How nutrition policy affects food and agricultural policy.

PubMed

Johnson, S R

1994-09-01

The impact of the improved understanding of nutrition and the importance of the diet in nutrition status has had subtle but far-reaching consequences for food and agricultural policy. Many of the changes in the food supply are in response to increased consciousness of diet, nutrition and health status. The simple connection between nutrition policy and food and agricultural policy follows from the sovereignty of the consumer. Nutrition policy influences consumers' attitudes and choices. These impact the behavior of agents in the food and production system. And, if properly designed, food and agricultural policies can accelerate the process of adapting the production and distribution systems for agriculture and food to better meet the demands of the more informed consumer. Policies that reflect the behavior of consumers and supply better information to the agents in the food and agricultural system will be the most effective.

Agricultural Trade Negotiations: Stalemate in the Uruguay Round

DTIC Science & Technology

1991-02-01

230627 initiate radical reform of the Common Agricultural Policy . This policy has been a cornerstone of the European Community. In its October 1990...objectives of its Common Agricultural Policy . The EC has been more concerned with maintaining its members’ significant rural population and income...of the Agricultural Policy Advisory Committee and the 10 commodity-specific Agricultural Technical Advi- sory Committees.6 As requested, we did not

Expressions of agency within complex policy structures: science teachers' experiences of education policy reforms in Sweden

NASA Astrophysics Data System (ADS)

Ryder, Jim; Lidar, Malena; Lundqvist, Eva; Östman, Leif

2018-03-01

We explore the experiences of school science teachers as they enact three linked national curriculum and assessment policy reforms in Sweden. Our goal is to understand teachers' differing responses to these reforms. A sample of 13 teachers engaged in 2 interviews over a 6-9-month period. Interviews included exploration of professional background and school context, perceptions of the aims of the policy reforms and experiences of working with these reforms in the classroom. Analysis was guided by an individual-oriented sociocultural perspective on professional agency. Here teaching is conceptualised as an ongoing interplay between teachers' knowledge, skills and personal goals, and the characteristics of the social, institutional and policy settings in which they work. Our analysis shows that navigating the ensuing continuities and contradictions results in many different expressions of teacher agency, e.g. loss of autonomy and trust, pushing back, subversion, transfer of authority, and creative tensions. Typically, an individual teacher's enactment of these reforms involved several of these expressions of agency. We demonstrate that the sociocultural perspective provides insights into teachers' responses to education policy reform likely to be missed by studies that focus largely on individual teacher knowledge/beliefs about reform or skills in 'implementing' reform practices.

Agricultural Trade Negotiations at a Crossroads

DTIC Science & Technology

1991-02-28

interests and the commitment of the EC to the social policy objectives of the Common Agricultural Policy . The EC has been especially concerned with...willingness on the part of the EC to reform its Common Agricultural Policy , there would be little reason to extend fast-track authority or to continue the...implementing legislation up or down without amendments. 5 Committees 5 for specific commodity sectors, there is the higher- level Agricultural Policy Advisory

Policy Capacity for Health Reform: Necessary but Insufficient: Comment on "Health Reform Requires Policy Capacity".

PubMed

Adams, Owen

2015-09-04

Forest and colleagues have persuasively made the case that policy capacity is a fundamental prerequisite to health reform. They offer a comprehensive life-cycle definition of policy capacity and stress that it involves much more than problem identification and option development. I would like to offer a Canadian perspective. If we define health reform as re-orienting the health system from acute care to prevention and chronic disease management the consensus is that Canada has been unsuccessful in achieving a major transformation of our 14 health systems (one for each province and territory plus the federal government). I argue that 3 additional things are essential to build health policy capacity in a healthcare federation such as Canada: (a) A means of "policy governance" that would promote an approach to cooperative federalism in the health arena; (b) The ability to overcome the "policy inertia" resulting from how Canadian Medicare was implemented and subsequently interpreted; and (c) The ability to entertain a long-range thinking and planning horizon. My assessment indicates that Canada falls short on each of these items, and the prospects for achieving them are not bright. However, hope springs eternal and it will be interesting to see if the July, 2015 report of the Advisory Panel on Healthcare Innovation manages to galvanize national attention and stimulate concerted action. © 2016 by Kerman University of Medical Sciences.

Reform and Relapse in Bilingual Policy in Moldova

ERIC Educational Resources Information Center

Ciscel, Matthew H.

2010-01-01

In the Republic of Moldova, language education policy has shifted since independence from an uneven Soviet policy, in which minority Russian dominated, towards somewhat more equitable European norms. Although many reforms in language education have been beneficial in producing a more balanced bilingualism, official policy has at times tended…

Credible Immigration Policy Reform: A Response to Briggs

ERIC Educational Resources Information Center

Orrenius, Pia M.; Zavodny, Madeline

2012-01-01

The authors agree with Vernon M. Briggs, Jr., that U.S. immigration policy has had unexpected consequences. The 1965 immigration reforms led to unanticipated chain migration from developing countries whereas the 1986 Immigration Reform and Control Act failed to slow unauthorized immigration. The result is a large foreign-born population with…

Mexico's "ley de narcomenudeo" drug policy reform and the international drug control regime.

PubMed

Mackey, Tim K; Werb, Daniel; Beletsky, Leo; Rangel, Gudelia; Arredondo, Jaime; Strathdee, Steffanie A

2014-11-14

It has been over half a century since the landmark Single Convention on Narcotic Drugs was adopted, for the first time unifying international drug policy under a single treaty aimed at limiting use, manufacture, trade, possession, and trafficking of opiates, cannabis, and other narcotics. Since then, other international drug policy measures have been adopted, largely emphasizing enforcement-based approaches to reducing drug supply and use. Recently, in response to concerns that the historic focus on criminalization and enforcement has had limited effectiveness, international drug policies have begun to undergo a paradigm shift as countries seek to enact their own reforms to partially depenalize or deregulate personal drug use and possession. This includes Mexico, which in 2009 enacted national drug policy reform partially decriminalizing possession of small quantities of narcotics for personal consumption while also requiring drug treatment for repeat offenders. As countries move forward with their own reform models, critical assessment of their legal compatibility and effectiveness is necessary. In this commentary we conduct a critical assessment of the compatibility of Mexico's reform policy to the international drug policy regime and describe its role in the current evolving drug policy environment. We argue that Mexico's reform is consistent with flexibilities allowed under international drug treaty instruments and related commentaries. We also advocate that drug policy reforms and future governance efforts should be based on empirical evidence, emphasize harm reduction practices, and integrate evidence-based evaluation and implementation of drug reform measures.

Reforms: a quest for efficiency or an opportunity for vested interests'? A case study of pharmaceutical policy reforms in Tanzania.

PubMed

Mori, Amani Thomas; Kaale, Eliangiringa Amos; Risha, Peter

2013-07-13

Regulation of the pharmaceutical sector is a challenging task for most governments in the developing countries. In Tanzania, this task falls under the Food and Drugs Authority and the Pharmacy Council. In 2010, the Pharmacy Council spearheaded policy reforms in the pharmaceutical sector aimed at taking over the control of the regulation of the business of pharmacy from the Tanzania Food and Drugs Authority. This study provides a critical analysis of these reforms. The study employed a qualitative case-study design. Data was collected through in-depth interviews, focus group discussions and document reviews. Data was analyzed thematically using a policy triangle framework. The analysis was done manually. The reforms adopted an incremental model of public policy-making and the process was characterized by lobbying for political support, negotiations and bargaining between the interest groups. These negotiations were largely centred on vested interests and not on the impact of the reforms on the efficiency of pharmaceutical regulations in the country. Stakeholders from the micro and meso levels were minimally involved in the policy reforms. Recent pharmaceutical regulation reforms in Tanzania were overshadowed by vested interests, displacing a critical analysis of optimal policy options that have the potential to increase efficiency in the regulation of the business of pharmacy. Politics influenced decision-making at different levels of the reform process.

Governmental policies and measures regulating nitrogen and phosphorus from animal manure in European agriculture.

PubMed

Oenema, O

2004-01-01

This paper discusses governmental policies and measures that regulate the use of animal manure in the European Union (EU-15). Systematic intervention by governments with European agriculture in general started at the end of the 19th century. Major changes in governmental policies on agriculture followed after the establishment of the EU and its Common Agricultural Policy (CAP) in 1957. Environmental side effects of the large-scale intensification of agricultural production were addressed following the reform of the CAP and the implementation of various environmental regulations and directives from the beginning of the 1990s. The Nitrate Directive approved in 1991 has exerted, as yet, the strongest influence on intensive livestock production systems. This directive regulates the use of N in agriculture, especially through its mandatory measures to designate areas vulnerable to nitrate leaching and to establish action programs and codes of good agricultural practice for these areas. These measures have to ensure that for each farm the amount of N applied via livestock manure shall not exceed 170 kg x ha(-1) x yr(-1). These measures have large consequences, especially for countries with intensive animal agriculture, including The Netherlands, Belgium, Denmark, and Ireland. The mean livestock density in these countries is between 1.5 and 4 livestock units/ha, and the average amounts of N in animal manure range from 100 to 300 kg/ha of agricultural land. More than 10 yr after approval of the Nitrate Directive, there appears to be a delay in the implementation and enforcement in many member states, which reflects in part the major complications that arise from this directive for intensive livestock farming. It also reflects the fact that environmental policies in agriculture have economic consequences. The slow progress in the enforcement of environmental legislations in agriculture combined with the increasing public awareness of food safety, animal welfare, and

Agricultural policy, food policy, and communicable disease policy.

PubMed

Grant, Wyn

2012-12-01

Food and agricultural policy is an essential element of a communicable disease policy. The European Union has developed a more systematic and broadly based interest in questions of food safety and animal health and welfare linked to modernization of the Common Agricultural Policy, reflected in a new treaty obligation on animal welfare. Following the bovine spongiform encephalopathy crisis, moves were made to create a European competency, but implementation and enforcement resources reside with the member states. The European Animal Health Strategy is meant to lead to an EU animal health law, but this has already been constrained by fiscal austerity. The development of such a law may lead to a lowest common denominator formula that does little to enhance consumer protection or improve animal welfare. This is an inherent risk with top-down forms of Europeanization; more attention should be paid to lessons to be learned from bottom-up initiatives of the type used to counteract the bovine diarrhea virus. There will always be a tension among what is good policy for reducing the incidence of communicable disease, policy that is popular with EU citizens, and policy that is acceptable to member states.

Perceived Threat Associated with Police Officers and Black Men Predicts Support for Policing Policy Reform

PubMed Central

Skinner, Allison L.; Haas, Ingrid J.

2016-01-01

Racial disparities in policing and recent high-profile incidents resulting in the deaths of Black men have ignited a national debate on policing policies. Given evidence that both police officers and Black men may be associated with threat, we examined the impact of perceived threat on support for reformed policing policies. Across three studies we found correlational evidence that perceiving police officers as threatening predicts increased support for reformed policing practices (e.g., limiting the use of lethal force and matching police force demographics to those of the community). In contrast, perceiving Black men as threatening predicted reduced support for policing policy reform. Perceived threat also predicted willingness to sign a petition calling for police reform. Experimental evidence indicated that priming participants to associate Black men with threat could also reduce support for policing policy reform, and this effect was moderated by internal motivation to respond without prejudice. Priming participants to associate police officers with threat did not increase support for policing policy reform. Results indicate that resistance to policing policy reform is associated with perceiving Black men as threatening. Moreover, findings suggest that publicizing racially charged police encounters, which may conjure associations between Black men and threat, could reduce support for policing policy reform. PMID:27462294

Health reform requires policy capacity

PubMed Central

Forest, Pierre-Gerlier; Denis, Jean-Louis; Brown, Lawrence D.; Helms, David

2015-01-01

Among the many reasons that may limit the adoption of promising reform ideas, policy capacity is the least recognized. The concept itself is not widely understood. Although policy capacity is concerned with the gathering of information and the formulation of options for public action in the initial phases of policy consultation and development, it also touches on all stages of the policy process, from the strategic identification of a problem to the actual development of the policy, its formal adoption, its implementation, and even further, its evaluation and continuation or modification. Expertise in the form of policy advice is already widely available in and to public administrations, to well-established professional organizations like medical societies and, of course, to large private-sector organizations with commercial or financial interests in the health sector. We need more health actors to join the fray and move from their traditional position of advocacy to a fuller commitment to the development of policy capacity, with all that it entails in terms of leadership and social responsibility. PMID:25905476

Modelling Common Agricultural Policy-Water Framework Directive interactions and cost-effectiveness of measures to reduce nitrogen pollution.

PubMed

Mouratiadou, Ioanna; Russell, Graham; Topp, Cairistiona; Louhichi, Kamel; Moran, Dominic

2010-01-01

Selecting cost-effective measures to regulate agricultural water pollution to conform to the Water Framework Directive presents multiple challenges. A bio-economic modelling approach is presented that has been used to explore the water quality and economic effects of the 2003 Common Agricultural Policy Reform and to assess the cost-effectiveness of input quotas and emission standards against nitrate leaching, in a representative case study catchment in Scotland. The approach combines a biophysical model (NDICEA) with a mathematical programming model (FSSIM-MP). The results indicate only small changes due to the Reform, with the main changes in farmers' decision making and the associated economic and water quality indicators depending on crop price changes, and suggest the use of target fertilisation in relation to crop and soil requirements, as opposed to measures targeting farm total or average nitrogen use.

Agricultural water policy reforms in China: a representative look at Zhangye City, Gansu Province, China.

PubMed

Akiyama, Tomohiro; Kharrazi, Ali; Li, Jia; Avtar, Ram

2017-12-07

Water resources are essential for agricultural production in the grain-producing region of China, and water shortage could significantly affect the production and international trade of agricultural products. China is placing effort in new policies to effectively respond to changes in water resources due to changes in land use/land cover as well as climatic variations. This research investigates the changes in land, water, and the awareness of farmer vis-à-vis the implementation of water-saving policies in Zhangye City, an experimental site for pilot programs of water resources management in China. This research indicates that the water saved through water-saving programs and changes in cropping structure (2.2 × 10 8  m 3  a -1 ) is perhaps lower than the newly increased water withdrawal through corporate-led land reclamation (3.7 × 10 8  m 3  a -1 ). Most critically, the groundwater withdrawal has increased. In addition, our survey suggests that local government is facing a dilemma of water conservation and agricultural development. Therefore, the enforcement of the ban on farmland reclamation and irrigation water quotas in our study area is revealed to be relatively loose. In this vein, the engagement of local stakeholders in water governance is essential for the future sustainable management of water resources.

An appraisal of policies and institutional frameworks impacting on smallholder agricultural water management in Zimbabwe

NASA Astrophysics Data System (ADS)

Nyagumbo, I.; Rurinda, J.

Policies and institutional frameworks associated with and / or impacting on agricultural water management (AWM) in smallholder farming systems in Zimbabwe were analyzed through literature reviews, feedback from stakeholder workshops, key informant interviews and evaluation of policy impacts on implemented case study projects/programmes. The study showed that Zimbabwe has gone a long way towards developing a water management policy addressing both equity and access, through the Water and ZINWA of 1998. However, lack of incentives for improving efficient management and utilization of water resources once water has reached the farm gate was apparent, apart from punitive economic instruments levied on usage of increased volumes of water. For example, the new water reforms of 1998 penalized water savers through loss of any unused water in their permits to other users. In addition, the ability of smallholder farmers to access water for irrigation or other purposes was influenced by macro and micro-economic policies such as Economic Structural and Adjustment Programme (ESAP), Zimbabwe Programme for Economic and Social Transformation (ZIMPREST), prevailing monetary and fiscal policies, as well as the Land and Agrarian Reform policies. For instance, the implementation of ESAP from 1991 to 95 resulted in a decline in government support to management of communal irrigation schemes, and as a result only gravity-fed schemes survived. Also AWM projects/programmes that were in progress were prematurely terminated. While considerable emphasis was placed on rehabilitation of irrigation infrastructure since the fast track land reform in 1998, the policies remained rather silent on strategies for water management in rainfed systems. The piecemeal nature and fragmentation of policies and institutional frameworks scattered across government ministries and sectors were complex and created difficulties for smallholder farmers to access water resources. Poor policy implementation

The Effects of Liberalizing World Agricultural Trade: A Review of Modeling Studies

DTIC Science & Technology

2006-06-01

agricultural policy issues. Like the LINKAGE model analysis, the GTAP-AGR model analysis uses version 6.05 of the GTAP database with a base year of...the 2006 study—fully liberal- izing agricultural policy in equal increments from 2005 through 2010—would increase world economic welfare in 2015 by...Burfisher, ed., Agricultural Policy Reform in the WTO—The Road Ahead, Agricultural Economic Report No. 802 (U.S. Department of Agriculture, Economic

The Changing Face of Agricultural Education in Nigeria: Challenges and Prospects

ERIC Educational Resources Information Center

Egun, A. C.

2010-01-01

Self sufficiency in food and raw material production for agro-based industries has been the thrust of Nigerian agricultural policy. Realizing the goals of the policy has been bedevilled with series of plethora problems. This paper took a look at agricultural reforms, examined the problems of agricultural practices and suggests education of the…

Reviewing and reforming policy in health enterprise information security

NASA Astrophysics Data System (ADS)

Sostrom, Kristen; Collmann, Jeff R.

2001-08-01

Health information management policies usually address the use of paper records with little or no mention of electronic health records. Information Technology (IT) policies often ignore the health care business needs and operational use of the information stored in its systems. Representatives from the Telemedicine & Advanced Technology Research Center, TRICARE and Offices of the Surgeon General of each Military Service, collectively referred to as the Policies, Procedures and Practices Work Group (P3WG), examined military policies and regulations relating to computer-based information systems and medical records management. Using a system of templates and matrices created for the purpose, P3WG identified gaps and discrepancies in DoD and service compliance with the proposed Health Insurance Portability and Accountability Act (HIPAA) Security Standard. P3WG represents an unprecedented attempt to coordinate policy review and revision across all military health services and the Office of Health Affairs. This method of policy reform can identify where changes need to be made to integrate health management policy and IT policy in to an organizational policy that will enable compliance with HIPAA standards. The process models how large enterprises may coordinate policy revision and reform across broad organizational and work domains.

Policy and Workforce Reform in England

ERIC Educational Resources Information Center

Gunter, Helen M.

2008-01-01

Current workforce reform, known as Remodelling the School Workforce, is part of an enduring policy process where there have been tensions between public and private sector structures and cultures. I show that the New Right and New Labour governments who have built and configured site based performance management over the past quarter of a century…

Institutional stakeholder perceptions of barriers to addiction treatment under Mexico's drug policy reform.

PubMed

Werb, Dan; Strathdee, Steffanie A; Meza, Emilo; Rangel Gomez, Maria Gudelia; Palinkas, Lawrence; Medina-Mora, Maria Elena; Beletsky, Leo

2017-05-01

Mexico has experienced disproportionate drug-related harms given its role as a production and transit zone for illegal drugs destined primarily for the USA. In response, in 2009, the Mexican federal government passed legislation mandating pre-arrest diversion of drug-dependent individuals towards addiction treatment. However, this federal law was not specific about how the scale-up of the addiction treatment sector was to be operationalised. We therefore conducted in-depth qualitative interviews with key 'interactors' in fields affected by the federal legislation, including participants from the law enforcement, public health, addiction treatment, and governmental administration sectors. Among 19 participants from the municipal, state and federal levels were interviewed and multiple barriers to policy reform were identified. First, there is a lack of institutional expertise to implement the reform. Second, the operationalisation of the reform was not accompanied by a coordinated action plan. Third, the law is an unfunded mandate. Institutional barriers are likely hampering the implementation of Mexico's policy reform. Addressing the concerns expressed by interactors through the scale-up of services, the provision of increased training and education programmes for stakeholders and a coordinated action plan to operationalise the policy reform are likely needed to improve the policy reform process.

The European Union Food Distribution programme for the Most Deprived Persons of the community, 1987-2013: From agricultural policy to social inclusion policy?

PubMed

Caraher, Martin

2015-07-01

The European Union Food Distribution programme for the Most Deprived Persons (MDP) of the community ran from 1987 until 2013. It was funded from Common Agricultural Policy budgets. The programme initially made use of surplus foods from the food mountains resulting from intervention stocks. This food was then distributed through aid agencies within member states, coordinated at a national government level. Reform of the CAP and global rises in food prices resulted in an increase in budget from €300 to €500 million Euros in 2010 with the added power to buy food on the open market. This led to a formal challenge to the scheme on the basis that buying goods on the open market shifted the emphasis from an agricultural/financial basis to a social one. A court ruling found that because the program was no longer used for removing surpluses the link to agriculture policy has become tenuous and therefore had no basis in community law. As a result of this legal challenge a number of policy compromises ensured the MDP would continue until the end of 2013 with a reduced budget. The scheme has been superseded by a new scheme in March 2014 called the Fund for European Aid to the Most Deprived (FEAD). This is seen as a social programme. The way that policy and politics developed and changed the MDP programme are set out. The article tracks its move from being an agricultural policy to a social welfare one. The key policy players and actors in this move are set out as are the changing context and policy frameworks. The replacement of the MDP by FEAD is discussed as is how intensive lobbying in 2012/13 resulted in the development of a new Fund for European Aid to the Most Deprived (FEAD). Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Redistributive land and tenancy reform in Bangladesh agriculture.

PubMed

Taslim, M A

1993-04-01

Land is scarce and population dense in Bangladesh. Accordingly, there is great need to maximize agricultural production with intensive cultivation and the diffusion of modern technology. The realization of this goal, however, is impeded by the prevailing inequitable and inefficient structure of agricultural land tenure in which a few rural households hold the bulk of cultivatable land. Cropsharing and the system of land tenancy perpetuates low productivity and stagnation throughout the country. Development professionals, ruling politicians, and general populations in many countries under similar circumstances often suggest that share tenancy be abolished and tenants given ownership of tenanted plots, with large farms broken into smaller ones with an ultimate ceiling on farm size. The political and undertaken by new governments coming to power after violent social upheavals. Careful review reveals that such reform has hardly ever led to the establishment of prosperous and independent peasantries. Small family farms have instead become more dependent on the state and on off-farm employment. The rural elite is destroyed and a small peasant proprietorship dependent on the state is established which is ultimately controlled by the urban elite of the country; control over rural populations is reinforced. The dubious historical motivation for and results of land reform suggest that Bangladesh abandon its consideration in favor of promoting vocational training and education; providing research and extension services to agriculture for more rapid diffusion of high-yield innovations; mobilizing domestic resources to build up the infrastructure; fostering the development of private initiatives; and informing and advising about sustainable development practices to encourage their adoption so that an ecological balance may be maintained.

Monitoring HIV and AIDS Related Policy Reforms: A Road Map to Strengthen Policy Monitoring and Implementation in PEPFAR Partner Countries

PubMed Central

2016-01-01

Achieving an AIDS-free generation will require the adoption and implementation of critical health policy reforms. However, countries with high HIV burden often have low policy development, advocacy, and monitoring capacity. This lack of capacity may be a significant barrier to achieving the AIDS-free generation goals. This manuscript describes the increased focus on policy development and implementation by the United States President’s Emergency Plan for AIDS Relief (PEPFAR). It evaluates the curriculum and learning modalities used for two regional policy capacity building workshops organized around the PEPFAR Partnership Framework agreements and the Road Map for Monitoring and Implementing Policy Reforms. A total of 64 participants representing the U.S. Government, partner country governments, and civil society organizations attended the workshops. On average, participants responded that their policy monitoring skills improved and that they felt they were better prepared to monitor policy reforms three months after the workshop. When followed-up regarding utilization of the Road Map action plan, responses were mixed. Reasons cited for not making progress included an inability to meet or a lack of time, personnel, or governmental support. This lack of progress may point to a need for building policy monitoring systems in high HIV burden countries. Because the success of policy reforms cannot be measured by the mere adoption of written policy documents, monitoring the implementation of policy reforms and evaluating their public health impact is essential. In many high HIV burden countries, policy development and monitoring capacity remains weak. This lack of capacity could hinder efforts to achieve the ambitious AIDS-free generation treatment, care and prevention goals. The Road Map appears to be a useful tool for strengthening these critical capacities. PMID:26914708

Policy experimentation and innovation as a response to complexity in China's management of health reforms.

PubMed

Husain, Lewis

2017-08-03

There are increasing criticisms of dominant models for scaling up health systems in developing countries and a recognition that approaches are needed that better take into account the complexity of health interventions. Since Reform and Opening in the late 1970s, Chinese government has managed complex, rapid and intersecting reforms across many policy areas. As with reforms in other policy areas, reform of the health system has been through a process of trial and error. There is increasing understanding of the importance of policy experimentation and innovation in many of China's reforms; this article argues that these processes have been important in rebuilding China's health system. While China's current system still has many problems, progress is being made in developing a functioning system able to ensure broad population access. The article analyses Chinese thinking on policy experimentation and innovation and their use in management of complex reforms. It argues that China's management of reform allows space for policy tailoring and innovation by sub-national governments under a broad agreement over the ends of reform, and that shared understandings of policy innovation, alongside informational infrastructures for the systemic propagation and codification of useful practices, provide a framework for managing change in complex environments and under conditions of uncertainty in which 'what works' is not knowable in advance. The article situates China's use of experimentation and innovation in management of health system reform in relation to recent literature which applies complex systems thinking to global health, and concludes that there are lessons to be learnt from China's approaches to managing complexity in development of health systems for the benefit of the poor.

Interest Groups' Influence over Drug Pricing Policy Reform in South Korea

PubMed Central

Chung, Woojin

2005-01-01

In 1999, the Korean government made a drug pricing policy reform to improve the efficiency and transparency of the drug distribution system. Yet, its policy formation process was far from being rational. Facing harsh resistance from various interest groups, the government changed its details into something different from what was initially investigated and planned. So far, little evidence supports any improvement in Korea's drug distribution system. Instead, the new drug pricing policy has deteriorated Korea's national health insurance budget, indicating a heavier economic burden for the general public. From Korea's experience, we may draw some lessons for the future development of a better health care system. As a society becomes more pluralistic, the government should come out of authoritarianism and thoroughly prepare in advance for resistance to reform, by making greater efforts to persuade strong interest groups while informing the general public of potential benefits of the reform. Additionally, facing developing civic groups, the government should listen but not rely too much on them at the final stage of the policy formation. Many of the civic groups lack expertise to evaluate the details of policy and tend to act in a somewhat emotional way. PMID:15988802

Interest groups' influence over drug pricing policy reform in South Korea.

PubMed

Chung, Woo Jin; Kim, Han Joong

2005-06-30

In 1999, the Korean government made a drug pricing policy reform to improve the efficiency and transparency of the drug distribution system. Yet, its policy formation process was far from being rational. Facing harsh resistance from various interest groups, the government changed its details into something different from what was initially investigated and planned. So far, little evidence supports any improvement in Korea's drug distribution system. Instead, the new drug pricing policy has deteriorated Korea's national health insurance budget, indicating a heavier economic burden for the general public. From Korea's experience, we may draw some lessons for the future development of a better health care system. As a society becomes more pluralistic, the government should come out of authoritarianism and thoroughly prepare in advance for resistance to reform, by making greater efforts to persuade strong interest groups while informing the general public of potential benefits of the reform. Additionally, facing developing civic groups, the government should listen but not rely too much on them at the final stage of the policy formation. Many of the civic groups lack expertise to evaluate the details of policy and tend to act in a somewhat emotional way.

The Rhetoric of Policy Formation in Cordoba Education Reform

ERIC Educational Resources Information Center

Olmos, Liliana Esther

2009-01-01

The purpose of this study is to explore education policies formation during two administrations (1983-1998) in the province of Cordoba, Argentina through the comparison of policy documents. The profound connections of the social, cultural, economic, and educational processes impact of Argentina's educational reforms during the last two decades of…

Reforming primary healthcare: from public policy to organizational change.

PubMed

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

Global Review of Agricultural Policies.

ERIC Educational Resources Information Center

Economic Research Service (USDA), Washington, DC.

This report describes how governments throughout the world manage their economies and interact with their people, with special emphasis on how the agricultural sector is affected by changing government goals, policies, and programs. Policies and programs are described using information as of July 1987. The large country policy statements include…

Reforms in the Policy of English Language Teaching in Malaysia

ERIC Educational Resources Information Center

Rashid, Radzuwan A. B.; Abdul Rahman, Shireena Basree; Yunus, Kamariah

2017-01-01

This paper reviews reforms related to English language teaching in the Malaysian education system. It begins by tracing the history of Malaysia as a former British colony which has had significant influences on the status of English in the country. Then, it reviews the key educational reforms which have mainly centred on language policy, thus…

Kuwait: Security, Reform, and U.S. Policy

DTIC Science & Technology

2014-01-30

is a member of the Middle East North Africa Financial Action Task Force ( FATF ), but it has been identified by that body as having deficiencies in...Security, Reform, and U.S. Policy Congressional Research Service 24 has developed an action plan with the FATF to address the weaknesses. Some Kuwait

INSTITUTIONAL STAKEHOLDER PERCEPTIONS OF BARRIERS TO ADDICTION TREATMENT UNDER MEXICO’S DRUG POLICY REFORM

PubMed Central

Werb, Dan; Strathdee, Steffanie A.; Meza, Emilo; Gomez, Maria Gudelia Rangel; Palinkas, Lawrence; Medina-Mora, Maria Elena; Beletsky, Leo

2017-01-01

Background Mexico has experienced disproportionate drug-related harms given its role as a production and transit zone for illegal drugs destined primarily for the United States. In response, in 2009, the Mexican federal government passed legislation mandating pre-arrest diversion of drug-dependent individuals towards addiction treatment. However, this federal law was not specific about how the scale-up of the addiction treatment sector was to be operationalized. We therefore conducted in-depth qualitative interviews with key ‘interactors’ in fields affected by the federal legislation, including participants from the law enforcement, public health, addiction treatment, and governmental administration sectors. Among 19 participants from the municipal, state, and federal level, multiple barriers to policy reform were identified. First, there is a lack of institutional expertise to implement the reform. Second, the operationalization of the reform was not accompanied by a coordinated action plan. Third, the law is an unfunded mandate. Institutional barriers are likely hampering the implementation of Mexico’s policy reform. Addressing the concerns expressed by interactors through the scale up of services, the provision of increased training and education programs for stakeholders, and a coordinated action plan to operationalize the policy reform, are likely needed to improve the policy reform process. PMID:28278755

Advocacy Groups and the Discourse of Teacher Policy Reform: An Analysis of Policy Narratives

ERIC Educational Resources Information Center

Harrison, Christopher

2017-01-01

In recent years, several states have engaged in significant action surrounding a key policy area-- teacher policy reform. In Florida, for example, the passage of Senate Bill (SB) 736, the Student Success Act, heralded substantial shifts in the boundaries defining the profession of teaching in the state. Through SB 736 and its unsuccessful…

Implications of Bullying to School Policy Reform

ERIC Educational Resources Information Center

Knight, Nina Marie

2014-01-01

Governmental attention to bullying in kindergarten through Grade 3 continues to be a challenge in a metropolitan school district in the eastern United States. This has presented a case for school policy reform. The purpose of this quantitative correlational study was to examine how bullying and office discipline related to suspension referrals,…

Taking Stock of Gender Reform Policies for Australian Schools: Past, Present and Future.

ERIC Educational Resources Information Center

Kenway, Jane

1997-01-01

Narrates 20 years of gender reform in Australian schools, including boys' education. Discusses the practices and processes of schools' gender reform work, indicating strengths and limitations. Identifies current contexts of gender reform, including the fields of educational policy and politics. Mentions larger cultural shifts affecting gender…

Reforming state-level chemicals management policies in the United States: status, challenges, and opportunities.

PubMed

Geiser, Ken; Tickner, Joel; Torrie, Yve

2009-01-01

During the last several years there has been increasing public concern about chemicals in everyday products. Scientific studies are increasingly revealing the build-up of some substances in ecosystems and in our bodies and new findings are linking exposures to hazardous chemicals to a range of adverse human health effects. Despite these trends, there has been little federal initiative in the United States on reforming chemicals management policies for well over two decades, even though a variety of analyses have identified significant gaps in the regulatory structure. As has historically been the case, states are beginning to fill the holes in federal leadership. This article explores this emerging state leadership and establishes a vision for and elements of policies to reduce hazardous chemicals in the products we buy and the places we go. It examines international efforts to reform chemicals management policies, such as the European REACH legislation and corporate leadership in advancing safer products. Finally, it outlines specific challenges states face in developing integrated, comprehensive chemicals management policies. We conclude that while there are plenty of challenges to implementation of chemicals policy reforms, it is a propitious time for states to become leaders in policy innovation that can help achieve safer production systems and products for future generations. This article is part of a Lowell Center for Sustainable Production report entitled "Options for State Chemicals Policy Reform" that provides in-depth analysis of the pros and cons of policy options to address a range of aspects of state-level chemicals policy reform. The article has been edited slightly for use in New Solutions. The report has been widely distributed to policy-makers, advocates, and others across the United States.

Selected Science Educational Outcomes as a Function of South Dakota Educational Reform Policies 1995-2004

NASA Astrophysics Data System (ADS)

Hsu, T.; Tien, K. C.

2005-05-01

This research investigates selected South Dakota science educational outcomes as a function of selected educational reform policies. In the state of South Dakota, echoing divergent reform initiatives from "A Nation at Risk" to "No Child Left Behind," new guidelines and requirements have been instituted. Yet, very little effort has been made to assess the progress of these educational changes. In this study, selected educational outcomes-SAT8/9/10 scores-as a function of selected South Dakota educational reform policies were examined. School districts, ranked in the top and bottom five percent of socioeconomic status (SES) in the state, were selected for analysis. Comparison on student's science educational outcomes was also be made between the two major ethnic populations-Caucasians and Native Americans. All research questions were stated in the null form for hypothesis for statistical testing. Critical t was the statistic technique used to test the hypotheses. The findings revealed that the selected reform policies in South Dakota appeared to assist students from the higher socioeconomic backgrounds to perform better than pupils from the lower socioeconomic backgrounds. The academic performance for the ethnic and social class minorities remained unchanged within the study timeline for reform. Examined from the prism of Michael Apple's critical theory, the selected South Dakota reform policies have paid little attention to the issues of social equality. Continuing and collective efforts to promote equitable reform policies for enhancing the learning experience of all children in South Dakota seem necessary.

Will European agricultural policy for school fruit and vegetables improve public health? A review of school fruit and vegetable programmes.

