerged. We update the Scorecard to include recent studies of demand-reducing tobacco policies for high-income countries. We include cigarette taxes, smoke-free air laws, media campaigns, comprehensive tobacco control programs, marketing bans, health warnings, and cessation treatment policies. To update the 2004 Scorecard, a narrative review was conducted on reviews and studies published after 2000, with additional focus on 3 policies in which previous evidence was limited: tobacco control programs, graphic health warnings, and marketing bans. We consider evaluation studies that measured the effects of policies on smoking behaviors. Based on these findings, we derive estimates of short-term and long-term policy effect sizes. Cigarette taxes, smoke-free air laws, marketing restrictions, and comprehensive tobacco control programs are each found to play important roles in reducing smoking prevalence. Cessation treatment policies and graphic health warnings also reduce smoking and, when combined with policies that increase quit attempts, can improve quit success. The effect sizes are broadly consistent with those previously reported for the 2004 Scorecard but now reflect the larger evidence base evaluating the impact of health warnings and advertising restrictions.This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

  6. Persuasive Dialogue Based on a Narrative Theory: An ECA Implementation

    Science.gov (United States)

    Cavazza, Marc; Smith, Cameron; Charlton, Daniel; Crook, Nigel; Boye, Johan; Pulman, Stephen; Moilanen, Karo; Pizzi, David; de La Camara, Raul Santos; Turunen, Markku

    Embodied Conversational Agents (ECA) are poised to constitute a specific category within persuasive systems, in particular through their ability to support affective dialogue. One possible approach consists in using ECA as virtual coaches or personal assistants and to make persuasion part of a dialogue game implementing specific argumentation or negotiation features. In this paper, we explore an alternative framework, which emerges from the long-term development of ECA as "Companions" supporting free conversation with the user, rather than task-oriented dialogue. Our system aims at influencing user attitudes as part of free conversation, albeit on a limited set of topics. We describe the implementation of a Companion ECA to which the user reports on his working day, and which can assess the user's emotional attitude towards daily events in the office, trying to influence such attitude using affective strategies derived from a narrative model. This discussion is illustrated through examples from a first fully-implemented prototype.

  7. Disaster event: Window of opportunity to implement global disaster policies?

    Directory of Open Access Journals (Sweden)

    Siambabala B. Manyena

    2013-10-01

    Full Text Available Disasters have been predominantly construed as destructive events causing loss of lives, livelihoods and hard-won development. Much less attention has been paid to the constructive nature of disasters as creating potential windows of opportunities to address the overlooked and neglected aspects of disaster risk reduction. Using material from Zimbabwe, this article examines whether the humanitarian crisis, as manifested in the cholera disaster of 2008–2009, created a window of opportunity to accelerate the implementation of the Hyogo Framework for Action. The findings suggest that the humanitarian crisis did not necessarily create a window of opportunity to accelerate the implementation of the framework, owing to (1 inadequate authority and power of the agency responsible for disaster risk reduction, (2 an inadequate legal and institutional framework that outlines clear coordination, accountability mechanisms, resource mobilisation, community participation, and integration of development with regard to disaster risk reduction and (3 a lack of an integrated evidence-based approach to advocate disaster risk reduction in Zimbabwe.

  8. Disaster event: Window of opportunity to implement global disaster policies?

    Directory of Open Access Journals (Sweden)

    Siambabala B. Manyena

    2013-03-01

    Full Text Available Disasters have been predominantly construed as destructive events causing loss of lives, livelihoods and hard-won development. Much less attention has been paid to the constructive nature of disasters as creating potential windows of opportunities to address the overlooked and neglected aspects of disaster risk reduction. Using material from Zimbabwe, this article examines whether the humanitarian crisis, as manifested in the cholera disaster of 2008–2009, created a window of opportunity to accelerate the implementation of the Hyogo Framework for Action. The findings suggest that the humanitarian crisis did not necessarily create a window of opportunity to accelerate the implementation of the framework, owing to (1 inadequate authority and power of the agency responsible for disaster risk reduction, (2 an inadequate legal and institutional framework that outlines clear coordination, accountability mechanisms, resource mobilisation, community participation, and integration of development with regard to disaster risk reduction and (3 a lack of an integrated evidence-based approach to advocate disaster risk reduction in Zimbabwe.

  9. Language at the Grade Three and Four interface: The theory-policy ...

    African Journals Online (AJOL)

    It explores the dissonance between and among theory, policy or curriculum, and practice; which aggravates an already complex transition. It draws on Cummins' Basic Interpersonal Communication Skills (BICS) and Cognitive Academic Language Proficiency (CALP) theory, the Linguistic Interdependence Hypothesis (LIH) ...

  10. Implementing Intervention Research into Public Policy-the "I3-Approach".

    Science.gov (United States)

    Spiel, Christiane; Schober, Barbara; Strohmeier, Dagmar

    2018-04-01

    Evidence-based intervention programs have become highly important in recent years, especially in educational contexts. However, transferring these programs into practice and into the wider field of public policy often fails. As a consequence, the field of implementation research has emerged, several implementation frameworks have been developed, and implementation studies conducted. However, intervention research and implementation research have not yet been connected systematically and different traditions and research groups are involved. Implementation researchers are mostly given mandates by politicians to take on the implementation of already existing interventions. This might be one of the key reasons why there are still many problems in translating programs into widespread community practice. In this paper, we argue for a systematic integration of intervention and implementation research ("I 3 -Approach") and recommend a six-step procedure (PASCIT). This requires researchers to design and develop intervention programs using a field-oriented and participative approach. In particular, the perspective of policymakers has to be included as well as an analysis of which factors support or hinder evidence-based policy in contrast to opinion-based policy. How this systematic connection between intervention and implementation research can be realized, is illustrated by means of the development and implementation of the ViSC school program, which intends to reduce aggressive behavior and bullying and to foster social and intercultural competencies.

  11. Promoting health-enhancing physical activity in Europe: Current state of surveillance, policy development and implementation.

    Science.gov (United States)

    Breda, João; Jakovljevic, Jelena; Rathmes, Giulia; Mendes, Romeu; Fontaine, Olivier; Hollmann, Susanne; Rütten, Alfred; Gelius, Peter; Kahlmeier, Sonja; Galea, Gauden

    2018-02-03

    This study aims to present information on the surveillance, policy developments, and implementation of physical activity policies in the 28 European Union (EU) countries. Data was collected on the implementation of the EU Recommendation on health-enhancing physical activity (HEPA) across sectors. In line with the monitoring framework proposed in the Recommendation, a questionnaire was designed to capture information on 23 physical activity indicators. Of the 27 EU countries that responded to the survey, 22 have implemented actions on more than 10 indicators, four countries have implemented more than 20 indicators, and one country has fully addressed and implemented all of the 23 indicators of the monitoring framework. The data collected under this HEPA monitoring framework provided, for the first time, an overview of the implementation of HEPA-related policies and actions at the national level throughout the EU. Areas that need more investment are the "Senior Citizens" sector followed by the "Work Environment", and the "Environment, Urban Planning, and Public Safety" sectors. This information also enabled comparison of the state of play of HEPA policy implementation between EU Member States and facilitated the exchange of good practices. Copyright © 2018. Published by Elsevier B.V.

  12. A comprehensive model for the implementation of national public policies and guidelines : Empangeni Education District / Bhekefini Sibusiso Vincent Mthethwa

    OpenAIRE

    Mthethwa, Bhekefini Sibusiso Vincent

    2014-01-01

    The phenomenon of the public policy process, which encapsulates the public policy implementation, has been in existence long before the political transformation that took place in South Africa in 1994. However, the ushering in of the new dispensation saw the integration of the existing public policies. In addition, it inevitably heralded the introduction of the new public policies and national guidelines across all sectors of the South African public institutions. Public policy implementation...

  13. Do flexible alcohol trading hours reduce violence? A theory-based natural experiment in alcohol policy.

    Science.gov (United States)

    Humphreys, David K; Eisner, Manuel P

    2014-02-01

    Alcohol-related violence is a pressing public health concern. In 2005, the government of England and Wales took a controversial approach to preventing violence by removing restrictions on opening hours for alcohol outlets, thus increasing the availability of alcohol. The policy aimed to remove fixed closing times, which it claimed was contributing to urban violence occurring at peak closing times. It proposed to reduce violence and disorder by installing systems of 'staggered closing times'. This policy was criticised for overlooking established public health principles prioritising the control of alcohol availability in the prevention of alcohol-related harm. In this study, we treated the removal of trading hour restrictions as a natural experiment to test competing theoretical principles about the relationship between alcohol availability and violence. Our study took place in the City of Manchester over a four-year period 2004-2008. Detailed trading records for over 600 alcohol outlets were obtained, as were police records for all violent incidents. We found considerable variation in the implementation of extended trading hours across the city, which affected area-level exposure of changes in alcohol availability and staggered closing times. To isolate the effect of these changes on violence, we performed a dose-response analysis to examine whether improved staggering of closing hours (or increased alcohol availability) was associated with decreases in violence. We found no evidence to support the government-proposed hypothesis that staggered closing reduces violence. We also found no support for the alternative hypothesis; that increase alcohol availability would result in increased violence. This study provides an example of how better evidence can be generated from natural experiments by placing added emphasis on theory, causal mechanisms and implementation science. Copyright © 2013 Elsevier Ltd. All rights reserved.

  14. Environmental innovation through transport policy. The implementation of the free fare policy on public transport in Tallinn, Estonia

    Energy Technology Data Exchange (ETDEWEB)

    Gabaldon-Estevan, D.

    2016-07-01

    Urban areas are of increasing relevance when it comes to sustainability: First, about half of the world’s population now lives in cities (increasing to 60% by 2030). Second, cities are nowadays responsible for levels of resource consumption and waste generation that are higher beyond their share on world population. Third, cities are more vulnerable to disruptive events that can lead to restrictions on the provision of resources and to changes on the environment caused by climate change. And fourth, because they concentrate key resources (political, social, cultural…), cities are seen as strategic scenarios where to experiment and develop solutions to cope with the prevailing sustainability challenges driven by the major social and environmental transformations. Urban agglomerations can be seen as complex innovation systems where human activities are shaped in order to transform societies towards sustainable development. For this paper, we focus on the case of an environmental innovation regarding transport policy, the implementation of the fare-free policy on public transport for all inhabitants of Tallinn, Estonia. Tallinn, with 414,000 inhabitants in 2015, is the capital of Estonia and the largest city in the country. Over the last two decades the share of public transport trips decreased dramatically. After a public opinion poll in 2012, in which over 75% of the participants voted for a fare-free public transportation system (FFPTS) in Tallinn, the new policy was implemented on 1st January 2013. From that date on inhabitants of Tallinn could use all public transport services (busses, trams, trolly-busses) operated by city-run operators for free. Later the fare-free system was implemented also on trains within Tallinn. In this paper we analyze the context, in which this policy was implemented, the main characteristics of its implementation and its actual situation. (Author)

  15. Implementing Participatory Water Management: Recent Advances in Theory, Practice, and Evaluation

    Directory of Open Access Journals (Sweden)

    Yorck von Korff

    2012-03-01

    Full Text Available Many current water planning and management problems are riddled with high levels of complexity, uncertainty, and conflict, so-called "messes" or "wicked problems." The realization that there is a need to consider a wide variety of values, knowledge, and perspectives in a collaborative decision making process has led to a multitude of new methods and processes being proposed to aid water planning and management, which include participatory forms of modeling, planning, and decision aiding processes. However, despite extensive scientific discussions, scholars have largely been unable to provide satisfactory responses to two pivotal questions: (1 What are the benefits of using participatory approaches?; (2 How exactly should these approaches be implemented in complex social-ecological settings to realize these potential benefits? In the study of developing social-ecological system sustainability, the first two questions lead to a third one that extends beyond the one-time application of participatory approaches for water management: (3 How can participatory approaches be most appropriately used to encourage transition to more sustainable ecological, social, and political regimes in different cultural and spatial contexts? The answer to this question is equally open. This special feature on participatory water management attempts to propose responses to these three questions by outlining recent advances in theory, practice, and evaluation related to the implementation of participatory water management. The feature is largely based on an extensive range of case studies that have been implemented and analyzed by cross-disciplinary research teams in collaboration with practitioners, and in a number of cases in close cooperation with policy makers and other interested parties such as farmers, fishermen, environmentalists, and the wider public.

  16. Diffraction-based optical filtering: Theory and implementation with MEMS

    Science.gov (United States)

    Belikov, Ruslan

    An important functionality in many optical systems is to manipulate the spectral content of light. Diffractive optics has been used widely for this purpose. Typically, in such systems a diffractive element essentially acts as an optical filter on the incident beam of light. However, no comprehensive theory of this type of filtering existed. Furthermore, recent advances in MEMS technology have enabled reconfigurable diffractive optical elements, which make it possible to create programmable spectral filters. Such devices can lead to significant advances in many applications and enable new classes of optical instruments and systems. Hence, a need arose to develop an understanding of the capabilities and limitations of such devices. The theory presented in this work answers three main questions: (1) how does one synthesize a diffractive optical element (DOE) for a desired filter; (2) what are the capabilities and limitations on such filters; and (3) what is the best device to use? We present two analytical algorithms to compute the DOE for any complex-valued linear filter, and thus answer question 1. The theory also leads to an understanding that there are fundamental trade-offs between filter complexity, power, error, and spectral range, which answers question 2. We then show that a fully arbitrary DOE is very redundant as a filter, and that we can maintain full functionality by a much simpler device, answering question 3. We then apply the theory to existing devices, which leads to the understanding of their capabilites and limitations. Furthermore, the theory led to the discovery that some well-known MEMS devices, such as the Texas Instruments DMD array, can be used as arbitrary spectral filters. Using the DMD, we demonstrate three applications that can benefit from this technology: correlation spectroscopy, femtosecond pulseshaping, and tunable lasers. In all three applications, we enable functionality never achieved before. The most significant achievement is our

  17. Policies and procedures: a tool to support the implementation of clinical guidelines?

    Science.gov (United States)

    St-Pierre, Isabelle; Davies, Barbara; Edwards, Nancy; Griffin, Patricia

    2007-01-01

    To explore the use of policies and procedures as a tool to support the implementation of clinical guidelines and to determine the relationship between organizational support and stability with nurses' perception of policy change. Secondary analysis of qualitative and quantitative data collected in the post-intervention phase of the study entitled Evaluation of the Dissemination and Utilization of Best Practice Guidelines by Registered Nurses in Ontario. Eleven agencies across Ontario, Canada. Fifty nursing staff, 32 nurse administrators and 22 clinical resource nurses (90% response) participated in semi-structured interviews. A total of 316 randomly selected nursing staff from 23 participating units in 11 agencies completed questionnaires (65% response). Qualitative data from semi-structured interviews were examined to determine whether participants had modified their policies and procedures as part of the implementation of clinical guidelines. Using SPSS 11.0 for Windows, the authors assessed, using independent t-tests, the relationship between the perception of modification of policies and procedures and the perceptions of organizational support an organisational stability. While modifications to policies and procedures were made at each agency as part of the implementation of clinical guidelines, 27% of staff disagreed that modifications had been made. Nursing staff who agreed that changes had been made to policies and procedures were significantly more likely to report positive organizational support for clinical guideline implementation. Findings suggest the need to increase nursing staffs' awareness of changes to policies and procedures during clinical guideline implementation. Furthermore, results indicate that organizational support may have a positive influence on modifications to policies and procedures that are guided by research-based clinical guideline recommendations.

  18. Implementing multiple intervention strategies in Dutch public health-related policy networks.

    Science.gov (United States)

    Harting, Janneke; Peters, Dorothee; Grêaux, Kimberly; van Assema, Patricia; Verweij, Stefan; Stronks, Karien; Klijn, Erik-Hans

    2017-10-13

    Improving public health requires multiple intervention strategies. Implementing such an intervention mix is supposed to require a multisectoral policy network. As evidence to support this assumption is scarce, we examined under which conditions public health-related policy networks were able to implement an intervention mix. Data were collected (2009-14) from 29 Dutch public health policy networks. Surveys were used to identify the number of policy sectors, participation of actors, level of trust, networking by the project leader, and intervention strategies implemented. Conditions sufficient for an intervention mix (≥3 of 4 non-educational strategies present) were determined in a fuzzy-set qualitative comparative analysis. A multisectoral policy network (≥7 of 14 sectors present) was neither a necessary nor a sufficient condition. In multisectoral networks, additionally required was either the active participation of network actors (≥50% actively involved) or active networking by the project leader (≥monthly contacts with network actors). In policy networks that included few sectors, a high level of trust (positive perceptions of each other's intentions) was needed-in the absence though of any of the other conditions. If the network actors were also actively involved, an extra requirement was active networking by the project leader. We conclude that the multisectoral composition of policy networks can contribute to the implementation of a variety of intervention strategies, but not without additional efforts. However, policy networks that include only few sectors are also able to implement an intervention mix. Here, trust seems to be the most important condition. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  19. Culture and foreign policy: An introduction to approaches and theory

    OpenAIRE

    Liland, Frode

    1993-01-01

    Culture is increasingly acknowledged to matter in foreign policy, but is rarely studied or used as an explanatory factor in the field. Frode Liland claims that the reason for this is that culture is seen as a dangerous subject where the researchers easily get lost. To ease the trouble he gives an introduction to relevant literature on the field.

  20. Funding Us Higher Education: Policy Making Theories Reviewed

    Science.gov (United States)

    Cooley, Asya

    2015-01-01

    Higher education policy and politics in the United States (US) has been an issue of studies for several decades. Since the 1960s, researchers have been attempting to understand, explain and extrapolate on the relationships between higher education funding and political institutions. This review attempts to assess recent studies concerned with US…

  1. A Unified Framework for Monetary Theory and Policy Analysis.

    Science.gov (United States)

    Lagos, Ricardo; Wright, Randall

    2005-01-01

    Search-theoretic models of monetary exchange are based on explicit descriptions of the frictions that make money essential. However, tractable versions of these models typically make strong assumptions that render them ill suited for monetary policy analysis. We propose a new framework, based on explicit micro foundations, within which macro…

  2. Input-output theory and institutional aspects of environmental policy

    NARCIS (Netherlands)

    Steenge, A.E.

    1999-01-01

    National accounting over the years has developed in close interaction with input–output analysis. However, present developments involving core and satellite accounts seem to suggest that this relation will become less close, with possible negative consequences for analysis and policy. In this paper

  3. Employment Effects of Dispersal Policies. Part I: Theory

    DEFF Research Database (Denmark)

    Damm, Anna Piil; Rosholm, Michael

    2003-01-01

    and the transition rate into employment outside the local labour market, but decreases the transition rate into local employment. Thus, a decrease in current place utility decreases the overall job-finding rate if the local reservation wage effect dominates. We argue that dispersal policies on refugee immigrants...

  4. An Eclectic Theory of Entrepreneurship: Policies, Institutions and Culture

    NARCIS (Netherlands)

    I. Verheul (Ingrid); A.R.M. Wennekers (Sander); D.B. Audretsch (David); A.R. Thurik (Roy)

    2001-01-01

    textabstractThe level of entrepreneurship differs considerably across countries and periods. Both the causes and consequences of entrepreneurship are a matter of extensive scientific debate as well as of great policy importance. A high level of entrepreneurial activity is assumed and shown to

  5. The KwaZulu-Natal School Library Policy and its feasibility for implementation

    Directory of Open Access Journals (Sweden)

    Mariana Du Toit

    2013-03-01

    Full Text Available The research took into account accepted standards of good policy formulation to provide perspective and contextualise the study, and delineated educational challenges for the sector.The following theoretical frameworks guided the study: a constructivist approach in interpreting and  evaluating the role of school libraries within an education system based in constructivist principles, the traditional policy model to evaluate policy formulation and design, and a social constructionist view of policy in the interpreting of policy development and implementation. The epistemological basis for the main   methodology, the Delphi technique, was social constructivism.The research design comprised two phases.  Qualitative data collected from the Delphi panel's expert opinion was interpreted to analyse the policy document critically and assess its implementation strategy.  Quantitative data from an analysis of existing surveys and reports provided an overview of the current state of school  library provisioning in KwaZulu-Natal.  School library models already being implemented in the province were evaluated against this background.The research results provide guidelines for reviewing and refining the provincial policy intervention and  brought to the fore several issues that need to be resolved to facilitate school library development in South Africa.

  6. Air Quality in Mexico City: Policies Implemented for its Improvement

    Science.gov (United States)

    Paramo, V.

    2007-12-01

    stringent emission levels of the gasoline fleet; update the detention of pollutant vehicles program; partial exemption of the inspection and maintenance program for cleaner and or highly efficient vehicles; substitution of 3,000 microbuses, 40,000 taxis and 1,200 buses; commissioning of the first Bus Rapid Transit system; implementation of a program for the emissions reduction for the 300 most polluted industrial facilities; and continuous update of the air quality environmental management programs. To continue improving the air quality in the MCMA, the environmental authorities will continue the implementation of the 2002-2010 Air Quality Improvement Program. In 2007 the Green Program was started, this includes those actions that have proven to be effective reduction of pollutant emissions and incorporates new actions for the reduction of local and global pollutant emissions. The most important of these new actions are: substitution of 9,500 microbuses; renewal of all the taxis fleet; commissioning of 10 Bus Rapid Transit lines; commissioning of Line 12 of the underground system; schedules and routes limitations to the cargo fleet; increase 5 percent the number of non-motorized trips (bicycling and walking); regulation of the private public transport passenger stops; requirement of private schools to provide school transport; regulation of non-occupied taxis in circulation; modifications to the circulation of 350 critical crossing points in the city; adoption of intelligent traffic lights systems; complete substitution of the local government vehicle's fleet; implement the inspection and maintenance of the cargo fleet; introduction of low- sulfur diesel, among other measures.

  7. Implementation of Disaster and Risk Management Policy in the East-Cost of Madagascar

    Directory of Open Access Journals (Sweden)

    Faramalala Rakotondrasoa

    2016-05-01

    Full Text Available The implementation of Disaster and Risk Management (DRM policy in Madagascar was a great success and an evolution from its birth until today thanks to these different stakeholders. This implementation that has helped a lot the improvement of living standards of the local population in eastern of Madagascar before, during and after the passage of an aleas. Yet blocking factors even been known because the implementation is not fully satisfactory. This study aims to analyze the problems of implementation. Despite unceasing improvement, the local population still has a very low impact strength and after each cyclone crossing ,the same situation returns. To improve this implementation, I will also suggest few solutions that could solve these problems, so that each level actors can improve their own policy and work method. Note that these solutions were made after long lived with the community.

  8. The application of theories of the policy process to obesity prevention: a systematic review and meta-synthesis

    OpenAIRE

    Clarke, Brydie; Swinburn, Boyd; Sacks, Gary

    2016-01-01

    Background Theories of the policy process are recommended as tools to help explain both policy stasis and change. Methods A systematic review of the application of such theoretical frameworks within the field of obesity prevention policy was conducted. A meta-synthesis was also undertaken to identify the key influences on policy decision-making. Results The review identified 17 studies of obesity prevention policy underpinned by political science theories. The majority of included studies wer...

  9. Naive Bayes vs Logistic Regression: Theory, Implementation and Experimental Validation

    Directory of Open Access Journals (Sweden)

    Tapan Kumar Bhowmik

    2015-12-01

    Full Text Available This article presents the theoretical derivation as well as practical steps for implementing Naive Bayes (NB and Logistic Regression (LR classifiers. A generative learning under Gaussian Naive Bayes assumption and two discriminative learning techniques based on gradient ascent and Newton-Raphson methods are described to estimate the parameters of LR. Some limitation of learning techniques and implementation issues are discussed as well. A set of experiments are performed for both the classifiers under different learning circumstances and their performances are compared. From the experiments, it is observed that LR learning with gradient ascent technique outperforms general NB classifier. However, under Gaussian Naive Bayes assumption, both classifiers NB and LR perform similar.

  10. New Keynesian DSGE models: theory, empirical implementation, and specification

    OpenAIRE

    Röhe, Oke

    2012-01-01

    The core of the dissertation consists of three chapters. Chapter 2 provides a graphical and formal representation of a basic dynamic stochastic general equilibrium (DSGE) economy and discusses the prerequisites needed for an empirical implementation. The aim of this chapter is to present the core features of the models used in chapter 3 and 4 of this work and to introduce the estimation techniques employed in the remainder of the thesis. In chapter 3 we estimate a New Keynesian DSGE model...

  11. Analyzing implementation dynamics using theory-driven evaluation principles: lessons learnt from a South African centralized chronic dispensing model.

    Science.gov (United States)

    Magadzire, Bvudzai Priscilla; Marchal, Bruno; Mathys, Tania; Laing, Richard O; Ward, Kim

    2017-12-04

    Centralized dispensing of essential medicines is one of South Africa's strategies to address the shortage of pharmacists, reduce patients' waiting times and reduce over-crowding at public sector healthcare facilities. This article reports findings of an evaluation of the Chronic Dispensing Unit (CDU) in one province. The objectives of this process evaluation were to: (1) compare what was planned versus the actual implementation and (2) establish the causal elements and contextual factors influencing implementation. This qualitative study employed key informant interviews with the intervention's implementers (clinicians, managers and the service provider) [N = 40], and a review of policy and program documents. Data were thematically analyzed by identifying the main influences shaping the implementation process. Theory-driven evaluation principles were applied as a theoretical framework to explain implementation dynamics. The overall participants' response about the CDU was positive and the majority of informants concurred that the establishment of the CDU to dispense large volumes of medicines is a beneficial strategy to address healthcare barriers because mechanical functions are automated and distribution of medicines much quicker. However, implementation was influenced by the context and discrepancies between planned activities and actual implementation were noted. Procurement inefficiencies at central level caused medicine stock-outs and affected CDU activities. At the frontline, actors were aware of the CDU's implementation guidelines regarding patient selection, prescription validity and management of non-collected medicines but these were adapted to accommodate practical realities and to meet performance targets attached to the intervention. Implementation success was a result of a combination of 'hardware' (e.g. training, policies, implementation support and appropriate infrastructure) and 'software' (e.g. ownership, cooperation between healthcare

  12. Translating Theory Into Practice: Implementing a Program of Assessment.

    Science.gov (United States)

    Hauer, Karen E; O'Sullivan, Patricia S; Fitzhenry, Kristen; Boscardin, Christy

    2018-03-01

    A program of assessment addresses challenges in learner assessment using a centrally planned, coordinated approach that emphasizes assessment for learning. This report describes the steps taken to implement a program of assessment framework within a medical school. A literature review on best practices in assessment highlighted six principles that guided implementation of the program of assessment in 2016-2017: (1) a centrally coordinated plan for assessment aligns with and supports a curricular vision; (2) multiple assessment tools used longitudinally generate multiple data points; (3) learners require ready access to information-rich feedback to promote reflection and informed self-assessment; (4) mentoring is essential to facilitate effective data use for reflection and learning planning; (5) the program of assessment fosters self-regulated learning behaviors; and (6) expert groups make summative decisions about grades and readiness for advancement. Implementation incorporated stakeholder engagement, use of multiple assessment tools, design of a coaching program, and creation of a learner performance dashboard. The assessment team monitors adherence to principles defining the program of assessment and gathers and responds to regular feedback from key stakeholders, including faculty, staff, and students. Next steps include systematically collecting evidence for validity of individual assessments and the program overall. Iterative review of student performance data informs curricular improvements. The program of assessment also highlights technology needs that will be addressed with information technology experts. The outcome ultimately will entail showing evidence of validity that the program produces physicians who engage in lifelong learning and provide high-quality patient care.

  13. Implementation of quantum game theory simulations using Python

    Science.gov (United States)

    Madrid S., A.

    2013-05-01

    This paper provides some examples about quantum games simulated in Python's programming language. The quantum games have been developed with the Sympy Python library, which permits solving quantum problems in a symbolic form. The application of these methods of quantum mechanics to game theory gives us more possibility to achieve results not possible before. To illustrate the results of these methods, in particular, there have been simulated the quantum battle of the sexes, the prisoner's dilemma and card games. These solutions are able to exceed the classic bottle neck and obtain optimal quantum strategies. In this form, python demonstrated that is possible to do more advanced and complicated quantum games algorithms.

