WorldWideScience

Sample records for public healthcare sector

  1. Unemployment, public-sector healthcare spending and stomach cancer mortality in the European Union, 1981-2009.

    Science.gov (United States)

    Maruthappu, Mahiben; Painter, Annabelle; Watkins, Johnathan; Williams, Callum; Ali, Raghib; Zeltner, Thomas; Faiz, Omar; Sheth, Hemant

    2014-11-01

    We sought to determine the association between changes in unemployment, healthcare spending and stomach cancer mortality. Multivariate regression analysis was used to assess how changes in unemployment and public-sector expenditure on healthcare (PSEH) varied with stomach cancer mortality in 25 member states of the European Union from 1981 to 2009. Country-specific differences in healthcare infrastructure and demographics were controlled for 1- to 5-year time-lag analyses and robustness checks were carried out. A 1% increase in unemployment was associated with a significant increase in stomach cancer mortality in both men and women [men: coefficient (R)=0.1080, 95% confidence interval (CI)=0.0470-0.1690, P=0.0006; women: R=0.0488, 95% CI=0.0168-0.0809, P=0.0029]. A 1% increase in PSEH was associated with a significant decrease in stomach cancer mortality (men: R=-0.0009, 95% CI=-0.0013 to -0.005, Punemployment or PSEH. Increases in unemployment are associated with a significant increase in stomach cancer mortality. Stomach cancer mortality is also affected by public-sector healthcare spending. Initiatives that bolster employment and maintain public-sector healthcare expenditure may help to minimize increases in stomach cancer mortality during economic downturns.

  2. Patients as healthcare consumers in the public and private sectors: a qualitative study of acupuncture in the UK

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    Coghlan Beverly

    2011-05-01

    Full Text Available Abstract Background The aim of this study was to compare patients' experiences of public and private sector healthcare, using acupuncture as an example. In the UK, acupuncture is popular with patients, is recommended in official guidelines for low back pain, and is available in both the private sector and the public sector (NHS. Consumerism was used as a theoretical framework to explore patients' experiences. Methods Semi-structured face-to-face interviews were conducted in 2007-8 with a purposive sample of 27 patients who had recently used acupuncture for painful conditions in the private sector and/or in the NHS. Inductive thematic analysis was used to develop themes that summarised the bulk of the data and provided insights into consumerism in NHS- and private practice-based acupuncture. Results Five main themes were identified: value for money and willingness to pay; free and fair access; individualised holistic care: feeling cared for; consequences of choice: empowerment and vulnerability; and "just added extras": physical environment. Patients who had received acupuncture in the private sector constructed detailed accounts of the benefits of private care. Patients who had not received acupuncture in the private sector expected minimal differences from NHS care, and those differences were seen as not integral to treatment. The private sector facilitated consumerist behaviour to a greater extent than did the NHS, but private consumers appeared to base their decisions on unreliable and incomplete information. Conclusions Patients used and experienced acupuncture differently in the NHS compared to the private sector. Eight different faces of consumerist behaviour were identified, but six were dominant: consumer as chooser, consumer as pragmatist, consumer as patient, consumer as earnest explorer, consumer as victim, and consumer as citizen. The decision to use acupuncture in either the private sector or the NHS was rarely well-informed: NHS

  3. Implementing chronic disease management in the public healthcare sector in Singapore: the role of hospitals.

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    Cheah, J; Heng, B H

    2001-01-01

    The public health care delivery system in Singapore faces the challenges of a rapidly ageing population, an increasing chronic disease burden, increasing healthcare cost, rising expectations and demand for better health services, and shortage of resources. It is also fragmented, resulting in duplication and lack of coordination between institutions. A disease management approach has been adopted by the National Healthcare Group (NHG) as a critical strategy to provide holistic, cost-effective, seamless and well-coordinated care across the continuum. The framework in the development of the disease management plan included identifying the diseases and defining the target population, organizing a multi-disciplinary team lead by a clinician champion, defining the core components, treatment protocols and evaluation methods, defining the goals, and measuring and managing the outcomes. As disease management and case management for chronic diseases are new approaches adopted in the healthcare delivery system, there is a lack of understanding by healthcare professionals. The leadership and participation of hospital physicians was sought in the planning, design and outcomes monitoring to ensure their 'buy-in' and the successful implementation and effectiveness of the program. The episodic diagnosis related group (DRG)-based framework of funding and subvention for healthcare, and the shortage of step-care care facilities, have been recognized by the Ministry of Health as an impediments to the implementation, and these are currently being addressed.

  4. Is healthcare a 'Necessity' or 'Luxury'? an empirical evidence from public and private sector analyses of South-East Asian countries?

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    Khan, Jahangir Am; Mahumud, Rashidul Alam

    2015-01-01

    South-East Asian Regional (SEAR) countries range from low- to middle-income countries and have considerable differences in mix of public and private sector expenditure on health. This study intends to estimate the income-elasticities of healthcare expenditure in public and private sectors separately for investigating whether healthcare is a 'necessity' or 'luxury' for citizens of these countries. Panel data from 9 SEAR countries over 16 years (1995-2010) were employed. Fixed- and random-effect models were fitted to estimate income-elasticity of public, private and total healthcare expenditure. Results showed that one percent point increase in GDP per capita increased private expenditure on healthcare by 1.128%, while public expenditure increased by only 0.412%. Inclusion of three-year lagged variables of GDP per capita in the models did not have remarkable influence on the findings. The citizens of SEAR countries consider healthcare as a necessity while provided through public sector and a luxury when delivered by private sector. By increasing the public provisions of healthcare, more redistribution of healthcare resources can be ensured, which can accelerate the journey of SEAR countries towards universal health coverage.

  5. The fourth mission of hospitals and the role of researchers as innovation drivers in the public healthcare sector

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    Rey-Rocha, Jesús

    2014-03-01

    Full Text Available This article explores the role of researchers as innovation drivers in the public healthcare sector. The Triple Helix model is proposed for the analysis of the role of public hospitals in innovation processes. We discuss the role of public hospitals in innovation and in economic and social development, and identify this role as a ‘fourth mission’ of hospitals in addition to their widely recognized threefold function of healthcare provision, education and research. We discuss the evolution of hospital administration from healthcare towards the ‘entrepreneurial hospital’ model. More specifically, we investigate the extent to which the incorporation of full-time researchers can help to foster innovation at research and healthcare centres affiliated with the Spanish National Health System. Data were obtained through a survey of researchers, research group leaders and heads of departments and centres where these researchers worked, as well as through content analysis of researchers’ annual reports.Se estudia el papel de los investigadores como promotores de la innovación en el sector sanitario público. Se propone el modelo de la Triple Hélice para el estudio del papel de los hospitales en los procesos de innovación. Se identifica la innovación y la contribución al desarrollo económico y social como la ‘cuarta misión’ de los hospitales públicos, adicional a su triple misión asistencial, docente e investigadora. Este enfoque aboga por una evolución desde el modelo asistencial tradicional hacia el modelo del ‘hospital emprendedor’. A través del Programa FIS/Miguel Servet, se investiga en qué medida la incorporación de investigadores contribuye a fomentar la innovación en los centros del Sistema Nacional de Salud español. Los datos proceden de sendas encuestas a los investigadores y a los responsables de los grupos y de los distintos departamentos y centros a los que éstos se incorporaron, así como del análisis de

  6. Unemployment, public-sector health-care spending and breast cancer mortality in the European Union: 1990-2009.

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    Maruthappu, Mahiben; Watkins, Johnathan A; Waqar, Mueez; Williams, Callum; Ali, Raghib; Atun, Rifat; Faiz, Omar; Zeltner, Thomas

    2015-04-01

    The global economic crisis has been associated with increased unemployment, reduced health-care spending and adverse health outcomes. Insights into the impact of economic variations on cancer mortality, however, remain limited. We used multivariate regression analysis to assess how changes in unemployment and public-sector expenditure on health care (PSEH) varied with female breast cancer mortality in the 27 European Union member states from 1990 to 2009. We then determined how the association with unemployment was modified by PSEH. Country-specific differences in infrastructure and demographic structure were controlled for, and 1-, 3-, 5- and 10-year lag analyses were conducted. Several robustness checks were also implemented. Unemployment was associated with an increase in breast cancer mortality [P unemployment rises (P unemployment and breast cancer mortality remained in all robustness checks. Rises in unemployment are associated with significant short- and long-term increases in breast cancer mortality, while increases in PSEH are associated with reductions in breast cancer mortality. Initiatives that bolster employment and maintain total health-care expenditure may help minimize increases in breast cancer mortality during economic crises. © The Author 2014. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  7. Sourcing Strategy and Supply Chain Risk Management in the Healthcare Sector: A Case Study of Malawi¡¯s Public Healthcare Delivery Supply Chain

    OpenAIRE

    Kizito Elijah Kanyoma; James Kamwachale Khomba; Eric James Sankhulani; Rabiya Hanif

    2013-01-01

    The study primarily investigated the role of single sourcing strategy in either exacerbating or mitigating persistent supply failure in Malawi¡¯s public healthcare delivery supply chain. It also investigated the role of the single supplier in recurrent drug stockouts in the country¡¯s public hospitals. The study was conducted at five public healthcare delivery centres in southern Malawi. Data was collected using two sets of self administered questionnaires to, hospital managers and procuremen...

  8. TQM implementation for the healthcare sector.

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    Chiarini, Andrea; Vagnoni, Emidia

    2017-07-03

    Purpose The purpose of this paper is to enlarge the debate on total quality management (TQM) implementation in the healthcare sector and to evaluate how and whether leadership can affect TQM implementation. Design/methodology/approach This paper is based on findings from a literature review of TQM and leadership. The authors analysed these findings to categorise causes of a lack of leadership in TQM programme implementations. Findings The authors propose three categories of causes of a lack of leadership in TQM programme implementation. The first cause is well-known: a lack of senior managers' involvement and commitment. The second category is the "combined leadership" that occurs in large healthcare organisations; and the third category is the influence of an external "political leadership" on public healthcare. Research limitations/implications This paper presents researchers with three categories of causes of failure of leadership in TQM implementation that can be investigated. It also encourages reflections from practitioners concerning TQM leadership in the healthcare sector. Practical implications The authors request that practitioners reflect on ways to create or sustain a "monolithic" leadership, especially in large organisations, to ensure a common vision, values and attitude for unitary TQM governance. Originality/value In an original way, this paper analyses and proposes three categories of causes linked to a lack of TQM leadership in the healthcare sector.

  9. Improving the effectiveness of service delivery in the public healthcare sector: the case of ophthalmology services in Malaysia.

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    Foo, Chee Yoong; Lim, Ka Keat; Sivasampu, Sheamini; Dahian, Kamilah Binti; Goh, Pik Pin

    2015-08-28

    Rising demand of ophthalmology care is increasingly straining Malaysia's public healthcare sector due to its limited human and financial resources. Improving the effectiveness of ophthalmology service delivery can promote national policy goals of population health improvement and system sustainability. This study examined the performance variation of public ophthalmology service in Malaysia, estimated the potential output gain and investigated several factors that might explain the differential performance. Data for 2011 and 2012 on 36 ophthalmology centres operating in the Ministry of Health hospitals were used in this analysis. We first consulted a panel of ophthalmology service managers to understand the production of ophthalmology services and to verify the production model. We then assessed the relative performance of these centres using Data Envelopment Analysis (DEA). Efficiency scores (ES) were decomposed into technical, scale, and congestion component. Potential increase in service output was estimated. Sensitivity analysis of model changes was performed and stability of the result was assessed using bootstrap approach. Second stage Tobit regression was conducted to determine if hospital type, availability of day services and population characteristics were related to the DEA scores. In 2011, 33% of the ophthalmology centres were found to have ES > 1 (mean ES = 1.10). Potential output gains were 10% (SE ± 2.92), 7.4% (SE ± 2.06), 6.9% (SE ± 1.97) if the centres could overcome their technical, scale and congestion inefficiencies. More centres moved to the performance frontier in 2012 (mean ES = 1.07), with lower potential output gain. The model used has good stability. Robustness checks show that the DEA correctly identified low performing centres. Being in state hospital was significantly associated with better performance. Using DEA to benchmarking service performance of ophthalmology care could provide insights for policy

  10. Public Sector Expatriate Managers:

    DEFF Research Database (Denmark)

    Fenner, Charles, R., Jr.; Selmer, Jan

    2008-01-01

    Although public sector expatriates are becoming increasingly common, research on them is very limited. There is reason to believe that the situation for expatriates from the public sector may be different than for those from the private sector. This study investigated U.S. Department of Defense a...

  11. PUBLIC FINANCING OF HEALTHCARE SERVICES

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    Agnieszka Bem

    2013-10-01

    Full Text Available Healthcare in Poland is mainly financed by public sector entities, among them the National Health Fund (NFZ, state budget and local government budgets. The task of the National Health Fund, as the main payer in the system, is chiefly currently financing the services. The state budget plays a complementary role in the system, and finances selected groups of services, health insurance premiums and investments in healthcare infrastructure. The basic role of the local governments is to ensure access to the services, mostly by performing ownership functions towards healthcare institutions.

  12. Transferability of Industrial Engineering Methods to the Healthcare Sector

    DEFF Research Database (Denmark)

    Edwards, Kasper; Nielsen, Anders Paarup; Hasle, Peter

    . With no hope of getting substantial more resources healthcare managers and politicians has begun to look for alternative modes of organization. In doing so the healthcare sector is being exposed to industrial rationalization principles such as lean manufacturing. The question is whether lean opens...... for discussing the implications of transferring such industrial engineering methods to the healthcare sector. The conclusion of the review suggest that is possible to use lean as an inspiration for improvements of both efficiency, quality and working conditions provided diligent consideration of the particulars......The Danish public healthcare sector is like other healthcare systems under pressure to deliver more and better services. The sector is especially facing three challenges: Firstly, they must increase their efficiency in order to free capacity and support budget reductions. Secondly, they must...

  13. Transferability of Industrial Engineering Methods to the Healthcare Sector

    DEFF Research Database (Denmark)

    Edwards, Kasper; Nielsen, Anders P.; Hasle, Peter

    2011-01-01

    . With no hope of getting substantial more resources healthcare managers and politicians has begun to look for alternative modes of organization. In doing so the healthcare sector is being exposed to industrial rationalization principles such as lean manufacturing. The question is whether lean opens...... for discussing the implications of transferring such industrial engineering methods to the healthcare sector. The conclusion of the review suggest that is possible to use lean as an inspiration for improvements of both efficiency, quality and working conditions provided diligent consideration of the particulars......The Danish public healthcare sector is like other healthcare systems under pressure to deliver more and better services. The sector is especially facing three challenges: Firstly, they must increase their efficiency in order to free capacity and support budget reductions. Secondly, they must...

  14. The role of criminal law within the healthcare sector.

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    Alhafaji, Yasmin

    2012-12-01

    Health is for most of us the most precious thing one can have. However, in practice situations occur where the patient is harmed within the healthcare institution. Traditionally, there are several ways to protect individuals in society: with civil, criminal and administrative procedures. Over the years in the Netherlands complaints procedures were established in which the complaints about healthcare providers' performance can be handled. Recently, there are some developments within the criminal law that concern the healthcare sector. Examples are: the establishment of the Public Prosecution Service's Expertise Center on Medical Matters, appointments of medical prosecutors. In addition, in legal literature suggestions are made that criminal law is nowadays applied in order to provide redress to the patients (relatives) and as a 'safety tool' that is to ensure security and to counter the risks within the healthcare sector. The article discusses the role of criminal law within the healthcare sector, and in particular, whether criminal procedure is suitable for handling complaints about healthcare.

  15. Public sector innovation

    DEFF Research Database (Denmark)

    Wegener, Charlotte

    2012-01-01

    This paper explores the value dimension of public innovation in the light of practitioners’ values and asks why there seems to be a clash between innovation imperatives and workplace practices in the public sector. The paper contributes to the research on public innovation from a practice...... perspective by providing evidence from an ethnographic field study on innovation in social and health care studies in Denmark. These studies are part of the vocational education and training (VET) system, which combines coursework at a college and internship in the elder care sector. The study is thus cross...

  16. Extrinsic and intrinsic factors impacting on the retention of older rural healthcare workers in the north Victorian public sector: a qualitative study.

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    Warburton, Jeni; Moore, Melissa L; Clune, Samantha J; Hodgkin, Suzanne P

    2014-01-01

    Workforce shortages in Australia's healthcare system, particularly across rural areas, are well documented. Future projections suggest that as the healthcare workforce ages and retires, there is an urgent need for strategies to retain older skilled employees. Very few qualitative studies, with theoretical underpinning, have focused on the retention of older rural nurses and allied healthcare workers. This study aimed to address these gaps in research knowledge. This qualitative study is phase 2 of a large mixed-methods study to determine the factors that impact on the retention of older rural healthcare workers across northern Victoria, Australia. The initial phase, drawing on the effort-reward imbalance model found high levels of imbalance across a large sample of this population. The present study builds on these findings to explore in more depth the organisational (extrinsic) and individual/social (intrinsic) factors associated with retention. A purposeful stratified sample was drawn from participants at the survey phase (phase 1) and invited to take part in a semistructured telephone interview. A diverse group of 17 rural healthcare workers (nurses and allied health) aged 55 years or more, employed in the north Victorian public sector, were interviewed. The data were transcribed and later analysed thematically and inductively. Data were categorised into extrinsic and intrinsic factors that influenced their decisions to remain in their roles or leave employment. The main extrinsic factors included feeling valued by the organisation, workload pressures, feeling valued by clients, collegial support, work flexibility, and a lack of options. The main intrinsic factors included intention to retire, family influences, work enjoyment, financial influences, health, sense of self, and social input. Given the noted imbalance between (high) effort and (low) reward among participants overall, strategies were identified for improving this balance, and in turn, the retention

  17. Public sector innovation

    DEFF Research Database (Denmark)

    Wegener, Charlotte

    2012-01-01

    This paper explores the value dimension of public innovation in the light of practitioners’ values and asks why there seems to be a clash between innovation imperatives and workplace practices in the public sector. The paper contributes to the research on public innovation from a practice...... initiate innovations grounded in their values. The main point put forward is that the value dimension of public innovation must be understood not only in terms of value creation (economic or non-economic), which frontline practitioners are required to contribute to, but also as value-based practices...

  18. The Management of Long-Term Sickness Absence in Large Public Sector Healthcare Organisations: A Realist Evaluation Using Mixed Methods.

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    Higgins, Angela; O'Halloran, Peter; Porter, Sam

    2015-09-01

    The success of measures to reduce long-term sickness absence (LTSA) in public sector organisations is contingent on organisational context. This realist evaluation investigates how interventions interact with context to influence successful management of LTSA. Multi-method case study in three Health and Social Care Trusts in Northern Ireland comprising realist literature review, semi-structured interviews (61 participants), Process-Mapping and feedback meetings (59 participants), observation of training, analysis of documents. Important activities included early intervention; workplace-based occupational rehabilitation; robust sickness absence policies with clear trigger points for action. Used appropriately, in a context of good interpersonal and interdepartmental communication and shared goals, these are able to increase the motivation of staff to return to work. Line managers are encouraged to take a proactive approach when senior managers provide support and accountability. Hindering factors: delayed intervention; inconsistent implementation of policy and procedure; lack of resources; organisational complexity; stakeholders misunderstanding each other's goals and motives. Different mechanisms have the potential to encourage common motivations for earlier return from LTSA, such as employees feeling that they have the support of their line manager to return to work and having the confidence to do so. Line managers' proactively engage when they have confidence in the support of seniors and in their own ability to address LTSA. Fostering these motivations calls for a thoughtful, diagnostic process, taking into account the contextual factors (and whether they can be modified) and considering how a given intervention can be used to trigger the appropriate mechanisms.

  19. Open Business Model Innovation in Healthcare Sector

    DEFF Research Database (Denmark)

    Lindgren, Peter; Rasmussen, Ole Horn; Poulsen, Helle;

    2012-01-01

    by Chesbrough’s work on OBMI but also Michael Porters work on healthcare sector (Porter 2010) and shared values (Porter 2011). The study includes four European Hospitals (University Hospital Oslo, HSDJ Barcelona, University Hospital Aarhus and University Hospital Aalborg). Data is supplemented with experience...

  20. Open Business Model Innovation in Healthcare Sector

    DEFF Research Database (Denmark)

    Lindgren, Peter; Rasmussen, Ole Horn; Poulsen, Helle

    2012-01-01

    by Chesbrough’s work on OBMI but also Michael Porters work on healthcare sector (Porter 2010) and shared values (Porter 2011). The study includes four European Hospitals (University Hospital Oslo, HSDJ Barcelona, University Hospital Aarhus and University Hospital Aalborg). Data is supplemented with experience...

  1. Employment in the Public Sector.

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    Organisation for Economic Cooperation and Development, Paris (France).

    This report synthesizes the findings from several areas of work undertaken to assess what impact public sector employment has had on both the level and structure of employment. It also examines the impact of the public sector as employer on the labor market from two viewpoints: the level and share of public sector employment and the structure of…

  2. Public Sector IS Maturity Models

    DEFF Research Database (Denmark)

    Zinner Henriksen, Helle; Andersen, Kim Normann; Medaglia, Rony

    2011-01-01

    citizenpublic interaction, such as in public education. In this paper we use a revised version of the Public Sector Process Rebuilding (PPR) maturity model for mapping 200 websites of public primary schools in Denmark. Findings reveal a much less favorable picture of the digitization of the Danish public sector...

  3. A Model for Good Governance of Healthcare Technology Management in the Public Sector: Learning from Evidence-Informed Policy Development and Implementation in Benin

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    Houngbo, P. Th.; Zweekhorst, M.; De Cock Buning, Tj.; Medenou, D.; Bunders, J. F. G.

    2017-01-01

    Good governance (GG) is an important concept that has evolved as a set of normative principles for low- and middle-income countries (LMICs) to strengthen the functional capacity of their public bodies, and as a conditional prerequisite to receive donor funding. Although much is written on good governance, very little is known on how to implement it. This paper documents the process of developing a strategy to implement a GG model for Health Technology Management (HTM) in the public health sector, based on lessons learned from twenty years of experience in policy development and implementation in Benin. The model comprises six phases: (i) preparatory analysis, assessing the effects of previous policies and characterizing the HTM system; (ii) stakeholder identification and problem analysis, making explicit the perceptions of problems by a diverse range of actors, and assessing their ability to solve these problems; (iii) shared analysis and visioning, delineating the root causes of problems and hypothesizing solutions; (iv) development of policy instruments for pilot testing, based on quick-win solutions to understand the system’s responses to change; (v) policy development and validation, translating the consensus solutions identified by stakeholders into a policy; and (vi) policy implementation and evaluation, implementing the policy through a cycle of planning, action, observation and reflection. The policy development process can be characterized as bottom-up, with a central focus on the participation of diverse stakeholders groups. Interactive and analytical tools of action research were used to integrate knowledge amongst actor groups, identify consensus solutions and develop the policy in a way that satisfies criteria of GG. This model could be useful for other LMICs where resources are constrained and the majority of healthcare technologies are imported. PMID:28056098

  4. A Model for Good Governance of Healthcare Technology Management in the Public Sector: Learning from Evidence-Informed Policy Development and Implementation in Benin.

    Science.gov (United States)

    Houngbo, P Th; Coleman, H L S; Zweekhorst, M; De Cock Buning, Tj; Medenou, D; Bunders, J F G

    2017-01-01

    Good governance (GG) is an important concept that has evolved as a set of normative principles for low- and middle-income countries (LMICs) to strengthen the functional capacity of their public bodies, and as a conditional prerequisite to receive donor funding. Although much is written on good governance, very little is known on how to implement it. This paper documents the process of developing a strategy to implement a GG model for Health Technology Management (HTM) in the public health sector, based on lessons learned from twenty years of experience in policy development and implementation in Benin. The model comprises six phases: (i) preparatory analysis, assessing the effects of previous policies and characterizing the HTM system; (ii) stakeholder identification and problem analysis, making explicit the perceptions of problems by a diverse range of actors, and assessing their ability to solve these problems; (iii) shared analysis and visioning, delineating the root causes of problems and hypothesizing solutions; (iv) development of policy instruments for pilot testing, based on quick-win solutions to understand the system's responses to change; (v) policy development and validation, translating the consensus solutions identified by stakeholders into a policy; and (vi) policy implementation and evaluation, implementing the policy through a cycle of planning, action, observation and reflection. The policy development process can be characterized as bottom-up, with a central focus on the participation of diverse stakeholders groups. Interactive and analytical tools of action research were used to integrate knowledge amongst actor groups, identify consensus solutions and develop the policy in a way that satisfies criteria of GG. This model could be useful for other LMICs where resources are constrained and the majority of healthcare technologies are imported.

  5. TRUSTED CLOUD COMPUTING FRAMEWORK FOR HEALTHCARE SECTOR

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    Mervat Adib Bamiah

    2014-01-01

    Full Text Available Cloud computing is rapidly evolving due to its efficient characteristics such as cost-effectiveness, availability and elasticity. Healthcare organizations and consumers lose control when they outsource their sensitive data and computing resources to a third party Cloud Service Provider (CSP, which may raise security and privacy concerns related to data loss and misuse appealing threats. Lack of consumers’ knowledge about their data storage location may lead to violating rules and regulations of Health Insurance Portability and Accountability Act (HIPAA that can cost them huge penalty. Fear of data breach by internal or external hackers may decrease consumers’ trust in adopting cloud computing and benefiting from its promising features. We designed a Healthcare Trusted Cloud Computing (HTCC framework that maintains security, privacy and considers HIPAA regulations. HTCC framework deploys Trusted Computing Group (TCG technologies such as Trusted Platform Module (TPM, Trusted Software Stack (TSS, virtual Trusted Platform Module (vTPM, Trusted Network Connect (TNC and Self Encrypting Drives (SEDs. We emphasize on using strong multi-factor authentication access control mechanisms and strict security controls, as well as encryption for data at storage, in-transit and while process. We contributed in customizing a cloud Service Level Agreement (SLA by considering healthcare requirements. HTCC was evaluated by comparing with previous researchers’ work and conducting survey from experts. Results were satisfactory and showed acceptance of the framework. We aim that our proposed framework will assist in optimizing trust on cloud computing to be adopted in healthcare sector.

  6. EDI in the Public Sector

    DEFF Research Database (Denmark)

    Falch, Morten

    1998-01-01

    Introduction of EDI in the public administration is apriority for the Danish Government. EDI is both seen as a catlyst for development towards an information society ans as a means for more efficient use of scarce resources. EDI in the banking sector and the retail sector is reviewed, drivers...... and barriers discussed nad Danish public policy initiatieves assessed....

  7. Health sector reforms for 21 st century healthcare

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    Darshan Shankar

    2015-01-01

    Full Text Available The form of the public health system in India is a three tiered pyramid-like structure consisting primary, secondary, and tertiary healthcare services. The content of India′s health system is mono-cultural and based on western bio-medicine. Authors discuss need for health sector reforms in the wake of the fact that despite huge investment, the public health system is not delivering. Today, 70% of the population pays out of pocket for even primary healthcare. Innovation is the need of the hour. The Indian government has recognized eight systems of healthcare viz., Allopathy, Ayurveda, Siddha, Swa-rigpa, Unani, Naturopathy, Homeopathy, and Yoga. Allopathy receives 97% of the national health budget, and 3% is divided amongst the remaining seven systems. At present, skewed funding and poor integration denies the public of advantage of synergy and innovations arising out of the richness of India′s Medical Heritage. Health seeking behavior studies reveal that 40-70% of the population exercise pluralistic choices and seek health services for different needs, from different systems. For emergency and surgery, Allopathy is the first choice but for chronic and common ailments and for prevention and wellness help from the other seven systems is sought. Integrative healthcare appears to be the future framework for healthcare in the 21 st century. A long-term strategy involving radical changes in medical education, research, clinical practice, public health and the legal and regulatory framework is needed, to innovate India′s public health system and make it both integrative and participatory. India can be a world leader in the new emerging field of "integrative healthcare" because we have over the last century or so assimilated and achieved a reasonable degree of competence in bio-medical and life sciences and we possess an incredibly rich and varied medical heritage of our own.

  8. Trends in Public Sector Arbitration.

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    Graham, Harry; Wallace, Virginia

    1982-01-01

    Presents developments in grievance arbitration in government employment by examining all public sector arbitration cases from 1971 through 1979. Predicts that issues of employee discipline and discharge will comprise the largest number of cases proceeding to arbitration. (Author/MLF)

  9. Public Sector and Europeanization Challenges

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    Lucica Matei

    2006-04-01

    Full Text Available The paper emphasises the role of the market-type mechanisms within the activity of the organisations from the public sector. The end of the 20th century was defined by the effects of the public sector reform. The public sector is placed within the cultural and political environment of each country and the reforms have aimed to redefine the structures of the state organisations in the economy and the relationships such as market-government, government-bureaucracy, government- citizens, bureaucracy-citizens, civil servants-politicians-citizens. The public sector reform, achieved at the managerial systems, organisational structures and regulations levels is accompanied by specific and structural reforms. Accepting the market-type mechanisms instead of bureaucratic mechanisms, meaning not the simple provision of public services but the creation of some governmental “actors”, functioning completely on commercial bases, supporting the development of the partnerships between the public and private sector, introducing privatisation is achieved in view of creating “the facilitating state”. We discuss about “facilities” such as citizens and society involvement in public businesses, making public administration more citizen-friendly and the state closer to the public need. The citizens’ involvement, as customers in the flow of the public service contributes to creating an organic ensemble characterised by two fundamental dimensions: level and type of influence of the customers and the private-public dichotomy. Synthesising, the relationships and market mechanisms enable to the public sector to get closer to the public needs and to create a modern administration based on efficiency, effectiveness and openness towards change.

  10. Accounting System in Croatian Public Healthcare Organizations: an Empirical Analysis

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    Davor VAŠIČEK

    2010-06-01

    Full Text Available In considering the adequacy of adopting accruals and IPSASs, this paper tests the appropriateness of existing modified accrual accounting and financial reporting system in Croatian public healthcare sector. The paper indicates that accounting information system contains discrepancies and constraints in assuring true and fair view of organization’s financial position and performance. Our statistics confirms low level of cost and managerial accounting methods development, and external and internal financial reporting convergence.Having in mind its specificities, we argue that Croatian public healthcare sector represents a segmental accounting subsystem within the integral public sector accounting framework, where accruals implementation might prove justifiable.

  11. Public Sector and Europeanization Challenges

    Directory of Open Access Journals (Sweden)

    Lucica Matei

    2006-02-01

    Accepting the market-type mechanisms instead of bureaucratic mechanisms, meaning not the simple provision of public services but the creation of some governmental “actors”, functioning completely on commercial bases, supporting the development of the partnerships between the public and private sector, introducing privatisation is achieved in view of creating “the facilitating state”. We discuss about “facilities” such as citizens and society involvement in public businesses, making public administration more citizen-friendly and the state closer to the public need. The citizens’ involvement, as customers in the flow of the public service contributes to creating an organic ensemble characterised by two fundamental dimensions: level and type of influence of the customers and the private-public dichotomy. Synthesising, the relationships and market mechanisms enable to the public sector to get closer to the public needs and to create a modern administration based on efficiency, effectiveness and openness towards change.

  12. Transferability of Industrial Engineering Methods to the Healthcare Sector

    DEFF Research Database (Denmark)

    Edwards, Kasper; Nielsen, Anders P.; Hasle, Peter

    2011-01-01

    increase responsiveness of the health care organizations in order to provide patients with rapid diagnostics and treatment. Finally, the quality levels of care and treatment must also be raised. Difficulties in meeting these challenges often result in public critism and stressed health care workers...... possibilities for higher efficiency and quality or it just reinforces stress. This question has been studied in three Danish cases in surgery, oncology and home-nurse care, and the results from these case studies are used for a review the use of lean in healthcare. The cases further serve as a basis...... for discussing the implications of transferring such industrial engineering methods to the healthcare sector. The conclusion of the review suggest that is possible to use lean as an inspiration for improvements of both efficiency, quality and working conditions provided diligent consideration of the particulars...

  13. Comorbidities of HIV infection and health care seeking behavior among HIV infected patients attending public sector healthcare facilities in KwaZulu-Natal: A cross sectional study

    Science.gov (United States)

    Nlooto, Manimbulu

    2017-01-01

    Background HIV-infected people may present with co-infections, comorbidities, and side effects associated with antiretroviral therapy. This study explored the prevalence of comorbid health problems and determined the extent of the use of traditional medicine for treatment of co-infections, comorbidities of HIV infection and side effects. Methods A cross sectional study, using researcher-administered questionnaires, was carried out among HIV-infected patients in eight public sector healthcare facilities in KwaZulu-Natal between April and October 1024. Self-reports of comorbidities, co-infections and side effects were analyzed with respect to factors such as age, gender, race, and health care seeking behavior including the use of traditional medicine. Cross-tabulations were conducted to test the association between factors and the use of traditional medicine, using Pearson chi-squared (χ2) test. Simple and multiple logistic regression models tested the association of the use of traditional medicine with age, gender, race, side effects and comorbidities. Odds ratios with 95% confidence intervals were estimated. Missing values were handled, defined and treated as missing values in the final analysis. Results Overall, 29.5% (n = 516) of the survey participants reported having other comorbidities and or co-infections besides their HIV condition. Same participants reported two or more comorbidities. Almost forty percent of participants (208/531, 39.17%) reported having hypertension as the most noninfectious comorbidity while 21.65% of participants (115/531) had tuberculosis accounting for the most infectious comorbidity. Almost eight percent of participants (142/1748, 8.12%) reported using traditional medicine after starting with cART. Sixty out of 142 participants (60/142, 42.25%) on cART resorted to the use of traditional medicine for the management of comorbidities and or co-infections of their HIV infection. Overall, 311 out of 1748 participants (17.80%) complained

  14. Introduction of EDI in the public sector

    DEFF Research Database (Denmark)

    Falch, Morten

    1997-01-01

    Reviews the status of EDI in the sectors of health, public transport and taxation and public administration. The impact of this on the diffusion of EDI in other sectors is analysed.......Reviews the status of EDI in the sectors of health, public transport and taxation and public administration. The impact of this on the diffusion of EDI in other sectors is analysed....

  15. Public Relations in the Public Sector

    DEFF Research Database (Denmark)

    Valentini, Chiara

    2013-01-01

    of the Excellence Project in Public Relations and thus applies a research instrument similar to that used in other international scholarly investigations in public relations. The population comprises civil servants working in information and communication activities for Italian public administrations. Findings...... relations. Research limitations: Due to a lack of information on the exact number of public communication officers working in the Italian public administration and a too small number of respondents in one of the respondent groups, it is not possible to draw inferences or general conclusions from...... the findings. The study also suffers from the limits of a quantitative research approach, which provides less elaborate accounts of public communication officers’ perceptions of the strategic role of communication in the public sector. Originality/value of paper: This study contributes to the existing...

  16. The power of r - pharmaceutical sales decomposition in Cyprus public healthcare sector and determinants of drug expenditure evolution: any lessons learned?

    Science.gov (United States)

    Petrou, Panagiotis

    2014-04-01

    The pharmaceutical sector has been established as the primary cost driver in health. The scope of this paper is to explore the drivers of pharmaceutical expenditure in Cyprus by decomposing sales and assessing impact of prices, volumes and substitution effect. We used a statistical approach to decompose the growth of public pharmaceutical expenditure during 2005-2011 into three elements: 1) substitution effect; 2) price effect; and 3) increase of consumption. We further decomposed consumption into: 1) prescription/visits; 2) visits/beneficiaries; and 3) beneficiaries. Pharmaceutical expenditure grew by 31.4 % and volume of medicines dispensed increased by 55%. Prices declined by 11% and product-mix residual was -5.5%, indicating that Cyprus experienced a switch to cheaper medicines (generics) without compromising access of patients to innovative medicines. This was enhanced by guidelines, monitoring of prescribing behavior, generic substitution and efficient tendering. The increasing number of products per prescriptions should be monitored with caution.

  17. Comparing public and private sector switchers

    DEFF Research Database (Denmark)

    Frederiksen, Anders; Hansen, Jesper Rosenberg; Bozeman, Barry

    are related to sector switching and the pattern of sector switch, public to private versus private to public. We propose a life stage model arguing that people's needs change in different life stages of their lives. We further suggest that this can help explain why they switch sector. We use unique Danish...... labor market data that include information on all employees in Denmark (both private and public sector). The data are for the period 1980 to 2006, and this longitudinal database includes abundant information about job changes, including sector switching. Our findings indicate mixed support....... Finally, we find that people with more education are likely to switch from private to public sector....

  18. AGENCY PROBLEMS IN PUBLIC SECTOR

    Directory of Open Access Journals (Sweden)

    Gyorgy Attila

    2012-07-01

    Full Text Available Agency theory analyses the effects of contractual behaviour between two parties: principal(s and agent(s. This relation is inevitably characterized by information asymmetry because agent holds a substantially larger volume of information than the principal. Due the negative effects of information asymmetry for the principal, this should cover supplementary costs with monitoring agents and/or grant incentives. The first objective of this paper is to emphasize the effects of information asymmetry, particularly on adverse selection and moral hazard. The second objective is to evaluate the negative effects of information asymmetry and to assess the viability of solutions proposed by scholars for mitigation. The third objective is linked with personal contribution, respectively to highlight specificity of agency theory in public sector and the mechanisms of action in this particular field. In this paper, literature is mainly based on scholars’ contribution to the proposed theme. Little literature approaches agency theory in public sector, in most cases the analysis being restricted to general issues. Research methodology is based on synthesizing relevant information from literature and adapting them to public sector particularities. The results reflect some threats for public bodies in their contracting activity. Conclusions present also a set of solutions which could be used by public institutions to optimize their activity of mitigating information asymmetry’s effects. These solution guidelines could represent a useful instrument for make more efficient public money spending. Personal contribution and the novelty of this paper consist in presenting a new approach regarding mechanisms of managing information by agents. In case of public institutions, principals have more opportunities the take possession over the information managed by the agent. Nevertheless, agents can limit the principal’s access

  19. Civil society, third sector, and healthcare: the case of social cooperatives in Italy.

    Science.gov (United States)

    Borzaga, Carlo; Fazzi, Luca

    2014-12-01

    In many European countries, the third sector is considered an actor able to improve both the efficiency and the efficacy of public healthcare systems afflicted by the crisis of the welfare state. Attributed to third-sector organizations is the role of a hybrid actor tasked with the professional supply of services, not for profit but rather for mutualistic purposes, and to serve the public interest. However, empirical evidence on the capacity of the third sector to pursue objectives of social inclusion in a phase of withdrawal by the public sector is almost entirely lacking in the European countries. The article describes the results of research on the transformation of the Italian healthcare system and on the emergence of a new third sector in Italy. The results of the inquiry highlight the strategies, characteristics, and governance processes which enable third-sector organizations operating in the healthcare sector to pursue objectives of inclusion, and to serve the needs of disadvantaged groups by assuming the form of social enterprises.

  20. Strikes in the public sector in Denmark

    DEFF Research Database (Denmark)

    Scheuer, Steen; Ibsen, Flemming; Høgedahl, Laust

    2016-01-01

    and losses, ranging from a slightly positive result to a negative result from which it will take eight to ten years to recover. This is of great importance because the challenge facing public sector unions is different from that of their counterparts: private sector unions struggle with the owners of capital......, while public sector unions trying to move up the wage hierarchy cannot expect much help from fellow public sector unions, often quite the reverse....

  1. Transferability of Industrial Engineering Methods to the Healthcare Sector

    DEFF Research Database (Denmark)

    Edwards, Kasper; Nielsen, Anders Paarup; Hasle, Peter

    . With no hope of getting substantial more resources healthcare managers and politicians has begun to look for alternative modes of organization. In doing so the healthcare sector is being exposed to industrial rationalization principles such as lean manufacturing. The question is whether lean opens...... possibilities for higher efficiency and quality or it just reinforces stress. This question has been studied in three Danish cases in surgery, oncology and home-nurse care, and the results from these case studies are used for a review the use of lean in healthcare. The cases further serve as a basis...... for discussing the implications of transferring such industrial engineering methods to the healthcare sector. The conclusion of the review suggest that is possible to use lean as an inspiration for improvements of both efficiency, quality and working conditions provided diligent consideration of the particulars...

  2. Accelerated reforms in healthcare financing: the need to scale up private sector participation in Nigeria

    Science.gov (United States)

    Ejughemre, Ufuoma John

    2014-01-01

    The health sector, a foremost service sector in Nigeria, faces a number of challenges; primarily, the persistent under-funding of the health sector by the Nigerian government as evidence reveals low allocations to the health sector and poor health system performance which are reflected in key health indices of the country.Notwithstanding, there is evidence that the private sector could be a key player in delivering health services and impacting health outcomes, including those related to healthcare financing. This underscores the need to optimize the role of private sector in complementing the government’s commitment to financing healthcare delivery and strengthening the health system in Nigeria. There are also concerns about uneven quality and affordability of private-driven health systems, which necessitates reforms aimed at regulation. Accordingly, the argument is that the benefits of leveraging the private sector in complementing the national government in healthcare financing outweigh the challenges, particularly in light of lean public resources and finite donor supports. This article, therefore, highlights the potential for the Nigerian government to scale up healthcare financing by leveraging private resources, innovations and expertise, while working to achieve the universal health coverage. PMID:24596895

  3. Accelerated Reforms in Healthcare Financing: The Need to Scale up Private Sector Participation in Nigeria

    Directory of Open Access Journals (Sweden)

    Ufuoma John Ejughemre

    2014-01-01

    Full Text Available The health sector, a foremost service sector in Nigeria, faces a number of challenges; primarily, the persistent under-funding of the health sector by the Nigerian government as evidence reveals low allocations to the health sector and poor health system performance which are reflected in key health indices of the country.Notwithstanding, there is evidence that the private sector could be a key player in delivering health services and impacting health outcomes, including those related to healthcare financing. This underscores the need to optimize the role of private sector in complementing the government’s commitment to financing healthcare delivery and strengthening the health system in Nigeria. There are also concerns about uneven quality and affordability of private-driven health systems, which necessitates reforms aimed at regulation. Accordingly, the argument is that the benefits of leveraging the private sector in complementing the national government in healthcare financing outweigh the challenges, particularly in light of lean public resources and finite donor supports. This article, therefore, highlights the potential for the Nigerian government to scale up healthcare financing by leveraging private resources, innovations and expertise, while working to achieve the universal health coverage.

  4. Privatization and management development in the healthcare sector of Georgia.

    Science.gov (United States)

    West, Daniel J; Costello, Michael; Ramirez, Bernardo

    2011-01-01

    Healthcare reforms in Georgia parallel some of the major changes made by other Central and Eastern European countries. This is especially true of efforts to privatize the health sector and secure capital investments from Western Europe. Privatization of Georgian healthcare requires an understanding of the Soviet-era healthcare system and ideological orientation. Many of the issues and problems of privatization in Georgia require new knowledge to enhance equity outcomes, improve financial performance, increase access to care and encourage healthcare competition. Training existing and future healthcare leaders in modern management theory and practice is paramount. A university based health-management education partnership model was developed and implemented between several universities in the United States and Europe, along with two Georgian universities, to address workforce demands, changing market conditions, management knowledge and leadership competencies. Health-management education concentrations were developed and implemented along with several short courses to meet market demand for trained leaders and managers.

  5. Service quality, patient satisfaction and loyalty in the Bangladesh healthcare sector.

    Science.gov (United States)

    Ahmed, Selim; Tarique, Kazi Md; Arif, Ishtiaque

    2017-06-12

    Purpose The purpose of this paper is to investigate service quality, patient satisfaction and loyalty in Bangladesh's healthcare sector. It identifies healthcare quality conformance, patient satisfaction and loyalty based on demographics such as gender, age and marital status. It examines the differences between public and private healthcare sectors regarding service quality, patient satisfaction and loyalty. Design/methodology/approach The authors distributed 450 self-administered questionnaires to hospital patients resulting in 204 useful responses (45.3 per cent response rate). Data were analysed based on reliability analysis, exploratory factor analysis, independent samples t-tests, ANOVA and discriminant analysis using SPSS version 23. Findings Findings indicate that single patients perceive tangibles, reliability, empathy and loyalty higher compared to married patients. Young patients (⩽20 years) have a higher tangibles, empathy and loyalty scores compared to other age groups. The authors observed that private hospital patients perceive healthcare service quality performance higher compared to patients in public hospitals. Research limitations/implications The authors focussed solely on the Bangladesh health sector, so the results might not be applicable to other countries. Originality/value The findings provide guidelines for enhancing service quality, patient satisfaction and loyalty in the Bangladesh healthcare sector and other countries.

  6. Accreditation and participatory design in the healthcare sector

    DEFF Research Database (Denmark)

    Simonsen, Jesper; Scheuer, John Damm; Hertzum, Morten

    2015-01-01

    We revisit the role of participatory design approaches in the light of the accreditation regime currently imposed on the Danish healthcare sector. We describe effects-driven IT development as an instrument supporting sustained participatory design. Effects-driven IT development includes specifying...

  7. Accreditation and Participatory Design in the Health-Care Sector

    DEFF Research Database (Denmark)

    Simonsen, Jesper; Scheuer, John Damm; Hertzum, Morten

    2015-01-01

    We reconsider the role of participatory design approaches emphasizing the current context of the accreditation regime imposed on the Danish healthcare sector. We describe effects-driven IT development as an instrument supporting sustained participatory design. Effects-driven IT development includ......-based thinking. We describe and compare effects- driven IT development with accreditation and discuss the prospects and challenges for this approach to participatory design within the healthcare domain.......We reconsider the role of participatory design approaches emphasizing the current context of the accreditation regime imposed on the Danish healthcare sector. We describe effects-driven IT development as an instrument supporting sustained participatory design. Effects-driven IT development includes...... specifying, realizing, and measuring effects from using an information technology. This approach aligns with much of the logic inherent in accreditation and it supports challenging parts of the accreditation process. Effects-driven IT development furthermore might support effects related to clinical evidence...

  8. MODELING A VALUE CHAIN IN PUBLIC SECTOR

    Directory of Open Access Journals (Sweden)

    Daiva Rapcevičienė

    2014-08-01

    Full Text Available Purpose – Over the past three decades comprehensive insights were made in order to design and manage the value chain. A lot of scholars discuss differences between private sector value chain – creation profit for the business and public sector value chain, the approach that public sector creates value through the services that it provides. However, there is a lack of a common understanding of what public sector value chain is in general. This paper reviews the literature on how the private value chain was transformed into public value chain and reviews a determination and architecture of a value chain in public sector which gives a structural approach to greater picture of how all structure works. It reviews an approach that the value chain for the public sector shows how the public sector organizes itself to ensure it is of value to the citizens. Design/methodology/approach – descriptive method, analysis of scientific literature. Findings – The public sector value chain is an adaptation of the private sector value chain. The difference between the two is that the customer is the focus of the public sector context, versus the profit focus in the private sector context. There are significant similarities between the two chain models. Each of the chain models are founded on a series of core components. For the public sector context, the core components are people, service and trust. Research limitations/implications – this paper based on presenting value chain for both private and public sectors and giving deeper knowledge for public sector value chain model. Practical implications – comprehension of general value chain model concept and public sector value chain model helps to see multiple connections throughout the entire process: from the beginning to the end. The paper presents the theoretical framework for further study of the value chain model for waste management creation. Originality/Value – The paper reveals the systematic

  9. Cybersecurity Public Sector Threats and Responses

    CERN Document Server

    Andreasson, Kim J

    2011-01-01

    The Internet has given rise to new opportunities for the public sector to improve efficiency and better serve constituents in the form of e-government. But with a rapidly growing user base globally and an increasing reliance on the Internet, digital tools are also exposing the public sector to new risks. An accessible primer, Cybersecurity: Public Sector Threats and Responses focuses on the convergence of globalization, connectivity, and the migration of public sector functions online. It identifies the challenges you need to be aware of and examines emerging trends and strategies from around

  10. Data Hemorrhages in the Health-Care Sector

    Science.gov (United States)

    Johnson, M. Eric

    Confidential data hemorrhaging from health-care providers pose financial risks to firms and medical risks to patients. We examine the consequences of data hemorrhages including privacy violations, medical fraud, financial identity theft, and medical identity theft. We also examine the types and sources of data hemorrhages, focusing on inadvertent disclosures. Through an analysis of leaked files, we examine data hemorrhages stemming from inadvertent disclosures on internet-based file sharing networks. We characterize the security risk for a group of health-care organizations using a direct analysis of leaked files. These files contained highly sensitive medical and personal information that could be maliciously exploited by criminals seeking to commit medical and financial identity theft. We also present evidence of the threat by examining user-issued searches. Our analysis demonstrates both the substantial threat and vulnerability for the health-care sector and the unique complexity exhibited by the US health-care system.

  11. How Business Cycles Affect the Healthcare Sector: A Cross-country Investigation.

    Science.gov (United States)

    Cleeren, Kathleen; Lamey, Lien; Meyer, Jan-Hinrich; De Ruyter, Ko

    2016-07-01

    The long-term relationship between the general economy and healthcare expenditures has been extensively researched, to explain differences in healthcare spending between countries, but the midterm (i.e., business cycle) perspective has been overlooked. This study explores business cycle sensitivity in both public and private parts of the healthcare sector across 32 countries. Responses to the business cycle vary notably, both across spending sources and across countries. Whereas in some countries, consumers and/or governments cut back, in others, private and/or public healthcare buyers tend to spend more. We also assess long-term consequences of business cycle sensitivity and show that public cost cutting during economic downturns deflates the mortality rates, whereas private cut backs increase the long-term growth in total healthcare expenditures. Finally, multiple factors help explain variability in cyclical sensitivity. Private cost cuts during economic downturns are smaller in countries with a predominantly publicly funded healthcare system and more preventive public activities. Public cut backs during contractions are smaller in countries that rely more on tax-based resources rather than social health insurances. Copyright © 2015 John Wiley & Sons, Ltd.

  12. Comparing public and private sector switchers

    DEFF Research Database (Denmark)

    Frederiksen, Anders; Hansen, Jesper Rosenberg; Bozeman, Barry

    are related to sector switching and the pattern of sector switch, public to private versus private to public. We propose a life stage model arguing that people's needs change in different life stages of their lives. We further suggest that this can help explain why they switch sector. We use unique Danish......Sector switching is a new rising research area. Little is known about the motives and behaviors of those switching sectors. Using Person-Environment (P-E) fit theory, we seek to determine whether familiar demographic characteristics, including age, gender, having children and length of education...... labor market data that include information on all employees in Denmark (both private and public sector). The data are for the period 1980 to 2006, and this longitudinal database includes abundant information about job changes, including sector switching. Our findings indicate mixed support...

  13. Public Sector Efficiency and Fiscal Austerity

    OpenAIRE

    International Monetary Fund

    1998-01-01

    This paper uses a simple model to analyze the forces that determine the size of the public sector and the quality of workers employed in that sector. Workers are heterogeneous, and the public sector chooses an employment strategy that maximizes a social welfare function U(s, Y) that depends on the share of the labor force employed in public service s and private sector output Y. The government is fully informed about worker productivity. By examining the welfare properties of the possible out...

  14. Enhancing the Australian healthcare sector's responsiveness to environmental sustainability issues: suggestions from Australian healthcare professionals.

