Regionalization for stroke care, including stroke center designation, is being implemented in the United States, Canada, or other countries. Limited information is available, however, concerning the relationships among regionalization, processes, and outcomes for stroke care. We examined the association of regionalization with processes and outcomes, and the mediating effect of processes of car...

In the European Union, Member States and their regions are responsible for planning, funding and administration of public services, which should be based also on smart city tools. How smart is a city could be evaluated also by its ability to produce favorable conditions to get urban operators actively involved into spatial innovation dynamics, also to develop the innovative public logistics net...

While politicians have known for years that the essence ofleadership is embodied in a keen awareness of what the followers want, that news hasn't yet percolated sufficiently deeply into the medical care field. This is an excellent book-a model of thoughtful, academic analysis and insights, with a dash of historical relevance to give it the appearance of utility. Regionali7ation is good, necessa...

BACKGROUND Regionalization of adult critical care services may improve outcomes for critically ill patients. We sought to develop a framework for understanding clinician attitudes toward regionalization and potential barriers to developing a tiered, regionalized system of care in the United States. METHODS We performed a qualitative study using semi-structured interviews of critical care stak...

This article examines the regionalization process in the Brazilian Health System, identifying frameworks and challenges of this process from critical dialogue on the subject, contextualized by the experience of the management system and in the light of an established theoretical debate in the last decade. We used the thematic content analysis of legal and documentary surveys of the regionalizat...

The cyclical economic downturn in the United States has forced many Extension administrators to rethink and adjust services and programming. The Cooperative Extension System (CES), the organization primarily responsible for governmental Extension work in the United States, at Iowa State University responded to this economic downturn by restructuring its organization from county based to a regio...

The implications from the Brazilian federal structure on the regionalization of health actions and services in the National Unified Health System (SUS) were analyzed, considering that the regional health planning in Brazil takes place within the context of intergovernmental relations as an expression of cooperative federalism in health. The analysis was based on a historical approach to Brazili...