  14. The Policy Implementation in Development Water Front City in District Senapelan Pekanbaru

    Directory of Open Access Journals (Sweden)

    Panca Setyo Prihatin

    2013-02-01

    Full Text Available Structuring urban areas, especially the Pekanbaru City, is necessary given the problem of development of Pekanbaru City is more and more complex and highly in need of a better arrangement, especially concerning on the improvement of the environment (Water Front City in Siak River surroundings. This is a descriptive qualitative research with population sample of the Office of Settlement and Regional Infrastructure of Pekanbaru City, Senapelan District Government, NGOs, community leaders, and private parties. Data are collected through interview, observation and documentation, which is then analyzed using qualitative analysis technique. This research finds that the policy of the development of Water Front City at Village Kampung Baru sub-district Senapelan Pekanbaru is not implemented optimally. This situation can be seen through a variety of indicators related to the implementation of development policies of Water Front City at Village Kampung Baru sub-district Senapelan Pekanbaru in that the effect of interest policies, benefits, desire for change, the process of decision-making, implementing programs and supporting resources have not been implemented effectively. The curbing factors in implementing development policies in the District Water Front City Senapelan Pekanbaru are mostly due to the lack of human resources, process of compensation and other inadequate financing, and managerial instruments that are unsupported to the implementation of development programs of Water Front City at Village Kampung Baru sub-district Senapelan Pekanbaru.

  15. “In Accordance with Local Conditions”: Policy Design and Implementation of Agrarian Change Policies in Rural China

    Directory of Open Access Journals (Sweden)

    René Trappel

    2016-01-01

    Full Text Available An important part of Beijing’s strategy to reduce the welfare gap between urban and rural parts of China has been the promotion of urbanisation. Replacing peasant agriculture with commercial operations of scale is an integral part of this endeavour. This article analyses the implementation of policies meant to transform the structure of Chinese agriculture. It argues that the central government is using a set of very flexible policies, project-based implementation and adaption to local conditions to guide and support an existing dynamic of structural transformation in agriculture. Local governments, in turn, appreciate the flexibility, the political predictability, the potential revenue improvements and the cognitive framework inherent in these programmes. The article is primarily based on interviews with leading cadres at the township and county levels in the provinces of Shandong, Sichuan and Guizhou between 2008 and 2010.

  16. Game Theory and Educational Policy: Private Education Legislation in China

    Science.gov (United States)

    Law, Wing-Wah; Pan, Su-Yan

    2009-01-01

    This article presents a game theory analysis of legislating private education in China, based on set of primary and secondary documents related to this issue. The article argues that shaping educational legislation is a dynamic, repeated game of negotiation, cooperation, and/or competition on multiple occasions among various interested actors,…

  17. Science, Technology and Innovation: Concepts, Theory and Policy

    OpenAIRE

    Zehra Taşkın; Güleda Doğan

    2016-01-01

    This study is a review of the book entitled “Science, Technology and Innovation: Concepts, Theory and Policy”. In the converging world, the book is an important contribution not only for the field of economy, but also information science which includes information-economy concepts.

  18. Correlates of smoke-free housing policies and interest in implementing policies among multiunit housing owners in New York City.

    Science.gov (United States)

    Farley, Shannon M; Waddell, Elizabeth Needham; Coady, Micaela H; Grimshaw, Victoria; Wright, Danielle A; Mandel-Ricci, Jenna; Kansagra, Susan M

    2015-04-01

    Secondhand smoke exposure is a concern in multiunit housing, where smoke can migrate between apartments. In 2012, the New York City (NYC) Department of Health and Mental Hygiene conducted a cross-sectional mail and phone survey among a random sample of low-income and market-rate multiunit housing owners and managers in NYC. The study compared experiences and attitudes regarding smoke-free policies between owners/managers (owners) with and without low-income units. Logistic regression analysis was used to assess the correlates of smoke-free residential unit rules and interest in adopting new smoke-free rules. Perceived benefits and challenges of implementing smoke-free rules were also examined. Overall, one-third of owners prohibited smoking in individual units. Among owners, nearly one-third owned or managed buildings with designated certified low-income units. Owners with low-income units were less likely than those without to have a smoke-free unit policy (26 vs. 36 %, p smoke-free building policies (60 vs. 70 %, p smoke-free policies were more likely to have a smoke-free unit policy, while current smokers and owners of larger buildings were less likely to have a policy. Nearly three quarters of owners without smoke-free units were interested in prohibiting smoking in all of their building/units (73 %). Among owners, correlates of interest in prohibiting smoking included awareness that secondhand smoke is a health issue and knowledge of their legal rights to prohibit smoking in their buildings. Current smokers were less likely to be interested in future smoke-free policies. Educational programs promoting awareness of owners' legal right to adopt smoke-free policies in residential buildings may improve the availability of smoke-free multiunit housing.

  19. Evaluation of implementation status of national policy on Indian systems of medicine and homeopathy 2002: Stakeholders′ perspective

    Directory of Open Access Journals (Sweden)

    Balpreet Singh

    2013-01-01

    Results and Conclusion: Response rate was 61%. Majority of experts considered implementation status of ISM and H Policy as poor. Lack of quality education was mentioned as major factor responsible for current scenario of ISM and H Policy by most of experts. Lack of funds and government support were emerged as major bottlenecks in implementation of ISM and H Policy.

  20. A 2D finite element implementation of the Fleck–Willis strain-gradient flow theory

    DEFF Research Database (Denmark)

    Nielsen, Kim Lau; Niordson, Christian Frithiof

    2013-01-01

    The lay-out of a numerical solution procedure for the strain gradient flow (rate-independent) theory by Fleck and Willis [A mathematical basis for strain-gradient theory – Part II: Tensorial plastic multiplier, 57:1045–1057; 2009, JMPS] has been an open issue, and its finite element implementation...

  1. Health Policy and Management: In Praise of Political Science; Comment on “On Health Policy and Management (HPAM: Mind the Theory-Policy Practice Gap”

    Directory of Open Access Journals (Sweden)

    David J Hunter

    2015-06-01

    Full Text Available Health systems have entered a third era embracing whole systems thinking and posing complex policy and management challenges. Understanding how such systems work and agreeing what needs to be put in place to enable them to undergo effective and sustainable change are more pressing issues than ever for policy-makers. The theory-policy-practice-gap and its four dimensions, as articulated by Chinitz and Rodwin, is acknowledged. It is suggested that insights derived from political science can both enrich our understanding of the gap and suggest what changes are needed to tackle the complex challenges facing health systems.

  2. Health Policy and Management: in praise of political science. Comment on "On Health Policy and Management (HPAM): mind the theory-policy-practice gap".

    Science.gov (United States)

    Hunter, David J

    2015-03-12

    Health systems have entered a third era embracing whole systems thinking and posing complex policy and management challenges. Understanding how such systems work and agreeing what needs to be put in place to enable them to undergo effective and sustainable change are more pressing issues than ever for policy-makers. The theory-policy-practice-gap and its four dimensions, as articulated by Chinitz and Rodwin, is acknowledged. It is suggested that insights derived from political science can both enrich our understanding of the gap and suggest what changes are needed to tackle the complex challenges facing health systems. © 2015 by Kerman University of Medical Sciences.

  3. Public policy and regulatory implications for the implementation of Opportunistic Cloud Computing Services for Enterprises

    DEFF Research Database (Denmark)

    Kuada, Eric; Olesen, Henning; Henten, Anders

    2012-01-01

    Opportunistic Cloud Computing Services (OCCS) is a social network approach to the provisioning and management of cloud computing services for enterprises. This paper discusses how public policy and regulations will impact on OCCS implementation. We rely on documented publicly available government...... and corporate policies on the adoption of cloud computing services and deduce the impact of these policies on their adoption of opportunistic cloud computing services. We conclude that there are regulatory challenges on data protection that raises issues for cloud computing adoption in general; and the lack...... of a single globally accepted data protection standard poses some challenges for very successful implementation of OCCS for companies. However, the direction of current public and corporate policies on cloud computing make a good case for them to try out opportunistic cloud computing services....

  4. Rural-Urban Migration and Unemployment: Theory and Policy Implications

    OpenAIRE

    Zenou, Yves

    2010-01-01

    We develop a regional model where, in the city, unemployment prevails because of too high (efficiency) wages, while, in the rural area, workers are paid at their marginal productivity. We characterize the steady-state equilibrium and show that it is unique. We then consider two policies: decreasing urban unemployment benefits and subsidizing urban employment. We find that decreasing the unemployment benefit in the city creates urban jobs and reduces rural-urban migration since new migrants ha...

  5. Entrepreneurship and economic development: Theory, evidence and policy

    OpenAIRE

    Naudé, Wim

    2012-01-01

    This paper provides an overview of the state of the art of the intersection of development economics and entrepreneurship. Given the relative neglect of entrepreneurship by development scholars it deals with (i) recent theoretical insights from the intersection of entrepreneurship and development studies; (ii) the empirical evidence on the relationship between entrepreneurship and development; and (iii) fresh insights for entrepreneurship policy for development that emerges from recent advanc...

  6. Effectiveness of climate policy in the built environment. Application of policy theory in the evaluation

    International Nuclear Information System (INIS)

    Joosen, S.; Harmelink, M.; Blok, K.

    2004-01-01

    Due to climate policy in the sectors households and services in the Netherlands the annual emission of CO2 has been reduced by 2-6 million tons in 7 years. Without the climate policy the CO2 emission in these sectors would have been 7% higher [nl

  7. Climate paradox of the G-8: legal obligations, policy declarations and implementation gap

    Directory of Open Access Journals (Sweden)

    Hans Guenter Brauch

    2012-01-01

    Full Text Available This article analyzes the climate policy performance of the G-8 from 1992 to 2012 based on their legal commitments (Annex-1 and Annex-B countries under the UNFCCC (1992 and the Kyoto Protocol (1997 and their policy declarations on their GHG reduction goals until 2050. A climate paradox has emerged due to a growing implementation gap in Canada, USA and Japan, while Russia, Germany, UK, France and Italy fulfilled their GHG reduction obligation.

  8. The Implementation of Monetary Policy in an Emerging Economy: The Case of Chile

    OpenAIRE

    Christian A Johnson; Rodrigo Vergara

    2005-01-01

    Central bank authorities base implementation of monetary policy on an analysis of multiple variables known as monetary policy indicators. In a small open economy such as Chile, these indicators may include in-flation misalignments, unemployment, GDP growth, money growth, the current account balance, exchange rate volatility and international re-serves. A neural network approach is used to establish the correspond-ing weights considered by the Board of the Central Bank of Chile dur-ing the per...

  9. Implementing an Open Access Policy – Modeling KAUST in the Region

    KAUST Repository

    Baessa, Mohamed A.

    2014-11-12

    The presentation will discuss different open access approaches, and what can well-fit academic and governmental institutions. As a case study of KAUST, presenters will discuss how it can be initiated in a university set-up, how to get academic stakeholder engaged with support, and how the final stage is reached. Details about the KAUST Open Access Policy for research articles, theses and dissertations and the required tools and workflow to implement the policies will be highlighted.

  10. Explaining the non-implementation of health-improving policies related to solid fuels use in South Africa

    International Nuclear Information System (INIS)

    Matinga, Margaret Njirambo; Clancy, Joy S.; Annegarn, Harold J.

    2014-01-01

    In 1998, the South African government developed an energy policy that focused on a pro-poor agenda. Its objectives included addressing the health impacts of solid fuel use in households. Fourteen years later, and with household electrification at over 80%, millions still use solid fuels and yet ambitious policy objectives to address this situation are not being met. Using three theoretical frameworks; institutional capacity, policy inheritance and the symbolic use of policy, this paper analyses the reasons why household energy policy objectives related to solid fuels and health, as stated in the 1998 South African energy policy, have not been implemented. The results of the analysis show that the symbolic use of policy, including meanings of objects used for meeting policy objectives is the most critical explanation. The paper illustrates that political and historical contexts are critical to understanding policy outcomes in developing and transition countries which often experience tensions between implementing what may seem as objective policies, and that matches their political and historical experiences and aspirations. We recommend that policy analysts in the energy sector complement currently common methods to include political contexts of policy development and implementation in order to better understand why policy makers chose to implement certain policies over others. - Highlights: • Policy non-implementation in developing countries focuses on lack of resources. • We add policy inheritance and policy symbolism to assess non-implementation. • South Africa's racial politics affect how policies are perceived and implemented. • Politically, firewood and electricity symbolise repression and emancipation. • Electricity and firewood's symbolic meanings affect policy makers' focus on these

  11. Development of a theory of implementation and integration: Normalization Process Theory.

    NARCIS (Netherlands)

    May, C.R.; Mair, F.; Finch, T.; Macfarlane, A.; Dowrick, C.; Treweek, S.; Rapley, T.; Ballini, L.; Ong, B.N.; Rogers, A.; Murray, E.; Elwyn, G.; Legare, F.; Gunn, J.; Montori, V.M.

    2009-01-01

    ABSTRACT: BACKGROUND: Theories are important tools in the social and natural sciences. The methods by which they are derived are rarely described and discussed. Normalization Process Theory explains how new technologies, ways of acting, and ways of working become routinely embedded in everyday

  12. Advances in sliding mode control concept, theory and implementation

    CERN Document Server

    Janardhanan, S; Spurgeon, Sarah

    2013-01-01

    The sliding mode control paradigm has become a mature technique for the design of robust controllers for a wide class of systems including nonlinear, uncertain and time-delayed systems. This book is a collection of plenary and invited talks delivered at the 12th IEEE International Workshop on Variable Structure System held at the Indian Institute of Technology, Mumbai, India in January 2012. After the workshop, these researchers were invited to develop book chapters for this edited collection in order to reflect the latest results and open research questions in the area. The contributed chapters have been organized by the editors to reflect the various themes of sliding mode control which are the current areas of theoretical research and applications focus; namely articulation of the fundamental underpinning theory of the sliding mode design paradigm, sliding modes for decentralized system representations, control of time-delay systems, the higher order sliding mode concept, results applicable to nonlinear an...

  13. Public policy for children in Brazil – the process of implementation of a new model

    Directory of Open Access Journals (Sweden)

    Rodrigo Stumpf González

    2015-06-01

    Full Text Available Recently happened the 25th anniversary of the approval of the Child and Adolescent Statute. Which goals are achieved? What changed? This work analyses the Brazilian case in implementation of a new paradigm of children rights and his impact in the definition of aconcrete agenda of public policies, doing an evaluation of the new model and the changes, with focus of the development of a agenda of policies in four subjects: creation of councils, attention for the young lawbreakers, exploitation of child labour and sexual violence against children. At the end are discussed motivation for partial success in implementation of the agenda and responsibilities of the institutional actors involved.

  14. Implementation of a health care policy: An analysis of barriers and facilitators to practice change

    Directory of Open Access Journals (Sweden)

    Sword Wendy

    2005-08-01

    Full Text Available Abstract Background Governments often create policies that rely on implementation by arms length organizations and require practice changes on the part of different segments of the health care system without understanding the differences in and complexities of these agencies. In 2000, in response to publicity about the shortening length of postpartum hospital stay, the Ontario government created a universal program offering up to a 60-hour postpartum stay and a public health follow-up to mothers and newborn infants. The purpose of this paper is to examine how a health policy initiative was implemented in two different parts of a health care system and to analyze the barriers and facilitators to achieving practice change. Methods The data reported came from two studies of postpartum health and service use in Ontario Canada. Data were collected from newly delivered mothers who had uncomplicated vaginal deliveries. The study samples were drawn from the same five purposefully selected hospitals for both studies. Questionnaires prior to discharge and structured telephone interviews at 4-weeks post discharge were used to collect data before and after policy implementation. Qualitative data were collected using focus groups with hospital and community-based health care practitioners and administrators at each site. Results In both studies, the respondents reflected a population of women who experienced an "average" or non-eventful hospital-based, singleton vaginal delivery. The findings of the second study demonstrated wide variance in implementation of the offer of a 60-hour stay among the sites and focus groups revealed that none of the hospitals acknowledged the 60-hour stay as an official policy. The uptake of the offer of a 60-hour stay was unrelated to the rate of offer. The percentage of women with a hospital stay of less than 25 hours and the number with the guideline that the call be within 48 hours of hospital discharge. Public health

  15. Evidence-Based Policy Making and the Implementation of Regulatory Impact Assessment in Croatia

    Directory of Open Access Journals (Sweden)

    Zdravko Petak

    2015-06-01

    Full Text Available Purpose: This study is dealing with the application of evidence-based policy-making in Croatian public administration and the general role of applied policy analysis in the Croatian system of governance. Methodology: This development is illustrated by the peculiarities of introducing regulatory impact assessment (RIA tools in Croatian public administrative structures. Findings: The author is pointing out various limitations in the usage of policy analysis tools in formulating, implementing and evaluating public policies in Croatia. The crucial role of RIA for enhancing executive capacity of governance structures is particularly stressed in the study. The final part of the article is devoted to the prospects of further development of RIA as an applied policy analysis tool within the Croatian system of governance.

  16. Opposite policy implications in the theory of money and banking

    Directory of Open Access Journals (Sweden)

    Jefferson D. P. Bertolai

    2013-12-01

    Full Text Available The recent financial crisis creates a demand for welfare-based models of financial regulation and liquidity shortages. In this paper, we review policy implications from two cornerstone models and show that they imply different responses in terms of intertemporal returns of financial liabilities. In the first case, a version of the Cavalcanti and Wallace (1999, random-matching model, monitored agents are led to promote inflation in bank-issued money. In the second case, a sequential-service version of the Diamond and Dybvig (1983 model of bank runs with insolvency, increases in long-run returns can prevent bank runs by reducing the provision of liquidity.

  17. Block-structured Adaptive Mesh Refinement - Theory, Implementation and Application

    Directory of Open Access Journals (Sweden)

    Deiterding Ralf

    2011-12-01

    Full Text Available Structured adaptive mesh refinement (SAMR techniques can enable cutting-edge simulations of problems governed by conservation laws. Focusing on the strictly hyperbolic case, these notes explain all algorithmic and mathematical details of a technically relevant implementation tailored for distributed memory computers. An overview of the background of commonly used finite volume discretizations for gas dynamics is included and typical benchmarks to quantify accuracy and performance of the dynamically adaptive code are discussed. Large-scale simulations of shock-induced realistic combustion in non-Cartesian geometry and shock-driven fluid-structure interaction with fully coupled dynamic boundary motion demonstrate the applicability of the discussed techniques for complex scenarios.

  18. [Marketing in hospitals and practices: from theory to implementation].

    Science.gov (United States)

    Mattmüller, R; Gebauer, J

    2011-12-01

    Although hospitals and medical practices are typical service providers from a marketing perspective, only very few engage in topics relevant to marketing. Best practice examples do, however, show how important and meaningful the implementation of marketing tools can be for medical service providers. This article thus deals with the question of how the service of hospitals and practices may be improved by marketing initiatives. As a first step, the particular challenges these service providers face need to be analyzed. A significant focus will therefore be put on the examination of service-related quality and will then be applied to medical services. Thus it becomes evident that the path to success is based on adapting to patients' needs. Possibilities to minimize the uncertainties and risks experienced by the patients need to be identified. At the same time, the perceived service quality needs to be maximized.

  19. The assessment and implementation of animal welfare: theory into practice.

    Science.gov (United States)

    Webster, J

    2005-08-01

    This paper reviews the procedures and protocols necessary for the development of a practical programme for the assessment and implementation of animal welfare on farms and in other commercial situations. An effective programme must incorporate measures of both husbandry and welfare. Most current systems are based almost entirely on measures of husbandry provision, e.g. resources and management. However, what the public and the animals need are guarantees of satisfactory welfare and these guarantees must involve animal-based measurements of welfare outcomes. The development and testing of the Bristol Welfare Assurance Programme is described in outline and illustrated with detailed reference to the assessment of welfare in dairy cows. The final section describes how such a programme can be incorporated into the broader concept of quality assurance schemes that incorporate a proper concern for animal welfare into the reasonable needs of different societies for wholesome, affordable food.

  20. Mental health care user participation in mental health policy development and implementation in South Africa.

    Science.gov (United States)

    Kleintjes, Sharon; Lund, Crick; Swartz, Leslie; Flisher, Alan

    2010-01-01

    This paper describes current support for mental health care user participation in policy development and implementation in South Africa and suggests strategies for improving participation. The World Health Organization (WHO) Mental Health Policy Checklist and WHO Mental Health Legislation Checklist were completed. Between August 2006 and August 2009 96 semi-structured interviews with national, regional and district stakeholders were conducted. Most respondents felt that inclusion of user perspectives in policy processes would improve policy development. In practice, mental health care user consultation in policy development and implementation has been limited during the 16 years of democracy in South Africa. Strategies to create a supportive environment for user participation include social action directed at reducing stigma, advocating for acceptance of users' rights to participate in decision making, crafting a supportive regulatory framework to promote participation, and equipping providers and policy makers to support inclusion. User capacity for participation could be strengthened through early and effective access to treatment and support, development of a national user lobby, skills training and practical exposure to the policy and service development environment.

  1. Taking Root: a grounded theory on evidence-based nursing implementation in China.

    Science.gov (United States)

    Cheng, L; Broome, M E; Feng, S; Hu, Y

    2017-08-02

    Evidence-based nursing is widely recognized as the critical foundation for quality care. To develop a middle-range theory on the process of evidence-based nursing implementation in Chinese context. A grounded theory study using unstructured in-depth individual interviews was conducted with 56 participants who were involved in 24 evidence-based nursing implementation projects in Mainland China from September 2015 to September 2016. A middle-range grounded theory of 'Taking Root' was developed. The theory describes the evidence implementation process consisting of four components (driving forces, process, outcome, sustainment/regression), three approaches (top-down, bottom-up and outside-in), four implementation strategies (patient-centred, nurses at the heart of change, reaching agreement, collaboration) and two patterns (transformational and adaptive implementation). Certain perspectives may have not been captured, as the retrospective nature of the interviewing technique did not allow for 'real-time' assessment of the actual implementation process. The transferability of the findings requires further exploration as few participants with negative experiences were recruited. This is the first study that explored evidence-based implementation process, strategies, approaches and patterns in the Chinese nursing practice context to inform international nursing and health policymaking. The theory of Taking Root described various approaches to evidence implementation and how the implementation can be transformational for the nurses and the setting in which they work. Nursing educators, managers and researchers should work together to improve nurses' readiness for evidence implementation. Healthcare systems need to optimize internal mechanisms and external collaborations to promote nursing practice in line with evidence and achieve clinical outcomes and sustainability. © 2017 International Council of Nurses.

  2. Quantifying exhaustible resource theory: an application to mineral taxation policy

    International Nuclear Information System (INIS)

    Ward, F.A.; Kerkvliet, J.

    1993-01-01

    The paper presents the results of a dynamic nonlinear programming model of a mineral resource market with several features of heterogeneous quality in the mineral, links with related product markets, incorporation of institutional constraints, resource allocations for each year in the planning period, and analysis of outcomes under various severance tax rates. The model computes privately efficient competitive use paths to perform cost-benefit analysis of public mineral policies. Policy variables are evaluated for their impact on both private behaviour and public benefits. The application is to New Mexico's linked coal and electric power markets. Findings reveal that scarcity rents are currently 4% of coal's price, and peak at 27% in 43 years. Increasing the present 1 dollar/ton New Mexico severance tax to 11 dollars reduces current annual coal output by 25%, prolongs the life of the state's coal industry by three years, and increases discounted severance tax revenues by 850% or 4.2 billion dollars. 38 refs., 2 figs., 4 tabs

  3. Evaluating Evaluation Systems: Policy Levers and Strategies for Studying Implementation of Educator Evaluation. Policy Snapshot

    Science.gov (United States)

    Matlach, Lauren

    2015-01-01

    Evaluation studies can provide feedback on implementation, support continuous improvement, and increase understanding of evaluation systems' impact on teaching and learning. Despite the importance of educator evaluation studies, states often need support to prioritize and fund them. Successful studies require expertise, time, and a shared…

  4. Good governance in national solid waste management policy (NSWMP) implementation: A case study of Malaysia

    Science.gov (United States)

    Wee, Seow Ta; Abas, Muhamad Azahar; Mohamed, Sulzakimin; Chen, Goh Kai; Zainal, Rozlin

    2017-10-01

    The National Solid Waste Management Policy (NSWMP) was introduced in 2007 under the Act 672. The execution of NSWMP involves stakeholders from various government agencies and a collaboration with the private sectors. Despite the initiatives taken by the stakeholders, the objectives of NSWMP failed to materialise. One of the major constraints is weak governance among stakeholders with regards to the NSWMP implementation. This paper will explore the good governance practices implemented by the stakeholders. Identifying the current good governance practices implemented by the stakeholders is crucial as it will serve as a guideline to improve good governance practice in the future. An exploratory research approach is applied in this study through in-depth interviews with several government agencies and concessionaires involved in the NSWMP implementation. A total of six respondents took part in this study. The findings of this study show that there are several good governance practices implemented in policy promotion, participation of stakeholders, and capacity enhancement programme for the staff. This study also proposed some points on good governance practices in the context of policy promotion and staff development. A paradigm shift by the stakeholders is imperative so as to enhance the good governance practice in NSWMP implementation towards an efficient solid waste management in Malaysia.

  5. Theory, Solution Methods, and Implementation of the HERMES Model

    Energy Technology Data Exchange (ETDEWEB)

    Reaugh, John E. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); White, Bradley W. [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States); Curtis, John P. [Atomic Weapons Establishment (AWE), Reading, Berkshire (United Kingdom); Univ. College London (UCL), Gower Street, London (United Kingdom); Springer, H. Keo [Lawrence Livermore National Lab. (LLNL), Livermore, CA (United States)

    2017-07-13

    The HERMES (high explosive response to mechanical stimulus) model was developed over the past decade to enable computer simulation of the mechanical and subsequent energetic response of explosives and propellants to mechanical insults such as impacts, perforations, drops, and falls. The model is embedded in computer simulation programs that solve the non-linear, large deformation equations of compressible solid and fluid flow in space and time. It is implemented as a user-defined model, which returns the updated stress tensor and composition that result from the simulation supplied strain tensor change. Although it is multi-phase, in that gas and solid species are present, it is single-velocity, in that the gas does not flow through the porous solid. More than 70 time-dependent variables are made available for additional analyses and plotting. The model encompasses a broad range of possible responses: mechanical damage with no energetic response, and a continuous spectrum of degrees of violence including delayed and prompt detonation. This paper describes the basic workings of the model.

  6. Early Elective Delivery Disparities between Non-Hispanic Black and White Women after Statewide Policy Implementation.

    Science.gov (United States)

    Kozhimannil, Katy B; Muoto, Ifeoma; Darney, Blair G; Caughey, Aaron B; Snowden, Jonathan M

    2017-12-19

    In 2011, Oregon implemented a policy that reduced the state's rate of early (before 39 weeks' gestation) elective (without medical need) births. This analysis measured differential policy effects by race, examining whether Oregon's policy was associated with changes in non-Hispanic Black-White disparities in early elective cesarean and labor induction. We used Oregon birth certificate data, defining prepolicy (2008-2010) and postpolicy (2012-2014) periods, including non-Hispanic Black and White women who gave birth during these periods (n = 121,272). We used longitudinal spline models to assess policy impacts by race and probability models to measure policy-associated changes in Black-White disparities. We found that the prepolicy Black-White differences in early elective cesarean (6.1% vs. 4.3%) were eliminated after policy implementation (2.8% vs. 2.5%); adjusted models show decreases in the odds of elective early cesarean among Black women after the policy change (adjusted odds ratio, 0.47; 95% confidence interval, 0.22-1.00; p = .050) and among White women (adjusted odds ratio, 0.79; 95% confidence interval, 0.67-0.93; p = .006). Adjusted probability models indicated that policy implementation resulted in a 1.75-percentage point narrowing (p = .011) in the Black-White disparity in early elective cesarean. Early elective induction also decreased, from 4.9% and 4.7% for non-Hispanic Black and non-Hispanic White women to 3.8% and 2.5%, respectively; the policy was not associated with a statistically significant change in disparities. A statewide policy reduced racial disparities in early elective cesarean, but not early elective induction. Attention to differential policy effects by race may reveal changes in disparities, even when that is not the intended focus of the policy. Copyright © 2017 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

  7. Spatial misfits in a multi-level renewable energy policy implementation process on the Small Island State of Malta

    International Nuclear Information System (INIS)

    Kotzebue, Julia R.; Bressers, Hans Th.A.; Yousif, Charles

    2010-01-01

    One of the priorities of energy policies of the European Union (EU) is to generate 20% of EU's total energy consumption from renewable energy (RE) sources by 2020. The EU policy framework mainly emphasizes economical and technical aspects of RE sources, and promotes large scale projects. However the local implementation of RE EU policies can lead to spatial misfits if the policy implementation neglects the peculiarities of the place. It is important to understand the misfits and relationship between the EU RE policies and the local implementation process, as misfits can affect the policy implementation process and subsequently policy outcomes can be different from those intended, leading to inapt or inapplicable measures. This article presents findings of a qualitative in-depth study of Malta's RE policy implementation. The paper shows that planning of central large-scale RE projects in Malta provokes land and marine use conflicts and can cause difficulties in implementation. The concerned key actors implement the policies according to their motivation, perception, and capacity, and the context in which they are embedded. Hence, both the EU RE policy framework and the national interaction process influence the implementation process, which can lead to spatial mismatches.