PubMed

de Sa, Joia; Lock, Karen

2008-12-01

For the first time, public health, particularly obesity, is being seen as a driver of EU agricultural policy. In 2007, European Ministers of Agriculture were asked to back new proposals for school fruit and vegetable programmes as part of agricultural reforms. In 2008, the European Commission conducted an impact assessment to assess the potential impact of this new proposal on health, agricultural markets, social equality and regional cohesion. A systematic review of the effectiveness of interventions to promote fruit and/or vegetable consumption in children in schools, to inform the EC policy development process. School schemes are effective at increasing both intake and knowledge. Of the 30 studies included, 70% increased fruits and vegetables (FV) intake, with none decreasing intake. Twenty-three studies had follow-up periods >1 year and provide some evidence that FV schemes can have long-term impacts on consumption. Only one study led to both increased fruit and vegetable intake and reduction in weight. One study showed that school fruit and vegetable schemes can also help to reduce inequalities in diet. Effective school programmes have used a range of approaches and been organized in ways which vary nationally depending on differences in food supply chain and education systems. EU agriculture policy for school fruits and vegetables schemes should be an effective approach with both public health and agricultural benefits. Aiming to increase FV intake amongst a new generation of consumers, it will support a range of EU policies including obesity and health inequalities.

Policy Perspectives on Social, Agricultural, and Rural Sustainability.

ERIC Educational Resources Information Center

Wimberley, Ronald C.

1993-01-01

Introduces three types of agricultural policy dealing with the sustainability of society, the agricultural sector, and rural people and places. Outlines sustainability issues and special interest groups related to each policy type, common ground, and the impact on rural policy of the environment, economic change, physical infrastructure, social…

FYI: Reforming Social Welfare Policy...Indiana's Children...Lead Poisoning Prevention.

ERIC Educational Resources Information Center

Children Today, 1989

1989-01-01

Summarizes results of reports and resources concerning the reform of social welfare policy. Focuses on a profile of Indiana children, hospital policies and programs designed to meet the psychosocial needs of hospitalized children and their families, a senior center/latchkey program, and lead poisoning prevention. (BB)

Comparative analysis of aging policy reforms in Argentina, Chile, Costa Rica, and Mexico.

PubMed

Calvo, Esteban; Berho, Maureen; Roqué, Mónica; Amaro, Juan Sebastián; Morales, Fernando; Rivera, Emiliana; Gutiérrez Robledo, Luis Miguel F; López, Elizabeth Caro; Canals, Bernardita; Kornfeld, Rosa

2018-04-16

This investigation uses case studies and comparative analysis to review and analyze aging policy in Argentina, Chile, Costa Rica, and Mexico, and uncovers similarities and relevant trends in the substance of historical and current aging policy across countries. Initial charity-based approaches to poverty and illness have been gradually replaced by a rights-based approach considering broader notions of well-being, and recent reforms emphasize the need for national, intersectoral, evidence-based policy. The results of this study have implications for understanding aging policy in Latin America from a welfare regime and policymakers' perspective, identifying priorities for intervention, and informing policy reforms in developing countries worldwide.

International trade and carbon emissions: The role of Chinese institutional and policy reforms.

PubMed

Andersson, Fredrik N G

2018-01-01

The carbon dioxide embodied in Chinese exports to developed countries increased rapidly from 1995 to 2008. We test the extent to which institutional reforms in China can explain this increase. We focus on five areas of reforms: trade liberalization, environmental institutions, legal and property rights, institutional risk and exchange rate policy. Our results show that trade liberalization, weak environmental institutions, exchange rate policy, and legal and property rights affect emissions. Our results also indicate that the lack of reform in the utilities sector is an important factor in the rapid increase in embodied emissions. Copyright © 2017 Elsevier Ltd. All rights reserved.

Evidence-based health policy: three generations of reform in Mexico.

PubMed

Frenk, Julio; Sepúlveda, Jaime; Gómez-Dantés, Octavio; Knaul, Felicia

2003-11-15

The Mexican health system has evolved through three generations of reform. The creation of the Ministry of Health and the main social security agency in 1943 marked the first generation of health reforms. In the late 1970s, a second generation of reforms was launched around the primary health-care model. Third-generation reforms favour systemic changes to reorganise the system through the horizontal integration of basic functions-stewardship, financing, and provision. The stability of leadership in the health sector is emphasised as a key element that allowed for reform during the past 60 years. Furthermore, there has been a transition in the second generation of reforms to a model that is increasingly based on evidence; this has been intensified and extended in the third generation of reforms. We also examine policy developments that will provide social protection in health for all. These developments could be of interest for countries seeking to provide their citizens with universal access to health care that incorporates equity, quality, and financial protection.

Civil Society-Driven Drug Policy Reform for Health and Human Welfare-India.

PubMed

Vallath, Nandini; Tandon, Tripti; Pastrana, Tania; Lohman, Diederik; Husain, S Asra; Cleary, James; Ramanath, Ganpati; Rajagopal, M R

2017-03-01

The lack of adequate access to opioids in India as analgesics and for agonist therapies, forces millions to live with severe unalleviated pain, or languish with suffering associated with drug dependence. Although India is a major opium exporter, the excessively prohibitive 1985 narcotics law formulated to control harmful use of drugs, impeded the availability and access to opioids for medical and scientific purposes. Amendment of this law in 2014 established a new national regulatory framework for improved access to essential opioid analgesics. This article reflects on key elements and processes that led to this landmark achievement. Unlike quick timelines associated with effecting policy reforms for law enforcement, realizing the 2014 drug policy change primarily to mitigate human suffering, was a 22-year-long process. The most exacting challenges included recognizing the multilayered complexities of the prior policy framework and understanding their adverse impact on field practices to chart an appropriate and viable path for reform. The evolution of an informal civil society movement involving health care professionals, lawyers, media, policy analysts, government officials, and the public was pivotal in addressing these challenges and garnering momentum for reform. The success of the effort for improving access to opioid medications was underpinned by a three-pronged strategy of 1) persuading the executive arm of the government to take interim enabling measures; 2) leveraging judicial intervention through public interest litigation; and 3) crafting a viable policy document for legislative approval and implementation. We hope our findings are useful for realizing drug policy reforms, given the current transformed global policy mandates emphasizing humanitarian, healthcare, and quality-of-life considerations. Copyright © 2016 American Academy of Hospice and Palliative Medicine. Published by Elsevier Inc. All rights reserved.

The Contribution of Stuart Hall to Analyzing Educational Policy and Reform

ERIC Educational Resources Information Center

Gandin, Luis Armando

2015-01-01

This article focuses on the contribution of Stuart Hall to the study of educational policy and reform, using the experience of the Citizen School initiative in Porto Alegre, Brazil as a concrete example. This experience was a participatory educational reform implemented during the 16 years of the Workers' Party tenure in Porto Alegre's municipal…

Deciding Who Decides Questions at the Intersection of School Finance Reform Litigation and Standards-Based Accountability Policies

ERIC Educational Resources Information Center

Superfine, Benjamin Michael

2009-01-01

Courts hearing school finance reform cases have recently begun to consider several issues related to standards-based accountability policies. This convergence of school finance reform litigation and standards-based accountability policies represents a chance for the courts to reallocate decision-making authority for each type of reform across the…

Expressions of Agency within Complex Policy Structures: Science Teachers' Experiences of Education Policy Reforms in Sweden

ERIC Educational Resources Information Center

Ryder, Jim; Lidar, Malena; Lundqvist, Eva; Östman, Leif

2018-01-01

We explore the experiences of school science teachers as they enact three linked national curriculum and assessment policy reforms in Sweden. Our goal is to understand teachers' differing responses to these reforms. A sample of 13 teachers engaged in 2 interviews over a 6-9-month period. Interviews included exploration of professional background…

Stigma and Roma Education Policy Reform in Slovakia

ERIC Educational Resources Information Center

New, William

2012-01-01

This article addresses reform of Roma education in Slovakia against the backdrop of continued stigmatization of Roma students. Transnational NGOs and IGOs promote rights-based solutions leading to the fullest possible inclusion of Roma students in mainstream education. The Slovak state promotes educational policies that lead to the fullest…

Reductions in abortion-related mortality following policy reform: evidence from Romania, South Africa and Bangladesh

PubMed Central

2011-01-01

Unsafe abortion is a significant contributor to worldwide maternal mortality; however, abortion law and policy liberalization could lead to drops in unsafe abortion and related deaths. This review provides an analysis of changes in abortion mortality in three countries where significant policy reform and related service delivery occurred. Drawing on peer-reviewed literature, population data and grey literature on programs and policies, this paper demonstrates the policy and program changes that led to declines in abortion-related mortality in Romania, South Africa and Bangladesh. In all three countries, abortion policy liberalization was followed by implementation of safe abortion services and other reproductive health interventions. South Africa and Bangladesh trained mid-level providers to offer safe abortion and menstrual regulation services, respectively, Romania improved contraceptive policies and services, and Bangladesh made advances in emergency obstetric care and family planning. The findings point to the importance of multi-faceted and complementary reproductive health reforms in successful implementation of abortion policy reform. PMID:22192901

Identifying Effective Policy and Technologic Reforms for Sustainable Groundwater Management in Oman

NASA Astrophysics Data System (ADS)

Madani, K.; Zekri, S.; Karimi, A.

2014-12-01

Oman has gone through three decades of efforts aimed at addressing groundwater over-pumping and the consequent seawater intrusion. Example of measures adopted by the government since the 1990's include a vast subsidy program of irrigation modernization, a freeze on drilling new wells, delimitation of several no-drill zones, a crop substitution program, re-use of treated wastewater and construction of recharge dams. With no major success through these measures, the government laid the ground for water quotas by creating a new regulation in 1995. Nevertheless, groundwater quotas have not been enforced to date due to the high implementation and monitoring costs of traditional flow meters. This presentation discusses how sustainable groundwater management can be secured in Oman using a suit of policy and technologic reforms at a reasonable economic, political and practical cost. Data collected from farms with smart meters and low-cost wireless smart irrigation systems have been used to propose sustainable groundwater withdrawal strategies for Oman using a detailed hydro-economic model that couples a MODFLOW-SEAWAT model of the coastal aquifers with a dynamic profit maximization model. The hydro-economic optimization model was flexible to be run both as a social planner model to maximize the social welfare in the region, and as an agent-based model to capture the behavior of farmers interested in maximizing their profits independently. This flexibility helped capturing the trade-off between the optimality of the social planner solution developed at the system's level and its practicality (stability) with respect to the concerns and behaviors of the profit-maximizing farmers. The idetified promising policy and technolgical reforms for Oman include strict enforcement of groundwater quotas, smart metering, changing crop mixes, improving irrigation technologies, and revising geographical distribution of the farming activities. The presentation will discuss how different

International Perspectives on Educational Reform and Policy Implementation.

ERIC Educational Resources Information Center

Carter, David S. G., Ed.; O'Neill, Marnie H., Ed.

This book focuses on educational change processes in the context of larger scale educational reform. The first of 2 volumes, the book contains 11 chapters that examine the historical, social, and economic forces at work in the formulation and implementation of educational policy. The chapters present different cross-cultural experiences of…

The Tracking Wars: State Reform Meets School Policy.

ERIC Educational Resources Information Center

Loveless, Tom

This book examines the reactions of schools in Massachusetts and California to policies that sought to persuade schools to abandon or reduce tracking--the practice of grouping students into classes by ability and organizing curriculum by level of difficulty. The text is divided into 8 chapters: (1) "Implementing Tracking Reform," which…

Environmental and economic development consequences of forest and agricultural sector policies in Latin America (a synthesis of case studies of Costa Rica, Ecuador, and Bolivia)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Stewart, R.; Gibson, D.

This paper draws heavily on the results of case studies in Bolivia, Costa Rica, and Ecuador to explain how sectoral policies have tilted land use decisions against forestry and in favor of agriculture, and to present estimates of the economic development effects of those decisions. The paper summarizes information on forests and forest industries of the three countries, and it describes the framework within which policies are designed. It presents the effects of sectoral policies on land use and forest management, and then quantifies and discusses economic costs of relevant sectoral policies. Conclusions and recommendations for policy reform are offered.

Introduction: Greening the countryside? Changing frameworks of EU agricultural policy.

PubMed

Lowe, Philip; Feindt, Peter H; Vihinen, Hilkka

2010-01-01

In response to wide-ranging criticism of agricultural policy, especially within Western industrialized countries, new frameworks of justification are emerging and new hybrid policy fields have been established to tackle some of the ‘externalities’ of agricultural support. However, institutional frameworks are proving slower to change, partly because this would require coordinated action across different levels of governance. Nevertheless, previously marginalized environmental concerns have successfully gained entrance to agricultural policy networks, while the intersection of trade liberalization and rural diversification have undermined the dominance of the productivist mindset in government. This gives rise to a plurality of policy actors and actions which defy the conventional categories of analysis of agricultural policy, calling for changing frameworks on the polity of agriculture too.

Nursing education reform in South Africa--lessons from a policy analysis study.

PubMed

Blaauw, Duane; Ditlopo, Prudence; Rispel, Laetitia C

2014-01-01

Nursing education reform is identified as an important strategy for enhancing health workforce performance, and thereby improving the functioning of health systems. Globally, a predominant trend in such reform is towards greater professionalisation and university-based education. Related nursing education reform in South Africa culminated in a new Framework for Nursing Qualifications in 2013. We undertook a policy analysis study of the development of the new Nursing Qualifications Framework in South Africa. We used a policy analysis framework derived from Walt and Gilson that interrogated the context, content, actors, and processes of policy development and implementation. Following informed consent, in-depth interviews were conducted with 28 key informants from national and provincial government; the South African Nursing Council; the national nursing association; nursing academics, managers, and educators; and other nursing organisations. The interviews were complemented with a review of relevant legislation and policy documents. Documents and interview transcripts were coded thematically using Atlas-ti software. The revision of nursing qualifications was part of the post-apartheid transformation of nursing, but was also influenced by changes in the education sector. The policy process took more than 10 years to complete and the final Regulations were promulgated in 2013. The two most important changes are the requirement for a baccalaureate degree to qualify as a professional nurse and abolishing the enrolled nurse with 2 years training in favour of a staff nurse with a 3-year college diploma. Respondents criticised slow progress, weak governance by the Nursing Council and the Department of Health, limited planning for implementation, and the inappropriateness of the proposals for South Africa. The study found significant weaknesses in the policy capacity of the main institutions responsible for the leadership and governance of nursing in South Africa, which

An Appreciative Inquiry Approach to Evaluating Culture, Structure, and Power in Agricultural Teacher Education Program Reform

ERIC Educational Resources Information Center

Anderson, James C., II.; Thorson, Candi J.; Kelinsky, Lia R.

2016-01-01

This case study outlines an appreciative inquiry approach to program reform using an agricultural teacher education program at a land-grant university that had begun to suffer from a large decline in student enrollment. Documents were analyzed that provided recommendations toward a master plan for reform made by 23 key agents based on their…

The Development of a National Agricultural Extension Policy in Bangladesh.

ERIC Educational Resources Information Center

Walker, M.; Sarkar, A. A.

1996-01-01

The background of agriculture in Bangladesh and the process of developing a national agricultural extension policy focused on sustainable development are described. The policy explicates the meaning of agricultural extension, use of agricultural knowledge and information systems, and 11 core principles. (SK)

Agricultural subsidies and the American obesity epidemic.

PubMed

Franck, Caroline; Grandi, Sonia M; Eisenberg, Mark J

2013-09-01

Government-issued agricultural subsidies are worsening obesity trends in America. Current agricultural policy remains largely uninformed by public health discourse. Although findings suggest that eliminating all subsidies would have a mild impact on the prevalence of obesity, a revision of commodity programs could have a measurable public health impact on a population scale, over time. Policy reforms will be important determinants of the future of obesity in America, primarily through indemnity program revisions, and the allocation of increasing amounts of resources to sustainable agriculture. Public health intervention will be required at the policy level to promote healthy behavioral changes in consumers. The 2013 Farm Bill will be the key mechanism to induce such policy change in the near future. Copyright © 2013 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Russian Military Reform From Perestroika to Putin: Implications for U.S. Policy

DTIC Science & Technology

2004-04-01

AU/AF FELLOWS/NNN/2004-00 AIR FORCE FELLOWS (SDE) AIR UNIVERSITY RUSSIAN MILITARY REFORM FROM PERESTROIKA TO PUTIN: IMPLICATIONS FOR U.S...TITLE AND SUBTITLE Russian Military Reform : From Perestroika to Putin: Implications for U.S. Policy 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM...kept the troops in place at the request of the leaders of the breakaway regions. 5 Major Scott C. Dullea, “ Russian Military Reform : Lessons from America

Electoral reform and public policy outcomes in Thailand: the politics of the 30-Baht health scheme.

PubMed

Selway, Joel Sawat

2011-01-01

How do changes in electoral rules affect the nature of public policy outcomes? The current evidence supporting institutional theories that answer this question stems almost entirely from quantitative cross-country studies, the data of which contain very little within-unit variation. Indeed, while there are many country-level accounts of how changes in electoral rules affect such phenomena as the number of parties or voter turnout, there are few studies of how electoral reform affects public policy outcomes. This article contributes to this latter endeavor by providing a detailed analysis of electoral reform and the public policy process in Thailand through an examination of the 1997 electoral reforms. Specifically, the author examines four aspects of policy-making: policy formulation, policy platforms, policy content, and policy outcomes. The article finds that candidates in the pre-1997 era campaigned on broad, generic platforms; parties had no independent means of technical policy expertise; the government targeted health resources to narrow geographic areas; and health was underprovided in Thai society. Conversely, candidates in the post-1997 era relied more on a strong, detailed national health policy; parties created mechanisms to formulate health policy independently; the government allocated health resources broadly to the entire nation through the introduction of a universal health care system, and health outcomes improved. The author attributes these changes in the policy process to the 1997 electoral reform, which increased both constituency breadth (the proportion of the population to which politicians were accountable) and majoritarianism.

How effective is greening policy in reducing GHG emissions from agriculture? Evidence from Italy.

PubMed

Solazzo, Roberto; Donati, Michele; Tomasi, Licia; Arfini, Filippo

2016-12-15

Agriculture contributes significantly to greenhouse gas (GHG) emissions, accounting for more than 10% of total CO 2 emissions in the EU-28 area. The Common Agricultural Policy (CAP) plays an important role in promoting environmentally and climate friendly practices and needs to respond to the new environmental challenges by better integrating its objectives with other EU policies. In this respect, the recent CAP reform 2014-2020 made a further step, making a large part of direct payments conditional on new agricultural practices beneficial for the climate and the environment, i.e. "greening". In this study we estimate the potential environmental benefits from greening in terms of GHG emissions in four regions of Northern Italy, one of the major European agricultural areas in terms of emissions. The emissions were quantified and broken down into the three main GHGs (carbon dioxide, methane and nitrous oxide) per production process. This information was subsequently used in a Positive Mathematical Programming (PMP) farm-based model on more than 3,000 farms, to estimate the effects of greening on regional land use and its contribution in reducing the total emissions. The new agri-environmental constraints produce a modest abatement of total emissions of greenhouse gases (-1.5%) in the analyzed area. The model estimates a reduction in CO 2 emissions of about 2%. Emissions from nitrous oxide show a decrease of 2.1% and the reduction in the methane is about 0.4% compared to the observed scenario. The process of "lightening" that affected the greening during the CAP negotiation has inevitably resulted in missing an opportunity to introduce a significant positive change of behaviour into agriculture, in line with the expectations and needs of society for EU agriculture as a provider of public goods. Copyright © 2016 Elsevier B.V. All rights reserved.

Ability grouping and science education reform: Policy and research base

NASA Astrophysics Data System (ADS)

Lynch, Sharon

This article reviews current policy trends concerning the practice of ability grouping in K-12 science education. Relevant statements of key policy-making, policy-influencing organizations such as the NSTA, AAAS, NSF, the National Research Council, the U.S. Office of Education Department of Civil Rights, NAACP, the National Governors' Association, programs related to the Jacob Javits Grants for the Gifted and Talented, and others are summarized. The author's interpretation of the various positions are presented herein. The article also explores the research base supporting the various policies on grouping by examining selected general research literature on grouping, followed by research that is science education specific. Methodological issues color the research findings. The ethical and pragmatic implications of developing research and policy are discussed. The conclusions are that there is a dearth of recent empirical research specifically related to ability grouping in science, and that the time is ripe for the concerted development of a research agenda by key players in science education reform. Moreover, as controversial and value-laden as the topic is, it should be noted that grouping practices alone are unlikely to influence science education reform unless considered in the context of comprehensive restructuring efforts at the local school level.Received: 10 April 1993; Revised: 26 August 1993;

Social Policy Reforms and Daughters' Schooling in Vietnam

ERIC Educational Resources Information Center

Belanger, Daniele; Liu, Jianye

2004-01-01

Vietnam's social policy reforms in the transition to a market economy included the introduction of fees for primary and secondary school in the late 1980s. Using data from the Viet Nam Living Standards Surveys, this paper examines how the increasing costs of education to households have impacted on school enrollment between 1993 and 1998, giving…

An analysis of policy levers used to implement mental health reform in Australia 1992-2012.

PubMed

Grace, Francesca C; Meurk, Carla S; Head, Brian W; Hall, Wayne D; Carstensen, Georgia; Harris, Meredith G; Whiteford, Harvey A

2015-10-24

Over the past two decades, mental health reform in Australia has received unprecedented government attention. This study explored how five policy levers (organisation, regulation, community education, finance and payment) were used by the Australian Federal Government to implement mental health reforms. Australian Government publications, including the four mental health plans (published in 1992, 1998, 2003 and 2008) were analysed according to policy levers used to drive reform across five priority areas: [1] human rights and community attitudes; [2] responding to community need; [3] service structures; [4] service quality and effectiveness; and [5] resources and service access. Policy levers were applied in varying ways; with two or three levers often concurrently used to implement a single initiative or strategy. For example, changes to service structures were achieved using various combinations of all five levers. Attempts to improve service quality and effectiveness were instead made through a single lever-regulation. The use of some levers changed over time, including a move away from prescriptive, legislative use of regulation, towards a greater focus on monitoring service standards and consumer outcomes. Patterns in the application of policy levers across the National Mental Health Strategy, as identified in this analysis, represent a novel way of conceptualising the history of mental health reform in Australia. An improved understanding of the strategic targeting and appropriate utilisation of policy levers may assist in the delivery and evaluation of evidence-based mental health reform in the future.

One Policy, Disparate Reactions: Institutional Responses in Florida's Developmental Education Reform

ERIC Educational Resources Information Center

Park, Toby J.; Tandberg, David A.; Hu, Shouping; Hankerson, Dava

2016-01-01

This paper seeks to better understand how community colleges in Florida planned to implement a new sweeping state policy pertaining to developmental education. Via a cluster analysis, we identify three distinct patterns in the ways in which the colleges responded to the policy: reformers, responders, and resisters. Further, we find that these…

Landscape Analysis of Nutrition-sensitive Agriculture Policy Development in Senegal.

PubMed

Lachat, Carl; Nago, Eunice; Ka, Abdoulaye; Vermeylen, Harm; Fanzo, Jessica; Mahy, Lina; Wüstefeld, Marzella; Kolsteren, Patrick

2015-06-01

Unlocking the agricultural potential of Africa offers a genuine opportunity to address malnutrition and drive development of the continent. Using Senegal as a case study, to identify gaps and opportunities to strengthen agricultural policies with nutrition-sensitive approaches. We carried out a systematic analysis of 13 policy documents that related to food production, agriculture, food security, or nutrition. Next, we collected data during a participatory analysis with 32 national stakeholders and in-depth interviews with 15 national experts of technical directorates of the different ministries that deal with agriculture and food production. The current agricultural context has various elements that are considered to enhance its nutrition sensitivity. On average, 8.3 of the 17 Food and Agriculture Organization guiding principles for agriculture programming for nutrition were included in the policies reviewed. Ensuring food security and increasing dietary diversity were considered to be the principal objectives of agricultural policies. Although there was considerable agreement that agriculture can contribute to nutrition, current agricultural programs generally do not target communities on the basis of their nutritional vulnerability. Agricultural programs were reported to have specific components to target female beneficiaries but were generally not used as delivery platforms for nutritional interventions. The findings of this study indicate the need for a coherent policy environment across the food system that aligns recommendations at the national level with local action on the ground. In addition, specific activities are needed to develop a shared understanding of nutrition and public health nutrition within the agricultural community in Senegal. © The Author(s) 2015.

Assessment of environmental impacts following alternative agricultural policy scenarios.

PubMed

Bárlund, I; Lehtonen, H; Tattari, S

2005-01-01

Abstract Finnish agriculture is likely to undergo major changes in the near and intermediate future. The ifuture policy context can be examined at a general level by strategic scenario building. Computer-based modelling in combination with agricultural policy scenarios can in turn create a basis for the assessments of changes in environmental quality following possible changes in Finnish agriculture. The analysis of economic consequences is based on the DREMFIA model, which is applied to study effects of various agricultural policies on land use, animal production, and farmers' income. The model is suitable for an impact analysis covering an extended time span--here up to the year 2015. The changes in land use, obtained with the DREMFIA model assuming rational economic behaviour, form the basis when evaluating environmental impacts of different agricultural policies. The environmental impact assessment is performed using the field scale nutrient transport model ICECREAM. The modelled variables are nitrogen and phosphorus losses in surface runoff and percolation. In this paper the modelling strategy will be presented and highlighted using two case study catchments with varying environmental conditions and land use as an example. In addition, the paper identifies issues arising when connecting policy scenarios with impact modelling.

Agricultural policy and social returns to eradication programs: the case of Aujeszky's disease in Sweden.

PubMed

Andersson, H; Lexmon, A; Robertsson, J A; Lundeheim, N; Wierup, M

1997-02-01

considering non-monetary aspects such as animal ethics. A scenario where the Swedish agricultural sector is deregulated provides the maximum benefits of the program. Consumers obtain about 50% of the benefits excluding program costs. The deregulation scenario would correspond closely to a case where a reformed Common Agricultural Policy (CAP) is applied across member countries. In the current case where Sweden is a member of the EU, the benefits are reduced mainly due to lower prices of inputs and pork.

Why do policies change? Institutions, interests, ideas and networks in three cases of policy reform

PubMed Central

Shearer, Jessica C; Abelson, Julia; Kouyaté, Bocar; Lavis, John N; Walt, Gill

2016-01-01

Abstract Policy researchers have used various categories of variables to explain why policies change, including those related to institutions, interests and ideas. Recent research has paid growing attention to the role of policy networks—the actors involved in policy-making, their relationships with each other, and the structure formed by those relationships—in policy reform across settings and issues; however, this literature has largely ignored the theoretical integration of networks with other policy theories, including the ‘3Is’ of institutions, interests and ideas. This article proposes a conceptual framework integrating these variables and tests it on three cases of policy change in Burkina Faso, addressing the need for theoretical integration with networks as well as the broader aim of theory-driven health policy analysis research in low- and middle-income countries. We use historical process tracing, a type of comparative case study, to interpret and compare documents and in-depth interview data within and between cases. We found that while network changes were indeed associated with policy reform, this relationship was mediated by one or more of institutions, interests and ideas. In a context of high donor dependency, new donor rules affected the composition and structure of actors in the networks, which enabled the entry and dissemination of new ideas and shifts in the overall balance of interest power ultimately leading to policy change. The case of strategic networking occurred in only one case, by civil society actors, suggesting that network change is rarely the spark that initiates the process towards policy change. This analysis highlights the important role of changes in institutions and ideas to drive policymaking, but hints that network change is a necessary intermediate step in these processes. PMID:27233927

Nursing education reform in South Africa – lessons from a policy analysis study

PubMed Central

Blaauw, Duane; Ditlopo, Prudence; Rispel, Laetitia C.

2014-01-01

Background Nursing education reform is identified as an important strategy for enhancing health workforce performance, and thereby improving the functioning of health systems. Globally, a predominant trend in such reform is towards greater professionalisation and university-based education. Related nursing education reform in South Africa culminated in a new Framework for Nursing Qualifications in 2013. Objective We undertook a policy analysis study of the development of the new Nursing Qualifications Framework in South Africa. Design We used a policy analysis framework derived from Walt and Gilson that interrogated the context, content, actors, and processes of policy development and implementation. Following informed consent, in-depth interviews were conducted with 28 key informants from national and provincial government; the South African Nursing Council; the national nursing association; nursing academics, managers, and educators; and other nursing organisations. The interviews were complemented with a review of relevant legislation and policy documents. Documents and interview transcripts were coded thematically using Atlas-ti software. Results The revision of nursing qualifications was part of the post-apartheid transformation of nursing, but was also influenced by changes in the education sector. The policy process took more than 10 years to complete and the final Regulations were promulgated in 2013. The two most important changes are the requirement for a baccalaureate degree to qualify as a professional nurse and abolishing the enrolled nurse with 2 years training in favour of a staff nurse with a 3-year college diploma. Respondents criticised slow progress, weak governance by the Nursing Council and the Department of Health, limited planning for implementation, and the inappropriateness of the proposals for South Africa. Conclusions The study found significant weaknesses in the policy capacity of the main institutions responsible for the leadership and

Upholding the Malay Language and Strengthening the English Language Policy: An Education Reform

ERIC Educational Resources Information Center

Yamat, Hamidah; Umar, Nur Farita Mustapa; Mahmood, Muhammad Ilyas

2014-01-01

Today's global economy and dependency on technology has led to educational reforms in Malaysia, which includes language policies; namely the Upholding the Malay Language, and Strengthening the English Language ("MBMMBI") policy. This policy underpins the project presented and discussed in this paper; on the development of a bilingual…

Policy Reform: Testing Times for Teacher Education in Australia

ERIC Educational Resources Information Center

Fitzgerald, Tanya; Knipe, Sally

2016-01-01

In Australia as well as elsewhere, initial teacher education has become centre stage to a political agenda that calls for global competitiveness in the knowledge economy. The common problem cited has been declining educational standards linked with the quality of teaching and teacher education. The avalanche of review and policy reform has exposed…

Modelling tools to support the harmonization of Water Framework Directive and Common Agricultural Policy

NASA Astrophysics Data System (ADS)

Tediosi, A.; Bulgheroni, C.; Sali, G.; Facchi, A.; Gandolfi, C.

2009-04-01

After a few years from the delivery of the EU Water Framework Directive (WFD) the need to link agriculture and WFD has emerged as one of the highest priorities; therefore, it is important to discuss on how the EU Common Agricultural Policy (CAP) can contribute to the achievements of the WFD objectives. The recent CAP reform - known as Mid Term Review (MTR) or Fischler Reform - has increased the opportunities, offering to farmers increased support to address some environmental issues. The central novelty coming from the MTR is the introduction of a farm single payment which aims to the Decoupling of EU Agricultural Support from production. Other MTR important topics deal with the Modulation of the payments, the Cross-Compliance and the strengthening of the Rural Development policy. All these new elements will affect the farmers' behaviour, steering their productive choices for the future, which, in turn, will have consequences on the water demand for irrigation. Indeed, from the water quantity viewpoint, agriculture is a large consumer and improving water use efficiency is one of the main issues at stake, following the increasing impacts of water scarcity and droughts across Europe in a context of climate change. According to a recent survey of the European Commission the saving potential in the agricultural sector is 43% of present abstraction and 95% of it is concentrated in southern europe. Many models have been developed to forecast the farmers' behaviour as a consequence of agricultural policies, both at sector and regional level; all of them are founded on Mathematical Programming techniques and many of them use the Positive approach, which better fits the territorial dimension. A large body of literature also exists focusing on the assessment of irrigation water requirements. The examples of conjunctive modelling of the two aspects are however much more limited. The work presented has got some innovative aspects: not only does it couple an economical model

Steering without navigation equipment: the lamentable state of Australian health policy reform

PubMed Central

2009-01-01

Background Commentary on health policy reform in Australia often commences with an unstated logical error: Australians' health is good, therefore the Australian Health System is good. This possibly explains the disconnect between the options discussed, the areas needing reform and the generally self-congratulatory tone of the discussion: a good system needs (relatively) minor improvement. Results This paper comments on some issues of particular concern to Australian health policy makers and some areas needing urgent reform. The two sets of issues do not overlap. It is suggested that there are two fundamental reasons for this. The first is the failure to develop governance structures which promote the identification and resolution of problems according to their importance. The second and related failure is the failure to equip the health services industry with satisfactory navigation equipment - independent research capacity, independent reporting and evaluation - on a scale commensurate with the needs of the country's largest industry. These two failures together deprive the health system - as a system - of the chief driver of progress in every successful industry in the 20th Century. Conclusion Concluding comment is made on the National Health and Hospitals Reform Commission (NHHRC). This continued the tradition of largely evidence free argument and decision making. It failed to identify and properly analyse major system failures, the reasons for them and the form of governance which would maximise the likelihood of future error leaning. The NHHRC itself failed to error learn from past policy failures, a key lesson from which is that a major - and possibly the major - obstacle to reform, is government itself. The Commission virtually ignored the issue of governance. The endorsement of a monopolised system, driven by benevolent managers will miss the major lesson of history which is illustrated by Australia's own failures. PMID:19948044

Qualitative analysis of the dynamics of policy design and implementation in hospital funding reform

PubMed Central

Brown, Adalsteinn D.; Evans, Jenna M.; Marani, Husayn; Russell, Kirstie K.; Martin, Danielle; Ivers, Noah M.

2018-01-01

Background As in many health care systems, some Canadian jurisdictions have begun shifting away from global hospital budgets. Payment for episodes of care has begun to be implemented. Starting in 2012, the Province of Ontario implemented hospital funding reforms comprising three elements: Global Budgets; Health Based Allocation Method (HBAM); and Quality-Based Procedures (QBP). This evaluation focuses on implementation of QBPs, a procedure/diagnosis-specific funding approach involving a pre-set price per episode of care coupled with best practice clinical pathways. We examined whether or not there was consensus in understanding of the program theory underpinning QBPs and how this may have influenced full and effective implementation of this innovative funding model. Methods We undertook a formative evaluation of QBP implementation. We used an embedded case study method and in-depth, one-on-one, semi-structured, telephone interviews with key informants at three levels of the health care system: Designers (those who designed the QBP policy); Adoption Supporters (organizations and individuals supporting adoption of QBPs); and Hospital Implementers (those responsible for QBP implementation in hospitals). Thematic analysis involved an inductive approach, incorporating Framework analysis to generate descriptive and explanatory themes that emerged from the data. Results Five main findings emerged from our research: (1) Unbeknownst to most key informants, there was neither consistency nor clarity over time among QBP designers in their understanding of the original goal(s) for hospital funding reform; (2) Prior to implementation, the intended hospital funding mechanism transitioned from ABF to QBPs, but most key informants were either unaware of the transition or believe it was intentional; (3) Perception of the primary goal(s) of the policy reform continues to vary within and across all levels of key informants; (4) Four years into implementation, the QBP funding mechanism

Qualitative analysis of the dynamics of policy design and implementation in hospital funding reform.