    Science.gov (United States)

    Dunphy, Jillian L

    2013-05-01

    Identify strategies to implement change across the Australian healthcare sector to better support social and natural environments. Methods. Qualitative analysis of semi-structured interviews with Australian healthcare professionals. Interviewees described multiple barriers to implementing change and numerous strategies to overcome these barriers. They argued that action must be taken at the individual and systemic levels to produce substantial and effective change. The strategies recommended fall into four main categories: altering workplace cultures and professional identities, community engagement, political activity, and change from within. The overarching goals of these strategies are to reduce negative impacts on the natural environment, and increase social equity within and across generations. By implementing the strategies described, a more cohesive effort to address sustainability issues across the sector can be made. This may improve local and global health, within current and future generations. WHAT IS KNOWN ABOUT THE TOPIC? Healthcare has a significant impact on the natural and social environments, which in turn have a significant impact upon health and healthcare. WHAT DOES THIS PAPER ADD? This paper describes strategies to alter healthcare to better support environmental sustainability. WHAT ARE THE IMPLICATIONS FOR PRACTITIONERS? Collective implementation of the described strategies may allow a more cohesive and effective response across the Australian healthcare sector, to enhance local and global health for current and future generations.

  15. Motivating the Private vs. Public Sector Managers.

    Science.gov (United States)

    Khojasteh, Mak

    1993-01-01

    A questionnaire on intrinsic/extrinsic rewards received 362 responses from 380 managers. Pay and security were greater motivators for private than for public sector managers. Recognition had higher motivating potential in the public sector. Both groups were motivated by achievement and advancement. (SK)

  16. Environmental sustainability in European public healthcare.

    Science.gov (United States)

    Chiarini, Andrea; Vagnoni, Emidia

    2016-01-01

    Purpose - The purpose of this paper is to enlarge the debate concerning the influence of leadership on environmental sustainability implementation in European public healthcare organisations. Design/methodology/approach - This paper is a viewpoint. It is based on preliminary analysis of European standards dedicated to environmental sustainability and their spread across Europe in public healthcare organisations. Viewpoints concerning leadership are then discussed and asserted. Findings - This paper found a limited implementation of standards such as Green Public Procurement criteria, Eco-Management and Audit Scheme and ISO 14001 in public healthcare. Some clues indicate that the lack of implementation is related to leadership and management commitment. Originality/value - For the first time, this paper investigates relationships between leadership and environmental sustainability in European public healthcare opening further avenues of research on the subject.

  17. Accreditation and participatory design in the healthcare sector

    DEFF Research Database (Denmark)

    Simonsen, Jesper; Scheuer, John Damm; Hertzum, Morten

    2015-01-01

    parts of the accreditation process and fit well with clinical evidence-based thinking. We describe and compare effects-driven IT development with accreditation, in terms of the Danish Quality Model which is used throughout the Danish healthcare sector, and we discuss the prospects and challenges......We revisit the role of participatory design approaches in the light of the accreditation regime currently imposed on the Danish healthcare sector. We describe effects-driven IT development as an instrument supporting sustained participatory design. Effects-driven IT development includes specifying......, realizing, and measuring the effects from using an information technology. This approach aligns with much of the logic in accreditation but is distinguished by its focus on effects, whereas current accreditation approaches focus on processes. Thereby, effects-driven IT development might support challenging...

  18. Artificial Intelligence and Public Healthcare Service Innovation

    DEFF Research Database (Denmark)

    Sun, Tara Qian; Medaglia, Rony

    Public healthcare ecosystems are complex networks of diverse actors that are subject to pressures to innovate, also a result of technological advancements. Artificial Intelligence (AI), in particular, has the potential to transform the way hospitals, doctors, patients, government agencies...

  19. HOW DOES CORRUPTION AFFECTS HEALTHCARE SECTOR IN BULGARIA

    Directory of Open Access Journals (Sweden)

    Jordan Deliversky

    2016-03-01

    Full Text Available Corruption in the healthcare sector is a reflection of the structural challenges in the health care system. The problem of corruption in healthcare is of a multidimensional nature. The Bulgarian health care system is based on a regulated regime. On one hand there is the functioning of a state-owned and state-controlled health fund financed through obligatory contributions by all income earners, and on the other, a union of health providers that negotiate a national framework health contract with the fund. Causes of corruption are classified as different factors such as structural factors and government policies factors. The health sector is susceptible to corruption for various reasons, mostly related to its organization. The health sector is a complex sector. In order to be effective, reforms to combat corruption must be informed by theory, guided by evidence and adapted to context. It is necessary to review and develop diagnostic and treatment algorithms as standards of good medical practice, which would help to assess the package of medical and non-medical activities.

  20. Pension Funding in the Public Sector

    OpenAIRE

    Olivia S. Mitchell; Smith, Robert S.

    1991-01-01

    This paper explores the determinants of pension funding in the public sector. We formulate and test several hypotheses about the determinants of public employer pension funding practices, using a new data set describing financial and other characteristics of state, local, and teacher plans. The data show that, on average, public sector pension plans were relatively well-funded during the late 1980s. There were, however, wide variations in funding practices in our sample. Our analysis of these...

  1. Towards Efficient Public Sector Asset Management

    Directory of Open Access Journals (Sweden)

    Mihaela Grubišić

    2009-09-01

    Full Text Available Governments are accountable for providing quality public services to their citizens at the most favourable terms. They are, among other issues, responsible for managing a diversified public asset portfolio.This paper examines one of the critical financial challenges in Croatia: managing public sector assets efficiently. It attempts to facilitate better understanding of public asset management as an integral part of public sector reforms. The lack of reliable information on public assets in place hinders determination of the assets’value, budgeting for asset management activities and evaluating public asset portfolio performance. As a result, assets are managed on an ad-hoc, often reactive basis. Starting from the concept that public authorities have to be fully accountable to the public, we propose the preconditions necessary for commencing proper public asset management practice in Croatia. Our model might help other countries that are also faced with public asset management inefficiency.

  2. Significant components of service brand equity in healthcare sector.

    Science.gov (United States)

    Chahal, Hardeep; Bala, Madhu

    2012-01-01

    The purpose of the study is to examine three significant components of service brand equity--i.e. perceived service quality, brand loyalty, and brand image--and analyze relationships among the components of brand equity and also their relationship with brand equity, which is still to be theorized and developed in the healthcare literature. Effective responses were received from 206 respondents, selected conveniently from the localities of Jammu city. After scale item analysis, the data were analyzed using factor analysis, correlations, t-tests, multiple regression analysis and path modeling using SEM. The findings of the study support that service brand equity in the healthcare sector is greatly influenced by brand loyalty and perceived quality. However, brand image has an indirect effect on service brand equity through brand loyalty (mediating variable). The research can be criticized on the ground that data were selected conveniently from respondents residing in the city of Jammu, India. But at the same time the respondents were appropriate for the study as they have adequate knowledge about the hospitals, and were associated with the selected hospital for more than four years. Furthermore, the validity and reliability of the data are strong enough to take care of the limitations of the convenience sampling selection method. The study has unique value addition to the service marketing vis-à-vis healthcare literature, from both theoretical and managerial perspectives. The study establishes a direct and significant relationship between service brand equity and its two components, i.e. perceived service quality and brand loyalty in the healthcare sector. It also provides directions to healthcare service providers in creating, enhancing, and maintaining service brand equity through service quality and brand loyalty, to sustain competitive advantage.

  3. Legitimate Allocation of Public Healthcare

    DEFF Research Database (Denmark)

    Lippert-Rasmussen, Kasper; Lauridsen, Sigurd

    2009-01-01

    governing priorities among groups of patients. The Accountability for Reasonableness (A4R) framework suggests an ingenious solution to this problem of moral disagreement. Rather than advocating any substantive distributive principle, its advocates propose a feasible set of conditions, which, if met......Citizens' consent to political decisions is often regarded as a necessary condition of political legitimacy. Consequently, legitimate allocation of healthcare has seemed almost unattainable in contemporary pluralistic societies. The problem is that citizens do not agree on any single principle...

  4. Strikes in the public sector in Denmark

    DEFF Research Database (Denmark)

    Scheuer, Steen; Ibsen, Flemming; Høgedahl, Laust

    2016-01-01

    and losses, ranging from a slightly positive result to a negative result from which it will take eight to ten years to recover. This is of great importance because the challenge facing public sector unions is different from that of their counterparts: private sector unions struggle with the owners of capital...

  5. Public Sector Employees: Risk Averse and Altruistic?

    NARCIS (Netherlands)

    M.W.J.M. Buurman (Margaretha); A.J. Dur (Robert); S. Bossche, van den (Seth)

    2009-01-01

    textabstractWe assess whether public sector employees have a stronger inclination to serve others and are more risk averse than employees in the private sector. A unique feature of our study is that we use revealed rather than stated preferences data. Respondents of a large-scale survey were offered

  6. Public sector employees: risk averse and altruistic?

    NARCIS (Netherlands)

    Buurman, M.; Delfgaauw, J.; Dur, R.; Bossche, S.N.J. van den

    2012-01-01

    We assess whether public sector employees have a stronger inclination to serve others and are more risk averse than employees in the private sector. A unique feature of our study is that we use revealed rather than stated preferences data. Respondents of a large-scale survey were offered a substanti

  7. Public sector employees: risk averse and altruistic?

    NARCIS (Netherlands)

    Buurman, M.; Dur, R.; Bossche, S.N.J. van den

    2009-01-01

    We assess whether public sector employees have a stronger inclination to serve others and are more risk averse than employees in the private sector. A unique feature of our study is that we use revealed rather than stated preferences data. Respondents of a large-scale survey were offered a substanti

  8. Competence Development in the Public Sector

    DEFF Research Database (Denmark)

    Hjort, Katrin

    2009-01-01

    The article analyses the popular concept of Competence Development as constructed of at least three different discourses (Life Long Learning, New Public Management and professionalisation) and discusses the relations between the transformations of the public sectors in Scandinavian Welfare States......, Competence Development and Professionalisation/Deprofessionalisation among the public employees....

  9. Modernize the Public Sector Through Innovation?

    DEFF Research Database (Denmark)

    Hansson, Finn; Norn, Maria Theresa; Vad, Torben Bundgaard

    2013-01-01

    The article will discuss the challenges related to the use of social science knowledge in innovation processes in the public sector, drawing on a case, an evaluation of the Program on Research for Innovation and Renewal in the Public Sector (abbreviated FIFOS) under the Research Council of Norway....... The paper will discuss how to plan and execute research-based knowledge in innovation in the public sector. The paper discusses and criticizes the often-met linear thinking in the application of new knowledge, especially in relation to innovation. It also suggests, by the help of a model based on ideas from...... organizational learning, another strategy for organizing the use of social science research for innovation in the public sector. As a consequence the paper advocates new evaluation strategies, where learning and dialogue is in focus....

  10. Mandating the measurement of public sector fraud

    OpenAIRE

    Tunley, Martin James

    2015-01-01

    The financial burden on the taxpayer through public sector fraud is a significant historical problem. The final Annual Fraud Indicator produced in 2013 by the now disbanded National Fraud Authority (NFA) suggests that hidden fraud losses experienced by the UK's public sector could amount to £19.9 billion. Whilst this is a commendable estimate, it is only the tip of the iceberg because some of the component data are afforded confidence levels that suggest there is still room for improvement. F...

  11. Public Relations in the Public Sector

    DEFF Research Database (Denmark)

    Valentini, Chiara

    2013-01-01

    of the Excellence Project in Public Relations and thus applies a research instrument similar to that used in other international scholarly investigations in public relations. The population comprises civil servants working in information and communication activities for Italian public administrations. Findings...... relations. Research limitations: Due to a lack of information on the exact number of public communication officers working in the Italian public administration and a too small number of respondents in one of the respondent groups, it is not possible to draw inferences or general conclusions from...... knowledge on strategic public relations and public communication by offering a specific analysis of the strategic management of information and communication programs in the Italian public administration....

  12. Health technology assessment and its role in the future development of the Indian healthcare sector.

    Science.gov (United States)

    Hass, Bastian; Pooley, Jayne; Feuring, Martin; Suvarna, Viraj; Harrington, Adrian E

    2012-04-01

    Public expenditure on healthcare in India is low by international comparison, and access to essential treatment pushes many uninsured citizens below the poverty line. In many countries, policymakers utilize health technology assessment (HTA) methodologies to direct investments in healthcare, to obtain the maximum benefit for the population as a whole. With rising incomes and a commitment from the Government of India to increase the proportion of gross domestic product spent on health, this is an opportune moment to consider how HTA might help to allocate healthcare spending in India, in an equitable and efficient manner. Despite the predominance of out-of-pocket payments in the Indian healthcare sector, payers of all types are increasingly demanding value for money from expenditure on healthcare. In this review we demonstrate how HTA can be used to inform several aspects of healthcare provision. Areas in which HTA could be applied in the Indian context include, drug pricing, development of clinical practice guidelines, and prioritizing interventions that represent the greatest value within a limited budget. To illustrate the potential benefits of using the HTA approach, we present an example from a mature HTA market (Canada) that demonstrates how a new treatment for patients with atrial fibrillation - although more expensive than the current standard of care - improves clinical outcomes and represents a cost-effective use of public health resources. If aligned with the prevailing cultural and ethical considerations, and with the necessary investment in expert staff and resources, HTA promises to be a valuable tool for development of the Indian healthcare sector.

  13. Health technology assessment and its role in the future development of the Indian healthcare sector

    Directory of Open Access Journals (Sweden)

    Bastian Hass

    2012-01-01

    Full Text Available Public expenditure on healthcare in India is low by international comparison, and access to essential treatment pushes many uninsured citizens below the poverty line. In many countries, policymakers utilize health technology assessment (HTA methodologies to direct investments in healthcare, to obtain the maximum benefit for the population as a whole. With rising incomes and a commitment from the Government of India to increase the proportion of gross domestic product spent on health, this is an opportune moment to consider how HTA might help to allocate healthcare spending in India, in an equitable and efficient manner. Despite the predominance of out-of-pocket payments in the Indian healthcare sector, payers of all types are increasingly demanding value for money from expenditure on healthcare. In this review we demonstrate how HTA can be used to inform several aspects of healthcare provision. Areas in which HTA could be applied in the Indian context include, drug pricing, development of clinical practice guidelines, and prioritizing interventions that represent the greatest value within a limited budget. To illustrate the potential benefits of using the HTA approach, we present an example from a mature HTA market (Canada that demonstrates how a new treatment for patients with atrial fibrillation - although more expensive than the current standard of care - improves clinical outcomes and represents a cost-effective use of public health resources. If aligned with the prevailing cultural and ethical considerations, and with the necessary investment in expert staff and resources, HTA promises to be a valuable tool for development of the Indian healthcare sector.

  14. Data Mining Awareness and Readiness in Healthcare Sector: a case of Tanzania

    Directory of Open Access Journals (Sweden)

    Salim Amour Diwani

    Full Text Available Globally the application of data mining in healthcare is great, because the healthcare sector is rich with tremendous amount of data and data mining becoming very essential. Healthcare sector collect huge amount of data in daily basis. Transferring data i ...

  15. Using morbidity and income data to forecast the variation of growth and employment in the oral healthcare sector.

    Science.gov (United States)

    Ostwald, Dennis A; Klingenberger, David

    2016-12-01

    The perception of the health sector from an economic policy point of view is changing. In the past, health expenditure was mostly seen as a "cost" item, probably because many medical treatments are covered by public health insurance. However, policymakers are increasingly realizing that a growing health sector may be quite beneficial for an economy. It creates employment opportunities and it is relatively resistant to the fluctuations of the business cycle. Input-output analysis could be a useful tool to study the structural change resulting from the growth of the health sector. This paper quantifies for the first time the economic significance of the oral healthcare sector as a component of the German healthcare sector as a whole. The current data for the healthcare sector comes from Health Satellite Accounts, which while comprehensive do fail to answer important questions due to not incorporating certain sectors such as the oral healthcare sector. Therefore on the basis of the Health Satellite Account a specific Satellite Account for the oral healthcare sector is created by using billing data as well as epidemiological data, provided by several dental associations and the Institute of German Dentists. Based on this added information, gross value added data and the number of employees in the oral healthcare sector are computed. Gross value added in 2010 amounted to €13.4 billion, with around €4 billion being attributable to the secondary oral healthcare market; the market for solely out-of-pocket payments. In a second step the paper develops a model to forecast oral healthcare sector growth based on various explanatory variables such as demographic change, take-up behaviour, medical-technical progress, oral morbidity, aggregated supply (collective dental treatment times) as well as income levels and distribution, where the latter two are considered to be of particular importance. According to this model, by 2030 gross value added in the oral healthcare sector

  16. Modernize the Public Sector through Innovation?

    DEFF Research Database (Denmark)

    Hansson, Finn; Norn, Maria Theresa; Vad, Torben Bundgaard

    2014-01-01

    The New Public Management drive to innovate in the public sector has become less influential and new initiatives to drive innovation are now sought. There are well-known challenges when using social science research to inform innovation in the public sector. In order to address these challenges......, this article presents the case of an evaluation of the Program on Research for Innovation and Renewal in the Public Sector (abbreviated FIFOS) under the Research Council of Norway. The evaluation described a number of problems in implementing new innovative knowledge, not only because of the organization...... of projects but also because of the still-common linear thinking in the application of new knowledge, especially in relation to innovation. A discussion and critique is presented and a different approach to the implementation of innovations based on ideas from organizational learning is proposed...

  17. Public Sector Information Systems (PSIS)

    DEFF Research Database (Denmark)

    Brooks, Laurence; Zinner Henriksen, Helle; Janssen, Marijn

    2014-01-01

    Policies are traditionally developed by experts with limited forms of stakeholder involvement. New technologies can change policy making practice through new methods of citizens’ engagement. As a result, the traditional boundaries between governments and the public are also changing. Policy makers...

  18. Public Sector Unions and Privatization

    DEFF Research Database (Denmark)

    Foged, Søren Kjær; Aaskoven, Lasse

    2016-01-01

    to substantially and significantly less privatization through the voucher market. By comparison, the estimated relationship between the relative number of public workers and privatization does not reach statistical significance. Features of the voucher market and qualitative evidence suggest that the union...

  19. Gender and Leadership in the Public Sector

    DEFF Research Database (Denmark)

    Hansen, Morten Balle

    Traditionally, men have occupied top managerial positions in the public as well as the private sector. In recent decades this tradition has gradually changed. Although slowly and with significant variation between countries and sectors, the share of female top managers has been increasing. This a...... policy oriented than their male colleagues. These findings, however, cannot be explained by theories based on simple gender stereotypes. Different interpretations of the findings are discussed and some implications are suggested....

  20. Social Accounting and the Public Sector

    OpenAIRE

    Aronsson, Thomas

    2004-01-01

    This paper contributes to the theory of social accounting. As such, it tries to extend earlier literature on the welfare equivalence of the comprehensive net national product in two main directions, both of which refer to the public sector. One is by considering welfare measurement problems associated with redistributive policy and public good provision, when the public revenues are raised by distortionary taxes. The other is by addressing the consequences of a 'federation-like' decision stru...

  1. Practice Variation in Public Sector Internal Auditing

    DEFF Research Database (Denmark)

    Arena, Marika; Jeppesen, Kim Klarskov

    2016-01-01

    This article aims to analyze the rise of practice variations in public sector internal auditing (IA), giving special attention to the role of agents’ embeddedness in multiple institutional arrangements. IA's trends of development and the characteristics of the public sector context, in fact, make...... IA inherently subject to multiple institutional forces that interact with the system of values and beliefs of individual internal auditors. The empirical analysis, which relies on case study methodology, highlights the inherent tensions associated with the changing role of IA and shows how different...... types of IA developed in three case settings, shaped by the agents’ embeddedness in different institutional fields. This article provides a more comprehensive approach to the study of IA adoption and development in public sector organizations than previous literature, and it highlights the relevance...

  2. What is the Meaning of Public Sector Health?

    DEFF Research Database (Denmark)

    Waldorff, Susanne Boch

    2013-01-01

    This study explores the dynamics involved in establishing discourses necessary for constructing organizational change within the public sector. Drawing upon critical discourse analysis, the study identifies two competing discourses – a ‘patient’ and a ‘healthy citizen’ discourse, which exist...... as strategic resources in health care. The case study focuses on a municipality in Denmark and the way the organizational actors translated meaning into the development of a new healthcare centre. The analysis contributes to our understandings of translation by focusing on discursive legitimizing strategies...... in the context of public sector change. First, the study shows that discourses not only provide different senses of meaning and warrant particular social actors a louder voice than others, but that these actors also develop discursive legitimizing strategies and translate particular meanings...

  3. The role of public sector libraries on enhancing public officers ...

    African Journals Online (AJOL)

    GOJEH

    the type of library and information service provision in the public sector libraries of. Ethiopia. ... trained personnel, who manipulates the materials to ... librarians and information managers as vital means for .... not an “information center”.

  4. Rethinking Information Systems in the Public Sector

    DEFF Research Database (Denmark)

    Medaglia, Rony

    2014-01-01

    This section of Information Polity consists of papers presented during the workshop “Rethinking Information Systems in the Public Sector: Bridging Academia and Public Service”. The workshop was held on 8 June 2014 in Tel Aviv, Israel, in conjunction with the European Conference on Information...... Systems (ECIS 2014), and it is part of the activities of the Special Interest Group for eGovernment (SIGeGov) of the Association for Information Systems (AIS)....

  5. Corruption, Trust and their Public Sector Consequences

    DEFF Research Database (Denmark)

    Fritzen, Scott A.; Serritzlew, Søren; Svendsen, Gert Tinggaard

    2014-01-01

    Corruption and trust are two important determinants of the quality of public sectors. Empirical studies in different literatures suggest that corruption and trust have effects on factors such as economic growth, the quality of democratic institutions, life quality, the size and effectiveness of t...

  6. Ecological modernisation in the public catering sector

    DEFF Research Database (Denmark)

    Nielsen, Thorkild; Kristensen, Niels Heine; Mikkelsen, Bent Egberg

    2009-01-01

    In this paper we use the concept of ecological modernisation as frame to understand the relationship between two parallel developments in the public catering sector, namely the sustainability discourse and the rationalisation discourse. We argue that the two tendencies are increasingly merging. T...

  7. Governance and Innovation in Public sector Services

    DEFF Research Database (Denmark)

    Scupola, Ada; Zanfei, Antonello

    2015-01-01

    Based on a longitudinal case study of virtual library development, we highlight three important aspects that characterize the links between governance and innovation in public sector innovation. First, the examined case shows that the organizational complexities have increased in the transition f...

  8. Governance and Innovation in Public sector Services

    DEFF Research Database (Denmark)

    Scupola, Ada; Zanfei, Antonello

    2015-01-01

    Based on a longitudinal case study of virtual library development, we highlight three important aspects that characterize the links between governance and innovation in public sector innovation. First, the examined case shows that the organizational complexities have increased in the transition...

  9. Modernize the Public Sector Through Innovation?

    DEFF Research Database (Denmark)

    Hansson, Finn; Norn, Maria Theresa; Vad, Torben Bundgaard

    2013-01-01

    . The paper will discuss how to plan and execute research-based knowledge in innovation in the public sector. The paper discusses and criticizes the often-met linear thinking in the application of new knowledge, especially in relation to innovation. It also suggests, by the help of a model based on ideas from...

  10. Ecological modernisation in the public catering sector

    DEFF Research Database (Denmark)

    Nielsen, Thorkild; Kristensen, Niels Heine; Mikkelsen, Bent Egberg

    2009-01-01

    In this paper we use the concept of ecological modernisation as frame to understand the relationship between two parallel developments in the public catering sector, namely the sustainability discourse and the rationalisation discourse. We argue that the two tendencies are increasingly merging. T...

  11. Public Sector Information and Open Government Data

    Directory of Open Access Journals (Sweden)

    Mohammad Adly Talaat

    2016-04-01

    Full Text Available This paper tackles the distinguished case studies of some countries in the domains of Public Sector Information (PSI and Open Government Data (OGD, and demonstrates the current situation of Egypt related to them. The paper shows as well why the OGD is needed and its benefits on the political, economic, social, and international readiness axes

  12. Management Control Packages in Public Sector Organizations

    NARCIS (Netherlands)

    van der Kolk, Berend

    2016-01-01

    This thesis examines configurations of management control (MC) packages in public sector organizations, and how they relate to employee motivation and behavior. Using multiple case studies and a survey study, this thesis contributes to the extant literature in three ways. First, it enhances the unde

  13. Unions respond to public sector cutbacks

    NARCIS (Netherlands)

    M.H. Schaapman

    2003-01-01

    In its June 2003 coalition agreement, the Netherlands' new government announced major spending cuts affecting government departments, which will result in public sector job losses and wage restraint. Trade unions representing civil servants are fiercely opposed to the plans and question how the prop

  14. Public Sector Reforms: New Public Management without Marketization?

    DEFF Research Database (Denmark)

    Löfgren, Karl; Pedersen, John Storm

    2012-01-01

    Is it possible to imagine New Public Management without marketization? In Denmark the present liberal-conservative Government has, throughout its 10 years in power, designed and implemented more than 15 major management reforms in the public sector. Although most of the reforms are rhetorically...

  15. Benchmarking management practices in Australian public healthcare.

    Science.gov (United States)

    Agarwal, Renu; Green, Roy; Agarwal, Neeru; Randhawa, Krithika

    2016-01-01

    The purpose of this paper is to investigate the quality of management practices of public hospitals in the Australian healthcare system, specifically those in the state-managed health systems of Queensland and New South Wales (NSW). Further, the authors assess the management practices of Queensland and NSW public hospitals jointly and globally benchmark against those in the health systems of seven other countries, namely, USA, UK, Sweden, France, Germany, Italy and Canada. In this study, the authors adapt the unique and globally deployed Bloom et al. (2009) survey instrument that uses a "double blind, double scored" methodology and an interview-based scoring grid to measure and internationally benchmark the management practices in Queensland and NSW public hospitals based on 21 management dimensions across four broad areas of management - operations, performance monitoring, targets and people management. The findings reveal the areas of strength and potential areas of improvement in the Queensland and NSW Health hospital management practices when compared with public hospitals in seven countries, namely, USA, UK, Sweden, France, Germany, Italy and Canada. Together, Queensland and NSW Health hospitals perform best in operations management followed by performance monitoring. While target management presents scope for improvement, people management is the sphere where these Australian hospitals lag the most. This paper is of interest to both hospital administrators and health care policy-makers aiming to lift management quality at the hospital level as well as at the institutional level, as a vehicle to consistently deliver sustainable high-quality health services. This study provides the first internationally comparable robust measure of management capability in Australian public hospitals, where hospitals are run independently by the state-run healthcare systems. Additionally, this research study contributes to the empirical evidence base on the quality of

  16. ETHICAL DILEMMAS IN THE PUBLIC SECTOR

    Directory of Open Access Journals (Sweden)

    Silvia PUIU

    2015-06-01

    Full Text Available The article offers an insight on the ethical dilemmas specific to a public sector and brings some suggestions for coping with these. Ethics management is a complex system that deals also with ethical dilemmas. The instruments and tools of ethics management are helpful in dealing with these issues. There are a lot of cases in which public employees do not know what to do or how to react in a certain situation, so, a debate on this subject is very useful for people working in public institutions.

  17. Governance and innovation in public sector services

    DEFF Research Database (Denmark)

    Scupola, Ada; Zanfei, Antonello

    2016-01-01

    This paper examines the co-evolution of public governance and innovation, and proposes an adaptation of Hartley's model to take into consideration such co-evolution. This model is then applied to a longitudinal case study of the digitalization of Roskilde University Library. The theoretical...... and empirical analysis yields four main results. First, it is shown that the transition from a New Public Management approach towards a Networked Governance mode implies a greater distribution of knowledge and innovation across different organisational levels within public administrations. Interactions between...... such organisational levels crucially affect the development of new public services. Second, a more articulated view of users in public sector innovation is developed. It is argued that: (i) users play distinct roles at different stages in innovation processes, with relatively greater involvement in minor incremental...

  18. Work Motivation and Incentives in the Public Sector

    NARCIS (Netherlands)

    R. Zoutenbier (Robin)

    2015-01-01

    markdownabstractThe public sector makes up for an important part of our economy. According to estimates by the OECD (2008) a large share of the labor force in OECD countries is employed by the public sector. These public sector workers provide a wide range of goods and services to the public. Exampl

  19. Work Motivation and Incentives in the Public Sector

    NARCIS (Netherlands)

    R. Zoutenbier (Robin)

    2015-01-01

    markdownabstractThe public sector makes up for an important part of our economy. According to estimates by the OECD (2008) a large share of the labor force in OECD countries is employed by the public sector. These public sector workers provide a wide range of goods and services to the public.

  20. Public sector managers and work stress

    DEFF Research Database (Denmark)

    Møller, Ann-Kristina Løkke; Madsen, Henning

    2014-01-01

    -related stress may cause absence from work it may influence production and the health system. If preventive measures can be taken a positive impact on the economy may be the result. Originality/value: Work-related stress has been studied before. But little focus has been given to the public sector and expecially...... and the way it is practiced (n=1,500, response rate 72 per cent) are applied. For the purpose of this paper only specific information related to the perception of work stress among public sector managers is analyzed (n=400). Findings: The perception of stress are influenced by factors like gender, managerial...... level, work load, the influence on own job situation, if they have children living at home as well as the percentage of work-at-home. Research limitations/implications: In general survey work stress is one among a larger number of issues. This fact may influence the validity of the information...

  1. Public Sector Organisations as Corporate Citizens

    OpenAIRE

    Norris, Christopher Michael

    2006-01-01

    In light of the launch by the Department of Health and the Sustainable Development Commission of the NHS Good Corporate Citizenship Assessment Model, this research explores the application of Corporate Citizenship to public sector organisations. The paper begins with a review of literature on the conceptualisation of Corporate Citizenship and Sustainable Development, including the interplay with the set of ideas labelled New Governance. It also considers previous research into the economic ca...

  2. Value Creation from Public Healthcare IS

    DEFF Research Database (Denmark)

    Schlichter, Bjarne Rerup; Svejvig, Per; Andersen, Povl Erik Rostgaard

    2014-01-01

    value. During the project, specific key performance indicators (KPIs) were identified and a baseline was established for the stroke process. The outcome is a framework for measuring IS public value as: professional, organizational, patient-perceived and employee-perceived quality as well as learning....... Selected non-financial measures for each dimension and their development are presented, e.g., a decrease in mortality.......The obtainment of value from IT is a recurring theme that has diffused into healthcare information systems (HIS). Having completed the implementation of an integrated HIS, the Faroese Health Service (FHS) has started discussions regarding the obtainment of value from its IT investment which...

  3. From Public to Private Sector: Motives and Explanations for Sector Switching

    DEFF Research Database (Denmark)

    Hansen, Jesper Rosenberg

    2014-01-01

    Sector switching is interesting in relation to understanding how to get and keep people working in the public sector as well as to understand public and private differences. This paper focuses on why public employees leave public organizations to work in the private sector. We use a design studying...... higher educated Danish employees who recently worked in the state, comparing those who shift job to another public organization with those who switch to the private sector. We focus on different motives for job shifts which may influence sector switching such as salary, job security, organizational...... characteristics and public service motivation....

  4. Public and Private Sector IT Governance: Identifying Contextual Differences

    Directory of Open Access Journals (Sweden)

    John Campbell

    2010-01-01

    Full Text Available This paper highlights systemic contextual differences and the unique IT Governance issues that might arise in public and private sector organizations. Public sector organizations constitute a significant component of economic activity in most countries. Like their private sector counterparts, many public sector agencies are struggling to cope with reduced or inadequate IT budgets and are continuously looking for ways to extract maximum value from IT resources. While both sectors face similar managerial-level IT issues and challenges, we argue that there are systemic differences between private and public sector organizations suggesting that a one size fits all approach to IT Governance may not apply.

  5. PUBLIC SECTOR TRANSPARENCY:A CONCEPTUAL DISSECTION

    Directory of Open Access Journals (Sweden)

    Mara Andreea SÎNTEJUDEANU

    2014-06-01

    Full Text Available The concept of transparency has increasingly attracted the attention of academic, political and business areas. Many studies have demonstrated the need for adopting this corporate governance principle also in the public sector, a phenomenon that has become widespread at international level. The academic study field defines transparency as the ability to look clearly through the window of an institution. Starting from this statement, the research focuses on the importance of transparency in public governance and on the framework for identifying and assessing this concept. Furthermore, this paper also analysis the limits of this notion in order to maintain its significance and effectiveness. Thus, based on the literature review, this study summarizes the opinions and arguments of various authors in the field regarding the notion of transparency in the public sector. At the same time, it analysis the conclusions of empirical studies on this topic. The results of the study reveal the importance and necessity of information disclosure among different users for increasing citizens' trust in government and achieving good governance. However, the positive aspects of transparency tend to be overestimated and considering the ambiguity of this concept it should be carefully handled.

  6. Education of healthcare professionals and the public.

    Science.gov (United States)

    McNulty, Cliodna A M; Cookson, Barry D; Lewis, Michael A O

    2012-07-01

    In the winter of 2007-08 a new public-facing antimicrobial campaign was agreed by the Advisory Committee on Antimicrobial Resistance and Healthcare-Associated Infection (ARHAI) Education sub-Group (later divided into subgroups for professional and public education): it comprised posters with a positive message on how the public could help themselves when they had a cold. However, the poster campaign, used in isolation in England, did not improve antibiotic use; therefore, the Public Education sub-Group took forward educational approaches to change the behaviour of the public and health professionals. Professionals have been encouraged to give patients clear information about the likely duration of symptoms, self-care, and benefits and harms of antibiotics, reinforcing the public poster campaigns in surgeries, hospitals and pharmacies. Since 2008, campaigns have been launched in England to coincide with European Antibiotic Awareness Day (EAAD) on 18 November, using Department of Health and EAAD materials. Professional education has been facilitated by the 2008 National Institute for Health and Clinical Excellence respiratory tract infection delayed prescribing guidance for general practitioners. A toolkit of materials for medicines management teams, to facilitate good antimicrobial stewardship in primary care (ASPIC), is being taken forward by the Public Education sub-Group and professional societies. After advice from ARHAI, in 2009 the General Medical Council requested that all postgraduate deans and Royal Colleges ensure infection prevention and control and antimicrobial prescribing become standard practice implemented in all clinical settings, and that they are emphasized strongly in undergraduate and postgraduate medical training. ARHAI has also taken a keen interest in reviewing, advising and leading on a number of European Union initiatives dealing with professional education.

  7. PARTICIPATORY GOVERNANCE IN THE PUBLIC HEALTHCARE SYSTEMS OF THE SCANDINAVIAN AND BALTIC COUNTRIES

    Directory of Open Access Journals (Sweden)

    Stefanescu Aurelia

    2011-12-01

    Full Text Available The diminished trust of citizens in the public sector, the increased complexity of policy issues and the reforms in accordance with the new public management principles generate the need of focusing more extensively on participatory governance. Participatory governance can be defined as the genuine engagement of citizens and other organizations in the formulation of policies and strategies, in the decision-making process from the public sector and in the implementation of the decisions. The present paper's objectives are to define the concept of participatory governance, to argue in favor of implementing it in the public sector and to find to what extent public healthcare institutions from Scandinavian and Baltic countries publish information on participatory governance and how they perceive community engagement. The research findings are that the information on participatory governance disclosed on the websites of relevant institutions from within the Scandinavian and Baltic public healthcare systems is scarce. The countries with the greatest concern for community engagement are Denmark and Sweden. It is argued that there should be a shift in focus within the public sector in general and within the healthcare system in particular, so that citizens are genuinely involved in the relevant processes and their satisfaction is indeed at an adequate level.

  8. Between Public - Private Partnerships and public finance in the public infrastructure sector: The water and sanitation sector in Albania

    Directory of Open Access Journals (Sweden)

    Fjona Zeneli

    2017-03-01

    Full Text Available It’s known in the literature that public-private partnerships (PPPs are one the main instruments that permit private collaboration in projects that are public otherwise. It’s also clear that their implementation is different depending on the rules of the countries, their market level of acceptance etc. The first objective of this paper is to revise PPPs projects in the water sector in Albania, seen in the context of alternative financing ways for joint-stock companies of Albanian water sector, due to the nature of the market (a developing emerging market, in the context of bad financial times after 2008 (the start of the international financial crisis. The second objective is to describe the development of the Albanian legislation for management contracts introduced for the first time in the waters and sanitation sector in 2004 and privatization practices in public sector. The main conclusion is that in the developing markets creating possibilities for private sector participation in the infrastructure public services (especially in the drinking water and sanitation sector will be seen with skepticism because of failed previous privatization practices or the sensitivity degree of the water sector related to the penetration level of private factor in the sector. Public finance will be explored as a convenient alternative.

  9. Testing times: trends in availability, price, and market share of malaria diagnostics in the public and private healthcare sector across eight sub-Saharan African countries from 2009 to 2015.

    Science.gov (United States)

    Hanson, Kara; Goodman, Catherine

    2017-05-19

    The World Health Organization guidelines have recommended that all cases of suspected malaria should receive a confirmatory test with microscopy or a malaria rapid diagnostic test (RDT), however evidence from sub-Saharan Africa (SSA) illustrates that only one-third of children under five with a recent fever received a test. The aim of this study was to evaluate availability, price and market share of microscopy and RDT from 2009/11 to 2014/15 in 8 SSA countries, to better understand barriers to improving access to malaria confirmatory testing in the public and private health sectors. Repeated national cross-sectional quantitative surveys were conducted among a sample of outlets stocking anti-malarial medicines and/or diagnostics. In total, 169,655 outlets were screened. Availability of malaria blood testing among all screened public health facilities increased significantly between the first survey wave in 2009/11 and the most recent in 2014/15 in Benin (36.2, 85.4%, p profit facilities were observed between the first and final survey rounds in Kinshasa (82.1, 94.0%, p < 0.05), Nigeria (37.0, 66.0%, p < 0.05), Kenya (52.8, 74.3%, p < 0.001), mainland Tanzania (66.8, 93.5%, p < 0.01), Uganda (47.1, 70.1%, p < 0.001), and Madagascar (14.5, 45.0%, p < 0.01). Blood testing availability remained low over time among anti-malarial stocking private health facilities in Benin (33.1, 20.7%), and high over time in Zambia (94.4, 87.5%), with evidence of falls in availability in Katanga (72.7, 55.6%, p < 0.05). Availability among anti-malarial stocking pharmacies and drug stores-which are the most common source of anti-malarial medicines-was rare in all settings, and highest in Uganda in 2015 (21.5%). Median private sector price of RDT for a child was equal to the price of pre-packaged quality-assured artemisinin-based combination therapy (QAACT) treatment for a two-year old child in some countries, and 1.5-2.5 times higher in others. Median private sector QAACT

  10. Open Source in Canada's Public Sector

    Directory of Open Access Journals (Sweden)

    Evan Leibovitch

    2008-03-01

    Full Text Available The story of the growth of open source use in Canada has been far more a matter of evolution than revolution, so quiet in its pace that its progress has been difficult to measure. This has posed many challenges to Canadian open source advocates in their efforts to ensure that their country does not lag behind the rest of the world in understanding the social and business benefits open source provides. Perhaps some of the leading soldiers in the trenches might be our civil servants who protect the public purse. In addition to managing and minimizing the costs of delivering necessary services, public sector projects should also advance the social good through the delicate balance of transparency and efficiency.

  11. Assessment of general public satisfaction with public healthcare services in Kedah, Malaysia.

    Science.gov (United States)

    Hassali, Mohammed Azmi; Alrasheedy, Alian A; Ab Razak, Basyirah Afifah; Al-Tamimi, Saleh Karamah; Saleem, Fahad; Ul Haq, Noman; Aljadhey, Hisham

    2014-01-01

    Patient satisfaction is considered an essential component of healthcare services evaluation and an additional indicator of the quality of healthcare. Moreover, patient satisfaction may also predict health-related behaviours of patients such as adherence to treatment and recommendations. The study aimed to assess patients' level of satisfaction with public healthcare services and to explore the association between socio-demographic and other study variables and patient satisfaction level. A cross-sectional study was conducted using selfadministered questionnaires distributed to a convenience sample of the general public in Kedah, Malaysia. A total of 435 out of 500 people invited to participate in the study agreed to take part, giving a response rate of 87 per cent. In this study, only approximately half of the participants (n=198, 45.5 per cent) were fully satisfied with the current healthcare services. The majority of the participants agreed that doctors had given enough information about their state of health (n=222, 51 per cent) and were competent and sympathetic (n=231, 53.1 per cent). Almost half of the participants (n=215, 49.5 per cent) agreed that the doctors took their problems seriously. Only 174 (40 per cent) participants agreed that doctors had spent enough time on their consultation session. Some respondents (n=266, 61.2 per cent) agreed that healthcare professionals in the public health sector were highly skilled. The majority of the respondents described amenities, accessibility and facilities available in the public healthcare sector as good or better. In this study, waiting time was significantly associated with patient satisfaction as the results showed that those who waited longer than two hours were less satisfied with the services than those who waited under two hours. The study findings showed that approximately half of the respondents were fully satisfied with current healthcare services. In this study, waiting time was the main factor that

  12. Elements of a Knowledge Management Guide for Public Sector Organizations

    Science.gov (United States)

    Harris, Mark Cameron

    2013-01-01

    This study explored the factors that are critical to the success of public (government) sector knowledge management initiatives and the lessons from private sector knowledge management and organizational learning that apply in the public sector. The goal was to create a concise guide, based on research-validated success factors, to aid government…

  13. Comparing public and private sector employees' innovative behaviour

    DEFF Research Database (Denmark)

    Bysted, Rune; Hansen, Jesper Rosenberg

    2015-01-01

    Innovation is argued to be of key importance in the public sector. Little is known about possible sector differences in innovative behaviour. The stereotype in literature is that public employees are less innovative. We analyse whether sector is associated with innovative behaviour and the influe...

  14. Elements of a Knowledge Management Guide for Public Sector Organizations

    Science.gov (United States)

    Harris, Mark Cameron

    2013-01-01

    This study explored the factors that are critical to the success of public (government) sector knowledge management initiatives and the lessons from private sector knowledge management and organizational learning that apply in the public sector. The goal was to create a concise guide, based on research-validated success factors, to aid government…

  15. Intrinsic Motivations of Public Sector Employees: Evidence for Germany

    NARCIS (Netherlands)

    A.J. Dur (Robert); R. Zoutenbier (Robin)

    2012-01-01

    textabstractWe examine differences in altruism and laziness between public sector employees and private sector employees. Our theoretical model predicts that the likelihood of public sector employment increases with a worker's altruism, and increases or decreases with a worker's laziness depending o

  16. Public-private sector interactions and the demand for supplementary health insurance in the United Kingdom.

    Science.gov (United States)

    Bíró, Anikó; Hellowell, Mark

    2016-07-01

    We examine the demand for private health insurance (PHI) in the United Kingdom and relate this to changes in the supply of public and private healthcare. Using a novel collection of administrative, private sector and survey data, we re-assess the relationships between the quality and availability of public and private sector inpatient care, and the demand for PHI. We find that PHI coverage in the United Kingdom is positively related to the median of the region- and year-specific public sector waiting times. We find that PHI prevalence ceteris paribus increases with being self-employed and employed, while it decreases with having financial difficulties. In addition, we highlight the complexities of inter-sectoral relations and their impact on PHI demand. Within a region, we find that an increase in private healthcare supply is associated with a decrease in public sector waiting times, implying lower PHI demand. This may be explained by the usage of private facilities by NHS commissioners. These results have important implications for policymakers interested in the role of private healthcare supply in enhancing the availability of and equitable access to acute inpatient care.

  17. Three Essays on Human Capital in the Public Sector

    OpenAIRE

    Linos, Elizabeth

    2016-01-01

    This dissertation presents three empirical studies on how to improve human capital in the public sector. In reverse chronological order, the essays ask who is attracted to public sector jobs (Paper 3); consider who can actually get a public sector job (Paper 2); and evaluate how current civil servants can be more effective at doing their job (Paper 1). In doing so, the dissertation presents tools that public managers can use to improve human capital within the constraints of government. P...

  18. The financial crisis in Italy: implications for the healthcare sector.

    Science.gov (United States)

    de Belvis, Antonio Giulio; Ferrè, Francesca; Specchia, Maria Lucia; Valerio, Luca; Fattore, Giovanni; Ricciardi, Walter

    2012-06-01

    The global economic and financial crisis is having and impact on the Italian healthcare system which is undergoing a devolution process from the central government to regions and where about one third of the regional governments (mainly in the central and southern part of the country) are facing large financial deficits. The paper briefly describes the current macro scenario and the main responses taken to face the crisis and highlights the downside risks of introducing "linear" cuts in the allocation of resources. While justified by the risk of a national debt default, present fiscal policies might increase inequalities in access to care, deteriorate overall health indicators and population wellbeing, and sharpen existing difference in the quality of care between regions. Preliminary evidence shows that the crisis is affecting the quality of nutrition and the incidence of psychiatric disorders. During this difficult financial situation Italy is also facing the risk of a major reduction in investments for preventive medicine, Evidence Based Medicine infrastructures, health information systems and physical capital renewal. This cost-cutting strategy may have negative long term consequences Also, important achievement in terms of limiting waiting lists, improving continuity of care and patients' centeredness, and promoting integration between social and health care may be negatively affected by unprecedented resources' cuts. It is essential that in such a period of public funding constraints health authorities monitor incidence of diseases and access to care of the most vulnerable groups and specifically target interventions to those who may be disproportionally hit by the crisis. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  19. Public sector pay and corruption: measuring bribery from micro data

    OpenAIRE

    Gorodnichenko, Yuriy; Sabirianova Peter, Klara

    2006-01-01

    This study is the first to provide a systematic measure of bribery using micro-level data on reported earnings, household spending and asset holdings. We use the compensating differential framework and the estimated sectoral gap in reported earnings and expenditures to identify the size of unobserved (unofficial) compensation (i.e., bribes) of public sector employees. In the case of Ukraine, we find that public sector employees receive 24-32% less wages than their private sector counterparts....

  20. First line management in the public sector

    DEFF Research Database (Denmark)

    Voxted, Søren

    The paper will examines and discusses the results from a structured observational study, wherein 50 first-line managers from the public sector in Denmark in five areas of employment where observed. These observational studies are a key contribution in the ‘greenhouse for management’ project......, the study explores which tasks the managers primarily perform, divided into eight categories of activities. Third, it is examined how the manager’s usage of time is divided among the individual tasks. The results of the above data can be used both to provide a comprehensive characterization of municipal...... first-line managers’ work and to illuminate differences between first-line managers from different occupational groups. The second question relates to current debate about the degree of professionalized management among the municipal first-line managers. In both the international and Danish management...

  1. The Public Sector and Obligation to Contract

    DEFF Research Database (Denmark)

    Olesen, Karsten Naundrup; Indén, Tobias

    2016-01-01

    of the freedom to contract which is a fundamental to market behaviour. Finally attention is drawn to the fact that obligations to contract are also imposed on private entities. The paper takes Swedish and Danish regulations as a point of departure and provides an insight into regulations from these two countries...... imposing obligations to contract, offering a number of examples of such regulations. Moreover, since obligation to contract and freedom to contract are universal concepts, the paper is of relevance to all countries that have similar regulations including other EU Member States.......The paper concerns the situation where public sector bodies are forced to enter into contracts. These obligations to contract are analysed from two angles. First, the paper offers an analysis of the reasons for imposing such obligations to contract under Swedish and Danish law. Secondly the paper...

  2. Effect of provision of home-based curative health services by public sector health-care providers on neonatal survival: a community-based cluster-randomised trial in rural Pakistan.

    Science.gov (United States)

    Soofi, Sajid; Cousens, Simon; Turab, Ali; Wasan, Yaqub; Mohammed, Shah; Ariff, Shabina; Bhatti, Zaid; Ahmed, Imran; Wall, Steve; Bhutta, Zulfiqar A

    2017-08-01

    Although the effectiveness of community mobilisation and promotive care delivered by community health workers in reducing perinatal and neonatal mortality is well established, evidence in support of home-based neonatal resuscitation and infection management is mixed. We assessed the effectiveness of adding training in neonatal bag and mask resuscitation and oral antibiotic therapy for suspected neonatal infections to a basic preventive and promotive interventions package delivered by public sector community-based lady health workers (LHWs) in rural Pakistan. We did a cluster-randomised controlled trial in two subdistricts of Naushahro Feroze in rural Sindh, Pakistan, between April 15, 2009, and Dec 10, 2012. LHWs, trained in basic newborn resuscitation and in recognition and treatment (with oral amoxicillin) of suspected neonatal respiratory infections, were linked with traditional birth attendants and encouraged to attend home births. Control clusters received routine care through the existing national programme. The primary outcome was all-cause neonatal mortality. Independent data collection teams recorded data for all pregnancies and their outcomes, morbidity, mortality, and household practices related to maternal and newborn care. Of the 27 randomised clusters with functional LHW programmes, 13 were allocated to the intervention group (n=242 749) and 14 to the control group (n=256 985). In the intervention group, LHWs did 80% of the planned community mobilisation sessions, but were able to attend only 1184 (14%) of 8425 deliveries and 4318 (25%) of 17 288 neonatal visits within 72 h of birth (prisk ratio 0·80, 95% CI 0·68-0·93; p=0·005). The reduction in neonatal mortality in intervention clusters occurred against a background of improvements in domiciliary practices for maternal and newborn care. However, the poor reach of LHWs in accessing newborn infants at birth and in the early postnatal period underscores the limitations of tasking community

  3. The impacts of motivation, personal traits of managers and management education on the performances of public healthcare facilities

    OpenAIRE

    Karanović Nevena; Stošić Sanja

    2016-01-01

    Background/Aim. Exposed to increasing needs of users for better and faster services, more medications and innovative health technologies, managers of healthcare services in the public sector need motivation, permanent updating of information and constant personal development. The aim of this paper was to evaluate, on the basis of experienced healthcare managers, the impact of their motivation, selected character traits, managerial skills and formal education in management on healthcare facili...

  4. Recognition of the Concept of Publicness in Healthcare: a Content Analysis of Korean Newspapers

    Science.gov (United States)

    2017-01-01

    The traditional boundaries between public and private sectors has been blurred, and questions raised regarding how publicness could be conceptualized. The empirical study on the concept of publicness can reveal greatly diversified views on publicness, and help to reduce confusion over publicness. For the content analysis, 750 news articles of 8 national Korean newspapers were retrieved from the Korea Integrated News Database System. The articles were coded by the inductive category for the topic of the paragraph, the concept related to publicness, and the overall tone toward publicness. Publicness was addressed in a number of different issues, and diverse and specific statuses or actions were associated with the realization of publicness. The most frequent concept was “government,” which represented the main agent of healthcare provision and the owner of institutions for “the vulnerable.” Issues of industrialization of healthcare/healthcare industry and reform of the national healthcare system mentioned publicness in a normative sense, which laid stress on “not-for-profit” service and the right of “universal access” to service for publicness. Articles of health/disease information or global health regarded “the population/public” as the main targets or beneficiaries of healthcare services. Occasionally, publicness was not related to specific concepts, being used unclearly or as a routine. The fulfillment of the specific actions or status may lead to the enhancement of publicness. However, publicness itself could not be reduced to the specific concepts suggested. The use of publicness in healthcare delivered only its normative sense without substantive meaning. PMID:28145640

  5. Adherence-monitoring practices by private healthcare sector doctors ...

    African Journals Online (AJOL)

    2009-10-19

    Oct 19, 2009 ... to assess the private-sector doctor adherence-monitoring practices of ... a School of Pharmacy and Pharmacology, University of ... management of the HIV/AIDS pandemic with new drugs, ..... adherence. Ther Clin Risk Manag.

  6. Product market integration, tax distortions and public sector size

    DEFF Research Database (Denmark)

    Andersen, Torben M.; Sørensen, Allan

    The implications of product market integration for public sector activities (transfers and public consumption) are considered in a standard setting. The analysis supports that a larger public sector (higher tax rate) tends to increase wages and worsen wage competitiveness. However, the implications...... of product market integration for the public sector are far from straightforward. The reason is gains-from-trade effects which tend to increase the tax base and decrease the opportunity costs of public consumption (marginal utility of private consumption falls). It follows that the retrenchment view...... that product market integration inevitable leads to a downward pressure on public sector activities does not get support in a standard setting. A particularly noteworthy finding is that a country with a large public sector (strong preferences for public consumption) may benefit more by integrating...