  8. Reliability Correction for Functional Connectivity: Theory and Implementation

    Science.gov (United States)

    Mueller, Sophia; Wang, Danhong; Fox, Michael D.; Pan, Ruiqi; Lu, Jie; Li, Kuncheng; Sun, Wei; Buckner, Randy L.; Liu, Hesheng

    2016-01-01

    Network properties can be estimated using functional connectivity MRI (fcMRI). However, regional variation of the fMRI signal causes systematic biases in network estimates including correlation attenuation in regions of low measurement reliability. Here we computed the spatial distribution of fcMRI reliability using longitudinal fcMRI datasets and demonstrated how pre-estimated reliability maps can correct for correlation attenuation. As a test case of reliability-based attenuation correction we estimated properties of the default network, where reliability was significantly lower than average in the medial temporal lobe and higher in the posterior medial cortex, heterogeneity that impacts estimation of the network. Accounting for this bias using attenuation correction revealed that the medial temporal lobe’s contribution to the default network is typically underestimated. To render this approach useful to a greater number of datasets, we demonstrate that test-retest reliability maps derived from repeated runs within a single scanning session can be used as a surrogate for multi-session reliability mapping. Using data segments with different scan lengths between 1 and 30 min, we found that test-retest reliability of connectivity estimates increases with scan length while the spatial distribution of reliability is relatively stable even at short scan lengths. Finally, analyses of tertiary data revealed that reliability distribution is influenced by age, neuropsychiatric status and scanner type, suggesting that reliability correction may be especially important when studying between-group differences. Collectively, these results illustrate that reliability-based attenuation correction is an easily implemented strategy that mitigates certain features of fMRI signal nonuniformity. PMID:26493163

  9. A Training Intervention for Supervisors to Support a Work-Life Policy Implementation

    Science.gov (United States)

    Laharnar, Naima; Glass, Nancy; Perrin, Nancy; Hanson, Ginger; Kent Anger, W.

    2013-01-01

    Background Effective policy implementation is essential for a healthy workplace. The Ryan-Kossek 2008 model for work-life policy adoption suggests that supervisors as gatekeepers between employer and employee need to know how to support and communicate benefit regulations. This article describes a workplace intervention on a national employee benefit, Family and Medical Leave Act (FMLA), and evaluates the effectiveness of the intervention on supervisor knowledge, awareness, and experience with FMLA. Methods The intervention consisted of computer-based training (CBT) and a survey measuring awareness and experience with FMLA. The training was administered to 793 county government supervisors in the state of Oregon, USA. Results More than 35% of supervisors reported no previous training on FMLA and the training pre-test revealed a lack of knowledge regarding benefit coverage and employer responsibilities. The CBT achieved: (1) a significant learning effect and large effect size of d = 2.0, (2) a positive reaction to the training and its design, and (3) evidence of increased knowledge and awareness regarding FMLA. Conclusion CBT is an effective strategy to increase supervisors' knowledge and awareness to support policy implementation. The lack of supervisor training and knowledge of an important but complex employee benefit exposes a serious impediment to effective policy implementation and may lead to negative outcomes for the organization and the employee, supporting the Ryan-Kossek model. The results further demonstrate that long-time employees need supplementary training on complex workplace policies such as FMLA. PMID:24106648

  10. THE IMPLEMENTATION OF ENGLISH-ONLY POLICY IN THE TERTIARY EFL CONTEXT IN TAIWAN

    Directory of Open Access Journals (Sweden)

    David Dirkwen Wei

    2013-01-01

    Full Text Available Abstract: The implementation of English-only policy in the English classes at Wenzao Ursuline College of Languages in Taiwan has continued for nearly 40 years. Its advantages and disadvantages have also been debated and challenged because of the rising demands on students’ English proficiency in Taiwan. This study intended to reexamine the efficiency of the implementation of English-only policy in the English learning at a college of languages in Taiwan. Both quantitative and qualitative methods were used in the process of data collection. 279 English major and non-English major students were invited to answer questionnaires, and six participants were invited to join interviews. The process of data analysis included the analysis of both the quantitative questionnaire data and the qualitative interview data. This study found students’ progress in English listening and speaking proficiency in the basic and lower-intermediate levels because of English-only policy. However, the interaction between teachers and some students was hampered because of the policy. Also, the ambiguity emerging in the insistence on using English only blocked some learners from comprehending the meanings of the texts they were learning, specifically the texts in the upper-intermediate and intermediate-advanced levels of English reading and writing courses. This study also found that proper tolerance of using both students’ native language and English in TEFL classes in the way of code-switching may help students more than the implementation of English-only policy in a tertiary TEFL context.

  11. Ottawa Model of Implementation Leadership and Implementation Leadership Scale: mapping concepts for developing and evaluating theory-based leadership interventions.

    Science.gov (United States)

    Gifford, Wendy; Graham, Ian D; Ehrhart, Mark G; Davies, Barbara L; Aarons, Gregory A

    2017-01-01

    Leadership in health care is instrumental to creating a supportive organizational environment and positive staff attitudes for implementing evidence-based practices to improve patient care and outcomes. The purpose of this study is to demonstrate the alignment of the Ottawa Model of Implementation Leadership (O-MILe), a theoretical model for developing implementation leadership, with the Implementation Leadership Scale (ILS), an empirically validated tool for measuring implementation leadership. A secondary objective is to describe the methodological process for aligning concepts of a theoretical model with an independently established measurement tool for evaluating theory-based interventions. Modified template analysis was conducted to deductively map items of the ILS onto concepts of the O-MILe. An iterative process was used in which the model and scale developers (n=5) appraised the relevance, conceptual clarity, and fit of each ILS items with the O-MILe concepts through individual feedback and group discussions until consensus was reached. All 12 items of the ILS correspond to at least one O-MILe concept, demonstrating compatibility of the ILS as a measurement tool for the O-MILe theoretical constructs. The O-MILe provides a theoretical basis for developing implementation leadership, and the ILS is a compatible tool for measuring leadership based on the O-MILe. Used together, the O-MILe and ILS provide an evidence- and theory-based approach for developing and measuring leadership for implementing evidence-based practices in health care. Template analysis offers a convenient approach for determining the compatibility of independently developed evaluation tools to test theoretical models.

  12. A Cognitive Perspective on Policy Implementation : Reform Beliefs, Sensemaking, and Social Networks

    NARCIS (Netherlands)

    Siciliano, Michael D.; Moolenaar, Nienke M.; Daly, Alan J.; Liou, Yi Hwa

    2017-01-01

    Utilizing a cognitive perspective, this article examines the social processes through which teachers come to understand the Common Core State Standards. The authors begin by identifying three beliefs that have important implications for policy implementation: self-efficacy, resource adequacy, and

  13. 75 FR 57006 - Addressing Policy and Logistical Challenges to Smart Grid Implementation

    Science.gov (United States)

    2010-09-17

    ... Commissions studying smart grid and smart meter applications in pilots? In conducting pilots, what best... right to opt out of receiving and paying for smart grid technologies or programs like meters, in home... DEPARTMENT OF ENERGY Addressing Policy and Logistical Challenges to Smart Grid Implementation...

  14. Sharing Best Practices in Barbados and Trinidad and Tobago: Patterns of Policy Implementation and Resistance

    Science.gov (United States)

    Lam, Elaine

    2011-01-01

    This article outlines policies from multilateral organisations that advocate sharing best practices between developing nations. The article discusses the degree to which these best practices are implemented by small states as indicated by teachers, academics and policymakers in Barbados and Trinidad and Tobago. For the purpose of this article, a…

  15. "Brown v. Board of Education" (1954): An Analysis of Policy Implementation, Outcomes, and Unintended Consequences

    Science.gov (United States)

    McCullough, Carla M.

    2012-01-01

    "Brown v. Board of Education" (1954) was a significant court case fought to provide equal educational opportunities for African-American students. Though the case was fought with good intentions, there may have been unintended consequences that occurred due to the policy implementation. The purpose of this research was to explore the…

  16. Walking the Line: Quality Assurance Policy Development and Implementation in Vi?t Nam

    Science.gov (United States)

    Madden, Meggan

    2014-01-01

    Although Vi?t Nam's experiences with quality assurance (QA) policy development have been influenced by its relationships with, and funding from, the World Bank and regional organizations, the state-centric values of the Socialist Republic of Vi?t Nam still navigate the implementation process. The development of QA in Vietnamese higher education…

  17. Speaking Conflict: Ideological Barriers to Bilingual Policy Implementation in Civil War Sri Lanka

    Science.gov (United States)

    Davis, Christina P.

    2015-01-01

    This article presents a holistic view of ideological barriers to bilingual policy implementation in Sri Lanka, a conflict-ridden postcolonial nation-state. I examine Sinhalese youth and adults' Tamil as a second language (TSL) learning and speaking practices across three contexts: a multilingual school, a program for government servants, and an…

  18. Dutch Gas Revenues and Fiscal Policy. Theory versus practice

    International Nuclear Information System (INIS)

    Wierts, P.; Schotten, G.

    2008-01-01

    The Dutch government's revenues from natural gas fluctuate heavily and will dry up within several decades. According to the academic literature, only the permanent return on gas wealth should be included as income on the government's annual budget. This would prevent a deterioration in net wealth, and provide the budget with a stable source of income from which future generations can also benefit. On the basis of conservative estimates, it follows from our calculations that the Netherlands could count on a permanent annual flow of receipts of around eur 2.5 billion. In practice, however, gas revenues are included directly in the budget, while a part is reserved for investment via the Economic Structure Reinforcement Fund (Fonds Economische Structuurversterking). Using gas revenues for debt reduction, higher spending or lower taxes are political choices made anew by every new government. Our estimation results for the period 1975-2007 show that of a 1% of GPD rise/fall in gas revenues, 0.8 percentage point goes to easing/tightening policy and 0.2 percentage point to an increase/decrease of the budget balance. In the light of the recent fluctuations in oil and gas prices, preserving the stock of wealth from natural gas resources should become more important for the budgetary treatment of gas revenues in the Netherlands [nl

  19. Examining Implementation of Tobacco Control Policy at the District Level: A Case Study Analysis from a High Burden State in India

    Directory of Open Access Journals (Sweden)

    Divya Persai

    2016-01-01

    Full Text Available Introduction. While extensive scientific evidence exists on the tobacco epidemic, a lack of understanding of both policies and their appropriate way of implementation continues to hinder effective tobacco control. This is especially so in the developing countries such as India. The present study aims to understand current implementation practices and the challenges faced in mainstreaming tobacco control policy and program. Methods. We chose a qualitative study design to conduct the case analysis. A total of 42 in-depth interviews were undertaken with seven district officials in six districts of Andhra Pradesh. A conceptual framework was developed by applying grounded theory for analysis. Analysis was undertaken using case analysis approach. Results and Discussion. Our study revealed that most program managers were unfamiliar with the comprehensive tobacco control policy. Respondents have an ambiguous opinion regarding integration of tobacco control program into existing health and development programs. Respondents perceive lack of resources, low prioritization of tobacco control, and lack of monitoring and evaluation of smoke-free laws as limiting factors affecting implementation of tobacco control policy. Conclusion. The findings of this study highlighted the need for a systematic, organized action plan for effective implementation of tobacco control policy and program.

  20. Solar and Drag Sail Propulsion: From Theory to Mission Implementation

    Science.gov (United States)

    Johnson, Les; Alhorn, Dean; Boudreaux, Mark; Casas, Joe; Stetson, Doug; Young, Roy

    2014-01-01

    Solar and drag sail technology is entering the mainstream for space propulsion applications within NASA and around the world. Solar sails derive propulsion by reflecting sunlight from a large, mirror- like sail made of a lightweight, reflective material. The continuous sunlight pressure provides efficient primary propulsion, without the expenditure of propellant or any other consumable, allowing for very high V maneuvers and long-duration deep space exploration. Drag sails increase the aerodynamic drag on Low Earth Orbit (LEO) spacecraft, providing a lightweight and relatively inexpensive approach for end-of-life deorbit and reentry. Since NASA began investing in the technology in the late 1990's, significant progress has been made toward their demonstration and implementation in space. NASA's Marshall Space Flight Center (MSFC) managed the development and testing of two different 20-m solar sail systems and rigorously tested them under simulated space conditions in the Glenn Research Center's Space Power Facility at Plum Brook Station, Ohio. One of these systems, developed by L'Garde, Inc., is planned for flight in 2015. Called Sunjammer, the 38m sailcraft will unfurl in deep space and demonstrate solar sail propulsion and navigation as it flies to Earth-Sun L1. In the Flight Center (MSFC) managed the development and testing of two different 20-m solar sail systems and rigorously tested them under simulated space conditions in the Glenn Research Center's Space Power Facility at Plum Brook Station, Ohio. One of these systems, developed by L'Garde, Inc., is planned for flight in 2015. Called Sunjammer, the 38m sailcraft will unfurl in deep space and demonstrate solar sail propulsion and navigation as it flies to Earth-Sun L1. In the interim, NASA MSFC funded the NanoSail-D, a subscale drag sail system designed for small spacecraft applications. The NanoSail-D flew aboard the Fast Affordable Science and Technology SATellite (FASTSAT) in 2010, also developed by MSFC

  1. TECHNICAL AND ENVIRONMENTAL FACTORS INFLUENCING IMPLEMENTATION OF QUALITY ASSURANCE AND STANDARDS POLICY IN KENYAN PUBLIC SECONDARY SCHOOLS IN KEIYO SUB COUNTY OF ELGEIYO MARAKWET COUNTY, KENYA

    OpenAIRE

    Wambua Kyalo Benjamin; Kigen Viola J.; Khaemba Ongeti

    2017-01-01

    There is growing concern by various stakeholders about the declining student achievement and teacher performance highlighted by strong media publicity and frequently acknowledged in educational analysis in Kenyan schools. This paper examined technical and environmental factors influencing the implementation of Quality Assurance and Standards policy in public secondary schools in Kenya. The study was based on the Effective Schools Theory. This study employed a descriptive research design as it...

  2. Tracking the implementation of green credit policy in China: top-down perspective and bottom-up reform.

    Science.gov (United States)

    Zhang, Bing; Yang, Yan; Bi, Jun

    2011-04-01

    The Chinese government has introduced the green credit policy to mitigate the environmental impact of industrialization by reining in credit loans to companies and projects with poor environmental performance. This research investigated the implementation of the green credit policy both at the national and provincial levels. Our results show that the green credit policy is not fully implemented. The wide-ranging impact on high-polluting and high energy-consuming industries, vague policy details unclear implementing standards, and lack of environmental information are the main problems in the implementation of the green credit policy in China. On the other hand, the practice at local level (Jiangsu Province) is more practical by integrating green credit policy with the environmental performance rating system. Finally, suggestions are outlined to improve China's green credit policy. Copyright © 2010 Elsevier Ltd. All rights reserved.

  3. Implementation of a Health Policy Advisory Committee as a Knowledge Translation Platform: The Nigeria Experience

    Directory of Open Access Journals (Sweden)

    Chigozie Jesse Uneke

    2015-03-01

    Full Text Available Background In recent times, there has been a growing demand internationally for health policies to be based on reliable research evidence. Consequently, there is a need to strengthen institutions and mechanisms that can promote interactions among researchers, policy-makers and other stakeholders who can influence the uptake of research findings. The Health Policy Advisory Committee (HPAC is one of such mechanisms that can serve as an excellent forum for the interaction of policy-makers and researchers. Therefore, the need to have a long term mechanism that allows for periodic interactions between researchers and policy-makers within the existing government system necessitated our implementation of a newly established HPAC in Ebonyi State Nigeria, as a Knowledge Translation (KT platform. The key study objective was to enhance the capacity of the HPAC and equip its members with the skills/competence required for the committee to effectively promote evidence informed policy-making and function as a KT platform. Methods A series of capacity building programmes and KT activities were undertaken including: i Capacity building of the HPAC using Evidence-to-Policy Network (EVIPNet SUPPORT tools; ii Capacity enhancement mentorship programme of the HPAC through a three-month executive training programme on health policy/health systems and KT in Ebonyi State University Abakaliki; iii Production of a policy brief on strategies to improve the performance of the Government’s Free Maternal and Child Health Care Programme in Ebonyi State Nigeria; and iv Hosting of a multi-stakeholders policy dialogue based on the produced policy brief on the Government’s Free Maternal and Child Health Care Programme. Results The study findings indicated a noteworthy improvement in knowledge of evidence-to-policy link among the HPAC members; the elimination of mutual mistrust between policy-makers and researchers; and an increase in the awareness of importance of HPAC in the

  4. Implementation of a health policy advisory committee as a knowledge translation platform: the Nigeria experience

    Science.gov (United States)

    Uneke, Chigozie Jesse; Ndukwe, Chinwendu Daniel; Ezeoha, Abel Abeh; Uro-Chukwu, Henry Chukwuemeka; Ezeonu, Chinonyelum Thecla

    2015-01-01

    Background: In recent times, there has been a growing demand internationally for health policies to be based on reliable research evidence. Consequently, there is a need to strengthen institutions and mechanisms that can promote interactions among researchers, policy-makers and other stakeholders who can influence the uptake of research findings. The Health Policy Advisory Committee (HPAC) is one of such mechanisms that can serve as an excellent forum for the interaction of policy-makers and researchers. Therefore, the need to have a long term mechanism that allows for periodic interactions between researchers and policy-makers within the existing government system necessitated our implementation of a newly established HPAC in Ebonyi State Nigeria, as a Knowledge Translation (KT) platform. The key study objective was to enhance the capacity of the HPAC and equip its members with the skills/competence required for the committee to effectively promote evidence informed policy-making and function as a KT platform. Methods: A series of capacity building programmes and KT activities were undertaken including: i) Capacity building of the HPAC using Evidence-to-Policy Network (EVIPNet) SUPPORT tools; ii) Capacity enhancement mentorship programme of the HPAC through a three-month executive training programme on health policy/health systems and KT in Ebonyi State University Abakaliki; iii) Production of a policy brief on strategies to improve the performance of the Government’s Free Maternal and Child Health Care Programme in Ebonyi State Nigeria; and iv) Hosting of a multi-stakeholders policy dialogue based on the produced policy brief on the Government’s Free Maternal and Child Health Care Programme. Results: The study findings indicated a noteworthy improvement in knowledge of evidence-to-policy link among the HPAC members; the elimination of mutual mistrust between policy-makers and researchers; and an increase in the awareness of importance of HPAC in the Ministry

  5. Governance by green taxes: Implementing clean water policies in Europe 1970 - 1990

    DEFF Research Database (Denmark)

    Andersen, Mikael Skou

    1999-01-01

    This article analyzes the use of economic instruments for environmental policy in four European countries. The study employs data from national and international sources for an ex post evaluation of the effects of economic policy instruments in the clean water programs of Denmark, France, Germany...... for the implementation of public policies; on the other hand it provides some unexpected findings regarding the significance of the institutional context for the design and operation of market-based instruments. It is argued that institutionalized practices of public policy making influenced the specific design...... to the significance of taking into account the institutional setting of the design and operation of market-based instruments, an observation with both theoretical and practical implications....

  6. Tobacco-Free Policy Compliance Behaviors among College Students: A Theory of Planned Behavior Perspective.

    Science.gov (United States)

    Record, Rachael A

    2017-07-01

    The purpose of this study was to examine the theory of planned behavior (TPB) as a framework for understanding tobacco-free policy compliance behaviors. Undergraduate student smokers (n = 479) on a college campus with a tobacco-free policy were randomly selected to report their tobacco-free compliance behaviors and respond to TPB items. A path analysis found all constructs of the TPB model to be significantly related to tobacco-free policy compliance behaviors. The results obtained from this study fill gaps in the mostly atheoretical literature regarding our understanding of tobacco-free policy compliance behaviors as well as extend our knowledge of the TPB. Implications for this study provide recommendations for universities, health organizations, and government agencies currently attempting to enforce compliance with a tobacco-free policy.

  7. Addressing the challenges to health sector decentralization in Nepal: an inquiry into the policy and implementation processes.

    Science.gov (United States)

    Dhakal, R; Ratanawijitrasin, S; Srithamrongsawat, S

    2009-09-01

    The objective of the study was to analyze the status and explore the challenges to decentralization policy implementation in Nepal. Thirty seven key informants rich in experience and knowledge, seven focus group discussions, observation of six health facilities and analysis of about 25 key policy documents provided the data for this study. The study identified the challenges to the implementation of decentralization reforms in the public health sector as: (i) centralised and weak management and programming practices of the government; (ii) weak legal and institutional framework; (iii) conflicting policy objectives; (iv) lack of implementation strategy; (v) poor financial and human resource management system; (vi) lack of adequate preparation for managing the reform; (vii) weak capacity at all levels; (viii) political instability. It was revealed that the implementation of the policy in Nepal was extremely poor as many of the important policy measures were either never initiated or they were only partially implemented. The challenges lie both at - policy design and implementation phase. Clear policy objectives, appropriate structure, sound planning, financing and human resources policy, adequate capacity, responsive information system, defined service packages, active participation of stakeholders and a conducive socio-political environment are considered imperative for successful implementation of the policy. Preparation for managing reform implementation at national and district levels is prerequisite for decentralization to work. Pushing for decentralization in a politically fragile environment may rather lead to further fragmentation, instead of strengthening government legitimacy.

  8. Change in dietary energy density after implementation of the Texas Public School Nutrition Policy.

    Science.gov (United States)

    Mendoza, Jason A; Watson, Kathy; Cullen, Karen Weber

    2010-03-01

    Consumption of energy-dense foods has been associated with rising obesity rates and the metabolic syndrome. Reducing dietary energy density is an important strategy to address obesity, but few studies have examined the effect of nutrition policies on children's energy density. The study's objective was to assess the impact of the Texas Public School Nutrition Policy on children's energy density by using a pre- and post-policy evaluation. Analysis of variance/covariance and nonparametric tests compared energy density after the Texas policy change to intakes at baseline. Two years of lunch food records were collected from middle school students in Southeast Texas at three public middle schools: baseline (2001-2002) and 1 year after implementation of the Texas Policy (2005-2006). Students recorded the amount and source of foods consumed. The Texas Public School Nutrition Policy was designed to promote a healthy school environment by restricting portion sizes of high-fat and high-sugar snacks and sweetened beverages, fat content of foods, and serving of high-fat vegetables like french fries. Energy density (kcal/g): energy density-1 was the energy of foods only (no beverages) divided by the gram weight and has been previously associated with obesity and insulin resistance; energy density-2 included all food and beverages to give a complete assessment of all sources of calories. Following implementation of the Texas policy, students' energy density-1 significantly decreased from 2.80+/-1.08 kcal/g to 2.17+/-0.78 kcal/g (PNutrition Policy was associated with desirable reductions in energy density, which suggests improved nutrient intake as a result of student school lunch consumption. Copyright 2010 American Dietetic Association. Published by Elsevier Inc. All rights reserved.

  9. Work–life balance policies: Challenges and benefits associated with implementing flexitime

    Directory of Open Access Journals (Sweden)

    Caroline Downes

    2011-02-01

    Full Text Available Orientation: Helping employees to balance their work and family lives is a business imperative. Work–life balance policies (like flexitime aim to support employees to do so. However, implementing these policies is problematic.Research purpose: The aim of this article is to report on the challenges and benefits associated with implementing flexitime as a work–life balance policy.Motivation for the study: Organisations must develop and implement work–life balance policies. This requires human resource practitioners to investigate and understand experiences and perceptions about the challenges and benefits of flexitime.Research design, approach and method: The researcher used a qualitative research design with an exploratory approach. She drew a nonprobability purposive and voluntary sample (n = 15 from the financial sector. She used semi-structured in-depth interviews to collect the data and conducted content analyses to analyse and interpret them.Main findings: The researcher extracted four main themes (individual and general challenges, the aspects organisations need to implement flexitime effectively and the benefits that would follow its implementation from the data. Its benefits vary from work–life balance to employee loyalty and commitment. Some challenges are maintaining productivity, a shortage of critical resources and understanding flexitime.Practical/managerial implications: The research identified requirements that human resource practitioners should attend to in order to ensure that organisations use flexitime more effectively.Contribution/value-add: The researcher obtained unique findings about the minimum requirements for implementing flexitime effectively. They could assist organisations to address the challenges that employees face.

  10. Governing China’s Clean Energy Transition: Policy Reforms, Flexible Implementation and the Need for Empirical Investigation

    Directory of Open Access Journals (Sweden)

    Kevin Lo

    2015-11-01

    Full Text Available In the ten years since committing to clean energy transition, China has formulated a large number of policies and programs to achieve some very ambitious targets. This paper argues that the dearth of empirical studies concerning the implementation of these new policies and programs has created a knowledge gap between official policy documents, which are vague and lacking in specifics, and official policy outcomes, which are unreliable. In particular, the merits and limitations of flexible implementation with regard to desirable outcomes need to be debated and clarified. This paper calls for more empirical investigation in four areas as a starting point: (1 the nature and extent of flexibility in the implementation; (2 implementation strategies and their impacts; (3 factors that shape the behavior of local officials responsible for implementation; and (4 the relationship between the central-local relation and policy implementation.

  11. Patchy ‘coherence’: using normalization process theory to evaluate a multi-faceted shared decision making implementation program (MAGIC)

    Science.gov (United States)

    2013-01-01

    Background Implementing shared decision making into routine practice is proving difficult, despite considerable interest from policy-makers, and is far more complex than merely making decision support interventions available to patients. Few have reported successful implementation beyond research studies. MAking Good Decisions In Collaboration (MAGIC) is a multi-faceted implementation program, commissioned by The Health Foundation (UK), to examine how best to put shared decision making into routine practice. In this paper, we investigate healthcare professionals’ perspectives on implementing shared decision making during the MAGIC program, to examine the work required to implement shared decision making and to inform future efforts. Methods The MAGIC program approached implementation of shared decision making by initiating a range of interventions including: providing workshops; facilitating development of brief decision support tools (Option Grids); initiating a patient activation campaign (‘Ask 3 Questions’); gathering feedback using Decision Quality Measures; providing clinical leads meetings, learning events, and feedback sessions; and obtaining executive board level support. At 9 and 15 months (May and November 2011), two rounds of semi-structured interviews were conducted with healthcare professionals in three secondary care teams to explore views on the impact of these interventions. Interview data were coded by two reviewers using a framework derived from the Normalization Process Theory. Results A total of 54 interviews were completed with 31 healthcare professionals. Partial implementation of shared decision making could be explained using the four components of the Normalization Process Theory: ‘coherence,’ ‘cognitive participation,’ ‘collective action,’ and ‘reflexive monitoring.’ Shared decision making was integrated into routine practice when clinical teams shared coherent views of role and purpose (‘coherence’). Shared

  12. A qualitative systematic review of studies using the normalization process theory to research implementation processes

    OpenAIRE

    McEvoy, Rachel; Ballini, Luciana; Maltoni, Susanna; O’Donnell, Catherine A; Mair, Frances S; MacFarlane, Anne

    2014-01-01

    Background There is a well-recognized need for greater use of theory to address research translational gaps. Normalization Process Theory (NPT) provides a set of sociological tools to understand and explain the social processes through which new or modified practices of thinking, enacting, and organizing work are implemented, embedded, and integrated in healthcare and other organizational settings. This review of NPT offers readers the opportunity to observe how, and in what areas, a particul...