PubMed

Palmer, Karen S; Brown, Adalsteinn D; Evans, Jenna M; Marani, Husayn; Russell, Kirstie K; Martin, Danielle; Ivers, Noah M

2018-01-01

As in many health care systems, some Canadian jurisdictions have begun shifting away from global hospital budgets. Payment for episodes of care has begun to be implemented. Starting in 2012, the Province of Ontario implemented hospital funding reforms comprising three elements: Global Budgets; Health Based Allocation Method (HBAM); and Quality-Based Procedures (QBP). This evaluation focuses on implementation of QBPs, a procedure/diagnosis-specific funding approach involving a pre-set price per episode of care coupled with best practice clinical pathways. We examined whether or not there was consensus in understanding of the program theory underpinning QBPs and how this may have influenced full and effective implementation of this innovative funding model. We undertook a formative evaluation of QBP implementation. We used an embedded case study method and in-depth, one-on-one, semi-structured, telephone interviews with key informants at three levels of the health care system: Designers (those who designed the QBP policy); Adoption Supporters (organizations and individuals supporting adoption of QBPs); and Hospital Implementers (those responsible for QBP implementation in hospitals). Thematic analysis involved an inductive approach, incorporating Framework analysis to generate descriptive and explanatory themes that emerged from the data. Five main findings emerged from our research: (1) Unbeknownst to most key informants, there was neither consistency nor clarity over time among QBP designers in their understanding of the original goal(s) for hospital funding reform; (2) Prior to implementation, the intended hospital funding mechanism transitioned from ABF to QBPs, but most key informants were either unaware of the transition or believe it was intentional; (3) Perception of the primary goal(s) of the policy reform continues to vary within and across all levels of key informants; (4) Four years into implementation, the QBP funding mechanism remains misunderstood; and

[On the formulation of TCM foreign exchange policy after the reform and opening-up].

PubMed

Wang, Jingfang; Zhu, Jianping

2015-03-01

The foreign exchange activities of traditional Chinese medicine are conducted under the guidance of the policy of the CPC and Chinese government. After the carrying out of the reform and opening-up policy, foreign exchange policy of TCM has experienced the process of growing up from nothing, from less to more, and from coarse to fine, which is closely related to our country's foreign policy, the cause of Chinese medicine development, and urgent need of international communication. In the three decades after the reform and opening-up policy, the formulation of foreign exchange policy of TCM can be divided into three stages: viz., inclusion in the framework of national foreign policy (1978-1985), embodiment in the policy of developing TCM cause (1986-1996), and appearance in the special policy of foreign exchange of Chinese medicine (since 1997). From the development process of these policies, the development of each policy gradually complies with the process of the development of the times, with its contents basically in line with the requirements of the times. The implementation of some policies promotes the foreign exchanges and cooperation of Chinese medicine.

Agricultural policy and sustainable livestock development.

PubMed

Schillhorn van Veen, T W

1999-01-01

Future agricultural and rural development is, to a large extent, influenced by the projected food needs of 2.5 billion people expected to swell the world population by 2020. This increase will require more food in general and, in view of recent experience in East Asia, more animal products. To achieve this increase will require judicious use of resources, and trade, especially in those countries where natural resources are insufficient to support food production. Achieving food sufficiency in a sustainable manner is a major challenge for farmers, agro-industries, researchers and governments. The latter play an important role as many of the farmers' choices are, to a large extent, directed by government or supra-government, often through macro- and micro-economic policy. In many countries the economic, environmental, trade and agricultural policies have not been conducive to an agricultural development that is risk-free with respect to the environment, animal welfare or public health. The recent decline of government support in agriculture forced farmers in Western countries to think about more risk adverse agricultural practices and more efficient production systems. On the other hand, many countries in Eastern Europe and the former Soviet Union, as well as other developing countries, are still going through a painful process of adjustment to new market conditions. International banks and development agencies have a mandate to help developing countries, but are somewhat restricted both by needing to work directly with governments and by their perceived dogmatic approach to development. Changing policies do, now and in the future, also affect the development of animal disease control programmes, including the control of parasitic diseases. On the one hand there is an increasing interest in risk-free control practices, and on the other hand a demand for greater regulatory control over the production process. As parasitic diseases of animals are closely linked to the

Health policy in the concertación era (1990-2010): Reforms the chilean way.

PubMed

Martinez-Gutierrez, María Soledad; Cuadrado, Cristóbal

2017-06-01

The Chilean health system has experienced important transformations in the last decades with a neoliberal turn to privatization of the health insurance and healthcare market since the Pinochet reforms of the 1980s. During 20 years of center-left political coalition governments several reforms were attempted to regulate and reform such markets. This paper analyzes regulatory policies for the private health insurance and health care delivery market, adopted during the 1990-2010 period. A framework of variation in market types developed by Gingrich is adopted as analytical perspective. The set of policies advanced in this period could be expected to shift the responsibility of access to care from individuals to the collective and give control to the State or the consumers vis a vis producers. Nevertheless, the effect of the implemented reforms has been mixed. Regulations on private health insurers were ineffective in terms of shifting power to the consumer or the state. In contrast, the healthcare delivery market showed a trend of increasing payers' and consumers' control and the set of implemented reforms partially steered the market toward collective responsibility of access by creating a submarket of guaranteed services (AUGE) with lower copayments and fully funded services. Emerging unintended consequences of the adopted policies and potential explanations are discussed. In sum, attempts to use regulation to improve the collective dimension of the Chilean health system has enabled some progress, but several challenges had persisted. Copyright © 2017 Elsevier Ltd. All rights reserved.

Why do policies change? Institutions, interests, ideas and networks in three cases of policy reform.

PubMed

Shearer, Jessica C; Abelson, Julia; Kouyaté, Bocar; Lavis, John N; Walt, Gill

2016-11-01

Policy researchers have used various categories of variables to explain why policies change, including those related to institutions, interests and ideas. Recent research has paid growing attention to the role of policy networks-the actors involved in policy-making, their relationships with each other, and the structure formed by those relationships-in policy reform across settings and issues; however, this literature has largely ignored the theoretical integration of networks with other policy theories, including the '3Is' of institutions, interests and ideas. This article proposes a conceptual framework integrating these variables and tests it on three cases of policy change in Burkina Faso, addressing the need for theoretical integration with networks as well as the broader aim of theory-driven health policy analysis research in low- and middle-income countries. We use historical process tracing, a type of comparative case study, to interpret and compare documents and in-depth interview data within and between cases. We found that while network changes were indeed associated with policy reform, this relationship was mediated by one or more of institutions, interests and ideas. In a context of high donor dependency, new donor rules affected the composition and structure of actors in the networks, which enabled the entry and dissemination of new ideas and shifts in the overall balance of interest power ultimately leading to policy change. The case of strategic networking occurred in only one case, by civil society actors, suggesting that network change is rarely the spark that initiates the process towards policy change. This analysis highlights the important role of changes in institutions and ideas to drive policymaking, but hints that network change is a necessary intermediate step in these processes. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For

Can conditional health policies be justified? A policy analysis of the new NHS dental contract reforms.

PubMed

Laverty, Louise; Harris, Rebecca

2018-06-01

Conditional policies, which emphasise personal responsibility, are becoming increasingly common in healthcare. Although used widely internationally, they are relatively new within the UK health system where there have been concerns about whether they can be justified. New NHS dental contracts include the introduction of a conditional component that restricts certain patients from accessing a full range of treatment until they have complied with preventative action. A policy analysis of published documents on the NHS dental contract reforms from 2009 to 2016 was conducted to consider how conditionality is justified and whether its execution is likely to cause distributional effects. Contractualist, paternalistic and mutualist arguments that reflect notions of responsibility and obligation are used as justification within policy. Underlying these arguments is an emphasis on preserving the finite resources of a strained NHS. We argue that the proposed conditional component may differentially affect disadvantaged patients, who do not necessarily have access to the resources needed to meet the behavioural requirements. As such, the conditional component of the NHS dental contract reform has the potential to exacerbate oral health inequalities. Conditional health policies may challenge core NHS principles and, as is the case with any conditional policy, should be carefully considered to ensure they do not exacerbate health inequities. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

New Directions in Education? A Critique of Contemporary Policy Reforms

ERIC Educational Resources Information Center

Skourdoumbis, Andrew

2016-01-01

This paper draws on facets of Foucault's theoretical resources to critique current education policy reform from within the Australian State of Victoria, namely the Department of Education and Early Childhood Development's (DEECD) discussion paper "New directions for school leadership and the teaching profession." Implicit in the reform…

Institutional Complexity and Policy Implementation: How Underlying Logics Drive Teacher Interpretations of Reform

ERIC Educational Resources Information Center

Bridwell-Mitchell, E. N.; Sherer, David G.

2017-01-01

One critical factor in policy implementation is how teachers interpret policy. Previous research largely overlooks how the broader culture shapes teachers' interpretations. In the current research, we explore how teachers' interpretations of instructional reforms are associated with the logics of broad societal institutions. Our longitudinal…

Social security reform in Latin America: policy challenges.

PubMed

Kay, Stephen J; Kritzer, Barbara E

2002-01-01

Over the last decade Latin American countries have served as the world's laboratory for pension systems based on individual retirement savings accounts. Some countries have adopted defined-contribution individual accounts as a replacement for state-run pension systems; other countries have embraced mixed systems of have made individual accounts optional and supplementary. This article outlines some of the most significant elements of recent Latin American pension reforms and examines some of the most serious policy challenges faced by governments implementing the new systems of individual accounts, including the need to reduce administrative costs, limit evasion, incorporate new categories of workers into the system, and improve competition in the pension fund industry. The authors conclude that there is no single Latin America model, and that reform itself has been and will continue to be an incremental process.

Why Do Policy-Makers Adopt Global Education Policies? Toward a Research Framework on the Varying Role of Ideas in Education Reform

ERIC Educational Resources Information Center

Verger, Antoni

2014-01-01

Globalization is profoundly altering the education policy landscape. It introduces new problems in education agendas, compresses time and space in policy processes, and revitalizes the role of a range of supra-national players in educational reform. This deterritorialization of the education policy process has important theoretical and…

[Public sector and social and health policy reforms. An inventory on the eve of the new millennium].

PubMed

Gerschman, S

1999-01-01

This study reflects on reforms in health systems and social policies within the framework of the so-called public sector reforms. The point of departure is a review of various explanations for the crisis in the Welfare State, present in the literature from the 1990s. Social policies, at the heart of the crisis, are heavily challenged. What we intend to demonstrate is that this argument plays a specific role, that of introducing neoliberal changes into economic policy, in which the economic tools used generate abstention by the state from the social sphere, deregulation of national economies in favor of the free market, and the fundamentally oversized role of the international financial market. Within this context we analyze the social security and health system reforms. The final part of the article deals with current difficulties in social policies, focusing the debate on a mapping of possible alternatives for developing social and health policies.

Benchmarks of fairness for health care reform: a policy tool for developing countries.

PubMed Central

Daniels, N.; Bryant, J.; Castano, R. A.; Dantes, O. G.; Khan, K. S.; Pannarunothai, S.

2000-01-01

Teams of collaborators from Colombia, Mexico, Pakistan, and Thailand have adapted a policy tool originally developed for evaluating health insurance reforms in the United States into "benchmarks of fairness" for assessing health system reform in developing countries. We describe briefly the history of the benchmark approach, the tool itself, and the uses to which it may be put. Fairness is a wide term that includes exposure to risk factors, access to all forms of care, and to financing. It also includes efficiency of management and resource allocation, accountability, and patient and provider autonomy. The benchmarks standardize the criteria for fairness. Reforms are then evaluated by scoring according to the degree to which they improve the situation, i.e. on a scale of -5 to 5, with zero representing the status quo. The object is to promote discussion about fairness across the disciplinary divisions that keep policy analysts and the public from understanding how trade-offs between different effects of reforms can affect the overall fairness of the reform. The benchmarks can be used at both national and provincial or district levels, and we describe plans for such uses in the collaborating sites. A striking feature of the adaptation process is that there was wide agreement on this ethical framework among the collaborating sites despite their large historical, political and cultural differences. PMID:10916911

A Food Systems Approach To Healthy Food And Agriculture Policy.

PubMed

Neff, Roni A; Merrigan, Kathleen; Wallinga, David

2015-11-01

Food has become a prominent focus of US public health policy. The emphasis has been almost exclusively on what Americans eat, not what is grown or how it is grown. A field of research, policy, and practice activities addresses the food-health-agriculture nexus, yet the work is still often considered "alternative" to the mainstream. This article outlines the diverse ways in which agriculture affects public health. It then describes three policy issues: farm-to-school programming, sustainability recommendations in the Dietary Guidelines for Americans, and antibiotic use in animal agriculture. These issues illustrate the progress, challenges, and public health benefits of taking a food systems approach that brings together the food, agriculture, and public health fields. Project HOPE—The People-to-People Health Foundation, Inc.

Antimicrobials in animal agriculture: parables and policy.

PubMed

Scott, H M; Midgley, G; Loneragan, G H

2015-04-01

In addition to the scientific, economic, regulatory and other policy factors that impact on antimicrobial decision-making in different jurisdictions around the world, there exist ethical, social and cultural bases for the contemporary use of these products in animal agriculture. Thus, the use of the word 'parable' to describe the contemporary moral stories that help to guide ethical antimicrobial use practices and broader policy decisions in animal agriculture is appropriate. Several of these stories reflect difficult decisions that arise from conflicting moral imperatives (i.e. both towards animal welfare and towards human health). Understanding the factors that combine to define the past and present paradigms of antimicrobial usage is crucial to mapping a path forward. There exist barriers, as well as opportunities, for advancing scenarios for reducing antimicrobial usage under a variety of voluntary, regulatory and legal policy frameworks. Any new approaches will ideally be structured to extend the use of present-day antimicrobials into the future, to provide novel alternatives for regulating any newly introduced antimicrobial products so as to maximize their useful life span and to ensure the optimal use of these products in animal agriculture to protect not only the health of animals and the interests of animal health/agriculture stakeholders, but also the human health and the interests of the public at large. A full range of policy approaches, which span the realm from strictly enforced regulations and laws to voluntary guidelines and compliance, should be explored with respect to their risks and benefits in a variety of worldwide settings and in full consideration of a range of stakeholder values. © 2015 Blackwell Verlag GmbH.

Compensation Reform and Design Preferences of Teacher Incentive Fund Grantees. Policy Paper

ERIC Educational Resources Information Center

Heyburn, Sara; Lewis, Jessica; Ritter, Gary

2010-01-01

In U.S. K-12 public education, incentive pay for educators remains firmly fixed as a high-interest policy topic and has recently become a popular reform initiative in many school systems. The Teacher Incentive Fund (TIF), created in 2006 by the U.S. Department of Education, is at the forefront of this policy movement and has provided hundreds of…

The Culture of Education Policy Making: Curriculum Reform in Shanghai

ERIC Educational Resources Information Center

Tan, Charlene

2012-01-01

This paper explores the culture of education policy making in Shanghai using the conceptual tool of a "global assemblage". A global assemblage is essentially a collection of ideas and practices that arise from the interplay between a global form and situated sociocultural elements. Focusing on the global form of curriculum reform, this…

Increase in caesarean deliveries after the Australian Private Health Insurance Incentive policy reforms.

PubMed

Einarsdóttir, Kristjana; Kemp, Anna; Haggar, Fatima A; Moorin, Rachael E; Gunnell, Anthony S; Preen, David B; Stanley, Fiona J; Holman, C D'Arcy J

2012-01-01

The Australian Private Health Insurance Incentive (PHII) policy reforms implemented in 1997-2000 increased PHI membership in Australia by 50%. Given the higher rate of obstetric interventions in privately insured patients, the reforms may have led to an increase in surgical deliveries and deliveries with longer hospital stays. We aimed to investigate the effect of the PHII policy introduction on birth characteristics in Western Australia (WA). All 230,276 birth admissions from January 1995 to March 2004 were identified from administrative birth and hospital data-systems held by the WA Department of Health. Average quarterly birth rates after the PHII introduction were estimated and compared with expected rates had the reforms not occurred. Rate and percentage differences (including 95% confidence intervals) were estimated separately for public and private patients, by mode of delivery, and by length of stay in hospital following birth. The PHII policy introduction was associated with a 20% (-21.4 to -19.3) decrease in public birth rates, a 51% (45.1 to 56.4) increase in private birth rates, a 5% (-5.3 to -5.1) and 8% (-8.9 to -7.9) decrease in unassisted and assisted vaginal deliveries respectively, a 5% (-5.3 to -5.1) increase in caesarean sections with labour and 10% (8.0 to 11.7) increase in caesarean sections without labour. Similarly, birth rates where the infant stayed 0-3 days in hospital following birth decreased by 20% (-21.5 to -18.5), but rates of births with >3 days in hospital increased by 15% (12.2 to 17.1). Following the PHII policy implementation in Australia, births in privately insured patients, caesarean deliveries and births with longer infant hospital stays increased. The reforms may not have been beneficial for quality obstetric care in Australia or the burden of Australian hospitals.

Higher Education Policy Reform in Ethiopia: The Representation of the Problem of Gender Inequality

ERIC Educational Resources Information Center

Molla, Tebeje

2013-01-01

The higher education (HE) subsystem in Ethiopia has passed through a series of policy reforms in the last 10 years. Key reform areas ranged from improving quality and relevance of programmes to promoting equality in access to and success in HE. Despite the effort underway, gender inequality has remained a critical challenge in the subsystem. This…

Educational Turbulence: The Influence of Macro and Micro-Policy on Science Education Reform

ERIC Educational Resources Information Center

Johnson, Carla C.

2013-01-01

Enactment of federal educational policy has direct implications for states and local school districts across the nation, particularly in the areas of accountability and funding. This study utilized constructivist grounded theory to examine the impact of policy on science education reform in a large, urban school district over a 5-year period. The…

Agrarian Reform Policies and Development in the Arab Middle East.

ERIC Educational Resources Information Center

Baali, Fuad

The purpose of this paper is to analyze and evaluate the nature, scope, and implications of the rural development in the Arab countries of the Middle East and North Africa. The first section of the paper deals with the forces that have caused changes in agrarian reform policies as they affected rural development in these countries. Specifically…

How Do School Leaders Navigate ICT Educational Reform? Policy Learning Narratives from a Singapore Context

ERIC Educational Resources Information Center

Chua Reyes, Vicente

2015-01-01

The purpose of this research inquiry focuses on how school leaders "make sense" of educational reform in their local contexts. In order to do this, an exploratory qualitative case study of two schools that took part in policy reform initiatives directed at ubiquitous use of information communication and technology (ICT) in the Singapore…

Knaves or Knights, Pawns or Queens?: An Evaluation of Australian Higher Education Reform Policy

ERIC Educational Resources Information Center

Dollery, Brian; Murray, David; Crase, Lin

2006-01-01

Purpose: To invoke Julian Le Grand's conceptual model of the interaction between human motivation and policy formulation in order to explain how motivational endogeneity in the university environment has distorted policy outcomes in the Australian higher education reform program. Design/methodology/approach: Le Grand contends that changes in the…

Educational Policy Issues for the 1990s: Balancing Equity and Excellence in Implementing the Reform Agenda.

ERIC Educational Resources Information Center

Marcoulides, George A.; Heck, Ronald H.

1990-01-01

Discusses problems with reform issues that focus specifically on changing the system of educational policymaking to achieve excellence but lack safeguards against compromising equality of educational opportunity in the public school system. Explores the conflicting political views of reform policy, which include economic issues and democratic…

Policy Issues for Education in General Agriculture in UK Universities.

ERIC Educational Resources Information Center

Whittemore, C. T.

1996-01-01

At present, substantial research funding for agriculture departments in British research universities is not forthcoming. Present policies could widen the divide between pure and applied sciences and between scientific education for agricultural scientists and technical education for agricultural generalists. (SK)

The Evidence on the "Florida Formula" for Education Reform. Policy Brief

ERIC Educational Resources Information Center

Di Carlo, Matthew

2015-01-01

During the late 1990s and 2000s, the State of Florida enacted a set of education reforms spearheaded by Governor Jeb Bush. These policies, which emphasize test-based accountability, competition, and choice, have since become known as the "Florida Formula for education success," or, simply, the "Florida Formula." In recent…

US health care policy and reform: implications for cardiac electrophysiology.

PubMed

Turakhia, Mintu P; Ullal, Aditya J

2013-03-01

In response to unsustainably rising costs, variable quality and access to health care, and the projected insolvency of vital safety net insurance programs, the federal government has proposed important health policy and regulatory changes in the USA. The US Supreme Court's decision to uphold most of the major provisions of the Affordable Care Act will lead to some of the most sweeping government reforms on entitlements since the creation of Medicare. Furthermore, implementation of new organizational, reimbursement, and health care delivery models will strongly affect the practice of cardiac electrophysiology. In this brief review, we will provide background and context to the problem of rising health care costs and describe salient reforms and their projected impacts on the field and practice of cardiac electrophysiology.

Alternative approaches to the construction of a composite indicator of agricultural sustainability: An application to irrigated agriculture in the Duero basin in Spain.

PubMed

Gómez-Limón, José A; Riesgo, Laura

2009-08-01

This paper describes a comparative analysis of alternative methods of constructing composite indicators to measure the sustainability of the agricultural sector. The three methods employed were Principal Component Analysis, the Analytic Hierarchy Process and a Multi-Criteria technique. The comparison focused on the irrigated agriculture of the Duero basin in Spain as a case study, using a dataset of indicators previously calculated for various farm types and policy scenarios. The results enabled us to establish a hierarchy of preferred policy scenarios on the basis of the level of sustainability achieved, and show that the most recent CAP reform is the most sustainable agricultural policy scenario. By analyzing the heterogeneity of different farms types in each scenario, we can also determine the main features of the most sustainable farms in each case. The analysis demonstrates that full-time farmers with small to medium-sized farms and sowing profitable crops are the most sustainable farm types in all the policy scenarios. All of this information is useful for the support of agricultural policy design and its implementation, as we attempt to improve the sustainability of this sector.

From Best Practice to Best Fit: A Framework for Designing and Analyzing Pluralistic Agricultural Advisory Services Worldwide

ERIC Educational Resources Information Center

Birner, Regina; Davis, Kristin; Pender, John; Nkonya, Ephraim; Anandajayasekeram, Ponniah; Ekboir, Javier; Mbabu, Adiel; Spielman, David J.; Horna, Daniela; Benin, Samuel; Cohen, Marc

2009-01-01

The article provides a conceptual framework and discusses research methods for analyzing pluralistic agricultural advisory services. The framework can also assist policy-makers in identifying reform options. It addresses the following question: Which forms of providing and financing agricultural advisory services work best in which situation? The…

Postcolonial Teacher Education Reform in Namibia: Travelling of Policies and Ideas

ERIC Educational Resources Information Center

Arreman, Inger Erixon; Erixon, Per-Olof; Rehn, Karl-Gunnar

2016-01-01

Long before Namibia's independence in 1990, Sweden initiated a policy dialogue with Namibia's future political leadership. This article reviews the impact of an educational reform in Namibia in the early 1990s called the Integrated Teacher Training Programme (ITTP), which was an outcome of collaboration between the South West African People's…

Whose Quality? The (Mis)Uses of Quality Reform in Early Childhood and Education Policy

ERIC Educational Resources Information Center

Hunkin, Elise

2018-01-01

This paper reports on the findings of an in-depth genealogical study of the discourse of quality in Australian Early Childhood Education and Care (ECEC) policy. Quality reform has become the foremost global policy agenda for ECEC due to assumptions about the economic potentials of quality services. In Australia, the recent National Quality…

Rolling Back Zero Tolerance: The Effect of Discipline Policy Reform on Suspension Usage and Student Outcomes

ERIC Educational Resources Information Center

Lacoe, Johanna; Steinberg, Matthew P.

2018-01-01

Beginning in the early 1990s, states and districts enacted zero-tolerance discipline policies that relied heavily on out-of-school suspensions. Recently, districts nationwide have revised these policies in favor of more tempered disciplinary responses. In 2012-2013, Philadelphia reformed its discipline policy to limit suspensions for nonviolent…

[Health impact assessment of occupational health policy reform at a multinational chemical company in Japan].

PubMed

Fujino, Yoshihisa; Nagata, Tomohisa; Kuroki, Naomi; Dohi, Seitaro; Uehara, Masamichi; Oyama, Ichiro; Kajiki, Shigeyuki; Mori, Koji

2009-09-01

A health impact assessment (HIA) was conducted to identify potential health impacts arising from policy reform of occupational health and safety at S-chemical company, a multinational global company that employs about 13,000 workers. A multidisciplinary team of health professionals including occupational physicians, an epidemiologist, and public health researchers oversaw the HIA. A project manager from S-company was also involved in the whole HIA process. A literature review, profiling using annual health examination data and interviews with stakeholders and key informants were undertaken in order to identify possible impacts. A range of positive and negative health impacts were identified and develop recommendations for implementation of the new occupational health policy were proposed. The HIA added value to the planning process for the occupational health policy reform.

Ethical and Human Rights Foundations of Health Policy: Lessons from Comprehensive Reform in Mexico.

PubMed

Frenk, Julio; Gómez-Dantés, Octavio

2015-12-10

This paper discusses the use of an explicit ethical and human rights framework to guide a reform intended to provide universal and comprehensive social protection in health for all Mexicans, independently of their socio-economic status or labor market condition. This reform was designed, implemented, and evaluated by making use of what Michael Reich has identified as the three pillars of public policy: technical, political, and ethical. The use of evidence and political strategies in the design and negotiation of the Mexican health reform is briefly discussed in the first part of this paper. The second part examines the ethical component of the reform, including the guiding concept and values, as well as the specific entitlements that gave operational meaning to the right to health care that was enshrined in Mexico's 1983 Constitution. The impact of this rights-based health reform, measured through an external evaluation, is discussed in the final section. The main message of this paper is that a clear ethical framework, combined with technical excellence and political skill, can deliver major policy results. Copyright © 2015 Frenk and Gómez-Dantés. This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited.

A synthesis of welfare reform policy and its impact on substance users.

PubMed

Montoya, Isaac D; Atkinson, John S

2002-01-01

The purpose of this study was to provide an overview of welfare reform and its impact on the substance-abusing recipient. The data for this paper were derived from sources including the US Department of Health and Human Services and the National Institute on Drug Abuse. The number of individuals on public assistance has decreased in the years following implementation of welfare reform legislation. Factors relevant to transitioning welfare recipients into the workplace, such as transportation and childcare, have special ramifications for the drug-using population. Additionally, these individuals require treatment for their addictions in order to become employable. The issue of concern is that recipients may be deterred from seeking benefits by various provisions of welfare reform legislation and turn instead to other sources (including illicit activities) for sustenance. Welfare caseloads have been dropping over the past two years. However, the number of substance abusers continues to rise. It is not known in what ways welfare reform will affect substance abusers who are welfare recipients. Important policy issues arise from this nexus; it is argued that these issues will require careful investigation.

Mapping Educational Equity and Reform Policy in the Borderlands: LatCrit Spatial Analysis of Grade Retention

ERIC Educational Resources Information Center

Rodríguez, Cristóbal; Amador, Adam; Tarango, B. Abigail

2016-01-01

The purpose of our study is to investigate reform policy, specifically a proposed third grade reading retention policy within the Borderlands. Under this policy, students not performing proficiently on the third grade reading standardized exam will be automatically retained in the third grade. The research methods and approach used in this study…

Translating Globalization and Democratization into Local Policy: Educational Reform in Hong Kong and Taiwan

NASA Astrophysics Data System (ADS)

Law, Wing-Wah

2004-11-01

The past two decades have witnessed three important international trends: an increase in the number of democratic states; economic globalization; and educational reforms in light of the challenges of the new millennium. A great deal of research has addressed educational change in relation to either globalization or democratization, but little has been said about the complex interactions among all three processes. In view of recent educational reforms in Hong Kong and Taiwan, the present contribution examines the local nature of education policy in a globalized age. It challenges those globalization theories which minimize the role of the state and exaggerate the power of globalization over local factors. In particular, it explores how the governments of these two Chinese societies have employed democratization to generate and legitimate reform proposals and have used economic globalization to justify educational reforms. The study concludes by discussing the complex interrelations of these processes, including tensions between global and local concerns in educational reform.

Food and agriculture policy: issues related to prevention of noncommunicable diseases.

PubMed

Nugent, Rachel

2004-06-01

Good nutrition depends on access to a healthful food supply. Although a great deal of attention has been paid to food intake as a determinant of nutrition and overall health, little attention has been paid to the food supply system, health risks embedded in it, and its effect on people's choices. Most national governments intervene in their agricultural sectors in order to provide benefits to producers and consumers; however, these interventions are not designed with public health in mind. Governments should consider population nutrition and chronic disease risk when devising and implementing agricultural and food policies. They should seek opportunities to adjust agricultural and trade policies to be consistent with national health and nutritional priorities and guidelines. Although the paper gives several examples, country-specific policy changes can be determined only through analysis of individual country policies and nutrition conditions.

Empirical research on the insanity defense and attempted reforms: evidence toward informed policy.

PubMed

Borum, R; Fulero, S M

1999-06-01

The paper addresses some common questions about the insanity defense and issues raised by commonly proposed "reforms." The first section begins with a brief description of the insanity defense and the reasons for its existence in the law. It then examines some of the popular myths and public misperceptions surrounding the insanity defense. The next three sections discuss proposed "reforms" and the empirical research that addresses their effect. These reforms, including various procedural changes in definitions, burden of proof, and expert testimony, the institution of a guilty but mentally ill verdict, and the abolition of the insanity defense itself, are reviewed, along with relevant research findings and policy issues. Finally, the development of sound conditional release programs for criminal defendants found not guilty by reason of insanity is proposed as a reform option which could serve the objectives of enhancing public safety and access to appropriate treatment while continuing to meet the objectives of the insanity defense within criminal jurisprudence.

Empirical research on the insanity defense and attempted reforms: evidence toward informed policy.

PubMed

Borum, R; Fulero, S M

1999-02-01

This paper addresses some common questions about the insanity defense and issues raised by commonly proposed "reforms." The first section begins with a brief description of the insanity defense and the reasons for its existence in the law. It then examines some of the popular myths and public misperceptions surrounding the insanity defense. The next three sections discuss proposed "reforms" and the empirical research that addresses their effect. These reforms, including various procedural changes in definitions, burden of proof, and expert testimony, the institution of a guilty but mentally ill verdict, and the abolition of the insanity defense itself, are reviewed, along with relevant research findings and policy issues. Finally, the development of sound conditional release programs for criminal defendants found not guilty by reason of insanity is proposed as a reform option which could serve the objectives of enhancing public safety and access to appropriate treatment while continuing to meet the objectives of the insanity defense within criminal jurisprudence.

Personal and political histories in the designing of health reform policy in Bolivia.

PubMed

Bernstein, Alissa

2017-03-01

While health policies are a major focus in disciplines such as public health and public policy, there is a dearth of work on the histories, social contexts, and personalities behind the development of these policies. This article takes an anthropological approach to the study of a health policy's origins, based on ethnographic research conducted in Bolivia between 2010 and 2012. Bolivia began a process of health care reform in 2006, following the election of Evo Morales Ayma, the country's first indigenous president, and leader of the Movement Toward Socialism (Movimiento al Socialism). Brought into power through the momentum of indigenous social movements, the MAS government platform addressed racism, colonialism, and human rights in a number of major reforms, with a focus on cultural identity and indigeneity. One of the MAS's projects was the design of a new national health policy in 2008 called The Family Community Intercultural Health Policy (Salud Familiar Comunitaria Intercultural). This policy aimed to address major health inequities through primary care in a country that is over 60% indigenous. Methods used were interviews with Bolivian policymakers and other stakeholders, participant observation at health policy conferences and in rural community health programs that served as models for aspects of the policy, and document analysis to identify core premises and ideological areas. I argue that health policies are historical both in their relationship to national contexts and events on a timeline, but also because of the ways they intertwine with participants' personal histories, theoretical frameworks, and reflections on national historical events. By studying the Bolivian policymaking process, and particularly those who helped design the policy, it is possible to understand how and why particular progressive ideas were able to translate into policy. More broadly, this work also suggests how a uniquely anthropological approach to the study of health policy

CAP payments and agricultural GHG emissions in Italy. A farm-level assessment.

PubMed

Coderoni, Silvia; Esposti, Roberto

2018-06-15

The Common Agricultural Policy (CAP) is an important external driver of European agricultural production. Nowadays and in its envisioned future structure post-2020, the CAP has among its major objectives tackling climate change, for what concerns both adaptation and mitigation strategies. However, little is known about the link between past CAP reforms and agricultural greenhouse gases (GHG) emissions. This paper investigates the possible role played by the Fischler Reform (FR) on the agricultural GHG emissions at the farm level. The FR represents a major CAP reform for which data availability allows an ex-post analysis about its actual impacts. The empirical analysis concerns a balanced panel of 6542 Italian Farm Accountancy Data Network observed over years the 2003-2007. Multinomial Logit models are estimated in sequence to express how the farm-level production choices, and the respective emissions, vary over time also in response to CAP expenditure. Results suggest that CAP expenditure had a role in the evolution of the farm-level emissions, though the direction of this effect may differ across farms and deserves further investigation. Copyright © 2018 Elsevier B.V. All rights reserved.

Reforming the Japanese Preschool System: An Ethnographic Case Study of Policy Implementation

ERIC Educational Resources Information Center

Hayashi, Akiko; Tobin, Joseph

2017-01-01

This is an ethnographic study of how two Japanese kindergartens are implementing the "yohoichigenka" policy aimed at reforming the Japanese early childhood education system. The cases of these two kindergartens demonstrate what happens when a top-down mandate reaches the level of individual programs. The programs creatively find ways of…

Moving Middle Schooling Reform from Policy to Practice: Issues for Queensland Teachers

ERIC Educational Resources Information Center

Bryer, Fiona; Main, Katherine

2005-01-01

Three well-established issues for educational reform to insert middle schooling into the traditional primary-secondary tiers are (a) lack of preservice training of specialist middle school teachers, (b) the absence of clear positive educational outcomes linked to the promotion of middle schooling policy as a philosophy of teaching, and (c) the ad…

Hungary: Reform of Social Policy and Expenditures. A World Bank Country Study.

ERIC Educational Resources Information Center

World Bank, Washington, DC.

