STUDY OBJECTIVES (1) To evaluate the development of clinical governance within public health departments. (2) To assess two models for examining clinical governance in public health departments. DESIGN Semi-structured interviews carried out during the annual visits of the regional director of public health to the health authority public health departments. SETTING West Midland Region, Engla...

Understanding the food-energy-water nexus is necessary to identify risks and inform strategies for nexus governance to support resilient, secure, and sustainable societies. To manage risks and realize efficiencies, we must understand not only how these systems are physically connected but also how they are institutionally linked. It is important to understand how actors who make planning, manag...

in the highest–level institutions and the most concretely defined in the lowest–level institutions. To give an example, at the (typically) highest level of governance human rights charters use abstract terminology such as ‘fairness’ or ‘privacy’ which can have many different interpretations. At a slightly lower–level, such as supranational agreements or EU directives, the terminology is more pr...

This paper explores the different urban governance models proposed by multilateral organisations in accessing water through informal supply systems, to assess the rationale and the guiding principles at the basis of their different ‘governance approaches’. There can be no doubt that all developing countries are now experiencing a rapid and unprecedented urban growth, which is entailing a rising...

Purpose – The governance structure of monasteries is analyzed to gain new insights and apply them to solve agency problems of modern corporations. In a historic analysis of crises and closures we ask, if Benedictine monasteries were and are capable of solving agency problems. The analysis shows that monasteries established basic governance instruments very early and therefore were able to survi...

This article advances a principled proportionate governance model (PPGM) that overcomes key impediments to using health records for research. Despite increasing initiatives for maximising benefits of data linkage, significant challenges remain, including a culture of caution around data sharing and linkage, failure to make use of flexibilities within the law and failure to incorporate intellige...

In the Latin American region there is a notable absence of conceptual coherency in the use of the terms governability and governance. This is true for their application to both the social and political sciences and health. Researchers' understanding of governance varies, and the concept is used heterogeneously within academic circles, with ignorance of the term on the part of decision-makers an...

Cloud computing and Enterprise Interoperability could help enterprises flexibly fit market challenges, collaborating with their partners. Cloud computing models can be splited into three basic designs: Infrastructure-as-a-Service (IaaS); Platform-as-a-Service (PaaS) and Software-as-a-Service (SaaS). Recently, everything/ anything as a Service (XaaS) is becoming a mainstream of evolution of clou...

Background The Government of Romania commissioned international technical assistance to help unpacking the causes of arrears in selected public hospitals. Emphases were placed on the governance-related determinants of the hospital performance in the context of the Romanian health system.   Methods The assessment was structured around a public hospital governance framewor...

Strengthening good governance and preventing corruption in health care are universal challenges. The Karnataka Lokayukta (KLA), a public complaints agency in Karnataka state (India), was created in 1986 but played a prominent role controlling systemic corruption only after a change of leadership in 2001 with a new Lokayukta (ombudsman) and Vigilance Director for Health (VDH). This case study of...