  13. Implementation Of Conservation Policy Through The Protection Of Life Support System In The Karimunjawa National Park

    Science.gov (United States)

    Ariyani, Nur Anisa Eka; Kismartini

    2018-02-01

    The Karimunjawa National Park as the only one marine protected area in Central Java, managed by zonation system has decreased natural resources in the form of decreasing mangrove forest area, coral cover, sea biota population such as clams and sea cucumbers. Conservation has been done by Karimunjawa National Park Authority through protection of life support system activities in order to protect the area from degradation. The objective of the research is to know the implementation of protection and security activities of Karimunjawa National Park Authority for the period of 2012 - 2016. The research was conducted by qualitative method, processing secondary data from Karimunjawa National Park Authority and interview with key informants. The results showed that protection and security activities in The Karimunjawa National Park were held with three activities: pre-emptive activities, preventive activities and repressive activities. Implementation of conservation policy through protection of life support system is influenced by factors of policy characteristic, resource factor and environmental policy factor. Implementation of conservation policy need support from various parties, not only Karimunjawa National Park Authority as the manager of the area, but also need participation of Jepara Regency, Central Java Provinces, communities, NGOs, researchers, developers and tourism actors to maintain and preserve existing biodiversity. Improving the quality of implementors through education and training activities, the availability of the state budget annually and the support of stakeholders is essential for conservation.

  14. Midwife Acceptability in Implementation of Labor Warranty Policy in the District Mojokerto

    Directory of Open Access Journals (Sweden)

    Agung Dwi Laksono

    2014-08-01

    Full Text Available Background: The existence of midwive as the Jampersal main guard so important. Midwive acceptability has become Jampersal issue’s at district level, then the reason is enough to do a policy analysis of Jampersal.It is important to ensure successful implementation in the field, so the aim of improving access to maternal and child health services, as well as further reduction of MMR and IMR can be achieved. This study aimed to analyze the midwifes acceptability to the implementation of Jampersal in Mojokerto regency. Methods: This research is observational study. This study is also the policy analysis research on policy implementation stage.Policy research is classified as an ‘analysis of policy’. In-depth interviews and focus group discussions withthe data obtained from the field actors. Content analysis is done by analyzing the acceptability of thematically based midwives in Mojokerto regency to the Jampersal membership, benefit package, accountability, and the tariff. Result: Research shows that midwives most accept to the Jampersal accountability. It is perceived more easily than other health financing. For the acceptability of the benefit package and the tariff, midwives could still accept although with little objection. For Jampersal membership, most midwives still objected to the Jampersal membership models. Conclution: It needs to be disseminated to a deeper understanding of the meaning and purpose of the Jampersal philosophy. Recommendation: Socialization is also able to explain what the background of every detail measures taken, including what makes the midwife objected.

  15. Implementation Of Conservation Policy Through The Protection Of Life Support System In The Karimunjawa National Park

    Directory of Open Access Journals (Sweden)

    Anisa Eka Ariyani Nur

    2018-01-01

    Full Text Available The Karimunjawa National Park as the only one marine protected area in Central Java, managed by zonation system has decreased natural resources in the form of decreasing mangrove forest area, coral cover, sea biota population such as clams and sea cucumbers. Conservation has been done by Karimunjawa National Park Authority through protection of life support system activities in order to protect the area from degradation. The objective of the research is to know the implementation of protection and security activities of Karimunjawa National Park Authority for the period of 2012 - 2016. The research was conducted by qualitative method, processing secondary data from Karimunjawa National Park Authority and interview with key informants. The results showed that protection and security activities in The Karimunjawa National Park were held with three activities: pre-emptive activities, preventive activities and repressive activities. Implementation of conservation policy through protection of life support system is influenced by factors of policy characteristic, resource factor and environmental policy factor. Implementation of conservation policy need support from various parties, not only Karimunjawa National Park Authority as the manager of the area, but also need participation of Jepara Regency, Central Java Provinces, communities, NGOs, researchers, developers and tourism actors to maintain and preserve existing biodiversity. Improving the quality of implementors through education and training activities, the availability of the state budget annually and the support of stakeholders is essential for conservation.

  16. Contesting Public Monolingualism and Diglossia: Rethinking Political Theory and Language Policy for a Multilingual World

    Science.gov (United States)

    May, Stephen

    2014-01-01

    In many language policy and political theory discussions, there is an overt skepticism, and at times outright hostility, towards the ongoing maintenance of private and, especially, public multilingualism, particularly when these include/incorporate the languages of linguistic minorities. For linguistic minority individuals, ongoing multilingualism…

  17. Using Human Capital Theory to Develop a Policy Approach towards College Student Migration in Illinois

    Science.gov (United States)

    Smith, Ryan Lee

    2006-01-01

    The purpose of this study was to use human capital theory to develop a policy approach towards college student migration in Illinois. A rate of return analysis revealed the social rate of return for college student migrants who return to Illinois and the private rate of return was 15.95%. It was estimated that due to college student migration in…

  18. How Leadership and Discipline Policies Color School-Community Relationships: A Critical Race Theory Analysis

    Science.gov (United States)

    Valles, Brenda; Miller, Daniel M.

    2010-01-01

    This conceptual article analyzes zero-tolerance discipline policies and their impact on the exclusion of Black and Brown kids from educational opportunity. We use critical race theory to deconstruct this trend. In this article, we discuss the brief history of zero tolerance and its impact on school discipline practices. We consider how racial…

  19. Improvements in middle school student dietary intake after implementation of the Texas Public School Nutrition Policy.

    Science.gov (United States)

    Cullen, Karen Weber; Watson, Kathy; Zakeri, Issa

    2008-01-01

    We assessed the effect of the Texas Public School Nutrition Policy on middle school student lunchtime food consumption. Three years of lunch food records were collected from middle school students in southeast Texas: baseline (2001-2002), after local district changes (2002-2003), and 1 year after implementation of the Texas Public School Nutrition Policy (2005-2006). Students recorded amount and source of foods and beverages they consumed. Analysis of variance and covariance and nonparametric tests were used to compare intake after the policy change with intake during the 2 previous years. After implementation of the nutrition policy, student lunch consumption of vegetables, milk, and several nutrients increased (protein, fiber, vitamins A and C, calcium, and sodium), and consumption of less desirable items (sweetened beverages, snack chips) decreased, as did percentage of energy from fat. Most of the desired nutrients and foods (vegetables and milk) were obtained from the National School Lunch Program meal. Fewer sweetened beverages, candy, chips, and dessert foods were purchased and consumed, but more of these items were brought from home and purchased from the snack bar. Overall, state school nutrition policies can improve the healthfulness of foods consumed by students at lunch.

  20. An analysis of policy levers used to implement mental health reform in Australia 1992-2012.

    Science.gov (United States)

    Grace, Francesca C; Meurk, Carla S; Head, Brian W; Hall, Wayne D; Carstensen, Georgia; Harris, Meredith G; Whiteford, Harvey A

    2015-10-24

    Over the past two decades, mental health reform in Australia has received unprecedented government attention. This study explored how five policy levers (organisation, regulation, community education, finance and payment) were used by the Australian Federal Government to implement mental health reforms. Australian Government publications, including the four mental health plans (published in 1992, 1998, 2003 and 2008) were analysed according to policy levers used to drive reform across five priority areas: [1] human rights and community attitudes; [2] responding to community need; [3] service structures; [4] service quality and effectiveness; and [5] resources and service access. Policy levers were applied in varying ways; with two or three levers often concurrently used to implement a single initiative or strategy. For example, changes to service structures were achieved using various combinations of all five levers. Attempts to improve service quality and effectiveness were instead made through a single lever-regulation. The use of some levers changed over time, including a move away from prescriptive, legislative use of regulation, towards a greater focus on monitoring service standards and consumer outcomes. Patterns in the application of policy levers across the National Mental Health Strategy, as identified in this analysis, represent a novel way of conceptualising the history of mental health reform in Australia. An improved understanding of the strategic targeting and appropriate utilisation of policy levers may assist in the delivery and evaluation of evidence-based mental health reform in the future.

  1. THEORIES OF MONETARY POLICY – FROM THE MERCANTILIST PRAGMATISM TO THE MODERN MONETARY THEORIES

    Directory of Open Access Journals (Sweden)

    Zina CIORAN

    2014-06-01

    Full Text Available The purpose of this article is to perform an incursion into the monetary theories, from the mercantilists to the modern theories. The monetary area is an important component of the economic system which has always been and still is tormented by anxiety and uncertainty. The currency can be considered a barometer that promptly and precisely registers a country’s economic oscillations and the fundamental problems that torment the human society nowadays is mainly expressed in monetary terms. Being one of the major tools the state uses to balance the economy, the monetary politics has permanently generated fervent controversies and discussions. Scientific research of the monetary phenomenon, facing the complexity of the currency problems with a diversity of currency types and with the complex currency role within the company, as well as the explosive evolution of the financial institutions, structures and monetary and financial products has always kept the monetary theory in the beginning of a new research program. The monetary theory center, around which the economists‘ thinking is founded, is formed of: emphasizing the money role in the economy, the money measurement, the money offer and request with their influence factors, the monetary balance theory, the monetary impulse transition modality as well as the monetary behavior on the part of the economic agents. It was established that each economical thinking movement marked the social, economical and political life for a certain amount of time, each school has criticized or supported their predecessors’ ideas contributing to the enrichment of the monetary theory and the economic development, implicitly.

  2. Disempowered doctors? A relational view of public health policy implementation in urban India.

    Science.gov (United States)

    Sheikh, Kabir; Porter, John D H

    2011-01-01

    This article analyses the nature of power relationships between urban hospital practitioners and other groups of actors involved in the implementation of public health policies in India, and the effects of enacting different strategies to strengthen implementation, in the context of these balances of power. It is based on an empirical research study conducted over 18 months in five Indian cities involving 61 in-depth interviews with medical practitioners and policy actors, and an interpretivist analytical approach. An issue case study-of the implementation of national HIV testing guidelines-was used to focus the interviews on specific events and phenomena. Respondents' accounts revealed that practitioners in both private and government hospitals tended to successfully resist or subvert the attempts of regulators and administrators to enforce the guidelines. However, in spite of often possessing perspectives and convictions that differed from the nationally sanctioned guidelines, practitioners were not able to effectively communicate these ideas to other health systems actors, or introduce them into mainstream policy discourse. The metaphor of public health guideline implementation throws light on the problematical nature of the power possessed by medical practitioners in relation to public health systems in India. Even as practitioners wield 'negative' power in their ability to resist authority, they appear to lack the 'positive' power to contribute intellectually to the policy process. This mix of political obduracy and intellectual demoralization among practitioners also underpins a subtle trend in public health, of the separation of the world of ideas from the world of actions. Study findings highlight that stronger regulations and provisions for accountability in Indian health systems critically need to be balanced by measures to develop collective intellectual capital and include the voices of frontline practitioners in public health policy discourse.

  3. Implementation of public policy on alcohol and other drugs in Brazilian municipalities: comparative studies.

    Science.gov (United States)

    Mota, Daniela Belchior; Ronzani, Telmo Mota

    2016-07-01

    One of the challenges with respect to public health and the abuse of alcohol and other drugs is to implement policies in support of greater co-ordination among various levels of government. In Brazil, policies are formulated by the Secretaria Nacional de Políticas sobre Drogas (SENAD - State Department for Policies on Drugs) and the Ministério da Saúde (MS - Ministry of Health). This study aims to compare implementation of policies adopted by SENAD and MS at the municipal level. Three municipalities were intentionally selected: Juiz de Fora having a larger network of treatment services for alcohol and drug users; Lima Duarte, a small municipality, which promotes the political participation of local actors (COMAD - Municipal Council on Alcohol and Drugs); and São João Nepomuceno, also a small municipality, chosen because it has neither public services specialised to assist alcohol and other drugs users, nor COMAD. Data collection was conducted through interviews with key informants (n = 19) and a review of key documents concerned with municipal policies. Data analysis was performed using content analysis. In Juiz de Fora, there are obstacles regarding the integration of the service network for alcohol and other drug users and also the articulation of local actors, who are predominant in the mental health sector. In Lima Duarte, while there is a link between local actors through COMAD, their actions within the local service network have not been effective. In São João Nepomuceno, there were no public actions in the area of alcohol and drugs, and consequently insufficient local debate. However, some voluntary, non-governmental work has been undertaken. There were weaknesses in the implementation of national-level policies by SENAD and the MS, due to the limited supply of available treatment, assistance and the lack of integration among local actors. © 2015 John Wiley & Sons Ltd.

  4. The European Union Cohesion Policy in Romania - Strategic Approach to the Implementation Process

    Directory of Open Access Journals (Sweden)

    LAZAR Szilard

    2012-06-01

    Full Text Available Achieving economic, social and territorial cohesion by reducing existing disparities between regions through investing in infrastructure, human resources and diversification of regional economies remains a major goal for the EU Member States. The achievement of this goal would not be possible without the development and implementation of regional policy strategic instruments at national and EU level. This study presents the role, the essential elements, and objectives of instruments such as the Community Strategic Guidelines on Cohesion, the National Strategic Reference Framework, and the Romanian Operational Programmes for the programming period 2007-2013. Since the success of the cohesion policy is tied to its implementation, we also present the management and control system applicable for the operational programmes. The final part of the study deals with issues concerning the payment rate of Structural Funds in Romania, with a focus on the main challenges of the implementation process. An important task for the Romanian government is to remove the obstacles that brake the effective implementation of the Cohesion policy and the absorption of Structural and Cohesion Funds.

  5. [Facilitators and barriers to implementation of intercultural health policy in Chile].

    Science.gov (United States)

    Pérez, Camila; Nazar, Gabriela; Cova, Félix

    2016-02-01

    Objective To identify elements that either facilitate or hinder implementation of Chile's intercultural health policy. Methods A descriptive study was conducted with the participation of health services users from the Mapuche ethnic group, biomedical health professionals, intercultural facilitators, and key informants in two health facilities serving towns with a high density of Mapuche population. The information was obtained through semi-structured interviews that were analyzed thematically. Results Factors identified as facilitating the implementation of this policy include laws and regulations pertaining to the rights of indigenous peoples, the empowerment of users around their rights, the formation of implementation teams, the presence of professionals of Mapuche origin in health facilities, and the existence of processes for systematization of the work carried out. The asymmetric relationship between the Mapuche people and the state, and between the Mapuche health system and the biomedical model, constitutes a fundamental barrier. Other obstacles include the lack of theoretical and practical clarity around the concept of intercultural health and a lack of resources. Conclusions Despite the facilitators identified and the achievements to date, meaningful progress in implementation of an intercultural health policy is limited by barriers that are hard to change. These include the usual forms of government planning and the hegemony of the biomedical model.

  6. Effect of care management program structure on implementation: a normalization process theory analysis

    OpenAIRE

    Holtrop, Jodi Summers; Potworowski, Georges; Fitzpatrick, Laurie; Kowalk, Amy; Green, Lee A.

    2016-01-01

    Background Care management in primary care can be effective in helping patients with chronic disease improve their health status, however, primary care practices are often challenged with implementation. Further, there are different ways to structure care management that may make implementation more or less successful. Normalization process theory (NPT) provides a means of understanding how a new complex intervention can become routine (normalized) in practice. In this study, we used NPT to u...

  7. Patchy 'coherence': using normalization process theory to evaluate a multi-faceted shared decision making implementation program (MAGIC)

    NARCIS (Netherlands)

    Lloyd, A.; Joseph-Williams, N.; Edwards, A.; Rix, A.; Elwyn, G.

    2013-01-01

    BACKGROUND: Implementing shared decision making into routine practice is proving difficult, despite considerable interest from policy-makers, and is far more complex than merely making decision support interventions available to patients. Few have reported successful implementation beyond research

  8. Implementation of Compulsory Study 12 Year Policy to Increase Education Quality in Kudus Regency

    Directory of Open Access Journals (Sweden)

    Asih Widi Lestari

    2015-02-01

    Full Text Available Education is an important instrument in improving the human resources quality. Kudus Regency has implemented compulsory study since 2010 through Kudus Regency Regional Regulation Number 2/ 2010 about Compulsory Study 12 (Twelve Years. While, Central Government issued compulsory study 12 year policy in June 2013 through Ministry of Education and Culture Regulation Number 80/2013 about Universal Secondary Education. Obviously, this is a bold step of Kudus Regency Government in improving the education quality at Kudus Regency. The research objectives are: to know, analyze, and describe about Implementation of compulsory study 12 years policy to increase education in Kudus Regency; and to know, analyze, and describe about supporting and inhibiting factors toward implementation of compulsory study 12 years policy to increase education quality in Kudus Regency. This research resulted that the implementation compulsory study 12 years policy in Kudus Regency has been successfully, viewed from the actor that completely carry out their duties and responsibilities; the existence of funding and programs from Kudus Regency Government and Central Government is supporting the mechanism implementation in accordance with the provisions. The compulsory study 12 years policy in Kudus Regency had positive impact in improving the education quality at Kudus Regency, it is seen from the increase of Gross Enrollment Ratio (GER for secondary education from 60% in 2008 to 80,59% in 2013. The success in improving the education quality is also seen from achievement of Kudus Regency in obtained champions in various championships. The supporting factors are The content of the Kudus Regency Regional Regulation Number 2/ 2010 about Compulsory Study 12 Years and the Minister of Education and Culture Regulation Number 80/ 2013 about Universal Secondary Education which clear and easy to understand; the willingness of Kudus Society in receiving the compulsory study 12 years policy

  9. The implementation limitations of and alternative policy solutions for Indonesia's REDD+ program concerning peatland restoration

    Directory of Open Access Journals (Sweden)

    Sarah Guzick

    2013-07-01

    Full Text Available Recent increases in global demand for palm oil have resulted in rapid, widespread deforestation in Indonesia, making Indonesia the third largest emitter of greenhouse gases in the world. Although the Indonesian government has sought to pursue progressive environmental policies to curb deforestation, such as through REDD+, implementation has been hampered by legal loopholes, corruption and weak rule of law. This paper will examine two alternative carbon sequestration policies to REDD+: a drying up of the palm oil market and a buy-out of palm oil plantations.

  10. IMPLEMENTATION OF THE POLICY OF REGIONAL EXPANSION IN NORTH MAMUJU REGENCY OF WEST SULAWESI

    Directory of Open Access Journals (Sweden)

    Syamsuddin Maldun

    2016-11-01

    Full Text Available this study aims to: (1 Analyze and explain the stages of the implementation of the policy of regional expansion, and (2 analyze and explain the factors that support the implementation of the policy of regional expansion, in order to support national integration in North Mamuju Regency of West Sulawesi Province. This research is a kind of exploratory research using qualitative analysis approach. Data collection carried through; observation, interviews, and documents. Informant research include; Assistant I, II, III, Assistant to the Preparatory Committee the establishment of district (PPPK, head of the Central Bureau of statistics, the head of the Agency for the unity of the nation, the head of the Office library, Archives, and documents, the head of the Department of organization and Personnel, the head of the General section of the Secretariat of the Parliament, members of Religious Communication Forum (FKUB, the leadership of Dharma Wanita, professors, students, and community leaders. While the data analysis done in a descriptive qualitative. Technique of data analysis is interactive analysis: Data collection, (2 Data reduction, (3 Data Display, and (4 the Conclusion/verification. This is intended to give description in a systematic, factual and actual against objects that are examined. Research results show that; (1 the policy implementation stages of the extraction region North Mamuju Regency has been implemented in accordance with the legislation governing the extraction of such areas; the establishment of local governance devices, preparation of the vision and mission, the preparation of regional development strategies, and preparation of the regional development programs, and the factors that support the implementation of regional expansion policy is the existence of natural resources, capital investment (investment, infrastructure, transport and communications, openness toward outsiders, and support public (community

  11. Maintenance overtime policies in reliability theory models with random working cycles

    CERN Document Server

    Nakagawa, Toshio

    2015-01-01

    This book introduces a new concept of replacement in maintenance and reliability theory. Replacement overtime, where replacement occurs at the first completion of a working cycle over a planned time, is a new research topic in maintenance theory and also serves to provide a fresh optimization technique in reliability engineering. In comparing replacement overtime with standard and random replacement techniques theoretically and numerically, 'Maintenance Overtime Policies in Reliability Theory' highlights the key benefits to be gained by adopting this new approach and shows how they can be applied to inspection policies, parallel systems and cumulative damage models. Utilizing the latest research in replacement overtime by internationally recognized experts, readers are introduced to new topics and methods, and learn how to practically apply this knowledge to actual reliability models. This book will serve as an essential guide to a new subject of study for graduate students and researchers and also provides a...

  12. Ottawa Model of Implementation Leadership and Implementation Leadership Scale: mapping concepts for developing and evaluating theory-based leadership interventions

    Directory of Open Access Journals (Sweden)

    Gifford W

    2017-03-01

    Full Text Available Wendy Gifford,1 Ian D Graham,2,3 Mark G Ehrhart,4 Barbara L Davies,5,6 Gregory A Aarons7 1School of Nursing, Faculty of Health Sciences, University of Ottawa, ON, Canada; 2Centre for Practice-Changing Research, Ottawa Hospital Research Institute, 3School of Epidemiology, Public Health and Preventive Medicine, Facility of Medicine, University of Ottawa, Ottawa, ON, Canada; 4Department of Psychology, San Diego State University, San Diego, CA, USA; 5Nursing Best Practice Research Center, University of Ottawa, Ottawa, ON, Canada; 6Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA; 7Child and Adolescent Services Research Center, University of California, San Diego, CA, USA Purpose: Leadership in health care is instrumental to creating a supportive organizational environment and positive staff attitudes for implementing evidence-based practices to improve patient care and outcomes. The purpose of this study is to demonstrate the alignment of the Ottawa Model of Implementation Leadership (O-MILe, a theoretical model for developing implementation leadership, with the Implementation Leadership Scale (ILS, an empirically validated tool for measuring implementation leadership. A secondary objective is to describe the methodological process for aligning concepts of a theoretical model with an independently established measurement tool for evaluating theory-based interventions.Methods: Modified template analysis was conducted to deductively map items of the ILS onto concepts of the O-MILe. An iterative process was used in which the model and scale developers (n=5 appraised the relevance, conceptual clarity, and fit of each ILS items with the O-MILe concepts through individual feedback and group discussions until consensus was reached.Results: All 12 items of the ILS correspond to at least one O-MILe concept, demonstrating compatibility of the ILS as a measurement tool for the O-MILe theoretical constructs.Conclusion: The O

  13. Food Availability in School Stores in Seoul, South Korea after Implementation of Food- and Nutrient-Based Policies

    Science.gov (United States)

    Choi, Seul Ki; Frongillo, Edward A.; Blake, Christine E.; Thrasher, James F.

    2017-01-01

    Background: To improve school store food environments, the South Korean government implemented 2 policies restricting unhealthy food sales in school stores. A food-based policy enacted in 2007 restricts specific food sales (soft drinks); and a nutrient-based policy enacted in 2009 restricts energy-dense and nutrient-poor (EDNP) food sales. The…

  14. Unearthing the Discursive Shift in the "fCUBE" Policy Implementation in Ghana: Using Critical Discourse Analysis

    Science.gov (United States)

    Nudzor, Hope Pius

    2013-01-01

    This article analyses selected texts from documents on the Free Compulsory Universal Basic Education (fCUBE) policy implementation in Ghana to unearth the discursive shift in policy (i.e. from predominantly socialist/social democratic towards neo-liberal ideological policy direction) in recent time. The methodological approach involves the…

  15. The Health Policy Process in Vietnam: Going Beyond Kingdon's Multiple Streams TheoryComment on "Shaping the Health Policy Agenda: The Case of Safe Motherhood Policy in Vietnam".

    Science.gov (United States)

    Kane, Sumit

    2016-04-25

    This commentary reflects upon the article along three broad lines. It reflects on the theoretical choices and omissions, particularly highlighting why it is important to adapt the multiple streams framework (MSF) when applying it in a socio-political context like Vietnam's. The commentary also reflects upon the analytical threads tackled by Ha et al; for instance, it highlights the opportunities offered by, and raises questions about the centrality of the Policy Entrepreneur in getting the policy onto the political agenda and in pushing it through. The commentary also dwells on the implications of the article for development aid policies and practices. Throughout, the commentary signposts possible themes for Ha et al to consider for further analysis, and more generally, for future research using Kingdon's multiple streams theory. © 2016 by Kerman University of Medical Sciences.

  16. Arsenal of democracy in the face of change: Issues underlying the implementation of industrial mobilization policy

    Energy Technology Data Exchange (ETDEWEB)

    Brinkerhoff, J.R. (Brinkerhoff Associates, Burke, VA (USA))

    1990-05-01

    This paper reviews the background and current status of industrial preparedness in the United States and analyzes ways to implement new policy procedures. What will it take to assure that the United States can be mobilize its industry rapidly to support a major conventional war The report reaches nine important conclusions: (1) Mobilization and industrial preparedness policy must be linked and integrated with other aspects of national security policy and the national military strategy. (2) The United States cannot reverse the flow of time and go back to a period of industrial superiority and self-sufficiency. (3) The United States must come to grips with its responsibilities for providing war materiel for Allies. (4) Similarly, the United States must recognize the interdependency of international trade and industrial production. (5) Graduated Mobilization Response needs to be adopted by the government and DOD and integrated into industrial preparedness policy. (6) The DOD industrial surge program should be fully funded. (7) Industrial preparedness planning should be funded now on a priority basis. (8) Organizational responsibilities and relationships for industrial preparedness have to be clarified, strengthened, and supported. (9) Finally, it is necessary to pay attention to this problem now. The report concludes by suggesting that the United States must develop a unified, clear statement of preparedness policy, linked with other security/military policies and strategies. This must be accomplished with some swiftness, and with the cognizance of current (and most likely to continue) domestic an international economic interdependencies.

  17. The development and implementation of the Chicago public schools emergency EpiPen® policy.

    Science.gov (United States)

    Zadikoff, Emily H; Whyte, Stephanie A; Desantiago-Cardenas, Lilliana; Harvey-Gintoft, Blair; Gupta, Ruchi S

    2014-05-01

    Food allergy affects 1 in 13 children, or 2 children per classroom. Food allergies are the leading cause of anaphylaxis, a severe allergic reaction that can result in death. In fact, 25% of first-time anaphylactic reactions among children occur in school. To address this, the Chicago Public Schools (CPS) Office of Student Health and Wellness amended the Administration of Medication Policy in 2012. The CPS Administration of Medication Policy was reviewed and analyzed. The policy allows all CPS district schools to be stocked with EpiPens and authorizes school nurses to administer them to students that the nurse in good faith professionally believes is having a first-time anaphylactic reaction. Although the policy has proven effective, CPS faces challenges during implementation. CPS school nurse coverage is low, and therefore, there are times when no nurse is onsite to administer EpiPen treatment to a student experiencing a first-time reaction. This landmark policy provides quick and easy access to lifesaving treatment and protects nurses from liability in the event of an anaphylactic emergency. A challenge to this policy's utilization includes the lack of funding for daily nurse coverage in each school. © 2014, American School Health Association.

  18. Discursive gaps in the implementation of public health policy guidelines in India: the case of HIV testing.

    Science.gov (United States)

    Sheikh, Kabir; Porter, John

    2010-12-01

    The implementation of standardized policy guidelines for care of diseases of public health importance has emerged as a subject of concern in low and middle-income countries (LMIC) globally. We conducted an empirical research study using the interpretive policy analysis approach to diagnose reasons for gaps in the implementation of national guidelines for HIV testing in Indian hospitals. Forty-six in-depth interviews were conducted with actors involved in policy implementation processes in five states of India, including practitioners, health administrators, policy-planners and donors. We found that actors' divergences from their putative roles in implementation were underpinned by their inhabitation of discrete 'systems of meaning' - frameworks for perceiving policy problems, acting and making decisions. Key gaps in policy implementation included conflicts between different actors' ideals of performance of core tasks and conformance with policy, and problems in communicating policy ideas across systems of meaning. These 'discursive' gaps were compounded by the lack of avenues for intellectual intercourse and by unaccounted interrelationships of power between implementing actors. Our findings demonstrate the importance of thinking beyond short-sighted ideals of aligning frontline practices with global policymakers' intentions. Recognising the deliberative nature of implementation, and strengthening discourse and communications between involved actors may be critical to the success of public health policies in Indian and comparable LMIC settings. Effective policy implementation in the long term also necessitates enhancing practitioners' contributions to the policy process, and equipping country public health functionaries to actualize their policy leadership roles. Copyright © 2010 Elsevier Ltd. All rights reserved.