  7. The interrelations amongst control system elements in public sector organizations.

    NARCIS (Netherlands)

    Verbeeten, F.H.M.

    2013-01-01

    The aim of this study is to explain the decisions that public sector organizations make with regard to the design and use of their management control system. New Public Management, based on economics theory, suggests that employees in the public sector should be freed from traditional bureaucratic

  8. Due Process Mechanism and Fraudulent Practices in Nigerian Public Sector

    OpenAIRE

    Emmanuel ATAGBORO

    2015-01-01

    This study empirically examined whether due process mechanism serve as an antidote for fraudulent practices in the Nigerian public sector. Using 875 subjects in the public sector, the Pearson Product-Moment Correlation statistical tool was employed in order to establish whether due process mechanism is an antidote for fraudulent practices and also to see if due process ensures transparency in the public sector. The study found that due process ensures transparency and is an antido...

  9. Crowding out intrinsic motivation in the public sector

    OpenAIRE

    Georgellis, Yannis; Iossa, Elisabetta; Tabvuma, Vurain

    2011-01-01

    Employing intrinsically motivated individuals has been proposed as a means of improving public sector performance. In this article, we investigate whether intrinsic motivation affects the sorting of employees between the private and the public sectors, paying particular attention to whether extrinsic rewards crowd out intrinsic motivation. Using British longitudinal data, we find that individuals are attracted to the public sector by the intrinsic rather than the extrinsic rewards that the se...

  10. Crowding out intrinsic motivation in the public sector

    OpenAIRE

    Georgellis, Yannis; Iossa, Elisabetta; Tabvuma, Vurain

    2011-01-01

    Employing intrinsically motivated individuals has been proposed as a means of improving public sector performance. In this article, we investigate whether intrinsic motivation affects the sorting of employees between the private and the public sectors, paying particular attention to whether extrinsic rewards crowd out intrinsic motivation. Using British longitudinal data, we find that individuals are attracted to the public sector by the intrinsic rather than the extrinsic rewards that the se...

  11. Renewing the Study of Public Sector Unions in Canada

    Directory of Open Access Journals (Sweden)

    David Camfield

    2005-09-01

    Full Text Available A renewal of the study of public sector unionism in Canada is long overdue. This article explains why public sector unions deserve more attention from researchers than they have received of late and proposes that studies of public sector unions would benefit from adopting a new theoretical framework that conceptualizes contemporary unions as not only labour relations institutions but also as particular kinds of working-class movement organizations within a historically-specific class formation. It also identifies two obstacles to the production of accounts of contemporary public sector unions from this perspective.

  12. Evaluation of Public Sector Contributions to Public-Private Partnership Projects

    OpenAIRE

    Mackie, Peter; Nellthorp, John; Laird, James

    2005-01-01

    The Bank requires that any public sector contribution to a collaborative effort between the public sector and private enterprises in the transport sector be analyzed and justified in economic terms. This Note will set out the basis for making such an analysis. The general principles underlying this analysis are that: 1) public contributions to public-private partnership (PPP) projects sho...

  13. Due Process Mechanism and Fraudulent Practices in Nigerian Public Sector

    Directory of Open Access Journals (Sweden)

    Emmanuel ATAGBORO

    2015-09-01

    Full Text Available This study empirically examined whether due process mechanism serve as an antidote for fraudulent practices in the Nigerian public sector. Using 875 subjects in the public sector, the Pearson Product-Moment Correlation statistical tool was employed in order to establish whether due process mechanism is an antidote for fraudulent practices and also to see if due process ensures transparency in the public sector. The study found that due process ensures transparency and is an antidote for fraudulent practices. Another interesting finding from extant literature was that weak internal control system encourages fraudulent practices in the public sector. Thus, the need to re-embark upon moral, religious, ethical and social re-orientation in the public sector on the path of economic progress and development and not for political advantages is eminent as well as rigorous campaigns to awaken the conscious and re-orientate public servants and the general society on the need to refrain from fraud or abetting it. The internal control system operating in the public sector needs to be strengthened. Also, there is need for institutionalizing, internalizing and building ownership for the multitude of reforms within the public sector so as to ensure that it sustains the changes in the anti-corruption campaign in Nigeria. These trends need to continue for the dividends of due process to be fully realized in the Nigerian public sector.

  14. SERVICE QUALITY MEASUREMENT: IMPLICATIONS FOR HEALTHCARE SECTOR IN BULGARIA

    OpenAIRE

    VASSILEVA, Bistra; BALLONI, Antonio José

    2014-01-01

    The aim of the paper is to present the service quality situation in hospitals in North-Eastern Planning Region in Bulgaria. Our intention was to assess the gap between the expected and perceived healthcare service quality in hospitals. To meet these goals we conducted a study using prospective questionnaire provided by the GESITI project (Management of System and Information Technology in Hospitals [GESITI], 2013) and SERVQUAL scale. The results helped us to summarize the challenges for Bulga...

  15. Perceptions of dental students regarding dentistry, the job market and the public healthcare system.

    Science.gov (United States)

    Costa, Simone de Melo; Silveira, Marise Fagundes; Durães, Sarah Jane Alves; Abreu, Mauro Henrique Nogueira Guimarães de; Bonan, Paulo Rogério Ferreti

    2012-05-01

    The scope was to analyze the perceptions of dentistry students at the State University of Montes Claros, Brazil, regarding dentistry, the job market and the public healthcare system. For this, a triangulation method was employed, using a self-administered questionnaire and interviews. The quantitative data were submitted to univariate and multivariate analysis, using Poisson regression, where pdentistry course prepares students for this market as the curriculum integrates both teaching and service, reported being in favor of greater experience in the public healthcare system and said they would not take classes in Public Health if they were optional. Contact with the social context through teaching/service integration in the advanced semesters of the dentistry course appears to contribute to the development of new professional skills for working in the public sector. However, the students' perceptions revealed contradictions, considering the low value they attributed to the classes on Public Health and their perception of the public system as a residual job option.

  16. Information technology systems in public sector health facilities in developing countries: the case of South Africa

    Directory of Open Access Journals (Sweden)

    Cline Gregory B

    2013-01-01

    Full Text Available Abstract Background The public healthcare sector in developing countries faces many challenges including weak healthcare systems and under-resourced facilities that deliver poor outcomes relative to total healthcare expenditure. Global references demonstrate that information technology has the ability to assist in this regard through the automation of processes, thus reducing the inefficiencies of manually driven processes and lowering transaction costs. This study examines the impact of hospital information systems implementation on service delivery, user adoption and organisational culture within two hospital settings in South Africa. Methods Ninety-four interviews with doctors, nurses and hospital administrators were conducted in two public sector tertiary healthcare facilities (in two provinces to record end-user perceptions. Structured questionnaires were used to conduct the interviews with both qualitative and quantitative information. Results Noteworthy differences were observed among the three sample groups of doctors, nurses and administrators as well as between our two hospital groups. The impact of automation in terms of cost and strategic value in public sector hospitals is shown to have yielded positive outcomes with regard to patient experience, hospital staff workflow enhancements, and overall morale in the workplace. Conclusion The research provides insight into the reasons for investing in system automation, the associated outcomes, and organisational factors that impact the successful adoption of IT systems. In addition, it finds that sustainable success in these initiatives is as much a function of the technology as it is of the change management function that must accompany the system implementation.

  17. Information technology systems in public sector health facilities in developing countries: the case of South Africa

    Science.gov (United States)

    2013-01-01

    Background The public healthcare sector in developing countries faces many challenges including weak healthcare systems and under-resourced facilities that deliver poor outcomes relative to total healthcare expenditure. Global references demonstrate that information technology has the ability to assist in this regard through the automation of processes, thus reducing the inefficiencies of manually driven processes and lowering transaction costs. This study examines the impact of hospital information systems implementation on service delivery, user adoption and organisational culture within two hospital settings in South Africa. Methods Ninety-four interviews with doctors, nurses and hospital administrators were conducted in two public sector tertiary healthcare facilities (in two provinces) to record end-user perceptions. Structured questionnaires were used to conduct the interviews with both qualitative and quantitative information. Results Noteworthy differences were observed among the three sample groups of doctors, nurses and administrators as well as between our two hospital groups. The impact of automation in terms of cost and strategic value in public sector hospitals is shown to have yielded positive outcomes with regard to patient experience, hospital staff workflow enhancements, and overall morale in the workplace. Conclusion The research provides insight into the reasons for investing in system automation, the associated outcomes, and organisational factors that impact the successful adoption of IT systems. In addition, it finds that sustainable success in these initiatives is as much a function of the technology as it is of the change management function that must accompany the system implementation. PMID:23347433

  18. Consequences of failure to manage public sector financial records ...

    African Journals Online (AJOL)

    ... and Southern Africa Regional Branch of the International Council on Archives ... The focus of this article is the management of public sector financial records. ... the records generated by the public financial management system provide the ...

  19. Staff Indiscipline and Productivity in the Public Sector in Nigeria ...

    African Journals Online (AJOL)

    Staff Indiscipline and Productivity in the Public Sector in Nigeria. ... source of concern to people (managers, bureaucrats, top public/civil servants and other ... regularize the payment of workers' salaries and wages to increase their productivity.

  20. The productivity of public and private sector in Poland

    Directory of Open Access Journals (Sweden)

    Robert Pater

    2014-07-01

    Full Text Available In the article a concept of comparing public and private sector effectiveness is presented. It is based on an analysis of the productivity of capital and labour in both sectors. For this purpose, the authors build growth model in the general and intensive form, taking into account public and private sectors and their relationships in terms of gross value of fixed assets, and employment. Empirical analysis is carried out using a panel model for Polish provinces in the years 2002-2009. The analysis show that the size of the public sector in terms of labour and capital is negatively correlated with Gross Domestic Product and gross value added per employee. Research has shown that the productivity in the two sectors is different. The private sector has a higher productivity of both labour and capital in comparison to the public sector. The authors are of the opinion that the analysis in terms of labour and capital in both sectors substantially complements the more common approach aimed at measuring the effectiveness of public sector from the point of view of expenditures. Proposed analysis has the advantage that it expresses two sectors, which use different accounting categories, in the same economic terms – productivity.

  1. Prevalence of maltreatment among youths in public sectors of care.

    Science.gov (United States)

    Miller, Elizabeth A; Green, Amy E; Fettes, Danielle L; Aarons, Gregory A

    2011-08-01

    Few studies have investigated the prevalence of maltreatment among youths in public sectors of care despite the critical public health concern and the burden of suffering on such youths. The current study examined the prevalence of multiple types of maltreatment across five public sectors of care. Youths aged 11-18 (n = 1,135) enrolled in one of five public sectors of care reported on their maltreatment history using the Childhood Trauma Questionnaire. Across all sectors, 78% of youth reported experiencing at least moderate levels of maltreatment with the majority (58%) reporting multiple types of maltreatment. The prevalence of maltreatment was highest for youths involved in the alcohol/drug (86%) and child welfare (85%) sectors, and lowest in the serious emotional disturbance sector (72%). Logistic regressions were conducted to examine differences in the likelihood of multiple types of maltreatment by sector affiliation, controlling for the effects of gender, race/ethnicity, and age. The results indicate that rates of maltreatment across sectors do not differ greatly from those in child welfare. The high incidence of maltreatment across all sectors, not solely child welfare, indicates that all youth in public sectors of care should be screened for a history of maltreatment when they enter into care.

  2. Commodification or Transformation? Measuring performance in the public sector

    OpenAIRE

    Adcroft, AP; Willis, R.

    2005-01-01

    Currently managerial reforms in the UK public sector focus on performance measurement aimed at increasing accountability, value for money and the use of scarce resources. Through examination of this process in the National Health Service and higher education, this paper argues that this represents the imposition of private sector management practices and, therefore, represents further commodification of public sector services. The most likely outcome of these changes is not transformation of ...

  3. Big data analysis framework for healthcare and social sectors in Korea.

    Science.gov (United States)

    Song, Tae-Min; Ryu, Seewon

    2015-01-01

    We reviewed applications of big data analysis of healthcare and social services in developed countries, and subsequently devised a framework for such an analysis in Korea. We reviewed the status of implementing big data analysis of health care and social services in developed countries, and strategies used by the Ministry of Health and Welfare of Korea (Government 3.0). We formulated a conceptual framework of big data in the healthcare and social service sectors at the national level. As a specific case, we designed a process and method of social big data analysis on suicide buzz. Developed countries (e.g., the United States, the UK, Singapore, Australia, and even OECD and EU) are emphasizing the potential of big data, and using it as a tool to solve their long-standing problems. Big data strategies for the healthcare and social service sectors were formulated based on an ICT-based policy of current government and the strategic goals of the Ministry of Health and Welfare. We suggest a framework of big data analysis in the healthcare and welfare service sectors separately and assigned them tentative names: 'health risk analysis center' and 'integrated social welfare service network'. A framework of social big data analysis is presented by applying it to the prevention and proactive detection of suicide in Korea. There are some concerns with the utilization of big data in the healthcare and social welfare sectors. Thus, research on these issues must be conducted so that sophisticated and practical solutions can be reached.

  4. LEADERSHIP STYLES: A STUDY OF AUSTRALIAN AND THAI PUBLIC SECTORS

    Directory of Open Access Journals (Sweden)

    Nattavud Pimpa

    2012-01-01

    Full Text Available Leadership is deeply attached to culture. This study compares leadership styles in Thai and Australian public sectors. The data were collected from staff in public sector settings in Australia and Thailand. The results confirm four leadership styles that suit the public sector culture in both countries: communication-oriented, strategic thinking and planning, relationship building, and conflict management. In the Thai public sector system, leadership that focuses on goal orientation is ranked most highly: Australian public sector organisations focus on leadership that fosters equity among organisational members, creates a supportive environment in the workplace, and facilitates participation. It is evident from this study that significant distinctions between the organisational cultures of Thailand and Australia are matched by marked dissimilarities of preferred leadership styles. Thus, an understanding of local organisational culture is important for effective leadership at all levels.

  5. Jurisdictional Competition Between Private and Public Sector Auditors

    DEFF Research Database (Denmark)

    Klarskov Jeppesen, Kim

    2012-01-01

    . In Denmark, the competitive relation has led to a jurisdictional dispute between public and private sector auditors in which the former have developed a special qualification for public sector auditors. The paper analyses the development of this qualification using Abbott's (1988) theory of the system...... of professions, thus focusing on how the involved groups have attempted to build networks of support for their competing jurisdictional claims of expertise. The case contributes to knowledge about the potential for development of a distinct public sector auditor identity. The case suggests that to develop...... such an identity and gain professional recognition, public sector auditors need to convince parliaments, standard-setting bodies and universities that a public sector auditing qualification serves as a solution to some of their problems, too....

  6. Enhancing healthcare sector coordination through infrastructure and logistics support.

    Science.gov (United States)

    Zoraster, Richard M

    2010-01-01

    The International Response to the 2004 Southeast Asia Tsunami was noted to have multiple areas of poor coordination, and in 2005, the "Health Cluster"approach to coordination was formulated. However, the 2010 Haiti response suggests that many of the same problems continue and that there are significant limitations to the cluster meetings. These limitations include the inconsistent attendance, poor dissemination of information, and perceived lack of benefit to providers. This article proposes that healthcare coordination would be greatly improved with logistical support, leading to improved efficiency and outcomes for those affected by disasters.

  7. Comparative performance of private and public healthcare systems in low- and middle-income countries: a systematic review.

    Directory of Open Access Journals (Sweden)

    Sanjay Basu

    Full Text Available INTRODUCTION: Private sector healthcare delivery in low- and middle-income countries is sometimes argued to be more efficient, accountable, and sustainable than public sector delivery. Conversely, the public sector is often regarded as providing more equitable and evidence-based care. We performed a systematic review of research studies investigating the performance of private and public sector delivery in low- and middle-income countries. METHODS AND FINDINGS: Peer-reviewed studies including case studies, meta-analyses, reviews, and case-control analyses, as well as reports published by non-governmental organizations and international agencies, were systematically collected through large database searches, filtered through methodological inclusion criteria, and organized into six World Health Organization health system themes: accessibility and responsiveness; quality; outcomes; accountability, transparency, and regulation; fairness and equity; and efficiency. Of 1,178 potentially relevant unique citations, data were obtained from 102 articles describing studies conducted in low- and middle-income countries. Comparative cohort and cross-sectional studies suggested that providers in the private sector more frequently violated medical standards of practice and had poorer patient outcomes, but had greater reported timeliness and hospitality to patients. Reported efficiency tended to be lower in the private than in the public sector, resulting in part from perverse incentives for unnecessary testing and treatment. Public sector services experienced more limited availability of equipment, medications, and trained healthcare workers. When the definition of "private sector" included unlicensed and uncertified providers such as drug shop owners, most patients appeared to access care in the private sector; however, when unlicensed healthcare providers were excluded from the analysis, the majority of people accessed public sector care. "Competitive

  8. Comparative performance of private and public healthcare systems in low- and middle-income countries: a systematic review.

    Science.gov (United States)

    Basu, Sanjay; Andrews, Jason; Kishore, Sandeep; Panjabi, Rajesh; Stuckler, David

    2012-01-01

    Private sector healthcare delivery in low- and middle-income countries is sometimes argued to be more efficient, accountable, and sustainable than public sector delivery. Conversely, the public sector is often regarded as providing more equitable and evidence-based care. We performed a systematic review of research studies investigating the performance of private and public sector delivery in low- and middle-income countries. Peer-reviewed studies including case studies, meta-analyses, reviews, and case-control analyses, as well as reports published by non-governmental organizations and international agencies, were systematically collected through large database searches, filtered through methodological inclusion criteria, and organized into six World Health Organization health system themes: accessibility and responsiveness; quality; outcomes; accountability, transparency, and regulation; fairness and equity; and efficiency. Of 1,178 potentially relevant unique citations, data were obtained from 102 articles describing studies conducted in low- and middle-income countries. Comparative cohort and cross-sectional studies suggested that providers in the private sector more frequently violated medical standards of practice and had poorer patient outcomes, but had greater reported timeliness and hospitality to patients. Reported efficiency tended to be lower in the private than in the public sector, resulting in part from perverse incentives for unnecessary testing and treatment. Public sector services experienced more limited availability of equipment, medications, and trained healthcare workers. When the definition of "private sector" included unlicensed and uncertified providers such as drug shop owners, most patients appeared to access care in the private sector; however, when unlicensed healthcare providers were excluded from the analysis, the majority of people accessed public sector care. "Competitive dynamics" for funding appeared between the two sectors, such

  9. Relational differences in interpersonal communication during third sector and public sector work

    DEFF Research Database (Denmark)

    Frederiksen, Dennis Jim

    organisational communication can play in understanding how working in the third sector can differ from working in the public sector. This is based on Ryan & Deci who argue that the way people relate to other people and consequently communicate with them, plays a key role in their motivation for conducting...... they are not interested in (Scheibel, 2014). The debate seems to boil down to a concern, that people doing volunteer work in the third sector, would loose their motivation to volunteer, if their work was like working in the public sector. As a contribution to this debate, this paper will examine the role interpersonal......In Denmark there arguably is an on-going debate between politicians and volunteer associations concerning the degree of involvement of associational volunteers in solving public sector tasks. As an example, one politician was asked to respond to the decrease of 33,000 full time jobs in the public...

  10. How can insulin initiation delivery in a dual-sector health system be optimised? A qualitative study on healthcare professionals' views.

    Science.gov (United States)

    Lee, Ping Yein; Lee, Yew Kong; Ng, Chirk Jenn

    2012-04-30

    The prevalence of type 2 diabetes is increasing at an alarming rate in developing countries. However, glycaemia control remains suboptimal and insulin use is low. One important barrier is the lack of an efficient and effective insulin initiation delivery approach. This study aimed to document the strategies used and proposed by healthcare professionals to improve insulin initiation in the Malaysian dual-sector (public-private) health system. In depth interviews and focus group discussions were conducted in Klang Valley and Seremban, Malaysia in 2010-11. Healthcare professionals consisting of general practitioners (n = 11), medical officers (n = 8), diabetes educators (n = 3), government policy makers (n = 4), family medicine specialists (n = 10) and endocrinologists (n = 2) were interviewed. We used a topic guide to facilitate the interviews, which were audio recorded, transcribed verbatim and analysed using a thematic approach. Three main themes emerged from the interviews. Firstly, there was a lack of collaboration between the private and public sectors in diabetes care. The general practitioners in the private sector proposed an integrated system for them to refer patients to the public health services for insulin initiation programmes. There could be shared care between the two sectors and this would reduce the disproportionately heavy workload at the public sector. Secondly, besides the support from the government health authority, the healthcare professionals wanted greater involvement of non-government organisations, media and pharmaceutical industry in facilitating insulin initiation in both the public and private sectors. The support included: training of healthcare professionals; developing and disseminating patient education materials; service provision by diabetes education teams; organising programmes for patients' peer group sessions; increasing awareness and demystifying insulin via public campaigns; and subsidising glucose

  11. Gender wage differentials in private and public sector jobs.

    Science.gov (United States)

    Zweimuller, J; Winter-ebmer, R

    1994-07-01

    "In this study gender wage differentials in private and public sector jobs in Austria are calculated. Occupational attainment is considered as endogenous by the use of an ordered response model. Results show that wage discrimination is also present in the public sector, though on a lower level. Both in private firms and for public servants a substantial part of this unwarranted differential is due to unequal professional advancement." excerpt

  12. Markets and Public Values in Healthcare

    NARCIS (Netherlands)

    T. Zuiderent-Jerak (Teun); K.J. Grit (Kor); T.E.D. van der Grinten (Tom)

    2010-01-01

    textabstractAbstract: Discussions on the role of markets in healthcare easily lead to political and unfruitful polarized positions. Actors arguing in favour of markets as a solution for the quality/cost conundrum entrench themselves against others pointing out the risk of markets for the delivery a

  13. Approaches to organizing public relations functions in healthcare.

    Science.gov (United States)

    Guy, Bonnie; Williams, David R; Aldridge, Alicia; Roggenkamp, Susan D

    2007-01-01

    This article provides health care audiences with a framework for understanding different perspectives of the role and functions of public relations in healthcare organizations and the resultant alternatives for organizing and enacting public relations functions. Using an example of a current issue receiving much attention in US healthcare (improving rates of organ donation), the article provides examples of how these different perspectives influence public relations goals and objectives, definitions of 'public', activities undertaken, who undertakes them and where they fit into the organizational hierarchy.

  14. Exploitation of Natural Resources and the Public Sector in Greenland

    DEFF Research Database (Denmark)

    Nielsen, Søren Bo

    budget in Greenland is nearly in balance, but at unchanged policies and standards public expenditures relative to GDP are bound to increase dramatically over the next decades due to population ageing. At the same time, the freezing of the block grant from Denmark implies a decrease in revenues relative......This paper considers the role of the public sector in future exploitation of non-renewable resources, especially minerals, in Greenland. The focus is on fiscal sustainability, principles for public sector involvement and the form of government take from mining activities. At present, the public...... to GDP. Hence, fiscal policy is quite far from being sustainable. Apart from a need for reforms, these facts also constrain the possible role of the public sector in future resource exploitation. In any case, the government should preferably adhere to strict principles when developing the mineral sector...

  15. The private sector's role in public sector genetically engineered crop projects.

    Science.gov (United States)

    Potrykus, Ingo

    2010-11-30

    There is widespread interest within academia to work on public good genetically engineered (GE) projects to the benefit of the poor, especially to use GE-technology to contribute to food security. Not a single product from this work has reached the market. The major cause is GE-regulation, which prevents use of the technology for public good beyond proof-of-concept (Potrykus, I. (2010) Lessons from the Humanitarian Golden Rice project: Regulation prevents development of public good GE-products (these Proceedings)). There is, however, another key problem responsible for the lack of deployment of public good GE-plants: the public sector is incompetent and disinterested for work beyond proof-of-concept, and has neither capability nor funding to develop GE-plant products and introduce them to growers and consumers. The private sector has the expertise for both and in the right circumstances can be ready to support the public sector in public good enterprises. Public-private-partnerships are the best solution so far, to advance exploitation of GE-technology to the benefit of the poor. Public-private-partnerships are viable, however, only, if there is mutual interest from the private sector and initiative and funding from the public sector.

  16. Public Service Motivation and Employment Sector: Attraction or Socialization?

    DEFF Research Database (Denmark)

    Kjeldsen, Anne Mette; Jacobsen, Christian Bøtcher

    2013-01-01

    Numerous studies have shown that public service motivation (PSM) is positively associated with public sector employment. However, the question of whether PSM influences or is influenced by employment decisions remains open, since previous studies have mostly relied on cross-sectional samples...... with experienced employees. This article investigates the relationship between PSM and employment sector in pre-entry and post-entry settings using data from a panel of Danish physiotherapy students surveyed before and after their first job in the public or private sector. The analyses show that PSM is neither...

  17. How can insulin initiation delivery in a dual-sector health system be optimised? A qualitative study on healthcare professionals’ views

    Directory of Open Access Journals (Sweden)

    Lee Ping Yein

    2012-04-01

    Full Text Available Abstract Background The prevalence of type 2 diabetes is increasing at an alarming rate in developing countries. However, glycaemia control remains suboptimal and insulin use is low. One important barrier is the lack of an efficient and effective insulin initiation delivery approach. This study aimed to document the strategies used and proposed by healthcare professionals to improve insulin initiation in the Malaysian dual-sector (public–private health system. Methods In depth interviews and focus group discussions were conducted in Klang Valley and Seremban, Malaysia in 2010–11. Healthcare professionals consisting of general practitioners (n = 11, medical officers (n = 8, diabetes educators (n = 3, government policy makers (n = 4, family medicine specialists (n = 10 and endocrinologists (n = 2 were interviewed. We used a topic guide to facilitate the interviews, which were audio recorded, transcribed verbatim and analysed using a thematic approach. Results Three main themes emerged from the interviews. Firstly, there was a lack of collaboration between the private and public sectors in diabetes care. The general practitioners in the private sector proposed an integrated system for them to refer patients to the public health services for insulin initiation programmes. There could be shared care between the two sectors and this would reduce the disproportionately heavy workload at the public sector. Secondly, besides the support from the government health authority, the healthcare professionals wanted greater involvement of non-government organisations, media and pharmaceutical industry in facilitating insulin initiation in both the public and private sectors. The support included: training of healthcare professionals; developing and disseminating patient education materials; service provision by diabetes education teams; organising programmes for patients’ peer group sessions; increasing awareness and demystifying

  18. The political economy of healthcare reform in China: negotiating public and private.

    Science.gov (United States)

    Daemmrich, Arthur

    2013-01-01

    China's healthcare system is experiencing significant growth from expanded government-backed insurance, greater public-sector spending on hospitals, and the introduction of private insurance and for-profit clinics. An incremental reform process has sought to develop market incentives for medical innovation and liberalize physician compensation and hospital finance while continuing to keep basic care affordable to a large population that pays for many components of care out-of-pocket. Additional changes presently under consideration by policymakers are likely to further restructure insurance and the delivery of care and will alter competitive dynamics in major healthcare industries, notably pharmaceuticals, medical devices, and diagnostic testing. This article describes the institutional history of China's healthcare system and identifies dilemmas emerging as the country negotiates divisions between public and private in healthcare. Building on this analysis, the article considers opportunities for public-private partnerships and greater systems integration to reconcile otherwise incommensurable approaches to rewarding innovation and improving access. The article concludes with observations on the public function of health insurance and its significance to further development of China's healthcare system.

  19. Public Healthcare Organizations: Leadership or Management?

    Directory of Open Access Journals (Sweden)

    Maite Martínez-Gonzalez

    2016-11-01

    Full Text Available This article studies the type of leadership that managers are currently exercising in the Catalan health system in Catalonia. A questionnaire (MQL-5X was sent to 120 people occupying management positions in healthcare centers and hospitals as well as 14 others who also hold such positions in these healthcare centers and hospitals, were interviewed. The mixed methods research design attests that the Catalan health system is managed through a structure of simultaneous transformational and transactional leadership. However, the efficacy of this system is conditioned purely by the communicative competence that a manager may or may not possess, as the system itself makes no effort to encourage transformational leadership. Transformation leadership inspires positive change, conveys a clear vision and enhances morale, motivation and job performance. It galvanizes a team into changing their expectations and perceptions and motivates them to work towards common goals.

  20. Environmental Aspects of Social Responsibility of Public Sector Organizations

    Directory of Open Access Journals (Sweden)

    Liliana Hawrysz

    2015-12-01

    Full Text Available In addition to determining social responsibility policies that affect the market and social actors, certain governments also set objectives related to their internal activity. For example, one of the activities of the German government is to implement the concept of social responsibility into public institutions. In the Netherlands, one of the government tasks is to set an example for responsible practices (government as a role model. The aim of this paper is to examine firstly whether public sector entities set an example for responsible practices, especially with regard to respect for the environment, and secondly, whether public sector organizations in Poland significantly differ from organizations abroad in terms of their practices in the field of environmental protection. A questionnaire was a basis for data collection. The questionnaires were distributed to representatives of deliberately selected public sector organizations located primarily in Europe. The study was conducted in 2012–2013 on a group of 220 public sector organizations (102 Polish and 118 other European. The paper presents only the selected part of research. Public sector organizations in Poland do not have internal mechanisms of environmental responsibility. There is a significant discrepancy between the state of the environmental responsibility of organizations located in Poland and abroad. Obtained results show that public sector organizations, those in Poland in particular, are making their first steps in developing internal environmental responsibility.

  1. State and Executive Perceptions of Public Sector Reform in Europe.

    NARCIS (Netherlands)

    D.S.D. Curry; G. Hammerschmid (Gerhard); S.R. Jilke (Sebastian); S.G.J. Van de Walle (Steven)

    2015-01-01

    markdownabstract__Abstract__ Like most other areas of the world, the public sector in Europe has undergone significant reform in the past two decades, shaped in part by a broader New Public Management (NPM) paradigm, but one that also introduces a unique European flavour to this form of public mana

  2. Behavioral economics perspectives on public sector pension plans

    Science.gov (United States)

    BESHEARS, JOHN; CHOI, JAMES J.; LAIBSON, DAVID; MADRIAN, BRIGITTE C.

    2011-01-01

    We describe the pension plan features of the states and the largest cities and counties in the U.S. Unlike in the private sector, defined benefit (DB) pensions are still the norm in the public sector. However, a few jurisdictions have shifted toward defined contribution (DC) plans as their primary savings plan, and fiscal pressures are likely to generate more movement in this direction. Holding fixed a public employee’s work and salary history, we show that DB retirement income replacement ratios vary greatly across jurisdictions. This creates large variation in workers’ need to save for retirement in other accounts. There is also substantial heterogeneity across jurisdictions in the savings generated in primary DC plans because of differences in the level of mandatory employer and employee contributions. One notable difference between public and private sector DC plans is that public sector primary DC plans are characterized by required employee or employer contributions (or both), whereas private sector plans largely feature voluntary employee contributions that are supplemented by an employer match. We conclude by applying lessons from savings behavior in private sector savings plans to the design of public sector plans. PMID:21789032

  3. Preferential procurement in the public sector: The case of Amathole

    African Journals Online (AJOL)

    The end of the apartheid era in South Africa ushered in a new institutional environment through .... examine how their services are procured for construction project purposes. .... are all responsible for major public sector capital infrastructure.

  4. Foreign Direct Investment and Public Sector Management and ...

    African Journals Online (AJOL)

    corruption are vital for public and private sectors to work together towards poverty alleviation. .... governance and institutional capacity among low incoms countries in SSA ...... Ownership concentration and corporate performance: A causal.

  5. Methodological aspects of accounting production cost of public sector entities

    Directory of Open Access Journals (Sweden)

    Людмила Геннадіївна Ловінська

    2015-09-01

    Full Text Available The necessity of obtaining objective information about the activities of the public sector in various areas of the production is defined. It is proved an expediency of development the Project of «Guidelines for the structure of production costs» on the basis of the approved in the public sector NP(SAPS 135 "Costs". The need for accounting costs by type of activity (operational, financial and investment is marked. The composition of production costs is defined

  6. Prohibit, constrain, encourage, or purchase: how should we engage with the private health-care sector?

    Science.gov (United States)

    Montagu, Dominic; Goodman, Catherine

    2016-08-06

    The private for-profit sector's prominence in health-care delivery, and concern about its failures to deliver social benefit, has driven a search for interventions to improve the sector's functioning. We review evidence for the effectiveness and limitations of such private sector interventions in low-income and middle-income countries. Few robust assessments are available, but some conclusions are possible. Prohibiting the private sector is very unlikely to succeed, and regulatory approaches face persistent challenges in many low-income and middle-income countries. Attention is therefore turning to interventions that encourage private providers to improve quality and coverage (while advancing their financial interests) such as social marketing, social franchising, vouchers, and contracting. However, evidence about the effect on clinical quality, coverage, equity, and cost-effectiveness is inadequate. Other challenges concern scalability and scope, indicating the limitations of such interventions as a basis for universal health coverage, though interventions can address focused problems on a restricted scale.

  7. Privatizing responsibility: public sector reform under neoliberal government.

    Science.gov (United States)

    Ilcan, Suzan

    2009-08-01

    In light of public sector reforms in Canada and elsewhere, this paper focuses on the shift of emphasis from social to private responsibilities and raises new questions about the forces of private enterprise and market-based partnerships. Under neoliberal governmental agendas, privatizing responsibility links to three main developments: the reconsideration of the relations of public and private; the mobilization of responsible citizenship; and the formation of a cultural mentality of rule that works alongside these developments. The research for this article is based on extensive analysis of policy documents and public sector reform initiatives, as well as interviews with Canadian federal public service employees.

  8. The setting of healthcare priorities through public engagement.

    Science.gov (United States)

    Meetoo, Danny

    Global fiscal constraints mean that the UK healthcare system of the 21st century can no longer provide all possible services and treatment for all the people it serves. Currently, more than ever, there is a need to set priorities in terms of resources. The allocation of scarce healthcare resources will result in some care programmes being supported while others are not. Decision makers are increasingly engaging the public in policy making and priority-setting processes. Advocates of increased public engagement argue that public services are paid for by the people and, therefore, should be shaped more extensively by them, preferably by a fully representative sample. Central to the concept of public engagement is a desire for open dialogue and debate between groups that might not ordinarily have the channels to understand or speak to one another. Public engagement activities aim to link the healthcare community with the general public, community groups, civil society organisations and any other groups or communities in the outside world where healthcare decision-making gains its relevance. This article, therefore, aims to discuss the importance of promoting public engagement.

  9. Enhancing collaborative innovation in the public sector

    DEFF Research Database (Denmark)

    Sørensen, Eva; Torfing, Jacob

    2011-01-01

    Encouraged by the proliferation of governance networks and the growing demands for public innovation, this article aims to advance “collaborative innovation” as a cross-disciplinary approach to studying and enhancing public innovation. The article explains the special conditions and the growing d...

  10. The role of trust in public services and public sector reform

    NARCIS (Netherlands)

    S.G.J. Van de Walle (Steven)

    2013-01-01

    markdownabstract__Abstract__ The balance between trust and distrust is shifting – yet again. The move towards public sector reforms inspired by the New Public Management (NPM) from the 1980s on introduced a series of innovations based on mutual distrust between public sector actors. More

  11. The role of trust in public services and public sector reform

    NARCIS (Netherlands)

    S.G.J. Van de Walle (Steven)

    2013-01-01

    markdownabstract__Abstract__ The balance between trust and distrust is shifting – yet again. The move towards public sector reforms inspired by the New Public Management (NPM) from the 1980s on introduced a series of innovations based on mutual distrust between public sector actors. More recently,

  12. Benefit Analyses of Technologies for Automatic Identification to Be Implemented in the Healthcare Sector

    Science.gov (United States)

    Krey, Mike; Schlatter, Ueli

    The tasks and objectives of automatic identification (Auto-ID) are to provide information on goods and products. It has already been established for years in the areas of logistics and trading and can no longer be ignored by the German healthcare sector. Some German hospitals have already discovered the capabilities of Auto-ID. Improvements in quality, safety and reductions in risk, cost and time are aspects and areas where improvements are achievable. Privacy protection, legal restraints, and the personal rights of patients and staff members are just a few aspects which make the heath care sector a sensible field for the implementation of Auto-ID. Auto-ID in this context contains the different technologies, methods and products for the registration, provision and storage of relevant data. With the help of a quantifiable and science-based evaluation, an answer is sought as to which Auto-ID has the highest capability to be implemented in healthcare business.

  13. Gatekeepers in the healthcare sector: Knowledge and Bourdieu's concept of field.

    Science.gov (United States)

    Collyer, Fran M; Willis, Karen F; Lewis, Sophie

    2017-08-01

    Choice is an imperative for patients in the Australian healthcare system. The complexity of this healthcare 'maze', however, means that successfully navigating and making choices depends not only on the decisions of patients, but also other key players in the healthcare sector. Utilising Bourdieu's concepts of capital, habitus and field, we analyse the role of gatekeepers (i.e., those who control access to resources, services and knowledge) in shaping patients' experiences of healthcare, and producing opportunities to enable or constrain their choices. Indepth interviews were conducted with 41 gatekeepers (GPs, specialists, nurses, hospital administrators and policymakers), exploring how they acquire and use knowledge within the healthcare system. Our findings reveal a hierarchy of knowledges and power within the healthcare field which determines the forms of knowledge that are legitimate and can operate as capital within this complex and dynamic arena. As a consequence, forms of knowledge which can operate as capital, are unequally distributed and strategically controlled, ensuring democratic 'reform' remains difficult and 'choices' limited to those beneficial to private medicine. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. Globalization, tax distortions and public sector retrenchment

    DEFF Research Database (Denmark)

    Andersen, Torben M.; Sørensen, Allan

    income taxation unambiguously worsens wage competitiveness, it does not follow that marginal costs of public funds increase with product market integration due to gains from trade. Moreover, non-cooperative fiscal policies do not have a race-to-the-bottom bias despite that taxes harm competitiveness....... In fact we identify an expansionary bias in …scal policies that is likely to increase with globalization when taxes finance either public consumption or transfers....

  15. A balanced scorecard approach in assessing IT value in healthcare sector: an empirical examination.

    Science.gov (United States)

    Wu, Ing-Long; Kuo, Yi-Zu

    2012-12-01

    Healthcare sector indicates human-based and knowledge-intensive property. Massive IT investments are necessary to maintain competitiveness in this sector. The justification of IT investments is the major concern of senior management. Empirical studies examining IT value have found inconclusive results with little or no improvement in productivity. Little research has been conducted in healthcare sector. The balanced scorecard (BSC) strikes a balance between financial and non-financial measure and has been applied in evaluating organization-based performance. Moreover, healthcare organizations often consider their performance goal at customer satisfaction in addition to financial performance. This research thus proposed a new hierarchical structure for the BSC with placing both finance and customer at the top, internal process at the next, and learning and growth at the bottom. Empirical examination has found the importance of the new BSC structure in assessing IT investments. Learning and growth plays the initial driver for reaching both customer and financial performance through the mediator of internal process. This can provide deep insight into effectively managing IT resources in the hospitals.

  16. Harmony in health sector: a requirement for effective healthcare delivery in Nigeria.

    Science.gov (United States)

    Osaro, Erhabor; Charles, Adias Teddy

    2014-09-01

    Harmony is defined as the pleasing combination of elements of a system to form an all-inclusive, all involving and more productive team. The aim of this present review was to investigate the factors militating against harmony among healthcare professional in the Nigerian healthcare delivery system. This review was carried out by searching through literature on the topic that bother on harmony among health professions in the health sector. Literature search and reports from previous studies indicates that harmony among health workers is pivotal to improving the health indices. However, available evidence suggests that unlike in the developed world, health care professionals do not collaborate well together in Nigeria because of the claim of superiority of a particular health professional over others. This has often resulted in inter-professional conflict which is threatening to tear the health sector apart to the detriment of the patients. The Nigeria health system should be based on team work. Health professionals from a variety of disciplines should work together to deliver the best possible healthcare services to all Nigerians. All members of the team are equally valuable and essential to the smooth running of hospitals. Hospitals should ideally be headed by health administrators or by a qualified member of any of the professions in the health sector. Copyright © 2014 Hainan Medical College. Published by Elsevier B.V. All rights reserved.

  17. Relational differences in interpersonal communication during third sector and public sector work: a comparative study

    DEFF Research Database (Denmark)

    Frederiksen, Dennis Jim

    ). There are however aspects of communication which cannot be explained as a direct result of contextual conditions, but rather primarily exist on an interpersonal level, and could contribute with new insights into volunteer work (M. Koschmann, 2010). The aim is to develop what Koschmann calls “uniquely communicative...... they are not interested in (Scheibel, 2014). The debate seems to boil down to a concern, that people doing volunteer work in the third sector, would loose their motivation to volunteer, if their work was like working in the public sector. As a contribution to this debate, this paper will examine the role interpersonal...... organisational communication can play in understanding how working in the third sector can differ from working in the public sector. This is based on Ryan & Deci who argue that the way people relate to other people and consequently communicate with them, plays a key role in their motivation for conducting...

  18. Public Sector Reforms In Africa: A Philosophical Re-Thinking

    African Journals Online (AJOL)

    seriane.camara

    2009-05-14

    May 14, 2009 ... tions, the sale of public enterprises to multinational companies, the migration of the best African ... jor role is to help the governments of donor and loan-recipient countries achieve ... So, the two parties are working at cross-purposes, ... appropriate name for public sector reform is 'body politic reform'. The.

  19. Reforming US public sector plans : Truths and consequences

    NARCIS (Netherlands)

    Beetsma, R.M.W.J.; Lekniute, Z.; Ponds, E.H.M.

    2014-01-01

    Most public-sector pension plans in the United States provide quite generous defined benefits. Long-term projections show that full payment of these promises threatens the finances of many state and local employers, which implies that taxes will have to be increased or pensions and/or other public e

  20. The Systemic Products as a Source of Competitive Advantage on Healthcare Sector Example. Part II

    Directory of Open Access Journals (Sweden)

    Izabela SZTANGRET

    2015-12-01

    Full Text Available In the healthcare sector, different healthcare providers, such as home care, primary care, pharmacies and hospital clinics but also a financial institution, collaborate in order to increase values for patients, such as better health state, more complex services, high quality of services, and increased feeling of safety. By creating a value, flexible networks health care providers and additional actors create value through collaboration. The purpose of this article is to identify the specific character of systemic healthcare product, created in synergy relations of medical enntities in the area of new way of meeting customers’ needs. Critical analysis of literature in the field of studied category is conducted in the article; furthermore qualitative method of empirical studies (case study and quantitative (online questionnaire is applied for practical illustration of described processes and phenomena. The article is a second part of the stud.

  1. ESSENTIALS OF PUBLIC SECTOR REFORM: A CASE STUDY OF CROATIA

    Directory of Open Access Journals (Sweden)

    Farhad Analoui

    2008-09-01

    Full Text Available This paper explores the challenges faced by developing countries and countries in transition in their attempt at reforming the inherited bureaucratic public service. The paper explores how the public sector in Croatia has managed to come this far after the turbulent years of political and technocratic dislocation. Croatia is determined to reform its public sector to become eligible for joining the European Union (EU in near future. This has posed a major challenge for top senior officials and consultants alike. Adopting ‘action research’ as both a methodology and a strategy, a programme of intervention for change was designed and implemented in the Ministry of Finance. The overall results suggest that for the successful implementation of public sector reforms in the 21st century, attention should focus on strategic issues including systems thinking, HRMD, behavioural and attitudinal change, skills and competencies development and, above all, honest and responsible transformational leadership.

  2. Public sector risk management: a specific model.

    Science.gov (United States)

    Lawlor, Ted

    2002-07-01

    Risk management programs for state mental health authorities are generally limited in scope and reactive in nature. Recent changes in how mental health care is provided render it necessary to redirect the risk management focus from its present institutional basis to a statewide, network-based paradigm that is integrated across public and private inpatient and community programs alike. These changes include treating an increasing number of individuals in less-secure settings and contracting for an increasing number of public mental health services with private providers. The model proposed here is closely linked to the Quality Management Process.

  3. Environmental performance policy indicators for the public sector: the case of the defence sector.

    Science.gov (United States)

    Ramos, Tomás B; Alves, Inês; Subtil, Rui; Joanaz de Melo, João

    2007-03-01

    The development of environmental performance policy indicators for public services, and in particular for the defence sector, is an emerging issue. Despite a number of recent initiatives there has been little work done in this area, since the other sectors usually focused on are agriculture, transport, industry, tourism and energy. This type of tool can be an important component for environmental performance evaluation at policy level, when integrated in the general performance assessment system of public missions and activities. The main objective of this research was to develop environmental performance policy indicators for the public sector, specifically applied to the defence sector. Previous research included an assessment of the environmental profile, through the evaluation of how environmental management practices have been adopted in this sector and an assessment of environmental aspects and impacts. This paper builds upon that previous research, developing an indicator framework--SEPI--supported by the selection and construction of environmental performance indicators. Another aim is to discuss how the current environmental indicator framework can be integrated into overall performance management. The Portuguese defence sector is presented and the usefulness of this methodology demonstrated. Feasibility and relevancy criteria are applied to evaluate the set of indicators proposed, allowing indicators to be scored and indicators for the policy level to be obtained.

  4. The size of the public sector: Case of Albania

    Directory of Open Access Journals (Sweden)

    Dosti Bernard

    2014-01-01

    Full Text Available The government is one of the key players in the economic area of each country. Its impact is evident in all areas, such as political, economic and socio-cultural ones. This impact is measured by an indicator which economists call 'the size of the public sector'. As government's influence is so significant a question naturally arises: Should the impact of the government be big or small? There are many arguments in favor and against this issue and it is difficult to come to a consensus on the extent of government's intervention in the economy. That is why the purpose of this paper is to present a picture of this intervention in the economic life of our country by connecting this indicator with the budget deficit. First, we will elaborate the progress of the size of the public sector in Albania and its measurement by various indicators. Secondly, we will compare the size of the public sector in Albanian with the sizes of the public sector of other countries in the region. Finally, we will present the results of a study on the optimal size of the public sector in the economy of a country being analyzed and in terms of our country.

  5. Change management in the public sector.

    Science.gov (United States)

    Caple, L

    1995-01-01

    Summarizes the management of change in a high profile public service with more than its fair share of political influences. Demonstrates the scale of change possible, given a clear strategy and a strong managerial commitment. Argues that this leads to high productivity, quality and value for money, with a strong element of organizational loyalty and ownership of the end product.

  6. Ecological modernisation in the public catering sector

    DEFF Research Database (Denmark)

    Nielsen, Thorkild; Mikkelsen, Bent Egberg; Kristensen, Niels Heine

    2009-01-01

    The paper is part of the proceedings of an iPOPY seminar. The authors reflect on whether and how organic food in schools and kindergartens can be described as a part of an ecological modernization strategy in Denmark. They discuss how it has merged with more economically and technically approach ...... in public catering policy....

  7. Governance and Innovation in Public sector Services

    DEFF Research Database (Denmark)

    Scupola, Ada; Zanfei, Antonello

    2015-01-01

    from what could be considered as a spurious New Public Management approach, which incorporates elements of the traditional hierarchical model and elements of market-like competition, towards a “networked model” implying more emphasis on bottom-up decision making and a greater involvement of end users...

  8. Cost overruns in public sector investment projects

    NARCIS (Netherlands)

    Miranda Sarmento, J.J.; Renneboog, Luc

    2017-01-01

    We analyze cost overruns in a large sample of public infrastructural investment projects in Portugal. The average cost deviation relative to the budgeted costs amounts to 24%. The large projects even have a higher cost deviation and a higher probability of cost overruns, which suggests that the

  9. Public trust in the healthcare system in a developing country.

    Science.gov (United States)

    Peters, Dexnell; Youssef, Farid F

    2016-04-01

    Broadly defined, trust in the healthcare system is concerned with how the public perceives the system and the actors therein as it pertains to their ability to both deliver services and seek the best interests of their clientele. Trust is important because it impacts upon a range of health behaviors including compliance and ultimately affects the ability of the healthcare system to meet its goals. While several studies exist on public trust within the developed world, few studies have explored this issue in developing countries. This paper therefore assesses public trust in the healthcare system of a developing small island nation, Trinidad and Tobago. A cross-sectional survey of adults was conducted using a questionnaire that has been successfully used across Europe. We report that trust levels in the healthcare system in Trinidad and Tobago are relatively low with less than 50% of persons indicating fair trust in the healthcare system. In addition, individual health professionals also did not score highly with lowest scores found for nurses and complementary therapists. Results on four out of five dimensions of trust also demonstrated scores significantly lower than those reported in more developed nations. Open-ended comments supported these findings with the majority of persons indicating a lack of confidence in the healthcare system. These results may reflect the reality in the wider developing world, and we suggest that bolstering trust is a needed area of focus in the delivery of healthcare services throughout the nation. Copyright © 2014 John Wiley & Sons, Ltd. Copyright © 2014 John Wiley & Sons, Ltd.

  10. Public sector administration of ecological economics systems using mediated modeling.

    Science.gov (United States)

    van den Belt, Marjan; Kenyan, Jennifer R; Krueger, Elizabeth; Maynard, Alison; Roy, Matthew Galen; Raphael, Ian

    2010-01-01

    In today's climate of government outsourcing and multiple stakeholder involvement in public sector management and service delivery, it is more important than ever to rethink and redesign the structure of how policy decisions are made, implemented, monitored, and adapted to new realities. The traditional command-and-control approach is now less effective because an increasing amount of responsibility to deliver public goods and services falls on networks of nongovernment agencies. Even though public administrators are seeking new decision-making models in an increasingly more complex environment, the public sector currently only sparsely utilizes Mediated Modeling (MM). There is growing evidence, however, that by employing MM and similar tools, public interest networks can be better equipped to deal with their long-term viability while maintaining the short-term needs of their clients. However, it may require a shift in organizational culture within and between organizations to achieve the desired results. This paper explores the successes and barriers to implementing MM and similar tools in the public sector and offers insights into utilizing them through a review of case studies and interdisciplinary literature. We aim to raise a broader interest in MM and similar tools among public sector administrators at various administrative levels. We focus primarily, but not exclusively, on those cases operating at the interface of ecology and socio-economic systems.

  11. COLLECTIVE BARGAINING DYNAMICS IN THE NIGERIAN PUBLIC AND PRIVATE SECTORS

    Directory of Open Access Journals (Sweden)

    Mariam A. Gbajumo-Sheriff (Mrs.

    2011-09-01

    Full Text Available The objective of this paper is to examine the dynamics of collective bargaining machinery in both the public and private sectors in Nigeria; with a view to bringing to the fore the peculiarities associated with both sectors with regard to the practice of bargaining. To achieve this objective, the paper adopts a theoretical approach. The author observes that the practice of industrial relations as a discipline and that of collective bargaining in particular emanated from the private sector the world over. Thus, much of the practices of public sector collective bargaining are modelled after the private sector collective bargaining. However, in Nigeria, the obverse is the case as collective bargaining gained its root in the public sector owing to the near absence of private sector at the turn of the century. However, in Nigeria, the public sector pays lip-service to the collective bargaining machinery. Governments at all levels (Federal, State and Local have continued to set aside collective bargaining and to give wage awards to score political points in spite of its commitment to the ILO Convention 98 to freely bargain with workers. The State or the government in the course of regulating wages and employment terms and conditions revert to the use of wage commissions. Thus, wage determination is by fiat. This preference for wage commissions can at best be regarded as a unilateral system as collective bargaining is relegated to the background.Wage tribunals or commissions offer little opportunity for workers’ contribution in the determination of terms and conditions of employment and can hardly be viewed as bilateral or tripartite. Thus, the State preference for wage commissions is anti-collective bargaining. In spite of Nigeria’s commitment to Conventions of the ILO with particular reference to such Conventions as 87 of 1948 and 98 of 1949 which provide for freedom of association and the right of workers to organize and bargain collectively

  12. Health Sector:Public Expenditure Review 2010/11

    OpenAIRE

    Kikuli, Regina; Ally, Mariam

    2012-01-01

    The main objective of Health Sector Public Expenditure Review for fiscal year (FY) 2011 (PER FY11) was to assess the budgetary allocations and expenditures to inform stakeholders about progress made in key health financing milestones over the 2006/07–2011/12 period. Specifically, the Health Sector PER sets out to provide: A review of PER FY10 findings and actions taken by the sector in response to those findings, indicating unaccomplished/pending actions, and identifying follow-up actions fo...