This study evaluates the overall social policy system of Hungary and proposes reforms aimed at strengthening its role as a defense against poverty, raising the quality and equity of social programs, ensuring financial sustainability of the system, and restoring incentives (in particular relating to demand and supply for labor) suitable to a market…

Market Accountability in Schools: Policy Reforms in England, Germany, France and Italy

ERIC Educational Resources Information Center

Mattei, Paola

2012-01-01

This article concentrates on the policy reforms of schools in England, Germany, France and Italy, from 1988 to 2009, with a focus on the introduction of market accountability. Pressing demands for organisational change in schools, shaped by the objectives of "efficiency" and competition, which were introduced in England in the 1980s,…

Do American and Korean Education Systems Converge? Tracking School Reform Policies and Outcomes in Korea and the USA

ERIC Educational Resources Information Center

Lee, Jaekyung; Park, Daekwon

2014-01-01

This study examines key school reform policies and outcomes of the USA and Korea over the past three decades from comparative perspectives. Since the two nations' unique educational problems brought divergent educational reform paths--standardization versus differentiation, high-stakes testing versus individualized assessment, and centralization…

Capitalising upon political opportunities to reform drug policy: a case study into the development of the Australian "Tough on Drugs-Illicit Drug Diversion Initiative".

PubMed

Hughes, Caitlin Elizabeth

2009-09-01

The introduction of political "war on drug" strategies and Prime Ministerial advisory groups increase opportunities for drug policy reform. Yet the strengths and limitations of capitalising upon political opportunities remain unclear. This paper provides a unique insight into the development of an Australian reform, the "Tough on Drugs-Illicit Drug Diversion Initiative." This reform was one of the major policies to emerge out of the Federal Coalition "Tough on Drugs" strategy. In spite of the rhetoric the Illicit Drug Diversion Initiative (IDDI) has diverted minor drug users away from the traditional criminal justice system. This paper draws upon interviews with 16 expert policy makers involved in the advocacy and negotiations leading up to the adoption of the IDDI to examine what drove the reform and how and why a pragmatic reform emerged. The IDDI culminated from the presence of five main drivers: a crisis in relation to heroin and crime, antagonism towards the government, a weak but growing evidence-base on the merits of drug diversion, a shift in law enforcement attitudes and persuasive advocacy by a group of non-government experts. This paper contends that the Prime Minister's new "Tough on Drugs" strategy and expanded governance arrangements created new space for policy actors to intervene in the policy formulation process and to convert the governments proposed "zero tolerance" response into a more humane and potentially effective response. This paper concludes that contrary to popular opinion political venues and politicisation may offer valuable opportunities for drug policy reform. The challenge for researchers and policy advocates is to see how they can best utilise political venues to obtain pragmatic reform.

Mandatory Production Controls. Issues in Agricultural Policy. Agriculture Information Bulletin Number 520.

ERIC Educational Resources Information Center

Economic Research Service (USDA), Washington, DC.

Mandatory restrictions on agricultural production continue to be suggested as an alternative policy for reducing price-depressing surplus production, increasing farm income, and cutting farm program costs. A mandatory production control program (MPCP) can be implemented through two methods: (1) acreage allotments, which restrict individual farmers…

Agricultural policy and childhood obesity: a food systems and public health commentary.

PubMed

Wallinga, David

2010-01-01

For thirty-five years, U.S. agriculture has operated under a "cheap food" policy that spurred production of a few commodity crops, not fruit or vegetables, and thus of the calories from them. A key driver of childhood obesity is the consumption of excess calories, many from inexpensive, nutrient-poor snacks, sweets, and sweetened beverages made with fats and sugars derived from these policy-supported crops. Limiting or eliminating farm subsidies to commodity farmers is wrongly perceived as a quick fix to a complex agricultural system, evolved over decades, that promotes obesity. Yet this paper does set forth a series of policy recommendations that could help, including managing commodity crop oversupply and supporting farmers who produce more fruit and vegetables to build a healthier, more balanced agricultural policy.

Health impact assessment of agriculture and food policies: lessons learnt from the Republic of Slovenia.

PubMed

Lock, Karen; Gabrijelcic-Blenkus, Mojca; Martuzzi, Marco; Otorepec, Peter; Wallace, Paul; Dora, Carlos; Robertson, Aileen; Zakotnic, Jozica Maucec

2003-01-01

The most important public health priority in agricultural policy-making is currently food safety, despite the relatively higher importance of food security, nutrition, and other agricultural-related health issues in terms of global burden of disease. There is limited experience worldwide of using health impact assessment (HIA) during the development of agriculture and food policies, which perhaps reflects the complex nature of this policy sector. This paper presents methods of HIA used in the Republic of Slovenia, which is conducting a HIA of proposed agricultural and food policies due to its accession to the European Union. It is the first time that any government has attempted to assess the health effects of agricultural policy at a national level. The HIA has basically followed a six-stage process: policy analysis; rapid appraisal workshops with stakeholders from a range of backgrounds; review of research evidence relevant to the agricultural policy; analysis of Slovenian data for key health-related indicators; a report on the findings to a key cross-government group; and evaluation. The experience in Slovenia shows that the HIA process has been a useful mechanism for raising broader public health issues on the agricultural policy agenda, and it has already had positive results for policy formation. HIA is one useful approach to more integrated policy-making across sectors, but clearly it is not the only mechanism to achieve this. A comparison of the approach used in Slovenia with HIA methods in other countries and policy contexts shows that there are still many limitations with HIA application at a government level. Lessons can be learnt from these case studies for future development and application of HIA that is more relevant to policy-makers, and assists them in making more healthy policy choices.

Health impact assessment of agriculture and food policies: lessons learnt from the Republic of Slovenia.

PubMed Central

Lock, Karen; Gabrijelcic-Blenkus, Mojca; Martuzzi, Marco; Otorepec, Peter; Wallace, Paul; Dora, Carlos; Robertson, Aileen; Zakotnic, Jozica Maucec

2003-01-01

The most important public health priority in agricultural policy-making is currently food safety, despite the relatively higher importance of food security, nutrition, and other agricultural-related health issues in terms of global burden of disease. There is limited experience worldwide of using health impact assessment (HIA) during the development of agriculture and food policies, which perhaps reflects the complex nature of this policy sector. This paper presents methods of HIA used in the Republic of Slovenia, which is conducting a HIA of proposed agricultural and food policies due to its accession to the European Union. It is the first time that any government has attempted to assess the health effects of agricultural policy at a national level. The HIA has basically followed a six-stage process: policy analysis; rapid appraisal workshops with stakeholders from a range of backgrounds; review of research evidence relevant to the agricultural policy; analysis of Slovenian data for key health-related indicators; a report on the findings to a key cross-government group; and evaluation. The experience in Slovenia shows that the HIA process has been a useful mechanism for raising broader public health issues on the agricultural policy agenda, and it has already had positive results for policy formation. HIA is one useful approach to more integrated policy-making across sectors, but clearly it is not the only mechanism to achieve this. A comparison of the approach used in Slovenia with HIA methods in other countries and policy contexts shows that there are still many limitations with HIA application at a government level. Lessons can be learnt from these case studies for future development and application of HIA that is more relevant to policy-makers, and assists them in making more healthy policy choices. PMID:12894321

Admissions Policies and Risks to Equity and Educational Inclusion in the Context of School Reform in England

ERIC Educational Resources Information Center

Rayner, Stephen M.

2017-01-01

Policy discourses in support of school reform in England have linked the objective of raising standards with that of tackling inequality. The assumption that a single policy strategy can tackle both objectives simultaneously is problematic. In this article, I examine issues of equity by studying admissions policy and practice. Drawing on a…

Promoting healthy diets and tackling obesity and diet-related chronic diseases: what are the agricultural policy levers?

PubMed

Hawkes, Corinna

2007-06-01

Diet-related chronic diseases are now a serious global public health problem. Public health groups are calling for the agricultural sector to play a greater role in tackling the threat. To identify potential points of policy intervention in the agricultural sector that could be leveraged to promote healthy diets and tackle obesity and diet-related chronic diseases. A review of the literature on the dietary implications of agriculture, a conceptual analysis of the issues, and the identification of relevant examples. There are two main potential points of intervention in the agricultural sector that could be leveraged to promote healthy diets: agricultural policies and agricultural production practices. Agricultural policies and practices affect diet through their influence on food availability, price, and nutrient quality, which in turn affects food choices available to consumers. Agricultural policies amenable to intervention include input, production, and trade policies; agricultural production practices amenable to intervention include crop breeding, crop fertilization practices, livestock-feeding practices, and crop systems diversity. It is well-known that agricultural policies and production practices influence what farmers choose to grow. Agricultural policies and production practices could also play a role in influencing what consumers choose to eat. To identify how agricultural policies and practices can usefully contribute toward promoting healthy diets and tackling obesity and diet-related chronic diseases, health policymakers need to examine whether current agricultural policies and production practices are contributing to-or detracting from-efforts to attain dietary goals; where and how could agricultural intervention help achieve dietary goals; and whether there are trade-offs between these interventions and other important concerns, such as undernutrition and the livelihoods of agricultural producers. Given the potential of agriculture to contribute to

Translating the human right to water and sanitation into public policy reform.

PubMed

Meier, Benjamin Mason; Kayser, Georgia Lyn; Kestenbaum, Jocelyn Getgen; Amjad, Urooj Quezon; Dalcanale, Fernanda; Bartram, Jamie

2014-12-01

The development of a human right to water and sanitation under international law has created an imperative to implement human rights in water and sanitation policy. Through forty-three interviews with informants in international institutions, national governments, and non-governmental organizations, this research examines interpretations of this new human right in global governance, national policy, and local practice. Exploring obstacles to the implementation of rights-based water and sanitation policy, the authors analyze the limitations of translating international human rights into local water and sanitation practice, concluding that system operators, utilities, and management boards remain largely unaffected by the changing public policy landscape for human rights realization. To understand the relevance of human rights standards to water and sanitation practitioners, this article frames a research agenda to ensure that human rights aspirations lead to public policy reforms and public health outcomes.

Quality and Importance of Health Policy, Reform, and Public Health Topics: A Study in Physician Assistant Education.

PubMed

Angerer-Fuenzalida, Frances M

2018-06-01

As key players in a changing US health care system, physician assistants (PAs) must be prepared to act with a clear understanding of health policy as reform changes are enacted. The purpose of this study was to assess the perceptions of graduating PA students about the importance of health policy, reform, and public health and their perception of their preparedness in these areas. The research question was: Do PA students identify these topic areas as important, and, for each topic area, do they feel adequately prepared with sufficient knowledge for clinical practice? Participants in the study included 352 PA students from 14 PA programs randomly selected from 4 geographic regions of the continental United States. A 20-item instrument, the Health Policy Perception Tool, was developed and validated for data collection. Physician assistant students rated content items high on the importance scale and displayed a wide range of ratings on their perceived preparedness in each content area. Health policy/reform items demonstrated the highest disparity, with students indicating that they were least prepared in content areas relating to the Affordable Care Act, such as patient-centered medical home and accountable care organizations. They also rated health system structure/function items as moderately important, but indicated that they were ill prepared on this topic. Public health topics were rated highly on both scales. Physician assistant programs appear to be addressing public health issues well; however, PA education leaders must address the low levels of preparedness in the other areas of health care, specifically those related to health structure/function and health reform.

Commentary: Malpractice Reform in Policy Perspective

PubMed Central

Bovbjerg, Randall R

2007-01-01

Enacted caps on malpractice awards and proposed early offer reform address the sometimes excessive verdicts of conventional liability and its very high overhead costs. However, such reforms greatly benefit medical defendants while doing too little for claimants or patients in general. Caps and early offer only affect current claims; far broader reforms are therefore needed to improve the woeful performance of liability as a general promoter of patient safety and injury compensation. Broad reforms, however desirable, seldom surmount high political and practical hurdles. A good, more evenhanded start would seek to make claims resolution faster, more accurate, more predictable, and less expensive, while separately promoting medical quality and safety as well as greater transparency for law, medicine, and insurance. PMID:17517117

Integrated Practice in the Early Years in Australia: The Assumptions, Omissions and Contradictions of Policy Reform

ERIC Educational Resources Information Center

Macfarlane, Kym; Nolan, Andrea; Cartmel, Jennifer

2016-01-01

The aim of this article is to examine current national early years' policy reform, which emphasises the importance of service integration, national quality standards and a quality knowledge base for educators concerning the provision of early childhood education and care. Using Queensland, Australia, as an example, a policy discourse analysis…

Between Accommodating and Activating: Framing Policy Reforms in Response to Workforce Aging across Europe.

PubMed

Kroon, Anne C; Vliegenthart, Rens; van Selm, Martine

2017-07-01

In the past decade, European governments have implemented activating policy reforms to maximize older workers' employment and employability, representing a paradigmatic change in approaches to work and retirement. This study isolates the factors that explain the relative success and failure of competitive frames that are either in favor of or against activating policies in European news coverage, by applying time-series analysis (ordinary least squares with panel-corrected standard errors) to monthly aggregated news coverage in the Netherlands, the United Kingdom, Denmark, and Spain over the timespan 2006-2013. The results show that pro-activating and counteractivating frames generally coincide in competitive framing environments. The pro-activating frame proliferated in times of high employment protection, whereas the counteractivating frame prevailed stronger in conservative compared with progressive newspapers, and gained momentum during the aftermath of the financial crisis and in times governments on the economic left were in power. The study advances knowledge of competitive issue framing by demonstrating how the economic, policy, and political context matters for the emergence and evolvement of competing frames. In addition, the findings contribute to the understanding of the factors that contribute to news representations that promote active aging in European news, which may foster support for policy reforms that sustain older workers' employability.

Do Social Policy Reforms Have Different Impacts on Employment and Welfare Use as Economic Conditions Change?

ERIC Educational Resources Information Center

Herbst, Chris M.

2008-01-01

This paper uses March Current Population Survey data from 1985 to 2004 to explore whether social policy reforms implemented throughout the 1990s have different impacts on employment and welfare use depending on economic conditions, a topic with important policy implications but which has received little attention from researchers. I find evidence…

ALTERNATIVE POLICIES FOR CONTROLLING NONPOINT AGRICULTURAL SOURCES OF WATER POLLUTION

EPA Science Inventory

This study of policies for controlling water pollution from nonpoint agricultural sources includes a survey of existing state and Federal programs, agencies, and laws directed to the control of soil erosion. Six policies representing a variety of approaches to this pollution prob...

Policy Networks and Boundary Objects: Enacting Curriculum Reform in the Absence of Consensus

ERIC Educational Resources Information Center

Banner, Indira; Donnelly, Jim; Ryder, Jim

2012-01-01

This article uses the concept of "boundary object", first developed within science studies by Star and Griesemer, to analyse curriculum policy implementation. It employs as a vehicle a significant but contested reform of the science curriculum in schools in England from 2006 onwards, drawing empirically on an extended study of the…

Use of a policy debate to teach residents about health care reform.

PubMed

Nguyen, Vu Q C; Hirsch, Mark A

2011-09-01

Resident education involves didactics and pedagogic strategies using a variety of tools and technologies in order to improve critical thinking skills. Debating is used in educational settings to improve critical thinking skills, but there have been no reports of its use in residency education. The present paper describes the use of debate to teach resident physicians about health care reform. We aimed to describe the method of using a debate in graduate medical education. Second-year through fourth-year physical medicine and rehabilitation residents participated in a moderated policy debate in which they deliberated whether the United States has one of the "best health care system(s) in the world." Following the debate, the participants completed an unvalidated open-ended questionnaire about health care reform. Although residents expressed initial concerns about participating in a public debate on health care reform, all faculty and residents expressed that the debate was robust, animated, and enjoyed by all. Components of holding a successful debate on health care reform were noted to be: (1) getting "buy-in" from the resident physicians; (2) preparing the debate; and (3) follow-up. The debate facilitated the study of a large, complex topic like health care reform. It created an active learning process. It encouraged learners to keenly attend to an opposing perspective while enthusiastically defending their position. We conclude that the use of debates as a teaching tool in resident education is valuable and should be explored further.

Physiotherapy Practice: Opportunities for International Collaboration on Workforce Reforms, Policy and Research.

PubMed

Grimmer, K; Morris, J; Kim, S; Milanese, S; Fletcher, W

2017-07-01

Physiotherapy or Physical Therapy (PT) is the most commonly practised allied health discipline globally. International PT workforce reforms are underway to deal with increasing patient numbers, shrinking medical and nursing workforces and lengthy waiting lists. It is timely to consider international differences in PT, with the aims of identifying opportunities for shared learning and forming stronger international alliances to support consistent and evidence-based workforce reforms. This paper synthesizes freely available information on PT training and service delivery across the UK, Australia and United States (California). The paper considers differences in roles, workplaces, training, legislation and registration, continuing professional development, and accountability. There are similarities between UK, Australia and United States (California) in many areas of PT roles, training, registration, legislation and professional practice. However, none has a standard national mechanism by which to demonstrate PT accountability, patient safety or quality care. Moreover, there are different approaches to workforce reforms. There is considerable duplication in physiotherapy governance. There are opportunities for targeted international collaborations regarding workforce reforms such as extending scope of practice, and determining and implementing internationally agreed ways of demonstrating PT accountability. The findings of this review have significant policy implications, and identify areas for collaborative research. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

Beyond nutrition and agriculture policy: collaborating for a food policy.

PubMed

Stewart, Derek; Kennedy, Anne; Pavel, Anthony

2014-10-01

Global interest in food policy is emerging in parallel with mounting challenges to the food supply and the rising prevalence of diet-related chronic health conditions. Some of the foundational elements of food policies are agricultural practices, finite resources, as well as economic burdens associated with a growing and ageing population. At the intersection of these interests is the need for policy synchronisation and a better understanding of the dynamics within local, regional and national government decision-making that ultimately affect the wellness of the populous and the safety, quality, affordability and quantity of the food supply. Policies, synchronised or not, need to be implemented and, for the food industry, this has seen a myriad of approaches with respect to condensing complex nutritional information and health claims. These include front and/or back of pack labelling, traffic light systems, etc. but in general there is little uniformity at the more regional and global scales. This translation of the nutritional and health-beneficial messages accompanying specific products to the consumer will undoubtedly be an area of intense activity, and hopefully interaction with policy makers, as the food industry continues to become a more global industry.

Health Policy Roundtable—Policy by Numbers: The Role of Budget Estimates and Scoring in Health Care Reform

PubMed Central

Folz, Christina E

2005-01-01

The purpose of this roundtable is to explore the imperfect art of estimating the budget costs of health insurance proposals—called scoring when done by government agencies. The panel addresses the complexities involved in generating these estimates, which usually depend on many untested and untestable assumptions. For example, the Medicare prescription drug “donut hole” was invented so that policymakers could achieve budget targets. These budget scores play a critical role in the design of health policies, as well as in the reform proposals put forth by candidates in an election. The roundtable discusses how policymakers can and do use health policy estimates and budget scores. PMID:15762895

The policy and politics of the 2015 long-term care reform in the Netherlands.

PubMed

Maarse, J A M Hans; Jeurissen, P P Patrick

2016-03-01

As of 2015 a major reform in LTC is taking place in the Netherlands. An important objective of the reform is to reign in expenditure growth to safeguard the fiscal sustainability of LTC. Other objectives are to improve the quality of LTC by making it more client-tailored. The reform consists of four interrelated pillars: a normative reorientation, a shift from residential to non-residential care, decentralization of non-residential care and expenditure cuts. The article gives a brief overview of these pillars and their underlying assumptions. Furthermore, attention is paid to the political decision-making process and the politics of implementation and evaluation. Perceptions of the effects of the reform so far widely differ: positive views alternate with critical views. Though the reform is radical in various aspects, LTC care will remain a largely publicly funded provision. A statutory health insurance scheme will remain in place to cover residential care. The role of municipalities in publicly funded non-residential care is significantly upgraded. The final section contains a few policy lessons. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

[Desperately seeking decentralisation: Mexican health policies in two periods of reform: the 1920s-30s and the 1980s].

PubMed

Birn, Anne-Emannuelle

2005-01-01

This article compares public health policy reforms in Mexico during the 1920s and 1930s with subsequent reforms initiated in the 1980s. The attempts at decentralization in the 1920s-30s were supported by the Rockefeller Foundation, which was interested in the formation of local cooperative health units. In the 1980s, the aim of the Mexican government and international financial agencies, such as the Inter-American Development Bank, was to reduce public spending (as part of "structural adjustment" policies). One of the hypotheses of this article is that, in the end, the public health reforms were unable to overcome the limitations imposed by Mexico's political centralization and longstanding inequities in public spending. At the same time, one of the unforeseen achievements of these reforms was an increase in local capabilities to demand a better distribution of social services.

Agricultural Intensification in the Brazilian Agricultural-Forest Frontier: Land Use Responses to Development and Conservation Policy

NASA Astrophysics Data System (ADS)

Garrett, R.; Koh, I.; le Polain de Waroux, Y.; Lambin, E.; Kastens, J.; Brown, J. C.

2017-12-01

Agricultural expansion, extensive cattle ranching, and deforestation remain pressing challenges for sustainable development and climate mitigation throughout South America. In response to these challenges, national and local governments, as well as private and non-governmental actors have developed new forest conservation governance mechanisms. The objective of this study is to better understand how conservation policies interact with supply chain development to influence land use. In particular, we endeavor to understand the timing and spatial patterns of crop and cattle intensification, an understudied phenomenon that is critical to understanding the future of agricultural-forest frontiers and the impacts of conservation policies. We focus on Mato Grosso, the largest soy and cattle producing state in Brazil, which spans the Cerrado and Amazon biomes and has experienced higher levels of deforestation for agricultural expansion than any other state globally over the last decade. Using a newly created spatially explicit data set of land use intensity, supply chain development, and forest policy, we find that agricultural intensification is occurring rapidly in the region, but is only partially driven by changes in conservation policies. The intensification of cattle production is the result of improvements in deforestation monitoring, penalties, and enforcement, and increased land scarcity. Crop intensification, in contrast, preceded increases in conservation restrictions, and is associated with the positive spillovers resulting from agribusiness agglomeration and development. These results suggest that intensification is not a foregone conclusion of increasing forest conservation restrictions, but is highly dependent on wider development processes. A combined effort to direct agribusiness development away from forest regions via tax credits and subsidized credit, when applied in concert with stringent conservation requirements, could help promote intensification

Why Are Studies of Neighborhoods and Communities Central to Education Policy and Reform?

ERIC Educational Resources Information Center

Hopson, Rodney

2014-01-01

To understand the long shadow of education policy and reform in the United States, especially in the urban core, requires a full and elaborate understanding of the neighborhoods and communities that have transformed in the last 20 or 30 years. Studying classrooms and educational spaces without concomitant understanding of the dynamics and facets…

Vehicles of Logics: The Role of Policy Documents and Instructional Materials in Reform

ERIC Educational Resources Information Center

Woulfin, Sarah L.

2016-01-01

To understand the complexities of education policy implementation, it is necessary to consider how artifacts associated with reform are imbued with ideas, meanings, and values. This empirical paper draws on neo-institutional theory to reveal how artifacts carried particular logics (D'Adderio in "J Inst Econ" 7(2):197-230, 2011; Feldman…

Impact of UK Primary Care Policy Reforms on Short-Stay Unplanned Hospital Admissions for Children With Primary Care-Sensitive Conditions.

PubMed

Cecil, Elizabeth; Bottle, Alex; Sharland, Mike; Saxena, Sonia

2015-01-01

We aimed to assess the impact of UK primary care policy reforms implemented in April 2004 on potentially avoidable unplanned short-stay hospital admissions for children with primary care-sensitive conditions. We conducted an interrupted time series analysis of hospital admissions for all children aged younger than 15 years in England between April 2000 and March 2012 using data from National Health Service public hospitals in England. The main outcomes were annual short-stay (<2-day) unplanned hospital admission rates for primary care-sensitive infectious and chronic conditions. There were 7.8 million unplanned admissions over the study period. More than one-half (4,144,729 of 7,831,633) were short-stay admissions for potentially avoidable infectious and chronic conditions. The primary care policy reforms of April 2004 were associated with an 8% increase in short-stay admission rates for chronic conditions, equivalent to 8,500 additional admissions, above the 3% annual increasing trend. Policy reforms were not associated with an increase in short-stay admission rates for infectious illness, which were increasing by 5% annually before April 2004. The proportion of primary care-referred admissions was falling before the reforms, and there were further sharp reductions in 2004. The introduction of primary care policy reforms coincided with an increase in short-stay admission rates for children with primary care-sensitive chronic conditions, and with more children being admitted through emergency departments. Short-stay admission rates for primary care-sensitive infectious illness increased more steadily and could be related to lowered thresholds for hospital admission. © 2015 Annals of Family Medicine, Inc.

Policy Reform Efforts and Equal Opportunity--An Evidence-Based Link? An Analysis of Current Sector Reforms in the Austrian School System

ERIC Educational Resources Information Center

Geppert, Corinna; Bauer-Hofmann, Sonja; Hopmann, Stefan Thomas

2012-01-01

The main focus of the present paper is to answer two different questions: From the perspective of Austrian education policy, which core areas of schooling are linked to the demand for equal opportunity? Can these reform efforts sustain the current state of research, and what are the consequences for schooling? The paper draws on an analysis by…

Projections of Virtual Water Trade Under Agricultural Policy Scenarios in China

NASA Astrophysics Data System (ADS)

Dalin, C.; Hanasaki, N.; Qiu, H.; Mauzerall, D. L.; Rodriguez-Iturbe, I.

2014-12-01

China's economic growth is expected to continue into the next decades, accompanied by a sustained urbanization and industrialization. The associated increase in demand for land, water resources and rich foods will deepen the challenge to sustainably feed the population and balance environmental and agricultural policies. In previous work, Inner Mongolia was identified as a target province for trade or agricultural policies aimed at water-use efficiency improvements, due to its large production relying on particularly significant irrigation water use. In addition, water scarcity issues may arises in the greater Beijing area, which represents the largest urban area of arid Northern China. Increasing residential and industrial water demand in this region may lead to fewer available water for irrigation. For these reasons, it is important to estimate the impacts of specific policies aiming at reducing excessive water use for crop production in Inner Mongolia, as well as exploring ways to mitigate pressure on water resources in dry urban areas. In this study, we use socio-economic projections to assess the future state of China's virtual water trade (VWT) network. We then quantify the effects of agricultural policies on the national VWT system and on the efficiency of food trade in terms of water resources. This study addresses the following questions: (1) How future socio-economic changes will affect China's food trade and associated water transfers? (2) To which extent localized reductions of irrigated area can decrease agricultural water use while maintaining national food security? (3) How would these policies affect China's domestic and international VWT network and induced water resources savings (losses)?

State welfare reform policies and maternal and child health services: a national study.

PubMed

Romero, D; Chavkin, W; Wise, P H; Hess, C A; VanLandeghem, K

2001-09-01

Welfare reform (Personal Responsibility and Work Opportunity Reconciliation Act of 1996) resulted in dramatic policy changes, including health-related requirements and the administrative separation of cash assistance from Medicaid. We were interested in determining if changes in welfare and health policies had had an impact on state MCH services and programs. We conducted a survey in fall 1999 of state MCH Title V directors. Trained interviewers administered the telephone survey over a 3-month period. MCH directors from all 50 states, Washington, DC, and Puerto Rico participated (n = 52; response rate = 100%). Among the most noteworthy findings is that similar proportions of respondents reported that welfare policy changes had either helped (46%) or hindered (42%) the agency's work, with most of the positive impact attributed to increased funding. MCH data linkages with welfare and other social programs were low. Despite welfare reform's emphasis on work, limited services and exemptions were available for mothers with CSHCN. Almost no efforts have been undertaken to specifically address the needs of substance abusers in the context of new welfare policies. Few MCH agencies have developed programs to address the special needs of women receiving TANF who either have health problems themselves or have children with health problems. Recommendations including increased MCH and family planning funding and improved coordination between TANF and MCH to facilitate linkages and services are put forth in light of reauthorization of PRWORA.

Applying policy network theory to policy-making in China: the case of urban health insurance reform.

PubMed

Zheng, Haitao; de Jong, Martin; Koppenjan, Joop

2010-01-01

In this article, we explore whether policy network theory can be applied in the People's Republic of China (PRC). We carried out a literature review of how this approach has already been dealt with in the Chinese policy sciences thus far. We then present the key concepts and research approach in policy networks theory in the Western literature and try these on a Chinese case to see the fit. We follow this with a description and analysis of the policy-making process regarding the health insurance reform in China from 1998 until the present. Based on this case study, we argue that this body of theory is useful to describe and explain policy-making processes in the Chinese context. However, limitations in the generic model appear in capturing the fundamentally different political and administrative systems, crucially different cultural values in the applicability of some research methods common in Western countries. Finally, we address which political and cultural aspects turn out to be different in the PRC and how they affect methodological and practical problems that PRC researchers will encounter when studying decision-making processes.

Best Policies and Practices in Urban Educational Reform: A Summary of Empirical Analysis Focusing on Student Achievements and Equity.

ERIC Educational Resources Information Center

Kim, Jason J.; Crasco, Linda M.

Under the sponsorship of the National Science Foundation, 22 urban school districts have been involved in a long-term educational reform through the Urban Systemic Initiative (USI) program since 1994. This paper presents a brief summary of findings regarding best policies and practices in the educational reform effort focusing on student…

Use of a Policy Debate to Teach Residents About Health Care Reform

PubMed Central

Nguyen, Vu Q. C; Hirsch, Mark A

2011-01-01

Background Resident education involves didactics and pedagogic strategies using a variety of tools and technologies in order to improve critical thinking skills. Debating is used in educational settings to improve critical thinking skills, but there have been no reports of its use in residency education. The present paper describes the use of debate to teach resident physicians about health care reform. Objective We aimed to describe the method of using a debate in graduate medical education. Methods Second-year through fourth-year physical medicine and rehabilitation residents participated in a moderated policy debate in which they deliberated whether the United States has one of the “best health care system(s) in the world.” Following the debate, the participants completed an unvalidated open-ended questionnaire about health care reform. Results Although residents expressed initial concerns about participating in a public debate on health care reform, all faculty and residents expressed that the debate was robust, animated, and enjoyed by all. Components of holding a successful debate on health care reform were noted to be: (1) getting “buy-in” from the resident physicians; (2) preparing the debate; and (3) follow-up. Conclusion The debate facilitated the study of a large, complex topic like health care reform. It created an active learning process. It encouraged learners to keenly attend to an opposing perspective while enthusiastically defending their position. We conclude that the use of debates as a teaching tool in resident education is valuable and should be explored further. PMID:22942966

Which environmental problems get policy attention? Examining energy and agricultural sector policies in Sweden

DOE Office of Scientific and Technical Information (OSTI.GOV)

Engstroem, Rebecka; Nilsson, Mans; Finnveden, Goeran

2008-05-15

Not all environmental problems get the same level of policy attention. An interesting question is thus why certain aspects receive attention and others do not. This paper studies the level of policy attention given to different environmental aspects in agriculture and energy policy in Sweden and explores empirically some factors that can explain the level of attention. The first step was to explore the link between environmental issue characteristics and the level of policy attention. The level of policy attention was measured through a content analysis of Swedish government bills. The results from the content analysis are clear and stablemore » over the studied time period. In the agriculture sector biodiversity and toxicity are in focus whereas in the energy sector climate change and resources are given the attention. Besides these aspects, the attention is limited. These results were compared with the results from sector-wide environmental assessments of the same sectors. These assessments were based on hybrid input-output analysis and life cycle assessment methodologies. A main finding from the study is that issue importance is a necessary but not a sufficient condition for policy attention. Other explanations are needed to understand which environmental issues get attention in sectoral policy. Our assessment showed that while the level of knowledge does not provide an explanation, the presence of strong and well-organised stakeholders within the sector, with an interest in having a certain issue on the agenda, might be decisive for issue attention. Path dependency and limited attention capacity are other important factors.« less

Farmers' preferences for water policy reforms: Results from a survey in Alberta

NASA Astrophysics Data System (ADS)

Zhang, W.; Bjornlund, H.; Klein, K.

2012-12-01

Facing increasingly urgent stress on global water scarcity, many reforms have been launched in countries around the world. As the biggest group of natural resource managers, farmers' behaviour is drawing increasingly wide attention. Satisfying new demands for water will depend on farmers' support since, generally, water will need to be transferred from farmers who have historically secure rights. Although water pricing reform is widely considered to lead to water conservation, the uncertainty of its potential impacts hinders the process of reform. This farmer-level empirical research explores farmers' possible responses to introduction of reforms in water pricing. A survey was conducted of about 300 farm households that use water for irrigating crops in Southern Alberta, an area that is facing water shortages and has had to stop issuing new water licences. By using structural equation modelling, the strength and direction of direct and indirect relationships between external, internal and behavioural variables as proposed in general attitude theory have been estimated. Farming as a family engagement, family members' and family unit's characteristics doubtlessly affect farming practice and farm decisions. Farmers' behaviour was explored under the family and farm context. In developing and testing conceptual models that integrate socio-demographic, psychological, farming context and social milieu factors, we may develop a deeper understanding of farmers' behaviour. The findings and recommendations will be beneficial for environmental practitioners and policy makers.

Understanding Elementary Teachers' Different Responses to Reform: The Case of Implementation of an Assessment Reform in South Korea

ERIC Educational Resources Information Center

Choi, Jinyoung

2017-01-01

This study explores how teachers implemented an assessment reform in South Korea, with an analysis of different aspects of the reform. Using a mixed method design, this study reveals that the relation between policy and practice depends upon the nature of the changes that reform policies propose. Teachers' implementation varies in terms of…

A Policy Sociology Reflection on School Reform in England: From the "Third Way" to the "Big Society"

ERIC Educational Resources Information Center

Lingard, Bob; Sellar, Sam

2012-01-01

This article presents a policy sociology reflection on Bernard Barker's book, "The Pendulum Swings: Transforming School Reform". The book represents Barker's attempt to intervene in education policy during the lead-up to the 2010 UK general election and is framed by what he imagined might be possible under a new Conservative government.…

Let's make a deal: trading malpractice reform for health reform.

PubMed

Sage, William M; Hyman, David A

2014-01-01

Physician leadership is required to improve the efficiency and reliability of the US health care system, but many physicians remain lukewarm about the changes needed to attain these goals. Malpractice liability-a sore spot for decades-may exacerbate physician resistance. The politics of malpractice have become so lawyer-centric that recognizing the availability of broader gains from trade in tort reform is an important insight for health policy makers. To obtain relief from malpractice liability, physicians may be willing to accept other policy changes that more directly improve access to care and reduce costs. For example, the American Medical Association might broker an agreement between health reform proponents and physicians to enact federal legislation that limits malpractice liability and simultaneously restructures fee-for-service payment, heightens transparency regarding the quality and cost of health care services, and expands practice privileges for other health professionals. There are also reasons to believe that tort reform can make ongoing health care delivery reforms work better, in addition to buttressing health reform efforts that might otherwise fail politically.