  19. Work–life balance policies: Challenges and benefits associated with implementing flexitime

    Directory of Open Access Journals (Sweden)

    Caroline Downes

    2011-10-01

    Research purpose: The aim of this article is to report on the challenges and benefits associated with implementing flexitime as a work–life balance policy. Motivation for the study: Organisations must develop and implement work–life balance policies. This requires human resource practitioners to investigate and understand experiences and perceptions about the challenges and benefits of flexitime. Research design, approach and method: The researcher used a qualitative research design with an exploratory approach. She drew a nonprobability purposive and voluntary sample (n = 15 from the financial sector. She used semi-structured in-depth interviews to collect the data and conducted content analyses to analyse and interpret them. Main findings: The researcher extracted four main themes (individual and general challenges, the aspects organisations need to implement flexitime effectively and the benefits that would follow its implementation from the data. Its benefits vary from work–life balance to employee loyalty and commitment. Some challenges are maintaining productivity, a shortage of critical resources and understanding flexitime. Practical/managerial implications: The research identified requirements that human resource practitioners should attend to in order to ensure that organisations use flexitime more effectively. Contribution/value-add: The researcher obtained unique findings about the minimum requirements for implementing flexitime effectively. They could assist organisations to address the challenges that employees face.

  20. Transforming the way we live together: a model to move communities from policy to implementation.

    Science.gov (United States)

    Keyes, Laura; Phillips, Deborah R; Sterling, Evelina; Manegdeg, Tyrone; Kelly, Maureen; Trimble, Grace; Mayerik, Cheryl

    2014-01-01

    Most cities, counties, and neighborhoods are not designed for an aging population. By providing a range of services to all residents, Lifelong Communities allow individuals to age in place. Although the Lifelong Communities Initiative is based on established guiding principles, little information exists regarding the realities of moving from policy to implementation. The Atlanta Regional Commission conducted a case study in Mableton, Georgia, and found successful implementation requires a combination of support from local citizen groups and government. The Atlanta Regional Commission is replicating these best practices in other communities and providing support to those aspiring to launch or expand Lifelong Communities.

  1. Finding common ground in implementation: towards a theory of gradual commonality

    NARCIS (Netherlands)

    Haar, ter M.; Aarts, N.; Verhoeven, P.

    2016-01-01

    This article reports on an empirical study that aimed to design a practice-based theory about collaboration on the local implementation of a nationally developed health-promoting intervention. The study's objective is to better understand the dynamic process of complex collaboration. The research is

  2. METHODOLOGICAL ASPECTS OF DEVELOPMENT AND IMPLEMENTATION OF MANAGEMENT POLICY AT INDUSTRIAL ENTERPRISES

    Directory of Open Access Journals (Sweden)

    Natalia SKOROBOGATOVA

    2017-04-01

    Full Text Available The article examines the essence, main principles and objectives of the management policy at the enterprise. Author investigates in the position of management accounting in the enterprise management and structures the levels of management of the economic entity. A conceptual framework of management accounting has been developed in the paper, which includes the purpose, content, methods and results of the process of management accounting. On the example of the chemical industry, the international and domestic experience in the development and implementation of management policy within the structure of industrial enterprises were analyzed, as well as the positive and negative aspects of accounting practices were highlighted. Based on the analysis of foreign experience and taking into account the specificity of economic development of Ukraine, the author elaborates on the areas for the methodological approaches to the development of management policy of Ukrainian companies to be improved.

  3. Physical education and student activity: evaluating implementation of a new policy in Los Angeles public schools.

    Science.gov (United States)

    Lafleur, Mariah; Strongin, Seth; Cole, Brian L; Bullock, Sally Lawrence; Banthia, Rajni; Craypo, Lisa; Sivasubramanian, Ramya; Samuels, Sarah; García, Robert

    2013-02-01

    California law has standards for physical education (PE) instruction in K-12 public schools; audits found that the Los Angeles Unified School District did not enforce the standards. In 2009, the district adopted a PE policy to comply with these standards. This study aimed to evaluate the outcomes of the PE policy in district schools. PE class observations were conducted using the System for Observing Fitness Instruction Time in the 2010-2011 and 2011-2012 school years in an income-stratified random sample of 34 elementary, middle, and high schools to assess changes in PE class size, class duration, and time students spent in moderate to vigorous physical activity. PE class duration increased in high-income elementary schools. Mean class size decreased in low-income middle schools. There was limited implementation of the PE policy 2 years after passage. Opportunities exist to continue monitoring and improving PE quantity and quality.

  4. Implementing a corporate-wide policy for dealing with naturally occurring radioactive material

    International Nuclear Information System (INIS)

    Woods, S.E.; Abernathy, S.E.

    1993-01-01

    With the increased environmental awareness about naturally occurring radioactive materials (NORM), many companies are adopting policies to address the exposure and contamination issues associated with this material. In developing and implementing a NORM policy, every aspect of a business must be thoroughly evaluated to determine at what point the material is encountered and what processes tend to concentrate the material. Once all areas having elevated levels of NORM are identified, the interrelationships between these areas must be evaluated. Corporate policy regarding NORM is discussed, including employee exposure, environmental contamination, facility and equipment contamination, logistics of moving between facilities covered by different regulations, existing and proposed regulations, trends of proposed regulations, disposal of NORM, training and survey equipment. 14 refs., 7 figs

  5. Towards a Capability-Based Theory of Social Justice for Education Policy-Making

    Science.gov (United States)

    Walker, Melanie

    2006-01-01

    Increasingly there is interest in development studies and specifically in the field of education in taking up Amartya Sen's capability approach as a framework for theorizing, implementing and evaluating education policy as a matter of social justice. This paper sets out to contribute to the emerging debate and to show how the capability approach…

  6. Monetary policy implementation and money demand instability during the financial crisis

    OpenAIRE

    Svatopluk Kapounek

    2011-01-01

    The author focuses on the money endogeneity in the context of common monetary policy implementation in the euro area. The empirical analysis shows money demand function instability during the financial crisis. The instability is described by decrease in credit money creation and money velocity changes. The cointegration tests identifed long-run positive relationship between monetary aggregates and economic activity. Concurrently, the economic activity is treated to be weakly exogenous in the ...

  7. Implementing a practical fuelwood conservation policy. The case of Sri Lanka

    Energy Technology Data Exchange (ETDEWEB)

    Meier, P.; Munasinghe, M.

    1987-04-01

    Despite the almost universal recognition of the importance of fuelwood conservation and management in developing countries, the formulation and implementation of practical programmes has proved to be difficult. This paper describes the recent experience in Sri Lanka in establishing a National Fuelwood Conservation Programme (NFCP) within the overall context of a national energy strategy (NES). Among the important factors leading to a workable policy consensus were institutional reforms and the use of simple but plausible models to demonstrate the dire consequences of inaction.

  8. A feasibility study of implementing a bring-your-own-computing-device policy

    OpenAIRE

    Carideo, Jeffrey W.; Walker, Timothy P.; Williams, Jason C.

    2013-01-01

    Approved for public release; distribution is unlimited. Our team conducted an information technology study on the feasibility of reduction of hardware and software procurement expenditures at the Naval Postgraduate School, Graduate School of Business and Public Policy (GSBPP). The objectives were to calculate the total cost of the GSBPPs current expenditures, develop alternative hardware and software procurement plans, and measure these costs against the alternative plan of implementing a ...

  9. Measuring implementation intentions in the context of the theory of planned behavior.

    Science.gov (United States)

    Rise, Jostein; Thompson, Marianne; Verplanken, Bas

    2003-04-01

    The usefulness of measuring implementation intentions in the context of the theory of planned behavior (TPB) was explored among 112 Norwegian college students. They responded to a questionnaire measuring past behavior, perceived behavioral control, behavioral intentions, implementation intentions, and actual performance of regular exercising and recycling of drinking cartons. Implementation intentions were measured using five items relating to recycling and four items relating to exercise, which showed satisfactory internal consistencies. Consistent with the main prediction, the presence of implementation intentions was related to performing the two behaviors, although behavioral intentions were the strongest determinant for both behaviors. The results suggest that the TPB may benefit from inclusion of the concept of implementation intentions to provide a more complete understanding of the psychological process in which motivation is translated into action.

  10. Challenges to the Development and Implementation of Public Policies to Achieve Animal Welfare Outcomes.

    Science.gov (United States)

    Rose, Margaret

    2010-12-31

    Although there is a long-established tradition of concern for the welfare of animals, it was not until the mid 1800's that governments sought to enact legislation to protect animals from cruelty. In the 1950's, questions concerning animal welfare re-emerged and in the ensuing years have been an on-going focus of government activities. These developments occurred against a backdrop of significant social change but there are important differences in what now underpins and informs these considerations. In the formulation and implementation of public policies, governments look for a course of action that represents and protects the interests of the community; the process may be challenging with competing interests but the final determination seeks a middle ground that best meets the needs and interests of the community as a whole. When policy development concerns our relationship with other animals, the complexity of this relationship presents particular challenges not only to the formulation of policies but also to the evaluation of outcomes. Notably, the depth of feelings and diversity of views in our community reflect the complex social, cultural and personal dimensions of this relationship. The use of animals for scientific purposes remains one of the most contentious animal welfare issues primarily because when animals are used for these purposes, accepted animal welfare benchmarks cannot always be met. Based on the Australian experience, this paper will discuss the influences in and on-going challenges to the development and implementation of public policy when animals are used for these purposes.

  11. Implementing energy efficiency policy in Croatia: Stakeholder interactions for closing the gap

    International Nuclear Information System (INIS)

    Bukarica, Vesna; Robić, Slavica

    2013-01-01

    Despite the substantial efforts made to develop sound energy efficiency policies, the desired effects in terms of achieved energy savings are lacking. This phenomenon is known as the energy efficiency gap and has been extensively investigated in the literature. Barrier models to explain the gap are primarily oriented towards the technical aspects of energy efficiency and often disregard its social aspects. The aim of our research was to identify the social structures that play a prominent role in moving society towards greater energy efficiency, to investigate their perceptions of the levers for and brakes to greater participation in the implementation of energy efficiency measures and to provide recommendations for policy enhancement. Four groups of stakeholders were identified: public institutions, businesses, civil society organisations and the media. A survey was administered to 93 representatives of these groups in Croatia. The results indicate that to encourage the society to adopt energy efficiency improvements, it is crucial for public institutions to play a leading role with the support of strong and visible political commitment. The level of benefit recognition among all groups is weak, which together with the slow progression of dialogue between and within the analysed groups is preventing full policy uptake. - Highlights: • We analyse attitudes of Croatian stakeholders towards energy efficiency. • Responses are gathered from public institutions, businesses, CSOs and media. • Lacking political will and public dialogue dominantly cause and maintain the gap. • Participative policy making and clear leadership in implementing are needed

  12. The mediating role of social workers in the implementation of regional policies targeting energy poverty

    International Nuclear Information System (INIS)

    Scarpellini, Sabina; Sanz Hernández, M. Alexia; Llera-Sastresa, Eva; Aranda, Juan A.; López Rodríguez, María Esther

    2017-01-01

    This paper aims to provide a socio-political reflection of the role played by social workers in regional policies and of the real needs of households affected by energy poverty. The paper also examines the impact of technical-specialised training on the ability of social workers to prevent and mitigate conditions of household energy poverty in Europe. The adoption of a research-action-participation methodological framework and a training research approach has permitted the opinions of social workers to be collected through surveys, and their central role in implementing regional policies to be highlighted. The conclusions obtained have made possible the construction of a self-diagnosis and data-collection tool which increases the ability of social workers to mediate and implement urgent mitigation measures for energy poverty. Finally, regional policies which aim to mitigate household energy poverty are examined from the professional perspective of social workers. - Highlights: • Social workers play a mediating role in the certification of household energy poverty. • Specific training for social workers contributes to the prevention of energy poverty. • National wide regulation would enable the implementation of equitable measures for energy poverty. • It is recommendable to define progressive subsidies depending on the level of energy vulnerability of the households.

  13. Hotel smoking policies and their implementation: a survey of California hotel managers.

    Science.gov (United States)

    Zakarian, Joy M; Quintana, Penelope J E; Winston, Carl H; Matt, Georg E

    2017-01-01

    Most states in the U.S. permit hotels to allow smoking in some guest rooms, and only five (Indiana, Michigan, North Dakota, Vermont, and Wisconsin) require that all hotel and motel rooms be 100% smoke-free (State and local 100% smokefree hotel and motel guest room laws enacted as of July 3, 2017). Little is known, however, about how hotels' smoking policies have been implemented. This study examined hotels' smoking policies and their implementation. A telephone survey of a random sample of 383 California hotel managers was conducted. Overall, 60.6% of hotels reported that smoking was prohibited in all guest rooms, and 4.7% reported that smoking was prohibited everywhere on their property. While California law permitted smoking in up to 65% of guest rooms, only 6.9% of rooms were reported as smoking-permitted. Over 90% of hotels had smoking rooms scattered among nonsmoking rooms, and about half of the smoking hotels reported that guests requesting either smoking or nonsmoking rooms were sometimes assigned to the other room type. When guests smoked in nonsmoking rooms fees could be substantial, but were often uncollected. Hotel smoking policies and their implementation fall short of protecting nonsmoking guests and workers from exposure to secondhand and thirdhand smoke. Complete indoor smoking bans for all hotels are needed to close existing loopholes. Nonsmokers who wish to protect themselves from exposure to tobacco smoke should avoid hotels that permit smoking and instead stay in completely smoke-free hotels.

  14. Implementation science approaches for integrating eHealth research into practice and policy.

    Science.gov (United States)

    Glasgow, Russell E; Phillips, Siobhan M; Sanchez, Michael A

    2014-07-01

    To summarize key issues in the eHealth field from an implementation science perspective and to highlight illustrative processes, examples and key directions to help more rapidly integrate research, policy and practice. We present background on implementation science models and emerging principles; discuss implications for eHealth research; provide examples of practical designs, measures and exemplar studies that address key implementation science issues; and make recommendations for ways to more rapidly develop and test eHealth interventions as well as future research, policy and practice. The pace of eHealth research has generally not kept up with technological advances, and many of our designs, methods and funding mechanisms are incapable of providing the types of rapid and relevant information needed. Although there has been substantial eHealth research conducted with positive short-term results, several key implementation and dissemination issues such as representativeness, cost, unintended consequences, impact on health inequities, and sustainability have not been addressed or reported. Examples of studies in several of these areas are summarized to demonstrate this is possible. eHealth research that is intended to translate into policy and practice should be more contextual, report more on setting factors, employ more responsive and pragmatic designs and report results more transparently on issues important to potential adopting patients, clinicians and organizational decision makers. We outline an alternative development and assessment model, summarize implementation science findings that can help focus attention, and call for different types of more rapid and relevant research and funding mechanisms. Published by Elsevier Ireland Ltd.

  15. Multi-strategic intervention to enhance implementation of healthy canteen policy: a randomised controlled trial.

    Science.gov (United States)

    Wolfenden, Luke; Nathan, Nicole; Janssen, Lisa M; Wiggers, John; Reilly, Kathryn; Delaney, Tessa; Williams, Christopher M; Bell, Colin; Wyse, Rebecca; Sutherland, Rachel; Campbell, Libby; Lecathelinais, Christophe; Oldmeadow, Chris; Freund, Megan; Yoong, Sze Lin

    2017-01-11

    Internationally, governments have implemented school-based nutrition policies to restrict the availability of unhealthy foods from sale. The aim of the trial was to assess the effectiveness of a multi-strategic intervention to increase implementation of a state-wide healthy canteen policy. The impact of the intervention on the energy, total fat, and sodium of children's canteen purchases and on schools' canteen revenue was also assessed. Australian primary schools with a canteen were randomised to receive a 12-14-month, multi-strategic intervention or to a no intervention control group. The intervention sought to increase implementation of a state-wide healthy canteen policy which required schools to remove unhealthy items (classified as 'red' or 'banned') from regular sale and encouraged schools to 'fill the menu' with healthy items (classified as 'green'). The intervention strategies included allocation of a support officer to assist with policy implementation, engagement of school principals and parent committees, consensus processes with canteen managers, training, provision of tools and resources, academic detailing, performance feedback, recognition and marketing initiatives. Data were collected at baseline (April to September, 2013) and at completion of the implementation period (November, 2014 to April, 2015). Seventy schools participated in the trial. Relative to control, at follow-up, intervention schools were significantly more likely to have menus without 'red' or 'banned' items (RR = 21.11; 95% CI 3.30 to 147.28; p ≤ 0.01) and to have at least 50% of menu items classified as 'green' (RR = 3.06; 95% CI 1.64 to 5.68; p ≤ 0.01). At follow-up, student purchases from intervention school canteens were significantly lower in total fat (difference = -1.51 g; 95% CI -2.84 to -0.18; p = 0.028) compared to controls, but not in energy (difference = -132.32 kJ; 95% CI -280.99 to 16.34; p = 0.080) or sodium (difference = -46

  16. The use of social science knowledge in implementing the Nuclear Waste Policy Act

    International Nuclear Information System (INIS)

    Bradbury, J.A.

    1989-01-01

    This study investigates the use of social science knowledge by the Office of Civilian Radioactive Waste Management (OCRWM), a division of the U.S. Department of Energy (DOE), in implementing the Nuclear Waste Policy Act of 1982. The use of social science is examined both generally and in relation to a body of knowledge most relevant to the program, the social science risk literature. The study is restricted to the use by headquarters staff in relation to the largest repository and Monitored Retrievable Storage (MRS) projects. The literature on knowledge utilization and the Sabatier framework on knowledge use and policy learning provide the theoretical framework for the study. The research adopts a multistrategy approach, collecting data from two sources: (1) program documents, policy guidance, and meeting records; and (2) interviews with OCRWM officials. The constructs knowledge and use are conceptualized in different ways, each of which forms the basis for a different analytic approach. The research findings showed a very limited use of social science, more especially by the first repository program. Two reasons are advanced. First, the agency has viewed social science knowledge through technical lens and has applied an approach suited to technical problems to its structuring of waste management policy problems. Second, the degree of societal conflict over nuclear power and nuclear waste has prevented a constructive dialogue among the parties and thus reduced the possibility of policy learning

  17. Implementing the Green City Policy in Municipal Spatial Planning: The Case of Buffalo City Metropolitan Municipality

    Directory of Open Access Journals (Sweden)

    Abongile Dlani

    2015-06-01

    Full Text Available The term “eco-city,” and similar concepts such as “green” and “sustainable” cities, has evolved overtime concurrent to the development of the understanding of social change and mankind’s impact on environmental and economic health. With the advent of climate change impacts, modern economies developed the green city policy to create sustainable urban development, low emission, and environmentally friendly cities. In South Africa municipalities, including Buffalo City Metropolitan Municipality (BCMM have been tasked to and implement the green city policy. However, BCMM is yet to develop the green city policy that clearly articulate how the municipality will combat climate change and reduce its Green House Gases (GHG emissions in its spatial planning designs. Against this background, this article reviews and analyses green policy landscape in Metropolitan Municipalities. It is envisaged that the research will provide the basis for the development of a comprehensive green policy strategies and programmes for the local transition to action in Buffalo City Metropolitan Municipality, in the Eastern Cape Province.

  18. Normalisation process theory: a framework for developing, evaluating and implementing complex interventions

    LENUS (Irish Health Repository)

    Murray, Elizabeth

    2010-10-20

    Abstract Background The past decade has seen considerable interest in the development and evaluation of complex interventions to improve health. Such interventions can only have a significant impact on health and health care if they are shown to be effective when tested, are capable of being widely implemented and can be normalised into routine practice. To date, there is still a problematic gap between research and implementation. The Normalisation Process Theory (NPT) addresses the factors needed for successful implementation and integration of interventions into routine work (normalisation). Discussion In this paper, we suggest that the NPT can act as a sensitising tool, enabling researchers to think through issues of implementation while designing a complex intervention and its evaluation. The need to ensure trial procedures that are feasible and compatible with clinical practice is not limited to trials of complex interventions, and NPT may improve trial design by highlighting potential problems with recruitment or data collection, as well as ensuring the intervention has good implementation potential. Summary The NPT is a new theory which offers trialists a consistent framework that can be used to describe, assess and enhance implementation potential. We encourage trialists to consider using it in their next trial.

  19. Normalisation process theory: a framework for developing, evaluating and implementing complex interventions

    Directory of Open Access Journals (Sweden)

    Ong Bie

    2010-10-01

    Full Text Available Abstract Background The past decade has seen considerable interest in the development and evaluation of complex interventions to improve health. Such interventions can only have a significant impact on health and health care if they are shown to be effective when tested, are capable of being widely implemented and can be normalised into routine practice. To date, there is still a problematic gap between research and implementation. The Normalisation Process Theory (NPT addresses the factors needed for successful implementation and integration of interventions into routine work (normalisation. Discussion In this paper, we suggest that the NPT can act as a sensitising tool, enabling researchers to think through issues of implementation while designing a complex intervention and its evaluation. The need to ensure trial procedures that are feasible and compatible with clinical practice is not limited to trials of complex interventions, and NPT may improve trial design by highlighting potential problems with recruitment or data collection, as well as ensuring the intervention has good implementation potential. Summary The NPT is a new theory which offers trialists a consistent framework that can be used to describe, assess and enhance implementation potential. We encourage trialists to consider using it in their next trial.

  20. A public school district's vending machine policy and changes over a 4-year period: implementation of a national wellness policy.

    Science.gov (United States)

    Han-Markey, T L; Wang, L; Schlotterbeck, S; Jackson, E A; Gurm, R; Leidal, A; Eagle, K

    2012-04-01

    The school environment has been the focus of many health initiatives over the years as a means to address the childhood obesity crisis. The availability of low-nutrient, high-calorie foods and beverages to students via vending machines further exacerbates the issue of childhood obesity. However, a healthy overhaul of vending machines may also affect revenue on which schools have come to depend. This article describes the experience of one school district in changing the school environment, and the resulting impact on food and beverage vending machines. Observational study in Ann Arbor public schools. The contents and locations of vending machines were identified in 2003 and surveyed repeatedly in 2007. Overall revenues were also documented during this time period. Changes were observed in the contents of both food and beverage vending machines. Revenue in the form of commissions to the contracted companies and the school district decreased. Local and national wellness policy changes may have financial ramifications for school districts. In order to facilitate and sustain school environment change, all stakeholders, including teachers, administrators, students and healthcare providers, should collaborate and communicate on policy implementation, recognizing that change can have negative financial consequences as well as positive, healthier outcomes. Copyright © 2012 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  1. Economic Security of Russian Economy under the Conditions of Import Substitution Policy Implementation

    Directory of Open Access Journals (Sweden)

    Natalya Viktorovna Andreeva

    2015-12-01

    Full Text Available In the article, the authors analyze the conditions of import substitution by types of activity from the perspective of the threat to the economic security of Russia. The factors of import substitution are presented. The main factor is the increase of economic and social security by the modernization of Russian economy. Today, a critical measure of the country’s economic security increase is the implementation of import substitution policy. The issue of economic modernization remains of current interest but stays unsolved, especially in the branches where the issue of import substitution is crucial: industry, agriculture, etc. The types of economic activity that can be labeled as open to import substitution are the ones with the high or medium indicators of competitiveness, investment and innovation activity. Within those types, the import substitution policy can be implemented without a threat to economic security. The analysis of the main features of import substitution such as the levels of competitiveness, innovations and investment by the types of economic activity, — is the basis to work out a smart import substitution policy, which will carry no threat to the country’s economic security. The main types of economic activity with the high dependency on import are metallurgical production, chemical industry, wood processing, electrical machines and equipment production, machinery and equipment production, textile manufacture, fishery and fish farming. In the result of the analysis, the following conclusions are drawn: the level of investment for all the types of economic activity presented is critically law; according to the level of innovation and competitiveness, metallurgic production is seen more advantageous on the back of negative dynamics and chemical industry as less advantageous. The other types of activity will face a threat to economic security if the policy of import substitution is implemented without government financing

  2. Health system capacity: maternal health policy implementation in the state of Gujarat, India.

    Science.gov (United States)

    Sanneving, Linda; Kulane, Asli; Iyer, Aditi; Ahgren, Bengt

    2013-03-22

    The Government of Gujarat has for the past couple of decades continuously initiated several interventions to improve access to care for pregnant and delivering women within the state. Data from the last District Family Heath survey in Gujarat in 2007-2008 show that 56.4% of women had institutional deliveries and 71.5% had at least one antenatal check-up, indicating that challenges remain in increasing use of and access to maternal health care services. To explore the perceptions of high-level stakeholders on the process of implementing maternal health interventions in Gujarat. Using the policy triangle framework developed by Walt and Gilson, the process of implementation was approached using in-depth interviews and qualitative content analysis. Based on the analysis, three themes were developed: lack of continuity; the complexity of coordination; and lack of confidence and underutilization of the monitoring system. The findings suggest that decisions made and actions advocated and taken are more dependent on individual actors than on sustainable structures. The findings also indicate that the context in which interventions are implemented is challenged in terms of weak coordination and monitoring systems that are not used to evaluate and develop interventions on maternal health. The implementation of interventions on maternal health is dependent on the capacity of the health system to implement evidence-based policies. The capacity of the health system in Gujarat to facilitate implementation of maternal health interventions needs to be improved, both in terms of the role of actors and in terms of structures and processes.

  3. Geriatric health policy in India: The need for scaling-up implementation

    Directory of Open Access Journals (Sweden)

    N Sherin Susan Paul

    2016-01-01

    Full Text Available In an anticipation of the rising geriatric population in India, the Central government constituted the National Policy for Older Persons in 1999 to promote the health and welfare of senior citizens in India. A major strategy of this policy is to encourage families to take care of their older family members. The policy also encourages voluntary organizations to supplement the care provided by the family and provide care and protection to vulnerable elderly people. The implementation of this policy, particularly in the rural areas, has been negligible and calls for a scaling-up of programs to address the physical, psychological, and social needs of the poor. Due to breakdown of the joint family system and the migration of the younger generation to the towns and cities, the elderly parents in the villages are left to fend for themselves. Too old to work and with little or no source of income, the elders are struggling even to satisfy their basic needs. This article primarily focuses on the various facets of elderly care in India. As a fledgling nation in elderly care, we should take cues from other nations who have pioneered in this field and should constantly evolve to identify and face the various challenges that come up, especially from rural India. The Rural Unit for Health and Social Affairs Department of a well-known Medical College in South India has developed a “senior recreation day care” model which proves to be a useful replicable model to improve the quality of life and nutritional status of the elderly in the lower rungs of society. More than a decade since its inception, it is now the right time to assess the implementation of our geriatric health policy and scale-up programs so that the elderly in our country, irrespective of urban and rural, will have a dignified and good quality life.

  4. Geriatric health policy in India: The need for scaling-up implementation.

    Science.gov (United States)

    Paul, N Sherin Susan; Asirvatham, Mathew

    2016-01-01

    In an anticipation of the rising geriatric population in India, the Central government constituted the National Policy for Older Persons in 1999 to promote the health and welfare of senior citizens in India. A major strategy of this policy is to encourage families to take care of their older family members. The policy also encourages voluntary organizations to supplement the care provided by the family and provide care and protection to vulnerable elderly people. The implementation of this policy, particularly in the rural areas, has been negligible and calls for a scaling-up of programs to address the physical, psychological, and social needs of the poor. Due to breakdown of the joint family system and the migration of the younger generation to the towns and cities, the elderly parents in the villages are left to fend for themselves. Too old to work and with little or no source of income, the elders are struggling even to satisfy their basic needs. This article primarily focuses on the various facets of elderly care in India. As a fledgling nation in elderly care, we should take cues from other nations who have pioneered in this field and should constantly evolve to identify and face the various challenges that come up, especially from rural India. The Rural Unit for Health and Social Affairs Department of a well-known Medical College in South India has developed a "senior recreation day care" model which proves to be a useful replicable model to improve the quality of life and nutritional status of the elderly in the lower rungs of society. More than a decade since its inception, it is now the right time to assess the implementation of our geriatric health policy and scale-up programs so that the elderly in our country, irrespective of urban and rural, will have a dignified and good quality life.

  5. Regional media coverage influences the public's negative attitudes to policy implementation success in Sweden.

    Science.gov (United States)

    Fredriksson, Mio; Tiainen, Anne; Hanning, Marianne

    2015-12-01

    One central aspect of health literacy is knowledge of patients' rights. Being an important source of information about health and health care, the media may influence health literacy and act as a policy implementer. To investigate whether regional news media coverage in Sweden is linked to (i) the public's awareness and knowledge of a patient's rights policy, the waiting-time guarantee and (ii) the public's attitudes to how the guarantee's time limits are met, that is, implementation success. Three types of data are used. First, a national telephone survey of the public's awareness, knowledge and attitudes; second, media coverage information from digital media monitoring; and third, official waiting-time statistics. Bivariate and multivariate regression analyses are performed with the 21 Swedish county councils/regions as a base. In the county councils/regions, non-awareness ranged from 1 to 15% and knowledge from 47 to 67%. There are relatively large differences between population groups. The amount of regional media coverage shows no significant correlation to the level of awareness and knowledge. There is, however, a significant correlation to both positive and negative attitudes; the latter remains after controlling for actual waiting times. At the national level, the media function as a policy implementer, being the primary source of information. At the regional level, the media are part of the political communication, reporting more extensively in county councils/regions where the population holds negative views towards the achievement in implementing the guarantee. We conclude that Swedish authorities should develop its communication strategies to bridge health literacy inequalities. © 2014 John Wiley & Sons Ltd.

