Some jurisdictions have reduced workforce and reallocated responsibilities for public health preparedness and emergency management to more efficiently use resources and improve planning and response. Key informant interviews were conducted in six counties in North Carolina (USA) to discuss perceptions of the challenges and opportunities provided by the new shared positions. Respondents feel tha...

We develop a discrete or finite household model with congestable local public goods where the level of provision, the number of facilities and their locations are all endogenously determined in a purely normative context. We prove the existence of an equal-treatment identical-provision second best optimum, where all households are required to reach the same utility level, the provision of local...

Does popular ideology affect public policies enacted in a country? The baseline argument links popular ideology input to policy output. Either a population more often elects a party with its favored ideology into office, which then implements policies in line with popular ideology. Alternatively, all parties pursue policies more in line with popular ideology. Under the first view, popular ideol...

The role of total quality management in raising the service quality of public health laboratories in developing countries Mallapaty, Gabriele In 1998, the World Health Organisation (WHO) renewed its appeal to support the Health for All strategy in less developed countries. This underlines the realisation, that two decades after the Alma-Ata declaration, the implementation of Primary Health Care...

Of the free legal counselling conducted by lawyers following the Great East Japan Earthquake, the results of analysis of approx. 40,000 cases have been disclosed by the Japan Federation of Bar Associations. These analysis results have been used as evidence serving as the basis for system revision and new legislation following the disaster, and have been of value to public policy, to a certain e...

BACKGROUND Climate change is expected to have a range of health impacts, some of which are already apparent. Public health adaptation is imperative, but there has been little discussion of how to increase adaptive capacity and resilience in public health systems. OBJECTIVES We explored possible explanations for the lack of work on adaptive capacity, outline climate-health challenges that may ...

1 Duzce University, Faculty of Business, Department of Health Institutions Management, Duzce, Turkey 2 Duzce University, The Vocational School of Health Services, Duzce, Turkey 3 Ministry of Health, Sakarya University Teaching and Research Hospital, Sakarya, Turkey 4 Gulhane Military Medical Academy, The Vocational School of Health Non-commissioned Officer, Ankara,Turkey 5 General Secretariat o...

background. in the medical sense, stigma has been defined as the collection of negative attitudes and beliefs that are directed at people living with a particular condition or disease process. a cohort study was conducted to explore the hiv stigma that is perceived by hiv positive individuals versus that perceived by the general population within a community based dental clinic. methods. two se...

abstract aims: health, safety and environment is an integrated and convergence system and also a synergistic arrangement of human resources, facilities and equipment. this study aimed to determine the relationship of safety climate and perception of risk with the awareness level of hse management system among oil refineries employees. instrument & methods: this cross-sectional study was perform...

private healthcare services in vietnam are seen as a major part of the solution to the rapid increase in need and demand for healthcare services. formally recognized over 20 years ago, the private health services coexist with public services and are available all over the country. however, the scale and size of private sector is still small compared to the public sector and public acceptance an...