Working on reform. How workers' compensation medical care is affected by health care reform.

PubMed

Himmelstein, J; Rest, K

1996-01-01

The medical component of workers' compensation programs-now costing over $24 billion annually-and the rest of the nation's medical care system are linked. They share the same patients and providers. They provide similar benefits and services. And they struggle over who should pay for what. Clearly, health care reform and restructuring will have a major impact on the operation and expenditures of the workers' compensation system. For a brief period, during the 1994 national health care reform debate, these two systems were part of the same federal policy development and legislative process. With comprehensive health care reform no longer on the horizon, states now are tackling both workers' compensation and medical system reforms on their own. This paper reviews the major issues federal and state policy makers face as they consider reforms affecting the relationship between workers' compensation and traditional health insurance. What is the relationship of the workers' compensation cost crisis to that in general health care? What strategies are being considered by states involved in reforming the medical component of workers compensation? What are the major policy implications of these strategies?

Declining agricultural production in rapidly urbanizing semi-arid regions: policy tradeoffs and sustainability indicators

NASA Astrophysics Data System (ADS)

Dozier, André Q.; Arabi, Mazdak; Wostoupal, Benjamin C.; Goemans, Christopher G.; Zhang, Yao; Paustian, Keith

2017-08-01

In rapidly urbanizing semi-arid regions, increasing amounts of historically irrigated cropland lies permanently fallowed due to water court policies as agricultural water rights are voluntarily being sold to growing cities. This study develops an integrative framework for assessing the effects of population growth and land use change on agricultural production and evaluating viability of alternative management strategies, including alternative agricultural transfer methods, regional water ownership restrictions, and urban conservation. A partial equilibrium model of a spatially-diverse regional water rights market is built in application of the framework to an exemplary basin. The model represents agricultural producers as profit-maximizing suppliers and municipalities as cost-minimizing consumers of water rights. Results indicate that selling an agricultural water right today is worth up to two times more than 40 years of continued production. All alternative policies that sustain agricultural cropland and crop production decrease total agricultural profitability by diminishing water rights sales revenue, but in doing so, they also decrease municipal water acquisition costs. Defining good indicators and incorporating adequate spatial and temporal detail are critical to properly analyzing policy impacts. To best improve agricultural profit from production and sale of crops, short-term solutions include alternative agricultural transfer methods while long-term solutions incorporate urban conservation.

Past/Forward Policy-Making: Transforming Chinese Engineering Education since the Reform and Opening-Up

ERIC Educational Resources Information Center

Zhu, Qin; Jesiek, Brent K.; Gong, Yu

2015-01-01

Although engineering education has played important roles in China's growing power and influence on the world stage, engineering education policy since the Reform and Opening-up in the late 1970s has not been well documented in current English-language scholarship. Informed by historical and sociological studies of education, engineering and…

[Nutrition or industry. Experiences with nutritional considerations in the agricultural policy].

PubMed

Botten, G

1991-06-30

The need to export health considerations to various sector policies is regarded as important in health promotion. Health is generally a highly appreciated benefit; thus many sectors seek to use health as an argument for their policy. This article describes the relation between nutrition and agricultural policy in Norway. In areas where nutrition and agriculture had mutual interests, health considerations were easily exported. However, when interests diverged the issue became more complicated. Much effort was focused upon achieving correct use of nutritional arguments. Before negotiating and weighing respective viewpoints it is essential to clarify each sector's standpoint and interest. Conflicts and negotiations are linked to strategies which seek explicitly to integrate health premisses into sectors outside the health services itself.

Agricultural policies and biomass fuels

NASA Astrophysics Data System (ADS)

Flaim, S.; Hertzmark, D.

The potentials for biomass energy derived from agricultural products are examined. The production of energy feedstocks from grains is discussed for the example of ethanol production from grain, with consideration given to the beverage process and the wet milling process for obtaining fuel ethanol from grains and sugars, the nonfeedstock costs and energy requirements for ethanol production, the potential net energy gain from ethanol fermentation, the effect of ethanol fuel production on supplies of protein, oils and feed and of ethanol coproducts, net ethanol costs, and alternatives to corn as an ethanol feedstock. Biomass fuel production from crop residues is then considered; the constraints of soil fertility on crop residue removal for energy production are reviewed, residue yields with conventional practices and with reduced tillage are determined, technologies for the direct conversion of cellulose to ethanol and methanol are described, and potential markets for the products of these processes are identified. Implications for agricultural policy of ethanol production from grain and fuel and chemical production from crop residues are also discussed.

Health care reform 2010: a fresh view on tort reform.

PubMed

Stimson, C J; Dmochowski, Roger; Penson, David F

2010-11-01

We reviewed the state of medical malpractice tort reform in the context of a new political climate and the current debate over comprehensive health care reform. Specifically we asked whether medical malpractice tort reform is necessary, and evaluated the strengths and weaknesses of contemporary reform proposals. The medical, legal and public policy literature related to medical malpractice tort reform was reviewed and synthesized. We include a primer for understanding the current structure of medical malpractice law, identify the goals of the current system and analyze whether these goals are presently being met. Finally, we describe and evaluate the strengths and weaknesses of the current reform proposals including caps on damages, safe harbors and health care courts. Medical malpractice tort law is designed to improve health care quality and appropriately compensate patients for medical malpractice injuries, but is failing on both fronts. Of the 3 proposed remedies, caps on damages do little to advance the quality and compensatory goals, while safe harbors and health care courts represent important advancements in tort reform. Tort reform should be included in the current health policy debate because the current medical malpractice system is not adequately achieving the basic goals of tort law. While safe harbors and health care courts both represent reasonable remedies, health care courts may be preferred because they do not rely on jury determination in the absence of strong medical evidence. Copyright © 2010 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

75 FR 67345 - Agricultural Policy Advisory Committee for Trade and the Agricultural Technical Advisory...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-02

..., UPS, etc.) to the Office of Negotiations and Agreements, Foreign Agricultural Service, USDA, Room 5603.... The Office of Negotiations and Agreements may be reached by telephone at (202) 720-6219, with... sector advisory committee system to ensure that U.S. trade policy and negotiation objectives adequately...

Education Reforms: Lessons from History

ERIC Educational Resources Information Center

Hunt, Thomas C.

2005-01-01

Policy makers in education have long embraced reform. Unfortunately, education reforms have consistently been plagued by the reformers' lack of knowledge and appreciation of the history of education. Accordingly, the latest reform, touted as a panacea, meets with failure, and the search for the magic elixir begins anew. The ahistorical nature of…

China's health care system reform: Progress and prospects.

PubMed

Li, Ling; Fu, Hongqiao

2017-07-01

This paper discusses the progress and prospects of China's complex health care reform beginning in 2009. The Chinese government's undertaking of systemic reform has achieved laudable achievements, including the expansion of social health insurance, the reform of public hospitals, and the strengthening of primary care. An innovative policy tool in China, policy experimentation under hierarchy, played an important role in facilitating these achievements. However, China still faces gaps and challenges in creating a single payer system, restructuring the public hospitals, and establishing an integrated delivery system. Recently, China issued the 13th 5-year plan for medical reform, setting forth the goals, policy priorities, and strategies for health reform in the following 5 years. Moreover, the Chinese government announced the "Healthy China 2030" blueprint in October 2016, which has the goals of providing universal health security for all citizens by 2030. By examining these policy priorities against the existing gaps and challenges, we conclude that China's health care reform is heading in the right direction. To effectively implement these policies, we recommend that China should take advantage of policy experimentation to mobilize bottom-up initiatives and encourage innovations. Copyright © 2017 John Wiley & Sons, Ltd.

The Impact of the Bologna Reform on Teacher Education in Germany: An Empirical Case Study on Policy Borrowing in Education

ERIC Educational Resources Information Center

Kuhlee, Dina

2017-01-01

This article investigates aspects of policy transfer and educational borrowing in German higher education in the wake of the Bologna reforms of higher education in Europe. It examines the origins and results of the Bologna reform process in Germany. Focussing on teacher education, it highlights inconsistencies between political legitimation,…

The politics of ideas in welfare state transformation: Christian Democracy and the reform of family policy in Germany.

PubMed

Fleckenstein, Timo

2011-01-01

The expansion of employment-centered family policies of the Grand Coalition in Germany came with some surprise, as Christian Democrats have traditionally been strongly committed to the male breadwinner model and corresponding family policies. This article investigates why Christian Democrats (though with some inconsistencies) promoted “social-democratic” family policies guided by the adult worker rather than by the male breadwinner model. Illuminating the politics of recent family policy reforms, the electoral rationale for this modernization of family policy, the role of political entrepreneurship, and intraparty political conflicts over the new policy paradigm are discussed.

Can nutrition be promoted through agriculture-led food price policies? A systematic review

PubMed Central

Dangour, Alan D; Hawkesworth, Sophie; Shankar, Bhavani; Watson, Louise; Srinivasan, C S; Morgan, Emily H; Haddad, Lawrence; Waage, Jeff

2013-01-01

Objective To systematically review the available evidence on whether national or international agricultural policies that directly affect the price of food influence the prevalence rates of undernutrition or nutrition-related chronic disease in children and adults. Design Systematic review. Setting Global. Search strategy We systematically searched five databases for published literature (MEDLINE, EconLit, Agricola, AgEcon Search, Scopus) and systematically browsed other databases and relevant organisational websites for unpublished literature. Reference lists of included publications were hand-searched for additional relevant studies. We included studies that evaluated or simulated the effects of national or international food-price-related agricultural policies on nutrition outcomes reporting data collected after 1990 and published in English. Primary and secondary outcomes Prevalence rates of undernutrition (measured with anthropometry or clinical deficiencies) and overnutrition (obesity and nutrition-related chronic diseases including cancer, heart disease and diabetes). Results We identified a total of four relevant reports; two ex post evaluations and two ex ante simulations. A study from India reported on the undernutrition rates in children, and the other three studies from Egypt, the Netherlands and the USA reported on the nutrition-related chronic disease outcomes in adults. Two of the studies assessed the impact of policies that subsidised the price of agricultural outputs and two focused on public food distribution policies. The limited evidence base provided some support for the notion that agricultural policies that change the prices of foods at a national level can have an effect on population-level nutrition and health outcomes. Conclusions A systematic review of the available literature suggests that there is a paucity of robust direct evidence on the impact of agricultural price policies on nutrition and health. PMID:23801712

Medical society engagement in contentious policy reform: the Ethiopian Society for Obstetricians and Gynecologists (ESOG) and Ethiopia's 2005 reform of its Penal Code on abortion.

PubMed

Holcombe, Sarah Jane

2018-05-01

Unsafe abortion is one of the three leading causes of maternal mortality in low-income countries; however, few countries have reformed their laws to permit safer, legal abortion, and professional medical associations have not tended to spearhead this type of reform. Support from a professional association typically carries more weight than does that from an individual medical professional. However, theory predicts and the empirical record largely reveals that medical associations shy from engagement in conflictual policymaking such as on abortion, except when professional autonomy or income is at stake. Using interviews with 10 obstetrician-gynaecologists and 44 other leaders familiar with Ethiopia's reproductive health policy context, as well as other primary and secondary sources, this research examines why, counter to theoretical expectations from the sociology of medical professions literature and experience elsewhere, the Ethiopian Society of Obstetricians & Gynecologists (ESOG) actively supported reform of national law on abortion. ESOG leadership participation was motivated by both individual and ESOG's organizational commitments to reducing maternal mortality and also by professional training and work experience. Further, typical constraints on medical society involvement in policymaking were relaxed or removed, including those related to ESOG's organizational structure and history, and to political environment. Findings do not contradict theory positing medical society avoidance of socially conflictual health policymaking, but rather identify how the expected restrictions were less present in Ethiopia, facilitating medical society participation. Results can inform efforts to encourage medical society participation in policy reform to improve women's health elsewhere in sub-Saharan Africa.

Attitudes to Agricultural Policy and Farming Futures in the Context of the 2003 CAP Reform: A Comparison of Farmers in Selected Established and New Member States

ERIC Educational Resources Information Center

Gorton, Matthew; Douarin, Elodie; Davidova, Sophia; Latruffe, Laure

2008-01-01

Farmers' attitudes, to agricultural production, diversification and policy support, and behavioural intentions in five Member States of the EU (France, Lithuania, Slovakia, Sweden, England) are analysed comparatively. Groups of farmers with similarly held attitudes are identified using cluster analysis to investigate whether differences in…

Research on the teaching evaluation reform of agricultural eco-environmental protection specialties under the background of deep integration of production and education

NASA Astrophysics Data System (ADS)

Ma, Guosheng

2018-02-01

With the implementation of the personnel training mode of deep integration between production and education, the original evaluation method cannot adapt to the goal of personnel training, so that the traditional teaching evaluation methods need to be reformed urgently. This paper studies and analyzes the four main problems in the teaching evaluation of agricultural eco-environmental protection specialties, and puts forward three measures to reform the teaching evaluation methods: establishing diversified evaluation indexes, establishing diversified evaluation subjects, and establishing diversified evaluation feedback mechanisms.

Working on reform. How workers' compensation medical care is affected by health care reform.

PubMed Central

Himmelstein, J; Rest, K

1996-01-01

The medical component of workers' compensation programs-now costing over $24 billion annually-and the rest of the nation's medical care system are linked. They share the same patients and providers. They provide similar benefits and services. And they struggle over who should pay for what. Clearly, health care reform and restructuring will have a major impact on the operation and expenditures of the workers' compensation system. For a brief period, during the 1994 national health care reform debate, these two systems were part of the same federal policy development and legislative process. With comprehensive health care reform no longer on the horizon, states now are tackling both workers' compensation and medical system reforms on their own. This paper reviews the major issues federal and state policy makers face as they consider reforms affecting the relationship between workers' compensation and traditional health insurance. What is the relationship of the workers' compensation cost crisis to that in general health care? What strategies are being considered by states involved in reforming the medical component of workers compensation? What are the major policy implications of these strategies? Images p13-a p14-a p15-a p16-a p18-a p19-a p20-a p22-a p24-a PMID:8610187

Policy entrepreneurship in the development of public sector strategy: the case of London health reform.

PubMed

Oborn, Eivor; Barrett, Michael; Exworthy, Mark

2011-01-01

The development of health policy is recognized as complex; however, there has been little development of the role of agency in this process. Kingdon developed the concept of policy entrepreneur (PE) within his ‘windows’ model. He argued inter-related ‘policy streams' must coincide for important issues to become addressed. The conjoining of these streams may be aided by a policy entrepreneur. We contribute by clarifying the role of the policy entrepreneur and highlighting the translational processes of key actors in creating and aligning policy windows. We analyse the work in London of Professor Sir Ara Darzi as a policy entrepreneur. An important aspect of Darzi's approach was to align a number of important institutional networks to conjoin related problems. Our findings highlight how a policy entrepreneur not only opens policy windows but also yokes together a network to make policy agendas happen. Our contribution reveals the role of clinical leadership in health reform.

A National Scale Sustainable Agriculture Matrix of Indicators to Inform Policy

NASA Astrophysics Data System (ADS)

Davidson, E. A.; Zhang, X.

2017-12-01

The ratification of Sustainable Development Goals (SDGs) by all member countries of the United Nations demonstrates the determination of the international community in moving towards a sustainable future. To enable and encourage accountability, independent and transparent measurements of national sustainability efforts are essential. Among all sectors, agriculture is fundamental to all three pillars of sustainability, namely environment, society, and economy. However, the definition of a sustainable agriculture and the feasibility of measuring it remain elusive, in part because it encompasses both biophysical and socio-economic components that are still poorly integrated. Therefore, we have been developing a Sustainable Agriculture Matrix (SAM) on a national scale in order to measure country-level performance in agriculture. First proposed by Swaminathan for agricultural research and policy in 1990s, SAM is a collection of indicators measuring sustainable agriculture from environmental, social, and economic dimensions. The environmental dimension evaluates various impacts of agricultural production on the environment, such as water consumption and nutrient pollution. The economic dimension quantifies the costs and benefits for major stakeholders involved in agricultural production, including government, industry, farmers, and consumers. The social dimension considers three major aspects: 1) social welfare (e.g., hunger and poverty rate, nutritional quality, demography of rural community); 2) equity over sectors, space, and gender (e.g., access to resources/services and opportunities, distribution of income, land ownership and tenure rights); 3) systemic risk (e.g., fragility of the global agricultural production and trade system, resilience of a farm or a country to market and natural shocks). Translating the illustrative concepts into measureable indicators will not only provide an independent and transparent measurement of national performance in the

Economic and policy issues of U.S. agricultural pesticide use trends.

PubMed

Osteen, Craig D; Fernandez-Cornejo, Jorge

2013-09-01

This paper discusses U.S. agricultural pesticide use trends from 1964 to 2010 based on estimates developed from USDA surveys, and the influence of economic factors, agricultural policy, and pesticide regulation on aggregate quantities and mix of pesticides used. Synthetic organic pesticide use grew dramatically from the 1960s to the early 1980s, as farmers treated more and more acreage. Use then stabilized, with herbicides applied to about 95% of corn, cotton, and soybean acres, annually. Subsequently, major factors affecting trends were: (1) changes in crop acreage and other economic factors, (2) use of new pesticides that reduced per-acre application rates and/or met more rigorous health and environmental standards, and (3) adoption of genetically engineered insect-resistant and herbicide-tolerant crops. The use of pesticides and other control practices responded to economic factors such as input and output markets and agricultural policies. Changing societal values toward pesticide risks and benefits profoundly affected pesticide policy, influencing the pesticides available for use, but only indirectly affecting aggregate quantities used. While the current pesticide regulatory process might have economic inefficiencies, it might be consistent with policy preferences held by much of the public-to reduce pesticide hazards rather than minimize regulatory costs. Published 2013. This article is a U.S. Government work and is in the public domain in the USA.

Food consumption data needs for food and agricultural policy.

PubMed

Myers, L H

1994-09-01

Food and agricultural policy strives to provide stable, safe, nutritional, and affordable food supplies with policies on farm income, low-income food security, food safety (including nutritional risk), and nutrition education. For each policy area, comparisons are made between food consumption data needs and information currently collected with four human nutrition monitoring system components administered by the U.S. Department of Agriculture. Identified data gaps become the basis for recommendations for future data needs. Food consumption data are essential to management of programs. However, many food safety and nutritional well-being issues require specific food product consumption data for high risk groups. Sampling procedures are often too aggregate to meet these needs. Food consumed away-from-home is not well measured, yet this market segment now accounts for about half of all consumer food expenditures. Surveys should be designed to provide complementary and additive data. A premium should be placed on standardizing household description variables to enable "splicing" together data from different surveys. Survey continuity across time is essential. Data collection should be planned with funding limitations and respondent burden in mind so that a balance is achieved between survey objectives and the practical constraints of obtaining accurate data.

Policy and Ethics In Agricultural and Ecological Water Uses.

NASA Astrophysics Data System (ADS)

Appelgren, Bo

Agricultural water use accounts for about 70 percent of abstracted waters reaching 92 percent of the collective uses of all water resources when rain water is included. Agriculture is the traditional first sector and linked to a wide range of social, economic and cultural issues at local and global level that reach beyond the production of cheap food and industrial fibres. With the dominance in agricultural water uses and linkages with land use and soil conservation the sector is critical to the protection of global and local environmental values especially in sensitive dryland systems. Ethical principles related to development and nature conservation have traditionally been focused on sustainability imperatives building on precaution and preventive action or on indisputable natural systems values, but are by necessity turning more and more towards solidarity-based risk management approaches. Policy and management have in general failed to consider social dimensions with solidarity, consistency and realism for societal acceptance and practical application. As a consequence agriculture and water related land degradation is resulting in accelerated losses in land productivity and biodiversity in dryland and in humid eco- systems. Increasingly faced with the deer social consequences in the form of large man-made hydrological disasters and with pragmatic requirements driven by drastic increases in the related social cost the preferences are moving to short-term risk management approaches with civil protection objectives. Water scarcity assessment combined with crisis diagnoses and overriding statements on demographic growth, poverty and natural resources scarcity and deteriorating food security in developing countries have become common in the last decades. Such studies are increasingly questioned for purpose, ethical integrity and methodology and lack of consideration of interdependencies between society, economy and environment and of society's capacity to adapt to

Charting and Theorising the Territorialisation of Agricultural Policy

ERIC Educational Resources Information Center

Trouve, Aurelie; Berriet-Solliec, Marielle; Depres, Christophe

2007-01-01

Against a background of contestation of European agricultural policy, the territorial dimension is one of the prominent factors in proposals for shaping new rules of public action. This situation has been brought about by shifts in the nature of the challenges facing farming and in society's expectations of it, but also by a change in the forms…

Land reform policies, the sources of violent conflict, and implications for deforestation in the Brazilian Amazon

DOE Office of Scientific and Technical Information (OSTI.GOV)

Alston, L.J.; Libecap, G.D.; Mueller, B.

2000-03-01

The authors examine land reform policies and their implications for violent conflict and resource use in the Brazilian Amazon. They identify the protagonists (land owners and squatters), derive their incentives to use violence, and show the role of legal inconsistencies as a basis for conflict. The authors describe the government agency involved in land reform, INCRA, and show that its intervention critically affects the actions of both squatters and land owners. Further, they point out the incentives for deforestation under land reform and associated insecure property rights to land. Forested lands are vulnerable to invasion by squatters and redistribution bymore » INCRA. Using data from the Brazilian census and the Pastoral Land Commission, the authors examine the characteristics of regions where violent conflict predominates.« less

Policy Directions for U. S. Agriculture; Long-Range Choices in Farming and Rural Living.

ERIC Educational Resources Information Center

Clawson, Marion

A comprehensive view of agriculture is presented in this volume written to aid critical re-examination of long-range agricultural policy. Farm people, rural institutions and services, rural towns, the spatial organization of agriculture, and its capital structure, in addition to the usual subjects of agricultural output, demand, trade, price, and…

Do incentives still matter for the reform of irrigation management in the Yellow River Basin in China?

NASA Astrophysics Data System (ADS)

Wang, Jinxia; Huang, Jikun; Zhang, Lijuan; Huang, Qiuqiong

2014-09-01

Under the pressure of increasing water shortages and the need to sustain the development of irrigated agriculture, since the middle of the 1990s, officials in the YRB have begun to push for the institutional reform of irrigation management. Based on a panel data set collected in 2001 and 2005 in the Yellow River Basin, the overall goal of this paper is to examine how the irrigation management reform has proceeded since the early 2000s and what the impacts are of the incentive mechanisms on water use and crop yields. The results show that after the early 2000s, irrigation management reform has accelerated. Different from contracting management, more Water User Associations (WUAs) chose not to establish incentive mechanisms. The econometric model results indicate that using incentive mechanisms to promote water savings is effective under the arrangement of contracting management and not effective under WUAs. However, if incentives are provided to the contracting managers, the wheat yield declines significantly. Our results imply that at the later stage of the reform, the cost of reducing water use by providing incentives to managers includes negative impacts on some crop yields. Therefore, how to design win-win supporting policies to ensure the healthy development of the irrigation management reform should be highly addressed by policy makers.

Ecological and economic impacts of forest policies: interactions across forestry and agriculture.

Treesearch

R.J. Alig; D.M. Adams; B.A. McCarl

1998-01-01

A linked model of the US forest and agriculture sectors was used to examine the economic and ecological impacts of two forest policies: a minimum harvest age limitation and a reduced public harvest policy. Simulated private responses to both policies indicate that landowners could undertake a range of adjustments to minimize their welfare impacts, but imposition of...

Petro-state constraints on health policy: guidelines for workable reform in Venezuela.

PubMed

Trujillo, Antonio J

2004-01-01

This article reviews the performance of the Venezuelan health care sector and suggests guidelines for workable health policy under difficult conditions. Two special circumstances constrain policy options. First, Venezuelans share a traditional value, solidarity, which includes a strong desire for equity. Reforms must comply with this norm to succeed. Second, foreign sales of state-controlled oil constitute the bulk of the government budget and the gross domestic product (GDP). Petroleum market fluctuations expose the country to extreme economic cycles. In response, policy making and stakeholders adopt a rentier attitude, focusing on preserving or enlarging entitlements to government oil monies. The side effects of this largesse include poor productivity, a weak private sector, a widespread sense of entitlement without accountability, and a crippled state which controls most of the available resources yet is unable to effectively tax, regulate, steer the economy, or pursue long-term policies. The health care sector shares these problems. As a result, Venezuela's health systems are fragmented, poorly coordinated, excessively centralized, inequitable, and ineffective. Policies to improve public health and public and private medical care must take into account these constraints.

Viewpoint: methanol poisoning outbreak in Libya: a need for policy reforms.

PubMed

Taleb, Ziyad Ben; Bahelah, Raed

2014-11-01

We address the controversies surrounding a 2013 outbreak of methanol poisoning in Tripoli, Libya. We critically examine and systematically analyze the outbreak to highlight the lessons learned from this disaster and how to act properly to prevent similar outbreaks in future. Many health problems have been directly attributed to drinking alcohol; the type and quality of alcohol determines the detrimental effects. An unregulated and flourishing black market in alcohol is among the factors behind the Libyan tragedy, where approximately 90 deaths and about 1000 hospital admissions were reported. We reviewed gaps in local and regional alcohol policy, and highlighted the issue of illegally produced and home-made alcohol. Collaboration between countries in the region plus critical health and policy reforms in Libya, with emphasis on public health preparedness, can dramatically decrease morbidity and mortality associated with such outbreaks.

Medical society engagement in contentious policy reform: the Ethiopian Society for Obstetricians and Gynecologists (ESOG) and Ethiopia’s 2005 reform of its Penal Code on abortion

PubMed Central

2018-01-01

Abstract Unsafe abortion is one of the three leading causes of maternal mortality in low-income countries; however, few countries have reformed their laws to permit safer, legal abortion, and professional medical associations have not tended to spearhead this type of reform. Support from a professional association typically carries more weight than does that from an individual medical professional. However, theory predicts and the empirical record largely reveals that medical associations shy from engagement in conflictual policymaking such as on abortion, except when professional autonomy or income is at stake. Using interviews with 10 obstetrician–gynaecologists and 44 other leaders familiar with Ethiopia’s reproductive health policy context, as well as other primary and secondary sources, this research examines why, counter to theoretical expectations from the sociology of medical professions literature and experience elsewhere, the Ethiopian Society of Obstetricians & Gynecologists (ESOG) actively supported reform of national law on abortion. ESOG leadership participation was motivated by both individual and ESOG’s organizational commitments to reducing maternal mortality and also by professional training and work experience. Further, typical constraints on medical society involvement in policymaking were relaxed or removed, including those related to ESOG’s organizational structure and history, and to political environment. Findings do not contradict theory positing medical society avoidance of socially conflictual health policymaking, but rather identify how the expected restrictions were less present in Ethiopia, facilitating medical society participation. Results can inform efforts to encourage medical society participation in policy reform to improve women’s health elsewhere in sub-Saharan Africa. PMID:29538641

The Reform of Qatar University. Monograph

ERIC Educational Resources Information Center

Moini, Joy S.; Bikson, Tora K.; Neu, C. Richard; DeSisto, Laura

2009-01-01

In 2003, the State of Qatar engaged the RAND-Qatar Policy Institute to assist Qatar University, the nation's first and only public higher education institution, with reform of its major administrative and academic structures, policies, and practices. This monograph summarizes that reform effort, which formally lasted from October 2003 through…

The impact of food and agricultural policies on groundwater use in Syria

NASA Astrophysics Data System (ADS)

Aw-Hassan, Aden; Rida, Fadel; Telleria, Roberto; Bruggeman, Adriana

2014-05-01

During the last three decades, the expansion of irrigation using both surface water and groundwater resources has had an important positive impact on Syria’s agricultural production. It is an example of success in achieving food policy objectives, but it has also introduced the challenge of groundwater sustainability. This paper examines the trends in groundwater abstraction for irrigation and the effect of government policies, including input subsidies - such as the diesel fuel subsidy and the crop procurement price support. The fuel subsidy is an important driving force in groundwater depletion and over-abstraction. This analysis examines the interaction between policy signals and the use and allocation of water by farmers. The rapid decline in groundwater resources shows the limitations of this agricultural development strategy and questions its sustainability unless policies change and the rate of abstraction is changed so as not exceed the recharge rate.

The Effects of Educational Reform

ERIC Educational Resources Information Center

Vasquez-Martinez, Claudio-Rafael; Giron, Graciela; De-La-Luz-Arellano, Ivan; Ayon-Bañuelos, Antonio

2013-01-01

Educational reform implies questions of social production and of state regulation that are the key words in educational reform, education and educational policies. These reforms are always on the political agenda of countries and involve international organisms, since education is a vehicle of development for social progress. A point of departure…

The forest and agricultural sector optimization model (FASOM): model structure and policy applications.

Treesearch

Darius M. Adams; Ralph J. Alig; J.M. Callaway; Bruce A. McCarl; Steven M. Winnett

1996-01-01

The Forest and Agricultural Sector Optimization Model (FASOM) is a dynamic, nonlinear programming model of the forest and agricultural sectors in the United States. The FASOM model initially was developed to evaluate welfare and market impacts of alternative policies for sequestering carbon in trees but also has been applied to a wider range of forest and agricultural...

77 FR 17360 - Reform of Federal Policies Relating to Grants and Cooperative Agreements; Cost Principles And...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-26

... II Reform of Federal Policies Relating to Grants and Cooperative Agreements; Cost Principles And...; cost principles and administrative requirements (including Single Audit Act). The original comment...-idx?c=ecfr&tpl=/ecfrbrowse/Title02/2cfrv1_02.tpl . The Cost Principles for Hospitals are in the...

Modeling the Heterogeneous Effects of GHG Mitigation Policies on Global Agriculture and Forestry

NASA Astrophysics Data System (ADS)

Golub, A.; Henderson, B.; Hertel, T. W.; Rose, S. K.; Sohngen, B.

2010-12-01

Agriculture and forestry are envisioned as potentially key sectors for climate change mitigation policy, yet the depth of analysis of mitigation options and their economic consequences remains remarkably shallow in comparison to that for industrial mitigation. Farming and land use change - much of it induced by agriculture -account for one-third of global greenhouse gas (GHG) emissions. Any serious attempt to curtail these emissions will involve changes in the way farming is conducted, as well as placing limits on agricultural expansion into areas currently under more carbon-intensive land cover. However, agriculture and forestry are extremely heterogeneous, both in the technology and intensity of production, as well as in the GHG emissions intensity of these activities. And these differences, in turn, give rise to significant changes in the distribution of agricultural production, trade and consumption in the wake of mitigation policies. This paper assesses such distributional impacts via a global economic analysis undertaken with a modified version of the GTAP model. The paper builds on a global general equilibrium GTAP-AEZ-GHG model (Golub et al., 2009). This is a unified modeling framework that links the agricultural, forestry, food processing and other sectors through land, and other factor markets and international trade, and incorporates different land-types, land uses and related CO2 and non-CO2 GHG emissions and sequestration. The economic data underlying this work is the global GTAP data base aggregated up to 19 regions and 29 sectors. The model incorporates mitigation cost curves for different regions and sectors based on information from the US-EPA. The forestry component of the model is calibrated to the results of the state of the art partial equilibrium global forestry model of Sohngen and Mendelson (2007). Forest carbon sequestration at both the extensive and intensive margins are modeled separately to better isolate land competition between

Bearing the Cost: An Examination of the Gendered Impacts of Water Policy Reform in Malawi

ERIC Educational Resources Information Center

Marra, Simona

2008-01-01

Water insecurity is one of the most pressing issues currently faced by Malawi. The consequences of these issues are borne significantly by women, who are most directly involved with water provision and use, particularly at the household level. Since the mid-1990s, Malawi has undertaken a process of water policy reform. Reflective of international…

Reforming for "All" or for "Some": Misalignment in the Discourses of Education Reformers and Implementers

ERIC Educational Resources Information Center

Lenhoff, Sarah Winchell; Ulmer, Jasmine B.

2016-01-01

The ways in which the language of reformers intersects with and informs reform implementation is important to our understanding of how education policy impacts practice. To explore this issue, we employed critical discourse analysis (CDA) to analyze the language used by a 21st century skills-focused reform organization to promote its program…

Need for hyperlipidemia management policy reform in China: learning from the global experience.

PubMed

Yu, Wei; Shi, Ruizhi; Li, Jim; Lan, Yong; Li, Qian; Hu, Shanlian

2018-02-01

To evaluate the hyperlipidemia prevention programs and policies in different countries and highlight the need of reforming the hyperlipidemia prevention policies in China to lower the growing cardiovascular disease (CVD) risk. PubMed, Google Scholar and Cochrane were searched for global hyperlipidemia prevention policies. Government-funded policies pertaining to lipid management were considered for this review. Only those studies that evaluated the success of prevention policies on the basis of: (i) achievement of hyperlipidemia targets; (ii) improvement in Cardiovascular (CV) risk reduction; and (iii) outcomes with reduction in hyperlipidemia after implementation of the policy, were included. Several global policies and programs aimed to improve CV health by highlighting lipid profile management. Implementation of the global and national policies led to improvement in cholesterol related outcomes such as availability of diagnostic measures, awareness of the risk factors, decrease in cholesterol levels, achieving healthy lifestyle to prevent CVD and improvement in availability of hypolipidemic medications, etc. Statins have been covered under reimbursement policies in many countries to improve usage and thereby preventing incidence of stroke and CVD. We observed a need for introducing new programs in China as the ongoing hyperlipidemia management policies are inadequate. The World Bank Report 2016 recommended that prevention policies in China be modeled on the US Million Hearts program. New hyperlipidemia prevention policies must set a time-bound target, and need to be patient and clinician centric in terms of applications, and revised periodically for long-term benefits.