  13. Working in the Public Sector. Introduction to the Thematic Issue

    Directory of Open Access Journals (Sweden)

    Annette Kamp

    2013-05-01

    Full Text Available Work in the public sector has been changing dramatically in recent decades. Reforms aimed at increasing the efficiency of public services have been extensive in the Nordic countries and elsewhere since the 1980s. The reforms and changes have to a large extent been associated with so-called New Public Management (NPM principles, emphasizing the market as a central coordination mechanism. Consequently, public institutions have been restructured, their services are standardized and commodified, and market-like relationships between them have been created. In order to create markets and transform citizens into customers on a market, outsourcing and privatization have been stimulated (Blomqvist & Rothstein 2000, Busch et al 2005, Christensen & Lægreid 2007, Greve 2003. At the same time, traditional Weberian bureaucratic principles are still viable and even enhanced within the sector, for instance, as a consequence of the use of contracts as a means of managing public organizations (Greve 2008. Lately, large reforms aimed at centralized coordination of different service providers, such as the integration of the Norwegian welfare administration, have been labeled post-NPM reforms by some researchers. The implication of all these parallel tendencies is that the institutional and organizational landscape surrounding the work situations of employees in the public sector have become increasingly complex, some call them hybrid,  putting a variety of conflicting pressures on the performance of work within the sector (Christensen & Lægreid 2011, Hasselbladh et al. 2008. In this special issue, we explore some of the consequences of these structural and normative changes on the work of public sector employees in different sectors and contexts (...

  14. Morale’s role in the public sector

    OpenAIRE

    DeRousse, John W.

    2015-01-01

    Approved for public release; distribution is unlimited This thesis examines the factors that help and hinder employee morale at public safety agencies within the homeland security enterprise. The Department of Homeland Security, and the various agencies that support it, have reported low levels of job satisfaction. Through an in-depth analysis of literature that discusses workplace morale in the public sector, this document provides recommendations for agencies interested in improving it. ...

  15. Supporting SMEs in public sector bids.

    Science.gov (United States)

    James, Edward

    2016-03-01

    Edward James, workstream lead, Estates, Facilities and Professional Services Workstream, at NHS London Procurement Partnership (pictured), looks at the workings and benefits of Dynamic Purchasing Systems--electronic systems used by a public bodies to purchase commonly used goods, works, or services. One of the major benefits, he explains, is that under a 'DPS'--an 'open market' system revised in 2015--smaller businesses have a greater opportunity to win business than in traditional ('closed') framework agreements.

  16. Distinctive research patterns on public sector performance measurement of public administration and accounting disciplines

    NARCIS (Netherlands)

    van Helden, G. Jan; Johnsen, Age; Vakkuri, Jarmo

    2008-01-01

    This article explores distinctive research patterns of public administration and accounting disciplines concerning public sector performance measurement (PSPM). Our review shows that accounting researchers from Europe investigate reasons for limited PM use and factors explaining a rational or symbol

  17. The exclusion of 'public undertakings' from the re-use of public sector information regime

    NARCIS (Netherlands)

    Ricolfi, M.; Drexl, J.; van Eechoud, M.; Salmeron, M.; Sappa, C.; Tziavos, P.; Valero, J.; Pavoni, F.; Patrito, P.

    2011-01-01

    Should public undertakings be covered by the PSI Directive? The definitions of public sector bodies and bodies governed by public law, to which the PSI Directive applies, are currently taken from the public procurement Directives and public undertakings are not covered by these definitions. Should p

  18. A knowledge sharing framework in the South African public sector

    Directory of Open Access Journals (Sweden)

    Peter L. Mkhize

    2015-02-01

    Full Text Available In the knowledge economy, organisations are shifting their investment focus to intellectual capital in order to sustain a competitive advantage in the global marketplace. Organisational survival is increasingly dependent on the organisation’s ability to create and distribute knowledge that contributes to the improvement of performance. The purpose of this article is to evaluate individual knowledge-acquisition and sharing practices in the South African public sector. I applied the techniques of grounded theory analysis to extract themes from data that could provide insight into the knowledge sharing that takes place in the South African public sector. Findings revealed that the informal sharing of knowledge takes place in discussion forums within communities of practice through web-based, socially orientated platforms. These communities of practice are widespread throughout the public sector and are established with the purpose of soliciting expert knowledge from those who have been using open-source software successfully.

  19. Measuring Meritocracy in the Public Sector in Europe

    DEFF Research Database (Denmark)

    Charron, Nicholas; Dahlström, Carl; Lapuente, Victor

    2016-01-01

    the public sector. The paper also discusses the survey and explores the external validity of the measures provided here, showing correlations with alternative measures based on expert opinions, as well as variables from the literature that we would expect to correlate highly with a meritocratic bureaucracy....... to the knowledge in the field, the data on which they are built come with problems. This paper proposes a set of novel measures that complement existing measures and thus fill important gaps in this burgeoning literature. The measures we present are not based on expert assessments but on perceptions of public...... sector employees’ and citizens’. We create two measures—that can be combined into one—from a recent survey (2013) of over 85,000 citizens in 24 European countries. One is purely based on the assessments from public sector employees’ and the other is based on perceptions of citizens working outside...

  20. Contracts, Performance Measurement and Accountability in the Public Sector

    DEFF Research Database (Denmark)

    Drewry, Gavin; Greve, Carsten; Tanquerel, Thierry

    This book addresses issues to do with public accountability, audit and performance measurement that are both highly topical and of crucial importance to the theory and practice of public administration in an era of contractualized public management. The literature on public sector contracting...... of audit and accountability in a variety of countries and contexts; the third part offers some wider, cross-cutting perspectives. Based on the work of the EGPA permanent study group on the history of contractualization, Contracts, Performance Measurement and Accountability in the Public Sector draws upon...... - covering both 'hard' agreements (ones that are legally enforceable) and 'soft' agreements (enforced by negotiation and mutual trust) - has been growing for some time and the present book adds a primarily European perspective on contracting, performance-based management and accountability. One important...

  1. Perspectives on User-Driven Innovation in Public Sector Services

    DEFF Research Database (Denmark)

    Langergaard, Luise Li

    2015-01-01

    The chapter presents and discusses how we can conceptualize user involvement in the public sector, as well as users, in very different ways: As consumers, co-producers, lead users or citizens. One important question which is subsequently discussed, is what such different conceptualizations imply...... of citizenship. Thus, we need to be aware of what different perspectives of user involvement imply for citizenship and collaborative innovation in the public sector. The chapter is based on a literature study and uses an empirical case as an example to illustrate and discuss differences in democratic...

  2. Factors influencing the role of primary care providers as gatekeepers in the Malaysian public healthcare system.

    Science.gov (United States)

    Ang, K T; Ho, B K; Mimi, O; Salmah, N; Salmiah, M S; Noridah, M S

    2014-01-01

    Primary care providers play an important gatekeeping role in ensuring appropriate referrals to secondary care facilities. This cross-sectional study aimed to determine the level, pattern and rate of referrals from health clinics to hospitals in the public sector, and whether the placement of resident family medicine specialist (FMS) had made a significant difference. The study was carried out between March and April in 2012, involving 28 public primary care clinics. It showed that the average referral rate was 1.56% for clinics with resident FMS and 1.94% for those without resident FMS, but it was not statistically significant. Majority of referred cases were considered appropriate (96.1%). Results of the multivariate analysis showed that no prior consultation with senior healthcare provider and illnesses that were not severe and complex were independently associated with inappropriate referrals. Severity, complexity or uncertain diagnosis of patients' illness or injury significantly contributed to unavoidable referrals. Adequate facilities or having more experienced doctors could have avoided 14.5% of the referrals. The low referral rate and very high level of appropriate referrals could indicate that primary care providers in the public sector played an effective role as gatekeepers in the Malaysian public healthcare system.

  3. Healthcare public key infrastructure (HPKI) and non-profit organization (NPO): essentials for healthcare data exchange.

    Science.gov (United States)

    Takeda, Hiroshi; Matsumura, Yasushi; Nakagawa, Katsuhiko; Teratani, Tadamasa; Qiyan, Zhang; Kusuoka, Hideo; Matsuoka, Masami

    2004-01-01

    To share healthcare information and to promote cooperation among healthcare providers and customers (patients) under computerized network environment, a non-profit organization (NPO), named as OCHIS, was established at Osaka, Japan in 2003. Since security and confidentiality issues on the Internet have been major concerns in the OCHIS, the system has been based on healthcare public key infrastructure (HPKI), and found that there remained problems to be solved technically and operationally. An experimental study was conducted to elucidate the central and the local function in terms of a registration authority and a time stamp authority by contracting with the Ministry of Economics and Trading Industries in 2003. This paper describes the experimental design with NPO and the results of the study concerning message security and HPKI. The developed system has been operated practically in Osaka urban area.

  4. Performance of the public health care sector in the Republic of Macedonia

    Directory of Open Access Journals (Sweden)

    Lolita Mitevska

    2016-04-01

    Full Text Available Aim: Healthcare authorities constantly search for new approaches of assessing the performance of the health sector. Comparative studies help for improvements in healthcare by learning from each-other. Our aim was to assess the performance of the public healthcare system in the Republic of Macedonia, through the analysis of preparedness of institutions to fulfill the population’s healthcare needs and expectations. Methods: This study had a regional character. The national research team interviewed 175 randomly selected participants from Macedonia. The research was performed in the period March 2012 – March 2013. For the research purposes there were used especially designed questionnaires for cancer, stroke, myocardial infarction, diabetes mellitus and injuries. For assessment of the performances, the appropriate techniques were developed. Results: Macedonians consider public healthcare system as being medium-good in all aspects: accessibility, availability, quality of health care services and population’s confidence. The knowledgeable observers (N=125 believe that state-of-the-art treatment exist all over the country (“yes”: 33.6% and “rather yes”: 44.8%. They believe that the services are accessible to everybody, free of major charges (“yes”: 31.2% and “rather yes”: 45.6%. The individual witnesses (N=50 argued toward lack of pharmacies and proper medicines in rural areas, with a gap between the availability and quality of services in rural vs. urban areas. Conclusion: The future goals for Macedonia include better public healthcare financing, cost definition of health packages, improved disease prevention and effective human resources.

  5. Unequal access to public healthcare facilities: theory and measurement revisited

    Directory of Open Access Journals (Sweden)

    Stefano Mainardi

    2007-12-01

    Full Text Available Adequate coverage and efficiency of public health services are high priorities for sustainable growth and development. In many countries, public healthcare continues to fall short of demand, and remains unevenly distributed among the population. As in other areas of project appraisal, studies on social equity and access to public utilities are fraught with theoretical and empirical questions. Based on the concepts of marginal disutility with respect to distance, safety thresholds and `equally distributed equivalent' distance, the paper first reassesses utility theory assumptions supporting the rationale for functional re-specifications. Partly drawing on these theoretical refinements, the analysis formulates a stochastic cost frontier hurdle model with an endogenously determined hospital distance threshold. For illustrative purposes, this model is applied to pooled biennial communal data for Chile. Healthcare accessibility in terms of travel cost/time is proxied by distances of administrative centres from the nearest emergency hospitals over the period 2000-2003.

  6. PUBLIC SECTOR INTER-INSTITUTIONAL COMBINATIONS - AN INTERDISCIPLINARY PERSPECTIVE

    Directory of Open Access Journals (Sweden)

    Ina MITU

    2014-11-01

    Full Text Available The purpose of this paper is to analyze the recent research litarature regarding public sector inter-institutional combinations. Based upon a sample of 51 articles published in 2010-2013 in four databases (Science Direct, Springer Link, Wiley Online Library and Sage, this study summarizes and analyses the approaches found. In the light of an in-depth empirical research the article looks at the issues raised by the public sector inte-institutional combinationsbygrouping the sample usingthe folowing criteria: year of publication, research methodology, field, the mentioning of New Public Management(NPM concept, theory and geographical area studied.The results reveal the fact that the predominant research methods used are: case study and statistical methods. The vast majority of papers analyze public institutions combinations of local public administration and investigate public sector combinations from Europe. Additionally, the majority of studies from the sample mention the concept of NPM and the institutional theory is mentioned in five articles.

  7. Value Chains of Public and Private Health-care Services in a Small EU Island State: A SWOT Analysis

    Science.gov (United States)

    Buttigieg, Sandra C.; Schuetz, Marcus; Bezzina, Frank

    2016-01-01

    The global financial and macroeconomic crisis of 2008/2009 and the ensuing recessions obliged policy makers to maximize use of resources and cut down on waste. Specifically, in health care, governments started to explore ways of establishing collaborations between the public and private health-care sectors. This is essential so as to ensure the best use of available resources, while securing quality of delivery of care as well as health systems sustainability and resilience. This qualitative study explores complementary and mutual attributes in the value creation process to patients by the public and private health-care systems in Malta, a small European Union island state. A workshop was conducted with 28 professionals from both sectors to generate two separate value chains, and this was followed by an analysis of strengths, weaknesses, opportunities, and threats (SWOT). The latter revealed several strengths and opportunities, which can better equip health-policy makers in the quest to maximize provision of health-care services. Moreover, the analysis also highlighted areas of weaknesses in both sectors as well as current threats of the external environment that, unless addressed, may threaten the state’s health-care system sustainability and resilience to macroeconomic shocks. The study goes on to provide feasible recommendations aimed at maximizing provision of health-care services in Malta. PMID:27683658

  8. Value Chains of Public and Private Health-care Services in a Small EU Island State: A SWOT Analysis.

    Science.gov (United States)

    Buttigieg, Sandra C; Schuetz, Marcus; Bezzina, Frank

    2016-01-01

    The global financial and macroeconomic crisis of 2008/2009 and the ensuing recessions obliged policy makers to maximize use of resources and cut down on waste. Specifically, in health care, governments started to explore ways of establishing collaborations between the public and private health-care sectors. This is essential so as to ensure the best use of available resources, while securing quality of delivery of care as well as health systems sustainability and resilience. This qualitative study explores complementary and mutual attributes in the value creation process to patients by the public and private health-care systems in Malta, a small European Union island state. A workshop was conducted with 28 professionals from both sectors to generate two separate value chains, and this was followed by an analysis of strengths, weaknesses, opportunities, and threats (SWOT). The latter revealed several strengths and opportunities, which can better equip health-policy makers in the quest to maximize provision of health-care services. Moreover, the analysis also highlighted areas of weaknesses in both sectors as well as current threats of the external environment that, unless addressed, may threaten the state's health-care system sustainability and resilience to macroeconomic shocks. The study goes on to provide feasible recommendations aimed at maximizing provision of health-care services in Malta.

  9. Contracting Out and Organizational Learning in the Public Sector

    DEFF Research Database (Denmark)

    Lindholst, Christian; Hansen, Morten Balle; Nielsen, Jeppe Agger

    organizational learning in the public sector. We review the scarce literature and elaborate a set of hypotheses concerning how different ways to organize contracting out may be related to organizational learning. Empirically we test these hypotheses on the case of contracting out technical services (park...... and how engagements between private and public organizations may lead to improvements in the public sector as a result of organizational learning. In this study, we propose and test the main hypothesis that engagements with private organizations through the use of contracting out facilitates......- and road maintenance) in local governments in Denmark, England, Norway and Sweden. We find that contracting out tends to enhance organizational learning in public organizations. Our findings also suggest variation in the impact depending on different ways of organizing and managing contractual relations...

  10. The utilization of mobile devices for telemedicine services in a South African public healthcare system.

    Science.gov (United States)

    Hartmann, André; Van Dyk, Liezl

    2014-01-01

    The purpose of this study is to develop an understanding in the use of mobile devices in administering telemedicine services within the public health care sector of South Africa. An online questionnaire was developed and distributed amongst medical officers, specialists, students and medical staff of one of the health districts of South Africa. This paper describes the design of the questionnaire as well as the most significant outcomes. Results are presented in terms of reasons why healthcare workers use mobile devices, as well as perceptions in terms of transmission security and quality of transmitted information.

  11. Changing Times: A Changing Public Sector May Require Changes to Public Management Education Programmes

    Science.gov (United States)

    Oldfield, Chrissie

    2017-01-01

    It is becoming apparent that the environment in which Executive Masters in Public Administration programmes operate has changed dramatically in the wake of economic crisis and subsequent cuts in public spending. Changes in the funding of public sector organisations has been compounded by a broader "crisis" in the wider public sector…

  12. Third Sector Involvement in Public Education: The Israeli Case

    Science.gov (United States)

    Berkovich, Izhak; Foldes, Vincent Jonathan

    2012-01-01

    Purpose: The purpose of this article is to address the involvement of third sector organizations in state public education in Israel, with emphasis on the decision-making processes affecting the geographic distribution of service provision. Design/methodology/approach: A collective case study approach was used to investigate non-governmental…

  13. Theoretical considerations about Innovation in the Public Sector

    DEFF Research Database (Denmark)

    Martinez, Laia

    in most Western countries with the purpose of reforming the public sector. However, the mechanisms of these modernising reforms do not provide governments the solutions required to the existing problems. Among other reasons for the silo and competitive thinking embedded in NPM. New and creative ideas...

  14. Innovation environments and innovation capacity in the public sector

    DEFF Research Database (Denmark)

    Lewis, Jenny; Ricard, Lykke Margot; Klijn, Erik-Hans

    Social innovation in the public sector has become an important focus for governments around the world over the last decade, as they try to solve intractable policy problems. The pressure on governments to do more with less in response to shrinking budgets and expanding community expectations and ...

  15. Boards of public sector organizations: a typology with Dutch illustrations

    NARCIS (Netherlands)

    Thiel, S. van

    2015-01-01

    - Purpose – The purpose of this study is to present two heuristics for researchers to identify different types of boards in public sector organziations, and thus enable exchange of research findings and comparative research. - Design/methodology/approach - Based on existing knowledge, two typologies

  16. Incentives and Their Dynamics in Public Sector Performance Management Systems

    Science.gov (United States)

    Heinrich, Carolyn J.; Marschke, Gerald

    2010-01-01

    We use the principal-agent model as a focal theoretical frame for synthesizing what we know, both theoretically and empirically, about the design and dynamics of the implementation of performance management systems in the public sector. In this context, we review the growing body of evidence about how performance measurement and incentive systems…

  17. Job factors and Work Outcomes of Public Sector Expatriates

    DEFF Research Database (Denmark)

    Selmer, Jan; Fenner, Jr., Charles R.

    2009-01-01

    with job satisfaction, making it a more important job factor than role conflict, role overload or role discretion. While role clarity may have a similar impact on work outcomes of expatriates both in the private and public sector, the findings regarding role conflict and role overload may constitute...

  18. Globalisation squeezes the public sector - is it so obvious?

    DEFF Research Database (Denmark)

    Andersen, Torben M.; Sørensen, Allan

    It is widely perceived that globalization squeezes public sector activities by making taxation more costly. This is attributed to increased factor mobility and to a more elastic labour demand due to improved scope for relocation of production and thus employment across countries. We argue...

  19. Job factors and Work Outcomes of Public Sector Expatriates

    DEFF Research Database (Denmark)

    Selmer, Jan; Fenner, Jr., Charles R.

    2009-01-01

    with job satisfaction, making it a more important job factor than role conflict, role overload or role discretion. While role clarity may have a similar impact on work outcomes of expatriates both in the private and public sector, the findings regarding role conflict and role overload may constitute...

  20. Public Sector Transformation, Racial Inequality and Downward Occupational Mobility

    Science.gov (United States)

    Wilson, George; Roscigno, Vincent J.; Huffman, Matt L.

    2013-01-01

    New "governance" reforms entailing shifts toward privatization have permeated the public sector over the last decade, possibly affecting workplace-based attainments. We examine the consequences of this reform for African American men, who during the civil rights era reached relative parity with whites. We analyze race-based inequities on one…

  1. The public spending crisis: a case study of Nigeria public sector

    Directory of Open Access Journals (Sweden)

    PhD(AccountingMBA.Mukoro Dick Oluku

    2011-12-01

    Full Text Available The objective of this paper is to discuss the differences in the concept and measurement of efficiency between the private and public sectors, stressing that the lessons from the private sector can only be transferred to the public sector if there is a proper awareness of these issues and constrains imposed by considerations of equity. In evaluating policy initiatives, the governments method for all the talk of “rolling back the public sector” and opposition companies of “cuts,” the public expenditure/EDP ration went up steadily during Obasanjo’s first term. However deep the divisions over what ought to be in the public sector, it is of paramount importance to all concerned that the resources are managed effectively. The paper argued that an attempt to instill into the public sector the cost consciousness of the best parts of the private sector is wholly admirable. In conclusion, the severity of the impending budgetary crises will make the search for greater efficiency in the public sector of paramount importance. The paper recommends that the common theme of all these cases in that an appropriate set of relative prices can encourage resources to be minimized. very great care has to be taken when introducing piecemeal charging in order to ensure that this does not have side-effects at odds with programme objectives

  2. Some Salient Features of Guatemala's Public and Private School Sectors

    Directory of Open Access Journals (Sweden)

    Carlos R. Ruano

    2003-07-01

    Full Text Available The purpose of this article is to analyze the formulation and implementation of educational policy processes in relation to private schools in Guatemala. Specifically, how bilingual education is defined and implemented in the private education sector in Guatemala City where the largest number of privately run establishments exist. Given the great deficits in the provision of educational coverage in the public sector, there has been an explosive expansion of private institutions which have very different levels of quality. Through an analysis of the administrative processes within the Guatemalan Government in general and its Education Ministry in particular as well as of the governance arrangements existing in the private school sector, an overall view of the curricular and policy decisions taken by private schools in the formulation and implementation of bilingual education is presented. This study was based on a sample of six private schools which cater to higher income segments of Guatemala City’s student population. Some of the relevant findings of this study include, the existence of a situation of quasi autonomous institutional functioning of the private sector, extreme differentials in the quality of services provided, inadequate levels of teacher and school administrator’s training as well as lack of cooperation between public and private sector schools.

  3. Public Service Motivation and Attraction to Public Versus Private Sector Employment

    DEFF Research Database (Denmark)

    Pedersen, Mogens Jin

    2013-01-01

    of economics, political science, and law, this article tests (1) the relationship between PSM and attraction to public versus private sector employment, and (2) the moderating effect on this relationship of students’ academic field of study (i.e., their profession once graduated). Overall, results underscore...... the multidimensionality of the PSM construct, as the PSM dimension of “public interest” is positively associated with attraction to public sector employment and negatively associated with attraction to private sector employment, while the PSM dimension of “compassion” is unrelated to both. Importantly, however...

  4. Recruitment for Competencies in Public and Private Sectors

    Directory of Open Access Journals (Sweden)

    Codruța OSOIAN

    2014-02-01

    Full Text Available The capacity to attract highly skilled human resources is dependent on the employee recruitment process implemented by organizations, which plays an important role for their competitiveness on the market. As the concern for the success of the recruitment process in public sectors is becoming more salient, the present study compares the use of recruitment practices in public and private sectors through a survey applied to 97 organizations. It also explores the outcomes in terms of quantity and quality of applications received when using various recruitment methods. Common points and differences were identified. Internal recruitment methods and e-recruitment based on job posting on the website of the organization are favored regardless of the type of organization (private or public. The differences weight mostly against public sector as public institutions use less often the recommendations received from acquaintances and networks, post fewer job adds on specialized online job boards, get fewer direct applications from candidates, and participate less often in job fairs. The largest number of applications is received through the use of online job boards, job posting on the website of the hiring organization and job advertising in written press. On the other hand, internal recruitment is perceived to result in attracting the highest quality applications.  

  5. A proposed framework of big data readiness in public sectors

    Science.gov (United States)

    Ali, Raja Haslinda Raja Mohd; Mohamad, Rosli; Sudin, Suhizaz

    2016-08-01

    Growing interest over big data mainly linked to its great potential to unveil unforeseen pattern or profiles that support organisation's key business decisions. Following private sector moves to embrace big data, the government sector has now getting into the bandwagon. Big data has been considered as one of the potential tools to enhance service delivery of the public sector within its financial resources constraints. Malaysian government, particularly, has considered big data as one of the main national agenda. Regardless of government commitment to promote big data amongst government agencies, degrees of readiness of the government agencies as well as their employees are crucial in ensuring successful deployment of big data. This paper, therefore, proposes a conceptual framework to investigate perceived readiness of big data potentials amongst Malaysian government agencies. Perceived readiness of 28 ministries and their respective employees will be assessed using both qualitative (interview) and quantitative (survey) approaches. The outcome of the study is expected to offer meaningful insight on factors affecting change readiness among public agencies on big data potentials and the expected outcome from greater/lower change readiness among the public sectors.

  6. Economic Evaluation in Ethiopian Healthcare Sector Decision Making: Perception, Practice and Barriers.

    Science.gov (United States)

    Zegeye, Elias Asfaw; Mbonigaba, Josue; Kaye, Sylvia Blanche; Wilkinson, Thomas

    2017-02-01

    Globally, economic evaluation (EE) is increasingly being considered as a critical tool for allocating scarce healthcare resources. However, such considerations are less documented in low-income countries, such as in Ethiopia. In particular, to date there has been no assessment conducted to evaluate the perception and practice of and barriers to health EE. This paper assesses the use and perceptions of EE in healthcare decision-making processes in Ethiopia. In-depth interview sessions with decision makers/healthcare managers and program coordinators across six regional health bureaus were conducted. A qualitative analysis approach was conducted on three thematic areas. A total of 57 decision makers/healthcare managers were interviewed from all tiers of the health sector in Ethiopia, ranging from the Federal Ministry of Health down to the lower levels of the health facility pyramid. At the high-level healthcare decision-making tier, only 56 % of those interviewed showed a good understanding of EE when explaining in terms of cost and consequences of alternative courses of action and value for money. From the specific program perspective, 50 % of the prevention of mother-to-child transmission of HIV/AIDS program coordinators indicated the relevance of EE to program planning and decision making. These respondents reported a limited application of costing studies on the HIV/AIDS prevention and control program, which were most commonly used during annual planning and budgeting. The study uncovered three important barriers to growth of EE in Ethiopia: a lack of awareness, a lack of expertise and skill, and the traditional decision-making culture.

  7. Applying Business Process Re-Engineering to Public Sector as A New Public Management Strategy

    Directory of Open Access Journals (Sweden)

    Ropinder Oberoi

    2013-08-01

    Full Text Available The introduction of Business Process Reengineering (BPR to the public sector follows the much broader trend of New Public Management. BPR in the public sector mostly means amalgamation of business processes, computerization of various activities and removal of some unnecessary ones. BPR assimilates a radical premeditated scheme of business pro-cess reengineering and an additional progressive technique of uninterrupted process improvement with adequate information technology (IT and e-business infrastructure strategies. Public organizations have specific and exclusive features that differentiae-ate them from private sector organizations. Based on the literature review and examining of study find-ings, it is argued that a public sector organization can employ BPR to get better its process and overall organizational performance, if it (1 has accrues a collection of BPR-relevant resources and capabilities; (2 has embarked on BPR with adequate depth and breadth; (3 is developing a post-BPR complementary set of skills, systems and technologies, which are essential to further develop the organizational impact of the BPR; and (4 has successfully mitigated the effects of BPR implementation problems. In addition to its effect on administration and ser-vice delivery processes through reduction of the processing time, work steps and cost of government processes, BPR also contributes to enhancing citizen/customer and employee satisfaction, increasing organizational transparency and responsiveness which have also become an essential objective of New Public Management. Therefore, public sector BPR is emerging as an indispensable to performance of organizations in the developing economy. The essential questions addressed in this paper are: What are the scenario and impending problems of reengineering applications in the public sector? Can it be functional for the public sector in attending to frequent problems blockading bureaucracies of developed and

  8. Partnerships between the faith-based and medical sectors: Implications for preventive medicine and public health.

    Science.gov (United States)

    Levin, Jeff

    2016-12-01

    Interconnections between the faith-based and medical sectors are multifaceted and have existed for centuries, including partnerships that have evolved over the past several decades in the U.S. This paper outlines ten points of intersection that have engaged medical and healthcare professionals and institutions across specialties, focusing especially on primary care, global health, and community-based outreach to underserved populations. In a time of healthcare resource scarcity, such partnerships-involving religious congregations, denominations, and communal and philanthropic agencies-are useful complements to the work of private-sector medical care providers and of federal, state, and local public health institutions in their efforts to protect and maintain the health of the population. At the same time, challenges and obstacles remain, mostly related to negotiating the complex and contentious relations between these two sectors. This paper identifies pressing legal/constitutional, political/policy, professional/jurisdictional, ethical, and research and evaluation issues that need to be better addressed before this work can realize its full potential.

  9. Partnerships between the faith-based and medical sectors: Implications for preventive medicine and public health

    Directory of Open Access Journals (Sweden)

    Jeff Levin

    2016-12-01

    Full Text Available Interconnections between the faith-based and medical sectors are multifaceted and have existed for centuries, including partnerships that have evolved over the past several decades in the U.S. This paper outlines ten points of intersection that have engaged medical and healthcare professionals and institutions across specialties, focusing especially on primary care, global health, and community-based outreach to underserved populations. In a time of healthcare resource scarcity, such partnerships—involving religious congregations, denominations, and communal and philanthropic agencies—are useful complements to the work of private-sector medical care providers and of federal, state, and local public health institutions in their efforts to protect and maintain the health of the population. At the same time, challenges and obstacles remain, mostly related to negotiating the complex and contentious relations between these two sectors. This paper identifies pressing legal/constitutional, political/policy, professional/jurisdictional, ethical, and research and evaluation issues that need to be better addressed before this work can realize its full potential.

  10. Futures Business Models for an IoT Enabled Healthcare Sector: A Causal Layered Analysis Perspective

    Directory of Open Access Journals (Sweden)

    Julius Francis Gomes

    2016-12-01

    Full Text Available Purpose: To facilitate futures business research by proposing a novel way to combine business models as a conceptual tool with futures research techniques. Design: A futures perspective is adopted to foresight business models of the Internet of Things (IoT enabled healthcare sector by using business models as a futures business research tool. In doing so, business models is coupled with one of the most prominent foresight methodologies, Causal Layered Analysis (CLA. Qualitative analysis provides deeper understanding of the phenomenon through the layers of CLA; litany, social causes, worldview and myth. Findings: It is di cult to predict the far future for a technology oriented sector like healthcare. This paper presents three scenarios for short-, medium- and long-term future. Based on these scenarios we also present a set of business model elements for different future time frames. This paper shows a way to combine business models with CLA, a foresight methodology; in order to apply business models in futures business research. Besides offering early results for futures business research, this study proposes a conceptual space to work with individual business models for managerial stakeholders. Originality / Value: Much research on business models has offered conceptualization of the phenomenon, innovation through business model and transformation of business models. However, existing literature does not o er much on using business model as a futures research tool. Enabled by futures thinking, we collected key business model elements and building blocks for the futures market and ana- lyzed them through the CLA framework.

  11. Public Service Motivation as a Predictor of Attraction to the Public Sector

    Science.gov (United States)

    Carpenter, Jacqueline; Doverspike, Dennis; Miguel, Rosanna F.

    2012-01-01

    According to public service motivation theory, individuals with a strong public service orientation are attracted to government jobs. This proposition was investigated in three studies by measuring public sector motivation at a pre-entry level as an individual difference variable affecting perceptions of fit and organizational attraction. Results…

  12. Early hearing detection and intervention services in the public health sector in South Africa.

    Science.gov (United States)

    Theunissen, Marianne; Swanepoel, DeWet

    2008-01-01

    The purpose of this study was to examine the current status of newborn/infant hearing screening programs in public sector hospitals in South Africa by means of a descriptive survey. Data was gathered using a self-administered postal questionnaire, which included questions on screening resources and protocols, follow-up, diagnostic, and information management procedures as well as timing of intervention. The questionnaire was sent to 86 speech therapy and audiology departments within public sector hospitals throughout South Africa and 44 questionnaires were returned. The findings indicated that 27% (n=12) of respondents were conducting some form of hearing screening. The most frequently reported reasons for the absence of a screening program were a lack of appropriate equipment and a shortage of staff. Institutions with active screening programs face many challenges and programs are mostly unsystematic. Reported findings make a valuable contribution to the field of early hearing detection and intervention by providing a baseline for the development and structuring of early hearing detection and intervention services as a priority in the public healthcare sector of South Africa.

  13. Evaluation of Large-scale Public Sector Reforms

    DEFF Research Database (Denmark)

    Breidahl, Karen Nielsen; Gjelstrup, Gunnar; Hansen, Hanne Foss

    2017-01-01

    Research on the evaluation of large-scale public sector reforms is rare. This article sets out to fill that gap in the evaluation literature and argues that it is of vital importance. The impact of such reforms is considerable. Furthermore they change the context in which evaluations of other...... and more delimited policy areas take place. In our analysis we apply four governance perspectives (rational-instrumental, rational-interest based, institutional-cultural and a chaos perspective) in a comparative analysis of the evaluations of two large-scale public sector reforms in Denmark and Norway. We...... compare the evaluation process (focus and purpose), the evaluators and the organization of the evaluation as well as the utilization of the evaluation results. The analysis uncovers several significant findings including how the initial organization of the evaluation show strong impact on the utilization...

  14. Democratizing Process Innovation? On Citizen Involvement in Public Sector BPM

    Science.gov (United States)

    Niehaves, Björn; Malsch, Robert

    ‘Open Innovation’ has been heavily discussed for product innovations; however, an information systems (IS) perspective on ‘process innovation’ has not yet been taken. Analyzing the example of the public sector in Germany, the paper seeks to investigate the factors that hinder and support ‘open process innovation’, a concept we define as the involvement of citizens in business process management (BPM) activities. With the help of a quantitative study (n=358), six factors are examined for their impact on citizen involvement in local government BPM initiatives. The results show that citizen involvement in reform processes is not primarily motivated by the aim of cost reduction, but rather related to legitimacy reasons and the intent to increase employee motivation. Based on these findings, implications for (design) theory and practice are discussed: Instead of detailed collaborative business processes modeling, the key of citizen involvement in public sector BPM lies in communication and mutual understanding.

  15. Perspectives on User-Driven Innovation in Public Sector Services

    DEFF Research Database (Denmark)

    Langergaard, Luise Li

    2015-01-01

    for citizenship understood in more traditional terms, i.e. defined by political deliberation and rights. This question is important because conceptualizations of users imply certain ideas about the public sector, state and society, which have political implications as well as implications for our understanding...... of citizenship. Thus, we need to be aware of what different perspectives of user involvement imply for citizenship and collaborative innovation in the public sector. The chapter is based on a literature study and uses an empirical case as an example to illustrate and discuss differences in democratic...... implications of different user conceptions. The chapter concludes that we need an increased awareness of how to work with the different user conceptions in collaborative innovation practices, and argues that is important to also include the concept of the welfare state citizen with rights, as none of the other...

  16. Power, Governance and Boundary Spanning Leadership in Public Sector Organisations

    DEFF Research Database (Denmark)

    Elmholdt, Claus Westergård; Fogsgaard, Morten

    2015-01-01

    in public sector organizations. This research project has, among other things, highlighted the ways in which boundary spanning leadership can be related to establishing a shared pool of actions, knowledge, communication, trust and identity in the organization. Furthermore, the research project stresses......The phenomenon of power and boundary spanning leadership in public sector organizations is the topic for the present workshop. In this workshop we present a practice perspective (Corradi, Gherardi and Verzelloni 2010) on the management of power and boundary spanning leadership. We will focus...... on the practice that evolves on the boundaries that span occupational groups, departments and organizations. The workshop takes it’s starting point in an interdisciplinary Scandinavian research project which deals with the question of how power processes can promote, or hinder, boundary spanning leadership...

  17. European developments in public sector human resource management

    OpenAIRE

    Hegewisch, A.; Larsen, Henrik Holt

    1994-01-01

    This paper discusses national differences in HRM within the public sector in nine European countties. Drawing on data from the PW Cranfeld Survey of International Human Resource Management we examine the decentralisation of HR policy decisions and trends in the devolvement to line management of responsibility for human resource management. In particular we looked at trends in the compensation area, ie pay determination and merit/ performance related pay and its impact on perfor...

  18. Open Data Strategies and Experiences to Improve Sharing and Publication of Public Sector Information

    Directory of Open Access Journals (Sweden)

    Laura María Gutiérrez Medina

    2014-11-01

    Full Text Available The Canary Islands receive 10 million tourists every year. Tourism represents a key sector for economic development in the Canaries. This work presents the benefits of open data usages in the tourism sector both in municipalities and in the island government. These public institutions have valuable information that should be shared with other institutions: 600 hotels and apartments, 10,000 bars and restaurants, and more than 15,000 retail businesses. This article describes an open data project to validate and to publish such data across multiple administrations. The main benefits for the public sector are the improvement of the data quality and the interoperability between different administrations.

  19. PUBLIC SECTOR OF CANADA: RATING RESEARCH OF LABOUR

    Directory of Open Access Journals (Sweden)

    Olesia Leontiivna TOTSKA

    2013-12-01

    Full Text Available n this article an author conducted the analysis of labour in the public sector of Canada after such nine subgroups of establishments: 1 federal general government; 2 provincial and territorial general government; 3 health and social service institutions (provincial and territorial; 4 universities, colleges, vocational and trade institutes (provincial and territorial; 5 local general government; 6 local school boards; 7 federal government business enterprises; 8 provincial and territorial government business enterprises; 9 local government business enterprises. On the basis of statistical information about these sub-groups for 2007-2011 from a web-site «Statistics Canada» the maximal and minimum values of such three indexes are found: amount of employees, general annual sums of wages and annual sums of wages per employee. Rating for nine sub-groups of establishments of public sector of Canada on these indexes is certain. The got results testify, that during an analysable period most of the employees of public sector was concentrated in health and social service institutions, the least – in local government business enterprises. In 2007– 2011 a most general sum was earned also by the employees of health and social service institutions, the least – by the employees of local government business enterprises. At the same time in an analysable period among the state employees of Canada a most wage in a calculation on one person was got by the employees of federal general government, the least – by the employees of local general government.

  20. The value and challenges of public sector information

    Directory of Open Access Journals (Sweden)

    Maureen Henninger

    2013-11-01

    Full Text Available The aim of this paper is to explore the concept of public sector information (PSI, what it is, its history and evolution, what constitutes its corpus of documents and the issues and challenges it presents to society, its institutions and to those who use and manage it. The paper, by examining the literatures of the law, political science, civil society, economics and information and library science explores the inherent tensions of access to and use of PSI—pragmatism vs. idealism; openness vs. secrecy; commerce vs. altruism; property vs. commons; public good vs. private good. It focusses on open government data (OGD—a subset of what is popularly referred to as ‘big data’—its background and development since much of the current debate of its use concerns its commercial value for both the private sector and the public sector itself. In particular it looks at the information itself which, driven by technologies of networks, data mining and visualisation gives value in industrial and economic terms, and in its ability to enable new ideas and knowledge. DOI: http://dx.doi.org/10.5130/ccs.v5i3.3429

  1. Public-Private Partnerships as Hybrid Organizational Drivers of Innovation in the Public Sector

    DEFF Research Database (Denmark)

    Dam, Sofie

    framework, which can be used to investigate the potential for innovation in different PPP types across sectors. The last decades have seen sequential waves of public sector reforms, which have resulted in an increased hybridity in the public sector, where ideas, goals and tools from hierarchy, market...... in the organizational form of PPPs provide different mixes of coordination mechanisms for public-private innovation. The paper investigates three PPP types, Long-term Infrastructure Partnerships (LTICs), Public-Private Service Partnerships (PPSPs) and Public-Private Innovation Partnerships (PPIPs), and shows how...... collaboration, and LTICs are mostly coordinated through competition, though each PPP type displays a specific mix of both competition and collaboration. The article provides a conceptually based explanation for the various degree of innovation in different PPP types displayed in current empirical investigations...

  2. Evaluating the quality of colorectal cancer care across the interface of healthcare sectors.

    Directory of Open Access Journals (Sweden)

    Sabine Ludt

    Full Text Available BACKGROUND: Colorectal cancer (CRC has a high prevalence in western countries. Diagnosis and treatment of CRC is complex and requires multidisciplinary collaboration across the interface of health care sectors. In Germany, a new nationwide established program aims to provide quality information of healthcare delivery across different sectors. Within this context, this study describes the development of a set of quality indicators charting the whole pathway of CRC-care including data specifications that are necessary to operationalize these indicators before practice testing. METHODS: Indicators were developed following a systematic 10 step modified 'RAND/UCLA Appropriateness Method' which involved a multidisciplinary panel of thirteen participants. For each indicator in the final set, data specifications relating to sources of quality information, data collection procedures, analysis and feedback were described. RESULTS: The final indicator set included 52 indicators covering diagnostic procedures (11 indicators, therapeutic management (28 indicators and follow-up (6 indicators. In addition, 7 indicators represented patient perspectives. Primary surgical tumor resection and pre-operative radiation (rectum carcinoma only were perceived as most useful tracer procedures initiating quality data collection. To assess the quality of CRC care across sectors, various data sources were identified: medical records, administrative inpatient and outpatient data, sickness-funds billing code systems and patient survey. CONCLUSION: In Germany, a set of 52 quality indicators, covering necessary aspects across the interfaces and pathways relevant to CRC-care has been developed. Combining different sectors and sources of health care in quality assessment is an innovative and challenging approach but reflects better the reality of the patient pathway and experience of CRC-care.

  3. Adaptation to climate change in the Ontario public health sector

    Directory of Open Access Journals (Sweden)

    Paterson Jaclyn A

    2012-06-01

    Full Text Available Abstract Background Climate change is among the major challenges for health this century, and adaptation to manage adverse health outcomes will be unavoidable. The risks in Ontario – Canada’s most populous province – include increasing temperatures, more frequent and intense extreme weather events, and alterations to precipitation regimes. Socio-economic-demographic patterns could magnify the implications climate change has for Ontario, including the presence of rapidly growing vulnerable populations, exacerbation of warming trends by heat-islands in large urban areas, and connectedness to global transportation networks. This study examines climate change adaptation in the public health sector in Ontario using information from interviews with government officials. Methods Fifty-three semi-structured interviews were conducted, four with provincial and federal health officials and 49 with actors in public health and health relevant sectors at the municipal level. We identify adaptation efforts, barriers and opportunities for current and future intervention. Results Results indicate recognition that climate change will affect the health of Ontarians. Health officials are concerned about how a changing climate could exacerbate existing health issues or create new health burdens, specifically extreme heat (71%, severe weather (68% and poor air-quality (57%. Adaptation is currently taking the form of mainstreaming climate change into existing public health programs. While adaptive progress has relied on local leadership, federal support, political will, and inter-agency efforts, a lack of resources constrains the sustainability of long-term adaptation programs and the acquisition of data necessary to support effective policies. Conclusions This study provides a snapshot of climate change adaptation and needs in the public health sector in Ontario. Public health departments will need to capitalize on opportunities to integrate climate change into

  4. Economic planning and equilibrium growth of human resources and capital in health-care sector: Case study of Iran

    Science.gov (United States)

    Mahboobi-Ardakan, Payman; Kazemian, Mahmood; Mehraban, Sattar

    2017-01-01

    CONTEXT: During different planning periods, human resources factor has been considerably increased in the health-care sector. AIMS: The main goal is to determine economic planning conditions and equilibrium growth for services level and specialized workforce resources in health-care sector and also to determine the gap between levels of health-care services and specialized workforce resources in the equilibrium growth conditions and their available levels during the periods of the first to fourth development plansin Iran. MATERIALS AND METHODS: In the study after data collection, econometric methods and EViews version 8.0 were used for data processing. The used model was based on neoclassical economic growth model. RESULTS: The results indicated that during the former planning periods, although specialized workforce has been increased significantly in health-care sector, lack of attention to equilibrium growth conditions caused imbalance conditions for product level and specialized workforce in health-care sector. CONCLUSIONS: In the past development plans for health services, equilibrium conditions based on the full employment in the capital stock, and specialized labor are not considered. The government could act by choosing policies determined by the growth model to achieve equilibrium level in the field of human resources and services during the next planning periods. PMID:28616419

  5. Economic planning and equilibrium growth of human resources and capital in health-care sector: Case study of Iran.

    Science.gov (United States)

    Mahboobi-Ardakan, Payman; Kazemian, Mahmood; Mehraban, Sattar

    2017-01-01

    During different planning periods, human resources factor has been considerably increased in the health-care sector. The main goal is to determine economic planning conditions and equilibrium growth for services level and specialized workforce resources in health-care sector and also to determine the gap between levels of health-care services and specialized workforce resources in the equilibrium growth conditions and their available levels during the periods of the first to fourth development plansin Iran. In the study after data collection, econometric methods and EViews version 8.0 were used for data processing. The used model was based on neoclassical economic growth model. The results indicated that during the former planning periods, although specialized workforce has been increased significantly in health-care sector, lack of attention to equilibrium growth conditions caused imbalance conditions for product level and specialized workforce in health-care sector. In the past development plans for health services, equilibrium conditions based on the full employment in the capital stock, and specialized labor are not considered. The government could act by choosing policies determined by the growth model to achieve equilibrium level in the field of human resources and services during the next planning periods.

  6. Protecting Public Health: Plug-In Electric Vehicle Charging and the Healthcare Industry

    Energy Technology Data Exchange (ETDEWEB)

    Ryder, Carrie; Lommele, Stephen

    2016-10-01

    In 2014, the U.S. transportation sector consumed more than 13 million barrels of petroleum a day, approximately 70% of all domestic petroleum consumption. Internal combustion engine vehicles are major sources of greenhouse gases (GHGs), smog-forming compounds, particulate matter, and other air pollutants. Widespread use of alternative fuels and advanced vehicles, including plug-in electric vehicles (PEVs), can reduce our national dependence on petroleum and decrease the emissions that impact our air quality and public health. Healthcare organizations are major employers and community leaders that are committed to public well-being and are often early adopters of employer best practices. A growing number of hospitals are offering PEV charging stations for employees to help promote driving electric vehicles, reduce their carbon footprint, and improve local air quality.

  7. Healthy workplaces and teamwork for healthcare workers need public engagement.

    Science.gov (United States)

    Matthews, Sue; Macdonald-Rencz, Sandra

    2007-01-01

    This response challenges the healthcare system to take full responsibility for the work environments created for health human resources. While the need for healthy work environments and teamwork in healthcare are inarguable, the fact is they are not a reality in today's health system. The authors suggest strategies to address this issue and identify the person or groups that should take responsibility, including governments, organizations, individuals and the public. Strategies include ensuring that policies do not contradict one another and holding each level responsible for the outcomes of a healthy work environment - retention and recruitment of health human resources, better patient/client outcomes and healthcare costs. The need for strong and appropriate leadership for health human resources with "content knowledge" is discussed, along with recommendations for measuring the performance and success of healthy work environments and teamwork. The authors conclude that collaboration at the micro, meso and macro levels is required to facilitate the true change that is needed to improve the work environments of health human resources.

  8. Emotional predictors of consumer's satisfaction with healthcare public services.

    Science.gov (United States)

    Vinagre, Helena; Neves, José

    2010-01-01

    The aim of this paper is to test empirically a framework that contributes to the understanding of patients' satisfaction by estimating the relationships between the satisfaction of particular types of customers with their emotions and perceived justice. The study was developed in two segments. First, an exploratory analysis was conducted to find a factor structure and to test the psychometric properties of satisfaction and perceived justice scales. After that the hypothesized model was tested through an empirical study, with a sample of 520 patients from six Portuguese public healthcare services, using structural equation modelling. The results show that the scales are psychometrically sound and confirm that satisfaction results from a complex cognitive and affective mechanism, thus highlighting the interactive characteristics of the services. Further research is needed to confirm these findings and to find if there is any possible conditioning factors that would interfere with these variables and change their effects on satisfaction. Patients' satisfaction is an important issue for improving the provided healthcare services. The paper offers empirical evidence about the complementary effect of emotions and perceived justice on the satisfaction with healthcare services. Findings also provide a model of analysis with valid and reliable measures.

  9. AUDIT EXPECTATION GAP IN THE PUBLIC SECTOR IN ROMANIA

    Directory of Open Access Journals (Sweden)

    Gherai Dana Simona

    2011-12-01

    Full Text Available Theme – It is know that the large public and auditors hold different beliefs about the auditors’ duties and responsibilities. In this conditions audit expectation gap represents that level of expectation that remains uncovered. In this study paper, audit expectation gap represents the difference between the achievements of public auditors and the expectations that general public (students have beyond those responsibility. Purpose – The evolution of audit expectation gap has been examined in various countries, but the extent of the concept has not been investigated so much in public area. This study attempts to assess the perceptions of possible future auditors, students, regarding the existence of expectation gap in public area. Literature review – A review of the literature identifies many researches who define the concept since was given the first definition of audit expectation gap as the difference between the levels of expected performance and the results that auditors give, but just a few analysis the public area using students’ knowledge to understand the perception of future users of accounting information or potential bidders of accounting information. Methodology – This paper represents the beginning of a broader study that will be part of the doctoral thesis entitled “Organization and exercise of public audit in Romania”, started in 2009 at University Babes Bolyai from Cluj Napoca, coordinated by PhD Professor Matis Dumitru. The aim of this paper is to explore the findings of an empirical study, made on 352 students, were the primary data used were obtained through a questionnaire technique regarding the audit expectation gap in the public sector in Romania, looking into future to obtain responses using a larger respondent group. Findings – A reasonableness gap was uncovered, there is a gap between the expectation of students regarding the public auditors' profession and their results and there are differences

  10. The Incidence of Public Spending on Healthcare: Comparative Evidence from Asia

    NARCIS (Netherlands)

    O.A. O'Donnell (Owen); E.K.A. van Doorslaer (Eddy); R.P. Rannan-Eliya (Ravi)

    2007-01-01

    textabstractThe article compares the incidence of public healthcare across 11 Asian countries and provinces, testing the dominance of healthcare concentration curves against an equal distribution and Lorenz curves and across countries. The analysis reveals that the distribution of public healthcare

  11. The Incidence of Public Spending on Healthcare: Comparative Evidence from Asia

    NARCIS (Netherlands)

    O.A. O'Donnell (Owen); E.K.A. van Doorslaer (Eddy); R.P. Rannan-Eliya (Ravi)

    2007-01-01

    textabstractThe article compares the incidence of public healthcare across 11 Asian countries and provinces, testing the dominance of healthcare concentration curves against an equal distribution and Lorenz curves and across countries. The analysis reveals that the distribution of public healthcare

  12. Controllership as a Governance Instrument in the Public Sector

    Directory of Open Access Journals (Sweden)

    Mônica Clark Nunes Cavalcante

    2013-03-01

    Full Text Available Controllership is considered a Corporate Governance instrument, to the extent that it can contribute to reduce information asymmetry ad conflicts of interest, deriving from agency problems between organizational owners and managers, by making available information that permit valuing the organization and the extent to which its goals are achieved. Disclosure and accountability are basic pillars of Corporate Governance as well as Controllership. The Public Sector Committee (PSC of the International Federation of Accountants (IFAC developed a study on governance for the public context, considering that governance principles should be present in public entities, reflected in four dimensions, two of which related to control and to the availability of external reports (Federação Internacional dos Contadores [IFAC] (2001. The main goal in this research is to identify which information the Office of the Comptroller General (CGU makes available on its website comply with the type and contents of IFAC recommendations for control and external reports, as governance dimensions in the public sector. Through a bibliographic and documentary research, it was verified that only information related to budgetary and financial reports comply with the type and contents recommended by IFAC. The research also revealed that information related to internal audit and annual Government accountability partially address the contents recommended by IFAC.