  6. Monetary theory and monetary policy: Reflections on the development over the last 150 years

    OpenAIRE

    Issing, Otmar; Wieland, Volker

    2012-01-01

    In this paper, we provide some reflections on the development of monetary theory and monetary policy over the last 150 years. Rather than presenting an encompassing overview, which would be overambitious, we simply concentrate on a few selected aspects that we view as milestones in the development of this subject. We also try to illustrate some of the interactions with the political and financial system, academic discussion and the views and actions of central banks.

  7. Contributions of Attachment Theory and Research: A Framework for Future Research, Translation, and Policy

    OpenAIRE

    Cassidy, Jude; Jones, Jason D.; Shaver, Phillip R.

    2013-01-01

    Attachment theory has been generating creative and impactful research for almost half a century. In this article we focus on the documented antecedents and consequences of individual differences in infant attachment patterns, suggesting topics for further theoretical clarification, research, clinical interventions, and policy applications. We pay particular attention to the concept of cognitive “working models” and to neural and physiological mechanisms through which early attachment experien...

  8. The Implementation of Cumulative Learning Theory in Calculating Triangular Prism and Tube Volumes

    Science.gov (United States)

    Muklis, M.; Abidin, C.; Pamungkas, M. D.; Masriyah

    2018-01-01

    This study aims at describing the application of cumulative learning theory in calculating the volume of a triangular prism and a tube as well as revealing the students’ responses toward the learning. The research method used was descriptive qualitative with elementary school students as the subjects of the research. Data obtained through observation, field notes, questionnaire, tests, and interviews. The results from the application of cumulative learning theory obtained positive students’ responses in following the learning and students’ learning outcomes was dominantly above the average. This showed that cumulative learning could be used as a reference to be implemented in learning, so as to improve the students’ achievement.

  9. Life cycle theory and dividend payout policy: Evidence from Tehran Stock Exchange

    Directory of Open Access Journals (Sweden)

    Mohammad Hassani

    2013-10-01

    Full Text Available This paper investigates the role and the effect of the life cycle theory on explanation of dividend payout policy in Tehran Stock exchange listed companies over the period 2006-2011. For measuring the firm’s life cycle, two criteria namely retained earnings to equity ratio and retained earnings to assets ratio have been used as proxies of firm’s life cycle. The findings of this research show that only retained earnings to assets ratio has a meaningful and positive effect on dividend payout policy; In the companies that are growing, retained earnings to assets ratio is low; Whereas this ratio is high in the more mature companies and these firms have abundant retained earnings, hence they are good candidates to pay dividends. However, there was no meaningful relationship between another life cycle criteria namely retained earnings to equity ratio and dividend payout policy.

  10. The Health Policy Process in Vietnam: Going Beyond Kingdon’s Multiple Streams Theory

    Science.gov (United States)

    Kane, Sumit

    2016-01-01

    This commentary reflects upon the article along three broad lines. It reflects on the theoretical choices and omissions, particularly highlighting why it is important to adapt the multiple streams framework (MSF) when applying it in a socio-political context like Vietnam’s. The commentary also reflects upon the analytical threads tackled by Ha et al; for instance, it highlights the opportunities offered by, and raises questions about the centrality of the Policy Entrepreneur in getting the policy onto the political agenda and in pushing it through. The commentary also dwells on the implications of the article for development aid policies and practices. Throughout, the commentary signposts possible themes for Ha et al to consider for further analysis, and more generally, for future research using Kingdon’s multiple streams theory. PMID:27694671

  11. A sample theory-based logic model to improve program development, implementation, and sustainability of Farm to School programs.

    Science.gov (United States)

    Ratcliffe, Michelle M

    2012-08-01

    Farm to School programs hold promise to address childhood obesity. These programs may increase students’ access to healthier foods, increase students’ knowledge of and desire to eat these foods, and increase their consumption of them. Implementing Farm to School programs requires the involvement of multiple people, including nutrition services, educators, and food producers. Because these groups have not traditionally worked together and each has different goals, it is important to demonstrate how Farm to School programs that are designed to decrease childhood obesity may also address others’ objectives, such as academic achievement and economic development. A logic model is an effective tool to help articulate a shared vision for how Farm to School programs may work to accomplish multiple goals. Furthermore, there is evidence that programs based on theory are more likely to be effective at changing individuals’ behaviors. Logic models based on theory may help to explain how a program works, aid in efficient and sustained implementation, and support the development of a coherent evaluation plan. This article presents a sample theory-based logic model for Farm to School programs. The presented logic model is informed by the polytheoretical model for food and garden-based education in school settings (PMFGBE). The logic model has been applied to multiple settings, including Farm to School program development and evaluation in urban and rural school districts. This article also includes a brief discussion on the development of the PMFGBE, a detailed explanation of how Farm to School programs may enhance the curricular, physical, and social learning environments of schools, and suggestions for the applicability of the logic model for practitioners, researchers, and policy makers.

  12. Global, National, and Local Goals: English Language Policy Implementation in an Indonesian International Standard School

    Directory of Open Access Journals (Sweden)

    Eddy Haryanto

    2012-12-01

    Full Text Available The purpose of this study was to examine the achievement of students in math and science subjects as the impact of using English as a medium of instruction at an international standard school. A questionnaire was used as a research instrument to 190 students at one international standard school in Jambi Province, Indonesia. A focus group discussion (FGD approach was undertaken to validate and verify the data gathered through the questionnaire and clarify some issues raised in the questionnaire. Data were analyzed by using descriptive statistics and Pearson Product Moment Correlation. It was found that the students’ demographic profile, attitude toward English and grades in math and science subjects were significantly related with their academic achievement. However, students’ perception on methods and techniques was not significantly related with their academic achievement in English, math, and the science subjects. The result showed that the implementation of English as a medium of instruction was not done well in the international standard school. This is perhaps due to the difficulty of learning science and math in English. This study provided information for policy makers, school leaders, researchers, and teacher educators to understand how the policy is implemented at the school level. The challenges of attempting too ambitious linguistic and academic goals in the school were discussed as were policy implications and future research.

  13. Policies for including disabled people in education. obstacles and facilitating factors for their implementation: Bucaramanga, 2010

    Directory of Open Access Journals (Sweden)

    Claudia P. Serrano R

    2011-07-01

    Full Text Available Objective: to explore the factors enabling or hindering the implementation of inclusive education policies for the disabled population of Bucaramanga. Methodology: a descriptive study, involving representatives from governmental agencies (EG, members of the faculty boards of educational institutions (DIE and guardians of disabled individuals (APSD. Physical, social, and political obstacles and facilitating factors that could potentially determine the implementation of these policies were analyzed. Data was collected through interviews. Results: there was a total of 2, 32, and 34 participants from the EG, DIE, and APSD groups respectively. Identified obstacles included: lack of strategies to support educational institutions, poor or limited teacher training, high tuition fees, and negative attitude towards disability. The facilitating factors included: availability of places, inclusion of this issue in the political agenda, and desire of the disabled individuals’ families to provide them with education. Discussion: These findings provide useful information for further research on this issue and show how action has been taken, as well as how urgent it is to establish a direct relationship between academia and the public sector to propose strategies for assessing and modifying these policies.

  14. Advancing One Health Policy and Implementation Through the Concept of One Medicine One Science.

    Science.gov (United States)

    Cardona, Carol; Travis, Dominic A; Berger, Kavita; Coat, Gwenaële; Kennedy, Shaun; Steer, Clifford J; Murtaugh, Michael P; Sriramarao, P

    2015-09-01

    Numerous interspecies disease transmission events, Ebola virus being a recent and cogent example, highlight the complex interactions between human, animal, and environmental health and the importance of addressing medicine and health in a comprehensive scientific manner. The diversity of information gained from the natural, social, behavioral, and systems sciences is critical to developing and sustainably promoting integrated health approaches that can be implemented at the local, national, and international levels to meet grand challenges. The Concept of One Medicine One Science (COMOS) as outlined herein describes the interplay between scientific knowledge that underpins health and medicine and efforts toward stabilizing local systems using 2 linked case studies: the food system and emerging infectious disease. Forums such as the International Conference of One Medicine One Science (iCOMOS), where science and policy can be debated together, missing pieces identified, and science-based collaborations formed among industry, governmental, and nongovernmental policy makers and funders, is an essential step in addressing global health. The expertise of multiple disciplines and research foci to support policy development is critical to the implementation of one health and the successful achievement of global health security goals.

  15. Health in All Policies: From rhetoric to implementation and evaluation - the Finnish experience.

    Science.gov (United States)

    Ståhl, Timo

    2018-02-01

    The principles of the Health in All Policies (HiAP) approach are not new. Their international roots can be traced back to 1978 and the Alma-Ata Declaration and the 1986 Ottawa Charter. In Finland, the roots of HiAP go back to 1972 when the Economic Council of Finland, chaired by the Prime Minister, launched the 'Report of the working group exploring the goals of health'. The paper discusses the history, rationale, and implementation of the principles underlying the umbrella concept of HiAP. A rationale for implementing a new concept - HiAP in 2006 during the Finnish European Union presidency - is given. The focus here will be on implementation of HiAP. International material supporting the implementation is introduced and practical examples from Finland presented. The Benchmarking System for Health Promotion Capacity Building is introduced, since it has been used as a primary source of information for monitoring and evaluating HiAP in Finland at the local level. The experience from Finland clearly indicates that HiAP as an approach and as a way of working requires long-term commitment and vision. For working across sectors it is crucial to have data on health and health determinants and analyses of the links between health outcomes, health determinants, and policies across sectors and levels of governance. Intersectoral structures, processes, and tools for the identification of problems and solutions, decisions, and implementation across sectors are prerequisites of HiAP. Legislative backing has proven to be useful, especially in providing continuation and sustainability.

  16. Revisiting the impacts of oil price increases on monetary policy implementation in the largest oil importers

    Directory of Open Access Journals (Sweden)

    Nurtac Yildirim

    2015-06-01

    Full Text Available The aim of this paper is to test the impacts of oil price increases on monetary policy implementation in the largest oil importers. For that purpose, we estimate structural vector error correction (SVEC models to show the impacts of oil price increases on industrial production, consumer prices and immediate interest rates which are the elements of Taylor rule for the four largest oil importers (the USA, the EU, China and Japan. Our results indicate that oil price increases transmit to output and inflation and lead to fluctuations in industrial production, consumer prices and immediate interest rates which in turn influence the monetary policy stance in the following periods. The basic conclusion of research is that the channels through which oil prices affect output, inflation and interest rates should be identified by the monetary policy authorities of the USA, the EU, China and Japan. We also emphasize the importance of the determination of the optimal monetary policy framework to eliminate the negative consequences of oil price increases.

  17. Relations between educational research, policy, planning and implementation: The Thai experience

    Science.gov (United States)

    Ketudat, Sippanondha; Fry, Gerald

    1981-06-01

    The relations between educational research, policy, planning and implementation in Thailand are the topic of this paper. The major focus is on the research/policy linkage. A complex educational administrative structure and a pluralistic informal power structure characterize the Thai research context. A tetrahedral model of linkages provides the conceptual framework for the analysis. Details are then provided with respect to the actual operationalization of the model in terms of the Thai approach in practice. Major elements in the Thai approach include the use of expert policy committees, joint committees involving both administrators and researchers, problem-oriented seminars, and commissioned research. Actual examples of research efforts described are an educational reform study, local level school mapping, a school cluster experiment, a budget exercise to improve the equity of primary school resource allocations, and a policy evaluation of sub-district secondary schools. Finally, lessons to be learned from the Thai experience are summarized. Thailand has experienced some success in building analytical educational research capacity and ensuring its utilization. Key elements in this success have been an emphasis on strengthening human capacities; judging political will in a timely, flexible manner; creatively utilizing bureaucratic forms such as committees; and remaining both politically detached and sensitive.

  18. IMPLEMENTATION OF TRADE LAWS: IMPLICATIONS IN THE PRICE CONTROL POLICY OF COMMUNITY NEEDS

    Directory of Open Access Journals (Sweden)

    Engkus Engkus

    2018-01-01

    Full Text Available [Implementation Of Trade Laws: Implications In The Price Control Policy Of Community Needs] Issuing the act no 7 year 2014 about tade, Indonesia has new hope to design the obscene of social basic requirements were going on all this time. The main problem in the research that “increasing and decreasing pricefluctuatively” has became repeatedly in Ramadhan. It has been caused by some factors: Unbalancing Supply and demand not done optimally yet. The aim of the research to collect data, facta and problems analyses them and directly or indirectlywe want to know and increase for academic nuance as theorital, also who want to know about them deeply. The research is qualitative research, using the technical of theresearch are observation, interview, documental history and documental audio visual. The results of research, before, at the moment, after Ramadhan, the price of social basic requirements still increasely and fluctuatively. Government intervention, by short term policy not touched social basic requirements continously yet. So piling them were not clearness of official. Raring supply, increasing demand, It has been caused by social increasing consumption, Finally high increasing price. Conclusion: The price control social basic requirements policy, complately by redesign comprehensive, transparancy, participative and continuosly policy, from central government to local government towards nation autonomy in food. Keywords: Increasing Price, clearness of official, Control.

  19. Words vs. deeds: Americans' energy concerns and implementation of green energy policies

    Science.gov (United States)

    Brinker, Garrett C.

    As the effects of climate change become increasingly clear, nations, international organizations, and corporations are working together to help mitigate these negative effects before they become irreversible. The United States, as the world's largest emitter per capita, has a responsibility to take quick and decisive action to decrease carbon emissions. And while an overwhelming majority of Americans believe that green energy policies are the right step forward, few have taken meaningful steps to actually implement these policies. Green and energy efficient technologies such as hybrid and electric cars, smart meters, and solar panels---technologies that would reduce our carbon footprint---are currently purchased or used by very few households. There is a clear gap between our words and deeds. Using the University of Texas at Austin Energy Poll dataset, this paper examines this gap and analyzes how income may influence what people say, versus how they act, seeking to better understand how income influences peoples' energy behaviors. Previous literature suggests that income has proven to be an inconsistent measure of concern for energy use. Through two OLS models, this paper finds that income is negatively correlated with Americans' concern for energy usage, while finding that there is a positive correlation between income and Americans' implementation of energy efficient technologies. Further, there is a nonlinear relationship between income groups and how Americans both think about their energy usage and actually implement more energy efficient measures.

  20. Expanding the Abortion Provider Workforce: A Qualitative Study of Organizations Implementing a New California Policy.

    Science.gov (United States)

    Battistelli, Molly Frances; Magnusson, Sara; Biggs, M Antonia; Freedman, Lori

    2018-03-01

    Access to abortion care in the United States varies according to multiple factors, including location, state regulation and provider availability. In 2013, California enacted a law that authorized nurse practitioners (NPs), certified nurse-midwives (CNMs) and physician assistants (PAs) to provide first-trimester aspiration abortions; little is known about organizations' experiences in implementing this policy change. Beginning 10 and 24 months after implementation of the new law, semistructured interviews were conducted with 20 administrators whose five organizations trained and employed NPs, CNMs and PAs as providers of aspiration abortions. Interview data on the organizations' experiences were analyzed thematically, and facilitators of and barriers to implementation were identified. Administrators were committed to the provision of aspiration abortions by NPs, CNMs and PAs, and nearly all identified improved access to care and complication management as clear benefits of the policy change. However, integration of the new providers was uneven and depended on a variety of circumstances. Organizational disincentives included financial and logistical costs incurred in trying to deploy and integrate the different types of providers. Some administrators found that increased costs were outweighed by improved patient care, whereas others did not. In general, having a strong administrative champion within the organization made a critical difference. California's expansion of the abortion-providing workforce had a positive impact on patient care in the sampled organizations. However, various organizational obstacles must be addressed to more fully realize the benefits of having NPs, CNMs and PAs provide aspiration abortions. Copyright © 2018 by the Guttmacher Institute.

  1. Tensions between Scottish National Policies for onshore wind energy and local dissatisfaction - insights from regulation theory

    Energy Technology Data Exchange (ETDEWEB)

    Parkhill, Karen [School of Psychology, Tower Building, Cardiff University, Cardiff, (United Kingdom)

    2007-09-15

    Although best described as a meta theory addressing the endurance of capitalism, regulation theory can successfully be used to explore not only the economic dimensions, but also the political, socio-cultural and environmental dimensions of particular developmental strategies. Thus, it offers a framework for embedding abstract debates about social attitudes to new technologies within debates about real regulation - the economic, social and cultural relationships operating through particular places. This paper uses regulation theory and qualitative, interview-based data to analyse Scotland's drive for onshore wind energy. This approach teases out how responses to wind farms are bound up with wider debates about how rural spaces are, and should be, regulated; the tensions within and between national political objectives, local political objectives and local communities' dissatisfaction; and the connections between local actors and more formal dimensions of renewable energy policy. (Author)

  2. Extended producer responsibility for consumer waste: the gap between economic theory and implementation.

    Science.gov (United States)

    Dubois, Maarten

    2012-09-01

    Although economic theory supports the use of extended producer responsibility (EPR) to stimulate prevention and recycling of waste, EPR systems implemented in Europe are often criticized as a result of weak incentives for prevention and green product design. Using a stylized economic model, this article evaluates the efficiency of European EPR systems. The model reveals that the introduction of static collection targets creates a gap between theory and implementation. Static targets lead to inefficient market outcomes and weak incentives for prevention and green product design. The minimum collection targets should be complemented with a tax on producers for the non-collected waste fraction. Because such a tax internalizes the cost of waste disposal, more efficient price signals will lead to better incentives for waste management in a complex and dynamic market.

  3. Implementation of School Uniform Policy and the Violation of Students’ Human Rights in Schools

    Directory of Open Access Journals (Sweden)

    Vimbi Petrus Mahlangu

    2017-05-01

    Full Text Available The paper highlights the violations of students’ human rights in schools. The problem is the incident that took place at a school in Pretoria in 2016 where Black girls protested against the School’s Code of Conduct relating to hairstyle. Qualitative approach was used to collect information through a literature review and desk-top research methods. Black girls claimed they were discriminated against and the protest serves as an example to demonstrate students’ human rights violations when schools implement school uniform policies. Inequality in schools is rife in South Africa. School uniform policies with regard to dress codes are expected to reduce school violence, prevent discipline issues, and improve in school safety. Students have rights and their rights can include issues regarding cultural, economic, and political freedoms. Students, especially adolescents, respond very negatively to school uniforms.

  4. Implementing the European policies for alien species – networking, science, and partnership in a complex environment

    Directory of Open Access Journals (Sweden)

    Stelios Katsanevakis

    2013-02-01

    Full Text Available The European Commission has recognized the need for more stringent action to manage biological invasions and has committed to develop adedicated legislative instrument. Under this upcoming legislation, European countries and their relevant institutions will have additional obligations and commitments in respect to invasive alien species. In September 2012, the European Commission’s Joint Research Centre (JRC launched the European Alien Species Information Network (EASIN to facilitate the exploration of existing alien species information from distributed sources and to assist the implementation of European policies on biological invasions. Subsequent to the launching of EASIN, there was an evident need to define its niche within a complex environment of global, European, regional and national information systems. Herein we propose an organizational chart clearly defining the role of each actor in this framework, and we emphasize the need for collaboration in order to effectively support EU policies.

  5. Implementation of generalized perturbation theory into the 3-D nodal code SIMULATE

    International Nuclear Information System (INIS)

    Bowman, S.M.; Williams, M.L.; Dodds, H.L.

    1980-01-01

    Determining the effects of changes in design and data parameters upon reactor performance can be very expensive when many perturbations must be considered for a complex system. In order to substantially reduce the cost involved in calculations such as these, generalized perturbation theory (GPT) capability has been implemented into the 3-D LWR nodal reactor analysis code SIMULATE. This capability makes 3-D sensitivity analysis of a realistic LWR practical for the first time. Applications to design analysis will be discussed

  6. Using Diffusion of Innovations Theory to implement the confusion assessment method for the intensive care unit.

    Science.gov (United States)

    Bowen, Constance Mary; Stanton, Marietta; Manno, Martin

    2012-01-01

    Routine screening of mechanically ventilated patients for delirium is essential for prompt recognition and management; however, this represents a change in practice. Rogers' Diffusion of Innovations Theory can be useful as a strategy to facilitate adoption of a practice change. This case study describes the effectiveness of identifying barriers to a change in practice and developing strategies, specific to Rogers' innovation decision process, for implementing the Confusion Assessment Method for the intensive care unit.

  7. Uniform physical theory of diffraction equivalent edge currents for implementation in general computer codes

    DEFF Research Database (Denmark)

    Johansen, Peter Meincke

    1996-01-01

    New uniform closed-form expressions for physical theory of diffraction equivalent edge currents are derived for truncated incremental wedge strips. In contrast to previously reported expressions, the new expressions are well-behaved for all directions of incidence and observation and take a finite...... value for zero strip length. Consequently, the new equivalent edge currents are, to the knowledge of the author, the first that are well-suited for implementation in general computer codes...

  8. The use of street-level bureaucracy theory in health policy analysis in low- and middle-income countries: a meta-ethnographic synthesis.

    Science.gov (United States)

    Erasmus, Ermin

    2014-12-01

    This article presents a synthesis of studies that explicitly use the theory of street-level bureaucracy to illuminate health policy implementation in low- and middle-income countries. Street-level bureaucrats are frontline workers in bureaucracies, e.g. nurses, who regularly interact directly with citizens in discharging their policy implementation duties and who have some discretion over which services are offered, how services are offered and the benefits and sanctions allocated to citizens. This synthesis seeks to achieve the dual objectives of, first, reflecting on how street-level bureaucracy theory has been used in the literature and, second, providing an example of the application of the synthesis methodology of meta-ethnography to the health policy analysis literature. The article begins by outlining meta-ethnography and providing more information on the papers on which the synthesis is based. This is followed by a detailed account of how the synthesis was achieved and by an articulation of the synthesis. It then concludes with thoughts and questions on the value and relevance of the synthesis, the experience of conducting the synthesis and the partial way in which street-level bureaucracy theory has been used in the literature examined. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

  9. Institutional Control Policies and Implementation for the Area 5 and Area 3 Radioactive Waste Management Sites

    Energy Technology Data Exchange (ETDEWEB)

    Vefa Yucel, Greg Shott, Denise Wieland, et al.

    2007-11-01

    The U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO) has implemented varying institutional control policies in performance assessment/composite analysis (PA/CA) calculations for the Area 5 and Area 3 Radioactive Waste Management Sites (RWMSs) (Shott et al., 1998; 2000; Bechtel Nevada [BN] and Neptune and Company Inc. [Neptune], 2006). The facilities are within the actively maintained boundaries of the Nevada Test Site (NTS) that are enforced by NNSA/NSO. Under current policies, access required for exposure of the member of public (MOP) or the inadvertent human intruder (IHI) is prohibited. Uncertainties affecting institutional control policies are the duration and effectiveness of the controls during the post-closure period. Implementing a uniform set of institutional control policies for the RWMSs that encompasses waste management and environmental restoration programs and is consistent with the end-state vision for the environmental management programs for the NTS (DOE, 2006) is a primary goal of the maintenance program. The NNSA/NSO Performance Management Plan (DOE, 2002) complies with DOE Policy P455.1, 'Use of Risk-Based End States' (DOE, 2003a). Expected future land uses are a driver in selecting acceptable end state conditions and clean-up goals for the NTS. NNSA/NSO Environmental Management's (EM's) land management assumptions and framework for Environmental Management activities are as follows: The NTS will remain under federal control in perpetuity as an NNSA test site, and the large buffer zone surrounding the NTS (the Nevada Test and Training Range) is assumed to remain under the control of the U.S. Air Force. There are no plans for transfer of any NTS lands to other agencies or public entities. Access will continue to be restricted to the NTS and the surrounding areas. For management purposes, NNSA/NV EM activities have been established based on the source of contamination and

  10. Institutional Control Policies and Implementation for the Area 5 and Area 3 Radioactive Waste Management Sites

    International Nuclear Information System (INIS)

    Vefa Yucel; Greg Shott; Denise Wieland

    2007-01-01

    The U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office (NNSA/NSO) has implemented varying institutional control policies in performance assessment/composite analysis (PA/CA) calculations for the Area 5 and Area 3 Radioactive Waste Management Sites (RWMSs) (Shott et al., 1998; 2000; Bechtel Nevada [BN] and Neptune and Company Inc. [Neptune], 2006). The facilities are within the actively maintained boundaries of the Nevada Test Site (NTS) that are enforced by NNSA/NSO. Under current policies, access required for exposure of the member of public (MOP) or the inadvertent human intruder (IHI) is prohibited. Uncertainties affecting institutional control policies are the duration and effectiveness of the controls during the post-closure period. Implementing a uniform set of institutional control policies for the RWMSs that encompasses waste management and environmental restoration programs and is consistent with the end-state vision for the environmental management programs for the NTS (DOE, 2006) is a primary goal of the maintenance program. The NNSA/NSO Performance Management Plan (DOE, 2002) complies with DOE Policy P455.1, 'Use of Risk-Based End States' (DOE, 2003a). Expected future land uses are a driver in selecting acceptable end state conditions and clean-up goals for the NTS. NNSA/NSO Environmental Management's (EM's) land management assumptions and framework for Environmental Management activities are as follows: The NTS will remain under federal control in perpetuity as an NNSA test site, and the large buffer zone surrounding the NTS (the Nevada Test and Training Range) is assumed to remain under the control of the U.S. Air Force. There are no plans for transfer of any NTS lands to other agencies or public entities. Access will continue to be restricted to the NTS and the surrounding areas. For management purposes, NNSA/NV EM activities have been established based on the source of contamination and type of waste

  11. The Propensity to Tax Competition: The Case of Implementation Local Tax Policy by Polish Local Governments

    Directory of Open Access Journals (Sweden)

    Artur Walasik

    2015-03-01

    Full Text Available The study is dedicated to identify the main factors determining the propensity of local authorities to compete for the access to the limited as well as mobile sources of local tax revenue. The success of such an activity should be discussed in relation to the stabilization of local budget revenues; hence it seems that the barriers of leaving tax jurisdiction could be better index to evaluate of the efficiency of local tax policy. The theoretical approach is based on the assumption that, if central government provides limitations of the right to improve local tax policy means (the scope of local tax jurisdiction, the local governments should focus on both the efficient acquiring the sources of tax revenues, and the stabilization of tax revenues in the future, in particular by the implementation of the barriers of leaving tax jurisdiction. The paper suggests studying a propensity to tax competition. The article formulates desideratum of the efficiency of spending on acquiring the sources of tax revenue, in particular, the need to identify the barriers to leave tax jurisdiction is suggested. The first and foremost way to build the barrier to leave tax jurisdiction could be reducing tax liabilities by local tax authorities, in particular by introducing local tax reliefs and local tax exemptions, as well as lowering local tax rates. Hence, the model of local authorities’ competition for local tax resources could be proposed. The empirical studies are dedicated to identify the actual propensity of Polish local government to execute the legal ability to impose tax policy instruments. The inquiry is based on comparing the fiscal consequences of implementing local tax policy within two groups of local authorities: small towns and countries (gminas and medium-size towns and big cities (cities with powiat status. The period under investigation contains 14 fiscal years, started 2000 and finished in 2013. The method is based on the analysis of the

  12. Challenges to the Development and Implementation of Public Policies to Achieve Animal Welfare Outcomes

    Directory of Open Access Journals (Sweden)

    Margaret Rose

    2010-12-01

    Full Text Available Although there is a long-established tradition of concern for the welfare of animals, it was not until the mid 1800’s that governments sought to enact legislation to protect animals from cruelty. In the 1950’s, questions concerning animal welfare re-emerged and in the ensuing years have been an on-going focus of government activities. These developments occurred against a backdrop of significant social change but there are important differences in what now underpins and informs these considerations. In the formulation and implementation of public policies, governments look for a course of action that represents and protects the interests of the community; the process may be challenging with competing interests but the final determination seeks a middle ground that best meets the needs and interests of the community as a whole. When policy development concerns our relationship with other animals, the complexity of this relationship presents particular challenges not only to the formulation of policies but also to the evaluation of outcomes. Notably, the depth of feelings and diversity of views in our community reflect the complex social, cultural and personal dimensions of this relationship. The use of animals for scientific purposes remains one of the most contentious animal welfare issues primarily because when animals are used for these purposes, accepted animal welfare benchmarks cannot always be met. Based on the Australian experience, this paper will discuss the influences in and on-going challenges to the development and implementation of public policy when animals are used for these purposes.