Is Xi Jinping a Reformer Similar to Deng Xiaoping

DTIC Science & Technology

2017-06-09

core focus from ideology to economic development by announcing his policy of reform and opening up in 1978. His pragmatic policies resulted in...political stability, ideological openness, and sparked over thirty years of rapid economic growth. After 30 years since reform and opening up, China has...his commitment to rebalancing China’s economy. Despite the lack of significant progress on economic reforms, this paper finds that Xi is a reformer

Tensions between Teaching Sexuality Education and Neoliberal Policy Reform in Quebec's Professional Competencies for Beginning Teachers

ERIC Educational Resources Information Center

Parker, Dan; McGray. Robert

2015-01-01

This research draws into question the effects that neoliberal policy reforms--with an emphasis on individual and measurable "competencies"--has on new teachers teaching sexuality education in Quebec. While we examine professional competencies that teachers can use to define their mandate for teaching sexuality education as a beginning…

Land use policy and agricultural water management of the previous half of century in Africa

NASA Astrophysics Data System (ADS)

Valipour, Mohammad

2015-12-01

This paper examines land use policy and agricultural water management in Africa from 1962 to 2011. For this purpose, data were gathered from Food and Agriculture Organization of the United Nations (FAO) and the World Bank Group. Using the FAO database, ten indices were selected: permanent crops to cultivated area (%), rural population to total population (%), total economically active population in agriculture to total economically active population (%), human development index, national rainfall index (mm/year), value added to gross domestic product by agriculture (%), irrigation water requirement (mm/year), percentage of total cultivated area drained (%), difference between national rainfall index and irrigation water requirement (mm/year), area equipped for irrigation to cultivated area or land use policy index (%). These indices were analyzed for all 53 countries in the study area and the land use policy index was estimated by two different formulas. The results show that value of relative error is <20 %. In addition, an average index was calculated using various methods to assess countries' conditions for agricultural water management. Ability of irrigation and drainage systems was studied using other eight indices with more limited information. These indices are surface irrigation (%), sprinkler irrigation (%), localized irrigation (%), spate irrigation (%), agricultural water withdrawal (10 km3/year), conservation agriculture area as percentage of cultivated area (%), percentage of area equipped for irrigation salinized (%), and area waterlogged by irrigation (%). Finally, tendency of farmers to use irrigation systems for cultivated crops has been presented. The results show that Africa needs governments' policy to encourage farmers to use irrigation systems and raise cropping intensity for irrigated area.

Health Care Reform and Concurrent Curative Care for Terminally Ill Children: A Policy Analysis

PubMed Central

Lindley, Lisa C.

2012-01-01

Within the Patient Protection and Affordable Care Act of 2010 or health care reform, is a relatively small provision about concurrent curative care that significantly affects terminally ill children. Effective on March 23, 2010, terminally ill children, who are enrolled in a Medicaid or state Children’s Health Insurance Plans (CHIP) hospice benefit, may concurrently receive curative care related to their terminal health condition. The purpose of this article was to conduct a policy analysis of the concurrent curative care legislation by examining the intended goals of the policy to improve access to care and enhance quality of end of life care for terminally ill children. In addition, the policy analysis explored the political feasibility of implementing concurrent curative care at the state-level. Based on this policy analysis, the federal policy of concurrent curative care for children would generally achieve its intended goals. However, important policy omissions focus attention on the need for further federal end of life care legislation for children. These findings have implications nurses. PMID:22822304

What was the programme theory of New Labour's Health System Reforms?

PubMed

Millar, Ross; Powell, Martin; Dixon, Anna

2012-01-01

To examine whether the Health System Reforms delivered the promise of being a coherent and mutually supporting reform programme; to identify the underlying programme theory of the reform programme; to reflect on whether lessons have been learned. Documentary analysis mapping the implicit and explicit programme theories about how the reforms intended to achieve its goals and outcomes. Semi-structured interviews with policy-makers to further understand the programme theory. The Health System Reforms assumed a 'one size fits all' approach to policy implementation with little recognition that some contexts can be more receptive than others. There was evidence of some policy evolution and rebalancing between the reform streams as policy-makers became aware of some perverse incentives and unforeseen consequences. Later elements aimed to restore balance to the system. The Health System Reforms do not appear to comprise a coherent and mutually supportive set of levers and incentives. They appear unbalanced with the centre of gravity favouring suppliers over commissioners. However, recent reform changes have sought to redress this imbalance to some extent, suggesting that lessons have been learned and policies have been adapted over time.

Effects of agriculture upon the air quality and climate: research, policy, and regulations.

PubMed

Aneja, Viney P; Schlesinger, William H; Erisman, Jan Willem

2009-06-15

Scientific assessments of agricultural air quality, including estimates of emissions and potential sequestration of greenhouse gases, are an important emerging area of environmental science that offers significant challenges to policy and regulatory authorities. Improvements are needed in measurements, modeling, emission controls, and farm operation management. Controlling emissions of gases and particulate matter from agriculture is notoriously difficult as this sector affects the most basic need of humans, i.e., food. Current policies combine an inadequate science covering a very disparate range of activities in a complex industry with social and political overlays. Moreover, agricultural emissions derive from both area and point sources. In the United States, agricultural emissions play an important role in several atmospherically mediated processes of environmental and public health concerns. These atmospheric processes affect local and regional environmental quality, including odor, particulate matter (PM) exposure, eutrophication, acidification, exposure to toxics, climate, and pathogens. Agricultural emissions also contribute to the global problems caused by greenhouse gas emissions. Agricultural emissions are variable in space and time and in how they interact within the various processes and media affected. Most important in the U.S. are ammonia (where agriculture accounts for approximately 90% of total emissions), reduced sulfur (unquantified), PM25 (approximately 16%), PM110 (approximately 18%), methane (approximately 29%), nitrous oxide (approximately 72%), and odor and emissions of pathogens (both unquantified). Agriculture also consumes fossil fuels for fertilizer production and farm operations, thus emitting carbon dioxide (CO2), oxides of nitrogen (NO(x)), sulfur oxides (SO(x)), and particulates. Current research priorities include the quantification of point and nonpoint sources, the biosphere-atmosphere exchange of ammonia, reduced sulfur

The place of algae in agriculture: policies for algal biomass production.

PubMed

Trentacoste, Emily M; Martinez, Alice M; Zenk, Tim

2015-03-01

Algae have been used for food and nutraceuticals for thousands of years, and the large-scale cultivation of algae, or algaculture, has existed for over half a century. More recently algae have been identified and developed as renewable fuel sources, and the cultivation of algal biomass for various products is transitioning to commercial-scale systems. It is crucial during this period that institutional frameworks (i.e., policies) support and promote development and commercialization and anticipate and stimulate the evolution of the algal biomass industry as a source of renewable fuels, high value protein and carbohydrates and low-cost drugs. Large-scale cultivation of algae merges the fundamental aspects of traditional agricultural farming and aquaculture. Despite this overlap, algaculture has not yet been afforded a position within agriculture or the benefits associated with it. Various federal and state agricultural support and assistance programs are currently appropriated for crops, but their extension to algal biomass is uncertain. These programs are essential for nascent industries to encourage investment, build infrastructure, disseminate technical experience and information, and create markets. This review describes the potential agricultural policies and programs that could support algal biomass cultivation, and the barriers to the expansion of these programs to algae.

An evaluation of federal order reform.

PubMed

Bailey, K; Tozer, P

2001-04-01

The Federal Agricultural Improvement and Reform Act of 1996 required the Secretary of Agriculture to reform federal milk marketing orders. The Secretary carried out this task and issued a final rule on March 31, 1999, that was eventually approved by dairy farmers in a national referendum. However, a temporary restraining order (TRO) was issued on September 28, 1999, that halted the reform process. The TRO was effectively overturned and the reform process restarted when President Bill Clinton signed the Consolidated Appropriations Act of 2000 on November 29, 1999. The final rule as amended consolidates the number of orders, develops a multiple component pricing system that determines new formulas for class prices, and provides a new system for pricing fluid milk based on county-level price differentials. The impact of these changes is to provide more transparency in pricing and improved market signals to farmers. But the new system is also much more vulnerable to changes in dairy commodity prices. The objective of this report is to provide a comprehensive overview of federal order reform and to analyze the impact of recent changes in class price formulas.

Agent-Based Modelling of Agricultural Water Abstraction in Response to Climate, Policy, and Demand Changes: Results from East Anglia, UK

NASA Astrophysics Data System (ADS)

Swinscoe, T. H. A.; Knoeri, C.; Fleskens, L.; Barrett, J.

2014-12-01

Freshwater is a vital natural resource for multiple needs, such as drinking water for the public, industrial processes, hydropower for energy companies, and irrigation for agriculture. In the UK, crop production is the largest in East Anglia, while at the same time the region is also the driest, with average annual rainfall between 560 and 720 mm (1971 to 2000). Many water catchments of East Anglia are reported as over licensed or over abstracted. Therefore, freshwater available for agricultural irrigation abstraction in this region is becoming both increasingly scarce due to competing demands, and increasingly variable and uncertain due to climate and policy changes. It is vital for water users and policy makers to understand how these factors will affect individual abstractors and water resource management at the system level. We present first results of an Agent-based Model that captures the complexity of this system as individual abstractors interact, learn and adapt to these internal and external changes. The purpose of this model is to simulate what patterns of water resource management emerge on the system level based on local interactions, adaptations and behaviours, and what policies lead to a sustainable water resource management system. The model is based on an irrigation abstractor typology derived from a survey in the study area, to capture individual behavioural intentions under a range of water availability scenarios, in addition to farm attributes, and demographics. Regional climate change scenarios, current and new abstraction licence reforms by the UK regulator, such as water trading and water shares, and estimated demand increases from other sectors were used as additional input data. Findings from the integrated model provide new understanding of the patterns of water resource management likely to emerge at the system level.

North Carolina Agricultural and Technical State University Drug Education Policy.

ERIC Educational Resources Information Center

Welborne, Sullivan; And Others

This drug education policy statement for North Carolina Agricultural and Technical State University establishes two educational objectives: to develop an educational program that increases the university community's knowledge and competency regarding controlled substances and to increase the skills required to take corrective action for potential…

Reform and Non-Reform in Education: The Political Costs and Benefits of Reform Policies in France and Japan.

ERIC Educational Resources Information Center

Weiler, Hans N.; Miyake, Eriko

This paper examines how the perception and anticipation of political costs and benefits affects decisions about whether and how plans for educational reforms are to be pursued. Two case studies of major educational reform attempts are described: France and Japan. The study analyzes the two societies' underlying dilemmas, which manifest themselves…

High performance work systems: the gap between policy and practice in health care reform.

PubMed

Leggat, Sandra G; Bartram, Timothy; Stanton, Pauline

2011-01-01

Studies of high-performing organisations have consistently reported a positive relationship between high performance work systems (HPWS) and performance outcomes. Although many of these studies have been conducted in manufacturing, similar findings of a positive correlation between aspects of HPWS and improved care delivery and patient outcomes have been reported in international health care studies. The purpose of this paper is to bring together the results from a series of studies conducted within Australian health care organisations. First, the authors seek to demonstrate the link found between high performance work systems and organisational performance, including the perceived quality of patient care. Second, the paper aims to show that the hospitals studied do not have the necessary aspects of HPWS in place and that there has been little consideration of HPWS in health system reform. The paper draws on a series of correlation studies using survey data from hospitals in Australia, supplemented by qualitative data collection and analysis. To demonstrate the link between HPWS and perceived quality of care delivery the authors conducted regression analysis with tests of mediation and moderation to analyse survey responses of 201 nurses in a large regional Australian health service and explored HRM and HPWS in detail in three casestudy organisations. To achieve the second aim, the authors surveyed human resource and other senior managers in all Victorian health sector organisations and reviewed policy documents related to health system reform planned for Australia. The findings suggest that there is a relationship between HPWS and the perceived quality of care that is mediated by human resource management (HRM) outcomes, such as psychological empowerment. It is also found that health care organisations in Australia generally do not have the necessary aspects of HPWS in place, creating a policy and practice gap. Although the chief executive officers of health

Managing between the agendas: implementing health care reform policy in an acute care hospital.

PubMed

Sorensen, Roslyn; Paull, Glenn; Magann, Linda; Davis, JanMaree

2013-01-01

This paper aims to assess administrative and clinical manager stances on health system reform. Understanding these stances will help to identify cultural differences and competing agendas between these two key health service stakeholders and contribute to developing strategies to improve organisational performance. A qualitative methodology was used comprising in-depth open-ended interviews conducted in 2007 with 26 administrative and clinical managers who managed clinical units. This paper provides empirical insights into the ways that administrative and clinical mangers conceive of their managerial roles in relation to health care reform and performance improvement in health services. The findings suggest that developing a hybrid clinical manager culture as a means to bridge the gap between administrative and clinical manager stances on reform objectives, while possible, is not yet being realised. The research has relevance for health services that are experiencing organisational transformation. However, its location in one health service limits the generalisability of findings to other sites. Further research is needed to assess the opportunities for a hybrid culture to emerge as well as its effect. While attention is predominantly directed to clinician groups as a key stakeholder in implementing health reform policies, this paper has implications for how administrative managers also structure their roles and responsibilities to create an organisational climate conducive to change. This will include strategies to support clinical managers to make the transition from a predominantly clinical, to a clinical managerial, orientation. This paper addresses a significant problem in health service governance, namely the divide between the value stances of dual hierarchies. This problem is only now gaining prominence as a significant barrier to health reform.

[Agricultural policies and farming systems: A case study of landscape changes in Shizuitou Village in the recent four decades].

PubMed

Wang, Xiao-jun; Zhou, Yang; Yan, Yan-bin; Li, Lei

2015-01-01

Agricultural policy in China's rural heartland is driving profound changes to traditional farming systems. A case study covering four decades mapped and recorded farming patterns and processes in Shizuitou Village, a rural village in northwest Shanxi. An integrated geospatial methodology from geography and anthropology was employed in the case study to record the changing dynamics of farming systems in Shizuitou Village to discover the long-term impacts of China's agricultural policies on village farming systems. Positive and negative impacts of agricultural policies on village farming systems were mapped, inventoried and evaluated using Participatory Geographic Information Systems (PGIS). The results revealed traditional polycultures are being gradually replaced by industrialized monocultures. The driving forces behind these farming changes come from a series of government agricultural policies aiming at modernization of farming systems in China. The goal of these policies was to spur rapid development of industrial agriculture under the guise of modernization but is leading to the decay of traditional farming systems in the village that maintained local food security with healthy land for hundreds of years. The paper concluded with a recommendation that in future, agricultural policy makers should strike a more reasonable balance between short-term agricultural profits and long-term farming sustainability based on the principles of ecological sustainable development under the context of global changes.

Landscape Patterns and Their Influence on Bird Communities Resulting from Agricultural Policies Promoting Shelterbelts in Eastern Nebraska

Treesearch

Robert A., II Pierce; D. Todd Farrand; William B. Kurtz; Jim Brandle; Ron Johnson

2003-01-01

Evolving agricultural policies and technologies have influenced land management practices within agroecosystems, impacting available habitats for many species of wildlife. Increasing available wildlife habitat and enhancing habitat quality have become an explicit objective of existing agricultural policy. Thus, there is renewed focus on utilizing shelterbelt...

Using Policy Attributes Theory to Examine Comprehensive School Reform Implementation in Two Title I Middle Schools

ERIC Educational Resources Information Center

Patterson, Jean A.; Campbell, J. K.; Johnson, Dawn M.; Marx, Gina; Whitener, Mark

2013-01-01

Findings from a qualitative study of two Title I middle schools that were in their second year of implementing an externally developed Comprehensive School Reform (CSR) model are presented. Policy attributes theory was used as a framework for examining implementation. The theory argues fidelity of implementation of a CSR is strongest when it is…

Global Citizenship and National (Re)formations: Analysis of Citizenship Education Reform in Spain

ERIC Educational Resources Information Center

Engel, Laura C.

2014-01-01

In recent years, many European education systems have embarked on a process of education policy and curriculum reform related to citizenship education. This article explores citizenship education reform in the context of Spain. It considers how and to what extent Spain's 2006 citizenship education addressed issues of national and global…

Social reform versus education reform: university nursing education in Canada, 1919-1960.

PubMed

Baumgart, A J; Kirkwood, R

1990-05-01

Nurses' struggle to attain educational parity with other professional groups is closely aligned with the struggle of women for social equality within Canadian institutions. The attempts of nursing educators to shift their perspective from social reform to educational reform and to develop nursing scholarship has been restricted by the cultural views of women. Consequently, nurses' gains in attaining higher education have been realized by reforms in social and health care policies thought suitable for women. With advancement in university nursing education closely tied to social reform, nurses were not expected, nor did they expect, to pursue scholarly enquiry or develop research endeavours. This paper suggests that the feminist movement offers nurses a social and psychological basis from which to complete the educational reform of nursing.

Drug pricing reform in China: analysis of piloted approaches and potential impact of the reform.

PubMed

Chen, Yixi; Hu, Shanlian; Dong, Peng; Kornfeld, Åsa; Jaros, Patrycja; Yan, Jing; Ma, Fangfang; Toumi, Mondher

2016-01-01

In 2009, the Chinese government launched a national healthcare reform programme aiming to control healthcare expenditure and increase the quality of care. As part of this programme, a new drug pricing reform was initiated on 1 June 2015. The objective of this study was to describe the changing landscape of drug pricing policy in China and analyse the potential impact of the reform. The authors conducted thorough research on the drug pricing reform using three Chinese databases (CNKI, Wanfang, and Weipu), Chinese health authority websites, relevant press releases, and pharmaceutical blogs and discussion forums. This research was complemented with qualitative research based on targeted interviews with key Chinese opinion leaders representing the authorities' and prescribers' perspectives. With the current reform, the government has attempted to replace its direct control over the prices of reimbursable drugs with indirect, incentive-driven influence. Although the exact implementation of the reform remains unclear at the moment, the changes introduced so far and the pilot project designs indicate that China is considering adaptation of some form of internal and external reference pricing policies, commonly used in the Organisation for Economic Co-operation and Development countries. Several challenges related to the potential new mechanism were identified: 1) the risk of hospital underfunding, if hospital funding reform is not prioritised; 2) the risk of promoting the use of cheap, low-quality drugs, if a reliable quality control system is not in place and discrepancy between the available drugs is present; 3) the risk of increasing disparity in access to care between poor and rich regions, in case of country-wide price convergence; and 4) the risk of industry underinvestment, resulting in reduced competition, issues with quality and sustainability of supply, and potentially negative social impact. Foreign pricing policies cannot be transferred to China without

Drug pricing reform in China: analysis of piloted approaches and potential impact of the reform

PubMed Central

Chen, Yixi; Hu, Shanlian; Dong, Peng; Kornfeld, Åsa; Jaros, Patrycja; Yan, Jing; Ma, Fangfang; Toumi, Mondher

2016-01-01

Objectives In 2009, the Chinese government launched a national healthcare reform programme aiming to control healthcare expenditure and increase the quality of care. As part of this programme, a new drug pricing reform was initiated on 1 June 2015. The objective of this study was to describe the changing landscape of drug pricing policy in China and analyse the potential impact of the reform. Methods The authors conducted thorough research on the drug pricing reform using three Chinese databases (CNKI, Wanfang, and Weipu), Chinese health authority websites, relevant press releases, and pharmaceutical blogs and discussion forums. This research was complemented with qualitative research based on targeted interviews with key Chinese opinion leaders representing the authorities’ and prescribers’ perspectives. Results With the current reform, the government has attempted to replace its direct control over the prices of reimbursable drugs with indirect, incentive-driven influence. Although the exact implementation of the reform remains unclear at the moment, the changes introduced so far and the pilot project designs indicate that China is considering adaptation of some form of internal and external reference pricing policies, commonly used in the Organisation for Economic Co-operation and Development countries. Several challenges related to the potential new mechanism were identified: 1) the risk of hospital underfunding, if hospital funding reform is not prioritised; 2) the risk of promoting the use of cheap, low-quality drugs, if a reliable quality control system is not in place and discrepancy between the available drugs is present; 3) the risk of increasing disparity in access to care between poor and rich regions, in case of country-wide price convergence; and 4) the risk of industry underinvestment, resulting in reduced competition, issues with quality and sustainability of supply, and potentially negative social impact. Conclusions Foreign pricing policies

Agricultural anaerobic digestion power plants in Ireland and Germany: policy and practice.

PubMed

Auer, Agathe; Vande Burgt, Nathan H; Abram, Florence; Barry, Gerald; Fenton, Owen; Markey, Bryan K; Nolan, Stephen; Richards, Karl; Bolton, Declan; De Waal, Theo; Gordon, Stephen V; O'Flaherty, Vincent; Whyte, Paul; Zintl, Annetta

2017-02-01

The process of anaerobic digestion (AD) is valued as a carbon-neutral energy source, while simultaneously treating organic waste, making it safer for disposal or use as a fertilizer on agricultural land. The AD process in many European nations, such as Germany, has grown from use of small, localized digesters to the operation of large-scale treatment facilities, which contribute significantly to national renewable energy quotas. However, these large AD plants are costly to run and demand intensive farming of energy crops for feedstock. Current policy in Germany has transitioned to support funding for smaller digesters, while also limiting the use of energy crops. AD within Ireland, as a new technology, is affected by ambiguous governmental policies concerning waste and energy. A clear governmental strategy supporting on-site AD processing of agricultural waste will significantly reduce Ireland's carbon footprint, improve the safety and bioavailability of agricultural waste, and provide an indigenous renewable energy source. © 2016 Society of Chemical Industry. © 2016 Society of Chemical Industry.

Prospective political analysis for policy design: enhancing the political viability of single-payer health reform in Vermont.

PubMed

Blanchet, Nathan J; Fox, Ashley M

2013-06-01

In 2011 the state of Vermont adopted legislation that aims to create the nation's first state-level single-payer health care system, a system that would go well beyond national reform efforts. To conduct a prospective, institutional stakeholder analysis to guide development of a politically viable, universal health care reform proposal, as commissioned by Vermont's legislature in July 2010. A total of 64 semi-structured stakeholder interviews with nearly 120 individuals, representing 60 different groups/institutions, were conducted between July and December 2010. Interviews probed stakeholders regarding five major design components: financing options, decoupling insurance from employment, organization/governance, comprehensiveness of benefits, and payment reform. There was a range of opposition and support across stakeholder groups and components, and more remarkably a diversity of views within groups often believed to be unwavering supporters or detractors of comprehensive health reform. Given the balance of conflicting views, relative power, and acceptable trade-offs, the research team proposed a single-payer health care system financed through payroll taxes, decoupled from employment, with a generous benefit package, governed by a public-private intermediary. Prospective political analysis can assist in choosing among a range of technically sound policy options to create a more politically viable health reform package. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Organizational Politics of Parental Engagement: The Intersections of School Reform, Anti-Immigration Policies, and Latinx Parent Organizing

ERIC Educational Resources Information Center

Scribner, Samantha M. Paredes; Fernández, Erica

2017-01-01

This article presents results from community-engaged research conducted with Latinx immigrant parents advocating for their students and themselves in and around an urban school engaged in multiple reforms, in a context affected by anti-immigrant policies and sentiments. The authors analyzed the intersection of organizing narratives related to…

Strategic Planning for Deepening the All-Around Structural Reform of Education: Issues of Structural Reform in the "National Medium- and Long-Term Educational Reform and Development Guideline (2010-20)"

ERIC Educational Resources Information Center

Songhua, Tan; Wang, Catherine Yan

2012-01-01

The "National Medium- and Long-Term Educational Reform and Development Guideline (2010-20)" (hereafter abbreviated as the "Guideline") posits that the development of education must be driven by reform and innovation. It devotes six chapters to mapping out the targets, tasks, and major policy measures for reforming the…

A window of opportunity for reform in post-conflict settings? The case of Human Resources for Health policies in Sierra Leone, 2002-2012.

PubMed

Bertone, Maria Paola; Samai, Mohamed; Edem-Hotah, Joseph; Witter, Sophie

2014-01-01

It is recognized that decisions taken in the early recovery period may affect the development of health systems. Additionally, some suggest that the immediate post-conflict period may allow for the opening of a political 'window of opportunity' for reform. For these reasons, it is useful to reflect on the policy space that exists in this period, by what it is shaped, how decisions are made, and what are their long-term implications. Examining the policy trajectory and its determinants can be helpful to explore the specific features of the post-conflict policy-making environment. With this aim, the study looks at the development of policies on human resources for health (HRH) in Sierra Leone over the decade after the conflict (2002-2012). Multiple sources were used to collect qualitative data on the period between 2002 and 2012: a stakeholder mapping workshop, a document review and a series of key informant interviews. The analysis draws from political economy and policy analysis tools, focusing on the drivers of reform, the processes, the contextual features, and the actors and agendas. Our findings identify three stages of policy-making. At first characterized by political uncertainty, incremental policies and stop-gap measures, the context substantially changed in 2009. The launch of the Free Health Care Initiative provided to be an instrumental event and catalyst for health system, and HRH, reform. However, after the launch of the initiative, the pace of HRH decision-making again slowed down. OUR STUDY IDENTIFIES THE KEY DRIVERS OF HRH POLICY TRAJECTORY IN SIERRA LEONE: (i) the political situation, at first uncertain and later on more defined; (ii) the availability of funding and the stances of agencies providing such funds; (iii) the sense of need for radical change - which is perhaps the only element related to the post-conflict setting. It also emerges that a 'windows of opportunity' for reform did not open in the immediate post-conflict, but rather 8�

Tobacco and the European common agricultural policy.

PubMed

Joossens, L; Raw, M

1991-10-01

The common agricultural policy of the European Community subsidizes tobacco production to the tune of 1,300 million ecu a year (US$ 1,500 million, UK pounds 900 million). This amounts to 2,500 ecu ($3,100, pounds 1,700) per minute, and is more in one year than the total amount spent on tobacco subsidies by the US in the last 50 years. The purpose of this policy was to maintain farmers' incomes and adapt community production to demand. Demand for the dark tobaccos which dominate EC production has fallen, while demand for light flue cured tobacco like Virginia has risen. A complex system of production subsidies and quotas was intended to discourage production of the dark tobaccos, for which there is virtually no market, and lead to more Virginia production. The policy has failed. Expenditure has spiralled out of control, production of unmarketable tobacco varieties has risen enormously, and the EC is the world's largest importer of raw tobacco. As a result tobacco is being bought by the community for intervention storage and surpluses of the dark high tar varieties are being 'exported' to eastern Europe and north Africa at giveaway prices. There has been no effective monitoring or control of this policy. This paper explains how this has happened and argues that, in view of the health risks attached to tobacco, these subsidies should be abolished.

Human resource for health reform in peri-urban areas: a cross-sectional study of the impact of policy interventions on healthcare workers in Epworth, Zimbabwe.

PubMed

Taderera, Bernard Hope; Hendricks, Stephen James Heinrich; Pillay, Yogan

2017-12-16

The need to understand how healthcare worker reform policy interventions impact health personnel in peri-urban areas is important as it also contributes towards setting of priorities in pursuing the universal health coverage goal of health sector reform. This study explored the impact of post 2008 human resource for health reform policy interventions on healthcare workers in Epworth, a peri-urban community in Harare, Zimbabwe, and the implications towards health sector reform policy in peri-urban areas. The study design was exploratory and cross-sectional and involved the use of qualitative and quantitative methods in data collection, presentation, and analysis. A qualitative study in which data were collected through a documentary search, five key informant interviews, seven in-depth interviews, and five focus group discussions was carried out first. This was followed by a quantitative study in which data were collected through a documentary search and 87 semi-structured sample interviews with healthcare workers. Qualitative data were analyzed thematically whilst descriptive statistics were used to examine quantitative data. All data were integrated during analysis to ensure comprehensive, reliable, and valid analysis of the dataset. Three main factors were identified to help interpret findings. The first main factor consisted policy result areas that impacted most successfully on healthcare workers. These included the deployment of community health workers with the highest correlation of 0.83. Policy result areas in the second main factor included financial incentives with a correlation of 0.79, training and development (0.77), deployment (0.77), and non-financial incentives (0.75). The third factor consisted policy result areas that had the lowest satisfaction amongst healthcare workers in Epworth. These included safety (0.72), equipment and tools of trade (0.72), health welfare (0.65), and salaries (0.55). The deployment of community health volunteers impacted

Senegal: The Economic Reforms and the Influence of the Informal Sector on the Economic Reform Process

DTIC Science & Technology

2002-06-01

policies were implemented: the Agricultural Policy (NAP), and the New Industrial Policy (NIP). The NAP reduced the number of rural development agencies as...planned to solve the economic crisis through various measures such as the Agricultural Policy (NAP) and the New Industrial Policy (NIP). Despite all...Mission For the Republic of Congo NAP: New Agricultural Policy NIP: New Industrial Policy OECD: Organization for Economic Cooperation and

Probabilistic Decision Tools for Determining Impacts of Agricultural Development Policy on Household Nutrition

NASA Astrophysics Data System (ADS)

Whitney, Cory W.; Lanzanova, Denis; Muchiri, Caroline; Shepherd, Keith D.; Rosenstock, Todd S.; Krawinkel, Michael; Tabuti, John R. S.; Luedeling, Eike

2018-03-01

Governments around the world have agreed to end hunger and food insecurity and to improve global nutrition, largely through changes to agriculture and food systems. However, they are faced with a lot of uncertainty when making policy decisions, since any agricultural changes will influence social and biophysical systems, which could yield either positive or negative nutrition outcomes. We outline a holistic probability modeling approach with Bayesian Network (BN) models for nutritional impacts resulting from agricultural development policy. The approach includes the elicitation of expert knowledge for impact model development, including sensitivity analysis and value of information calculations. It aims at a generalizable methodology that can be applied in a wide range of contexts. To showcase this approach, we develop an impact model of Vision 2040, Uganda's development strategy, which, among other objectives, seeks to transform the country's agricultural landscape from traditional systems to large-scale commercial agriculture. Model results suggest that Vision 2040 is likely to have negative outcomes for the rural livelihoods it intends to support; it may have no appreciable influence on household hunger but, by influencing preferences for and access to quality nutritional foods, may increase the prevalence of micronutrient deficiency. The results highlight the trade-offs that must be negotiated when making decisions regarding agriculture for nutrition, and the capacity of BNs to make these trade-offs explicit. The work illustrates the value of BNs for supporting evidence-based agricultural development decisions.

Stakeholder learning for health sector reform in Lao PDR.

PubMed

Phillips, Simone; Pholsena, Soulivanh; Gao, Jun; Oliveira Cruz, Valeria

2016-09-01

Development organizations and academic institutions have expressed the need for increased research to guide the development and implementation of policies to strengthen health systems in low- and middle-income countries. The extent to which evidence-based policies alone can produce changes in health systems remains a point of debate; other factors, such as a country's political climate and the level of actor engagement, have been identified as influential variables in effective policy development and implementation. In response to this debate, this article contends that the success of health sector reform depends largely on policy learning-the degree to which research recommendations saturate a given political environment in order to successfully inform the ideas, opinions and perceived interests of relevant actors. Using a stakeholder analysis approach to analyze the case of health sector reform in Lao PDR, we examine the ways that actors' understanding and interests affect the success of reform-and how attitudes towards reform can be shaped by exposure to policy research and international health policy priorities. The stakeholder analysis was conducted by the WHO during the early stages of health sector reform in Lao PDR, with the purpose of providing the Ministry of Health with concrete recommendations for increasing actor involvement and strengthening stakeholder support. We found that dissemination of research findings to a broad array of actors and the inclusion of diverse stakeholder groups in policy design and implementation increases the probability of a sustainable and successful health sector reform. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Transition in Food and Agricultural Policy: Key Stakeholder--Domestic Consumers.

ERIC Educational Resources Information Center

Kinsey, Jean

Assurance of an adequate and safe supply of food at a reasonable price is consumers' primary stake in the outcome of 1995 farm bill deliberations and related food and agricultural policies. Farm programs have provided an economically stable environment wherein farmers produce an abundance of food. The declining portion of household budgets…

Curriculum Testing on the Persistent Fringes: Neoliberal Policy and the New Regime of Title I High School Reform

ERIC Educational Resources Information Center

Sturges, Keith M.

2015-01-01

Neoliberal policies have opened the door to a steady stream of contract providers who assist struggling schools while producing market-ready reforms. This ethnographic example of Allport High School illustrates how constant aid, in combination with internal market expansion, destabilizes school structures, obscures curricula, and transfers local…

Veto player theory and reform making in Western Europe.

PubMed

Angelova, Mariyana; Bäck, Hanna; Müller, Wolfgang C; Strobl, Daniel

2018-05-01

Veto player theory generates predictions about governments' capacity for policy change. Due to the difficulty of identifying significant laws needed to change the policy status quo, evidence about governments' ability to change policy has been mostly provided for a limited number of reforms and single-country studies. To evaluate the predictive power of veto player theory for policy making across time, policy areas and countries, a dataset was gathered that incorporates about 5,600 important government reform measures in the areas of social, labour, economic and taxation policy undertaken in 13 Western European countries from the mid-1980s until the mid-2000s. Veto player theory is applied in a combined model with other central theoretical expectations on policy change derived from political economy (crisis-driven policy change) and partisan theory (ideology-driven policy change). Robust support is found that governments introduce more reform measures when economic conditions are poor and when the government is positioned further away from the policy status quo. No empirical support is found for predictions of veto player theory in its pure form, where no differentiation between government types is made. However, the findings provide support for the veto player theory in the special case of minimal winning cabinets, where the support of all government parties is sufficient (in contrast to minority cabinets) and necessary (in contrast to oversized cabinets) for policy change. In particular, it is found that in minimal winning cabinets the ideological distance between the extreme government parties significantly decreases the government's ability to introduce reforms. These findings improve our understanding of reform making in parliamentary democracies and highlight important issues and open questions for future applications and tests of the veto player theory.

Veto player theory and reform making in Western Europe

PubMed Central

ANGELOVA, MARIYANA; BÄCK, HANNA; MÜLLER, WOLFGANG C.

2017-01-01

Abstract Veto player theory generates predictions about governments’ capacity for policy change. Due to the difficulty of identifying significant laws needed to change the policy status quo, evidence about governments’ ability to change policy has been mostly provided for a limited number of reforms and single‐country studies. To evaluate the predictive power of veto player theory for policy making across time, policy areas and countries, a dataset was gathered that incorporates about 5,600 important government reform measures in the areas of social, labour, economic and taxation policy undertaken in 13 Western European countries from the mid‐1980s until the mid‐2000s. Veto player theory is applied in a combined model with other central theoretical expectations on policy change derived from political economy (crisis‐driven policy change) and partisan theory (ideology‐driven policy change). Robust support is found that governments introduce more reform measures when economic conditions are poor and when the government is positioned further away from the policy status quo. No empirical support is found for predictions of veto player theory in its pure form, where no differentiation between government types is made. However, the findings provide support for the veto player theory in the special case of minimal winning cabinets, where the support of all government parties is sufficient (in contrast to minority cabinets) and necessary (in contrast to oversized cabinets) for policy change. In particular, it is found that in minimal winning cabinets the ideological distance between the extreme government parties significantly decreases the government's ability to introduce reforms. These findings improve our understanding of reform making in parliamentary democracies and highlight important issues and open questions for future applications and tests of the veto player theory. PMID:29695891

Measuring improvement in knowledge of drug policy reforms following a police education program in Tijuana, Mexico.