  13. Enhancing research capacity across healthcare and higher education sectors: development and evaluation of an integrated model

    Directory of Open Access Journals (Sweden)

    Whitworth Anne

    2012-08-01

    Full Text Available Abstract Background With current policy in healthcare research, in the United Kingdom and internationally, focused on development of research excellence in individuals and teams, building capacity for implementation and translation of research is paramount among the professionals who use that research in daily practice. The judicious use of research outcomes and evaluation of best evidence and practice in healthcare is integrally linked to the research capacity and capabilities of the workforce. In addition to promoting high quality research, mechanisms for actively enhancing research capacity more generally must be in place to address the complexities that both undermine and facilitate this activity. Methods A comprehensive collaborative model for building research capacity in one health professional group, speech and language therapy, was developed in a region within the UK and is presented here. The North East of England and the strong research ethos of this profession in addressing complex interventions offered a fertile context for developing and implementing a model which integrated the healthcare and university sectors. Two key frameworks underpin this model. The first addresses the individual participants’ potential trajectory from research consciousness to research participative to research active. The second embeds a model developed for general practitioners into a broader framework of practice-academic partnership and knowledge and skills exchange, and considers external drivers and impacts on practice and patient outcomes as key elements. Results and discussion The integration of practice and academia has been successful in building a culture of research activity within one healthcare profession in a region in the UK and has resulted, to date, in a series of research related outcomes. Understanding the key components of this partnership and the explicit strategies used has driven the implementation of the model and are discussed

  14. Management Control, Results-Oriented Culture and Public Sector Performance : Empirical Evidence on New Public Management

    NARCIS (Netherlands)

    Verbeeten, Frank H M; Speklé, Roland F.

    2015-01-01

    New Public Management (NPM) has been guiding public sector reform for over 25 years. Its position on the design of effective management control rests on three key ideas: (1) performance improvement requires a results-oriented culture that emphasizes outcomes rather than inputs or processes; (2) publ

  15. Public service motivation and job performance of public sector employees in the Netherlands

    NARCIS (Netherlands)

    Leisink, P.L.M.; Steijn, B.

    2009-01-01

    This article contributes in three ways to our understanding of public service motivation (PSM) and its effects. In the first place, it applies an abridged version of Perry's measurement scale in the Dutch public sector. Although the results of the analysis show that PSM is a valid concept in this co

  16. Knowledge mobilisation in healthcare: a critical review of health sector and generic management literature.

    Science.gov (United States)

    Ferlie, Ewan; Crilly, Tessa; Jashapara, Ashok; Peckham, Anna

    2012-04-01

    The health policy domain has displayed increasing interest in questions of knowledge management and knowledge mobilisation within healthcare organisations. We analyse here the findings of a critical review of generic management and health-related literatures, covering the period 2000-2008. Using 29 pre-selected journals, supplemented by a search of selected electronic databases, we map twelve substantive domains classified into four broad groups: taxonomic and philosophical (e.g. different types of knowledge); theoretical discourse (e.g. critical organisational studies); disciplinary fields (e.g. organisational learning and Information Systems/Information Technology); and organisational processes and structures (e.g. organisational form). We explore cross-overs and gaps between these traditionally separate literature streams. We found that health sector literature has absorbed some generic concepts, notably Communities of Practice, but has not yet deployed the performance-oriented perspective of the Resource Based View (RBV) of the Firm. The generic literature uses healthcare sites to develop critical analyses of power and control in knowledge management, rooted in neo-Marxist/labour process and Foucauldian approaches. The review generates three theoretically grounded statements to inform future enquiry, by: (a) importing the RBV stream; (b) developing the critical organisational studies perspective further; and (c) exploring the theoretical argument that networks and other alternative organisational forms facilitate knowledge sharing. Copyright © 2012 Elsevier Ltd. All rights reserved.

  17. Performance Contracting as a Performance Management Tool in the Public Sector in Kenya: Lessons of learning

    Science.gov (United States)

    Hope, Kempe Ronald, Sr.

    2013-01-01

    The purpose of this article is to provide an assessment and analysis of public sector performance contracting as a performance management tool in Kenya. It aims to demonstrate that performance contracting remains a viable and important tool for improving public sector performance as a key element of the on-going public sector transformation…

  18. Evaluating the wage differential between public and private sectors in Brazil

    Directory of Open Access Journals (Sweden)

    Daulins Emilio

    2012-03-01

    Full Text Available This paper uses a rotating panel of households to analyze wage differentials between public and private sectors in Brazil. Focusing on the transition of individuals between jobs available in the public and private sectors and controlling for individual time invariant characteristics, we find evidence of small wage differentials in favor of the public sector.

  19. Legitimation as a particular mode of strategic communication in the public sector

    DEFF Research Database (Denmark)

    Aggerholm, Helle Kryger; Thomsen, Christa

    2016-01-01

    ) reforms in a public sector organization. The context of NPM in the case study is particularly relevant for our investigation, because it sets the stage for the creation of legitimation by the public sector managers. Our analysis finds that these public sector managers use the integration of ‘voices...

  20. Procurement challenges in the South African public sector

    Directory of Open Access Journals (Sweden)

    Intaher M. Ambe

    2012-11-01

    Full Text Available This article reports on an exploration of challenges experienced in the field of procurement within the South African public sector. To institute procurement best practices, a supply chain management system was adopted in South Africa in 2003. The procurement process was granted constitutional status and has been used to address past inequitable policies and practices. It promotes aims which are, arguably, secondary to the primary aim of procurement. For the exploration, a conceptual analytical approach was employed and some of the key guiding pillars of public procurement in South Africa divulged. The challenges restraining effective and efficient implementation of public procurement are also revealed. The article concludes by recommending the development of competency through customised (separate training materials and programmes, the involvement of stakeholders in the bidding process and the employment of good strategic sourcing practices.

  1. Public and private sector interactions: an economic perspective.

    Science.gov (United States)

    Maynard, A

    1986-01-01

    The debate about the public-private mix for health care has been dominated by rhetoric and the failure to evaluate the characteristics of the outcomes of public and private health care systems and to relate these to policy targets. After a brief analysis of the competing, liberal (conservative) and collectivist (socialist), objectives, the nature of the private health care sector in Britain is described and it is shown that growth has faltered due to cost containment problems. This outcome is the product of characteristics of the private health care system, paralleled precisely in the NHS: asymmetry information, monopoly power, moral hazard and third party pays. The final section discusses briefly some remedies for the inefficient and inequitable outcomes which are seen in all health care markets and it is argued that competition within public and private health care systems may enable each system type to achieve its own particular objectives more efficiently.

  2. Public/private information sharing in healthcare fraud investigations.

    Science.gov (United States)

    Sheehan, J G

    1999-01-01

    Private insurers have good reason, both in their private interest and in the public interest, for pursuing and rooting out fraud in the healthcare system; moreover, they often have sophisticated data systems, substantial investigative information, and management expertise that can be useful to prosecutors. It makes sense, as a public policy matter, to undertake steps to encourage insurers to be aggressive in pursuing legitimate fraud cases, and to provide a framework for effective cooperation and information sharing with law enforcement. At the same time, prosecutors are responsible for enforcing equal justice under the law; thus, any such relationship must be handled in an appropriate manner, with safeguards to protect privacy and the reputation of investigative subjects. While the courts have not yet explored many of the relevant legal and factual issues in this area, the author surveys existing guidance under governing laws and policies applicable to state and federal prosecutors, and suggests techniques to prevent inappropriate communication or use of such information.

  3. Management practices in Australian healthcare: can NSW public hospitals do better?

    Science.gov (United States)

    Agarwal, Renu; Green, Roy; Agarwal, Neeru; Randhawa, Krithika

    2016-05-16

    Purpose - The purpose of this paper is to investigate the determinants of best management practices in an Australian state-run healthcare system, namely New South Wales (NSW), and studies the impact of a range of hospital factors in driving best management practices as a means of enhancing healthcare delivery. Design/methodology/approach - This study adapts a unique survey instrument globally tested to quantify the multi-dimensional nature of hospital management practices in 42 acute care public hospitals of NSW. The authors then analysed the role of hospital-specific characteristics in driving best management practices, namely hospital size (measured by the number of hospital beds, employees and doctors), level of skill and education, degree of hospital manager autonomy and organisational hierarchy. Findings - The findings of this study show the areas of strength and potential areas of improvement in NSW hospitals. The authors find a positive association between the adoption of better management practices and hospital size (measured by the number of hospital beds and employees), level of skills and education, degree of hospital manager autonomy and organisational hierarchy. However, hospital size as measured by the number of doctors did not have a statistically significant relationship. Practical implications - This paper is of interest to both hospital administrators, clinical doctors and healthcare policy-makers who want to improve and develop strategies for better management in the healthcare sector. Originality/value - This study provides an internationally comparable robust measure of management capability in public hospitals, and contributes to the evidence-base of management practices and performance in hospitals.

  4. The construction and legitimation of workplace bullying in the public sector: insight into power dynamics and organisational failures in health and social care.

    Science.gov (United States)

    Hutchinson, Marie; Jackson, Debra

    2015-03-01

    Health-care and public sector institutions are high-risk settings for workplace bullying. Despite growing acknowledgement of the scale and consequence of this pervasive problem, there has been little critical examination of the institutional power dynamics that enable bullying. In the aftermath of large-scale failures in care standards in public sector healthcare institutions, which were characterised by managerial bullying, attention to the nexus between bullying, power and institutional failures is warranted. In this study, employing Foucault's framework of power, we illuminate bullying as a feature of structures of power and knowledge in public sector institutions. Our analysis draws upon the experiences of a large sample (n = 3345) of workers in Australian public sector agencies - the type with which most nurses in the public setting will be familiar. In foregrounding these power dynamics, we provide further insight into how cultures that are antithetical to institutional missions can arise and seek to broaden the debate on the dynamics of care failures within public sector institutions. Understanding the practices of power in public sector institutions, particularly in the context of ongoing reform, has important implications for nursing.

  5. Measuring the internal-market orientation in the public sector

    Directory of Open Access Journals (Sweden)

    Emerson Wagner Mainardes

    2015-03-01

    Full Text Available The application of internal marketing in organizations has been researched by scholars for nearly three decades, but literature has little empirical research in the public sector. There is a latent debate on the relevance of internal marketing in the public sector, given the need to provide a more effective service to the citizens. Given the possibility that the internal-market orientation is an antecedent of job satisfaction, the objective of this research was to measure the level of internal market orientation in the public sector, and the Military Fire Department of the State of Espírito Santo (MFDESS was surveyed using quantitative research. The instrument for data collection was a structured questionnaire, which follows the model used by Gounaris (2006 in research with employees of a hotel chain in Greece. 522 firefighters were surveyed. The choice of this organization was due to the importance of the service performed and the society visibility, given the direct relationship with life and assets of the taxpayers. Therefore, the level of job satisfaction of firefighters is relevant for the achievement of excellence in their missions. The results showed that firefighters have the perception that there is little internal-market orientation in the Military Fire Department and the level of job satisfaction is low. The research result converged with the literature on the direct relationship of the internal-market orientation with job satisfaction. Furthermore, the research concluded that job satisfaction is influenced by the identification of the exchange of value, segment internal market, job description, management concern and training.

  6. Accounting models and devolution in the Italian public sector

    Directory of Open Access Journals (Sweden)

    Aldo Pavan

    2006-06-01

    Full Text Available In the 1990s Italy started a public sector administrative reform process consistent, in general terms, with the New Public Management movement. In particular, changes have been introduced in the budgeting and accounting systems of the State, municipalities, health care bodies, etc. In the same years an institutional reform also started and a strong power devolution process began to be realised; a shift to a federal form of the State seems to be the goal. Stating form the challenges coming from the devolution process, the article questions 1 if it is possible to find some shared features in theh reformed accounting systems of the different public sector organisation categories, and to shape in this way on or more accounting Italian models, and 2 if these models have an information capacity adequate to sustain the information needs- in terms of accountability, government co-ordination and decision making- emerging from the devolution process. The information needs in a devolved environment are recognised; eleven budgeting and accounting systems are analysed and compared. The issue of the consistency level existing between accountign and institutional reforms is also discussed.En la Italia de los años 90, se inició un proceso de reforma administrativa del sector público en consonancia, en términos generales, con el movimineto New Public Management. En concreto, se han introducido modificaciones en los sistemas contables y presupuestarios del Estado, de las corporaciones locales y de las instituciones sanitarias. Durante el mismo periodo se empreendió una reforma de carácter constitucional cuyo objetivo último parecía ser la constitución de un estado federal. A partir de los desafíos que supone todo proceso de descentralización, el artículo abre dos interrogantes: 1 la posibilidad de encontrar rasgos comunes en los sitemas contables reformados de los distintos niveles organizativos del sector público, con el fin de confirmar uno o

  7. Key elements for a measurement framework for public sector innovation

    DEFF Research Database (Denmark)

    Bloch, Carter Walter; Lopez-Bassols, Vladimir

    2013-01-01

    This document provides an overview of recent NESTI work on developing guidelines for measuring public sector innovation (PSI). The paper includes an update on various ongoing activities which will contribute to the development of a measurement framework for PSI and outlines a number of areas which...... could be further addressed in a final report. Delegates are invited to discuss the proposals and provide inputs on the next steps of the work, particularly regarding the use of multiple approaches, the scope of the measurement framework, the need for core definitions,and priorities for indicators...

  8. Structure and Prospects of Development of Public Sector of the Russian Economy

    Directory of Open Access Journals (Sweden)

    Olga Sergeevna Makarenko

    2016-03-01

    Full Text Available In the context of globalization and the increasing threats to national security a special place is given to the public sector of the Russian economy. In a market economy, the public sector is actively used as a means to achieve the regulation of many public social and economic goals such as stable development of important strategic sectors of the economy. In this connection, the urgent task consists in forming a strong and effective public sector for maintaining the production of public goods and the provision of public services, ensuring sustainable development of the national economy and improving the quality of life of the population as a whole. The article describes the concept and essence of the public sector, defined by its role in the development of the economy and the country as a whole. The authors compare the concepts of the public sector and public property. The structure of the public sector includes general government and the sector of public corporations and organizations. The concept of state corporations is considered to be an integral part of the public sector. The statistical indicators and the general parameters of the public sector of the Russian economy are described. The analysis revealed a tendency to reducing the number of enterprises in the state and the municipal sector on the one hand, and the slowdown in the privatization, on the other hand. Among the promising areas of the public sector of the Russian economy the authors point out the creation of vertically integrated structures, the organization of which is controlled by the state and public-private partnerships support. The following operation of the state and municipal enterprises sector is still associated with the solution of important issues determining the scope, boundaries, and evaluating the effectiveness of the public sector.

  9. The Challenges and Issues Regarding E-Health and Health Information Technology Trends in the Healthcare Sector

    Science.gov (United States)

    Esmaeilzadeh, Pouyan; Sambasivan, Murali; Kumar, Naresh

    Like other industries, the utilization of the internet and Information Technology (IT) has increased in the health sector. Different applications attributed to the internet and IT in healthcare practice. It includes a range of services that intersect the edge of medicine, computer and information science. The presence of the internet helps healthcare practice with the use of electronic processes and communication. Also, health IT (HIT) deals with the devices, clinical guidelines and methods required to improve the management of information in healthcare. Although the internet and HIT has been considered as an influential means to enhance health care delivery, it is completely naive to imagine all new tools and mechanisms supported by the internet and HIT systems are simply adopted and used by all organizational members. As healthcare professionals play an important role in the healthcare sector, there is no doubt that mechanism of newly introduced HIT and new application of the internet in medical practice should be coupled with healthcare professionals' acceptance. Therefore, with great resistance by healthcare professionals new mechanism and tools supported by IT and the internet cannot be used properly and subsequently may not improve the quality of medical care services. However, factors affecting the healthcare professionals' adoption behavior concerning new e-health and HIT mechanism are still not conclusively identified. This research (as a theoretical study) tries to propose the source of resistance in order to handle the challenges over new e-technology in the health industry. This study uses the involved concepts and develops a conceptual framework to improve overall acceptance of e-health and HIT by healthcare professionals.

  10. The empowerment potential of public sector software (PSS

    Directory of Open Access Journals (Sweden)

    Pradip Ninan Thomas

    2012-03-01

    Full Text Available Investigations into the potential for public sector software (PSS to empower citizens are at a very nascent stage. This article explores the theoretical basis for, and practical advantages of, PSS, in the making of an informed and pro-active citizenry. Using the example of the emerging PSS movement in India and in particular the ICT literacy movement in Kerala, South India, it argues, that access to and use of software based on the principles of free and open source has the potential to contribute to an empowered citizenry. However the very concept of PSS is contested by major private software companies given that they stand to lose from public investments that are based on open standards. The article argues that PSS can contribute to the making of an ‘information commons’ and that the need of the hour is for innovative and creative solutions to the information deficits faced by communities in India and elsewhere.

  11. Contracting Out and Organizational Learning in the Public Sector

    DEFF Research Database (Denmark)

    Lindholst, Andrej Christian; Hansen, Morten Balle; Nielsen, Jeppe Agger

    organizational learning in the public sector. We review the scarce literature and elaborate a set of hypotheses concerning how different ways to organize contracting out may be related to organizational learning. Empirically we test these hypotheses on the case of contracting out technical services (park......- and road maintenance) in local governments in Denmark, England, Norway and Sweden. We find that contracting out tends to enhance organizational learning in public organizations. Our findings also suggest variation in the impact depending on different ways of organizing and managing contractual relations....... Emphasis on a ‘hard’ contract management style tends to diminish organizational learning while emphasis on collaborative governance, greater formalization of contractual relations, larger contract management capacities, and emphasis on learning intends all enhances organizational learning. We discuss...

  12. Understanding human resource management practices in Botswana's public health sector.

    Science.gov (United States)

    Seitio-Kgokgwe, Onalenna Stannie; Gauld, Robin; Hill, Philip C; Barnett, Pauline

    2016-11-21

    Purpose The purpose of this paper is to assess the management of the public sector health workforce in Botswana. Using institutional frameworks it aims to document and analyse human resource management (HRM) practices, and make recommendations to improve employee and health system outcomes. Design/methodology/approach The paper draws from a large study that used a mixed methods approach to assess performance of Botswana's Ministry of Health (MOH). It uses data collected through document analysis and in-depth interviews of 54 key informants comprising policy makers, senior staff of the MOH and its stakeholder organizations. Findings Public health sector HRM in Botswana has experienced inadequate planning, poor deployment and underutilization of staff. Lack of comprehensive retention strategies and poor working conditions contributed to the failure to attract and retain skilled personnel. Relationships with both formal and informal environments affected HRM performance. Research limitations/implications While document review was a major source of data for this paper, the weaknesses in the human resource information system limited availability of data. Practical implications This paper presents an argument for the need for consideration of formal and informal environments in developing effective HRM strategies. Originality/value This research provides a rare system-wide approach to health HRM in a Sub-Saharan African country. It contributes to the literature and evidence needed to guide HRM policy decisions and practices.

  13. Gender wage differences in the selected Czech public sector company

    Directory of Open Access Journals (Sweden)

    Veronika Hedija

    2012-01-01

    Full Text Available The issue of wage disparity between men and women belongs to the current and widely discussed topics. The attention given to this subject also reflects the fact that the issue of the equality between women and men and non-discrimination by gender is incorporated in the law of the European Union. A number of studies are devoted to the gender wage disparities and the root cause of wage differences in the Czech Republic, however, only few of these deal with the gender wage differentials in the public sector. It is exactly this issue, which is discussed in this article, its aim being to identify the extent of the gender pay gap in the selected Czech public sector company. The article concentrates on finding the main causes for the existence of wage differences between men and women and determining whether the company inclines to wage discrimination against women. The Oaxaca-Blinder decomposition is used to define, which part of the gender pay gap can be attributed to the different characteristics of men and women and which part stays unexplained. It is this unexplained part that can be the result of wage discrimination against women.

  14. Activity-Based Costing in the Public Sector

    Directory of Open Access Journals (Sweden)

    Athanasios Vazakidis

    2010-01-01

    Full Text Available Problem statement: In the modern economic environment, the Public Sector aims at the continuous improvement of quality of the provided services. Thus, detailed information with regard to the cost of services is essential along with capable management to take advantage of this information. Approach: The study discussed the basic beginnings, the processes of activity-based costing and whether this costing method can be applied in the Public Sector, where the need for precise cost estimating information increases continuously. Results: It referred to the structure of a Greek Prefecture, with all the organized divisions and departments. At first, the new method of cost accounting is analyzed as mentioned in the international bibliography. Thereafter, the advantages of this method were pointed and then, follow the application in a specific Department of the prefecture where the results were delivered to the Administration of department under review, for the decision-making. Conclusion: Having analyzed the department of the prefecture, the management can depend on the results to comment on the study done and decide on future plans.

  15. Public sector nurses in Swaziland: can the downturn be reversed?

    Directory of Open Access Journals (Sweden)

    Van Damme Wim

    2006-05-01

    Full Text Available Abstract Background The lack of human resources for health (HRH is increasingly being recognized as a major bottleneck to scaling up antiretroviral treatment (ART, particularly in sub-Saharan Africa, whose societies and health systems are hardest hit by HIV/AIDS. In this case study of Swaziland, we describe the current HRH situation in the public sector. We identify major factors that contribute to the crisis, describe policy initiatives to tackle it and base on these a number of projections for the future. Finally, we suggest some areas for further research that may contribute to tackling the HRH crisis in Swaziland. Methods We visited Swaziland twice within 18 months in order to capture the HRH situation as well as the responses to it in 2004 and in 2005. Using semi-structured interviews with key informants and group interviews, we obtained qualitative and quantitative data on the HRH situation in the public and mission health sectors. We complemented this with an analysis of primary documents and a review of the available relevant reports and studies. Results The public health sector in Swaziland faces a serious shortage of health workers: 44% of posts for physicians, 19% of posts for nurses and 17% of nursing assistant posts were unfilled in 2004. We identified emigration and attrition due to HIV/AIDS as major factors depleting the health workforce. The annual training output of only 80 new nurses is not sufficient to compensate for these losses, and based on the situation in 2004 we estimated that the nursing workforce in the public sector would have been reduced by more than 40% by 2010. In 2005 we found that new initiatives by the Swazi government, such as the scale-up of ART, the introduction of retention measures to decrease emigration and the influx of foreign nurses could have the potential to improve the situation. A combination of such measures, together with the planned increase in the training capacity of the country's nursing

  16. Segregation and the gender wage gaps in the private and the public sector

    DEFF Research Database (Denmark)

    Albæk, Karsten; Larsen, Mona; Stage Thomsen, Lars

    2016-01-01

    This paper examines the relation between segregation and the gender wage gap in the public and the private sectors in Denmark from 2002 to 2012. The analysis shows that male–female differences in the share of females in occupations, industries,establishments and job cells (occupations within...... establishments) constitute 46% of the raw gender wage gap in the private sector, while segregation in t he public sector accounts for as much as 63 %. Segregation thus plays a substantially more important role in accounting for the gender wage gap in the public sector than in the private sector. While...... the importance of segregation for wage formation decreased substantially in the public sector over time, it only decreased slightly in the private sector. Although the remaining gender wage gap, after controlling for segregation, is close to zero in the public sector, a substantial within-job cell differential...

  17. Segregation and the gender wage gaps in the private and the public sector

    DEFF Research Database (Denmark)

    Albæk, Karsten; Larsen, Mona; Stage Thomsen, Lars

    2016-01-01

    establishments) constitute 46% of the raw gender wage gap in the private sector, while segregation in t he public sector accounts for as much as 63 %. Segregation thus plays a substantially more important role in accounting for the gender wage gap in the public sector than in the private sector. While...... the importance of segregation for wage formation decreased substantially in the public sector over time, it only decreased slightly in the private sector. Although the remaining gender wage gap, after controlling for segregation, is close to zero in the public sector, a substantial within-job cell differential......This paper examines the relation between segregation and the gender wage gap in the public and the private sectors in Denmark from 2002 to 2012. The analysis shows that male–female differences in the share of females in occupations, industries,establishments and job cells (occupations within...

  18. Funding New Zealand's public healthcare system: time for an honest appraisal and public debate.

    Science.gov (United States)

    Keene, Lyndon; Bagshaw, Philip; Nicholls, M Gary; Rosenberg, Bill; Frampton, Christopher M; Powell, Ian

    2016-05-27

    Successive New Zealand governments have claimed that the cost of funding the country's public healthcare services is excessive and unsustainable. We contest that these claims are based on a misrepresentation of healthcare spending. Using data from the New Zealand Treasury and the Organisation for Economic Cooperation and Development (OECD), we show how government spending as a whole is low compared with most other OECD countries and is falling as a proportion of GDP. New Zealand has a modest level of health spending overall, but government health spending is also falling as a proportion of GDP. Together, the data indicate the New Zealand Government can afford to spend more on healthcare. We identify compelling reasons why it should do so, including forecast growing health need, signs of increasing unmet need, and the fact that if health needs are not met the costs still have to be borne by the economy. The evidence further suggests it is economically and socially beneficial to meet health needs through a public health system. An honest appraisal and public debate is needed to determine more appropriate levels of healthcare spending.

  19. Healthcare sector efficiency in Gujarat (India: an exploratory study using data envelopment analysis

    Directory of Open Access Journals (Sweden)

    Brijesh C. Purohit

    2016-06-01

    Full Text Available The importance of efficiency in resource utilization in healthcare sector has been recognized globally. In this paper we focus on efficiency of healthcare system at sub-state level (i.e., district level in India using Gujarat state and its district level data for 2012-13. In spite of being an economically advanced state, in terms of infant mortality rate (IMR the state is not the lowest. We explore the reasons for relative performance of different districts with data envelopment analysis (DEA. We used IMR as output variables. Using principal component analysis we tried a sub-set of variables, which had low correlations. Thus, four factor scores relating to medical officer, lady medical officer, Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy doctor, pharmacist, were used for DEA. We have focused on Charnes, Cooper, and Rhodes scores (or constant returns to scale technical efficiency score, and discussed efficiency rankings based on these. Thus, our results pertaining to district level health system efficiency in Gujarat State indicate that some of the districts have low efficiency in utilization of inputs like doctors, beds and workload per health institutions. There are also other districts, which need more of these inputs, which may enhance their output and efficiency. Thus, it is suggested that the efficiency in Valsad needs an improvement much more than other districts, whereas districts like Ahmadabad and Surat need more of both medical manpower and facilities. Even in case of Vadodara and Rajkot, the ranking in terms of most of medical manpower and facilities is low and thus these districts may also be benefitted by additional inputs. Hence, there is a mix of both inefficiency and inadequacy of inputs, which is reflected in our results.

  20. Job Satisfaction and Burnout among Greek Early Educators: A Comparison between Public and Private Sector Employees

    Science.gov (United States)

    Tsigilis, Nikolaos; Zachopoulou, Evridiki; Grammatikopoulos, Vasilios

    2006-01-01

    The purpose of the present study was to examine perceived levels of burnout and job satisfaction of Greek early educators, across public and private sector. One hundred and seventy eight childhood educators participated in the study. 108 were working in the public sector, 67 in private sector, whereas three did not respond. Participants were…

  1. PUBLIC SECTOR CONCEPTUALIZATION OF ECONOMY IN SYSTEM OF ECONOMIC AND THEORETICAL KNOWLEDGE

    Directory of Open Access Journals (Sweden)

    Y. Hirnyk

    2017-06-01

    Full Text Available The article examines trends shaping the problem of "public sector". The research shows the history of the formation of the concept of "social economy", its relationship with the basic principles of theoretical economic analysis and development. The paper investigates process of establishing the structure of the phenomenon of the public sector and its interaction with the challenges of the modern world and the global economy. The article deals with the role of the public sector in the production of public goods. The researchers evaluated the effect of its scale in indicators of social, economic and i institutional development. The study singled out performance criteria for public sector institutions and analyzed changes of vectors public choice in terms of globalization changes. It was revealed the impact of global institutional transformation and structural reforms in the public sector, in-depth conceptual basis of improving the efficiency of public sector functions.

  2. The Public Sector in the Czech Republic in Light of the Public Choice Theory

    Directory of Open Access Journals (Sweden)

    Václav Rybáček

    2016-06-01

    Full Text Available The aim of this paper is to discuss pros and cons of the current ways how the role of government in the society is analysed. In our analysis, macroeconomic aggregates provided by the satellite accounts of the public sector are used as an alternative analytical tool. This data supposedly better reflects the existing range of government activities as all government controlled entities are covered. Relevant time series by the Czech Statistical Office were prolonged making the analysis of long-term trends in the public sector size possible. The results are discussed against the theoretical background of the public choice theory. It was found out that there was an obvious bias to the deficit-driven provision of the public goods reflected concurrently in the growing indebtedness. On the other hand, the share of total revenues and expenditures remains rather stable over time.

  3. Educating the future public health workforce: do schools of public health teach students about the private sector?

    Science.gov (United States)

    Rutkow, Lainie; Traub, Arielle; Howard, Rachel; Frattaroli, Shannon

    2013-01-01

    Recent surveys indicate that approximately 40% of graduates from schools of public health are employed within the private sector or have an employer charged with regulating the private sector. These data suggest that schools of public health should provide curricular opportunities for their students--the future public health workforce--to learn about the relationship between the private sector and the public's health. To identify opportunities for graduate students in schools of public health to select course work that educates them about the relationship between the private sector and public health. We systematically identified and analyzed data gathered from publicly available course titles and descriptions on the Web sites of accredited schools of public health. Data were collected in the United States. The sample consisted of accredited schools of public health. Descriptions of the number and types of courses that schools of public health offer about the private sector and identification of how course descriptions frame the private sector relative to public health. We identified 104 unique courses with content about the private sector's relationship to public health. More than 75% of accredited schools of public health offered at least 1 such course. Nearly 25% of identified courses focused exclusively on the health insurance industry. Qualitative analysis of the data revealed 5 frames used to describe the private sector, including its role as a stakeholder in the policy process. Schools of public health face a curricular gap, with relatively few course offerings that teach students about the relationship between the private sector and the public's health. By developing new courses or revising existing ones, schools of public health can expose the future public health workforce to the varied ways public health professionals interact with the private sector, and potentially influence students' career paths.

  4. Advancing the business creed? The framing of decisions about public sector managed care.

    Science.gov (United States)

    Waitzkin, Howard; Yager, Joel; Santos, Richard

    2012-01-01

    Relatively little research has clarified how executives of for-profit healthcare organisations frame their own motivations and behaviour, or how government officials frame their interactions with executives. Because managed care has provided an organisational structure for health services in many countries, we focused our study on executives and government officials who were administering public sector managed care services. Emphasising theoretically the economic versus non-economic motivations that guide economic behaviour, we extended a long-term research project on public sector Medicaid managed care (MMC) in the United States. Our method involved in-depth, structured interviews with chief executive officers of managed care organisations, as well as high-ranking officials of state government. Data analysis involved iterative interpretation of interview data. We found that the rate of profit, which proved relatively low in the MMC programme, occupied a limited place in executives' self-described motivations and in state officials' descriptions of corporation-government interactions. Non-economic motivations included a strong orientation toward corporate social responsibility and a creed in which market processes advanced human wellbeing. Such patterns contradict some of the given wisdom about how corporate executives and government officials construct their reality.

  5. ARQUITECTURAS PARA EL SECTOR PÚBLICO / Architecture for the public sector

    Directory of Open Access Journals (Sweden)

    Teresa Muñoz Santiago

    2012-11-01

    construction work management in the Spanish public sector is by competition. During this time we have progressively passed from the “direct award” to the open competition, in line with European rules.From the coming into force of Law 13/1995, dated 18 May, on Public Administration Contracts, an important landmark in the massive application of competitions, to the start of the present economic crisis in 2008, many public works took place in Spain, and many of them of high quality. A deciding factor has been the participation of numerous professionals who have viewed the competition not only as a stimulus, but as a road to professional commissions.In this process there have been, and still are, several questions under debate: the enforceability of the technical or professional competence assessed in the open procedures, and the importance of the economic proposal in the award. The latter has been progressively accentuated, especially in the currently stagnant property market, in both the public and private sectors.Yet, from the point of view of the quality of the architecture promoted by the public administrations, the competition has demonstrated its effectiveness. The result is the sum of the sustained effort from all the participants: the administrations, the professionals and the companies.However, it is essential that they all participate with the same sensitivity towards quality architecture, especially the contracting public administrations.

  6. Anatomy of Corruption in the Nigerian Public Sector

    Directory of Open Access Journals (Sweden)

    Ogbewere Bankole Ijewereme

    2015-05-01

    Full Text Available Corruption is a clog in the wheel of progress in Nigeria and has incessantly frustrated the realization of noble national goals, despite the enormous natural and human resources in Nigeria. The article reviews the concept of corruption in line with its forms and effects on the Nigerian State, as well as corruption in public service from Prime Minister Tafawa Balewa’s era to President Goodluck Jonathan’s administration. The article examines the idealistic, resource curse, two public, low risk–high benefit and anomie theories, and consequently adopts resource curse, low risk–high benefit theories to explain causes of corruption in Nigeria. Also, some personal observations and data from Transparency International are utilized to explain corrupt practices in Nigeria. The article concludes that there is corruption in the Nigerian Public Sector because of societal pressure, tribalism, nepotism, low risk–high benefits of involving in corruption among others. The article recommends some measures to combat corruption in Nigeria.

  7. [Scientific medical forum as important source of scientific-information provision for innovation processes in the healthcare sector of Ukraine].

    Science.gov (United States)

    Horban', A Ie; Zakrut'ko, L I; Uvarenko, S V; Prysiazhniuk, L V

    2013-12-01

    The article made a retrospective analysis of the scientific medical forums (congresses, symposia and scientific conferences) in the healthcare sector of Ukraine in 2008-2012, planned by higher medical schools and post-graduate medical education schools, scientific institutions of Ministry of Healthcare of Ukraine, National Academy of Medical Science of Ukraine, medical associations and scientific and medical societies. Quantitative and qualitative assessment was carried out of the effectiveness of their implementation, provided suggestions for improving the planning and conducting of medical research forums.

  8. Transformation in the management of Danish public-sector

    DEFF Research Database (Denmark)

    Andersen, Vibeke; Hindhede, Anette Lykke

    2016-01-01

    , quality, and safety (Olesen et al., 2008). The authors construct a theoretical model based on the concepts of trust, fairness, and cooperation in order to describe and measure a desired harmonious state of the organization, which is described as “an ability” (Olesen et al., 2008, p. 10). Thus, inspired......, based on assumptions that are often unsustainable. The paradox is that when problems are subject to ambiguity, a space of interpretation arises; when there is an interpretive space, strict measurement is not needed since the conditions and prerequisites therefore cannot be met. In this article, we try...... management tools. In this context, concepts such as social capital are introduced as measurable and progressive organizational tools which have spread like mantras in the public sector in its efforts to meet these challenges. In this article, we analyse this phenomenon in the light of ambiguity as described...

  9. Perceptions of Information System Success in the Public Sector

    DEFF Research Database (Denmark)

    Sørum, Hanne; Medaglia, Rony; Andersen, Kim Normann

    2012-01-01

    Purpose – The purpose of this paper is to explore the relationships between constructs of information system (IS) success in the public sector, as perceived by webmaster intermediaries, and investigate how user testing affects these relationships. Design/methodology/approach – Online surveys were...... cannot be overlooked, especially considering that user empowerment in the design, implementation, and evaluation of information systems matches a window of opportunity originating in the ongoing growth of web interactivity. Originality/value – The paper is one of the few that investigates constructs...... their perceptions of IS success, with those who conduct no user testing displaying the weakest associations among success variables. Findings also suggest that webmasters who do little or no user testing conveniently assume that citizen users are satisfied, while webmasters who are more knowledgeable of the user...

  10. The EFQM model on Danish public sector aspects of TQM

    DEFF Research Database (Denmark)

    Dahlgaard, Jens Jørn; Madsen, Ole Nørgaard

    in education initiated in 1993 we have been involved in the Aarhus Technical College transformning the EFQM model into a tool for teachers´ self-assessment of quality in classroom. Looking upon education from a management point of view, an educational paradigm has been developed comparing learning as classroom......The applicability of the EFQM model (or the European Quality Award Model) to the public sector is to be discussed from three different angels referring to projects all funded by the Danish national government. First, as a recent part of the Aarhus Business School research project on quality...... activity to service production involving students as employees and teachers as managers or leaders. Accordingly, "quality in classroom" may be assessed like any other service producer. Actually, the project has been related to a former project developing a model for implementing TQM into vocational college...

  11. Sector and Occupational Differences in Public Service Motivation: A Qualitative Study

    DEFF Research Database (Denmark)

    Kjeldsen, Anne Mette

    2012-01-01

    The relationship between employment sector and public service motivation remains unclear since previous studies fail to control for the occupation of the investigated employees. Based on 32 semi-structured interviews with Danish nurses and nursing assistants working in the public or private health...... sector, this study shows that occupation and employment sector have very different relationships with the separate dimensions of public service motivation. This suggests that future studies of sector differences in public service motivation should pay attention to employees' occupation as an important...... control variable, and the benefits of using a qualitative approach to measure public service motivation....

  12. Designing effective incentives for energy conservation in the public sector

    Science.gov (United States)

    Drezner, Jeffrey Alan

    Understanding why government officials behave in certain ways under particular circumstances is an important theme in political science. This research explores the design of policies and incentives targeted at public sector officials, in particular the use of market based policy tools in a non-market environment, and the influence of that organizational environment on the effectiveness of the policy. The research examines the case of Department of Defense (DoD) facility energy management. DoD energy policy includes a provision for the retention of savings generated by conservation activities: two-thirds of the savings is retained at the installation generating the savings, half to used for further investment in energy conservation, and half to be used for general morale, welfare, and recreation activities. This policy creates a financial incentive for installation energy managers to establish higher quality and more active conservation programs. A formal written survey of installation energy managers within DoD was conducted, providing data to test hypotheses regarding policy effectiveness and factors affecting policy implementation. Additionally, two detailed implementation case studies were conducted in order to gain further insights. Results suggest that policy design needs to account for the environment within which the policy will be implemented, particularly organizational culture and standard operating procedures. The retention of savings policy failed to achieve its intended outcome---retention of savings for re-investment in energy conservation---because the role required of the financial management community was outside its normal mode of operation and interests and the budget process for allocating resources did not include a mechanism for retention of savings. The policy design did not adequately address these start-up barriers to implementation. This analysis has shown that in order for retention of savings, or similar policies based on market

  13. Private security, public/private sector partnership, crime prevention, police, public safety

    Directory of Open Access Journals (Sweden)

    Juan Ricardo Gómez Hecht

    2014-12-01

    Full Text Available The current security environment in El Salvador is characterized by high levels of insecurity and criminality. Public authorities confronting this problem need to resort to new alternatives for solving or at least managing the situation. One of these alternatives is the public/private sector partnership in crime prevention which is a promising option. Research has analyzed the current state of the public/private sector partnership between the National Civil Police and Private Security Services in El Salvador, revealing among other things that this relationship is at an incipient stage, but has promising results.DOI: http://dx.doi.org/10.5377/rpsp.v4i2.1759

  14. Public Health Risks from Mismanagement of Healthcare Wastes in Shinyanga Municipality Health Facilities, Tanzania

    OpenAIRE

    Kizito Kuchibanda; Mayo, Aloyce W.

    2015-01-01

    The increase of healthcare facilities in Shinyanga municipality has resulted in an increase of healthcare wastes, which poses serious threats to the environment, health workers, and the general public. This research was conducted to investigate management practices of healthcare wastes in Shinyanga municipality with a view of assessing health risks to health workers and the general public. The study, which was carried out in three hospitals, involved the use of questionnaires, in-depth interv...

  15. Organizational Transformation in Public Sector Organizations of Pakistan in the Quest of Change Management

    Directory of Open Access Journals (Sweden)

    Faisal Shafique Butt

    2013-09-01

    Full Text Available The aim of this study is to see the organizational transformations in public sector organizations and to observe which factors have great influence in transforming public sector organizations of Pakistan. In a world of growing customer opportunities and declining income, many organizations are finding ways to do more with less by consolidating and putting together departments, functions, business processes, IT infrastructure and entire organizations. Can public sector organizations revolutionize? Organizational Transformation comes about when a company reorganizes itself or practices a sudden change in culture. The objective of this study is to portray the key characteristics which are normally considered for organizational transformation in public sector organizations of Pakistan. Research questionnaire was developed and distributed to public sector organizations in Pakistan. Data analysis was done through SPSS. The results were astonishing and all variables have positive impact on organizational transformation in public sector of Pakistan.

  16. Re-use of public sector information in cultural heritage institutions

    NARCIS (Netherlands)

    Keller, P.; Margoni, T.; Rybicka, K.; Tarkowski, A.

    2014-01-01

    In 2013 the European Union amended the Directive on Public Sector Information, establishing the principle that all available information produced and collected by public sector institutions must be made available for reuse under open terms and conditions. The amended Directive also brings publicly f

  17. Patients' Perception of Clinicians Use of ICT During Patient Consultation in the Different Sectors of Danish Healthcare.

    Science.gov (United States)

    Petersen, Lone Stub; Bertelsen, Pernille

    2016-01-01

    In Denmark ICT is a central part of almost all healthcare professionals' daily practices, and patients are increasingly encouraged to take and active interest in own health data. Therefore, ICT is an important part of what happens at consultations between the patients and the healthcare professionals. We explore the impact of ICT based on a survey of citizens'/patients' experience of interaction with healthcare professionals. How often and for what ICT was used in communication with the patients in different sectors of the Danish healthcare. The results show that ICT is used in communication with citizens and during interaction with patient, however the use of ICT is mostly for the healthcare professionals own benefit and only about 15%-39% of the reported instances ICT was used to communication and interact with the patient. Through the concept of boundary objects we proposes a model that split the object of the technology mediated information into three setting for communication between patients and healthcare professionals. We propose further studies into how ICT can be used to explore the possibilities for more interactive and involving care processes as a key element in further development of eHealth.

  18. The Public Health Innovation Model: Merging Private Sector Processes with Public Health Strengths.

    Science.gov (United States)

    Lister, Cameron; Payne, Hannah; Hanson, Carl L; Barnes, Michael D; Davis, Siena F; Manwaring, Todd

    2017-01-01

    Public health enjoyed a number of successes over the twentieth century. However, public health agencies have arguably been ill equipped to sustain these successes and address the complex threats we face today, including morbidity and mortality associated with persistent chronic diseases and emerging infectious diseases, in the context of flat funding and new and changing health care legislation. Transformational leaders, who are not afraid of taking risks to develop innovative approaches to combat present-day threats, are needed within public health agencies. We propose the Public Health Innovation Model (PHIM) as a tool for public health leaders who wish to integrate innovation into public health practice. This model merges traditional public health program planning models with innovation principles adapted from the private sector, including design thinking, seeking funding from private sector entities, and more strongly emphasizing program outcomes. We also discuss principles that leaders should consider adopting when transitioning to the PHIM, including cross-collaboration, community buy-in, human-centered assessment, autonomy and creativity, rapid experimentation and prototyping, and accountability to outcomes.

  19. Facilitating Corporate Entrepreneurship in Public Sector Higher Education Institutions: A Conceptual Model

    Directory of Open Access Journals (Sweden)

    Javed Nayyar Malik

    2012-06-01

    Full Text Available This paper develops a conceptual model of public sector corporate entrepreneurship for the state government higher education institutions. The proposed model is intended to depict the main antecedents that relate to corporate entrepreneurship within the public sector higher education institution  and the impact of corporate entrepreneurship on public sector HEI’s performance, as well as factors influencing its continuous performance.

  20. Transformation of Inventory Accounting in Terms of Harmonization of Public Sector Accounting Systems with International Standards

    OpenAIRE

    Vasyl Pihosh

    2014-01-01

    The article investigates accounting procedures for inventory in public sector institutions. The analysis of the most important aspects of accounting for inventories is being held, which are reflected in Instructions for inventory accounting No. 125, Regulation on inventory accounting in budgetary institutions, National regulation (standard) of accounting in the public sector 123 'Inventory', International standard of accounting in the public sector 12 'Inventory', particularly, the recognitio...

  1. Bullying behavior and mental health in healthcare and educational sectors in Kaunas, Lithuania

    Directory of Open Access Journals (Sweden)

    Lina Bernotaite

    2017-06-01

    Full Text Available Background: Investigations on workplace bullying in the countries of Eastern Europe are yet not too extensive. The aim of the study has been to identify the most frequent bullying behavior and to explore the associations with psychological distress and post-traumatic stress symptoms in 3 female-dominated occupations in Kaunas, Lithuania. Material and Methods: This crosssectional study employed 517 teachers (response rate (RR = 71.3%, 174 family physicians (RR = 65.7% and 311 internal medicine department nurses (RR = 69.1%. The twenty-two-item Negative Acts Questionnaire was used for measuring the exposure to bullying behavior, Goldberg 12-item General Health Questionnaire (GHQ-12 – psychological distress, Event Scale-Revised (IES-R inventory – post-traumatic stress symptoms, Karasek & Theorell Demand-Control questionnaire – psychosocial job characteristics. The International Business Machines Corporation (IBM SPSS Statistics version 20.0 was used for performing the statistical analysis. Logistic regression was used for assessing the associations among 22 negative acts as continuous variable and mental health outcomes adjusting to age, psychosocial factors at work and everyday life. Results: Exposure to workplace bullying behavior on a weekly/daily basis was prevalent among family physicians at the rate of 19%, among nurses – 12.9%, among teachers – 4.1%. Even after adjustment to age, psychosocial job characteristics and threatening life events, the exposure to 22 negative acts as continuous variable was significantly associated with psychological distress and post-traumatic stress symptoms for all 3 occupations. Conclusions: Health care sector is particularly affected by workplace bullying. Exposure to bullying behavior was associated with mental health problems for all 3 occupations. Preventive measures are necessary to improve psychosocial work environment conditions in healthcare and educational institutions in Lithuania. Med Pr

  2. Bullying behavior and mental health in healthcare and educational sectors in Kaunas, Lithuania.

    Science.gov (United States)

    Bernotaite, Lina; Malinauskiene, Vilija; Leisyte, Palmira

    2017-05-16

    Investigations on workplace bullying in the countries of Eastern Europe are yet not too extensive. The aim of the study has been to identify the most frequent bullying behavior and to explore the associations with psychological distress and post-traumatic stress symptoms in 3 female-dominated occupations in Kaunas, Lithuania. This crosssectional study employed 517 teachers (response rate (RR) = 71.3%), 174 family physicians (RR = 65.7%) and 311 internal medicine department nurses (RR = 69.1%). The twenty-two-item Negative Acts Questionnaire was used for measuring the exposure to bullying behavior, Goldberg 12-item General Health Questionnaire (GHQ-12) - psychological distress, Event Scale-Revised (IES-R) inventory - post-traumatic stress symptoms, Karasek & Theorell Demand-Control questionnaire - psychosocial job characteristics. The International Business Machines Corporation (IBM) SPSS Statistics version 20.0 was used for performing the statistical analysis. Logistic regression was used for assessing the associations among 22 negative acts as continuous variable and mental health outcomes adjusting to age, psychosocial factors at work and everyday life. Exposure to workplace bullying behavior on a weekly/daily basis was prevalent among family physicians at the rate of 19%, among nurses - 12.9%, among teachers - 4.1%. Even after adjustment to age, psychosocial job characteristics and threatening life events, the exposure to 22 negative acts as continuous variable was significantly associated with psychological distress and post-traumatic stress symptoms for all 3 occupations. Health care sector is particularly affected by workplace bullying. Exposure to bullying behavior was associated with mental health problems for all 3 occupations. Preventive measures are necessary to improve psychosocial work environment conditions in healthcare and educational institutions in Lithuania. Med Pr 2017;68(3):307-314.

  3. Reforming primary healthcare: from public policy to organizational change.

    Science.gov (United States)

    Gilbert, Frédéric; Denis, Jean-Louis; Lamothe, Lise; Beaulieu, Marie-Dominique; D'amour, Danielle; Goudreau, Johanne

    2015-01-01

    Governments everywhere are implementing reform to improve primary care. However, the existence of a high degree of professional autonomy makes large-scale change difficult to achieve. The purpose of this paper is to elucidate the change dynamics and the involvement of professionals in a primary healthcare reform initiative carried out in the Canadian province of Quebec. An empirical approach was used to investigate change processes from the inception of a public policy to the execution of changes in professional practices. The data were analysed from a multi-level, combined contextualist-processual perspective. Results are based on a longitudinal multiple-case study of five family medicine groups, which was informed by over 100 interviews, questionnaires, and documentary analysis. The results illustrate the multiple processes observed with the introduction of planned large-scale change in primary care services. The analysis of change content revealed that similar post-change states concealed variations between groups in the scale of their respective changes. The analysis also demonstrated more precisely how change evolved through the introduction of "intermediate change" and how cycles of prescribed and emergent mechanisms distinctively drove change process and change content, from the emergence of the public policy to the change in primary care service delivery. This research was conducted among a limited number of early policy adopters. However, given the international interest in turning to the medical profession to improve primary care, the results offer avenues for both policy development and implementation. The findings offer practical insights for those studying and managing large-scale transformations. They provide a better understanding of how deliberate reforms coexist with professional autonomy through an intertwining of change content and processes. This research is one of few studies to examine a primary care reform from emergence to implementation

  4. Public-private partnerships in China's urban water sector.

    Science.gov (United States)

    Zhong, Lijin; Mol, Arthur P J; Fu, Tao

    2008-06-01

    During the past decades, the traditional state monopoly in urban water management has been debated heavily, resulting in different forms and degrees of private sector involvement across the globe. Since the 1990s, China has also started experiments with new modes of urban water service management and governance in which the private sector is involved. It is premature to conclude whether the various forms of private sector involvement will successfully overcome the major problems (capital shortage, inefficient operation, and service quality) in China's water sector. But at the same time, private sector involvement in water provisioning and waste water treatments seems to have become mainstream in transitional China.

  5. Assessment of the Public Procurement Role in Public Sector Modernization in Russia

    Directory of Open Access Journals (Sweden)

    Averkieva Elena, S.

    2016-03-01

    Full Text Available The impact of public procurement on the Russian economy is investigated in the paper. An assessment of the system’s effect on national competitiveness and the activities of small businesses is provided. Public contract system is a versatile tool that can be used to control a wide variety of economic sectors. Every year, the share of public sector in the Russian economy is increasing, that means the state influence on economic processes taking place in the country is growing steadily. First of all the importance of public procurement in the Russian economy can be estimated by matching parameters of the budgetary system and GDP. The interrelationship of public procurement and national competitiveness is identified in the paper based on the consideration of measures to ensure energy efficiency and national treatment. Efficient spending of budget funds, as stated in the objectives of the contract system, is analyzed by the indicator of the savings in absolute and relative terms. Indicators of system openness, which will improve the monitoring of its transparency, are given to determine the effect on the economy of corruption component of public procurement.

  6. Trends in treatment of anterior cruciate ligament injuries of the knee in the public and private healthcare systems of Brazil

    Directory of Open Access Journals (Sweden)

    Diego Costa Astur

    Full Text Available CONTEXT AND OBJECTIVE Orthopedic surgery implies high costs for both public and private healthcare. The aim of this study was to better understand the differences between the public and private sectors regarding treatment of a damaged anterior cruciate ligament, which is a common knee injury. DESIGN AND SETTING Descriptive cross-sectional study conducted during the Brazilian Orthopedics Congress in Brasília. METHODS We applied questionnaires during the 2010 Brazilian Orthopedics Congress, with participation by 241 knee surgeons from 24 Brazilian states. This was followed by statistical analysis on the data that were obtained. RESULTS The orthopedic surgeons who were evaluated used different approaches and treatment options in different Brazilian states, comparing between the public and private systems. CONCLUSION Both in the public and in the private systems in Brazil, because of non-medical issues surrounding the treatment, the best medical decision is not always made. This may be harmful both to patients and to physicians.