  13. 'Wrong parents' and 'right parents': shared perspectives about citizen participation in policy implementation.

    Science.gov (United States)

    Potter, Deborah Anne

    2010-06-01

    Government policies, both in Europe and the U.S., increasingly mandate that community-based citizens partner with professionals to plan and implement policy-relevant programs. In the U.S., parents of children with serious emotional disturbances may participate in Community Collaboratives which are charged with implementing children's mental health policy in local communities. This qualitative study examined three Community Collaboratives and identified organizational features associated with how the groups prioritized lay involvement, among other competing goals which they legitimately could pursue. Thirty-four key informants participated in in-depth interviews. Although the overall study identified several factors which permitted greater and lesser degrees of family involvement, this paper reports on one: the symbolic meaning shared by members about lay participation in their shared perspectives about "wrong parents" and "right parents." Furthermore, two alternate types of "right parents" identified a psychologized version of parents as consumers, and a civic vision of parents as partners. Results from this study are applicable to a wide array of lay-professional partnerships. This study suggests that in order to foster lay-professional partnerships in policy initiatives, lay participants must possess additional, civic-based skills, beyond those needed in the service delivery arena. Furthermore, organizational and professional change may be required to address professional dominance. Within mental health, lack of acceptance of nationally touted recovery-based models is a significant barrier. Finally, sociological implications of developing a civic-based framework for lay-professional partnerships are discussed. Copyright 2010 Elsevier Ltd. All rights reserved.

  14. Central Banks Exit Strategies in Theory and Practice. The Case of the Polish National Bank's Policy

    Directory of Open Access Journals (Sweden)

    Anna Szelągowska

    2015-07-01

    Full Text Available This paper makes an attempt in discussing the pros and cons of central banks exiting from unconventional monetary policy strategies. Having in mind the latest international economic research concerning the optimal entrance and exit strategies of the zero interest rate policy, it is worth discussing the results of the contemporary central banks in preserving the financial system and supporting the real economy. The main aim of this paper is the assessment of the Polish central bank's low rate interest rates policy effectiveness and to find out its influence on the economy. The following research problem is discussed: should central banks use the exit strategy from zero interest rates and if yes, why and when. This task requires to put forward the following research hypothesis: too late implementation of the cycle of low interest rates by the National Bank of Poland does not help improvement of the Polish economy situation.

  15. Developing Theory to Guide Building Practitioners' Capacity to Implement Evidence-Based Interventions.

    Science.gov (United States)

    Leeman, Jennifer; Calancie, Larissa; Kegler, Michelle C; Escoffery, Cam T; Herrmann, Alison K; Thatcher, Esther; Hartman, Marieke A; Fernandez, Maria E

    2017-02-01

    Public health and other community-based practitioners have access to a growing number of evidence-based interventions (EBIs), and yet EBIs continue to be underused. One reason for this underuse is that practitioners often lack the capacity (knowledge, skills, and motivation) to select, adapt, and implement EBIs. Training, technical assistance, and other capacity-building strategies can be effective at increasing EBI adoption and implementation. However, little is known about how to design capacity-building strategies or tailor them to differences in capacity required across varying EBIs and practice contexts. To address this need, we conducted a scoping study of frameworks and theories detailing variations in EBIs or practice contexts and how to tailor capacity-building to address those variations. Using an iterative process, we consolidated constructs and propositions across 24 frameworks and developed a beginning theory to describe salient variations in EBIs (complexity and uncertainty) and practice contexts (decision-making structure, general capacity to innovate, resource and values fit with EBI, and unity vs. polarization of stakeholder support). The theory also includes propositions for tailoring capacity-building strategies to address salient variations. To have wide-reaching and lasting impact, the dissemination of EBIs needs to be coupled with strategies that build practitioners' capacity to adopt and implement a variety of EBIs across diverse practice contexts.

  16. State-Level Renewable Energy Policy Implementation: How and Why Do Stakeholders Participate?

    Directory of Open Access Journals (Sweden)

    Valerie Rountree

    2018-02-01

    Full Text Available For most of the twentieth century, large-scale, utility-owned power plants dominated electricity generation in the United States. Today, however, a growing share of electricity comes from renewable energy sources such as solar and wind energy, which are often small-scale and distributed. In the absence of significant national policies, the Renewable Portfolio Standard has emerged as the key state-level policy governing the deployment and use of renewable energy sources. While renewable energy offers new possibilities for clean energy generation, it also poses new regulatory and governance challenges as a wide range of stakeholders, such as the utilities, regulatory agencies, environmental and consumer advocacy groups, electricity generators, and private citizens, increasingly seek to influence how Renewable Portfolio Standards are implemented. In this study, we ask how and why do stakeholders participate in decision-making about how these policies are implemented? Given the unique context of renewable energy policy, the long-term and iterative nature of renewable energy policy implementation, and the wide range of actors involved, we look at the suite of participatory opportunities available to stakeholders. We interview stakeholders in two states—Colorado and Nevada—to identify the mechanisms through which stakeholders participate and the incentives (or disincentives that influence their willingness to do so. We find that while decision makers in both the states use a variety of mechanisms to engage stakeholders in decision-making, meaningful participation may be limited to stakeholder groups that are knowledgeable about the issues, have the resources to engage in long-term and sustained participation, and have long-standing relationships with decision makers and other stakeholders. Although many stakeholders participate in multiple types of processes to achieve a broader range of benefits, they often perceive their participation as

  17. Political insights on implementing the Nuclear Waste Policy Act of 1982

    International Nuclear Information System (INIS)

    Edwards, J.B.

    1986-01-01

    The author discusses the options available for implementing the Nuclear Waste Policy Act (NWPA) of 1982. The author concludes that the federal and state governments must cooperate because this is a political problem. Two sites must be selected because this gets the Western states supporting the act and provides a backup if problems develop at one site. The author says once 2-4 sites are chosen as finalists, an educational campaign must be done in those states to stress safety. Solving the waste problem will give the nuclear industry a brighter future

  18. Monetary policy implementation and money demand instability during the financial crisis

    Directory of Open Access Journals (Sweden)

    Svatopluk Kapounek

    2011-01-01

    Full Text Available The author focuses on the money endogeneity in the context of common monetary policy implementation in the euro area. The empirical analysis shows money demand function instability during the financial crisis. The instability is described by decrease in credit money creation and money velocity changes. The cointegration tests identifed long-run positive relationship between monetary aggregates and economic activity. Concurrently, the economic activity is treated to be weakly exogenous in the model.The conclusions are discussed with Postkeynesians’ assumption, that central banks cannot fix the stock of money in a country. The causality is directed from economic activity to money demand.

  19. Developing and testing a positive theory of instrument choice: Renewable energy policy in the fifty American states

    Science.gov (United States)

    Ciocirlan, Cristina E.

    The environmental economics literature consistently suggests that properly designed and implemented economic incentives are superior to command-and-control regulation in reducing pollution. Economic incentives, such as green taxes, cap-and-trade programs, tax incentives, are able to reduce pollution in a cost-effective manner, provide flexibility to industry and stimulate innovation in cleaner technologies. In the past few decades, both federal and state governments have shown increased use of economic incentives in environmental policy. Some states have embraced them in an active manner, while others have failed to do so. This research uses a three-step analysis. First, it asks why some states employ more economic incentives than others to stimulate consumption of renewable energy by the residential, commercial and industrial sectors. Second, it asks why some states employ stronger incentives than others. And third, it asks why certain states employ certain instruments, such as electricity surcharges, cap-and-trade programs, tax incentives or grants, while others do not. The first two analyses were conducted using factor analysis and multiple regression analysis, while the third analysis employed logistic regression models to analyze the data. Data for all three analyses were obtained from a combination of primary and secondary sources. To address these questions, a theory of instrument choice at the state level, which includes both internal and external determinants of policy-making, was developed and tested. The state level of analysis was chosen. States have proven to be pioneers in designing policies to address greenhouse gases (see, for instance, the recent cap-and-trade legislation passed in California). The theory was operationalized with the help of four models: needs/responsiveness, interest group influence, professionalism/capacity and innovation-and-diffusion. The needs/responsiveness model suggests that states tend to choose more and stronger economic

  20. Challenges in implementing individual placement and support in the Australian mental health service and policy context.

    Science.gov (United States)

    Stirling, Yolande; Higgins, Kate; Petrakis, Melissa

    2018-02-01

    Objective Although Australia's service and policy context differs from that of the US, studies have highlighted potential for individual placement and support (IPS) to support competitive employment outcomes for people with severe and persistent mental illness. The aim of the present study was to explore why the model is not yet widely available. Methods A document analysis was conducted to discern reasons for challenges in implementation of IPS practice principles within the Australian service context. Results The document analysis illustrated that although policy acknowledges the importance of increasing employment rates for people with severe and persistent mental illness, consistent measures, change indicators, direction and time frames are lacking in policy and strategy documentation. Further, IPS principles are not consistently evident in guiding operational documentation that government-funded Disability Employment Services (DES) programs are mandated to adhere to. Conclusions For IPS to be readily implemented, it is necessary for government to offer support to agencies to partner and formal endorsement of the model as a preferred approach in tendering processes. Obligations and processes must be reviewed to ensure that model fidelity is achievable within the Australian Commonwealth policy and service context for programs to achieve competitive employment rates comparable to the most successful international programs. What is known about the topic? The IPS model has been established as the most efficacious approach to support people with severe and persistent mental ill health to gain and sustain employment internationally, yet little is known as to why this model has had very limited uptake in the Australian adult mental health service and policy context. What does this paper add? This paper provides an investigation into the achievability of IPS within DES philosophical and contractual arrangements. What are the implications for practitioners? Mental

  1. [An overview of the definition and implementation of the Brazilian National Policy on Health Data and Information Technology].

    Science.gov (United States)

    Cavalcante, Ricardo Bezerra; Kerr-Pinheiro, Marta Macedo; Guimarães, Eliete Albano de Azevedo; Miranda, Richardson Machado

    2015-05-01

    The This qualitative study aimed to analyze the development and implementation of the Brazilian National Policy on Health Data and Information Technology (NPIIH). We analyzed documents and applied an online questionnaire to the experts involved in developing the policy. The data were submitted to content analysis using the categorical thematic modality. The PNIIS is the target of debate and proposals at various levels. Provisions have appeared in parallel to regulate measures on health data and information technology. Community participation in developing this policy and the convergence of laws, standards, resolutions, and policy-making levels in a common and broadly acknowledged and enforced policy are challenges, in addition to linking the public and private sectors. The study concludes that the National Policy on Health Data and Information Technology is making gradual progress, predominantly in theoretical debates, revisions, and updates. There are numerous challenges for its implementation and a prevailing need for legitimation.

  2. Local and Regional Authorities as Resources for Implementing Universal Design Policy in Norway.

    Science.gov (United States)

    Lund, Einar

    2016-01-01

    The municipalities and regional authorities are in general resources for achieving national goals. Their management and works are crucial to the development and implementation of Universal Design. Through several programmes, national authorities have worked for activating the local and regional levels. The results are visible. We can see a long-term national strategy to help make society accessible to everyone and prevent discrimination. Participating municipalities and regional authorities are now able to create their own policy and strategies and implement solutions. The national programs have involved interested and motivated municipalities. All the 18 counties in Norway have been involved more or less in different periods and the same with up to a third of the about good 400 municipalities.

  3. "The problem of the worst-off is dealt with after all other issues": the equity and health policy implementation gap in Burkina Faso.

    Science.gov (United States)

    Ridde, Valéry

    2008-03-01

    In West Africa, the famous "implementation gap" concept applies to health policies. During the implementation of the Bamako Initiative (BI), the actors were drawn to policies solely for their orientation towards efficiency, thereby neglecting the equity aspects. This paper aims to present an in-depth understanding of this situation, developed through a case study and socio-anthropological fieldwork. The study is informed by a policy framework of analysis that integrates streams theory and the anthropology of development. Multiple sources of data were used: concept mapping (2), in-depth interviews (24), informal interviews (60), focus groups (4), document analysis, and field observation (7 months). The results indicate that the equity aspect of health policies was omitted during training on the use of proceedings from drug sales and user fees; donor agencies and NGOs were more preoccupied with efficiency than equity; the peripheral actors were not driven to ensure that indigents had free access to health care; society was not concerned with the sub-groups of the population; centralized decisions were taken without consultation, remained vague, and were not followed-up; and the concept of equity was perceived differently from those who devised policies. I offer a threefold explanation of why equity was neglected. First, the "windows of opportunity" for achieving equity goals were not seized, at least at the point that led to real change. Second, the policy entrepreneurs did not take on the task of coupling the problem streams with the solutions streams, which is necessary for a successful implementation. Third, the situation of the indigents did not exhibit the necessary characteristics for them to be considered a public problem. For scientific and social reasons it is urgent that we find a solution to halt the exclusion to health care among the poorest groups.

  4. The dilemmas and complexities of implementing language-in-education policies: perspectives from urban and rural contexts in Uganda

    NARCIS (Netherlands)

    Altinyelken, H.K.; Moorcroft, S.; van der Draai, H.

    2014-01-01

    Language-in-education policies are a highly debated topic in Africa and at the root of understanding inequalities in Africa's education systems. This article explores the implementation of Uganda's recent local language education policy; how it has been received and practiced in urban and rural

  5. APPLYING THE THEORY OF CONSTRAINTS TO INCREASE ECONOMIC VALUE ADDED: PART 2—IMPLEMENTATION

    Directory of Open Access Journals (Sweden)

    M. Smith

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: This article describes a way to implement the holistic approach of the Theory of Constraints (TOC which will lead to an increase in the Economic Value Added (EVA of a business. The approach consists of two parts: the adoption of the holistic approach, and the implementation of a new company strategy. The pitfalls in implementing a holistic approach are discussed. The elements of a company strategy that is compatible with the holistic approach are described.

    AFRIKAANSE OPSOMMING: Hierdie artikel beskryf ‘n metode hoe om die holistiese benadering van die Teorie van Beperkinge (TVB te implementeer met die doel om die Ekonomiese Toegevoegde Waarde (ETW van ’n besigheid te vermeerder. Die benadering is tweeledig: die ingebruikneming van die holistiese benadering, en die implementering van ’n nuwe besigheidsstrategie. Die moontlike probleme in die implementering van die holistiese benadering word bespreek. Die elemente van ’n besigheidsstrategie wat versoenbaar is met die holistiese benadering word beskryf.

  6. The local implementation of clean(er) fuels policies in Europe. A Handbook with guidelines. Final version

    International Nuclear Information System (INIS)

    Mulder, F.; Amara, Sliman Abu; Uustal, M.; Pelkmans, L.; Devriendt, N.; Rogulska, M.; Defranceschi, P.

    2009-05-01

    This handbook aims to guide the local/regional governments all over Europe who are involved in implementing clean(er) fuel policies in transport. The general challenge these governments are facing is how local policies on clean(er) fuels and vehicles can be made operational. Hence, how can the step be made from a vision on the strategic policy level, to a vision on the implementation of these policies. A local/regional policy on clean(er) fuels and vehicles is commonly part of the larger category 'sustainable transport policy', which in itself is part of a broader local environmental policy. The encompassing local/regional sustainable mobility policy will in most cases be based on the three well known main policy aims in this area: CO2 reduction; Improving the local air quality; and Improving the security of supply (locally often less stressed). This handbook will focus on the actual implementation of a clean(er) fuels and vehicles policy. It will describe the main challenges and how these can be overcome. It will describe how the market conditions for clean(er) fuels and vehicles can be created by establishing the vital market elements and which process is required to do so. And it will show how local enterprises can be involved and what the role of the local governments in this process can be. In order to identify the local success factors in overcoming the main challenges for implementation, case studies have been carried out in three European cities, namely Stockholm (Sweden), Graz (Austria) and Lille (France). The choice of these cities was based on their successes in implementing clean(er) fuel policies (although they followed different paths) and the fact that they managed to achieve ambitious clean(er) fuel/ clean(er) vehicle targets. These cities may thus be considered as ?good practice examples?. The case studies are based on existing literature, on multiple stakeholders? interviews in all three cities, and on two small surveys. The objectives of this

  7. Global Health Systems and Policy Development: Implications for Health Literacy Research, Theory and Practice.

    Science.gov (United States)

    Rowlands, Gillian; Dodson, Sarity; Leung, Angela; Levin-Zamir, Diane

    2017-01-01

    Accessible and responsive health systems are critical to population health and human development. While progress has been made toward global health and development targets, significant inequities remain within and between countries. Expanding health inequities suggest a widespread and systemic neglect of vulnerable citizens, and a failure to enshrine within policies a responsibility to tailor care to the variable capabilities of citizens. Implementation of health and social policies that drive the design of accessible health systems, services, products and infrastructure represents the next frontier for health reform. Within this chapter we argue the need to consider health and health literacy across policy domains, to operationalize the intent to address inequities in health in meaningful and pragmatic ways, and to actively monitor progress and impact within the context of the Sustainable Development Goals (SDGs). We contend that viewing and developing policies and systems within a health literacy framework will assist in placing citizens and equity considerations at the center of development efforts. In this chapter, we explore the relationship between health literacy and equitable access to health care, and the role of health system and policy reform. We first explore international policies, health literacy, and the SDGs. We then explore national policies and the role that national and local services and systems play in building health literacy, and responding to the health literacy challenges of citizens. We discuss the World Health Organization's (WHO) Framework for Integrated People-Centered Health Services and the way in which health services are being encouraged to understand and respond to citizen health literacy needs. Each section of the chapter ends with a summary and a review of health literacy research and practice. Throughout, we illustrate our points through 'vignettes' from around the world.

  8. Transcalar networks for policy transfer and implementation: the case of global health policies for malaria and HIV/AIDS in Cameroon.

    Science.gov (United States)

    Ngoasong, Michael Zisuh

    2011-01-01

    This paper explores the nature and type of policy transfer promoted by global health partnerships to facilitate access to medication in Cameroon and the associated implementation challenges. Using concepts from policy transfer, multi-level governance and the politics of scale, the paper conceptualizes the social spaces (global-national-local linkages) through which global health policies are negotiated as transcalar networks. The framework is used to analyse policy documents, technical and media reports and journal articles focusing on two global health partnerships (GHPs)-Roll Back Malaria and the Accelerating Access Initiative-in Cameroon. Both GHPs helped to create the national Malaria and HIV/AIDS programmes in Cameroon, respectively. Global policies are negotiated through dialogue processes involving global, national and local partners who constitute the national HIV/AIDS and malaria committees. Successful policy transfer is evident from the consensual nature of decision-making. Analysis of policy implementation reveals that GHPs offer a 'technical fix' based on specific medical intervention programmes with a relatively limited focus on disease prevention. The GHP approach imposes new governance challenges due to policy resistance strategies (strategic interests of international agencies and country-specific challenges). Evidence of this is seen in the existence of several overlapping programmes and initiatives that distort accountability and governance mechanisms defined by the national committees. Finally, the implications of these challenges for achieving access to medication are discussed.

  9. Assessment of environmental policy implementation in solid waste management in Kathmandu, Nepal.

    Science.gov (United States)

    Dangi, Mohan B; Schoenberger, Erica; Boland, John J

    2017-06-01

    In Nepal, full-fledged environmental legislation was rare before the democratic constitution of 1990. The first law covering the environment and sustainability was the Environment Protection Act 1997. While the Solid Waste Act was introduced in 1987, the problem of solid waste management still surfaces in Kathmandu. In order to understand the bedrock of this unrelenting failure in solid waste management, the manuscript digs deeper into policy implementation by dissecting solid waste rules, environmental legislations, relevant local laws, and solid waste management practices in Kathmandu, Nepal. A very rich field study that included surveys, interviews, site visits, and literature review provided the basis for the article. The study shows that volumes of new Nepalese rules are crafted without effective enforcement of their predecessors and there is a frequent power struggle between local government bodies and central authority in implementing the codes and allocating resources in solid waste management. The study concludes that Kathmandu does not require any new instrument to address solid waste problems; instead, it needs creation of local resources, execution of local codes, and commitment from central government to allow free exercise of these policies.

  10. Policy dilemmas in Latino health care and implementation of the Affordable Care Act.

    Science.gov (United States)

    Ortega, Alexander N; Rodriguez, Hector P; Vargas Bustamante, Arturo

    2015-03-18

    The changing Latino demographic in the United States presents a number of challenges to health care policy makers, clinicians, organizations, and other stakeholders. Studies have demonstrated that Latinos tend to have worse patterns of access to, and utilization of, health care than other ethnic and racial groups. The implementation of the Affordable Care Act (ACA) of 2010 may ameliorate some of these disparities. However, even with the ACA, it is expected that Latinos will continue to have problems accessing and using high-quality health care, especially in states that are not expanding Medicaid eligibility as provided by the ACA. We identify four current policy dilemmas relevant to Latinos' health and ACA implementation: (a) the need to extend coverage to the undocumented; (b) the growth of Latino populations in states with limited insurance expansion; (c) demands on public and private systems of care; and (d) the need to increase the number of Latino physicians while increasing the direct patient-care responsibilities of nonphysician Latino health care workers.

  11. Development through sustainable tourism and effective policy implementation: Practices of Puerto Princesa City, Philippines

    Directory of Open Access Journals (Sweden)

    Jazztin Jairum P. Manalo

    2017-02-01

    Full Text Available Sustainable tourism has been considered by many local governments as part of their initiatives for economic upliftment. It is one of the major sources of income through the use of their tourist attraction without compromising the natural resources situated within. The enactment and effective implementation of the local government’s policy have achieved a promising efficient outcome for sustainable tourism.. The city of Puerto Princesa had a long history considering its transformation from an environmentally degraded city into one of the major ecotourism sites around the world. Thus, this paper presents the case of Puerto Princesa and its practices as well as economic development by practicing sustainable tourism and effective policy implementation. The City Ordinance No. 163-91 and 640 has improved the lives of the communities by practicing cleanliness and effective waste management their surrounding and tourist destinations. Economic development and benefits from sustainable tourism reflects the city of Puerto Princesa as a role model for Local Government Units. The passing of City Ordinances on Cleanliness drive have played an important role in effective waste management of the city. The key role of having a strong political will in the local government has strongly maintained its best practices for two decades up to the present.

  12. Implementation of the Juvenile Justice and Welfare Act of 2006 (RA 9344: Inputs to Policy Amendments

    Directory of Open Access Journals (Sweden)

    DR. FREDDY E. BILOG

    2014-06-01

    Full Text Available The study aimed to assess the status of implementation of RA 9433 or Juvenile Justice and Welfare Act of 2006 with respect to the various sectors namely: police; city social welfare and development and family court.. It also determine the problems encountered by the three groups of respondents and test the difference among the responses of the three groups: to determine the implication of implementation of RA 9344 to the community as perceived by three groups of respondents and based on the findings to propose inputs to policy amendments. It was found out that majority of the juvenile offenders in Batangas City are 15-17 years old, single, males, finished elementary education with crime of theft committed in 2012 and under the custody of their parents or legal guardians. Objectives, compliance, evaluation and monitoring as status of RA 9344 were implemented as a new approach in criminal justice system with juvenile offenders. Each sector experiences problems in implementing RA 9344 especially when it comes to insufficient knowledge of the child, and the parents regarding the child’s severity of crime and constitutional rights. The study found a significant relationship between the status of implementation of RA 9344 and the problems encountered. Further, there are differences between the responses of the three groups of respondents. Exemption of youth offenders in criminal responsibility has an impact on the community since the youth may repeat the crime or they could commit crime that is more severe than the previous crime committed. Additionally, compliance, evaluation and monitoring were found to be significantly related to the impact of exemption of youth offenders in criminal responsibility. Based on the findings, the study identified inputs for possible amendments of policies that govern RA 9344 towards a more efficient and effective implementation. These intervention programs such as child management training and rehabilitative program

  13. Analysis of policy options and implementation measures promoting electricity from renewable biomass in the EU

    International Nuclear Information System (INIS)

    Kautto, N.

    2005-04-01

    Biomass as a renewable energy source holds a great potential in responding to energy challenges of the future as well as meeting renewable energy targets set by the European Union. The objective of this study was to analyse various policy options and implementation measures promoting electricity from renewable biomass in the European Union, including new Member States (EU-25). The main political driving force behind this investigation was the RES-E Directive (2001/77/EC). The effectiveness of policy instruments regarding the development of electricity from biomass and biogas in the period of 1990-2002, and the framework conditions, i.e. success and risk factors, for this progress were assessed though a 'five-step approach'. Past development in terms of bioelectricity production and generating capacity was assessed based on statistics of Eurostat and the IEA. Policy instruments promoting bioelectricity and the framework factors on the national level in each EU Member State (excluding Cyprus and Malta) were investigated using the EU and governmental documents, independent evaluations and expert contacts as information sources. It became clear that determination of the effectiveness of policy instruments cannot be separated from the environment these mechanisms are applied to: mapping of the frame conditions for development is essential. Instead of selecting distinct policy instruments, successful Member State/bioelectricity combinations were chosen. The most successful combinations were found to be Germany, United Kingdom, Spain and Finland, whereas examples of unsuccessful measures were found in Greece, Luxembourg and the new Member States. Bioelectricity has clearly benefited from feed-in tariff system in countries like Germany but the use of biomass has essentially increased even without this measure in Sweden and Finland, where favourable taxation and strong links between forestry and power industries are defining factors for positive development. This study

  14. How education for sustainable development is implemented in Germany: Looking through the lens of educational governance theory

    Science.gov (United States)

    Bormann, Inka; Nikel, Jutta

    2017-12-01

    The United Nations (UN) Decade of Education for Sustainable Development (ESD) aimed to integrate the principles, values and practices of sustainable development into all aspects of education and learning around the world. The authors of this article address the implementation process of ESD in Germany during the UN Decade (2005-2014). By undertaking a meta-analysis of the findings of four related sub-studies they carried out during a three-year project funded by the German Federal Ministry of Education and Research, the authors contribute to the understanding of the process of transferring the concept of ESD within a multi-level education system. They investigated this process at two levels - the federal state (a sub-national entity in Germany) and the communal level. Drawing on educational governance theory, the authors unveil principles, norms, rules and procedures in the coordination of action within constellations of heterogeneous actors contributing to the implementation of ESD in their social entities. The outcome of the meta-analysis describes an emerging governance regime in ESD, taking into consideration the following features impacting the coordination of action being carried out by the actors involved: (1) the understanding of the normative concept of ESD as content of negotiation; (2) the perceived opportunity for actors to gain and increase appreciation within the field of ESD as an incentive for and driver of engagement; and (3) the dynamic quality of the set-up, rules and principles of the coordination of action, which renders these subject to situative changes. In the final part of the paper, the findings are discussed from the perspectives of the theory of transfer and the current empirical basis of ESD policy and governance.

  15. Application of theory-based evaluation for the critical analysis of national biofuel policy: A case study in Malaysia.

    Science.gov (United States)

    Abdul-Manan, Amir F N; Baharuddin, Azizan; Chang, Lee Wei

    2015-10-01

    Theory-based evaluation (TBE) is an effectiveness assessment technique that critically analyses the theory underlying an intervention. Whilst its use has been widely reported in the area of social programmes, it is less applied in the field of energy and climate change policy evaluations. This paper reports a recent study that has evaluated the effectiveness of the national biofuel policy (NBP) for the transport sector in Malaysia by adapting a TBE approach. Three evaluation criteria were derived from the official goals of the NBP, those are (i) improve sustainability and environmental friendliness, (ii) reduce fossil fuel dependency, and (iii) enhance stakeholders' welfare. The policy theory underlying the NBP has been reconstructed through critical examination of the policy and regulatory documents followed by a rigorous appraisal of the causal link within the policy theory through the application of scientific knowledge. This study has identified several weaknesses in the policy framework that may engender the policy to be ineffective. Experiences with the use of a TBE approach for policy evaluations are also shared in this report. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Policies and Procedures That Facilitate Implementation of Evidence-Based Clinical Guidelines in U.S. Dental Schools.