PubMed

Arredondo, J; Strathdee, S A; Cepeda, J; Abramovitz, D; Artamonova, I; Clairgue, E; Bustamante, E; Mittal, M L; Rocha, T; Bañuelos, A; Olivarria, H O; Morales, M; Rangel, G; Magis, C; Beletsky, L

2017-11-08

Mexico's 2009 "narcomenudeo reform" decriminalized small amounts of drugs, shifting some drug law enforcement to the states and mandating drug treatment diversion instead of incarceration. Data from Tijuana suggested limited implementation of this harm reduction-oriented policy. We studied whether a police education program (PEP) improved officers' drug and syringe policy knowledge, and aimed to identify participant characteristics associated with improvement of drug policy knowledge. Pre- and post-training surveys were self-administered by municipal police officers to measure legal knowledge. Training impact was assessed through matched paired nominal data using McNemar's tests. Multivariable logistic regression was used to identify predictors of improved legal knowledge, as measured by officers' ability to identify conceptual legal provisions related to syringe possession and thresholds of drugs covered under the reform. Of 1750 respondents comparing pre- versus post training, officers reported significant improvement (p < 0.001) in their technical understanding of syringe possession (56 to 91%) and drug amounts decriminalized, including marijuana (9 to 52%), heroin (8 to 71%), and methamphetamine (7 to 70%). The training was associated with even greater success in improving conceptual legal knowledge for syringe possession (67 to 96%) (p < 0.001), marijuana (16 to 91%), heroin (11 to 91%), and methamphetamine (11 to 89%). In multivariable modeling, those with at least a high school education were more likely to exhibit improvement of conceptual legal knowledge of syringe possession (adjusted odds ratio [aOR] 2.6, 95% CI 1.4-3.2) and decriminalization for heroin (aOR 2.7, 95% CI 1.3-4.3), methamphetamine (aOR 2.2, 95% CI 1.4-3.2), and marijuana (aOR 2.5, 95% CI 1.6-4). Drug policy reform is often necessary, but not sufficient to achieve public health goals because of gaps in translating formal laws to policing practice. To close such gaps, PEP initiatives

Strengthening health systems by health sector reforms.

PubMed

Senkubuge, Flavia; Modisenyane, Moeketsi; Bishaw, Tewabech

2014-01-01

The rising burden of disease and weak health systems are being compounded by the persistent economic downturn, re-emerging diseases, and violent conflicts. There is a growing recognition that the global health agenda needs to shift from an emphasis on disease-specific approaches to strengthening of health systems, including dealing with social, environmental, and economic determinants through multisectoral responses. A review and analysis of data on strengthening health sector reform and health systems was conducted. Attention was paid to the goal of health and interactions between health sector reforms and the functions of health systems. Further, we explored how these interactions contribute toward delivery of health services, equity, financial protection, and improved health. Health sector reforms cannot be developed from a single global or regional policy formula. Any reform will depend on the country's history, values and culture, and the population's expectations. Some of the emerging ingredients that need to be explored are infusion of a health systems agenda; development of a comprehensive policy package for health sector reforms; improving alignment of planning and coordination; use of reliable data; engaging 'street level' policy implementers; strengthening governance and leadership; and allowing a holistic and developmental approach to reforms. The process of reform needs a fundamental rather than merely an incremental and evolutionary change. Without radical structural and systemic changes, existing governance structures and management systems will continue to fail to address the existing health problems.

Strengthening health systems by health sector reforms

PubMed Central

Senkubuge, Flavia; Modisenyane, Moeketsi; Bishaw, Tewabech

2014-01-01

Background The rising burden of disease and weak health systems are being compounded by the persistent economic downturn, re-emerging diseases, and violent conflicts. There is a growing recognition that the global health agenda needs to shift from an emphasis on disease-specific approaches to strengthening of health systems, including dealing with social, environmental, and economic determinants through multisectoral responses. Methods A review and analysis of data on strengthening health sector reform and health systems was conducted. Attention was paid to the goal of health and interactions between health sector reforms and the functions of health systems. Further, we explored how these interactions contribute toward delivery of health services, equity, financial protection, and improved health. Findings Health sector reforms cannot be developed from a single global or regional policy formula. Any reform will depend on the country's history, values and culture, and the population's expectations. Some of the emerging ingredients that need to be explored are infusion of a health systems agenda; development of a comprehensive policy package for health sector reforms; improving alignment of planning and coordination; use of reliable data; engaging ‘street level’ policy implementers; strengthening governance and leadership; and allowing a holistic and developmental approach to reforms. Conclusions The process of reform needs a fundamental rather than merely an incremental and evolutionary change. Without radical structural and systemic changes, existing governance structures and management systems will continue to fail to address the existing health problems. PMID:24560261

A window of opportunity for reform in post-conflict settings? The case of Human Resources for Health policies in Sierra Leone, 2002–2012

PubMed Central

2014-01-01

Background It is recognized that decisions taken in the early recovery period may affect the development of health systems. Additionally, some suggest that the immediate post-conflict period may allow for the opening of a political ‘window of opportunity’ for reform. For these reasons, it is useful to reflect on the policy space that exists in this period, by what it is shaped, how decisions are made, and what are their long-term implications. Examining the policy trajectory and its determinants can be helpful to explore the specific features of the post-conflict policy-making environment. With this aim, the study looks at the development of policies on human resources for health (HRH) in Sierra Leone over the decade after the conflict (2002–2012). Methods Multiple sources were used to collect qualitative data on the period between 2002 and 2012: a stakeholder mapping workshop, a document review and a series of key informant interviews. The analysis draws from political economy and policy analysis tools, focusing on the drivers of reform, the processes, the contextual features, and the actors and agendas. Findings Our findings identify three stages of policy-making. At first characterized by political uncertainty, incremental policies and stop-gap measures, the context substantially changed in 2009. The launch of the Free Health Care Initiative provided to be an instrumental event and catalyst for health system, and HRH, reform. However, after the launch of the initiative, the pace of HRH decision-making again slowed down. Conclusions Our study identifies the key drivers of HRH policy trajectory in Sierra Leone: (i) the political situation, at first uncertain and later on more defined; (ii) the availability of funding and the stances of agencies providing such funds; (iii) the sense of need for radical change – which is perhaps the only element related to the post-conflict setting. It also emerges that a ‘windows of opportunity’ for reform did not open

The project organization as a policy tool in implementing welfare reforms in the public sector.

PubMed

Jensen, Christian; Johansson, Staffan; Löfström, Mikael

2013-01-01

Organizational design is considered in policy literature as a forceful policy tool to put policy to action. However, previous research has not analyzed the project organization as a specific form of organizational design and, hence, has not given much attention to such organizations as a strategic choice when selecting policy tools. The purpose of the article is to investigate the project as a policy tool; how do such temporary organizations function as a specific form of organization when public policy is implemented? The article is based on a framework of policy implementation and is illustrated with two welfare reforms in the Swedish public sector, which were organized and implemented as project organizations. The case studies and the analysis show that it is crucial that a project organization fits into the overall governance structure when used as a policy tool. If not, the project will remain encapsulated and will not have sufficient impact on the permanent organizational structure. The concept of encapsulation indicates a need to protect the project from a potential hostile environment. The implication of this is that organizational design as a policy tool is a matter that deserves more attention in the strategic discussion on implementing public policies and on the suitability of using certain policy tools. Copyright © 2012 John Wiley & Sons, Ltd.

Planes, straws and oysters: the use of metaphors in healthcare reform.

PubMed

Millar, Ross; Dickinson, Helen

2016-01-01

The purpose of the paper is to examine the metaphors used by senior managers and clinicians in the delivery of healthcare reform. A study of healthcare reform in England carried out a series of semi structured interviews with senior managers and clinicians leading primary and secondary care organisations. Qualitative data analysis examines instances where metaphorical language is used to communicate how particular policy reforms are experienced and the implications these reforms have for organisational contexts. The findings show how metaphorical language is used to explain the interactions between policy reform and organisational contexts. Metaphors are used to illustrate both the challenges and opportunities associated with the reform proposals for organisational change. The authors provide the first systematic study of patterns and meanings of metaphors within English healthcare contexts and beyond. The authors argue that these metaphors provide important examples of "generative" dialogue in their illustration of the opportunities associated with reform. Conversely, these metaphors also provide examples of "degenerative" dialogue in their illustration of a demarcation between the reform policy proposals and existing organisational contexts.

Agricultural Groundwater Demands in the Conterminous United States

NASA Astrophysics Data System (ADS)

Ho, M. W.; Parthasarathy, V.; Etienne, E.; Russo, T. A.; Devineni, N.; Lall, U.

2016-12-01

In the conterminous United States (CONUS), over 40% of water consumed for irrigation, livestock and domestic water is sourced from groundwater. The late 20th century and 21st century saw an expansion in irrigated agriculture across the CONUS that was accompanied by increased pumping of groundwater. Groundwater is typically used to mitigate impacts of drought on surface water supplies enabling water demands to be met as well as to augment sparse surface water resources in arid regions or where surface water availability is highly variable temporally and/or spatially. A Demand Sensitive Drought Index (DSDI) is used to examine the impacts of agricultural water needs on groundwater in the CONUS. The DSDI accounts for agricultural water deficits driven by low precipitation, high agricultural water demand, or a combination of both. Changes in groundwater levels relative to agricultural water deficits are characterized relative to precipitation during the growing season and winter precipitation. In several key irrigated agricultural regions in the CONUS, long-term trends in groundwater levels appear to reflect prolonged periods of surface water deficits resulting from land use and associated unsustainable water demands. These areas are subsequent unable to recover from persistent states of agricultural drought. Conversely, reductions in agricultural water demands for crops do not necessarily lead to immediate recovery of groundwater levels due to the demand for groundwater in other sectors. Calls to establish or reform groundwater policies have recently been made in an effort to achieve holistic groundwater management strategies that consider the human demands on both surface water and groundwater. There is a need for relevant groundwater policies to ensure that water demands are adequately managed across sectors without unsustainably depleting groundwater resources and to ensure efficient economic activity.

Examining Comprehensive School Reform

ERIC Educational Resources Information Center

Aladjem, Daniel K., Ed.; Borman, Kathryn M., Ed.

2006-01-01

Urban school reformers for decades have tried to improve educational outcomes for underserved and disadvantaged students, with the assistance of constantly evolving federal and state policies. In recent years, education policies have shifted from targeting individual students to developing universal standards for teaching and learning, and…

Education Reform Policy and Early Childhood Teacher Education in Hong Kong before and after the Transfer of Sovereignty to China in 1997

ERIC Educational Resources Information Center

Yuen, Gail

2008-01-01

Built on a sociocultural framework of policy analysis and Wertsch's concept of mediation, the present study examines how early childhood teacher education has changed as a result of interactions between reform policy and the action of teacher educators. Ten teacher educators participated in the study, along with eight early childhood leaders, 15…

Education Reformer: Robert J. Marzano. Models for Education Reform, Part 1

ERIC Educational Resources Information Center

Dessoff, Alan

2012-01-01

Frederick M. Hess, director of education policy studies at the American Enterprise Institute, a public policy think tank in Washington, D.C., and Linda Darling-Hammond, a professor of education at Stanford University, wrote in "How to Rescue Education Reform" in The New York Times on December 5 that the federal government can and should play a…

Engaging Teachers in Ed Reform

ERIC Educational Resources Information Center

Steans, Robin

2012-01-01

Teacher engagement is crucial to the success of education reforms. Not only can teachers serve as policymakers' eyes and ears on the ground, sharing firsthand knowledge of challenges in the classroom, but their advocacy can be instrumental to passing smart, sensible policies, and their buy-in can make or break reform implementation. Ongoing…

Implementing the water framework directive: contract design and the cost of measures to reduce nitrogen pollution from agriculture.

PubMed

Bartolini, Fabio; Gallerani, Vittorio; Raggi, Meri; Viaggi, Davide

2007-10-01

The performance of different policy design strategies is a key issue in evaluating programmes for water quality improvement under the Water Framework Directive (60/2000). This issue is emphasised by information asymmetries between regulator and agents. Using an economic model under asymmetric information, the aim of this paper is to compare the cost-effectiveness of selected methods of designing payments to farmers in order to reduce nitrogen pollution in agriculture. A principal-agent model is used, based on profit functions generated through farm-level linear programming. This allows a comparison of flat rate payments and a menu of contracts developed through mechanism design. The model is tested in an area of Emilia Romagna (Italy) in two policy contexts: Agenda 2000 and the 2003 Common Agricultural Policy (CAP) reform. The results show that different policy design options lead to differences in policy costs as great as 200-400%, with clear advantages for the menu of contracts. However, different policy scenarios may strongly affect such differences. Hence, the paper calls for greater attention to the interplay between CAP scenarios and water quality measures.

Implementing the Water Framework Directive: Contract Design and the Cost of Measures to Reduce Nitrogen Pollution from Agriculture

NASA Astrophysics Data System (ADS)

Bartolini, Fabio; Gallerani, Vittorio; Raggi, Meri; Viaggi, Davide

2007-10-01

The performance of different policy design strategies is a key issue in evaluating programmes for water quality improvement under the Water Framework Directive (60/2000). This issue is emphasised by information asymmetries between regulator and agents. Using an economic model under asymmetric information, the aim of this paper is to compare the cost-effectiveness of selected methods of designing payments to farmers in order to reduce nitrogen pollution in agriculture. A principal-agent model is used, based on profit functions generated through farm-level linear programming. This allows a comparison of flat rate payments and a menu of contracts developed through mechanism design. The model is tested in an area of Emilia Romagna (Italy) in two policy contexts: Agenda 2000 and the 2003 Common Agricultural Policy (CAP) reform. The results show that different policy design options lead to differences in policy costs as great as 200-400%, with clear advantages for the menu of contracts. However, different policy scenarios may strongly affect such differences. Hence, the paper calls for greater attention to the interplay between CAP scenarios and water quality measures.

Why some market reforms lack legitimacy in health care.

PubMed

Laugesen, Miriam

2005-12-01

Market-oriented health policy reforms in the 1980s and 1990s generally included five kinds of proposals: increased cost sharing for patients through user fees, the separation of purchaser-provider functions, management reforms of hospitals, provider competition, and vouchers for purchasing health insurance. These policies are partly derived from agency theory and a model of managed competition in health insurance. The essay reviews the course of reform in five countries that had a national health service model in place in the late 1980s: Italy, New Zealand, Spain, Sweden, and the United Kingdom. Special consideration is given to New Zealand, where the market model was extensively adopted but short lived. In New Zealand, surveys and polls are compared to archival records of reformers' deliberations. Voters saw health care differently from elites, and voters particularly felt that health care was ill suited to commercialization. There are similarities across all five countries in what has been adopted and rejected. Some market reforms are more legitimate than others. Reforms based on resolving principal-agent problems, including purchaser-provider splits and managerial reforms, have been more successful, although cost sharing has not. Competition-based reforms in financing and to a lesser extent in provision have not gained legitimacy. Most voters in these countries see health care as different from other parts of the economy and view managerial reforms differently from policies that try to make health care more like other sectors.

Neoliberalism, Social Darwinism, and Consumerism Masquerading as School Reform

ERIC Educational Resources Information Center

Tienken, Christopher H.

2013-01-01

Education reform policies harvested from neoliberalism, social Darwinism, consumerism, and free-market ideologies have begun to replace the pragmatic progressivism of the pre-World War II era. In this article, I use three federal and state education reform policies and programs--No Child Left Behind Act, Common Core State Standards Initiative, and…

"We Can't Let Them Fail for One More Day": School Reform Urgency and the Politics of Reformer-Community Alliances

ERIC Educational Resources Information Center

Gordon, Hava Rachel

2016-01-01

This article provides a critical examination of neoliberal urgency in education reform. While critics of neoliberal reform policies have argued that these reforms exclude low-income community participation almost entirely, I argue that in practice this exclusion is not as total or as overt as macro-analyses would suggest. These macro analyses do…

Defensive medicine, cost containment, and reform.

PubMed

Hermer, Laura D; Brody, Howard

2010-05-01

The role of defensive medicine in driving up health care costs is hotly contended. Physicians and health policy experts in particular tend to have sharply divergent views on the subject. Physicians argue that defensive medicine is a significant driver of health care cost inflation. Policy analysts, on the other hand, observe that malpractice reform, by itself, will probably not do much to reduce costs. We argue that both answers are incomplete. Ultimately, malpractice reform is a necessary but insufficient component of medical cost containment. The evidence suggests that defensive medicine accounts for a small but non-negligible fraction of health care costs. Yet the traditional medical malpractice reforms that many physicians desire will not assuage the various pressures that lead providers to overprescribe and overtreat. These reforms may, nevertheless, be necessary to persuade physicians to accept necessary changes in their practice patterns as part of the larger changes to the health care payment and delivery systems that cost containment requires.

Health reform: a bipartisan view.

PubMed

Cooper, Jim; Castle, Michael

2009-01-01

This optimistic assessment of the prospects for health reform from senior Democratic and Republican congressmen spells out several reasons why reform can be achieved early in the first year of the Obama administration. Political and policy factors suggest that President-elect Barack Obama is in a much better position than his predecessors to achieve comprehensive health reform, including universal coverage. The Obama administration will have to overcome numerous obstacles and resistance to enact reform. Still, after decades of frustration and disappointment, policymakers should set aside their differences and enable the United States to join the ranks of developed nations by making sure every American has health insurance.

The Profession Speaks: Educator Perspectives on School Reform

ERIC Educational Resources Information Center

Murphy, Brett Gardiner

2018-01-01

An educator, who compiled teachers' stories of accountability era reforms into a book, explains why teacher voice is central. The book, "Inside Our Schools: Teachers on the Failure and Future of Education Reform," is organized around the recurring buzzwords the mainstream education reform movement has used to define its policies:…

The Early Childhood and Elementary Education Continuum: Constructing an Understanding of P-3 as State-Level Policy Reform

ERIC Educational Resources Information Center

Kauerz, Kristie Anne

2009-01-01

State-level policy attention to young children's early learning opportunities burgeons; a sense of urgency exists to identify reform agendas that are both effective and sustainable. "P-3" often is used as the term for the first level of a seamless P-20 system that stretches from early childhood through post-secondary education. While it…

Retaining Teacher Talent: Convergence and Contradictions in Teachers' Perceptions of Policy Reform Ideas. A Retaining Teacher Talent Report from Learning Point Associates and Public Agenda

ERIC Educational Resources Information Center

Coggshall, Jane G.; Ott, Amber

2010-01-01

As a new decade dawns, teachers stand at the center of a policy vortex. They serve as the primary focus of one of the Obama administration's four pillars of educational reform--effective teachers and leaders. Educational reformers of all stripes have focused tremendous energy on thinking of ways to identify effective teachers and in turn recruit,…

Climate-agriculture interactions and needs for policy making

NASA Astrophysics Data System (ADS)

Phillips, J. G.

2010-12-01

Research exploring climate change interactions with agriculture has evolved from simplistic “delta T” simulation experiments with crop models to work highlighting the importance of climate variability and extreme events, which characterized the negative impacts possible if no adaptation occurred. There soon followed consideration of socioeconomic factors allowing for adaptive strategies that are likely to mitigate the worst case outcomes originally projected. At the same time, improved understanding of biophysical feedbacks has led to a greater recognition of the role that agriculture plays in modifying climate, with a great deal of attention recently paid to strategies to enhance carbon sequestration in agricultural systems. Advances in models of biogeochemical cycling applied to agronomic systems have allowed for new insights into greenhouse gas emissions and sinks associated with current, conventional farming systems. Yet this work is still relatively simplistic in that it seldom addresses interactions between climate dynamics, adoption of mitigation strategies, and feedbacks to the climate system and the surrounding environment. In order for agricultural policy to be developed that provides incentives for appropriate adaptation and mitigation strategies over the next 50 years, a systems approach needs to be utilized that addresses feedbacks and interactions at field, farm and regional scales in a broader environmental context. Interactions between carbon and climate constraints on the one hand, and environmental impacts related to water, nutrient runoff, and pest control all imply a transformation of farming practices that is as of yet not well defined. Little attention has been paid to studying the implications of “alternative” farming strategies such as organic systems, intensive rotational grazing of livestock, or increases in the perennial component of farmscapes, all of which may be necessary responses to energy and other environmental constraints

School Reform in Chicago: Lessons in Policy and Practice

ERIC Educational Resources Information Center

Russo, Alexander, Ed.

2004-01-01

"School Reform in Chicago" shares the lessons learned from the city of Chicago's school reform efforts over the past two decades, the most ambitious in history, becoming a huge laboratory for innovations in areas such as school governance, leadership, accountability, and community involvement. In 1987, The U.S. Secretary of Education…

Historically Black Colleges and Universities in Teacher Education Reform

ERIC Educational Resources Information Center

Dilworth, Mary E.

2012-01-01

As for all teacher education programs, historically Black colleges and universities (HBCUs) have been subject to a host of policy mandates for reform over the past three decades. As a group their approach to these changes has differed from those of majority institutions and their voice in the policy reform dialogue has been muted or absent. This…

Factors affecting evidence-use in food policy-making processes in health and agriculture in Fiji.

PubMed

Waqa, Gade; Bell, Colin; Snowdon, Wendy; Moodie, Marj

2017-01-09

There is limited research on the use of evidence to inform policy-making in the Pacific. This study aims to identify and describe factors that facilitate or limit the use of evidence in food-related policy-making in the Health and Agriculture Ministries in Fiji. Semi-structured face-to-face interviews were conducted with selected policy-makers in two government ministries that were instrumental in the development of food-related policies in Fiji designed to prevent Non-Communicable Diseases (NCDs). Snowball sampling was used to recruit, as key informants, senior policy-makers in management positions such as national advisors and directors who were based at either the national headquarters or equivalent. Interviewees were asked about their experiences in developing food-related or other policies, barriers or facilitators encountered in the policy development and implementation process and the use of evidence. Each interview lasted approximately 45-60 minutes, and was conducted in English. Audio-recorded interviews were transcribed, thematically coded and analyzed using N-Vivo 8.0 software. Thirty-one policy-makers from the Ministry of Health and Medical Services (MoHMS n = 18) and the Ministry of Agriculture (MoA n = 13) in Fiji participated in the study. Whilst evidence is sometimes used in food-related policy-making in both the Health and Agriculture Ministries (including formal evidence such as published research and informal evidence such as personal experiences and opinions), it is not yet embedded as an essential part of the process. Participants indicated that a lack of resources, poor technical support in terms of training, the absence of clear strategies for improving competent use of evidence, procedures regarding engagement with other stakeholders across sectors, varying support from senior managers and limited consultation across sectors were barriers to evidence use. The willingness of organizations to create a culture of using evidence was

Perspectives on the Structure of American Agriculture. Volume II: Federal Farm Policies--Their Effects on Low-Income Farmers and Rural Communities.

ERIC Educational Resources Information Center

Coughlin, Kenneth M., Ed.

Agriculture and farming are the economic context for rural education. This is the second of two volumes of papers describing the impact of national agricultural policy on the poor. The nine articles in this volume (shot-titled below) analyze federal policy from the standpoint of the low-income farmer: (1) "Agricultural Price Supports,"…

COMMENTARY: GLOBALIZATION, HEALTH SECTOR REFORM, AND THE HUMAN RIGHT TO HEALTH: IMPLICATIONS FOR FUTURE HEALTH POLICY.

PubMed

Schuftan, Claudio

2015-01-01

The author here distills his long-time personal experience with the deleterious effects of globalization on health and on the health sector reforms embarked on in many of the more than 50 countries where he has worked in the last 25 years. He highlights the role that the "human right to health" framework can and should play in countering globalization's negative effects on health and in shaping future health policy. This is a testimonial article.

Bridging environmental and financial cost of dairy production: A case study of Irish agricultural policy.

PubMed

Chen, Wenhao; Holden, Nicholas M

2018-02-15

The Irish agricultural policy 'Food Harvest 2020' is a roadmap for sectoral expansion and Irish dairy farming is expected to intensify, which could influence the environmental and economic performance of Irish milk production. Evaluating the total environmental impacts and the real cost of Irish milk production is a key step towards understanding the possibility of sustainable production. This paper addresses two main issues: aggregation of environmental impacts of Irish milk production by monetization, to understand the real cost of Irish milk production, including the environmental costs; and the effect of the agricultural policy 'Food Harvest 2020' on total cost (combining financial cost and environmental cost) of Irish milk production. This study used 2013 Irish dairy farming as a baseline, and defined 'bottom', 'target' and 'optimum' scenarios, according to the change of elementary inputs required to meet agricultural policy ambitions. The study demonstrated that the three monetization methods, Stepwise 2006, Eco-cost 2012 and EPS 2000, could be used for aggregating different environmental impacts into monetary unit, and to provide an insight for evaluating policy related to total environmental performance. The results showed that the total environmental cost of Irish milk production could be greater than the financial cost (up to €0.53/kg energy corrected milk). The dairy expansion policy with improved herbage utilization and fertilizer application could reduce financial cost and minimize the total environmental cost of per unit milk produced. Copyright © 2017 Elsevier B.V. All rights reserved.

Public Opinion and the Acceptance and Feasility of Educational Reforms. EENEE Analytical Report No. 28

ERIC Educational Resources Information Center

Busemeyer, Marius; Lergetporer, Philipp; Woessmann, Ludger

2016-01-01

In education policy, as in many other policy fields, well-designed policy reforms may fail to get enacted because policymakers may suddenly become confronted with a public backlash against their reform agenda. Thus, understanding the dynamics of public opinion is important in order to be able to assess the chances of successful reform. There is a…

A New Health Care Prevention Agenda: Sustainable Food Procurement and Agricultural Policy

PubMed Central

Harvie, Jamie; Mikkelsen, Leslie; Shak, Linda

2009-01-01

Health care leaders are broadening their awareness to include the need to address the food system as a means to individual, public, and global health, above and beyond basic nutritional factors. Key voices from the health care sector have begun to engage in market transformation and are aggregating to articulate the urgency for engagement in food and agricultural policy. Systemic transformation requires a range of policies that complement one another and address various aspects of the food system. Health care involvement in policy and advocacy is vital to solve the expanding ecological health crises facing our nation and globe and will require an urgency that may be unprecedented. PMID:23144678

A New Health Care Prevention Agenda: Sustainable Food Procurement and Agricultural Policy.

PubMed

Harvie, Jamie; Mikkelsen, Leslie; Shak, Linda

2009-07-01

Health care leaders are broadening their awareness to include the need to address the food system as a means to individual, public, and global health, above and beyond basic nutritional factors. Key voices from the health care sector have begun to engage in market transformation and are aggregating to articulate the urgency for engagement in food and agricultural policy. Systemic transformation requires a range of policies that complement one another and address various aspects of the food system. Health care involvement in policy and advocacy is vital to solve the expanding ecological health crises facing our nation and globe and will require an urgency that may be unprecedented.

Effects of Physician Payment Reform on Provision of Home Dialysis

PubMed Central

Erickson, Kevin F.; Winkelmayer, Wolfgang C.; Chertow, Glenn M.; Bhattacharya, Jay

2016-01-01

Objectives Patients with end-stage renal disease can receive dialysis at home or in-center. In 2004 the Centers for Medicare and Medicaid Services reformed physician payment for in-center hemodialysis care from a capitated to a tiered fee-for-service model, augmenting physician payment for frequent in-center visits. We evaluated whether payment reform influenced dialysis modality assignment. Study Design Cohort study of patients starting dialysis in the US in the three years before and after payment reform. Methods We conducted difference-in-difference analyses comparing patients with Traditional Medicare coverage (who were affected by the policy) to others with Medicare Advantage (who were unaffected by the policy). We also examined whether the policy had a more pronounced influence on dialysis modality assignment in areas with lower costs of traveling to dialysis facilities. Results Patients with Traditional Medicare coverage experienced a 0.7% (95% CI 0.2%–1.1%; p=0.003) reduction in the absolute probability of home dialysis use following payment reform compared to patients with Medicare Advantage. Patients living in areas with larger dialysis facilities (where payment reform made in-center hemodialysis comparatively more lucrative for physicians) experienced a 0.9% (95% CI 0.5%–1.4%; p<0.001) reduction in home dialysis use following payment reform compared to patients living in areas with smaller facilities (where payment reform made in-center hemodialysis comparatively less lucrative for physicians). Conclusions Transition from a capitated to tiered fee-for-service payment model for dialysis care resulted in fewer patients receiving home dialysis. This area of policy failure highlights the importance of considering unintended consequences of future physician payment reform efforts. PMID:27355909

Effects of physician payment reform on provision of home dialysis.

PubMed

Erickson, Kevin F; Winkelmayer, Wolfgang C; Chertow, Glenn M; Bhattacharya, Jay

2016-06-01

Patients with end-stage renal disease can receive dialysis at home or in-center. In 2004, CMS reformed physician payment for in-center hemodialysis care from a capitated to a tiered fee-for-service model, augmenting physician payment for frequent in-center visits. We evaluated whether payment reform influenced dialysis modality assignment. Cohort study of patients starting dialysis in the United States in the 3 years before and the 3 years after payment reform. We conducted difference-in-difference analyses comparing patients with traditional Medicare coverage (who were affected by the policy) to others with Medicare Advantage (who were unaffected by the policy). We also examined whether the policy had a more pronounced influence on dialysis modality assignment in areas with lower costs of traveling to dialysis facilities. Patients with traditional Medicare coverage experienced a 0.7% (95% CI, 0.2%-1.1%; P = .003) reduction in the absolute probability of home dialysis use following payment reform compared with patients with Medicare Advantage. Patients living in areas with larger dialysis facilities (where payment reform made in-center hemodialysis comparatively more lucrative for physicians) experienced a 0.9% (95% CI, 0.5%-1.4%; P < .001) reduction in home dialysis use following payment reform compared with patients living in areas with smaller facilities (where payment reform made in-center hemodialysis comparatively less lucrative for physicians). The transition from a capitated to a tiered fee-for-service payment model for in-center hemodialysis care resulted in fewer patients receiving home dialysis. This area of policy failure highlights the importance of considering unintended consequences of future physician payment reform efforts.

Educational Reform Hyperwaves: Reconceptualizing Cuban's Theories of Change

ERIC Educational Resources Information Center

Berkovich, Izhak

2017-01-01

The present work builds on Cuban's ("Educ Res" 19(1):3-13, 1990) seminal work on reform waves. The research explores reform waves in Israeli educational policies since 2000s. The historical case study analysis focuses on conservative and liberal-progressive reforms in education, and reveals that these reforms took place as reoccurring…

The potential of standards-based agriculture biology as an alternative to traditional biology in California

NASA Astrophysics Data System (ADS)

Sellu, George Sahr

Over the past five decades, several waves of educational reform have influenced K-12 science course offerings and classroom instruction in public education. The effectiveness of educational policies has been increasingly measured by standardized tests. The focus on test scores, content standards, and performance standards (which is a product of recent educational policies) has influenced course offerings and the depth and breadth of curriculum coverage (Linn, 2000). For the better part of the last hundred years, vocational education and traditional education have followed two separate tracks in terms of objectives, policies, and values (Hillison, 1996). Educational reform policies have had varying influences on school programs. For example, elective courses such as Career Technical Education (CTE) courses---which are not considered core academic courses---have been negatively influenced by current educational reform. In the past three decades, there has been gradual movement toward merging vocational and traditional education. It has been difficult for policies from both sides to merge because of differences in objectives for both tracks. Traditional courses have been guided by federal policies, such as No Child Left Behind (NCLB) and Common Core State Standards (CCSS) while the Carl D. Perkins Act (Perkins Act) has shaped CTE courses. It appears that several of the requirements of the Perkins Act meet expectations of traditional education policies. However, there is no direct metric for measuring the contribution of CTE courses toward increased achievement in science as measured by standardized tests. As such, CTE courses will continue to lose resources in order to support courses that prepare students for standardized tests. In order to address some of these challenges over the last three decades, agriculture educators have developed integrated science courses as a means for increasing science achievement scores for agriculture education students in K-12 public

Repositioning Science Reform Efforts: Four Practical Recommendations from the Field

ERIC Educational Resources Information Center

Ness, Daniel; Farenga, Stephen J.; Shah, Vishal; Garofalo, Salvatore G.

2016-01-01

Appeals to reform science education by policy makers are not new phenomena. To be sure, while science reform efforts have been ongoing occurrences for nearly six decades, perpetual educational reform efforts as a whole have been evolving and gaining momentum in number for more than a century. The general motivation for continual reform appears to…

Teaching Excellence through Professional Learning and Policy Reform: Lessons from around the World. International Summit on the Teaching Profession

ERIC Educational Resources Information Center

Schleicher, Andreas

2016-01-01

If the quality of an education system can never exceed the quality of its teachers, then countries need to do all they can to build a high-quality teaching force. "Teaching Excellence through Professional Learning and Policy Reform: Lessons from around the World," the background report to the sixth International Summit on the Teaching…

EVALUATING THE IMPACT OF POLICY OPTIONS ON AGRICULTURAL LANDSCAPES: AN ALTERNATIVE-FUTURES APPROACH

EPA Science Inventory

Alternative-futures analysis was used to analyze different scenarios of future growth patterns and attendant resource allocations on the agricultural system of Oregon's Willamette River Basin. A stakeholder group formulated three policy alternatives: a continuation of current tr...

Chinese Academics under the Reformed Remuneration System: A Case Study

ERIC Educational Resources Information Center

Xueyan, Xu

2015-01-01

As part of ongoing efforts to attract and keep talents, Chinese governments and universities have initiated a series of reforms to improve faculty salaries over the past decades. However, the reformed salary policies do not work as well as expected. According to the field data, the formed salary policies had posted a new set of challenges to…

Professionals' perspectives on a market-inspired policy reform: A guiding light to the blind spots of measurement.