  7. Public sector energy management: A strategy for catalyzing energy efficiency in Malaysia

    Science.gov (United States)

    Roy, Anish Kumar

    To date the public sector role in facilitating the transition to a sustainable energy future has been envisaged mainly from a regulatory perspective. In such a role, the public sector provides the push factors---enforcing regulations and providing incentives---to correct market imperfections that impede energy transitions. An alternative and complementary role of the public sector that is now gaining increasing attention is that of catalyzing energy transitions through public sector energy management initiatives. This dissertation offers a conceptual framework to rationalize such a role for the public sector by combining recent theories of sustainable energy transition and public management. In particular, the framework identifies innovative public management strategies (such as performance contracting and procurement) for effectively implementing sustainable energy projects in government facilities. The dissertation evaluates a model of sustainable public sector energy management for promoting energy efficiency in Malaysia. The public sector in Malaysia can be a major player in leading and catalyzing energy efficiency efforts as it is not only the largest and one of the most influential energy consumers, but it also plays a central role in setting national development strategy. The dissertation makes several recommendations on how a public sector energy management strategy can be implemented in Malaysia. The US Federal Energy Management Program (FEMP) is used as a practical model. The analysis, however, shows that in applying the FEMP model to the Malaysian context, there are a number of limitations that will have to be taken into consideration to enable a public sector energy management strategy to be effectively implemented. Overall the analysis of this dissertation contributes to a rethinking of the public sector role in sustainable energy development that can strengthen the sector's credibility both in terms of governance and institutional performance. In

  8. From access to re-use: a user’s perspective on public sector information availability

    Directory of Open Access Journals (Sweden)

    Frederika Welle Donker

    2016-11-01

    .This dissertation demonstrated that many aspects that should facilitate accessibility, such as standardised metadata, have already been addressed for geodata. This research also showed that for other types of data, there is still a long way to go. There is a growing demand for other types of data, such as financial data and healthcare data. Public sector organisations holding such types of data need hands-on guidelines to enable publication of their datasets, preferably as open data. However, data published as open data are forever and cannot be recalled. Therefore, the decision to publish public sector data as open data is complex: datasets are often of a heterogeneous nature and may contain microdata (data that quantify observations or facts, such as data collected during surveys Although microdata may not necessarily contain personal data, the datasets will probably have to be processed before publication to address confidentiality and data quality issues. In addition, there is a tension between open data and protection of personal data. The big question remains to which level the data need to be aggregated and/or anonymised to ensure protection of personal data now and in the future, and at the same time keeping sufficient significance to be re-usable. Another issue that needs further research is data-ownership of sensor data and co-created data. Increasingly, sensor data generated by e.g. smart phones, smart energy meters and traffic sensors are collected by the public sector and the private sector and become part of a big data ecosystem. In addition, public sector organisations cooperate with other public sector organisations and the private sector to create information from their data, so-called co-created information. Citizens also collect data or complement information on a voluntary basis, e.g. bird counts data. Co-created information will become more commonplace in the coming decades, as will the contribution of sensor data to a big data ecosystem. However, the aspect of

  9. The Remaking of Leviathan: The State and Public Sector Reform in Advanced Capitalist Countries

    Directory of Open Access Journals (Sweden)

    John Peters

    2012-10-01

    Full Text Available This article argues that recent comparatives literatures on the welfare state have yet to adequately consider the public sector and how governments have reshaped their public services. Drawing on macro-level data from the OECD, qualitative studies, and trade union research, it is claimed that governments have substantially remade their administrative and financial procedures in order to cut expenditures and lower labour costs. It is also contended that because of financial globalization and rising debt, states have made a series of reforms to public sector industrial relations. These have worsened wages, working conditions, and jobs throughout the public sector. It is concluded that such developments are central to reforming the nature of state functioning across North America and Western Europe. This is the first study to report on government reforms to fiscal policies, public sector services, and public sector labour forces in 13 OECD countries between 1980-2005.

  10. Equal opportunities in the public and private sector

    Directory of Open Access Journals (Sweden)

    Anca Monica Ardeleanu

    2011-12-01

    Full Text Available Equal opportunities are a goal to achieve in Romania at the legislative and institutional/ organizational level.In terms of legislation Romania has made progress, but the institutional mechanisms of the government dealing with gender equality issues are not functioning properly, are not generating a concreate impact on the equal opportunities for women and men.For this reason there is no specific and significant political commitmentto these issue of gender equality in Romania. Gender discrimination is addressed both by anti-discrimination and equal opportunities laws.Equality,fairness and non-discrimination in the workplace environment are present as objective requirements of economic, social and ethical behavior that goes beyond the labor market. Theoretically, on the labor market , both public and private sectors do not accept direct or indirect discrimination at the workplace, espeially during the process of recruitment , training , development, promotion, establishment, payment of the salary and benefits. In practice , the legislation regarding the equal opportunities and equal treatment it is not respected by the employers all the time.Promotion of the policies at the national and organizational level, focused on ensuring equal opportunities , will enhance the social cohesion of the population that will generate economic growrh overall.

  11. Costing dental restorations in public sector dental clinics.

    Science.gov (United States)

    Khairiyah, Abdul Muttalib; Razak, Ishak Abdul; Raja-Latifah, Raja Jalludin; Tan, Bee Siew; Norain, Abu Talib; Noor-Aliyah, Ismail; Natifah, Che Salleh; Rauzi, Ismail

    2009-04-01

    The objective of this study is to share cost analysis methodology and to obtain cost estimates for posterior restorations in public sector dental clinics. Two urban and 2 rural dental clinics in Selangor state were selected. Only cases of 1 posterior restoration per visit by dental officers were included over 6 months. One capsulated amalgam type, 1 capsulated tooth-colored, and 1 non-capsulated tooth-colored material were selected. A clinical pathway form was formulated to collect data per patient. Annual capital and recurrent expenditures were collected per clinic. The mean cost of an amalgam restoration was RM 30.96 (sdRM 7.86); and tooth-colored restorations ranged from RM 33.00 (sdRM 8.43) to RM 41.10 (sdRM 10.61). Wherein 1 USD = RM 2.8. Restoration costs were 35% to 55% higher in clinics in rural areas than in urban areas. The findings demonstrate economy of scale for clinic operation and restoration costs with higher patient load. Costs per restoration were higher in rural than in urban dental clinics. More studies are recommended to address the dearth of dental costs data in Malaysia.

  12. On Self Selection of the Corrupt into the Public Sector

    DEFF Research Database (Denmark)

    Banerjee, Ritwik; Baul, Tushi; Rosenblat, Tanya

    Do corrupt people self select themselves in professions where the scope of corruption is high? We conduct a corruption experiment with private sector job aspirants and aspirants of Indian bureaucracy. The game models embezzlement of resources in which “supervisors” evaluate the performance...... of “workers” and then pay them. We find that aspirant bureaucrats indulge in more corruption than private sector aspirants but the likelihood of being corrupt is same across two sectors....

  13. A Comparative Analysis of Promotional Tools & Techniques Adopted For Retail Banking In Public Sector and Private Sector Banks

    OpenAIRE

    Mittal, Swati; Pachauri, K K

    2013-01-01

    There has been a lot of restructuring and reshaping of the role of the banks in the past decade as India too has groomed itself for a more visible presence on the global platform. Stiff competition between the public sector banks and foreign players has led to public sector banks gaining a dominant while the foreign banks have had to adjust to the domestic banking scene to a great extent. In todays competitive and volatile environment all marketers including banks communicate with their targe...

  14. Energy and exergy use in public and private sector of Saudi Arabia

    Energy Technology Data Exchange (ETDEWEB)

    Dincer, I. E-mail: idincer@kfupm.edu.sa; Hussain, M.M.; Al-Zaharnah, I

    2004-09-01

    In this paper, we deal with the analysis of energy and exergy utilization in the public and private sector of Saudi Arabia by considering the energy and exergy flows for the years between 1990 and 2001. Energy and exergy analyses for the public and private sector are undertaken to study the energy and exergy efficiencies. These sectoral efficiencies are then compared, and energy and exergy flow diagrams for the public and private sector over the years are presented, respectively. Energy and exergy efficiencies of the public and private sector are compared for its six sub-sectors, namely commercial, governmental, streets, Mosques, hospitals and charity associations, particularly illustrated for the year 2000. Hospital sub-sector appears to be the most energy efficient sector and government sub-sector the most exergy efficient one. The results presented here provide insights into the sectoral energy use that may assist energy policy makers for the country. It is believed that the present techniques are useful for analyzing sectoral energy and exergy utilization, and that they provide Saudi Arabia with energy savings through energy efficiency and/or energy conservation measures. It is also be helpful to establish standards to facilitate application in industry and in other planning processes such as energy planning.

  15. The Lifetime Earnings Premium in the Public Sector: The View from Europe

    OpenAIRE

    Dickson, Matt; Postel-Vinay, Fabien; Turon, Hélène

    2014-01-01

    In a context of widespread concern about budget deficits, it is important to assess whether public sector pay is in line with the private sector. Our paper proposes an estimation of differences in lifetime values of employment between public and private sectors for five European countries. We use data from the European Community Household Panel over the period 1994-2001 for Germany, the Netherlands, France, Italy and Spain. We look at lifetime values instead of wage levels because, as we show...

  16. An Investigation of Conflict Management in Public and Private Sector Universities

    Science.gov (United States)

    Din, Siraj ud; Khan, Bakhtiar; Rehman, Rashid; Bibi, Zainab

    2011-01-01

    The purpose of this paper is to gain an insight into the conflict management in public and private sector universities in Khyber Pakhtunkhwa, Pakistan. To achieve the earlier mentioned purpose, survey method was used with the help of questionnaire. In this research, impact of university type (public and private sector) was examined on the conflict…

  17. Factors Affecting Teachers' Motivation: An HRM Challenge for Public Sector Higher Educational Institutions of Pakistan (HEIs)

    Science.gov (United States)

    Rasheed, Muhammad Imran; Humayon, Asad Afzal; Awan, Usama; Ahmed, Affan ud Din

    2016-01-01

    Purpose: The purpose of this paper is to explore/investigate various issues of teachers ' motivation in public sector Higher Educational Institutions of Pakistan. Design/methodology/approach: This is an exploratory research where surveys have been conducted in the well known public sector Universities of Pakistan; primary data have been collected…

  18. The First Steps Towards Harmonizing Public Sector Accounting for European Union Member States

    DEFF Research Database (Denmark)

    Pontoppidan, Caroline Aggestam; Alijarde, Isabel Brusca

    2016-01-01

    This paper analyses the process that led the European Commission to the decision to develop European Public Sector Accounting Standards (EPSAS) for harmonizing public sector accounting practices within the European Union. The paper finds that there was limited scope in terms of stakeholder partic...

  19. Public sector controllership—reinventing the financial specialist as a countervailing power

    NARCIS (Netherlands)

    ter Bogt, Henk; van Helden, G. Jan; van der Kolk, Berend

    2016-01-01

    Different types of ‘controllers’ can be distinguished in the public sector. The authors’ research indicates that public sector controllers acknowledge the distinctive characteristics of ‘hybrid’ controllers, but question some of the possible advantages of ‘pure’ controllers. This result could signal

  20. People Management Practices in the Public Health Sector: Developments from Victoria, Australia

    Science.gov (United States)

    Stanton, Pauline; Bartram, Timothy; Harbridge, Raymond

    2004-01-01

    This study investigates the impact on human resource management (HRM) practices in the public health sector in Victoria, Australia of two different government policy environments. First, it explores the Liberal Coalition Government's decentralisation of public health sector management, from 1992-1999 and second, the Labor Government's…

  1. A decision Enhancement Service for Stakeholder Analysis to Achieve Transformations in the Public Sector

    NARCIS (Netherlands)

    Knol, Arjan; Janssen, Marijn; Sol, H G

    2015-01-01

    Sourcing has become a popular practice for public sector managers aiming for transformations to save costs and improve service delivery. Nevertheless, public sector sourcing often fails due to stakeholder resistance and power struggles, stressing the need for stakeholder analysis. This paper present

  2. On the Optimal Degree Of Funding Of Public Sector Pension Plans

    NARCIS (Netherlands)

    Meijdam, A.C.; Ponds, E.H.M.

    2013-01-01

    Abstract: This paper explores the optimal degree of funding of public sector pension plans. It is assumed that a benevolent social planner decides on the contribution of current taxpayers to the funding of public sector pensions next period, weighing the interests of current and future tax payers. T

  3. Innovation in the Public Sector: A Systematic Review and Future Research Agenda

    NARCIS (Netherlands)

    de Vries, H.A.; Bekkers, V.J.J.M.; Tummers, L.G.

    2016-01-01

    This article brings together empirical academic research on public sector innovation. Via a systematic literature review we investigate 181 articles and books on public sector innovation, published between 1990 and 2014. These studies are analysed based on the following themes: (1) the definitions

  4. Bargaining Tactics: A Reference Manual for Public Sector Labor Negotiations. Volume 2.

    Science.gov (United States)

    Neal, Richard G.

    A supplement to an earlier-published volume on bargaining tactics, this document presents specific tactics that can be used in the course of public sector collective bargaining to further management's pre-established negotiating strategies. All the tactics suggested are drawn from the author's personal experience as a public sector labor…

  5. Approaches to the international standards application in healthcare and public health in different countries

    Directory of Open Access Journals (Sweden)

    Vitaliy Sarancha

    2017-06-01

    Full Text Available As a result of consequent development, and guided by an increasing demand of different types of the organizations regarding structured management, the system of standardization has been established. The idea behind standardization is adjusting the characteristics of a product, process or a production cycle to make them consistent and in line with the rules regarding what is proper and acceptable. The “standard” is a document that specifies such established set of criteria covering a broad range of topics and applicable to commissioners of health, specialists in primary care, public health staff, and social care providers, as well as the local authorities and service users. Health products, ranging from medical devices and health informatics to traditional medicines and unconventional healing tools are all in the focus of standards’ application. Different countries have their own quality management traditions based on their history, mentality, socio-economic environment and the local regulations. Taking into consideration that community social system organization and the quality of social infrastructure are the main foundations of social relations and future prosperity, here we review the existing standardization environment in the health sector in different countries, both developed and those on a convergence path. We focused on standardization environment in the United States of America, Great Britain, Germany, Ukraine, Russian Federation, Croatia and Albania. In order to simplify comprehension, we also demonstrate the algorithm of standardization, as well as the opportunities for application of the international standards in healthcare and public health.

  6. Integration of accounting principles for non-public and public management sectors

    Directory of Open Access Journals (Sweden)

    Tatyana Nikolayevna Kichenina

    2015-09-01

    Full Text Available Objective to identify and complement the principles of accounting in autonomous institutions for use in the development of organizational and methodological approaches to accounting in autonomous institutions. Methods this article uses a dialectical approach to study economic phenomena. Results analyzing the theoretical methodological and practical issues of the organization of the autonomous sports institutions under reforming of the public management sector the author substantiates the accounting principles that meet the objectives of the accounting activities of autonomous institutions proposes the principle of using the unified methodological tools for the integration of accounting in nonpublic and public management sectors. Scientific novelty currently there is a need to create an accounting system that would meet the requirements of forming the objective and reliable information on the activities of institutions in accordance with the socioeconomic tasks for which they are created. To ensure the principles of independence in the commercial activity and control over the targeted and efficient use of budgetary funds the author systematized and supplemented the accounting principles of autonomous institutions. Practical significance conclusions and proposals resulting from the study may be used in the practice of autonomous institutions in different sectors. nbsp

  7. Potentiality of big data in the medical sector: focus on how to reshape the healthcare system.

    Science.gov (United States)

    Jee, Kyoungyoung; Kim, Gang-Hoon

    2013-06-01

    The main purpose of this study was to explore whether the use of big data can effectively reduce healthcare concerns, such as the selection of appropriate treatment paths, improvement of healthcare systems, and so on. By providing an overview of the current state of big data applications in the healthcare environment, this study has explored the current challenges that governments and healthcare stakeholders are facing as well as the opportunities presented by big data. Insightful consideration of the current state of big data applications could help follower countries or healthcare stakeholders in their plans for deploying big data to resolve healthcare issues. The advantage for such follower countries and healthcare stakeholders is that they can possibly leapfrog the leaders' big data applications by conducting a careful analysis of the leaders' successes and failures and exploiting the expected future opportunities in mobile services. First, all big data projects undertaken by leading countries' governments and healthcare industries have similar general common goals. Second, for medical data that cuts across departmental boundaries, a top-down approach is needed to effectively manage and integrate big data. Third, real-time analysis of in-motion big data should be carried out, while protecting privacy and security.

  8. Socioeconomic Status and Satisfaction with Public Healthcare System in Iran.

    Science.gov (United States)

    Maharlouei, Najmeh; Akbari, Mojtaba; Akbari, Maryam; Lankarani, Kamran B

    2017-01-01

    The users' satisfaction is a method for evaluating the efficacy of healthcare system. We aimed to evaluate the association between the users' socioeconomic status (SES) and satisfaction with the healthcare system in Shiraz, Iran. This cross-sectional study was conducted from December, 2013 to March, 2014, in Shiraz, Iran. 3400 households were recruited by multi-stage cluster random sampling. Information about demographic, insurance status, and users' satisfaction was derived from face-to-face interviews. Satisfaction with healthcare system was assessed by using 5-point Likert scale statements, which ranged from "very dissatisfied" to "very satisfied". All statistical analyses were performed using SPSS-21. Overall, 1.6% (55) of the respondents were very satisfied, while 6% (203) were very dissatisfied with healthcare system. Participants were classified into high SES (26.3%), middle SES (47.9%) and low SES (25.8%). It was discovered that the better the SES, the more frequent were the respondents dissatisfied with healthcare system (Psystem (P=0.005). Also, dissatisfied respondents had significantly a higher level of education than satisfied ones (Psystem. This study demonstrated that users' sex, age, educational level, and SES were related to dissatisfaction with healthcare system. Meanwhile, clients' age, SES, insurance status and marital status were recognized as determinant factors.

  9. Investigating the effectiveness of response strategies for vulnerabilities to corruption in the chinese public construction sector.

    Science.gov (United States)

    Shan, Ming; Chan, Albert P C; Le, Yun; Hu, Yi

    2015-06-01

    Response strategy is a key for preventing widespread corruption vulnerabilities in the public construction sector. Although several studies have been devoted to this area, the effectiveness of response strategies has seldom been evaluated in China. This study aims to fill this gap by investigating the effectiveness of response strategies for corruption vulnerabilities through a survey in the Chinese public construction sector. Survey data obtained from selected experts involved in the Chinese public construction sector were analyzed by factor analysis and partial least squares-structural equation modeling. Analysis results showed that four response strategies of leadership, rules and regulations, training, and sanctions, only achieved an acceptable level in preventing corruption vulnerabilities in the Chinese public construction sector. This study contributes to knowledge by improving the understanding of the effectiveness of response strategies for corruption vulnerabilities in the public construction sector of developing countries.

  10. Regional development and the impact of the public sector in Denmark

    DEFF Research Database (Denmark)

    Hansen, Høgni Kalsø; Winther, Lars

    2014-01-01

    This paper analyses the relationships between employment growth, human capital and regional development. To understand the spatial development of employment growth, we distinguish between the public and the private sector. The public sector has a major role in Denmark in the form of a large share...... in the largest city-regions, and how such concentrations contribute to the uneven geography of employment growth. The paper concludes that both the public and private sectors are important regarding employment growth in Danish municipalities. Further, public and private human capital contributes to employment...... growth, and the public sector contributes, over time, to diminishing the uneven spatial distribution of human capital while the private sector increases the spatial inequality. Moreover, urbanisation has a significant effect on employment growth and human capital formation, both when it comes...

  11. Electronic records management in the public health sector of the ...

    African Journals Online (AJOL)

    Ngulup

    istics, attitudes and beliefs (Marshall & Rossman 2006:125). A questionnaire is a “ ..... delivery and the attainment of the United Nations Millennium Development Goals in Kenya. Information ..... Consumer awareness, ad- dressing healthcare ...

  12. Accounting Standardization and Financial Reporting in Public Sector in Albania- Future Challenges

    Directory of Open Access Journals (Sweden)

    Ariana Konomi

    2014-10-01

    Full Text Available The need for improving and strengthening all the links of financial reporting chain not only in private sector but also in public sector, directly contributes to overcome the 2010-2012 global crisis and helps to transform the ongoing period into a global economic growth period. The governments should implement the necessary institutional measures for public sector growth, financial management transparency and accountability.An integral and fondamental element of these agreements is the usage of accruals (according accounting by approving and implementing International Public Sector Accounting Standards (IPSAS, which enable the full disclosure of all the assets, liabilities and conditional liabilities, as a basic issue for real assessment and financial management of public sector, extended monitoring of government debt and liabilities, for their real economic implications. The implementation of accounting standards in public sector of Albania, besides the unification of accounting and financial statements preparation, intends to influence right, qualitative and long term decision-making, at all government levels; to increase the effectiveness and efficiency of financial resources; formalize the economy and better fight the phenomena of corruption, fraud, money laundering or fundsabuse; improve the level of fiscal transparency to public and integrate or face the global economy.As the main challenge of this sector and also as a process that needs time, financial reporting, requires a continuous reformation of policies, institutions, structures and professionalsKey words: Accounting standartization, financial management/reporting, public sector.

  13. Internal audit function: a comparison between private and public sector in Nigeria

    Directory of Open Access Journals (Sweden)

    Madawaki Abdulkadir

    2017-01-01

    Full Text Available This study compares the internal audit functions between private and the public sector. Features examined include hierarchical rank of internal audit function, internal audit transfer, outsourcing of internal audit services and working relationship of internal audit with external auditor. The study is based on a survey of internal audit managers and chief internal auditors in private and public sector entities in Nigeria. The results revealed that there is no much difference in hierarchical rank of internal audit function in both sectors. While the results showed that differences exist in the reporting status between internal audit in the two sectors with private sector internal audit reporting to audit committee and chief executive officer and public sector internal audit reporting to chief executive officer and chief financial officer. Almost a similar amount of work is outsourced, and private sector entities are more likely to outsource than those in public sector. There is slight difference between internal audit activities and interaction with external auditor in the two sectors with private sector more likely to coordinate in the area of access to audit working papers.

  14. Mobility and Transparency of Vocational Qualifications: An Overview of Studies on the Tourism, Chemical and Healthcare Sectors in Europe. CEDEFOP Panorama.

    Science.gov (United States)

    Pettersson, Sten; Richards, Greg; Rolfe, Heather; Skar, Mariann

    Three studies covering the tourism, chemical industry, and healthcare sectors in the European Union investigated patterns of cross-border mobility at the sector level. Special focus was on transparency of vocational qualifications and the relation between transparency and mobility. A serious lack of information on labor force mobility within…

  15. The Empowering of Public Sector Officers in the Mauritian Public Sector in the Context of Reforms: How Far Has Management Education Helped?

    Science.gov (United States)

    Bhiwajee, Soolakshna Lukea; Garavan, Thomas N.

    2016-01-01

    Purpose: The purpose of this study is to provide insights about the usefulness of management education for the public sector in the Republic of Mauritius, which embarked on reforms initiatives around two decades ago. In this context, public officers were encouraged to follow specialised management courses. However, as at date, there is…

  16. Transparency in Nigeria's public pharmaceutical sector: perceptions from policy makers

    Directory of Open Access Journals (Sweden)

    Kohler Jillian C

    2009-10-01

    Full Text Available Abstract Background Pharmaceuticals are an integral component of health care systems worldwide, thus, regulatory weaknesses in governance of the pharmaceutical system negatively impact health outcomes especially in developing countries 1. Nigeria is one of a number of countries whose pharmaceutical system has been impacted by corruption and has struggled to curtail the production and trafficking of substandard drugs. In 2001, the National Agency for Food and Drug Administration and Control (NAFDAC underwent an organizational restructuring resulting in reforms to reduce counterfeit drugs and better regulate pharmaceuticals 2. Despite these changes, there is still room for improvement. This study assessed the perceived level of transparency and potential vulnerability to corruption that exists in four essential areas of Nigeria's pharmaceutical sector: registration, procurement, inspection (divided into inspection of ports and of establishments, and distribution. Methods Standardized questionnaires were adapted from the World Health Organization assessment tool and used in semi-structured interviews with key stakeholders in the public and private pharmaceutical system. The responses to the questions were tallied and converted to scores on a numerical scale where lower scores suggested greater vulnerability to corruption and higher scores suggested lower vulnerability. Results The overall score for Nigeria's pharmaceutical system was 7.4 out of 10, indicating a system that is marginally vulnerable to corruption. The weakest links were the areas of drug registration and inspection of ports. Analysis of the qualitative results revealed that the perceived level of corruption did not always match the qualitative evidence. Conclusion Despite the many reported reforms instituted by NAFDAC, the study findings suggest that facets of the pharmaceutical system in Nigeria remain fairly vulnerable to corruption. The most glaring deficiency seems to be the

  17. Transparency in Nigeria's public pharmaceutical sector: perceptions from policy makers.

    Science.gov (United States)

    Garuba, Habibat A; Kohler, Jillian C; Huisman, Anna M

    2009-10-29

    Pharmaceuticals are an integral component of health care systems worldwide, thus, regulatory weaknesses in governance of the pharmaceutical system negatively impact health outcomes especially in developing countries 1. Nigeria is one of a number of countries whose pharmaceutical system has been impacted by corruption and has struggled to curtail the production and trafficking of substandard drugs. In 2001, the National Agency for Food and Drug Administration and Control (NAFDAC) underwent an organizational restructuring resulting in reforms to reduce counterfeit drugs and better regulate pharmaceuticals 2. Despite these changes, there is still room for improvement. This study assessed the perceived level of transparency and potential vulnerability to corruption that exists in four essential areas of Nigeria's pharmaceutical sector: registration, procurement, inspection (divided into inspection of ports and of establishments), and distribution. Standardized questionnaires were adapted from the World Health Organization assessment tool and used in semi-structured interviews with key stakeholders in the public and private pharmaceutical system. The responses to the questions were tallied and converted to scores on a numerical scale where lower scores suggested greater vulnerability to corruption and higher scores suggested lower vulnerability. The overall score for Nigeria's pharmaceutical system was 7.4 out of 10, indicating a system that is marginally vulnerable to corruption. The weakest links were the areas of drug registration and inspection of ports. Analysis of the qualitative results revealed that the perceived level of corruption did not always match the qualitative evidence. Despite the many reported reforms instituted by NAFDAC, the study findings suggest that facets of the pharmaceutical system in Nigeria remain fairly vulnerable to corruption. The most glaring deficiency seems to be the absence of conflict of interest guidelines which, if present and

  18. Public sector reform and demand for human resources for health (HRH

    Directory of Open Access Journals (Sweden)

    Lethbridge Jane

    2004-11-01

    Full Text Available Abstract This article considers some of the effects of health sector reform on human resources for health (HRH in developing countries and countries in transition by examining the effect of fiscal reform and the introduction of decentralisation and market mechanisms to the health sector. Fiscal reform results in pressure to measure the staff outputs of the health sector. Financial decentralisation often leads to hospitals becoming "corporatised" institutions, operating with business principles but remaining in the public sector. The introduction of market mechanisms often involves the formation of an internal market within the health sector and market testing of different functions with the private sector. This has immediate implications for the employment of health workers in the public sector, because the public sector may reduce its workforce if services are purchased from other sectors or may introduce more short-term and temporary employment contracts. Decentralisation of budgets and administrative functions can affect the health sector, often in negative ways, by reducing resources available and confusing lines of accountability for health workers. Governance and regulation of health care, when delivered by both public and private providers, require new systems of regulation. The increase in private sector provision has led health workers to move to the private sector. For those remaining in the public sector, there are often worsening working conditions, a lack of employment security and dismantling of collective bargaining agreements. Human resource development is gradually being recognised as crucial to future reforms and the formulation of health policy. New information systems at local and regional level will be needed to collect data on human resources. New employment arrangements, strengthening organisational culture, training and continuing education will also be needed.

  19. Development of Management Quality Assessment Methodology in the Public Sector: Problems and Contradictions

    Directory of Open Access Journals (Sweden)

    Olga Vladimirovna Kozhevina

    2015-09-01

    Full Text Available The development management quality assessment methodology in the public sector is relevant scientific and practical problem of economic research. The utilization of the results of the assessment on the basis of the authors’ methodology allows us to rate the public sector organizations, to justify decisions on the reorganization and privatization, and to monitor changes in the level of the management quality of the public sector organizations. The study determined the place of the quality of the control processes of the public sector organization in the system of “Quality of public administration — the effective operation of the public sector organization,” the contradictions associated with the assessment of management quality are revealed, the conditions for effective functioning of the public sector organizations are proved, a mechanism of comprehensive assessment and algorithm for constructing and evaluating the control models of management quality are developed, the criteria for assessing the management quality in the public sector organizations, including economic, budgetary, social and public, informational, innovation and institutional criteria are empirically grounded. By utilizing the proposed algorithm, the assessment model of quality management in the public sector organizations, including the financial, economic, social, innovation, informational and institutional indicators is developed. For each indicator of quality management, the coefficients of importance in the management quality assessment model, as well as comprehensive and partial evaluation indicators are determined on the basis of the expert evaluations. The main conclusion of the article is that management quality assessment for the public sector organizations should be based not only on the indicators achieved in the dynamics and utilized for analyzing the effectiveness of management, but also should take into account the reference levels for the values of these

  20. [The risk for illegal behaviour and corruption in the healthcare sector: what preventive measures can be taken?].

    Science.gov (United States)

    Rivoiro, Chiara

    2016-05-01

    In the healthcare sector risk factors for illegal behavior and corruption are peculiar and greater than in other social areas, as it plays a crucial role in the community's economical, political and cultural life. The healthcare services is a complex network that require interaction between may people, constant contacts with the industry, safety and adequate facilities that require regular maintenance, upgrade and replacement of medical technology, connection with local and regional policy makers. This provides the opportunity of being exposed to improper influence. However, illegal behaviors can be prevented: first of all supporting all professionals that everyday work to protect our health with ethics and expertise; then with all instruments that anti-corruption action plans, such as the one introduced in Italy in 2012, aim to identify and target those areas most at risk of corruption phenomena.

  1. Supplier relationship management – anathema for the South African public procurement sector

    Directory of Open Access Journals (Sweden)

    Micheline J. Naude

    2013-05-01

    Full Text Available The public sector is recognised as being one of the most important customer groups for many suppliers and service providers because of the volume of public expenditure. Supplier relationship management (SRM is a necessary tool on which businesses in the public and private sectors rely. However, in the South African public sector, despite the intention to boost service delivery through efficient and effective supplier-management processes, the development of sound supplier relationships is a challenge. The purpose of this article is to provide insight into supplier-relationship challenges and to suggest a framework for implementing SRM in the South African public sector. The research presented is based on a survey using both descriptive and exploratory research. Data were gathered through semi-structured interviews with 15 participants at eight institutions in KwaZulu-Natal. Purposive sampling techniques were used. The findings reveal that the main supplier-related challenges that handicap procurement practices in the province are a lack of experience, a lack of affirmable suppliers, threats and bribes, a lack of integrity, an inability to meet delivery deadlines and quality issues. The findings further reveal that supplier relationships in the public sector are of a transactional nature. A five-stage framework is therefore recommended for implementing SRM in the South African public sector and in order to assist government procurement officials to reap the benefits of SRM whilst supporting the requirements of public-sector procurement.

  2. Viability of healthcare service delivery alternatives for the Australian mining sector.

    Science.gov (United States)

    Williams, Patricia A H; Giles, Margaret

    2012-01-01

    The changing and demanding nature of the mining workforce in rural and remote Australia brings unique challenges to the delivery of healthcare services. In an attempt to control costs whilst delivering cost effective and quality healthcare, new models of delivery must be considered. For a workforce that is fly-in/fly-out, the provision of healthcare is problematic given the lack of consistency in location. A cost-benefit framework is analysed comparing three models of service provision using travel to a major location, locum services and remote health monitoring. Ultimately, new models of care must be considered to address the issues of increasing workforce turnover, to cater for rising healthcare costs, and to improve the health of such communities.

  3. Strategies and techniques of communication and public relations applied to non-profit sector

    Directory of Open Access Journals (Sweden)

    Ioana – Julieta Josan

    2010-05-01

    Full Text Available The aim of this paper is to summarize the strategies and techniques of communication and public relations applied to non-profit sector.The approach of the paper is to identify the most appropriate strategies and techniques that non-profit sector can use to accomplish its objectives, to highlight specific differences between the strategies and techniques of the profit and non-profit sectors and to identify potential communication and public relations actions in order to increase visibility among target audience, create brand awareness and to change into positive brand sentiment the target perception about the non-profit sector.

  4. Are public officials really less satisfied than private sector workers?A comparative study in Brazil

    Directory of Open Access Journals (Sweden)

    Renata Borges

    2013-12-01

    Full Text Available This research aims to compare the public and private sectors with regard to satisfaction at work. We conducted a survey with 670 professionals from both sectors in Brazil. The results of variance analysis confirm previous researches indicating that public officials are less satisfied with their work than private sector workers. However, this result does not repeat when we evaluate the satisfaction dimensions. For instance, public officials reported being more satisfied than private sector workers with regard to social environment and work stability. Unexpectedly, the results suggest that there is no difference between these sectors when we analyze the satisfaction with supervision. Therefore, this article is relevant for Brazilian managers, by offering an empirical research on the distinction between public and private. The article also discusses the theoretical implications, since Brazilian findings do not completely support the international literature.

  5. Selecting International Standards for Accrual-Based Accounting in the Public Sector

    DEFF Research Database (Denmark)

    Pontoppidan, Caroline Aggestam

    2011-01-01

    The article discusses the definition of a government business enterprise (GBE), as provided in the International Public Sector Accounting Standards (IPSAS), as a determinant for applying IPSAS or the International Financial Reporting Standards (IFRS) for a public sector entity. The work of the IP...... of the IPSASB is focused on the accounting and financial reporting needs of national, regional and local governments, and related governmental agencies, while the IFRS serves the private sector.......The article discusses the definition of a government business enterprise (GBE), as provided in the International Public Sector Accounting Standards (IPSAS), as a determinant for applying IPSAS or the International Financial Reporting Standards (IFRS) for a public sector entity. The work...

  6. Selecting International Standards for Accrual-Based Accounting in the Public Sector

    DEFF Research Database (Denmark)

    Pontoppidan, Caroline Aggestam

    2011-01-01

    The article discusses the definition of a government business enterprise (GBE), as provided in the International Public Sector Accounting Standards (IPSAS), as a determinant for applying IPSAS or the International Financial Reporting Standards (IFRS) for a public sector entity. The work of the IP......The article discusses the definition of a government business enterprise (GBE), as provided in the International Public Sector Accounting Standards (IPSAS), as a determinant for applying IPSAS or the International Financial Reporting Standards (IFRS) for a public sector entity. The work...... of the IPSASB is focused on the accounting and financial reporting needs of national, regional and local governments, and related governmental agencies, while the IFRS serves the private sector....

  7. Risk of latent TB infection in individuals employed in the healthcare sector in Germany: a multicentre prevalence study

    Directory of Open Access Journals (Sweden)

    Harling Melanie

    2010-04-01

    Full Text Available Abstract Background Healthcare workers are still recognised as a high-risk group for latent TB infection (LTBI. Therefore, the screening of people employed in the healthcare sector for active and LTBI is fundamental to infection control programmes in German hospitals. It was the aim of the study to determine the prevalence and putative risk factors of LTBI. Methods We tested 2028 employees in the healthcare sector with the QuantiFERON-Gold In-tube (QFT-IT test between December 2005 and May 2009, either in the course of contact tracing or in serial testing of TB high-risk groups following German OSH legislation. Results A positive IGRA was found in 9.9% of the healthcare workers (HCWs. Nurses and physicians showed similar prevalence rates (9.7% to 9.6%. Analysed by occupational group, the highest prevalence was found in administration staff and ancillary nursing staff (17.4% and 16.7%. None of the individuals in the trainee group showed a positive IGRA result. In the different workplaces the observed prevalence was 14.7% in administration, 12.0% in geriatric care, 14.2% in technicians (radiology, laboratory and pathology, 6.5% in admission ward staff and 8.3% in the staff of pulmonary/infectious disease wards. Putative risk factors for LTBI were age (>55 years: OR14.7, 95% CI 5.1-42.1, being foreign-born (OR 1.99, 95% CI 1.4-2.8, TB in the individual's own history (OR 4.96, 95% CI 1.99-12.3 and previous positive TST results (OR 3.5, 95% CI 2.4-4.98. We observed no statistically significant association with gender, BCG vaccination, workplace or profession. Conclusion The prevalence of LTBI in low-incidence countries depends on age. We found no positive IGRA results among trainees in the healthcare sector. Incidence studies are needed to assess the infection risk. Pre-employment screening might be helpful in this endeavour.

  8. The Public Sector Pay Gap in France, Great Britain and Italy

    OpenAIRE

    2004-01-01

    We investigate public-private pay determination using French, British and Italian microdata. While traditional methods focus on parametric methods to estimate the public sector pay gap, in this paper, we use both non-parametric (kernel) and quantile regression methods to analyse the distribution of wages across sectors. We show that the public-private (hourly) wage differential is sensitive to the choice of quantile and that the pattern of premia varies with both gender and skill. In all coun...

  9. Level of satisfaction and issues with procurement systems used in the Malaysian public sector

    Directory of Open Access Journals (Sweden)

    Mastura Jaafar

    2013-03-01

    Full Text Available Since the declaration of Malaysian independence, the public sector has significantly contributed to the country’s development. In the 1990s, a new procurement system was developed due to CIBD various changes in the construction industry. Since that period, the poor quality of public sector projects has started to attract public attention. This paper describes a study that was conducted to identify the dominant public procurement systems in place, the problems associated with these systems, and the satisfaction level of the industry players in the Malaysian construction industry. The results were drawn from 84 survey responses and interviews with industry players. The public sector is using a traditional system inherited from the British, with an intention to adopt new procurement systems. Aside from the disputes that are present in most systems, the public sector seems to encounter particular problems in relation to capabilities, time, and cost of the major procurement systems used. Traditional work culture and the industry environment influence public sector practice, which accounts for the modifications of each procurement system used. Thus, the full advantages of using an alternative procurement system may not be realised in public sector organizations. This produces an average level of satisfaction gained from the procurement system adopted. As a developing country, Malaysia needs to exert significant efforts to improve the public procurement system.

  10. Level of satisfaction and issues with procurement systems used in the Malaysian public sector

    Directory of Open Access Journals (Sweden)

    Mastura Jaafar

    2013-03-01

    Full Text Available Since the declaration of Malaysian independence, the public sector has significantly contributed to the country’s development. In the 1990s, a new procurement system was developed due to CIBD various changes in the construction industry. Since that period, the poor quality of public sector projects has started to attract public attention. This paper describes a study that was conducted to identify the dominant public procurement systems in place, the problems associated with these systems, and the satisfaction level of the industry players in the Malaysian construction industry. The results were drawn from 84 survey responses and interviews with industry players. The public sector is using a traditional system inherited from the British, with an intention to adopt new procurement systems. Aside from the disputes that are present in most systems, the public sector seems to encounter particular problems in relation to capabilities, time, and cost of the major procurement systems used. Traditional work culture and the industry environment influence public sector practice, which accounts for the modifications of each procurement system used. Thus, the full advantages of using an alternative procurement system may not be realised in public sector organizations. This produces an average level of satisfaction gained from the procurement system adopted. As a developing country, Malaysia needs to exert significant efforts to improve the public procurement system. 

  11. Management skills as competitive advantage. The case of public sector in Córdoba (Spain

    Directory of Open Access Journals (Sweden)

    Francisco Javier Pereda Pérez

    2014-05-01

    Full Text Available Purpose: To analyze the assessment of management skills in the public sector of Cordoba (Spain, trying to find out the possible relationship or influence between the administration of belonging to a set of management skills.Design/methodology/approach: Initial Theoretical study on the public sector, public management and managerial skills, conducting fieldwork affecting four administrations and application of statistical techniques contrast, which, finally, the analysis of their results and the conclusions drawn from them.Findings and Originality/value: The findings of an investigation into the management skills in the context of the public sector in the Province of Córdoba (Spain are presented. At present the personal, interpersonal and managerial skills to manage, are becoming increasingly important in companies and organizations. The strong commitment to the development of management skills becomes a true competitive advantage capable of leading business improvement processes in organizations, especially those in which the human resource is crucial, as is the case of the public sector.Research limitations/implications: To progress in research on management skills in the public sector, it would be desirable to develop more sector research to comparative studies the results of which lead to the establishment of specific labor policies aimed at improving the selection of public employees, developing training policies that emphasize the enhancement of skills and a true career based on merit and efficient performance.Social implications: The selection, training and development of public employees, and greater give greater importance to human resource processes in which the skills and competencies should fill the role they need.Originality / value: The better knowledge of the public sector, the importance of having competent public managers , and basically point out the critical importance of developing leadership skills at all levels

  12. Public vs. Banking Sector Accounting - How Far Is Romania from International Referential?

    Directory of Open Access Journals (Sweden)

    Cristina Stefanescu

    2012-06-01

    Full Text Available The purpose of our paper is to identify the level of accounting harmonization in Romania for both public and banking sector with international referential (IPSAS and IFRS focusing on financial reporting requirements, by providing both vertical and horizontal analysis beginning with the year 2001 up to present. Unlike prior studies conducted on the same topic, which measure the general accounting harmonization for private sector, our paper is focused on specific economic fields – public vs. banking sector – thus providing a different approach of accounting harmonization. The research methodology used for achieving our goal was based on both static and dynamic analysis of the degree of similarity and dissimilitude between national and international accounting frameworks, by using appropriate statistical tools (e.g. Euclidian distance, Jaccard and Spearman coefficients. Our results reveal continuous improvements in accounting regulations in both sectors along time, but banking sector was always much closer to international standards than the public one. Considering the controversies between cash and accrual basis accounting which affected harmonization in public sector, as well as the latest challenges for banking sector due to IFRS adoption, we appreciate the overview image of accounting development in Romania provided by our empirical results as valuable for a wide range of users: academics, researchers, practitioners for both public and banking sector.

  13. Legitimation as a particular mode of strategic communication in the public sector

    DEFF Research Database (Denmark)

    Aggerholm, Helle Kryger; Thomsen, Christa

    2016-01-01

    Within the theoretical frameworks of strategic communication and legitimation and through the use of a case study analysis, this article investigates the creation of managerial legitimation towards internal stakeholders in text and talk as a particular mode of strategic communication in a public...... sector organization. Following a theoretical discussion of the interconnectedness of strategic communication and managerial legitimation, we present a case study analysis of management talk at three interrelated management meetings dealing with the implementation of New Public Management-based (NPM......) reforms in a public sector organization. The context of NPM in the case study is particularly relevant for our investigation, because it sets the stage for the creation of legitimation by the public sector managers. Our analysis finds that these public sector managers use the integration of ‘voices...

  14. Impact of healthcare reforms on out-of-pocket health expenditures in Turkey for public insurees.

    Science.gov (United States)

    Erus, Burcay; Aktakke, Nazli

    2012-06-01

    The Turkish healthcare system has been subject to major reforms since 2003. During the reform process, access to public healthcare providers was eased and private providers were included in the insurance package for public insurees. This study analyzes data on out-of-pocket (OOP) healthcare expenditures to look into the impact of reforms on the size of OOP health expenditures for premium-based public insurees. The study uses Household Budget Surveys that provide a range of individual- and household-level data as well as healthcare expenditures for the years 2003, before the reforms, and 2006, after the reforms. Results show that with the reforms ratio of households with non-zero OOP expenditure has increased. Share and level of OOP expenditures have decreased. The impact varies across income levels. A semi-parametric analysis shows that wealthier individuals benefited more in terms of the decrease in OOP health expenditures.

  15. Firms’ reshaping of commercialization practices to overcome the ‘not invented here’ phenomenon in public healthcare organizations

    DEFF Research Database (Denmark)

    Nissen, Helle Aarøe; Evald, Majbritt Rostgaard; Clarke, Ann Højbjerg

    2015-01-01

    processes. Consequently, PPI is rarely examined from a private sector perspective, including how private firms seek to commercialize new innovations after co-creating these innovations in collaboration with public organizations. However, commercialization is a critical aspect of innovation because...... by elucidating how private firms commercialize co-created welfare solutions. The empirical setting is a multiple case study consisting of four PPI projects conducted in public Danish healthcare. The findings reveal that PPI firms experience the ‘not invented here’ (NIH) phenomenon across Danish hospitals....... This phenomenon appears in the short run to hamper the firms’ commercialization of new welfare innovations. However, in the longer run, firms respond to NIH by reshaping their commercialization practices as they redirect their focus towards the potential benefits of exporting their new welfare solutions...

  16. Health sector reform and public sector health worker motivation: a conceptual framework.

    Science.gov (United States)

    Franco, Lynne Miller; Bennett, Sara; Kanfer, Ruth

    2002-04-01

    Motivation in the work context can be defined as an individual's degree of willingness to exert and maintain an effort towards organizational goals. Health sector performance is critically dependent on worker motivation, with service quality, efficiency, and equity, all directly mediated by workers' willingness to apply themselves to their tasks. Resource availability and worker competence are essential but not sufficient to ensure desired worker performance. While financial incentives may be important determinants of worker motivation, they alone cannot and have not resolved all worker motivation problems. Worker motivation is a complex process and crosses many disciplinary boundaries, including economics, psychology, organizational development, human resource management, and sociology. This paper discusses the many layers of influences upon health worker motivation: the internal individual-level determinants, determinants that operate at organizational (work context) level, and determinants stemming from interactions with the broader societal culture. Worker motivation will be affected by health sector reforms which potentially affect organizational culture, reporting structures, human resource management, channels of accountability, types of interactions with clients and communities, etc. The conceptual model described in this paper clarifies ways in which worker motivation is influenced and how health sector reform can positively affect worker motivation. Among others, health sector policy makers can better facilitate goal congruence (between workers and the organizations they work for) and improved worker motivation by considering the following in their design and implementation of health sector reforms: addressing multiple channels for worker motivation, recognizing the importance of communication and leadership for reforms, identifying organizational and cultural values that might facilitate or impede implementation of reforms, and understanding that reforms

  17. Public Health Risks from Mismanagement of Healthcare Wastes in Shinyanga Municipality Health Facilities, Tanzania.

    Science.gov (United States)

    Kuchibanda, Kizito; Mayo, Aloyce W

    2015-01-01

    The increase of healthcare facilities in Shinyanga municipality has resulted in an increase of healthcare wastes, which poses serious threats to the environment, health workers, and the general public. This research was conducted to investigate management practices of healthcare wastes in Shinyanga municipality with a view of assessing health risks to health workers and the general public. The study, which was carried out in three hospitals, involved the use of questionnaires, in-depth interview, and observation checklist. The results revealed that healthcare wastes are not quantified or segregated in all the three hospitals. Healthcare wastes at the Shinyanga Regional Referral Hospital are disposed of by on-site incineration and burning and some wastes are disposed off-site. At Kolandoto DDH only on-site burning and land disposal are practiced, while at Kambarage UHC healthcare solid wastes are incinerated, disposed of on land disposal, and burned. Waste management workers do not have formal training in waste management techniques and the hospital administrations pay very little attention to appropriate management of healthcare wastes. In light of this, it is evident that management of healthcare solid wastes is not practiced in accordance with the national and WHO's recommended standards.

  18. Public Health Risks from Mismanagement of Healthcare Wastes in Shinyanga Municipality Health Facilities, Tanzania

    Directory of Open Access Journals (Sweden)

    Kizito Kuchibanda

    2015-01-01

    Full Text Available The increase of healthcare facilities in Shinyanga municipality has resulted in an increase of healthcare wastes, which poses serious threats to the environment, health workers, and the general public. This research was conducted to investigate management practices of healthcare wastes in Shinyanga municipality with a view of assessing health risks to health workers and the general public. The study, which was carried out in three hospitals, involved the use of questionnaires, in-depth interview, and observation checklist. The results revealed that healthcare wastes are not quantified or segregated in all the three hospitals. Healthcare wastes at the Shinyanga Regional Referral Hospital are disposed of by on-site incineration and burning and some wastes are disposed off-site. At Kolandoto DDH only on-site burning and land disposal are practiced, while at Kambarage UHC healthcare solid wastes are incinerated, disposed of on land disposal, and burned. Waste management workers do not have formal training in waste management techniques and the hospital administrations pay very little attention to appropriate management of healthcare wastes. In light of this, it is evident that management of healthcare solid wastes is not practiced in accordance with the national and WHO’s recommended standards.

  19. Patterns of case management and chemoprevention for malaria-in-pregnancy by public and private sector health providers in Enugu state, Nigeria

    Directory of Open Access Journals (Sweden)

    Onwujekwe Ogochukwu C

    2012-07-01

    Full Text Available Abstract Background Malaria in pregnancy (MIP is a major disease burden in Nigeria and has adverse consequences on the health of the mother, the foetus and the newborn. Information is required on how to improve its prevention and treatment from both the providers’ and consumers’ perspectives. Methods The study sites were two public and two private hospitals in Enugu, southeast Nigeria. Data was collected using a pre-tested structured questionnaire. The respondents were healthcare providers (doctors, pharmacists and nurses providing ante-natal care (ANC services. They consisted of 32 respondents from the public facilities and 20 from the private facilities. The questionnaire elicited information on their: knowledge about malaria, attitude, chemotherapy and chemoprophylaxis using pyrimethamine, chloroquine proguanil as well as IPTp with sulphadoxine-pyrimethamine (SP. The data was collected from May to June 2010. Results Not many providers recognized maternal and neonatal deaths as potential consequences of MIP. The public sector providers provided more appropriate treatment for the pregnant women, but the private sector providers found IPTp more acceptable and provided it more rationally than public sector providers (p  Conclusions There is sub-optimal level of knowledge about current best practices for treatment and chemoprophylaxis for MIP especially in the private sector. Also, IPTp was hardly used in the public sector. Interventions are required to improve providers’ knowledge and practices with regards to management of MIP.

  20. Sources of satisfaction and dissatisfaction among specialists within the public and private health sectors

    DEFF Research Database (Denmark)

    Ashton, Toni; Brown, Paul M.; Sopina, Elizaveta (Liza)

    2013-01-01

    Aim As in many countries, medical and surgical specialists in New Zealand have the opportunity of working in the public sector, the private sector or both. This study aimed to explore the level and sources of satisfaction and dissatisfaction of specialists in New Zealand with working in the two s...

  1. The Opportunities and Barriers of User Profiling in the Public Sector

    NARCIS (Netherlands)

    Pieterson, Willem; Ebbers, Wolfgang; Dijk, van Jan

    2005-01-01

    Like the private sector, the public sector makes more and more use of user profiling to personalize the electronic services that are being offered to citizens. User profiling offers great opportunities to make communication more effective and efficient, to infer and predict citizens’ behavior and to

  2. The Harmonization of Public Sector Accounting in European Union

    DEFF Research Database (Denmark)

    Pontoppidan, Caroline Aggestam; Alijarde, Isabel Brusca; Chow, Danny

    The European Commission is working on several fronts to achieve the implementation of uniform and comparable accruals-based accounting practices for the European Union Member States and for all the sectors of General Government, that is, Central Government, State Government, Local Government and ...

  3. The Social Cohesion Role of the Public Sector

    Science.gov (United States)

    Capshaw, N. Clark

    2005-01-01

    Social cohesion, the "glue" that keeps a society together, is influenced by the various sectors or "pillars" of that society-educational institutions, social and religious institutions, business institutions, and government. In this article, the effect of the three branches of government (executive, legislative, and judicial) on social cohesion is…

  4. Public-private partnerships in China's urban water sector

    NARCIS (Netherlands)

    Zhong, L.; Mol, A.P.J.; Fu, T.