    Science.gov (United States)

    Polk, Deborah E; Nolan, Beth A D; Shah, Nilesh H; Weyant, Robert J

    2016-01-01

    The aim of this study was to determine the degree to which dental schools in the United States have policies and procedures in place that facilitate the implementation of evidence-based clinical guidelines. The authors sent surveys to all 65 U.S. dental schools in 2014; responses were obtained from 38 (58%). The results showed that, of the nine policies and procedures examined, only two were fully implemented by 50% or more of the responding schools: guidelines supported through clinical faculty education or available chairside (50%), and students informed of guidelines in both the classroom and clinic (65.8%). Although 92% of the respondents reported having an electronic health record, 80% of those were not using it to track compliance with guidelines. Five schools reported implementing more policies than the rest of the schools. The study found that the approach to implementing guidelines at most of the responding schools did not follow best practices although five schools had an exemplary set of policies and procedures to support guideline implementation. These results suggest that most dental schools are currently not implementing guidelines effectively and efficiently, but that the goal of schools' having a comprehensive implementation program for clinical guidelines is achievable since some are doing so. Future studies should determine whether interventions to improve implementation in dental schools are needed.

  17. Domestic policy consequences of new implementation models. Consequences for industrial niches; Industripolitiske konsekvenser av nye gjennomfoeringsmodeller. Konsekvenser for nisjebedriftene

    Energy Technology Data Exchange (ETDEWEB)

    Johannessen, T.

    1995-12-31

    The paper relates to the consequences of domestic policy with the focus on new implementation models used for cost reduction of offshore development projects in Norway. The paper puts the attention to the consequences from implementation models on industrial niches (subcontractors)

  18. River Water Pollution Status and Water Policy Scenario in Ethiopia: Raising Awareness for Better Implementation in Developing Countries.

    Science.gov (United States)

    Awoke, Aymere; Beyene, Abebe; Kloos, Helmut; Goethals, Peter L M; Triest, Ludwig

    2016-10-01

    Despite the increasing levels of pollution in many tropical African countries, not much is known about the strength and weaknesses of policy and institutional frameworks to tackle pollution and ecological status of rivers and their impacts on the biota. We investigated the ecological status of four large river basins using physicochemical water quality parameters and bioindicators by collecting samples from forest, agriculture, and urban landscapes of the Nile, Omo-Gibe, Tekeze, and Awash River basins in Ethiopia. We also assessed the water policy scenario to evaluate its appropriateness to prevent and control pollution. To investigate the level of understanding and implementation of regulatory frameworks and policies related to water resources, we reviewed the policy documents and conducted in-depth interviews of the stakeholders. Physicochemical and biological data revealed that there is significant water quality deterioration at the impacted sites (agriculture, coffee processing, and urban landscapes) compared to reference sites (forested landscapes) in all four basins. The analysis of legal, policy, and institutional framework showed a lack of cooperation between stakeholders, lack of knowledge of the policy documents, absence of enforcement strategies, unavailability of appropriate working guidelines, and disconnected institutional setup at the grass root level to implement the set strategies as the major problems. In conclusion, river water pollution is a growing challenge and needs urgent action to implement intersectoral collaboration for water resource management that will eventually lead toward integrated watershed management. Revision of policy and increasing the awareness and participation of implementers are vital to improve ecological quality of rivers.

  19. River Water Pollution Status and Water Policy Scenario in Ethiopia: Raising Awareness for Better Implementation in Developing Countries

    Science.gov (United States)

    Awoke, Aymere; Beyene, Abebe; Kloos, Helmut; Goethals, Peter L. M.; Triest, Ludwig

    2016-10-01

    Despite the increasing levels of pollution in many tropical African countries, not much is known about the strength and weaknesses of policy and institutional frameworks to tackle pollution and ecological status of rivers and their impacts on the biota. We investigated the ecological status of four large river basins using physicochemical water quality parameters and bioindicators by collecting samples from forest, agriculture, and urban landscapes of the Nile, Omo-Gibe, Tekeze, and Awash River basins in Ethiopia. We also assessed the water policy scenario to evaluate its appropriateness to prevent and control pollution. To investigate the level of understanding and implementation of regulatory frameworks and policies related to water resources, we reviewed the policy documents and conducted in-depth interviews of the stakeholders. Physicochemical and biological data revealed that there is significant water quality deterioration at the impacted sites (agriculture, coffee processing, and urban landscapes) compared to reference sites (forested landscapes) in all four basins. The analysis of legal, policy, and institutional framework showed a lack of cooperation between stakeholders, lack of knowledge of the policy documents, absence of enforcement strategies, unavailability of appropriate working guidelines, and disconnected institutional setup at the grass root level to implement the set strategies as the major problems. In conclusion, river water pollution is a growing challenge and needs urgent action to implement intersectoral collaboration for water resource management that will eventually lead toward integrated watershed management. Revision of policy and increasing the awareness and participation of implementers are vital to improve ecological quality of rivers.

  20. nstitutional Capacities and Social Policy Implementation: Maternal Child Health and Nutrition Programmes in Argentina and Chile (1930-2000

    Directory of Open Access Journals (Sweden)

    Alma Idiart

    2013-01-01

    Full Text Available This article compares maternal child health and nutrition programmes in Argentina and Chile, focusing on long-term institutional features and the central neo-liberal trends organizing social reforms during the 1980s and the 1990s. Objective: To carry out a comparative study of the ransformations of Maternal Child Health and Nutrition Programmes, taking into account three intertwined issues: social policies, institutional capacity, and policy implementation. Methodology: The documentary analysis done in this article is framed in the structural force model of Carmelo Mesa-Lago and the polity-centred structure model of Theda Skocpol. Conclusions: Despite relatively similar policy lines implemented in both countries, the contrasting long-term institutional features (Chilean programmes addressed maternal and child health more efficiently than the Argentines account for most of the variation in the overall process of reform implementation and the performance of maternal and child health policies.

  1. Four moments from US foreign policy doctrine: Between theory and the practice?

    Directory of Open Access Journals (Sweden)

    Juan Tovar Ruiz

    2011-09-01

    Full Text Available Doctrines and strategies in international politics represent one of the most interesting elements for the discipline of international relations as a point of connection between theory and practice. An analysis of four of the great doctrines of US foreign policy (two of them realist, i.e those of Truman and Nixon, and two idealist, those of Clinton and Bush Jr and their historical development lead us to the conclusion that these doctrines are capable of changing reality and creating lasting instruments for applying to very different contexts, reaching even the present day (for example, containment, the domino theory and “Vietnamization”. We must bear in mind, however, the need for these doctrines to meet the criteria ofpragmatism and flexibility, prudence and self restriction, and for them to accept the institutional and moral limits of the societies on which they are established.

  2. Policy Scientificity 3.0: Theory and Policy Analysis in-and-for This World and Other-Worlds

    Science.gov (United States)

    Webb, P. Taylor; Gulson, Kalervo N.

    2015-01-01

    This paper examines the epistemologies and ontologies of education policy studies. Our aim is to posit a reinvigoration of policy studies to hedge against undue ossification and co-option of critical policy studies. We do so by arguing for the need to develop new concepts for policy studies using the "posts" (e.g., post-structuralism and…

  3. Corporate risk tolerance and capital allocation: A practical approach to implementing an exploration risk policy

    International Nuclear Information System (INIS)

    Walls, M.R.

    1995-01-01

    Petroleum exploration companies are confronted regularly with the issue of allocating scarce capital among a set of available exploration projects, which are generally characterized by a high degree of financial risk and uncertainty. Commonly used methods for evaluating alternative investments consider the amount and timing of the monetary flows associated with a project and ignore the firm's ability or willingness to assume the business risk of the project. The preference-theory approach combines the traditional means of project valuation, net present value (NPV) analysis, with a decision-science-based approach to risk management. This integrated model provides a means for exploration firms to measure and to manage the financial risks associated with petroleum exploration, consistent with the firm's desired risk policy

  4. [Implementation of Italian guidelines on public health genomics in Italy: a challenging policy of the NHS].

    Science.gov (United States)

    Boccia, Stefania; Federici, Antonio; Colotto, Marco; Villari, Paolo

    2014-01-01

    Genomics and related fields are becoming increasingly relevant in health care practice. Italy is the first European country that has a structured policy of Public Health Genomics. Nevertheless, what should be the role of genomics in a public health perspective and how public health professionals should engage with advances in genomics' knowledge and technology, is still not entirely clear. A description of the regulatory framework made-up by the Italian government in the last years is provided. In order to implement the national guidelines on Public Health Genomics published in 2013, key issues including the ethical, legal and social aspects within an evidence-based framework should be warranted and are herewith discussed. Genomics and predictive medicine are considered one of the main intervention areas by the National Prevention Plan 2010-2012, and dedicated guidelines were published in 2013. In order to implement such guidelines, we envisage a coordinated effort between stakeholders to guide development in genomic medicine, towards an impact on population health. There is also room to implement knowledge on how genomics can be integrated into health systems in an appropriate and sustainable way. Learning programs are needed to spread knowledge and awareness of genomics technology, in particular on genomic testing for complex diseases.

  5. Investigation into promotion/disincentive factors and proposal of support policy in implementation of risk assessment

    International Nuclear Information System (INIS)

    Nagasaka, Akihiko; Tomizawa, Norio

    2012-01-01

    The implementation of risk assessment (RA) has been mandated effort in business place of the type of industry that must elect a safe hygiene manager by the enforcement of the revised Occupational Safety and Health Act of April, 2006. However, it is guessed that some problems are still left unfinished in many business places to promote RA effectively. In this study, at first the authors investigated promotion factors and disincentive factors when implementing RA by literature survey. As the result, factors to show as follows were classified in some categories such as participation of the top, the organization which promotes RA, the use of the existing safety activity, matching of RA technique and work, etc. unlike conventional safety activity to learn from a disaster, infiltrating significance of RA to prevent a risk enough, letting a worker engaged in work participate in RA. Next, the authors performed the visit investigation for 8 business places and extracted a new promotion factors to show as follows. incorporating RA in usual duties, utilizing results of RA effectively. In reference to above promotion factors, the authors examined a policy to implement RA smoothly. (author)

  6. Understanding the dynamics of the Seguro Popular de Salud policy implementation in Mexico from a complex adaptive systems perspective.

    Science.gov (United States)

    Nigenda, Gustavo; González-Robledo, Luz María; Juárez-Ramírez, Clara; Adam, Taghreed

    2016-05-13

    In 2003, Mexico's Seguro Popular de Salud (SPS), was launched as an innovative financial mechanism implemented to channel new funds to provide health insurance to 50 million Mexicans and to reduce systemic financial inequities. The objective of this article is to understand the complexity and dynamics that contributed to the adaptation of the policy in the implementation stage, how these changes occurred, and why, from a complex and adaptive systems perspective. A complex adaptive systems (CAS) framework was used to carry out a secondary analysis of data obtained from four SPS's implementation evaluations. We first identified key actors, their roles, incentives and power, and their responses to the policy and guidelines. We then developed a causal loop diagram to disentangle the feedback dynamics associated with the modifications of the policy implementation which we then analyzed using a CAS perspective. Implementation variations were identified in seven core design features during the first 10 years of implementation period, and in each case, the SPS's central coordination introduced modifications in response to the reactions of the different actors. We identified several CAS phenomena associated with these changes including phase transitions, network emergence, resistance to change, history dependence, and feedback loops. Our findings generate valuable lessons to policy implementation processes, especially those involving a monetary component, where the emergence of coping mechanisms and other CAS phenomena inevitably lead to modifications of policies and their interpretation by those who implement them. These include the difficulty of implementing strategies that aim to pool funds through solidarity among beneficiaries where the rich support the poor when there are no incentives for the rich to do so. Also, how resistance to change and history dependence can pose significant challenges to implementing changes, where the local actors use their significant power

  7. Development, implementation, and verification of multicycle depletion perturbation theory for reactor burnup analysis

    Energy Technology Data Exchange (ETDEWEB)

    White, J.R.

    1980-08-01

    A generalized depletion perturbation formulation based on the quasi-static method for solving realistic multicycle reactor depletion problems is developed and implemented within the VENTURE/BURNER modular code system. The present development extends the original formulation derived by M.L. Williams to include nuclide discontinuities such as fuel shuffling and discharge. This theory is first described in detail with particular emphasis given to the similarity of the forward and adjoint quasi-static burnup equations. The specific algorithm and computational methods utilized to solve the adjoint problem within the newly developed DEPTH (Depletion Perturbation Theory) module are then briefly discussed. Finally, the main features and computational accuracy of this new method are illustrated through its application to several representative reactor depletion problems.

  8. Organizational Health Literacy: Review of Theories, Frameworks, Guides, and Implementation Issues.

    Science.gov (United States)

    Farmanova, Elina; Bonneville, Luc; Bouchard, Louise

    2018-01-01

    Organizational health literacy is described as an organization-wide effort to transform organization and delivery of care and services to make it easier for people to navigate, understand, and use information and services to take care of their health. Several health literacy guides have been developed to assist healthcare organizations with this effort, but their content has not been systematically reviewed to understand the scope and practical implications of this transformation. The objective of this study was to review (1) theories and frameworks that inform the concept of organizational health literacy, (2) the attributes of organizational health literacy as described in the guides, (3) the evidence for the effectiveness of the guides, and (4) the barriers and facilitators to implementing organizational health literacy. Drawing on a metanarrative review method, 48 publications were reviewed, of which 15 dealt with the theories and operational frameworks, 20 presented health literacy guides, and 13 addressed guided implementation of organizational health literacy. Seven theories and 9 operational frameworks have been identified. Six health literacy dimensions and 9 quality-improvement characteristics were reviewed for each health literacy guide. Evidence about the effectiveness of health literacy guides is limited at this time, but experiences with the guides were positive. Thirteen key barriers (conceived also as facilitators) were identified. Further development of organizational health literacy requires a strong and a clear connection between its vision and operationalization as an implementation strategy to patient-centered care. For many organizations, becoming health literate will require multiple, simultaneous, and radical changes. Organizational health literacy has to make sense from clinical and financial perspectives in order for organizations to embark on such transformative journey.

  9. Organizational Health Literacy: Review of Theories, Frameworks, Guides, and Implementation Issues

    Science.gov (United States)

    Bonneville, Luc; Bouchard, Louise

    2018-01-01

    Organizational health literacy is described as an organization-wide effort to transform organization and delivery of care and services to make it easier for people to navigate, understand, and use information and services to take care of their health. Several health literacy guides have been developed to assist healthcare organizations with this effort, but their content has not been systematically reviewed to understand the scope and practical implications of this transformation. The objective of this study was to review (1) theories and frameworks that inform the concept of organizational health literacy, (2) the attributes of organizational health literacy as described in the guides, (3) the evidence for the effectiveness of the guides, and (4) the barriers and facilitators to implementing organizational health literacy. Drawing on a metanarrative review method, 48 publications were reviewed, of which 15 dealt with the theories and operational frameworks, 20 presented health literacy guides, and 13 addressed guided implementation of organizational health literacy. Seven theories and 9 operational frameworks have been identified. Six health literacy dimensions and 9 quality-improvement characteristics were reviewed for each health literacy guide. Evidence about the effectiveness of health literacy guides is limited at this time, but experiences with the guides were positive. Thirteen key barriers (conceived also as facilitators) were identified. Further development of organizational health literacy requires a strong and a clear connection between its vision and operationalization as an implementation strategy to patient-centered care. For many organizations, becoming health literate will require multiple, simultaneous, and radical changes. Organizational health literacy has to make sense from clinical and financial perspectives in order for organizations to embark on such transformative journey. PMID:29569968

  10. Fading vision: knowledge translation in the implementation of a public health policy intervention.

    Science.gov (United States)

    Tomm-Bonde, Laura; Schreiber, Rita S; Allan, Diane E; MacDonald, Marjorie; Pauly, Bernie; Hancock, Trevor

    2013-06-04

    implement a collaborative, evidence-informed policy intervention, there were several barriers to the realization of the vision for core public health functions implementation, at least in the early stages. In neglecting the implementation process, it seems unlikely that the expected benefits of the public health renewal process will be realized.

  11. Difficulties implementing a mental health guideline: an exploratory investigation using psychological theory

    Directory of Open Access Journals (Sweden)

    Eccles Martin P

    2007-03-01

    Full Text Available Abstract Background Evaluations of interventions to improve implementation of guidelines have failed to produce a clear pattern of results favouring a particular method. While implementation depends on clinicians and managers changing a variety of behaviours, psychological theories of behaviour and behaviour change are seldom used to try to understand difficulties in implementation or to develop interventions to overcome them. Objectives This study applied psychological theory to examine explanations for difficulties in implementation. It used a theoretical framework derived from an interdisciplinary consensus exercise to code interviews across 11 theoretical domains. The focus of the study was a National Institute for Health and Clinical Excellence's Schizophrenia guideline recommendation that family intervention should be offered to the families of people with schizophrenia. Methods Participants were recruited from community mental health teams from three United Kingdom National Health Service (NHS Trusts; 20 members (social workers, nurses, team managers, psychologists, and psychiatrists participated. Semi-structured interviews were audio-taped and transcribed. Interview questions were based on the theoretical domains and addressed respondents' knowledge, attitudes and opinions regarding the guideline. Two researchers independently coded the transcript segments from each interview that were related to each theoretical domain. A score of 1 indicated that the transcript segments relating to the domain did not appear to contain description of difficulties in implementation of the family therapy guidelines; similarly a score of 0.5 indicated possible difficulties and a score of 0 indicated definite difficulties. Results Coding respondents' answers to questions related to the three domains 'beliefs about consequences,' 'social/professional role and identity,' and 'motivation' produced the three highest total scores indicating that factors relating

  12. Simulation and Hardware Implementation of Shunt Active Power Filter Based on Synchronous Reference Frame Theory

    Directory of Open Access Journals (Sweden)

    Karthikrjan Senthilnathan

    2018-02-01

    Full Text Available This paper describes about the Hybrid Shunt Active Power Filter (HSAPF for the elimination of the current harmonics in the line side of the three phase three wire systems. The Active Power Filter is based on the Voltage Source Converter (VSC topology. The control strategy for the converter is based on Synchronous Reference Frame (SRF theory. The compensation of harmonics is done by the APF which is connected in the shunt configuration to the system. The Shunt APF has the better compensation of current harmonics. The design and implementation of Shunt active power filter is done by MATLAB/Simulink. The real time implementation by using the ATMEGA 8 Microcontroller. The Simulation and Hardware results shows that the current harmonics are eliminated in the system

  13. Exciting: a full-potential all-electron package implementing density-functional theory and many-body perturbation theory.

    Science.gov (United States)

    Gulans, Andris; Kontur, Stefan; Meisenbichler, Christian; Nabok, Dmitrii; Pavone, Pasquale; Rigamonti, Santiago; Sagmeister, Stephan; Werner, Ute; Draxl, Claudia

    2014-09-10

    Linearized augmented planewave methods are known as the most precise numerical schemes for solving the Kohn-Sham equations of density-functional theory (DFT). In this review, we describe how this method is realized in the all-electron full-potential computer package, exciting. We emphasize the variety of different related basis sets, subsumed as (linearized) augmented planewave plus local orbital methods, discussing their pros and cons and we show that extremely high accuracy (microhartrees) can be achieved if the basis is chosen carefully. As the name of the code suggests, exciting is not restricted to ground-state calculations, but has a major focus on excited-state properties. It includes time-dependent DFT in the linear-response regime with various static and dynamical exchange-correlation kernels. These are preferably used to compute optical and electron-loss spectra for metals, molecules and semiconductors with weak electron-hole interactions. exciting makes use of many-body perturbation theory for charged and neutral excitations. To obtain the quasi-particle band structure, the GW approach is implemented in the single-shot approximation, known as G(0)W(0). Optical absorption spectra for valence and core excitations are handled by the solution of the Bethe-Salpeter equation, which allows for the description of strongly bound excitons. Besides these aspects concerning methodology, we demonstrate the broad range of possible applications by prototypical examples, comprising elastic properties, phonons, thermal-expansion coefficients, dielectric tensors and loss functions, magneto-optical Kerr effect, core-level spectra and more.

  14. Principles for Nearly Zero-energy Buildings. Paving the way for effective implementation of policy requirements

    Energy Technology Data Exchange (ETDEWEB)

    Boermans, T.; Hermelink, A.; Schimschar, S.; Groezinger, J.; Offermann, M. [Ecofys Germany, Berlin (Germany); Engelund Thomsen, K.; Rose, J.; Aggerholm, S.O. [Danish Building Research Institute SBi, Aalborg University, Hoersholm (Denmark)

    2011-11-15

    The overarching objective of this study is to contribute to a common and cross-national understanding on: an ambitious, clear definition and fast uptake of nearly Zero-Energy Buildings (nZEB) in all EU Member States; principles of sustainable, realistic nearly Zero-Energy Buildings, both new and existing; possible technical solutions and their implications for national building markets, buildings and market players. The study builds on existing concepts and building standards, analyses the main methodological challenges and their implications for the nZEB definition, and compiles a possible set of principles and assesses their impact on reference buildings. Subsequently the technological, financial and policy implications of these results are evaluated. Finally, the study concludes by providing an outlook on necessary further steps towards a successful implementation of nearly Zero-Energy Buildings.

  15. The application of theories of the policy process to obesity prevention: a systematic review and meta-synthesis.

    Science.gov (United States)

    Clarke, Brydie; Swinburn, Boyd; Sacks, Gary

    2016-10-13

    Theories of the policy process are recommended as tools to help explain both policy stasis and change. A systematic review of the application of such theoretical frameworks within the field of obesity prevention policy was conducted. A meta-synthesis was also undertaken to identify the key influences on policy decision-making. The review identified 17 studies of obesity prevention policy underpinned by political science theories. The majority of included studies were conducted in the United States (US), with significant heterogeneity in terms of policy level (e.g., national, state) studied, areas of focus, and methodologies used. Many of the included studies were methodologically limited, in regard to rigour and trustworthiness. Prominent themes identified included the role of groups and networks, political institutions, and political system characteristics, issue framing, the use of evidence, personal values and beliefs, prevailing political ideology, and timing. The limited application of political science theories indicates a need for future theoretically based research into the complexity of policy-making and multiple influences on obesity prevention policy processes.

  16. Implementation of decentralized power generation by biogas digester: Policy and perspective

    Directory of Open Access Journals (Sweden)

    Nirmalendunath Ghosh

    2015-04-01

    Full Text Available This paper aims to evolve innovative system for fast track implementation of decentralized power generation by biogas digester across the country commensurate with estimated potential of this energy resource. The methodology is based on the principle that necessity of a process or facility for human liveli hood generates demand of a new system if that is competitive enough to impress society by its value to meet the standard of usability economically and technically in all respect. Firstly, the study described a network of communication to propagate knowledge about the benefit, cost and operation of biogas digester to serve multiple purposes among policy makers and other stakeholders all over the country through distance mode programme and training of the human resources by simulating the process for training programme. Secondly, analysis by cause and effect method focused on major issues related to implementation of power generation by biogas that identified factors corresponding to the problems. Next the study attempt to focus on supply chain management for controlling those factors supported by administration with financial, technical facilities ensuring trouble free dynamic process from procurement of substrate through input to digester till delivery of electricity to the consumers. The study identified driving variables between resource centre and delivery stage of the supply chain that has influence on methane production related to power generation. The mathematical analysis reveal that optimum yield of biogas is independent of daily feed stock and improving methane fraction of biogas is possible by monitoring temperature and pH value within limited span of Hydraulic Retention period (HRT.The study observed by mathematical analysis that cost of power generation from biogas digester is dependent on the cost of substrate for biogas generation and the other fixed cost of the process. Bio gas digester cum power generation policy has been

  17. Policy Implementation Study on Spatial Planning for Environmental Conflict (Study Location: Rembang Regency)

    Science.gov (United States)

    Kusyuniadi, Indraya

    2018-02-01

    This study aims to see the impact and benefits as an outcome of a policy, where this policy is in the form of spatial planning (Regional Planning). As known RTRW is a product that can be regarded as "the book of development" in every region both in the provincial and regional levels. One of them is as a decision tool for investors (investors) in increasing local development investment, spatial planning (RTRW) is also expected to maintain the environment, in order to support the sustainability of regional development. In reality, there are still many conflicts of interest in the implementation process of regional development, especially between economic and environmental interests. Often the interests of regional sustainability are placed at a lower level (less priority) than investment / economy. Land conversion that is inconsistent with district / city spatial planning RTRW is relatively still occurring, especially for economic purposes. Lack of policy called spatial plan in this case RTRW Province and Regency in responding to existing condition in field. How can a product that is said to be "Scripture" a regional planning is powerless in fulfilling the space for investment in the form of industry, commercial, housing and so forth. There are several results that can be concluded in this study. Basically, the importance of the environment at least can be used as the basis or priority of the main decision makers above economic interests and other politic interests. The current Spatial Plan / RTRW document still holds a big question whether at the time of compilation it follows the norms and rules in a plan (data accuracy, through input process from the community).

  18. Contextual positive psychology: Policy recommendations for implementing positive psychology into schools.

    Directory of Open Access Journals (Sweden)

    Joseph Ciarrochi

    2016-10-01

    Full Text Available There has been a rapid growth in positive psychology, a research and intervention approach that focuses on promoting optimal functioning and well-being. Positive psychology interventions are now making their way into classrooms all over the world. However, positive psychology has been criticized for being decontextualized and coercive, and for putting an excessive emphasis on positive states, whilst failing to adequately consider negative experiences. Given this, how should policy be used to regulate and evaluate these interventions? We review evidence that suggests these criticisms may be valid, but only for those interventions that focus almost exclusively on changing the content of people’s inner experience (e.g., make it more positive and personality (improving character strength, and overemphasize the idea that inner experience causes action. We describe a contextualized form of positive psychology that not only deals with the criticisms, but also has clear policy implications for how to best implement and evaluate positive education programs so that they do not do more harm than good.

  19. Contextual Positive Psychology: Policy Recommendations for Implementing Positive Psychology into Schools.

    Science.gov (United States)

    Ciarrochi, Joseph; Atkins, Paul W B; Hayes, Louise L; Sahdra, Baljinder K; Parker, Philip

    2016-01-01

    There has been a rapid growth in positive psychology, a research and intervention approach that focuses on promoting optimal functioning and well-being. Positive psychology interventions are now making their way into classrooms all over the world. However, positive psychology has been criticized for being decontextualized and coercive, and for putting an excessive emphasis on positive states, whilst failing to adequately consider negative experiences. Given this, how should policy be used to regulate and evaluate these interventions? We review evidence that suggests these criticisms may be valid, but only for those interventions that focus almost exclusively on changing the content of people's inner experience (e.g., make it more positive) and personality (improving character strength), and overemphasize the idea that inner experience causes action. We describe a contextualized form of positive psychology that not only deals with the criticisms, but also has clear policy implications for how to best implement and evaluate positive education programs so that they do not do more harm than good.

  20. Challenges to successful implementation of HIV and AIDS-related health policies in Cartagena, Colombia.

    Science.gov (United States)

    Djellouli, Nehla; Quevedo-Gómez, María Cristina

    2015-05-01

    The Caribbean region presents the highest prevalence of HIV/AIDS worldwide after sub-Saharan Africa; leading to serious social, economic and health consequences at the local scale but also at the regional and global levels. In Colombia, a national plan to tackle the epidemic was formulated with little evidence that its implementation in the local context is effective. This study focused on Cartagena - one of Colombia's largest cities and an international touristic hub - that presents one of the highest HIV prevalences in the country, to investigate whether the national plan accounts for local specificities and what are the barriers to local implementation. Based on the Contextual Interaction Theory (CIT), this qualitative research relied upon 27 interviews and 13 life stories of local inhabitants and stakeholders, collected in a first fieldwork in 2006-2007. A follow-up data collection took place in 2013 with 10 participants: key policymakers and implementers, NGO representatives and local inhabitants. Barriers identified by the participants included: local population's understandings and beliefs on condom use; stigma and discrimination; lack of collaboration from the Church, the education sector and local politicians; corruption; high staff turnover; frequent changes in leadership; lack of economic and human resources; and barriers to health care access. The findings suggest that global influences also have an impact on the CIT framework (e.g. international organisations as a major financier in HIV prevention). The participants put forward several feasible solutions to implementation barriers. We discuss how several of the proposed solutions have been applied in other Latin American and Caribbean countries and yielded positive results. However, further research is needed to find possible ways of overcoming certain barriers identified by this study such as corruption, the lack of collaboration of the Church and barriers to health care access. Copyright © 2015