expertise of a group as a grounds for self-governance. The new literature on professions also notes that they employ universities in their struggle for governance, focus their control projects on the state, and constantly try to invade other groups’ professional territory.” Id. at 104. Once anchored in, change is difficult to effectuate. “One can see that, once in existence, the organization of...

Background There is global emphasis on transforming health workforce education in support of universal health coverage. Objective This paper uses a social accountability framework, specifically the World Health Organization's six building blocks for transformative education, to explore key informants' perspectives on nursing education in South Africa. Methods Using a snowballing sampling techni...

The literature on organization design is dominated by ideas and theories on how to manage manual work. This understanding is driven by a division of labor based on clear-cut responsibilities and by focusing on hierarchical organization structures like the U-form, M-form, and matrix. Governance mechanisms, for the most part, have been focused on transactional solutions, that is, on the monitorin...

OBJECTIVE To investigate patients' perceptions of improvement potential in primary care in 34 countries. METHODS We did a cross-sectional survey of 69 201 patients who had just visited general practitioners at primary-care facilities. Patients rated five features of person-focused primary care - accessibility/availability, continuity, comprehensiveness, patient involvement and doctor-patient ...

BACKGROUND AND OBJECTIVES Training partnerships between family medicine residencies (FMRs) and community health centers (CHCs) are a potential solution to the chronic problem of health workforce shortages in CHCs. We conducted a national survey to identify the barriers to training family medicine residents in CHCs. METHODS We asked US family medicine residency directors to identify barriers t...

This paper explores how governance processes for nursing curriculum in South Australia changed since the 1950s. The strategy used to undertake this analysis is through discourse analysis of nursing curriculum from the 1950s to recent times. An archive of curriculum data were collected from educational curriculum documents, historical records and government reports. Analysis of this textual data...

INTRODUCTION Nigeria is one of the low and middle income countries (LMICs) facing severe resource constraint, making it impossible for adequate resources to be allocated to the health sector. Priority setting becomes imperative because it guides investments in health care, health research and respects resource constraints. The objective of this study was to enhance the knowledge and understandi...

The Centers for Disease Control and Prevention (CDC) implemented the Diffusion of Effective Behavioral Interventions Project to disseminate evidence-based behavioral interventions to community-based HIV prevention providers. Through development of intervention-specific technical assistance guides and provision of face-to-face, telephone, and e-mail technical assistance, a range of capacity-buil...

In 2007, the Department of Veterans Affairs (VA) established the VA Nursing Academy (VANA), a 5-year, $60-million pilot program funding 15 partnerships between schools of nursing and local VA health care facilities nationwide, to expand nursing faculty, enhance clinical faculty development, increase nursing student enrollment, and promote educational innovations. VA is an ideal setting for educ...