    2008-01-01

    During the past decades, the traditional state monopoly in urban water management has been debated heavily, resulting in different forms and degrees of private sector involvement across the globe. Since the 1990s, China has also started experiments with new modes of urban water service management an

  5. Evaluating the Quality of the Learning Outcome in Healthcare Sector: The Expero4care Model

    Science.gov (United States)

    Cervai, Sara; Polo, Federica

    2015-01-01

    Purpose: This paper aims to present the Expero4care model. Considering the growing need for a training evaluation model that does not simply fix processes, the Expero4care model represents the first attempt of a "quality model" dedicated to the learning outcomes of healthcare trainings. Design/Methodology/Approach: Created as development…

  6. Diagnosis of a public policy: an introduction to user fee exemptions for healthcare in the Sahel

    Science.gov (United States)

    2015-01-01

    During the last ten years, Burkina Faso, Mali and Niger have opted for selective user fee exemption policies, while remaining within the general framework of cost recovery. But they have each developed their own particular institutional mechanisms, different from those of their neighbour. This was the topic of a comparative research program combining both quantitative and qualitative surveys over a four-year period. This special issue presents papers setting exemption policies in the wider context of public policy and the day-to-day functioning of health systems (part 1); presenting overarching case studies (part 2); and reflecting on our methodological approach (part 3). User fee exemption policies were introduced in Burkina Faso, Mali and Niger during the first decade of this century. They cover several sector-based measures ('free healthcare' in everyday language), and sometimes come on top of high levels of subsidies which enabled significant reductions in the cost of certain drugs and treatments. From the late 1980s, these three countries were - and still are - subject to a comprehensive system of cost recovery at the point of delivery (a policy introduced following the Bamako Initiative), or, to be more precise, a system of partial payment of drugs and services by the user. Only a small proportion of the costs are actually recovered as the amounts charged to the users do not take salaries, investments or recurrent costs, which are all paid by the state, into account, and represent only a small percentage of the overall health budget (an order of magnitude of five percent is often cited at state level [1,2]. Nevertheless, the sums recovered by health centres enabled them to buy drugs and cover certain local expenses. However, for public health reasons, cost recovery has always been subject to a variety of sector-based exceptions, determined by the nature of the disease or intervention involved. For example, mass immunization (National Immunization Days) and

  7. A comparison between antenatal care quality in public and private sector in rural Hebei, China

    Science.gov (United States)

    Chen, Li; Dai, Yaohua; Zhang, Yanfeng; Wu, Qiong; Rudan, Diana; Saftić, Vanja; van Velthoven, Michelle H.M.M.T.; Su, Jianqiang; Tan, Zangwen; Scherpbier, Robert W.

    2013-01-01

    Aim To evaluate the quality of antenatal care (ANC) in Hebei Province and compare it between the public and private sector and within the public sector. Methods We conducted a Maternal, Newborn and Child Health Household Survey in 2010 using a two-stage sampling procedure and included 1079 mothers. The quality of ANC was assessed on the basis of the number of ANC visits, the time of the first ANC visit, 16 different ANC procedures, owning a maternal health care booklet, and the type of service provider. Results Almost all women (98%) received ANC services at least once, 80% at least four times, and 54% at least five times. About half of the women (46%) visited ANC facility within their first trimester. Neither public nor private sector provided all 16 standardized services, but significantly more women in public sector received ANC procedures. Most women received ANC in county or higher-level hospitals (75%) and very few in township hospitals (8%). Significantly fewer women were weighed and tested for HIV/AIDS in township than in county or higher-level hospitals. Conclusion The quality of ANC in Hebei was poorer than required by China’s national and World Health Organization norms. Although the public sector performed better than the private sector, the utilization and quality of care of ANC services in this sector varied and women generally visited county or higher-level health facilities. PMID:23630142

  8. The impact of subjectivity in performance evaluation practices on public sector managers' motivation

    NARCIS (Netherlands)

    van Rinsum, M.; Verbeeten, F.H.M.

    2012-01-01

    We conduct an explorative study to investigate the effect of subjectivity in performance evaluation practices on managerial motivation in public sector organisations. Increased subjectivity can enhance motivation if supervisors are able to provide better informational feedback. However, subjectivity

  9. Wage Dispersion, Public Sector Wages and the Stagnating Danish Gender Wage Gap

    DEFF Research Database (Denmark)

    Gupta, Nabanita Datta; Oaxaca, Ronald L.; Smith, Nina

    1998-01-01

    The gender wage gap in Denmark has virtually stagnated since the early 70s. This study examines whether this stagnation is mainly due to a changing wage dispersion or to changing prices on observed and unobserved skills. Since about half the female labour force is employed in the public sector....... These techniques are applied to a sample of Danish wage earners in the period 1983-94. The decomposition results suggest different explanations behind the stagnation of the gender wage gap in the public and private sectors. The development in average public sector wages is calculated assuming observed......, the impact of the changing wage structure between the public and private sectors is investigated. The analysis is based on the Juhn-Murphy-Pierce decomposition applied to a pooled wage regression model. The equivalence between the former and the Oaxaca-Ransom generalized wage decomposition is established...

  10. INNOVATIVE ERP APPLICATIONS IN THE PUBLIC SECTOR: A COMPARATIVE ANALYSIS OF NEW ZEALAND EXPERIENCE

    Directory of Open Access Journals (Sweden)

    A. Sknar

    2015-10-01

    Full Text Available Contemporary economic science is looking for ways of research actualisation to resolve the challenges under the world financial crisis. Besides existing challenges in private de-regulated sector, one of the efficient innovations can be found in broadening ERP applications in the Public Sector. This paper approaches to the ERP applications mainly from the economical rather than from technical perspective. Comparative analysis of New Zealand public sector is supported by relevant international practical experience (implementations, and by core fundamental analysis of economical nature of business processes used by public entities. The key advantage (based on a historical timeline comes from a full integration of financial scope and operational activities. Using the example of ERP (as one of the drivers of productivity and performance improvement, the paper is aiming to underline how to bring the best practice and technology (data management and logical architecture from the private sector into the public sphere.

  11. A literature review of teledermatology programs in the South African public health sector

    CSIR Research Space (South Africa)

    Walters, LEM

    2015-10-01

    Full Text Available Review of Teledermatology Programs in the South African Public Health Sector Laticha E. M. Walters, Maurice Mars, Richard E. Scott Abstract: This is presentation on teledermatology programs in South Africa that indicate the inequitable access...

  12. Open Innovation as Business Model Game-changer in the Public Sector

    DEFF Research Database (Denmark)

    Gaur, Aakanksha; Osella, Michele; Ferro, Enrico

    2017-01-01

    strategies influence public sector business models. This study seeks to understand this interdependency. Building upon an action research study on crowdsourcing related to policies around telemedicine conducted in the Piedmont region of Italy, this paper highlights how public sector business models could......Organizations are increasingly looking to tap into external knowledge sources through open innovation initiatives. Most public sector agencies are in the early stages of adoption of open innovation and are in the process of defining relevant issues. Once such issue concerns how open innovation...... be better aligned with open innovation strategies (in our case crowdsourcing). Our results indicate that in adopting a crowd-based open innovation strategy, the content, structure and governance dimensions of public sector business model need to be aligned accordingly. The content of the business model...

  13. [Public health stewardship and governance regarding the Colombian healthcare system, 2012-2013].

    Science.gov (United States)

    Roth-Deubel, André N; Molina-Marín, Gloria

    2013-01-01

    Analysing decision-making concerning public health issues regarding the Colombian healthcare system from a market economy-based approach. This study involved applying Glaser and Strauss's grounded theory in six Colombian cities during 2012: Bogotá, Barranquilla, Bucaramanga, Leticia, Medellin and Pasto. 120 individual interviews were conducted with professionals involved in decision-making, running public healthcare programmes and making policy within public and private institutions. Fourteen focus groups were held with community organisation leaders. The findings suggested national and municipal health authorities' weak stewardship and ineffective governance regarding public healthcare policy and programmes, related to a lack of staff trained in public health management issues. In turn, this was related to political parties' interference and private insurers' particular interests and the structural fragmentation of functions and actors within the health system, thereby limiting public health development. A new axiology is necessary for achieving effective governance (I.e. cooperation between Colombian Healthcare Social Security System actors) to overcome current incompetence and financial self-interest predominating within the Colombian healthcare system.

  14. Crisis-induced learning in public sector organizations

    NARCIS (Netherlands)

    Deverell, E.C.

    2010-01-01

    How do public organizations manage crises? How do public organizations learn from crises? These seemingly basic questions still pose virtual puzzles for crisis management researchers. This dissertation sheds light on the problems regarding the lack of knowledge on how public organizations manage and

  15. Crisis-induced learning in public sector organizations

    NARCIS (Netherlands)

    Deverell, E.C.

    2010-01-01

    How do public organizations manage crises? How do public organizations learn from crises? These seemingly basic questions still pose virtual puzzles for crisis management researchers. This dissertation sheds light on the problems regarding the lack of knowledge on how public organizations manage and

  16. Quality management techniques in public sector organizations: the role of managerial autonomy and organizational culture

    OpenAIRE

    Demuzere, Sara; Verhoest, Koen; Bouckaert, Geert

    2008-01-01

    According to NPM, more effective and efficient public services can be delivered if public sector organizations are granted more managerial autonomy and if they use various (private sector) management techniques. To date, only very limited attention has been paid to the link between managerial autonomy and the use of management techniques. With this study, we seek to fill this gap in the extensive NPM literature by examining the extent to which managerial autonomy has an effect on the use of m...

  17. Public Sector Accounting - An Interdisciplinary Field Involving Accounting, Economics, and Jurisprudence

    OpenAIRE

    Ryosuke Tao

    2012-01-01

    Public sector accounting has recently been improved. Currently, there are requirements to disclose stock information in addition to the flow information presented in budget statements or accounts statements. Public sectors have prepared and disclosed their financial statements (including balance sheets and income statements) based on business accounting approaches. Moreover, as a matter of policy, the government tends to prepare and disclose cost information along with the financial statement...

  18. Change management in the public sector: The use of cross-functional teams

    OpenAIRE

    Piercy, N.; Phillips, W.; Lewis, M.

    2012-01-01

    Adoption of change management best practices continues to be offered as a route towards improved cost, quality and productivity of public services. These practices are predominantly drawn from private sector research and their application by the public sector remains a relatively under-researched area. In this paper we investigate in the local authority context the application of one popular change management approach - cross-functional team-based working. We investigate the success of three ...

  19. Personalization in the public sector An inventory of organizational and user obstacles towards personalization of electronic services in the public sector

    NARCIS (Netherlands)

    Pieterson, Willem; Ebbers, Wolfgang; Dijk, van Jan

    2007-01-01

    The public sector more and more deploys personalized e-government services. Personalization offers great opportunities to make communication more effective and efficient, to infer and predict citizens' behavior and to even influence behavior. However, some drawbacks must be considered. Important org

  20. Energetic evaluation: public schools sector; Avaliacao energetica: setor escolas publicas

    Energy Technology Data Exchange (ETDEWEB)

    Jota, Patricia Romeiro da Silva; Ribeiro, Mariane Correa; Martins, Fernando Henrique Dias; Silva, Valeria R. Borges da [Centro Federal de Educacao Tecnologica de Minas Gerais (CEFET-MG), Belo Horizonte, MG (Brazil). Centro de Pesquisa em Energia Inteligente

    2010-07-01

    Energy consumption evaluation at schools is very important for school management. However, there is a great difference among consumption rates, and a simplified analysis would lead to wrong evaluation. It is not possible to analyze schools that have different number of students or different sizes, unless these variables are applied. This article proposes a methodology in order to develop a sector analysis taking into account operation features. A case study is presented to illustrate this methodology. (author)

  1. 77 FR 26281 - National Advisory Council for Healthcare Research and Quality: Request for Nominations for Public...

    Science.gov (United States)

    2012-05-03

    ... of health care economics, information systems, law, ethics, business, or public policy; and, (7) in... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND... Research and Quality: Request for Nominations for Public Members AGENCY: Agency for Healthcare Research and...

  2. 76 FR 18765 - National Advisory Council for Healthcare Research and Quality: Request for Nominations for Public...

    Science.gov (United States)

    2011-04-05

    ... of health care economics, information systems, law, ethics, business, or public policy; and, (7) in... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND... Research and Quality: Request for Nominations for Public Members AGENCY: Agency for Healthcare Research and...

  3. 78 FR 26638 - National Advisory Council for Healthcare Research and Quality: Request for Nominations for Public...

    Science.gov (United States)

    2013-05-07

    ... of health care economics, information systems, law, ethics, business, or public policy; and, (7) in... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND... Research and Quality: Request for Nominations for Public Members AGENCY: Agency for Healthcare Research and...

  4. The public's voice about healthcare quality regulation policies. A population-based survey

    NARCIS (Netherlands)

    R. Bouwman (Renée); M. Bomhoff (Manja); J.D. De Jong (Judith D.); P.B.M. Robben (Paul); R.D. Friele (Roland)

    2015-01-01

    textabstractBackground: In the wake of various high-profile incidents in a number of countries, regulators of healthcare quality have been criticised for their 'soft' approach. In politics, concerns were expressed about public confidence. It was claimed that there are discrepancies between public

  5. Public-Privat e Partnership in the System of Regional Healthcare Financing

    Directory of Open Access Journals (Sweden)

    Margarita Yur’evna Molchanova

    2016-05-01

    Full Text Available Healthcare financing reform in the Russian Federation, besides its positive consequences, has led to the emergence of several major organizational and economic problems that hinder the expansion of financing sources for this sphere, which also involves public-private partnership (PPP. The paper highlights the regional specifics of such healthcare projects compared to similar projects of other spheres of the national economy. The author describes the problems of PPP projects implementation in healthcare; they include the insufficiency of substantiation of public-private partnership application in healthcare, and the absence of typical models for establishment of relations between PPP participants. The paper presents the healthcare priorities put forward by the author; these priorities are based on the theory of the life cycle of a service. The author presents her own model for organizing a regional concession, which is the most common form of public-private partnership in healthcare so far. The cluster brings together on a voluntary basis the legally independent organizations that are interested in improving the quality and increasing the accessibility of health services. These can include medical institutions of various forms of ownership located in the region, clinics, facilities, institutions that train healthcare workers, authorities, etc. The author shows that a favorable environment for the formation and implementation of PPP projects can be created under the cluster approach to the organization of healthcare. When establishing the medical cluster, the main task is to organize interaction between all its subjects in the interest of the overall development of healthcare in the region and the implementation of one’s own interests

  6. Compensating wage differentials and the impact of health insurance in the public sector on wages and hours.

    Science.gov (United States)

    Qin, Paige; Chernew, Michael

    2014-12-01

    This paper examines the trade-off between wages and employer spending on health insurance for public sector workers, and the relationship between coverage and hours worked. Our primary approach compares trends in wages and hours for public employees with and without state/local government provided health insurance using individual-level micro-data from the 1992-2011 CPS. To adjust for differences between insured and uninsured public sector employees, we create a matched sample based on an employee's propensity to receive health insurance. We assess the relationship between state contribution to the health plan premium, state-level healthcare spending, and the wages and hours of state and local government employees. We find modest reductions in wages are associated with having employer-sponsored health insurance (ESHI), although this effect is not precisely measured. The reduction in wages associated with having ESHI is larger among non-unionized workers. Further, we find little evidence that provision of health insurance increases hours worked. Copyright © 2014 Elsevier B.V. All rights reserved.

  7. Public Sector Employment in the Czech Republic after 1989: Old Legacy in New Realities?

    Directory of Open Access Journals (Sweden)

    Tomáš Sirovátka

    2014-01-01

    Full Text Available The relationship between the public and private sectors in post-communist countries was shaped under different circumstances when compared to the old EU countries: ‘non-productive’ occupations like health care, education and social services, which form the core of the public sector, were disadvantaged under the communist regime. In this paper we address the question of how the public sector developed in terms of size and structure of employment and salary levels between 1989 and 2010 (in the long-term and in times of crisis in the Czech Republic and how these changes can be explained. The trends which we have identified in the developments of public sector employment in the Czech Republic mirror the legacy of communism, the processes of transformation and privatization and the political preferences of the governments. We do not find many changes in overall public sector employment during the period of 1989–2010, except for the privatization of state-owned companies resulting from a strategy by government to prevent unemployment. The dynamics of wages in the public sector document the legacy of the communist past, when the salaries in non-productive sectors like education, health and social care were traditionally low relative to the productive branches. The resistance of public sector employees to their increasing disadvantage regarding salaries has been successful only to a limited extent. In the rare cases of highly specialized professional categories (like doctors it was possible to profit from a specific bargaining position. These developments may be best explained by the protest avoidance strategy of the post-communist governments and the political business cycle in its short-term outlook. In the long-term, the drivers which boost the development of social services generally do play a role, contrary to political manipulation.

  8. Crisis-induced learning in public sector organizations

    OpenAIRE

    2010-01-01

    How do public organizations manage crises? How do public organizations learn from crises? These seemingly basic questions still pose virtual puzzles for crisis management researchers. This dissertation sheds light on the problems regarding the lack of knowledge on how public organizations manage and learn from crises, with a number of critical knowledge gaps in contemporary crisis management as the starting point. It argues that there is a need of increased knowledge not only about crises and...

  9. Problems affecting the operational procurement process: A study of the Zimbabwean public sector

    Directory of Open Access Journals (Sweden)

    Abel Dzuke

    2017-01-01

    Full Text Available Background: The public sector occupies a key role in the economy comprising the appropriation of state revenue to purchase goods and to render services productively, while ensuring the optimum utilisation of available funds and resources to benefit the inhabitants of the country. Problems in the Zimbabwean public procurement sector that detract from service delivery are key contemporary issues. This is evident from the numerous complaints of poor service delivery received by the public that can be attributed to public procurement.Objective: The purpose of this article was to report on a study that investigated problems in the different stages of the operational procurement process in the Zimbabwean public sector that detract from service delivery, the extent of these problems and how the public procurement process can be improved to enhance service delivery.Method: This descriptive and exploratory study followed a quantitative approach. Data were collected by means of a questionnaire administered to all public entities in Zimbabwe. Data were analysed using SPSS. Results: The majority of the identified problems in the public procurement sector that detract from service delivery are found in the advertising, bid evaluation and contract stages.Conclusion: As only a few studies on this topic have been conducted in Zimbabwe, the findings of this research add a significant perspective to the existing body of knowledge and can assist stakeholders with regard to how the public procurement process can be improved in order to enhance service delivery through public procurement process reform and restructuring.

  10. Performance management of the public healthcare services in Ireland: a review.

    Science.gov (United States)

    Mesabbah, Mohammed; Arisha, Amr

    2016-01-01

    Performance Management (PM) processes have become a potent part of strategic and service quality decisions in healthcare organisations. In 2005, the management of public healthcare in Ireland was amalgamated into a single integrated management body, named the Health Service Executive (HSE). Since then, the HSE has come up with a range of strategies for healthcare developments and reforms, and has developed a PM system as part of its strategic planning. The purpose of this paper is to review the application of PM in the Irish Healthcare system, with a particular focus on Irish Hospitals and Emergency Services. An extensive review of relevant HSE's publications from 2005 to 2013 is conducted. Studies of the relevant literature related to the application of PM and of international best practices in healthcare performance systems are also presented. PM and performance measurement systems used by the HSE include many performance reports designed to monitor performance trends and strategic goals. Issues in the current PM system include inconsistency of measures and performance reporting, unclear strategy alignment, and deficiencies in reporting (e.g. feedback and corrective actions). Furthermore, PM processes have not been linked adequately into Irish public hospitals' management systems. The HSE delivers several services such as mental health, social inclusion, etc. This study focuses on the HSE's PM framework, with a particular interest in acute hospitals and emergency services. This is the first comprehensive review of Irish healthcare PM since the introduction of the HSE. A critical analysis of the HSE reports identifies the shortcomings in its current PM system.

  11. The impact of the new public management: Challenges for coordination and cohesion in European public sectors (review essay)

    NARCIS (Netherlands)

    S.G.J. Van de Walle (Steven); G. Hammerschmid (Gerhard)

    2011-01-01

    textabstractNew Public Management has been around for a quarter of a century in European public sectors, yet despite the movement’s emphasis on indicators and evidence, there have been surprisingly few encompassing evaluations. In this paper, we provide an overview of academic evaluation and

  12. The present and future roles of Traditional Health Practitioners within the formal healthcare sector of South Africa, as guided by the Traditional Health Practitioners Act No 22 (2007

    Directory of Open Access Journals (Sweden)

    Gabriel Louw

    2016-12-01

    Full Text Available Background The promulgation of the Traditional Health Practitioners Act No 22 (2007 was seen as the long awaited start-up of the traditional healing profession in South Africa. Act No 22 (2007 was strongly politically driven from the late 1960s onward. Many of these political motivators were based upon outdated cultural ideas, customs and traditions, rooted outside the modern day healthcare needs and demands of the particular population that traditional healing intends to serve. An in-depth needs and skills analysis, to test the viability and sustainability of the South African traditional healers as well as their positions and roles as health practitioners inside the formal healthcare sector, as guided and stipulated by the Traditional Health Practitioners Act No 22 (2007, was lacking in this early development and start-up process. This resulted in the traditional healers’ present and future roles as specific healthcare practitioners being both undefined and insufficiently formulated. In addition their existing education, training, skills and abilities to compete in the formal healthcare sector were ignored. Therefore, since the promulgation of the Act in 2007, there was limited professional-development for traditional healers, to improve their immediate professionalism and thus to promote effective role-playing and management in the formal healthcare sector. The South African traditional healing professional model is still in the foundational stage of its professional development; a stage which the other registered/regulated healthcare practitioners of the country surpassed long ago, making them well-equipped for role-playing and management as health professionals in the formal healthcare sector. The whole venture of the statutory recognition of the traditional health practitioners in 2007 as new healthcare professionals with the promulgation of the Traditional Health Practitioners Act No 22 (2007 seems to increasingly be a failure. There is

  13. Coproduction as a structural transformation of the public sector

    NARCIS (Netherlands)

    Meijer, Albert

    2016-01-01

    Purpose: Coproduction fundamentally changes the roles of citizens and governments. The purpose of this paper is to enhance the theoretical understanding of the transformative changes in the structural order of the public domain that result from the coproduction of public services.

  14. Leadership and meaningful work in the public sector

    NARCIS (Netherlands)

    L.G. Tummers (Lars); E. Knies (Eva)

    2013-01-01

    textabstractAbstract In the public administration discipline, there have been a number of important studies on leadership. However, here, scholarly inquiry still lags behind related disciplines such as psychology and business administration. This article contributes by analyzing the role public lead

  15. INFORMATION AND COMMUNICATION TECHNOLOGIES (ICTs) IN THE SERVICES OF HEALTHCARE SECTOR IN EUROPE

    OpenAIRE

    Pavel (El Baaboua) Florentina Ramona

    2010-01-01

    Information and Communication Technologies (ICTs) consists of all technical means used to handle information and aid communication, including both computer and network hardware as well as necessary software. Information and Communication Technologies tools and services are used in many sectors like development, education, e-services, policy, health and medicine and so one. This paper links the ICTs tools and services for health. ICTs has the potential to impact almost every aspect of the heal...

  16. IMPLEMENTATION OF CONTROLLING PRINCIPLES FOR HOUSING AND PUBLIC UTILITIES SECTOR

    Directory of Open Access Journals (Sweden)

    Shulepina S. A.

    2015-10-01

    Full Text Available In the modern economic conditions, the housing and communal sector is the most problematic as the executive authorities’ opinion and Russian population opinion. The reform aims are deprivatization of objects the industry, transfer it in temporary managed by private business. In such conditions, there is a need for a new or upgrade existing mechanism of management of sector housing and communal services economic entities. One of the elements of innovation management mechanism is controlling. The definitions of this category madу by Russian and foreign scientists are considered in the article. The author have been summarizes the theoretical principles, practical experience. The model of housing and communal services financial controlling is designed. It contains the following elements: goals, objectives, subjects, object, function, types. Each element was described in detail and classified by type. In addition, the external and internal factors affecting the construction of controlling system in economic entities of the industry of housing and communal services are designated and marked. The advantages of introducing a system of controlling the activities of organizations in the utilities are described. The authors have identified and described in detail the difficulties of controlling introduction in the economic agents of industries management system

  17. The entrepreneurial state debunking public vs. private sector myths

    CERN Document Server

    Mazzucato, Mariana

    2014-01-01

    This new bestseller from leading economist Mariana Mazzucato – named by the ‘New Republic’ as one of the ‘most important innovation thinkers’ today – is stirring up much-needed debates worldwide about the role of the State in innovation. Debunking the myth of a laggard State at odds with a dynamic private sector, Mazzucato reveals in case study after case study that in fact the opposite situation is true, with the private sector only finding the courage to invest after the entrepreneurial State has made the high-risk investments. Case studies include examples of the State’s role in the ‘green revolution’, in biotech and pharmaceuticals, as well as several detailed examples from Silicon Valley. In an intensely researched chapter, she reveals that every technology that makes the iPhone so ‘smart’ was government funded: the Internet, GPS, its touch-screen display and the voice-activated Siri. Mazzucato also controversially argues that in the history of modern capitalism the State has not on...

  18. Procurement challenges in the Zimbabwean public sector: A preliminary study

    Directory of Open Access Journals (Sweden)

    Abel Dzuke

    2015-02-01

    Full Text Available Background: State Procurement Board procedures and the public procurement process have been blamed for the lagging behind of government projects that impact on public service delivery in Zimbabwe.Objectives: This article provides insight into challenges resulting from the legal framework for public procurement in Zimbabwe that detract from service delivery.Method: Empirical data was collected through in-depth interviews with five participants at five public entities, using a semi-structured interview guide. Content analysis was used to analyse the primary data.Results: The findings revealed various challenges in the public procurement process that detract from service delivery. These include a lack of strategic recognition of the procurement function and procurement policy; a lack of professional, managerial and leadership skills; a lack of appropriated funds from Treasury; and a lack of accountability in the procurement process.Conclusion: There is a dearth of research on the public procurement process and its efficiency in Zimbabwe, and this study contributes to the existing body of knowledge by identifying areas through which public procurement can be improved in Zimbabwe.

  19. FORMATION OF THE STATE POLICY IN PUBLIC HEALTHCARE IN THE RUSSIAN FEDERATION: PROBLEMS AND SOLUTIONS

    Directory of Open Access Journals (Sweden)

    A.A. Baranov

    2006-01-01

    Full Text Available The article analyzes the legal grounds for the state policy development in public healthcare in the Russian federation. The urgency of this program is well substantiated. The authors introduce the working definition of the governmental policy in public healthcare, which is viewed as a component of the internal policy of the state and which interacts with other trends of the state policy within the framework of its tasks. The adequate state regulation of the legal, social and economic and other relations within the society is necessary to achieve maximum full observance of the citizens' rights for the disease prevention, affordable highly qualified medical care and medical rehabilitation.Key words: public healthcare, medical care.

  20. Applying strategic management theories in public sector organizations

    DEFF Research Database (Denmark)

    Hansen, Jesper Rosenberg; Ewan, Ferlie

    2016-01-01

    conditions: the degree of administrative autonomy, performance-based budgeting and market-like competition. We give empirical examples drawn from public servives in the UK and Denmark. We call for more exploration of these (and other) strategic management approaches within contemporary public services...... that possibiliteis for applying these theories vary depending on the type of public organizations involved, and are les appropriate in traditional settings but more relevant in autonomized and market-like service-delivery organizations. We further propose that their increased applicability depends on three specific...

  1. Cases of mobbing activities as commonly seen in the healthcare sector in the world and in Turkey.

    Science.gov (United States)

    Ofluoğlu, Gökhan; Somunoğlu, Sinem

    2012-01-01

    Service process on a site in the health sector does not only bring people and services into contact, but also all other people who share the fate of particular working medium. Although these people should cooperate and care about each other, contributing new merits to humanity with their synergy, meeting of people with the other people from time to time intertwine into a bitter, pain giving relation, like the way it happens with meeting of people with services. Owing to its controversy to humanitarian nature, religious and social values, the pain that human beings cause to one another is occasionally disguised behind a veil, thus turning into a life tragedy for individuals in the background. Mobbing which is commonly a confrontable problem in every workplace means psychological violence, enclosure, harassment, molestation or endurance. This study aims to draw attention to the precautions required to be taken against mobbing activities by analyzing situations of health employees who undergo mobbing actions in Turkey and in the World. To achieve this, the existing studies concerning mobbing in the healthcare sector have been examined. In conclusion; it is determined that mobbing activities towards healthcare workers have limited their communication possibilities, damaged social relations and social image, prevented vocational improvement and destroyed mental health of employees. With respect to mobbing behavior towards health employees, we should adopt a democratic, contributing, and guiding administration style, we should apply organizational justice, excessive work inspections must be reduced, work ethics and social responsibility awareness must be developed, we should clearly determine the duties and responsibilities, physical conditions must be improved and necessary legal arrangements concerning the subject must be made to be able to prevent mobbing.

  2. Management accounting use and financial performance in public health-care organisations: evidence from the Italian National Health Service.

    Science.gov (United States)

    Macinati, Manuela S; Anessi-Pessina, E

    2014-07-01

    Reforms of the public health-care sector have emphasised the role of management accounting (MA). However, there is little systematic evidence on its use and benefits. To fill this gap, we propose a contingency-based model which addresses three related issues, that is, whether: (i) MA use is influenced by contextual variables and MA design; (ii) top-management satisfaction with MA mediates the relationship between MA design and MA use; and (iii) financial performance is influenced by MA use. A questionnaire was mailed out to all Italian public health-care organisations. Structural equation modelling was performed to validate the research hypotheses. The response rate was 49%. Our findings suggest that: (i) cost-containment strategies encourage more sophisticated MA designs; (ii) MA use is directly and indirectly influenced by contingency, organisational, and behavioural variables; (iii) a weakly significant positive relationship exists between MA use and financial performance. These findings are relevant from the viewpoint of both top managers and policymakers. The former must make sure that MA is not only technically advanced, but also properly understood and appreciated by users. The latter need to be aware that MA may improve performance in ways and along dimensions that may not fully translate into better financial results.

  3. Public stewardship of private for-profit healthcare providers in low- and middle-income countries

    Science.gov (United States)

    Wiysonge, Charles S; Abdullahi, Leila H; Ndze, Valantine N; Hussey, Gregory D

    2016-01-01

    Background Governments use different approaches to ensure that private for-profit healthcare services meet certain quality standards. Such government guidance, referred to as public stewardship, encompasses government policies, regulatory mechanisms, and implementation strategies for ensuring accountability in the delivery of services. However, the effectiveness of these strategies in low- and middle-income countries (LMICs) have not been the subject of a systematic review. Objectives To assess the effects of public sector regulation, training, or co-ordination of the private for-profit health sector in low- and middle-income countries. Search methods For related systematic reviews, we searched the Cochrane Database of Systematic Reviews (CDSR) 2015, Issue 4; Database of Abstracts of Reviews of Effectiveness (DARE) 2015, Issue 1; Health Technology Assessment Database (HTA) 2015, Issue 1; all part of The Cochrane Library, and searched 28 April 2015. For primary studies, we searched MEDLINE, Epub Ahead of Print, In-Process & Other Non-Indexed Citations, MEDLINE Daily and MEDLINE 1946 to Present, OvidSP (searched 16 June 2016); Science Citation Index and Social Sciences Citation Index 1987 to present, and Emerging Sources Citation Index 2015 to present, ISI Web of Science (searched 3 May 2016 for papers citing included studies); Cochrane Central Register of Controlled Trials (CENTRAL), 2015, Issue 3, part of The Cochrane Library (including the Cochrane Effective Practice and Organisation of Care (EPOC) Group Specialised Register) (searched 28 April 2015); Embase 1980 to 2015 Week 17, OvidSP (searched 28 April 2015); Global Health 1973 to 2015 Week 16, OvidSP (searched 30 April 2015); WHOLIS, WHO (searched 30 April 2015); Science Citation Index and Social Sciences Citation Index 1975 to present, ISI Web of Science (searched 30 April 2015); Health Management, ProQuest (searched 22 November 2013). In addition, in April 2016, we searched the reference lists of relevant

  4. THE EXPECTANCIES OF THE HEALTH SECTOR FROM ACCOUNTING EDUCATION AND THE IMPLEMENTATION OF ANKARA PUBLIC HOSPITALS

    Directory of Open Access Journals (Sweden)

    Seyhan ÇİL KOÇYİĞİT

    2016-01-01

    Full Text Available Health sector requires qualified accounting personnel and demands qualified accounting personnel who knows the sector and who has the vocational knowledge and the ability. Education and training activities designed to meet the expectencies and the requirements of the sector are very important. These requirements can be met by the good quality of accounting education designed by the demands of the health sector. In this research, a survey has been administered to the managers of Ankara public hospitals in order to reveal the expectencies of the health sector from accounting education. The results of the survey show the follwings; accounting education should include practical information, The Uniform Chart Of Accounts should be developed in order to meet the expectencies of the health sector, there should be an internship opportunity at the health sector for accounting students, the content of the accounting courses should be determined by a cooperation between the sector and the academia and the demands of the health sector should be taken into consideration more.

  5. Private and Public Sector Enterprise Resource Planning System Post-Implementation Practices: A Comparative Mixed Method Investigation

    Science.gov (United States)

    Bachman, Charles A.

    2010-01-01

    While private sector organizations have implemented enterprise resource planning (ERP) systems since the mid 1990s, ERP implementations within the public sector lagged by several years. This research conducted a mixed method, comparative assessment of post "go-live" ERP implementations between public and private sector organization. Based on a…

  6. Private and Public Sector Enterprise Resource Planning System Post-Implementation Practices: A Comparative Mixed Method Investigation

    Science.gov (United States)

    Bachman, Charles A.

    2010-01-01

    While private sector organizations have implemented enterprise resource planning (ERP) systems since the mid 1990s, ERP implementations within the public sector lagged by several years. This research conducted a mixed method, comparative assessment of post "go-live" ERP implementations between public and private sector organization. Based on a…

  7. Development of Public and Private Sector Partnership: Managerial Aspects

    Directory of Open Access Journals (Sweden)

    Zivile Tuncikiene

    2014-03-01

    Full Text Available A partnership between different sectors fundamentally becomes an essential strategic tool in pursuit of the growth in the quality of social life and thus a sustainable development of a state. The value created by collaborate activities of companies and institutions, while increasing the capacity to fulfil social needs, depends on managerial abilities of institutions. Subsequent to analysis of both theoretical and practical aspects of public–private partnership and its management, the research aims to present milestones pertaining to the development of the latter. The tasks for achieving goals are as follow: the analysis of the concept of public–private partnership, the examination of the partnership principles and forms, the analysis of management models, the study of legal and administrative partnership aspects, the evaluation of key partnership problems and the search of their solutions.

  8. The web 2.0 Internet: Democratized Internet collaborations in the healthcare sector

    OpenAIRE

    Hughes, Benjamin Alexander Paul

    2010-01-01

    Les col•laboracions democratitzades a Internet, entenent-les com les eines participatives de la xarxa, o la Web 2.0, afecten en l'actualitat a nombrosos aspectes la nostra vida. Els acadèmics destaquen el potencial de la Web 2.0 per millorar l’aprenentatge o la salut, així com el seu continu impacte en sectors com el de la tecnologia de mitjans de comunicació. També plantegen un gran nombre de qüestions importants als professionals i estudiosos. Per exemple, la consideració crítica de la Web ...

  9. Facilitating the Evaluation of Complexity in the Public Sector: Learning from the NHS in Scotland

    Science.gov (United States)

    Connolly, John; Reid, Garth; Mooney, Allan

    2015-01-01

    It is necessary for public managers to be able to evaluate programmes in the context of complexity. This article offers key learning and reflections based on the experience of facilitating the evaluation of complexity with a range of public sector partners in Scotland. There have been several articles that consider evaluating complexity and…

  10. The Role of Accounting and Internal Control in Reducing Bureaucracy in the Public Sector

    Directory of Open Access Journals (Sweden)

    Luminita Ionescu

    2016-12-01

    The reform of the public administration in all European countries developed new control techniques and procedures in order to control public sector budget and financial activity. Efficient intern control procedure and managerial responsibility could contribute to good governance, transparency and low level of bureaucracy.

  11. The Impact of Private Sector Competition on Public Schooling in Kuwait: Some Socio-Educational Implications

    Science.gov (United States)

    Al-Shehab, Ali Jasem

    2010-01-01

    With the diminishing model of the welfare state, public education in Kuwait is facing the challenges of the competition of private schools, while the private sector has always struggled against the monopolistic power of the public schools that educate a broad spectrum of K-12 students. This article presents estimates of the effect of private…

  12. Digital Broadband Content: Public Sector Information. OECD Digital Economy Papers, No. 112

    Science.gov (United States)

    OECD Publishing (NJ1), 2006

    2006-01-01

    Public bodies hold a range of information and content ranging from demographic, economic and meteorological data to art works, historical documents and books. Given the availability of information and communication technologies (ICTs) public sector information can play an important role in producing innovative value-added services and goods.…

  13. Subjective Performance Evaluation in the Public Sector: Evidence from School Inspections. CEE DP 135

    Science.gov (United States)

    Hussain, Iftikhar

    2012-01-01

    Performance measurement in the public sector is largely based on objective metrics, which may be subject to gaming behaviour. This paper investigates a novel subjective performance evaluation system where independent inspectors visit schools at very short notice, publicly disclose their findings and sanction schools rated fail. First, I…

  14. The Impact of Private Sector Competition on Public Schooling in Kuwait: Some Socio-Educational Implications

    Science.gov (United States)

    Al-Shehab, Ali Jasem

    2010-01-01

    With the diminishing model of the welfare state, public education in Kuwait is facing the challenges of the competition of private schools, while the private sector has always struggled against the monopolistic power of the public schools that educate a broad spectrum of K-12 students. This article presents estimates of the effect of private…

  15. Does Labour Market Risk Increase the Size of the Public Sector? Evidence from Swedish Municipalities

    OpenAIRE

    Vlachos, Jonas

    2005-01-01

    It has been argued that the public sector is an insurance against otherwise uninsurable risks. If that is the case, it is reasonable to expect the public sector to be larger in regions where the private labour-market is risky. Using data from Swedish municipalities, this paper reports that labour-market risk has a substantial impact on public employment. The results for aggregate spending and taxation are, however, much weaker and labor-market risk thus affects the labour intensity of the mun...

  16. The Incorporation of Entrepreneurship in the Public Sector: reflections based on brazilian context

    Directory of Open Access Journals (Sweden)

    Josiel Valadares

    2015-04-01

    Full Text Available This essay aims seeks to broaden the debate on the incorporation of the theme Entrepreneurship in the Public Sector (EPS through the literature review on the reflective character to be taken to transpose concepts from the private sector to the public sector. It was understood that needs a critical discussion on the process of appropriating that theme in Brazil. It was observed that the Brazilian Public Administration is marked by a hybrid model of administration, in which patrimonial practices, bureaucratic and managerial coexist, making the complex adaptation of entrepreneurship. Therefore, we must be wary of exaggerated expectations regarding this theme in Brazilian Public Administration, as have several limitations that meet the sustainability of democratic governments.

  17. Improving public sector performance by strenghtening the relationship between audit and accounting

    Directory of Open Access Journals (Sweden)

    Adelina DUMITRESCU

    2012-11-01

    Full Text Available If twenty years ago the financial activities of any Romanian enterprise were the sole responsibility of the accountant, nowadays the relationships of the economical entities within theirselves and with their environment are too complex to be handled just by accounting departments. Around accounting there have appeared a significant number of activities like Controlling and Auditing which are meant to link Accounting with the strategic management. In this regard the paper approaches the relationship between internal public audit and accounting which improves decisions making process in public sector. The research methodology aims to study these relationships and determine how they can work to the benefit of increasing public sector performance. The conclusions of the research shape aspects of accounting and auditing improvement as main strategic components for insuring performance in the public sector.

  18. ACCOUNTING REPORTS AND BUDGET PROCESS IN THE ROMANIAN PUBLIC SECTOR BETWEEN CONVERGENCE AND CHALLENGE

    Directory of Open Access Journals (Sweden)

    Elena\tHLACIUC

    2015-06-01

    Full Text Available Starting with the 1 of January 2014, the Romanian public sector has undergone a long transformation process: the change in the order of the organization and management of public institutions accounting, the chart of accounts and the instructions for its implementation, the implementation of an electronic reporting system for financial statements, the automatic verification within the system of whether the payments are within the budget or not, providing information on revenue achievement and payments made. Other measures are to be implemented such as the electronic signing by the credit release authorities of the revenue and expense budget. Even if these measures were for testing purposes in 2014, they influenced the work of the public sector professional accountant, on the one hand, and the public sector as a whole, on the other hand. In the present paper, we will present the effects of these changes on the budget transparency and especially on budgetary efficiency and the accounting reports.

  19. IDENTIFYING OPERATIONAL REQUIREMENTS TO SELECT SUITABLE DECISION MODELS FOR A PUBLIC SECTOR EPROCUREMENT DECISION SUPPORT SYSTEM

    Directory of Open Access Journals (Sweden)

    Mohamed Adil

    2014-10-01

    Full Text Available Public sector procurement should be a transparent and fair process. Strict legal requirements are enforced on public sector procurement to make it a standardised process. To make fair decisions on selecting suppliers, a practical method which adheres to legal requirements is important. The research that is the base for this paper aimed at identifying a suitable Multi-Criteria Decision Analysis (MCDA method for the specific legal and functional needs of the Maldivian Public Sector. To identify such operational requirements, a set of focus group interviews were conducted in the Maldives with public officials responsible for procurement decision making. Based on the operational requirements identified through focus groups, criteria-based evaluation is done on published MCDA methods to identify the suitable methods for e-procurement decision making. This paper describes the identification of the operational requirements and the results of the evaluation to select suitable decision models for the Maldivian context.

  20. From reactive to proactive management of the South African healthcare estate

    CSIR Research Space (South Africa)

    De Jager, Peta

    2013-09-01

    Full Text Available Healthcare spending in South Africa is inequitably distributed across the private and public sectors. Treasury reports that 49 % of expenditure is attributable to the private sector in the service of 16% of the population. This expenditure pattern...

  1. Securing U-Healthcare Sensor Networks using Public Key Based Scheme

    CERN Document Server

    Haque, Md Mokammel; Hong, Choong Seon

    2008-01-01

    Recent emergence of electronic culture uplifts healthcare facilities to a new era with the aid of wireless sensor network (WSN) technology. Due to the sensitiveness of medical data, austere privacy and security are inevitable for all parts of healthcare systems. However, the constantly evolving nature and constrained resources of sensors in WSN inflict unavailability of a lucid line of defense to ensure perfect security. In order to provide holistic security, protections must be incorporated in every component of healthcare sensor networks. This paper proposes an efficient security scheme for healthcare applications of WSN which uses the notion of public key cryptosystem. Our entire security scheme comprises basically of two parts; a key handshaking scheme based on simple linear operations and the derivation of decryption key by a receiver node for a particular sender in the network. Our architecture allows both base station to node or node to base station secure communications, and node-to-node secure commun...

  2. Importance of public warehouse system for financing agribusiness sector

    Directory of Open Access Journals (Sweden)

    Zakić Vladimir

    2014-01-01

    Full Text Available The aim of this study was to determine the economic viability of the use of warehouse receipts for the storage of wheat and corn, based on the analysis of trends in product prices, storage costs in public warehouses and interest rate of loans against warehouse receipts. Agricultural producers are urged to sell grain at the harvest time when the price of agricultural products is usually lowest, mostly because of their needs for financial sources. Instead of selling products, farmers can store them in the public warehouses and use short-time financing by lending against warehouse receipt with usually lowest interest rate. In following months, farmers can sell products at higher price and repay short-term loan. This study showed that strategy of using public warehouses and postponing the sale of grains after harvest is profitable strategy for agricultural producers.

  3. Peculiarities of a communication strategy in the public sector

    Directory of Open Access Journals (Sweden)

    Corina Radulescu

    2012-12-01

    Full Text Available Public communication through all its registers – information, formation, service advertisement, campaigns – has an impact on citizens wanting to persuade them and sometimes wanting to change their opinions, behaviour. When such communication activities are organized – observing certain rules to be followed – the effects are positive. Therefore, in the present paper we describe the development stages of a communication strategy for public institution, pointing out the moment of detailed planningtarget groups, objectives, conceiving the message, choosing the communication tools. We want to point out that among all these it should be as much coherence as possible, reciprocal adaptability; the higher the coherence, the more efficient the communication process.

  4. The sense of services in a globalizing public sector

    DEFF Research Database (Denmark)

    Fuglsang, Lars

    This paper represents an attempt to explore in a qualitative way how the microstructure of public private innovation networks in public services (ServPPINs) can be understood. The paper uses the concepts of sensemaking and weak cues from the sensemaking literature to explain how these Serv......PPINs manage to take care of development and change (Weick 1979, 1995). The proposal, which is explored in the case-study is that the impact of ServPPINs is not to create radical new innovations, but to take a series of small actions and thereby potentially react to small cues. Attention of the paper is...

  5. MANAGING HUMAN FACTORS IN IMPLEMENTING ELECTRONIC DOCUMENT SYSTEM IN THE PUBLIC SECTOR

    Directory of Open Access Journals (Sweden)

    TOMS LEIKUMS

    2012-05-01

    Full Text Available Document management underlies the activities of almost every organization. Correctly managed correspondence and organized document circulation characterize successful performance particularly in the public sector organizations. Even though production of documents itself is not the main task of governmental institutions, document creation and processing are crucial processes for the provision of basic functions in public sector. In the 21st century it gets more important to use the new possibilities offered by modern technologies, including electronic document management. Public sector itself is a heavy bureaucratic apparatus in the need of elasticity and ability to change its working processes and habits in order to gradually switch to the digital environment. Western European countries have already turned to electronic document management whilst most of the Eastern European countries, including Latvia, have just recently started a gradual electronization of document circulation. When implementing electronic document management systems in the public sector organizations, it often comes to resistance of the staff and unwillingness to change the accustomed methods of work – paper format document circulation. Both lower level staff and higher level managers put obstacles to electronic document management. In this article author inspects cases of successful practice and analyses possible action mechanisms that could convince public sector personnel of advantages of electronic document circulation and prepare them to switch to work with digital documents.

  6. Public-private sector wage differentials in Spain. An updated picture in the midst of the Great Recession

    National Research Council Canada - National Science Library

    José-Ignacio Antón; Rafael Muñoz de Bustillo

    2015-01-01

    Using the recent Wage Structure Survey 2010, this article examines the public-private sector wage gaps in Spain along the whole earnings distribution and the incidence of the gender gap in both sectors of the economy...

  7. Business Intelligence and its Applications in the Public Healthcare System

    Directory of Open Access Journals (Sweden)

    Puangrat JINPON

    2011-06-01

    Full Text Available Business intelligence (BI has been known as a popular tool in business management and decision support systems. BI helps to transform raw data into smart information. There are many BI tools such as extract transform and load (ETL, data warehouse, online analytical processing (OLAP, and dashboard. BI tools are usually used in public health fields for financial and administrative purposes. Now BI is also helping public health organisations with diagnosing and treating patients with long term conditions and evaluating alternative treatments based on outcomes analyses. BI is composed of four steps: integration, storage, analysis, and presentation. BI usually uses a dashboard in the presentation step to deliver the information to end users. The development an effective dashboard is still a challenge.Graphical abstract

  8. Incentives and Workers' Motivation in the Public Sector

    NARCIS (Netherlands)

    J. Delfgaauw (Josse); A.J. Dur (Robert)

    2005-01-01

    textabstractCivil servants have a bad reputation of being lazy. However, citizens' personal experiences with civil servants appear to be significantly better. We develop a model of an economy in which workers differ in laziness and in public service motivation, and characterise optimal incentive

  9. Accounting Considerations in Public Sector Risk Management Pools.

    Science.gov (United States)

    Commons, Harriet V.

    1987-01-01

    The Government Accounting Standards Board's Insurance Issues Project has issued an invitation to comment on two issues: (1) whether governmental risk pools should follow the same accounting principles as commercial insurance companies and (2) financial statement disclosures required of entities with public accountability (MLF)

  10. Incentives and Workers' Motivation in the Public Sector

    NARCIS (Netherlands)

    J. Delfgaauw (Josse); A.J. Dur (Robert)

    2005-01-01

    textabstractCivil servants have a bad reputation of being lazy. However, citizens' personal experiences with civil servants appear to be significantly better. We develop a model of an economy in which workers differ in laziness and in public service motivation, and characterise optimal incentive con

  11. Accounting Considerations in Public Sector Risk Management Pools.

    Science.gov (United States)

    Commons, Harriet V.

    1987-01-01

    The Government Accounting Standards Board's Insurance Issues Project has issued an invitation to comment on two issues: (1) whether governmental risk pools should follow the same accounting principles as commercial insurance companies and (2) financial statement disclosures required of entities with public accountability (MLF)

  12. How do ICT project managers manage project knowledge in the public sector? An empirical enquiry from the Victorian Public Sector in Australia

    Directory of Open Access Journals (Sweden)

    Yakub Karagoz

    2016-10-01

    Full Text Available Projects are temporal organisation forms that are highly knowledge-intensive and play an important role in modern public (and private sector organisations. The effective and efficient creation, dissemination, application and conservation of relevant knowledge are a critical success factor in the management of projects. Yet, project management (PM and knowledge management (KM are two distinct disciplines. This paper explores the relationship between PM and KM by analysing the literature at the intersection of those disciplines and presenting the empirical results of a case study of the Victorian Public Sector (VPS in Australia. A series of 14 interviews were conducted to explore how ICT project managers manage project knowledge across the departments of the VPS. Findings show a strong preference among the participants for informal, face-to-face interactions and agile approaches to facilitate knowledge transfer and creation in ICT project environments.

  13. Miniguide. Energy efficiency in the public sector; Mini-Wegweiser. Energieeffizienz im oeffentlichen Sektor

    Energy Technology Data Exchange (ETDEWEB)

    Kaminski, Birgit; Joest, Steffen; Grimm, Nadia (comps.)

    2010-12-15

    The public sector faces a big challenge if it wants to fulfill its tasks in spite of tight budgets and increasing costs. The focus is on high energy costs and the challenging targets for energy efficiency and climate protection. The contribution under consideration presents a selection of the successfully implemented public projects for energy efficiency as well as an overview on key fields of activity and specific services for decision makers in territorial authorities and public institutions.

  14. International patients within the NHS: a case of public sector entrepreneurialism.

    Science.gov (United States)

    Lunt, Neil; Exworthy, Mark; Hanefeld, Johanna; Smith, Richard D

    2015-01-01

    Many public health systems in high- and middle-income countries are under increasing financial pressures as a result of ageing populations, a rise in chronic and non-communicable diseases and shrinking public resources. At the same time the rise in patient mobility and concomitant market in medical tourism provides opportunities for additional income. This is especially the case where public sector hospitals have a reputation as global centres of excellence. Yet, this requires public sector entrepreneurship which, given the unique features of the public sector, means a change to professional culture. This paper examines how and under what conditions public sector entrepreneurship develops, drawing on the example of international patients in the UK NHS. It reports on a subset of data from a wider study of UK medical tourism, and explores inward flows and NHS responses through the lens of public entrepreneurship. Interviews in the English NHS were conducted with managers of Foundation Trusts with interest in international patient work. Data is from seven Foundation Trusts, based on indepth, semi-structured interviews with a range of NHS managers, and three other key stakeholders (n = 16). Interviews were analysed using a framework on entrepreneurship developed from academic literature. Empirical findings showed that Trust managers were actively pursuing a strategy of expanding international patient activity. Respondents emphasised that this was in the context of the current financial climate for the NHS. International patients were seen as a possible route to ameliorating pressure on stretched NHS resources. The analysis of interviews revealed that public entrepreneurial behaviour requires an organisational managerial or political context in order to develop, such as currently in the UK. Public sector workers engaged in this process develop entrepreneurship - melding political, commercial and stakeholder insights - as a coping mechanism to health system constraints.

  15. Diffusing public sector services through high definition video

    OpenAIRE

    Molnar, Andreea; Weerakkody, Vishanth; El-Haddadeh, Ramzi

    2013-01-01

    The adoption of public services that have been delivered electronically are not necessarily uniformly accepted. This paper argues that the diffusion of high definition video communication as a complimentary mechanism for service delivery could not only alleviate this existing gap in adoption and diffusion of government services but also significantly improve services and save cost for governments. This paper introduces a holistic perspective on how video technology could be integrated in exis...

  16. Measuring efficiency and effectiveness in the public sector

    OpenAIRE

    Førsund, Finn R.

    2013-01-01

    The distinction between the concepts outputs and outcomes can be made operational based on the consideration of the degree of control a public service producer has over its production activity. Resources are transformed into service outputs under the control of the organisation in question, while outcomes represent some higher social goals than outputs and are determined by the outputs and other exogenous variables, but the production of outcomes is outside the control of the organisation. Th...

  17. Recruitment and retention strategies for public sector optometrists in KwaZulu-Natal Province, South Africa

    Directory of Open Access Journals (Sweden)

    Prasidh Ramson

    2016-03-01

    Full Text Available Background: In South Africa, there is a paucity of optometrists serving the needs of the larger public sector. KwaZulu-Natal is one of the most densely populated provinces and home to several of the poorest districts. Despite an optometry school in the province, and with a lack of compulsory community service for new graduates, more optometrists are needed to serve the public sector. While studies on the recruitment and retention of medical and allied health professionals have been conducted, limited evidence exists on work trends of public sector optometrists.Methods: A cross-sectional study design using both quantitative and qualitative data collection methods was used. All public sector optometrists and local district health co-ordinators in the province were contacted, with an 80% (41 out of 51 and 75% (9 out of 12 response rate, respectively. Questionnaires containing demographic, recruitment, retention and open-ended questions were distributed by post, fax and email and via an online survey to both groups. Telephonic interviews were also conducted using semi-structured techniques. Frequency distributions, Fisher’s exact test and odds ratios were used to statistically describe the demographic data, while qualitative responses were recorded and analysed for commonly occurring themes.Results: The present public sector optometry workforce comprises mainly young (73%, black (70%, women (66%. They chose to work in the public sector to ‘make a difference’ and were attracted by ‘good working hours’ and ‘job security’. Fifty-three percent of optometrists work in the public sector due to a study bursary, for which there was a statistically significant association for race (p = 0.01, gender (p = 0.05 and background origin (p = 0.05. To aid their retention in public service, improved salaries, career progression, recognition, improved management relations and improved instrumentation were ranked highest by these optometrists

  18. Eight attention points when evaluating large-scale public sector reforms

    DEFF Research Database (Denmark)

    Hansen, Morten Balle; Breidahl, Karen Nielsen; Hjørdis Halvorsen, Anne;

    2017-01-01

    This chapter analyses the challenges related to evaluations of large-scale public sector reforms. It is based on a meta-evaluation of the evaluation of the reform of the Norwegian Labour Market and Welfare Administration (the NAV-reform) in Norway, which entailed both a significant reorganization...... of the central, regional and local government and a social policy reform. Meta-evaluations assess the usefulness of one or more evaluations and should not be confused with meta-analyses. The purpose of this meta-evaluation was to identify general principles for organizing the evaluations of large-scale public...... sector reforms. Based on the analysis, eight crucial points of attention when evaluating large-scale public sector reforms are elaborated. We discuss their reasons and argue that other countries will face the same challenges and thus can learn from the experiences of Norway....

  19. Financial Efficacy of Selected Public and Private Sector Banks in India

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    sakthivadivel Mylsamy

    2013-04-01

    Full Text Available The  banks in India have over 67,000 branches located across the country. All these are classified  into two major categories, non-scheduled banks and scheduled banks. Scheduled banks includes   commercial banks and the co-operative banks. The public sector banks are  accountable  for more than 78 percent of total banking industry in India. Even though private sector banks came later into the market, due to their customer servicing and easy banking features they are also competing equally with already existing public sector banks. so it is very essential to analyze how their financial performance is influenced by number of factors which will further suggest them where they need to concentrate more. in this article we have analyzed the correlation between return on total assets and other financial variables of selected private and public banks in India.

  20. Corporate governance of public health services: lessons from New Zealand for the state sector.

    Science.gov (United States)

    Perkins, R; Barnett, P; Powell, M

    2000-01-01

    New Zealand public hospitals and related services were grouped into 23 Crown Health Enterprises and registered as companies in 1993. Integral to this change was the introduction of corporate governance. New directors, largely from the business sector, were appointed to govern these organisations as efficient and effective businesses. This article presents the results of a survey of directors of New Zealand publicly-owned health provider organisations. Although directors thought they performed well in business systems development, they acknowledged their shortcomings in meeting government expectations in respect to financial performance and social responsibility. Changes in public health sector provider performance indicators have resulted in a mixed report card for the sector six years after corporate governance was instituted.

  1. PROBLEMS AND OBSTACLES IN CREDIT RISK MANAGEMENT IN INDIAN PUBLIC SECTOR BANKS

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    RENU ARORA

    2014-10-01

    Full Text Available This paper evaluates the credit risk management (CRM practices of Indian public sector banks in grant of commercial loans to find the grey areas which need review and restructuring to improve banks’ asset quality. Based on literature review, a conceptual model of credit risk management systems for commercial loans, of Indian public sector banks, has been developed. This model has been used to underline the problems areas and obstacles in credit risk management through comparison of large and small banks. The empirical comparison of CRM practices of Indian public sector banks has resulted into emergence of various grey areas, like insufficient training, data management, inappropriate IT support, system disintegration, inconsistent rating approaches, which need immediate attention and if tackled properly, can reduce their non-performing assets.

  2. The role of retiree health insurance in the early retirement of public sector employees.

    Science.gov (United States)

    Shoven, John B; Slavov, Sita Nataraj

    2014-12-01

    Most government employees have access to retiree health coverage, which provides them with group health coverage even if they retire before Medicare eligibility. We study the impact of retiree health coverage on the labor supply of public sector workers between the ages of 55 and 64. We find that retiree health coverage raises the probability of stopping full time work by 4.3 percentage points (around 38 percent) over two years among public sector workers aged 55-59, and by 6.7 percentage points (around 26 percent) over two years among public sector workers aged 60-64. In the younger age group, retiree health insurance mostly seems to facilitate transitions to part-time work rather than full retirement. However, in the older age group, it increases the probability of stopping work entirely by 4.3 percentage points (around 22 percent).

  3. DIFFICULTIES RELATED TO THE FINANCIAL POSITION REPORTING INTO THE PUBLIC SECTOR IN ROMANIA

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    Aurelia ŞTEFĂNESCU

    2014-11-01

    Full Text Available Within the context of a turbulent economic environment with impact on the vulnerability of the public sector entities, the stakeholders’ needs of information are focussed on the assessment of liquidities and their solvency, on the sustenability of service offerring, as well as on the capacity of the entities to answer a dynamic environment in terms of cost, quality and continuity. In this respect, the current study has as objective to identify the difficulties of reporting the financial position into the public sector in Romania. In order to reach the proposed objective, an interpretative research methodology was used. The results of this study has pointed out that the prevalence of divergences between the national view versus IPSAS in terms of reporting the financial position into the public sector limits the informational value and its relevance both for the management of the entities and their stakeholders.

  4. IT Governance and the Public Sector: A Survey of Perceptions, Attitudes, and Knowledge of Federal Public Sector IT Employees

    Science.gov (United States)

    Martin, David P.

    2013-01-01

    IT governance has become an important topic as both public and private organizations struggle to meet the challenge of aligning complex IT systems with operational needs. Without effective IT governance, organizations fail to gain strategic benefits that come by the proper strategic alignment of IT resources with the larger organizational mission.…

  5. Do senior management cultures affect performance? Evidence from Italian public healthcare organizations.

    Science.gov (United States)

    Prenestini, Anna; Lega, Federico

    2013-01-01

    Healthcare organizations are often characterized by diffuse power, ambiguous goals, and a plurality of actors. In this complex and pluralistic context, senior healthcare managers are expected to provide strategic direction and lead their organizations toward their goals and performance targets. The present work explores the relationship between senior management team culture and performance by investigating Italian public healthcare organizations in the Tuscany region. Our assessment of senior management culture was accomplished through the use of an established framework and a corresponding tool, the competing values framework, which supports the idea that specific aspects of performance are related to a dominant management culture. Organizational performance was assessed using a wide range of measures collected by a multidimensional performance evaluation system, which was developed in Tuscany to measure the performance of its 12 local health authorities (LHAs) and four teaching hospitals (THs). Usable responses were received from 80 senior managers of 11 different healthcare organizations (two THs and nine LHAs). Our findings show that Tuscan healthcare organizations are characterized by various dominant cultures: developmental, clan, rational, and hierarchical. These variations in dominant culture were associated with performance measures. The implications for management theory, professional practice, and public policy are discussed.

  6. How social workers experience supervision: results of an empirical study in the healthcare sector

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    Brigitte Geißler-Piltz

    2011-03-01

    Er zijn slechts weinig studies die inzicht geven in de waardering voor supervisie, van sociaal werkers in de (para-medische sector. In dit artikel worden (delen van onderzoeksresultaten gepubliceerd, gebaseerd op een uitvoerige survey over “Kennis en Expertise” in alledaagse praktijken en gestructureerde interviews met Duitse respondenten. Deze resultaten laten zien hoe supervisie gewaardeerd wordt door verschillende groepen sociaal werkers. De geïnterviewde respondenten hebben een ambivalente houding jegens supervisie. Enerzijds hebben zij een positieve waardering voor supervisie en zijn zij overtuigd van de positieve effecten ervan, anderzijds zijn zij van mening dat supervisie geen steun is in hun eigen dagelijkse werkzaamheden. In een multidisciplinair team wordt supervisie ervaren als een verlengstuk van het hiërarchisch georganiseerde systeem van gezondheidszorg: in de interviews komen situaties aan bod waarin de respondent niet in staat was of in de gelegenheid werd gesteld om, in de aanwezigheid van andere professies, problemen bespreekbaar te maken of een “sociaal werk-geluid” te laten horen. Desondanks continueren de sociaal werkers de supervisie. In dit artikel wordt gereflecteerd op de vraag hoe dat komt, en wat voor soort intervisie het sociaal werk behoeft om in een veranderende mondiale context succesvol te kunnen zijn.

  7. Blue Ocean Strategies for E.ON to strengthen the customer base in the Public Sector

    OpenAIRE

    Paramashivaiah, Roshan

    2009-01-01

    In UK the energy distribution companies are popular for the price wars and differentiation in their offerings. The main objective of this report is to provide feasible blue ocean strategies for E.ON in the public sector mainly for the higher education universities and NHS hospitals. This report starts with the in-depth analysis of E.ON business. Then the value chain of the E.ON is understood after which some of the key stakeholders in the public sector has been identified. It is followed b...

  8. On the Optimal Degree Of Funding Of Public Sector Pension Plans

    OpenAIRE

    Meijdam, A.C.; Ponds, E.H.M.

    2013-01-01

    Abstract: This paper explores the optimal degree of funding of public sector pension plans. It is assumed that a benevolent social planner decides on the contribution of current taxpayers to the funding of public sector pensions next period, weighing the interests of current and future tax payers. Two elements play a role in the optimal funding decision: the optimal-portfolio choice (i.e. the tradeoff between the expected excess return and the additional risk of funding vis-à-vis pay-as-you-g...

  9. Legal assistance on the application of public procurement rules in the waste sector

    DEFF Research Database (Denmark)

    Andrecka, Marta

    2016-01-01

    The report presents the results of a study investigating the application of public procurement rules in the municipal waste sector across the European Union conducted by Ramboll Management Consulting for the European Commission (DG GROW). The study is part of a process launched by the European...... Commission to analyse the application of public procurement rules in different market sectors. The scope of the study was set by the definition of municipal [solid] waste as presented in the Waste Framework Directive.1 The geographical scope of data collection was focused on seven Member States: Germany...

  10. Government budget, public-sector wages and capital taxes in a small open economy

    DEFF Research Database (Denmark)

    Chao, C.C.; Yu, E. S. H.; Yu, Wusheng

    This paper examines the welfare implications of adjustments in public-sector wages and capital tax rates for a small open economy in a general equilibrium setting. The individually and jointly optimal wage and tax policies are derived and interpreted. Facing reductions in land sales and falls...... in foreign interest rates, a cut in public workers’ pay is needed for making their wage comparable to the private sector and a hike in capital taxes is recommended for a budgetary consideration. Using a computable general equilibrium model for Hong Kong, we numerically evaluate the various optimal policies...

  11. A NEW APROACH OF CONCEPTUAL FRAMEWORK FOR GENERAL PURPOSE FINANCIAL REPORTING BY PUBLIC SECTOR ENTITIES

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    Nistor Cristina

    2011-12-01

    Full Text Available The importance of accounting in the modern economy is obvious. That is more elevated bodies of the European Union and elsewhere dealing with the organization and functioning of accounting as a fundamental component of business (Nistor C., 2009. The mission of the International Federation of Accountants (IFAC is to serve the public interest, strengthen the worldwide accountancy profession and contribute to the development of strong international economies by initiating and encouraging the professional standards of high quality, the convergence process these international standards and to discuss issues of public interest which is extremely relevant international experience of (IFAC, 2011. Currently, the concepts related to financial reports in public sector are developed by IPSAS references. Many of today's IPSAS are based on international accounting standards (IAS / IFRS, to the extent that they are relevant to the requirements of the public sector. Therefore today's IPSAS are based on concepts and definitions of the IASB's conceptual framework, with changes where necessary for public sector specific approach. Thus this study present this brief draft statement under discussion by the leadership of IFAC in collaboration with other organizations and groups that develop financial reporting requirements of the public sector. Then, we highlight the importance and the degree of acceptance of the project which results from comments received. On the basis of combining qualitative with quantitative research seeks to demonstrate the necessity and usefulness of a common conceptual framework of the International Accounting Standards (in this case the Public Sector, starting from their emergence from presenting their bodies involved in the foundation, the content standards, experience of different countries. The results have direct implications on Romanian public accounting system, given that the reference of the international implementation and reporting is

  12. Public release of performance data in changing the behaviour of healthcare consumers, professionals or organisations.

    Science.gov (United States)

    Ketelaar, Nicole A B M; Faber, Marjan J; Flottorp, Signe; Rygh, Liv Helen; Deane, Katherine H O; Eccles, Martin P

    2011-11-09

    It is becoming increasingly common to release information about the performance of hospitals, health professionals or providers, and healthcare organisations into the public domain. However, we do not know how this information is used and to what extent such reporting leads to quality improvement by changing the behaviour of healthcare consumers, providers and purchasers, or to what extent the performance of professionals and providers can be affected. To determine the effectiveness of the public release of performance data in changing the behaviour of healthcare consumers, professionals and organisations. We searched the Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Effective Practice and Organisation of Care (EPOC) Trials Register, MEDLINE Ovid (from 1966), EMBASE Ovid (from 1979), CINAHL, PsycINFO Ovid (from 1806) and DARE up to 2011. We searched for randomised or quasi-randomised trials, interrupted time series and controlled before-after studies of the effects of publicly releasing data regarding any aspect of the performance of healthcare organisations or individuals. The papers had to report at least one main outcome related to selecting or changing care. Other outcome measures were awareness, attitude, views and knowledge of performance data and costs. Two review authors independently screened studies for eligibility and extracted data. For each study, we extracted data about the target groups (healthcare consumers, healthcare providers and healthcare purchasers), performance data, main outcomes (choice of healthcare provider and improvement by means of changes in care) and other outcomes (awareness, attitude, views, knowledge of performance data and costs). We included four studies containing more than 35,000 consumers, and 1560 hospitals. Three studies were conducted in the USA and examined consumer behaviour after the public release of performance data. Two studies found no effect of Consumer Assessment of Healthcare Providers and

  13. Developments in public sector financial management in Estonia

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    Arno Almann

    2011-04-01

    Full Text Available Systems approach, contingency theory, modeling and interviewing are used to research whether the integration of the financial accounting and budget systems that are based on different accounting principles into a balanced overall system will increase the efficiency of financial management and will provide more ways of management in Estonian public organizations. The integration of the systems will create a semantically and organizationally interacting information system for a midterm period, which could be used at all managerial levels in all organizations in real time by developing the information technological infrastructure in Estonia. As feedback, control authorities impart information about the deviations between the objectives of the information and the attainments to the decision-makers, which will enable the decision-makers to make corrections and improve the quality of decisions.

  14. INTER–ORGANIZATIONAL COLLABORATIVE CAPACITY OF PUBLIC SECTOR INSTITUTIONS’CONTROL ENTITIES IN EMERGENCY SITUATIONS

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    Nikola T. STOYANOV

    2015-10-01

    Full Text Available Environmental challenges and natural disasters demand new tools to support the performance of public institutions in emergency situations. This paper contributes to one of the fundamental objectives – inter–organizational collaboration, namely to the objective to share experience from the implementation of methods and tools and latest research results in support of management in the new security environment. In addition, it focuses on the cognitive and human aspects of collaboration. The goal of the paper is to investigate the impact of different factors and tools for understanding, explaining, and measuring collaborative capacity of public sector institutions’ control organism in emergency situations. The paper will present intermediate results from the research on “Inter–organizational collaborative capacity of public sector institutions’ control entities in emergency situations”. Based on a theoretical model, a draft instrument was developed (i.e., a questionnaire for data collection that can be used to 1 investigate the impact of different factors, 2 localize inefficiencies in public sector institutions’ control organs, and 3 determine measures to achieve better organizational effectiveness of public sector institutions’ control entities in emergency situations.

  15. AUDIT COMMITTEE’S ROLE IN ENHANCING ACCOUNTABILITY OF THE ALBANIAN, PUBLIC SECTOR

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    Holtjana Bello

    2013-12-01

    Full Text Available The main question around which this paper is based is whether the public sector in Albania needs to establish the Audit Committees as a demand for enhanced quality of services and accountability over the use of public funds is increasing. This paper analyzes the role of public sector Audit Committees in common law practices established to advise management on the adequacy of structures and processes that ensure the integrity of the accounting, auditing, risk management internal controls, and financial reporting. This paper founds out that Audit Committees are not best practices established in every country considering the fact that this practice is appropriate to the private sector corporate governance. However, it reveals that lack of such committees put into question the achievement of good governance objectives. Therefore, this document recommends the establishment of the Audit Committees across the public sector as a practice strongly recommended in the central government bodies within United Kingdom. Such Committees will advise the head of public organizations on risk exposure, corporate governance and control issues, and will enhance and improve the professionalism of internal auditors who still in Albania are adopting and relying on a traditional financial internal audit approach.

  16. Strategy in the Public and Private Sectors: Similarities, Differences and Changes

    Directory of Open Access Journals (Sweden)

    John Alford

    2017-09-01

    Full Text Available Strategic concepts and practices first evolved in the private sector, so they evoked much controversy when they migrated to the public sector from the late 1970s onwards. Partly this was about their (inapplicability to the distinctive features of government organizations, in particular their focus on public as well as private value, their situation in a political rather than a market environment, their almost exclusive capacity to use legal authority to achieve purposes, and the extent to which they often need to share power over personnel and resources with other public sector agencies. These and other factors complicated efforts to apply New Public Management and similar frameworks in strategy concepts in a governmental context. Partly also the traditional private-sector focus on single organizations did not resonate with the growth of network governance from the 1990s. The authors argue for an alternative model based primarily on the public value framework as a means of incorporating and going beyond traditional strategy thinking.

  17. Development of Electronic Identification Measures in the Public Sector in Lithuania: Reality, Demand and the Future

    Directory of Open Access Journals (Sweden)

    Rimantas Petrauskas

    2012-12-01

    Full Text Available Purpose—to analyze eIAS implementation reports and development peculiarities; to discuss measures that impede effective implementation of eIAS in Lithuania.Design/methodology/approach—logical and systematic analysis, meta-analysis.Findings—the article discusses the integration and use of eIAS solutions by the public sector in Lithuania. Main findings: 1 eIAS products and services are an integral part of a complex heterogeneous national platform consisting of regulatory, technical, organizational, social and even practical challenges; 2 National environment for eIAS remains underdeveloped for real life usage and promotion in order to reach critical mass applicability; 3 possibility to use different levels of eIAS for public e-Services is vital for the development of e-Government.Research limitations/implications—the general overview reveals implementation challenges and particularities of the eIAS in the public sector of Lithuania. The article does not analyse the exploitation stages of eIAS.Practical implications—the article evaluates regulatory, organizational, social and practical peculiarities of eIAS introduction and use in the public sector in Lithuania. The article forms a basis in order to exploit eIAS products and services more effectively.Originality/Value—offers insight into the eIAS topic and fills the information void of implementation of eIAS solutions in the public sector, as it is not widely analysed in Lithuania.Research type: general review, viewpoint.

  18. Development of Electronic Identification Measures in the Public Sector in Lithuania: Reality, Demand and the Future

    Directory of Open Access Journals (Sweden)

    Rimantas Petrauskas

    2013-02-01

    Full Text Available Purpose—to analyze eIAS implementation reports and development peculiarities; to discuss measures that impede effective implementation of eIAS in Lithuania. Design/methodology/approach—logical and systematic analysis, meta-analysis. Findings—the article discusses the integration and use of eIAS solutions by the public sector in Lithuania. Main findings: 1 eIAS products and services are an integral part of a complex heterogeneous national platform consisting of regulatory, technical, organizational, social and even practical challenges; 2 National environment for eIAS remains underdeveloped for real life usage and promotion in order to reach critical mass applicability; 3 possibility to use different levels of eIAS for public e-Services is vital for the development of e-Government. Research limitations/implications—the general overview reveals implementation challenges and particularities of the eIAS in the public sector of Lithuania. The article does not analyse the exploitation stages of eIAS. Practical implications—the article evaluates regulatory, organizational, social and practical peculiarities of eIAS introduction and use in the public sector in Lithuania. The article forms a basis in order to exploit eIAS products and services more effectively. Originality/Value—offers insight into the eIAS topic and fills the information void of implementation of eIAS solutions in the public sector, as it is not widely analysed in Lithuania. Research type: general review, viewpoint.

  19. Optimizing Bus Passenger Complaint Service through Big Data Analysis: Systematized Analysis for Improved Public Sector Management

    Directory of Open Access Journals (Sweden)

    Weng-Kun Liu

    2016-12-01

    Full Text Available With the advances in industry and commerce, passengers have become more accepting of environmental sustainability issues; thus, more people now choose to travel by bus. Government administration constitutes an important part of bus transportation services as the government gives the right-of-way to transportation companies allowing them to provide services. When these services are of poor quality, passengers may lodge complaints. The increase in consumer awareness and developments in wireless communication technologies have made it possible for passengers to easily and immediately submit complaints about transportation companies to government institutions, which has brought drastic changes to the supply–demand chain comprised of the public sector, transportation companies, and passengers. This study proposed the use of big data analysis technology including systematized case assignment and data visualization to improve management processes in the public sector and optimize customer complaint services. Taichung City, Taiwan, was selected as the research area. There, the customer complaint management process in public sector was improved, effectively solving such issues as station-skipping, allowing the public sector to fully grasp the service level of transportation companies, improving the sustainability of bus operations, and supporting the sustainable development of the public sector–transportation company–passenger supply chain.

  20. Integration of healthcare and financial information: Evaluation in a public hospital using a comprehensive approach.

    Science.gov (United States)

    Escobar-Pérez, Bernabé; Escobar-Rodríguez, Tomás; Bartual-Sopena, Lourdes

    2016-12-01

    Public healthcare organisations are moving towards the use of new technologies to automate and improve their internal processes in order to increase the effectiveness and efficiency of their use of resources. The aim of this research is to tackle the systematic evaluation of an experience of integrating information in a healthcare organisation, paying attention to the implications that this entails. The results show that the integration of the information in the hospital results in higher levels of quality. This study contributes a vision of interrelated work, in which tasks are shared and aims are jointly established.

  1. Toward a Nationwide Mobile-Based Public Healthcare Service System with Wireless Sensor Networks

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    Chien-wen Shen

    2016-01-01

    Full Text Available This paper describes the development of a nationwide public healthcare service system with the integration of cloud technology, wireless sensor networks, and mobile technology to provide citizens with convenient and professional healthcare services. The basic framework of the system includes the architectures for the user end of wireless physiological examinations, for the regional healthcare cloud, and for national public healthcare service system. Citizens with chronic conditions or elderly people who are living alone can use the wireless physiological sensing devices to keep track of their health conditions and get warning if the system detects abnormal signals. Through mobile devices, citizens are able to get real-time health advice, prompt warning, health information, feedback, personalized support, and intervention ubiquitously. With the long-term tracking data for physiological sensing, reliable prediction models for epidemic diseases and chronic diseases can be developed for the government to respond to and control diseases immediately. Besides, such a nationwide approach enables government to have a holistic understanding of the public health information in real time, which is helpful to establish effective policies or strategies to prevent epidemic diseases or chronic diseases.

  2. The CRACK programme: a scientific alliance for bridging healthcare research and public health policies in Italy

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    Giovanni Corrao

    2013-09-01

    Full Text Available Healthcare utilisation databases, and other secondary data sources, have been used with growing frequency to assess health outcomes and healthcare interventions worldwide. Their increased popularity as a research tool is due to their timely availability, the large patient populations covered, low cost, and applicability for studying real-world clinical practice. Despite the need to measure Italian National Health Service performance both at regional and national levels, the wealth of good quality electronic data and the high standards of scientific research in this field, healthcare research and public health policies seem to progress along orthogonal dimensions in Italy. The main barriers to the development of evidence-based public health include the lack of understanding of evidence-based methodologies by policy makers, and of involvement of researchers in the policy process. The CRACK programme was launched by some academics from the Lombardy Region. By extensively using electronically stored data, epidemiologists, biostatisticians, pharmacologists and clinicians applied methods and evidence to several issues of healthcare research. The CRACK programme was based on their intention to remove barriers that thwart the process of bridging methods and findings from scientific journals to public health practice. This paper briefly describes aim, articulation and management of the CRACK programme, and discusses why it might find articulated application in Italy.

  3. PUBLIC-PRIVATE PARTNERSHIPS AS MECHANISMS FOR RISK MANAGEMENT IN THE WATER SECTOR

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    Simona FRONE

    2013-08-01

    Full Text Available Some forms of Public Private Partnership (PPP have been long since used in the procurement and operation of water infrastructure, as shown in the first part of the paper. The main object of the paper is to highlight the mechanisms of PPP in the water sector and to suggest that in times of economic and financial distress, when both the public sector and the private sector face additional risks and challenges, various models of PPP may be used to manage and mitigate the risks and to improve performance in providing the public services of Water Supply and Sanitation (WSS. The economic and financial risks of the WSS sector are commonly classified in two broad categories but within these broad categories there are many more specific risks. Therefore, we shall analyse some of these main risks and their potential interrelations, by employing several methodologies: literature review, case studies, performance indicators, risk matrix, analysis and synthesis. The mechanisms, features and experiences of PPP in this branch of the water sector are summarized and comparatively analysed, from the viewpoint of risk sharing, leading to some conclusions and recommendations on the opportunity and effectiveness of implementing such arrangements especially in Romania.

  4. Managing water services: the battle between private and public sectors

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    Claudia Rosa Acevedo

    2013-09-01

    Full Text Available The purpose of this study is to examine the commercialization of water and the arguments it is based on. More specifically this investigation seeks to answer the following questions: Are there economic interests behind this discourse? How is the market of water being structured? The method of research utilized was based on documents and bibliographies. The principal results of the survey were: 1 the process of commercialization of water is based on the following principles: the economic value of water b the effectiveness of the marketing mechanism to optimize the distribution and efficient use of water; c the superiority of private investment over the public investment as a motor of economic and social development; d the necessity of liberalization of national markets; e water as a necessity and not as a right; 2 specialists in the area believe that strong interests exist behind the commercialization of this asset, especially on the part of transnational companies and international financial institutions. 3 the results of these privatizations have been very negative for the societies where they have taken place.

  5. Factors Engendering Cost Misrepresentation of Public Sector Projects in Ghana

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    Richard Ohene Asiedu

    2014-10-01

    Full Text Available The main purpose of this research was to identify the core factors that engender construction cost overruns in public buildings in Ghana. Adopting a positivist, realist and value free philosophical approach, the research employs a multiple research strategy emphasized by the funnel technique principle. Twenty two dominant factors generated from a combination of exploratory interviews and extensive literature in the context of GCI was designed into a structured questionnaire targeting 240 clients, consultants and contractors. With a 55% return rate, the response of the participants were analysed using a combination of severity, frequency and relative importance indices. The five most important factors according to all three participants are (1 delay and uncertainty surrounding payment for work done (2 lack of enforcement of contract provisions by parties (3 variations and additional works resulting from changes in site conditions (4 lapses and challenges within PPL (5 excessive material and labour price fluctuations. Even though the Spearman’s rank correlation test showed a strong agreement between clients and consultants, there was however a weak correlation between clients and contractors and consultants and contractors which is normal considering the allegations and counter-allegations regarding each other’s contribution towards cost overruns. However a fair degree of objectivity and validity can be credited to the results considering the average level of experience of the respondents in the GCI.

  6. Healthcare regulatory concepts in Brazil.

    Science.gov (United States)

    Oliveira, Robson Rocha de; Elias, Paulo Eduardo Mangeon

    2012-06-01

    The healthcare regulatory concepts used in Brazilian scientific publications on healthcare management were reviewed. A typo-logical classification for regulatory concepts was developed from the most current ideas in five disciplines: life sciences, law, economics, sociology and political science. Four ideas stood out: control, balance, adaptation and direction, with greatest emphasis on the technical nature of regulation. The political nature of regulation was secondary. It was considered that dis-cussion of healthcare regulatory concepts was connected with comprehension of the role that the state plays in this sector. De-finition of the forms of state intervention is the key convergence point between the different ways of conceptualizing healthcare regulation.

  7. Public Benefits and Power Sector Reform. Report from an International Workshop

    Energy Technology Data Exchange (ETDEWEB)

    Nilsson, Lars J.; Arvidson, Anders; Eberhard, Anton (eds.)

    2003-10-01

    The Workshop on Public Benefits and Power Sector Reform was motivated by the need to address broader development goals and advance the provision of public benefits in power sector reforms. The primary objectives were: To provide a forum for a discussion among specialists, of how the provision of public benefits can be expanded as power sectors in developing countries are reformed, and review the experience (Day 1). To identify the needs for training and capacity building and institutional arrangements, as well as make recommendations for their design and implementation, for policy makers, regulators, and other professionals in developing countries (Day 2). Public benefits is a socially constructed concept that includes activities that are not adequately conceived by competitive markets. Public benefit policies and programmes include those that expand electricity access to rural areas and the urban poor, improve security of supply, promote energy efficiency and renewable energy, etc. Reforms have indeed been a threat to public benefits as traditionally delivered through electric utilities. However, in many cases public benefit programmes have also been rescued. In fewer cases, public benefit programmes have been conceived in the reform process. From experience so far it is clear that power sector reforms must be made more compatible with broader sustainable development goals. Recognising the need for broader policy integration and putting public benefits higher on the reform agenda points to the importance of reaching beyond energy ministries and power sector experts at an early stage in the reform process. Other actors, such as NGOs and academia, may also be instrumental in monitoring and assessing the impacts of reform. Public benefits can be an integral part of a reform package, or a complement to reform. It does appear that reform creates space and opportunity to achieve public benefits, but someone has to utilise that opportunity. The need to make trade

  8. TRANSPORTATION BOT SCHEMES FOR PUBLIC AND PRIVATE SECTOR FINANCING SCENARIO ANALYSIS

    Directory of Open Access Journals (Sweden)

    Chien-Hung WEI

    2002-01-01

    Full Text Available Transportation Build-Operate-Transfer financing projects have larger payment risks and failure possibilities than other financing projects, and these factors are essential to financing scenarios. The changes of financing scenarios not only affect private sectors' financing process but the conflict between private sectors and banks. This study broadly reviews relevant factors affecting BOT financing strategies, interviews relevant experts and then uses scenario analysis to design a questionnaire to find out the most important factors affecting BOT financing. The findings of this study are four major factors affecting public and private financing scenarios. In this paper, we also propose some suggestions as possible complements to public and private sector financing strategies.

  9. Health systems in developing countries: public sector managers and the management of contradictions and change.

    Science.gov (United States)

    Green, Andrew; Collins, Charles

    2003-01-01

    Health sector reform in the past decade has tended to focus on remodelling institutional relations and changing methods of health system financing. Little attention has been paid to human resources. This paper focuses on one category of health sector staff, health managers and planners, and the tensions they face in carrying out their roles. An understanding of these tensions has been neglected in the policy-making process. The paper is divided into two parts. Firstly, it will set out the nature of three tensions that public sector health managers and planners face: changes in the health care system; the contradictions between public interest and private gain; and changes in the forms of accountability. Secondly, it will suggest ways forward in relation to these problems, paying particular attention to the role of international agencies.

  10. Public sector employment, relative deprivation and happiness in adult urban Chinese employees.

    Science.gov (United States)

    Hu, Anning

    2013-09-01

    The decline in perceived happiness within economic prosperity in Chinese society calls for further examination. In this research, we investigate the effect of employment in public sector work units on perceived happiness through the mediation of economic and social status relative deprivations. In the reform era of China, work unit is still an important mechanism maintaining social inequality, and those working in government/Communist Party agencies and public institutions have advantages of getting access to high wage, comprehensive welfare and the manipulation of administrative public power. Such economic and social status advantages are expected to reduce their relative deprivation and further promote their perceived happiness. Using a nationwide survey data conducted in 2006, we find working in public sector can significantly reduce the odds of experiencing economic relative deprivation, which is further contributive to the improvement of subjective wellbeing.

  11. Scoping study of integrated resource planning needs in the public utility sector

    Energy Technology Data Exchange (ETDEWEB)

    Garrick, C J; Garrick, J M; Rue, D R [NEOS Corp., Lakewood, CO (United States)

    1993-06-01

    Integrated resource planning (IRP) is an approach to utility resource planning that integrates the evaluation of supply- and demand-site options for providing energy services at the least cost. Many utilities practice IRP; however, most studies about IRP focus on investor-owned utilities (IOUs). This scoping study investigates the IRP activities and needs of public utilities (not-for-profit utilities, including federal, state, municipal, and cooperative utilities). This study (1) profiles IRP-related characteristics of the public utility sector, (2) articulates the needs of public utilities in understanding and implementing IRP, and (3) identifies strategies to advance IRP principles in public utility planning.

  12. Analysis of Developing Public Health Service Sector with Private Finance Initiative in Guangxi

    Institute of Scientific and Technical Information of China (English)

    王宇

    2006-01-01

    In Guangxi Public Health Service Sector (GPHSS), because lack of budget, it has caused a number of problems, such as weakened public health service in rural areas, poor professional quality of medical personnel in public health units at village and township levels, current urban public health service could not meet the health demand for urban residents. This paper is a secondary research. Through analysis of the financial problem and both of the advantages and disadvantages of using the Private Finance Initiative (PFI), it intend to demonstrate that using the PFI could be considered as a good way for the Guangxi government.

  13. Using Publicly Available Data to Characterize Consumers Use of Email to Communicate with Healthcare Providers.

    Science.gov (United States)

    Sandefer, Ryan H; Khairat, Saif S; Pieczkiewicz, David S; Speedie, Stuart M

    2015-01-01

    The use of patient focused technology has been proclaimed as a means to improve patient satisfaction and improve care outcomes. The Center for Medicaid/Medicare Services, through its EHR Incentive Program, has required eligible hospitals and professionals to send and receive secure messages from patients in order to receive financial incentives and avoid reimbursement penalties. Secure messaging between providers and patients has the potential to improve communication and care outcomes. The purpose of this study was to use National Health Interview Series (NHIS) data to identify the patient characteristics associated with communicating with healthcare providers via email. Individual patient characteristics were analyzed to determine the likelihood of emailing healthcare providers. The use of email for this purpose is associated with educational attainment, having a usual place of receiving healthcare, income, and geography. Publicly available data such as the NHIS may be used to better understand trends in adoption and use of consumer health information technologies.

  14. Bedside rationing by general practitioners: a postal survey in the Danish public healthcare system

    DEFF Research Database (Denmark)

    Lauridsen, Sigurd; Norup, Michael; Rossel, Peter

    2008-01-01

    ABSTRACT: BACKGROUND: It is ethically controversial whether medical doctors are morally permitted to ration the care of their patients at the bedside. To explore whether general practitioners in fact do ration in this manner we conducted a study within primary care in the Danish public healthcare...... of the study were twofold: an assessment of the proportion of GPs who, in a mainly hypothetical setting, would consider cost-quality trade-offs relevant to their clinical decision-making given their economic impact on the healthcare system; and a measure of the extent to which they would disclose...... this information to patients. RESULTS: In the hypothetical setting 95% of GPs considered cost-quality trade-offs relevant to their clinical decision-making given the economic impact of such trade-offs on the healthcare system. In all 90% stated that this consideration had been relevant in clinical decision...

  15. Public Sector Reform and Governance for Adaptation: Implications of New Public Management for Adaptive Capacity in Mexico and Norway

    Science.gov (United States)

    Eakin, Hallie; Eriksen, Siri; Eikeland, Per-Ove; Øyen, Cecilie

    2011-03-01

    Although many governments are assuming the responsibility of initiating adaptation policy in relation to climate change, the compatibility of "governance-for-adaptation" with the current paradigms of public administration has generally been overlooked. Over the last several decades, countries around the globe have embraced variants of the philosophy of administration broadly called "New Public Management" (NPM) in an effort to improve administrative efficiencies and the provision of public services. Using evidence from a case study of reforms in the building sector in Norway, and a case study of water and flood risk management in central Mexico, we analyze the implications of the adoption of the tenets of NPM for adaptive capacity. Our cases illustrate that some of the key attributes associated with governance for adaptation—namely, technical and financial capacities; institutional memory, learning and knowledge; and participation and accountability—have been eroded by NPM reforms. Despite improvements in specific operational tasks of the public sector in each case, we show that the success of NPM reforms presumes the existence of core elements of governance that have often been found lacking, including solid institutional frameworks and accountability. Our analysis illustrates the importance of considering both longer-term adaptive capacities and short-term efficiency goals in public sector administration reform.

  16. The Size, Financing and Impact of the Public Sector Deficit, 1975-198

    OpenAIRE

    1988-01-01

    The manner by which the government has chosen to finance the fiscal deficit in the given period and the economic consequences of financing of government expenditures are discussed in this paper. It documents the size of the government deficit from 1975-1984 through the presentation of a consistent series of consolidated public sector. It also analyzes the implications of the fiscal deficit on public debt, interest rate, capital formation, money creation and inflation.

  17. Third Way, Third Sector and the partnership IAS/public education system in Brazil

    Directory of Open Access Journals (Sweden)

    Vera Maria Vidal Peroni

    2009-06-01

    Full Text Available This paper aims to debate on the public-private partnerships in education and to bring elements from the third way and third sector as an important part of this topic. And to present some consequences of the partnerships for democratic management, that is, how the logic of market as a parameter of efficiency is incorporated by public administration, and the consequences of this fact on the educational policies.

  18. The Role of Accounting and Internal Control in Reducing Bureaucracy in the Public Sector

    OpenAIRE

    Luminita Ionescu

    2016-01-01

    The aim of this paper is to present the relation between efficient internal control and accounting procedures and how the internal control system could play an important role in reducing bureaucracy. Nowadays, the government accounting and control of public finances are a national and international priority, in the context refugee crisis and terrorist attacks. Modernization of the public sector accounting could accelerate the process of reducing bureaucracy by implementing accounting informat...

  19. Output-Driven Funding and Budgeting Systems in the Public Sector

    OpenAIRE

    Marc Robinson

    2002-01-01

    Output-driven funding systems are systems in which payments made to service-delivery agencies by government are an explicit function of quantities of outputs delivered by those agencies. This paper considers the feasibility of such systems for the funding tax-financed public services. It focuses upon the implications of key characteristics of public sector outputs, and specifically upon the prevalence of heterogeneous outputs, the predominance of services (as opposed to physical goods), and t...

  20. How innovation drivers, networking and leadership shape public sector innovation capacity

    DEFF Research Database (Denmark)

    Lewis, Jenny M; Ricard, Lykke Margot; Klijn, Erik Hans

    2017-01-01

    The need to understand innovation in public sector environments is growing. There is also a need to build theory, test it empirically and compare across jurisdictions. This article aims to understand the factors that have an impact on innovation capacity. It examines the self-rated innovation cap...

  1. Training in the Public Sector in a Period of Austerity: The Case of the UK

    Science.gov (United States)

    Jewson, Nick; Felstead, Alan; Green, Francis

    2015-01-01

    This article examines what has happened to training in public sector organisations in the UK in a period of austerity. It draws on individual-level data collected over the period 2000-2012 and establishment-level data collected from employer surveys carried out between 2005 and 2012. To understand these data further, 75 qualitative interviews with…

  2. How Do Private Sector Schools Serve the Public Good by Fostering Inclusive Service Delivery Models?

    Science.gov (United States)

    Scanlan, Martin; Tichy, Karen

    2014-01-01

    Conversations about promoting educational reforms that redress educational inequities often ignore private schools as irrelevant. Yet pursuits of inclusivity in private sector schools serve the public interest. This article focuses on how the system of Catholic schools in the Archdiocese of St. Louis has been purposefully striving for 2 decades to…

  3. Cross reaction and forensic comparison of blood testing done by private and public sector laboratories

    Directory of Open Access Journals (Sweden)

    Christian Stadler

    2017-06-01

    Full Text Available Blood evidence consists of one of the most important forensic pieces. However, it is not always easy to identify a stain as blood. The best and fastest way of doing so, is by using rapid screening derived from immunochromatographic tests to spot hemoglobin. However, cross reaction between species might be an issue since hemoglobin of other animals could be present, especially considering crimes against fauna, outdoor crime scenes with an easy access for animals, and human and domestic animal trauma cases. According to the particular structure in each country there are private and/or public laboratories working in this field. Methods and resources from private and public sectors are different, and procedures also differ from country to country. The main objective of our work was to validate the presence of human blood using interspecific samples and the criteria defined by each lab using rapid blood detection test kits from the public sector related to forensic analysis in Brazil and from the private sector in Germany. As a secondary goal, we have evaluated sensibility, the Hook Effect and pH effect in some commercially available kits. Our results showed that the tests carried out are suitable for the detection of human blood in forensic samples using methods commonly employed in the public and private sectors.

  4. Human Resource Development Mechanism and the Performance of Public Sector Accountants’ in Nigeria

    Directory of Open Access Journals (Sweden)

    Appah Ebimobowei

    2012-05-01

    Full Text Available The study examines human resource development on the performance of public sector accountants’ in Nigeria. The quality of accountants’ available is a function of reliable and acceptable financial reporting framework that will improve productivity in the public sector. This can only be achieved through an effective and efficient human resource development structure. To achieve the objective of the study, primary and secondary data were used. The primary data was obtained through a well structured questionnaire administered to one hundred and nineteen public sector accountants in Bayelsa State and the data obtained were analysed with econometric models of multiple regression, granger causality test and diagnostic test. The Cronbach’s alphas model was used to verify the reliability of the instrument. The study found that job training, performance appraisal, career planning and reward employee welfare was positively related to productivity of public sector accountants’ in Nigeria. Based on these findings, the implications for human resource development mechanism practice and recommendations were discussed.

  5. Networking and Managers' Career Success in the Malaysian Public Sector: The Moderating Effect of Managerial Level

    Science.gov (United States)

    Rasdi, Roziah Mohd; Garavan, Thomas N.; Ismail, Maimunah

    2012-01-01

    Purpose: The purpose of this paper is to investigate how managerial level moderates the relationships between networking behaviours and career success (objective and subjective) in the context of a public sector organisation in Malaysia. Design/methodology/approach: The study utilised a cross-sectional design and investigated these relationships…

  6. Containing costs in public sector hospitals a strategy for the future

    African Journals Online (AJOL)

    1990-08-04

    Aug 4, 1990 ... about expenditure in the public and the private health care sectors. ... Groote Schuur Hospital and Department of Community .... from 1985/86 is due to expenditure on equipment (non- .... much work is still required to correct the methodological .... and Eric Wilson, Miss D. McIntyre, and Messrs Renee Trmer,.

  7. Theoretical and practical implacations from the use of structuration theory in public sector information systems research

    NARCIS (Netherlands)

    Veenstra, A.F.E. van; Melin, U.; Axelson, K.

    2014-01-01

    To gain better understanding of the development, implementation and use of information technology (IT), many scholars in the field of information systems (IS) use structuration theory (ST). However, ST is, so far, more seldom applied to, and reflected upon, in studies of public sector IS to account

  8. staff/bed and staff/patient ratios in south african public sector mental ...

    African Journals Online (AJOL)

    service levels; numbers of psychiatric beds; and numbers of patients who attend ... staff at all levels of public sector health care in South Africa. The information ..... distribution,''3 have been a cause of concern in recent South. African mental ...

  9. How to Enhance the Impact of Training on Service Quality? Evidence from Malaysian Public Sector Context

    Science.gov (United States)

    Zumrah, Abdul Rahim

    2015-01-01

    Purpose: The purpose of this study is to highlight the importance role of transfer of training as a mediator in the relationship between training and service quality. Design/methodology/approach: The data of this study were collected from three sources: the employees of public sector organizations in Malaysia who participated in a Basic Financial…

  10. The use of performance measuement systems in the public sector : Effects on performance

    NARCIS (Netherlands)

    Speklé, R.F.; Verbeeten, F.H.M.

    2009-01-01

    In this project, we study the use of performance measurement systems in the public sector. We hypothesize that the way in which these systems are being used depends on the characteristics of the activities -particularly on contractibility, which is a broad construct encompassing clarity of goals, th

  11. Preparing for Public Life: School Sector and the Educational Context of Lasting Citizen Formation

    Science.gov (United States)

    Dill, Jeffrey S.

    2009-01-01

    School sector and educational context seem to make a difference in civic socialization. There is limited knowledge, however, of the mechanisms through which socialization may occur in public and private schools, and the extent to which they have any lasting effect. Does the private school effect on civic socialization persist into young adulthood,…

  12. Comparison of Ethical Dilemmas across Public and Private Sectors in Rehabilitation Counseling Practice

    Science.gov (United States)

    Beveridge, Scott; Garcia, Jorge; Siblo, Matt

    2015-01-01

    Purpose: To examine the nature of ethical dilemmas most frequently reported by rehabilitation counselors in the private and public sectors and determine if significant differences exist in how practitioners experience ethical dilemmas in these two settings. Method: A mixed-methods internet-based survey design was utilized and included descriptive,…

  13. Comparison of Ethical Dilemmas across Public and Private Sectors in Rehabilitation Counseling Practice

    Science.gov (United States)

    Beveridge, Scott; Garcia, Jorge; Siblo, Matt

    2015-01-01

    Purpose: To examine the nature of ethical dilemmas most frequently reported by rehabilitation counselors in the private and public sectors and determine if significant differences exist in how practitioners experience ethical dilemmas in these two settings. Method: A mixed-methods internet-based survey design was utilized and included descriptive,…

  14. Evaluation of Large-Scale Public-Sector Reforms: A Comparative Analysis

    Science.gov (United States)

    Breidahl, Karen N.; Gjelstrup, Gunnar; Hansen, Hanne Foss; Hansen, Morten Balle

    2017-01-01

    Research on the evaluation of large-scale public-sector reforms is rare. This article sets out to fill that gap in the evaluation literature and argues that it is of vital importance since the impact of such reforms is considerable and they change the context in which evaluations of other and more delimited policy areas take place. In our…

  15. Factors Influencing the Adoption of and Business Case for Cloud Computing in the Public Sector

    NARCIS (Netherlands)

    Kuiper, E.; Van Dam, F.; Reiter, A.; Janssen, M.F.W.H.A.

    2014-01-01

    Cloud adoption in the public sector is taking off slowly, which is perceived as a problem. Models of factors influencing cloud adoption are derived for better understanding using literature and results obtained via desk research and surveys by the Cloud for Europe project. We conclude that several f

  16. Factors Influencing Sample Size for Internal Audit Evidence Collection in the Public Sector in Kenya

    Directory of Open Access Journals (Sweden)

    Kamau Charles Guandaru

    2017-01-01

    Full Text Available The internal audit department has a role of providing objective assurance and consulting services designed to add value and improve an organization’s operations. In performing this role the internal auditors are required to provide an auditor’s opinion which is supported by sufficient and reliable audit evidence. Since auditors are not in a position to examine 100% of the records and transactions, they are required to sample a few and make conclusions on the basis of the sample selected. The literature suggests several factors which affects the sample size for audit purposes of the internal auditors in the public sector in Kenya. This research collected data from 32 public sector internal auditors. The research carried out simple regression and correlation analysis on the data collected so as to test hypotheses and make conclusions on the factors affecting the sample size for audit purposes of the internal auditors in the public sector in Kenya. The study found out that that materiality of audit issue, type of information available, source of information, degree of risk of misstatement and auditor skills and independence are some of the factors influencing the sample size determination for the purposes of internal audit evidence collection in public sector in Kenya.

  17. Coordination Incentives, Performance Measurement and Resource Allocation in Public Sector Organizations

    DEFF Research Database (Denmark)

    Dietrichson, Jens

    Why are coordination problems common when public sector organizations share responsibilities, and what can be done to mitigate such problems? This paper uses a multi-task principal-agent model to examine two related reasons: the incentives to coordinate resource allocation and the difficulties...

  18. The skills gap in nursing management in the South African public health sector.

    Science.gov (United States)

    Pillay, Rubin

    2011-01-01

    Nurse managers are central to health delivery in South Africa. However, there is a paucity of research that analyzes their competence to successfully discharge their managerial role. To identify the competencies perceived to be important for effective nursing management in the South African public sector and the managers' self-assessed proficiency in these. A cross-sectional survey using a self-administered questionnaire. 215 senior nursing managers at South African public sector hospitals. Respondents rated the level of importance that 51 proposed competencies had in their job and indicated their proficiency in each. Public sector managers ranked controlling as the most important competency, followed by leading, organizing, and self-management. Health/clinical skills, planning, and legal/ethical competencies were ranked as being relatively less important. They assessed themselves as being most competent in self-management, followed by planning, controlling, leading, and specific health skills. The competency gap was the largest for legal/ethical issues, organizing, and controlling. The competency gap for planning and self-management was relatively smaller. This research confirms that there is a lack of management capacity within the public health sector and also identifies the areas in which the lack of knowledge or skills is most significant. © 2011 Wiley Periodicals, Inc.

  19. The use of performance measurement systems in the public sector: effects on performance

    NARCIS (Netherlands)

    Speklé, R.; Verbeeten, F.H.M.

    2014-01-01

    We study the use of performance measurement systems in the public sector. We hypothesize that the way in which these systems are being used affects organizational performance, and that these performance effects depend on contractibility. Contractibility encompasses clarity of goals, the ability to

  20. The use of performance measurement systems in the public sector : Effects on performance

    NARCIS (Netherlands)

    Speklé, R.F.; Verbeeten, F.H.M.

    2014-01-01

    We study the use of performance measurement systems in the public sector. We hypothesize that the way in which these systems are being used affects organizational performance, and that these performance effects depend on contractibility. Contractibility encompasses clarity of goals, the ability to