PubMed

Korlén, Sara; Amer-Wåhlin, Isis; Lindgren, Peter; von Thiele Schwarz, Ulrica

2017-08-01

Implementation of market-inspired competition and incentive models in health care is increasing worldwide, assumed to drive efficiency. However, the evidence for effects is mixed and unintended consequences have been reported. There is a need to better understand the practical consequences of such reforms. The aim of the present case study is to explore what consequences of a Swedish market-inspired patient choice reform professionals identify as relevant, and why. The study was designed as an explorative qualitative study in specialized orthopedics. Nineteen interviews were conducted with health care professionals at different providers. Data were analyzed using a hypo-deductive thematic approach. Consequences for the organization of care, patients, work environment, education and research were included in the professionals' analyses, covering both the perspective of their own organization and that of the health care system as a whole. In sum, the professionals provided multiple-level analyses that extended beyond the responsibilities of their own organization. Concluding, professionals are a valuable source of knowledge when evaluating policy reforms. Their analyses can contribute by covering a broad system perspective, serving as a guiding light to areas beyond the most obvious evaluation measures that should be included in more formal evaluations.

Can history improve big bang health reform? Commentary.

PubMed

Marchildon, Gregory P

2018-07-01

At present, the professional skills of the historian are rarely relied upon when health policies are being formulated. There are numerous reasons for this, one of which is the natural desire of decision-makers to break with the past when enacting big bang policy change. This article identifies the strengths professional historians bring to bear on policy development using the establishment and subsequent reform of universal health coverage as an example. Historians provide pertinent and historically informed context; isolate the forces that have historically allowed for major reform; and separate the truly novel reforms from those attempted or implemented in the past. In addition, the historian's use of primary sources allows potentially new and highly salient facts to guide the framing of the policy problem and its solution. This paper argues that historians are critical for constructing a viable narrative of the establishment and evolution of universal health coverage policies. The lack of this narrative makes it difficult to achieve an accurate assessment of systemic gaps in coverage and access, and the design or redesign of universal health coverage that can successfully close these gaps.

How nutrition-friendly are agriculture and health policies in Bangladesh?

PubMed

Naher, Firdousi; Barkat-e-Khuda; Ahmed, Shaikh Shamsuddin; Hossain, Mahabub

2014-03-01

The improvements in nutrition status in Bangladesh, particularly child nutrition outcomes, have been relatively slow, despite remarkable improvements in the country's food situation as well as in the health sector. At present more than 40% of children under 5 years of age are stunted. To examine the specific food, agriculture, and health policies that have existed and currently exist in Bangladesh from the perspective of nutrition and identify gaps in the policy framework for which improvements in nutrition have been slow. Policy documents, public financial and budget documents, and related papers were reviewed. Several interviews with former civil servants and bureaucrats were conducted. The approach to achieving food security has been a partial one, with policy provisions focusing excessively on increasing the availability of food, primarily rice. The "accessibility" pillar of food security has received little attention, while the neglect of the "utilization" pillar is conspicuous by the dearth of appropriate policies and laws for ensuring food safety. The efforts in the health sector have largely concentrated on expanding the coverage of primary healthcare, with little consideration of equity and quality. There exists a wide window of unexplored opportunity to align the remarkable increases in food production and advances in the health sector with nutrition considerations toward an improved nutrition status in Bangladesh.

The inter-section of political history and health policy in Asia--the historical foundations for health policy analysis.

PubMed

Grundy, John; Hoban, Elizabeth; Allender, Steve; Annear, Peter

2014-09-01

One of the challenges for health reform in Asia is the diverse set of socio-economic and political structures, and the related variability in the direction and pace of health systems and policy reform. This paper aims to make comparative observations and analysis of health policy reform in the context of historical change, and considers the implications of these findings for the practice of health policy analysis. We adopt an ecological model for analysis of policy development, whereby health systems are considered as dynamic social constructs shaped by changing political and social conditions. Utilizing historical, social scientific and health literature, timelines of health and history for five countries (Cambodia, Myanmar, Mongolia, North Korea and Timor Leste) are mapped over a 30-50 year period. The case studies compare and contrast key turning points in political and health policy history, and examines the manner in which these turning points sets the scene for the acting out of longer term health policy formation, particularly with regard to the managerial domains of health policy making. Findings illustrate that the direction of health policy reform is shaped by the character of political reform, with countries in the region being at variable stages of transition from monolithic and centralized administrations, towards more complex management arrangements characterized by a diversity of health providers, constituency interest and financing sources. The pace of reform is driven by a country's institutional capability to withstand and manage transition shocks of post conflict rehabilitation and emergence of liberal economic reforms in an altered governance context. These findings demonstrate that health policy analysis needs to be informed by a deeper understanding and questioning of the historical trajectory and political stance that sets the stage for the acting out of health policy formation, in order that health systems function optimally along their own

Sponsors of Policy: A Network Analysis of Wealthy Elites, Their Affiliated Philanthropies, and Charter School Reform in Washington State

ERIC Educational Resources Information Center

Au, Wayne; Ferrare, Joseph J.

2014-01-01

Background/Context: Charter school policy has evolved into a major component of the current education reform movement in the United States. As of 2012, all but nine U.S. states allowed charter schools, and in one of those nine, Washington State, charter school legislation was passed by popular vote in November 2012. There is a substantial, if…

Assisted reproduction in Indonesia: policy reform in an Islamic culture and developing nation.

PubMed

Purvis, Taylor E

2015-11-01

This article considers how religious and economic factors shape assisted reproductive technology (ART) policy in Indonesia, the world's most populous Muslim country. Infertility clinic policies are grounded on both the views of the country's powerful Islamic coalition and those of the worldwide Islamic community. Indonesian government officials, physicians, and Islamic scholars have expressed concern over who can use ART and which procedures can be performed. Indonesia has also faced economic challenges related to ART, including inadequate health insurance coverage, inequitable access to ART, and maintenance of expensive ART infrastructure. The prohibitive price of infertility treatment and regional differences in the provision of health care prohibit most Indonesians from obtaining ART. In the absence of a shift in religious mores and a rapid reduction in poverty and inequality, Indonesia will need to adopt creative means to make ART both more available and less necessary as a solution to infertility. This paper suggests policy reforms to promote more affordable treatment methods and support preventative health programmes to reduce infertility rates. This country-specific analysis of the laws and customs surrounding ART in Indonesia reveals that strategies to reduce infertility must be tailored to a country's unique religious and economic climate. Copyright © 2015 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

Regulatory Autonomy and Performance: The Reform of Higher Education Re-Visited

ERIC Educational Resources Information Center

Enders, Jurgen; de Boer, Harry; Weyer, Elke

2013-01-01

The main aim of this article is to contribute to the understanding of organizational autonomy and control in higher education reform and related expectations as regards the performance of universities. Our analyses draws on principal-agent models as a normative theory of policy reform, and institutionalist approaches in public policy and…

Teacher Preparation in Ethiopia: A Critical Analysis of Reforms

ERIC Educational Resources Information Center

Semela, Tesfaye

2014-01-01

The purpose of this article is to provide a more comprehensive picture of teacher preparation in Ethiopia on top of a closer scrutiny of current teacher education reforms. In particular, it presents teacher education within the context of policy implementation over the last six decades by highlighting key reforms and how these reforms impacted the…

Sliding toward the Free Market: Shifting Political Conditions and U.S. Agricultural Policy, 1945-1975

ERIC Educational Resources Information Center

Winders, Bill

2004-01-01

Between 1945 and 1975, the twin pillars of U.S. agricultural policy--price supports and production controls--were weakened significantly. Price supports levels were reduced and made flexible in 1954, and the concept of parity was removed in 1973. Production controls were softened in 1964 and 1973. How can we explain these policy shifts? While…

Issue ads and the health reform debate.

PubMed

Bergan, Daniel; Risner, Genevieve

2012-06-01

The public debate over health care reform in 2009 was carried out partly through issue advertisements aired online and on television. Did these advertisements alter the course of the debate over health care reform? While millions of dollars are spent each year on issue ads, little is known about their effects. Results from a naturalistic online experiment on the effects of issue ads suggest that they can influence the perceived importance of an issue and perceptions of politicians associated with the featured policy while influencing policy support only among those low in political awareness.

Policy trends and reforms in the German DRG-based hospital payment system.

PubMed

Klein-Hitpaß, Uwe; Scheller-Kreinsen, David

2015-03-01

A central structural point in all DRG-based hospital payment systems is the conversion of relative weights into actual payments. In this context policy makers need to address (amongst other things) (a) how the price level of DRG-payments from one period to the following period is changed and (b) whether and how hospital payments based on DRGs are to be differentiated beyond patient characteristics, e.g. by organizational, regional or state-level factors. Both policy problems can be and in international comparison often are empirically addressed. In Germany relative weights are derived from a highly sophisticated empirical cost calculation, whereas the annual changes of DRG-based payments (base rates) as well as the differentiation of DRG-based hospital payments beyond patient characteristics are not empirically addressed. Rather a complex set of regulations and quasi-market negotiations are applied. There were over the last decade also timid attempts to foster the use of empirical data to address these points. However, these reforms failed to increase the fairness, transparency and rationality of the mechanism to convert relative weights into actual DRG-based hospital payments. Copyright © 2015 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

Understanding Parole Officers' Responses to Sanctioning Reform

ERIC Educational Resources Information Center

Steiner, Benjamin; Travis, Lawrence F., III; Makarios, Matthew D.

2011-01-01

There are constant calls for reform in the criminal justice system, but observers have often reported that criminal justice reform is an exceptionally challenging task. As with any organizational change, resistance to new policies, procedures, and practices comes from a variety of sources. The relatively broad discretionary authority vested in…

Congressional Testimony: Testimony of Nikki Tinsley Before the Subcommittee on Energy Policy, Natural Resources and Regulatory Affairs Committee on Government Reform United States House

EPA Pesticide Factsheets

Testimony of the Honorable Nikki Tinsley Inspector General U.S. EPA Before the Subcommittee on Energy Policy, Natural Resources and Regulatory Affairs Committee on Government Reform United States House of Representatives

Impact of High-School Reform Initiatives Using the Pygmalion Effect

ERIC Educational Resources Information Center

Buryanek, Kimberly K.

2010-01-01

In 2006, a 9th-period program and an A, B, C, Incomplete grading policy were implemented as high school reform initiatives in a rural high school in the Midwest. The purpose of this qualitative research study was to determine how teachers interpreted the effect of the A, B, C, Incomplete grading policy and the 9th period reform initiatives at the…

ERIC First Analysis: Agricultural Policy. 1986-87 National High School Debate Resolutions.

ERIC Educational Resources Information Center

Wagner, David L.; Fraleigh, Douglas

Designed to serve as a framework in which high school debate students, coaches, and judges can evaluate the issues, arguments, and evidence concerning which agricultural policies best serve the United States, this booklet provides guidelines for research on the 1986-87 debate resolutions selected by the National Federation of State High School…

Latin American USOMs Seminar on Agrarian Reform.

ERIC Educational Resources Information Center

International Cooperation Administration (Dept. of State), Washington, DC.

This report of seminar proceedings discusses land reform policies and programs and their place in the economic development of Latin America. It analyzes experiences and current situations in Latin America, the United States, and elsewhere which shed light on the problems and possibilities of agrarian reform. An appraisal of existing physical,…

Health Sector Reform in the Kurdistan Region - Iraq: Financing Reform, Primary Care, and Patient Safety.

PubMed

Anthony, C Ross; Moore, Melinda; Hilborne, Lee H; Mulcahy, Andrew W

2014-12-30

In 2010, the Kurdistan Regional Government asked the RAND Corporation to help guide reform of the health care system in the Kurdistan Region of Iraq. The overarching goal of reform was to help establish a health system that would provide high-quality services efficiently to everyone to prevent, treat, and manage physical and mental illnesses and injuries. This article summarizes the second phase of RAND's work, when researchers analyzed three distinct but intertwined health policy issue areas: development of financing policy, implementation of early primary care recommendations, and evaluation of quality and patient safety. For health financing, the researchers reviewed the relevant literature, explored the issue in discussions with key stakeholders, developed and assessed various policy options, and developed plans or approaches to overcome barriers and achieve stated policy objectives. In the area of primary care, they developed and helped to implement a new management information system. In the area of quality and patient safety, they reviewed relevant literature, discussed issues and options with health leaders, and recommended an approach toward incremental implementation.

National Agricultural Library | United States Department of Agriculture

Science.gov Websites

Skip to main content Home National Agricultural Library United States Department of Agriculture Ag Policy Drupal is a registered trademark of Dries Buytaert. NAL Home | USDA.gov | Agricultural Research

Agricultural pollution control under Spanish and European environmental policies

NASA Astrophysics Data System (ADS)

MartíNez, Yolanda; Albiac, José

2004-10-01

Nonpoint pollution from agriculture is an important environmental policy issue in Spain and the European Union. Agricultural pollution in Spain is being addressed by the National Irrigation Plan and by the European Water Framework Directive. This article contributes to the ongoing policy decision process by analyzing nonpoint pollution control and presenting results on the efficiency of abatement measures. Results question the reliance of the Water Framework Directive on water pricing as a pollution instrument for reaching good status for all waters because higher water prices close to full recovery cost advocated by the directive appear to be inefficient as an emission control instrument. Another important result is that abatement measures based on input taxes and standards on nitrogen appear to be more suitable than the National Irrigation Plan subsidies designed to promote irrigation investments. The results also contribute with further evidence to the discussion on the appropriate instrument base for pollution control, proving that nonpoint pollution control instruments cannot be assessed accurately without a correct understanding of the key underlying biophysical processes. Nonpoint pollution is characterized by nonlinearities, dynamics, and spatial dependency, and neglect of the dynamic aspects may lead to serious consequences for the design of measures. Finally, a quantitative assessment has been performed to explore discriminating measures based on crop pollution potential on vulnerable soils. No significant welfare gains are found from discriminating control, although results are contingent upon the level of damage, and discrimination could be justified in areas with valuable ecosystems and severe pollution damages.

Estimating the cardiovascular mortality burden attributable to the European Common Agricultural Policy on dietary saturated fats.

PubMed

Lloyd-Williams, Ffion; O'Flaherty, Martin; Mwatsama, Modi; Birt, Christopher; Ireland, Robin; Capewell, Simon

2008-07-01

To estimate the burden of cardiovascular disease within 15 European Union countries (before the 2004 enlargement) as a result of excess dietary saturated fats attributable to the Common Agricultural Policy (CAP). A spreadsheet model was developed to synthesize data on population, diet, cholesterol levels and mortality rates. A conservative estimate of a reduction in saturated fat consumption of just 2.2 g was chosen, representing 1% of daily energy intake. The fall in serum cholesterol concentration was then calculated, assuming that this 1% reduction in saturated fat consumption was replaced with 0.5% monounsaturated and 0.5% polyunsaturated fats. The resulting reduction in cardiovascular and stroke deaths was then estimated, and a sensitivity analysis conducted. Reducing saturated fat consumption by 1% and increasing monounsaturated and polyunsaturated fat by 0.5% each would lower blood cholesterol levels by approximately 0.06 mmol/l, resulting in approximately 9800 fewer coronary heart disease deaths and 3000 fewer stroke deaths each year. The cardiovascular disease burden attributable to CAP appears substantial. Furthermore, these calculations were conservative estimates, and the true mortality burden may be higher. The analysis contributes to the current wider debate concerning the relationship between CAP, health and chronic disease across Europe, together with recent international developments and commitments to reduce chronic diseases. The reported mortality estimates should be considered in relation to the current CAP and any future reforms.

Education Reform and the Limits of Policy: Lessons from Michigan

ERIC Educational Resources Information Center

Addonizio, Michael F.; Kearney, C. Philip

2012-01-01

During the last 20 years, the United States has experienced more attempts at education reform than at any other time in its history. Efforts to reform financing, the assessment of student performance, accountability and equity, and school choice have all been implemented--with varying levels of success. Michael F. Addonizio and C. Philip Kearney…

The Spatial-Temporal Pattern of Policing Following a Drug Policy Reform: Triangulating Self-Reported Arrests With Official Crime Statistics

PubMed Central

Gaines, Tommi L.; Werb, Daniel; Arredondo, Jaime; Alaniz, Victor M.; Vilalta, Carlos; Beletsky, Leo

2017-01-01

Background In 2009, Mexico enacted a drug policy reform (Narcomenudeo) designed to divert persons possessing small amounts of illicit drugs to treatment rather than incarceration. To assess reform impact, this study examines the spatial-temporal trends of drug-related policing in Tijuana, Mexico post-enactment. Method Location of self-reported arrests (N=1,160) among a prospective, community-recruited cohort of people who inject drugs (PWID) in Tijuana (N=552) was mapped across city neighborhoods. Official police reports detailing drug-related arrests was triangulated with PWID self-reported arrests. Exploratory spatial data analysis examined the distribution of arrests and spatial association between both datasets across three successive years, 2011–2013. Results In 2011, over half of PWID reported being detained but not officially charged with a criminal offense; in 2013, 90% of arrests led to criminal charges. Official drug-related arrests increased by 67.8% (p < 0.01) from 2011 to 2013 despite overall arrest rates remaining stable throughout Tijuana. For each successive year, we identified a high degree of spatial association between the location of self-reported and official arrests (p < 0.05). Conclusion Two independent data sources suggest that intensity of drug law enforcement had risen in Tijuana despite the promulgation of a public health-oriented drug policy reform. The highest concentrations of arrests were in areas traditionally characterized by higher rates of drug crime. High correlation between self-reported and official arrest data underscores opportunities for future research on the role of policing as a structural determinant of public health. PMID:27767367

State 'laboratories' test health care reform solutions.

PubMed

Elliott, B A

1993-02-01

Widely recognized by the states as a pressing policy issue, health care reform appears to have moved up on the national policy agenda as well. President Clinton has promised to address the issue during his first 100 days in office. Previously, however, the federal government has been deadlocked on health care reform, leaving the states to become the laboratories for developing and testing proposed solutions to our health care crisis. By passing MinnesotaCare in last year's legislative session, Minnesota joined the growing number of states attempting to provide access to affordable, quality health care to their citizens.

Agriculture and Water Quality. Issues in Agricultural Policy. Agriculture Information Bulletin Number 548.

ERIC Educational Resources Information Center

Crowder, Bradley M.; And Others

Agriculture generates byproducts that may contribute to the contamination of the United States' water supply. Any effective regulations to ban or restrict agricultural chemical or land use practices in order to improve water quality will affect the farm economy. Some farmers will benefit; some will not. Most agricultural pollutants reach surface…

Prisons and Sentencing Reform.

ERIC Educational Resources Information Center

Galvin, Jim

1983-01-01

Reviews current themes in sentencing and prison policy. The eight articles of this special issue discuss selective incapacitation, prison bed allocation models, computer-scored classification systems, race and gender relations, commutation, parole, and a historical review of sentencing reform. (JAC)

Does the EU sugar policy reform increase added sugar consumption? An empirical evidence on the soft drink market.

PubMed

Bonnet, Céline; Requillart, Vincent

2011-09-01

Whereas National Health authorities recommend a decrease in the consumption of 'added' sugar, a reform on the sugar market will lead to a 36% decrease of the sugar price in the EU. Using French data on soft drinks purchases, this paper investigates the anticipated impact of this reform on the consumption of sugar-sweetened beverages. The reform of the EU sugar policy leads to a decrease in regular soft drink prices by 3% and varies across brands. To assess substitution within this food category, we use a random-coefficients logit model that takes into account a large number of differentiated products and heterogeneity in consumers' behavior. Results suggest that price changes would lead to an increase in market shares of regular products by 7.5% and to substitutions between brands to the benefit of products with the highest sugar content. On the whole, it would raise consumption of regular soft drinks by more than 1 litre per person per year and consumption of added sugar by 124 g per person per year, this increase being larger in households composed of overweight and obese individuals. Copyright © 2011 John Wiley & Sons, Ltd.

Understanding the United States and Brazil's response to obesity: institutional conversion, policy reform, and the lessons learned.

PubMed

Gómez, Eduardo J

2015-06-10

In the United States (US) and Brazil, obesity has emerged as a health epidemic. This article is driven by the following research questions: how did the US and Brazil's federal institutions respond to obesity? And how did these responses affect policy implementation? The aim of this article is therefore to conduct a comparative case study analysis of how these nations' institutions responded in order to determine the key lessons learned. This study uses primary and secondary qualitative data to substantiate causal arguments and factual claims. Brazil shows that converting preexisting federal agencies working in primary healthcare to emphasize the provision of obesity prevention services can facilitate policy implementation, especially in rural areas. Brazil also reveals the importance of targeting federal grant support to the highest obesity prevalence areas and imposing grant conditionalities, while illustrating how the incorporation of social health movements into the bureaucracy facilitates the early adoption of nutrition and obesity policies. None of these reforms were pursued in the US. Brazil's government has engaged in innovative institutional conversion processes aiding its ability to sustain its centralized influence when implementing obesity policy. The US government's adoption of Brazil's institutional innovations may help to strengthen its policy response.

The reorientation of market-oriented reforms in Swedish health-care.

PubMed

Harrison, M I; Calltorp, J

2000-01-01

Sweden was an important pioneer of market-oriented reform in publicly funded health-care systems. Yet by the mid-1990s the county councils, which fund and manage most health-care, had substantially scaled back reforms based on provider competition while continuing to constrain health budgets. As policy makers faced new issues, they turned increasingly to longer-term and more cooperative contracts to define relations between hospitals and the county councils. Growing regionalization of government and hospital mergers further reconfigured acute care and limited opportunities for competition between hospitals. We seek to explain this reorientation of market-oriented reforms between 1989 and 1996 in terms of shifts in the positions taken by powerful policy actors, and in particular by county council politicians. During this period, elections moved liberal and conservative politicians, who were the most enthusiastic supporters of market-oriented reform, in and out of control of most county governments. Meanwhile many Social Democratic politicians gradually turned from initial support of competitive reform toward opposition. Politicians and county administrators from all parties were particularly concerned about controlling health expenditures during a period of recession. In addition, the public, politicians in the counties and municipalities, and health professionals resisted steps that threatened health sector employment and would have allowed market mechanisms, rather than governments, to determine the prices and distribution of health services. During the years under study Sweden's market-oriented reforms followed a course of development similar to that taken by other management and policy fashions (Abrahamson E. Management fashion, Academy of Management Review 1996;21: 254-85). At first the reforms enjoyed uncritical support by a broad spectrum of stakeholders. Gradually participants in the reform process recognized inherent tensions among the goals of the reform

Coupled social and ecological outcomes of agricultural intensification in Costa Rica and the future of biodiversity conservation in tropical agricultural regions

NASA Astrophysics Data System (ADS)

Sanfiorenzo, A. R.; Waits, L.; Finegan, B.; Shaver, I.; Chain Guadarrama, A.; Cleary, K.; Santiago-Garcia, R.; Hormel, L.; Vierling, L. A.; Bosque-Perez, N.; DeClerck, F.; Fagan, M. E.; Sibelet, N.

2016-12-01

Tropical ecosystem conversion to agriculture has caused widespread habitat loss and created fragmented landscapes composed of remnant forest patches embedded in a matrix of agricultural land uses. Non-traditional agricultural export (NTAE) crops such as pineapple are rapidly replacing multiuse landscapes characterized by a diverse matrix of pasture and smallholder crops with intensive, large-scale, monoculture plantations. Using an interdisciplinary approach, we examine the coupled social and ecological implications of agricultural intensification Guided by frameworks from political economy, landscape ecology and landscape genetics we: (1) describe the social and economic implications of pineapple expansion, specifically the concentration of land, labor and financial resources, (2) quantify pineapple cultivation's spatial characteristics, and (3) assess the effects of pineapple expansion on surrounding forest ecosystems, on the agricultural matrix and on biodiversity conservation. Our results indicate that pineapple production concentrates land, labor, and financial resources, which has a homogenizing effect on the agricultural economy in the study region. This constrains farm-based livelihoods, with larger implications for food security and agricultural diversity. Landscape ecology and genetics analyses further reveal how pineapple production simplifies and homogenizes the agricultural matrix between forest patches, which increase the genetic structure and reduce the genetic diversity of Symphonia globulifera a forest understory tree species. To offset the effects of agricultural intensification on social and environmental systems, we recommend developing landscape level land use planning capacity. Furthermore, agricultural and conservation policy reform is needed to promote landscape heterogeneity and economic diversity within the agricultural sector. Our interdisciplinary research provides a detailed examination of the social and ecological impacts of

Looking at the big picture: The importance of landbase interactions among forests, agriculture, and climate mitigation policies

Treesearch

Rhonda Mazza; Alig Ralph

2010-01-01

Land use change is a key part of global change. Deforestation, urban sprawl, agriculture, and other human influences have substantially altered natural ecosystems and fragmented the global landscape. Slowing down deforestation and afforesting environmentally sensitive agricultural land are important steps for mitigating climate change. Because no policy operates in a...

Development and evaluation of the bacterial fate and transport module for the agricultural policy/environmental extender (APEX) model

USDA-ARS?s Scientific Manuscript database

The Agricultural Policy/Environmental eXtender (APEX) is a watershed-scale water quality model that includes detailed representation of agricultural management but currently does not have microbial fate and transport simulation capabilities. The objective of this work was to develop a process-based ...

Moving toward equitable, systemic science education reform: The synergy among science education and school-level reforms in an urban middle school

NASA Astrophysics Data System (ADS)

Kelly, Mary Kathryn

The purpose of this study was to develop an understanding of the relationships among school-level and science education reform efforts and how, collectively, they contribute to the progress of equitable, systemic science education reform. A case study research design was employed to gather both qualitative and quantitative data between 1995 and 1999. The site of this study is a non-selective, urban middle school in a large district that participated in several reform efforts. These reforms include both efforts focused on school-level change and efforts focused on change in science teaching and learning. Its program incorporates aspects of several school-level reforms---from the underlying Paideia philosophy, to structural characteristics of middle schools, to site-based decision-making, to its status as a magnet school, to its participation as a professional development school. Further, the participation of all science teachers in the intensive, standards-based professional development offered by Ohio's systemic reform of mathematics and science created a critical mass of reform-oriented teachers who supported one another as they incorporated reform-based practices into their teaching. The interplay of the reform efforts has manifested in a high level of science achievement in comparison to the school's district. Addressing the third component of O'Day and Smith's model for systemic reform, the need for school-level change to enable implementation of curriculum frameworks and aligned policies, this study illustrates two important points. First, the high-quality teacher professional development increased teachers' capacity to change their practices by enhancing their knowledge of and skills in implementing standards-based teaching practices. Second, because of the synchrony among the school-level reforms and between the school-level and science education reforms, the context of Webster provided a supportive environment in which lasting changes in science teaching

What adult worker model? A critical look at recent social policy reform in Europe from a gender and family perspective.

PubMed

Daly, Mary

2011-01-01

Analyses regularly feature claims that European welfare states are in the process of creating an adult worker model. The theoretical and empirical basis of this argument is examined here by looking first at the conceptual foundations of the adult worker model formulation and then at the extent to which social policy reform in western Europe fits with the argument. It is suggested that the adult worker formulation is under-specified. A framework incorporating four dimensions—the treatment of individuals vis-à-vis their family role and status for the purposes of social rights, the treatment of care, the treatment of the family as a social institution, and the extent to which gender inequality is problematized—is developed and then applied. The empirical analysis reveals a strong move towards individualization as social policy promotes and valorizes individual agency and self-sufficiency and shifts some childcare from the family. Yet evidence is also found of continued (albeit changed) familism. Rather than an unequivocal move to an individualized worker model then, a dual earner, gender-specialized, family arrangement is being promoted. The latter is the middle way between the old dependencies and the new “independence.” This makes for complexity and even ambiguity in policy, a manifestation of which is that reform within countries involves concurrent moves in several directions.

Conceptions of systemic reform: California science education as an investigative example

NASA Astrophysics Data System (ADS)

Sachse, Thomas Paul

This study explored three perspectives of systemic reform in the context of the California state strategies for improving science education. The three perspectives are those of conceptualizers, implementers, and government administrators. The California case study is examined during the ten-year period from 1983 to 1993. This study is of particular significance, because it examines science education reforms during the ten-year period of Bill Honig's state superintendency in the largest and most diverse state. By examining the facets of state science reforms from three rather different perspectives, the study contrasts how systemic reform definitions vary with role. This qualitative study employs document analysis, archival reviews, and participant interviews as the primary data collection methods. Document analysis included key curriculum frameworks, project proposals and reports, relevant legislation, and professional correspondence. Archival reviews included databases (such as the California Basic Educational Data System), assessment reports (such as the California Assessment Program---Rationale and Content), and policy analyses (such as the Policy Analysis for California Education---Conditions of Education). Interviews were conducted for each of the three perspectives across five segments of the reform strategy for a total of fifteen interviews. Data analysis consisted of combining detailed reviews of documents, archives, and interview information with an examination of perspectives, by role group. The study concludes with an analysis of how each role group perceived the facets of systemic reform in the context of the California case study of science education reform. In addition, the research points to "lessons learned", the strengths and weaknesses of systemic reform strategies at the state level. The study offers recommendations to other large-scale (state level) policy reformers interested in creating, sustaining, and maintaining lasting change.

Policy impacts on agricultural irrigation electricity demand in the Columbia Basin

DOE Office of Scientific and Technical Information (OSTI.GOV)

Martin, M.; Cox, L.; Nakamoto, S.

Accurately estimating the price elasticity of demand for irrigation electricity is important to major electricity suppliers such as the Bonneville Power Administration (BPA) of the Pacific Northwest. The BPA has a revenue maximization objective, and the elasticity of demand is central to its rate setting process. Several studies have attempted to estimate demand for irrigation electricity, but none has explicitly included federal agricultural policy and program variables. Tins paper discusses how agricultural programs may influence farmers' irrigation decisions and thus their demand for irrigation electricity. It suggests that existing programs serve to make farmers more responsive to electricity rate increasesmore » than would otherwise be the case. Thus, studies that fail to include them may underestimate the responsiveness of farmers to electricity rate increases.« less

Agricultural Policies Exacerbate Honeybee Pollination Service Supply-Demand Mismatches Across Europe

PubMed Central

Breeze, Tom D.; Vaissière, Bernard E.; Bommarco, Riccardo; Petanidou, Theodora; Seraphides, Nicos; Kozák, Lajos; Scheper, Jeroen; Biesmeijer, Jacobus C.; Kleijn, David; Gyldenkærne, Steen; Moretti, Marco; Holzschuh, Andrea; Steffan-Dewenter, Ingolf; Stout, Jane C.; Pärtel, Meelis; Zobel, Martin; Potts, Simon G.

2014-01-01

Declines in insect pollinators across Europe have raised concerns about the supply of pollination services to agriculture. Simultaneously, EU agricultural and biofuel policies have encouraged substantial growth in the cultivated area of insect pollinated crops across the continent. Using data from 41 European countries, this study demonstrates that the recommended number of honeybees required to provide crop pollination across Europe has risen 4.9 times as fast as honeybee stocks between 2005 and 2010. Consequently, honeybee stocks were insufficient to supply >90% of demands in 22 countries studied. These findings raise concerns about the capacity of many countries to cope with major losses of wild pollinators and highlight numerous critical gaps in current understanding of pollination service supplies and demands, pointing to a pressing need for further research into this issue. PMID:24421873

Cattle, clean water, and climate change: policy choices for the Brazilian Agricultural Frontier.

PubMed

Bell, Andrew Reid; Lemos, Maria Carmen; Scavia, Donald

2010-11-15

In the Amazonian agricultural frontier, pasture for cattle ranching is an important and potentially hazardous form of land use because of sediment erosion as pastures degrade. This relationship between ranching, sediment load, and water quality is likely to further exacerbate environmental impacts, particularly in the context of climate change. We examine the role that river basin councils (RBCs) - a water governance option of Brazil's 1997 National Water Act - might play in managing this nonpoint-source pollution in the Amazônian state of Rondônia. We implement a simple coupled rancher-water system model to compare two potential governance options: a bulk water cleanup charge (BWC) implemented by RBCs and a land-use fine (LUF) for failing to maintain riparian buffers. We find no significant advantage of BWC over LUF in reducing sediment loading while keeping ranching profitable, under a changing climate. We also fail to find in Rondônia the important stake in water issues that has driven water reform elsewhere in Brazil. Moreover, the comparative success of reforestation programs suggests these programs may, in fact, have the potential to manage nonpoint-source agricultural pollution in the region.

Health care reform and changes: the Malaysian experience.

PubMed

Merican, Mohd Ismail; bin Yon, Rohaizat

2002-01-01

Health care reform is an intentional, sustained and systematic process of structural change to one or more health subsystems to improve efficiency, effectiveness, patient choices and equity. Health care all over the world is continuously reforming with time. Health care reform has become an increasingly important agenda for policy change in both developed and developing countries including Malaysia. This paper provides an overview of the Malaysian health care system, its achievements, and issues and challenges leading to ongoing reform towards a more efficient and equitable health care system that possess a better quality of life for the population.

Pharmaceutical policy reform in Canada: lessons from history.

PubMed

Boothe, Katherine

2018-07-01

Canada is the only country with a broad public health system that does not include universal, nationwide coverage for pharmaceuticals. This omission causes real hardship to those Canadians who are not well-served by the existing patchwork of limited provincial plans and private insurance. It also represents significant forgone benefits in terms of governments' ability to negotiate drug prices, make expensive new drugs available to patients on an equitable basis, and provide integrated health services regardless of therapy type or location. This paper examines Canada's historical failure to adopt universal pharmaceutical insurance on a national basis, with particular emphasis on the role of public and elite ideas about its supposed lack of affordability. This legacy provides novel lessons about the barriers to reform and potential methods for overcoming them. The paper argues that reform is most likely to be successful if it explicitly addresses entrenched ideas about pharmacare's affordability and its place in the health system. Reform is also more likely to achieve universal coverage if it is radical, addressing various components of an effective pharmaceutical program simultaneously. In this case, an incremental approach is likely to fail because it will not allow governments to contain costs and realize the social benefits that come along with a universal program, and because it means forgoing the current promising conditions for achieving real change.

Overview on urban and peri-urban agriculture: definition, impact on human health, constraints and policy issues.

PubMed

Kang'ethe, E K; Grace, D; Randolph, T F

2007-11-01

To collate and synthesize current knowledge of components of urban agriculture (UA) with a thematic emphasis on human health impact and a geographic emphasis on East Africa. Data management followed a structured approach in which key issues were first identified and then studies selected through literature search and personal communication. Evidence-based principles. Urban agriculture is an important source of food security for urban dwellers in East Africa. Descriptors of UA are location, areas, activities, scale, products, destinations, stakeholders and motivation. Many zoonotic and food-borne diseases have been associated with UA but evidence on human health impact and management is lacking. Major constraints to UA are illegality and lack of access to input and market; policy options have been developed for overcoming these. Urban agriculture is an important activity and likely to remain so. Both positive and negative human health impacts are potentially important but more research is needed to understand these and set appropriate policy and support levels.

Improving Finance for Qatari Education Reform. Research Brief

ERIC Educational Resources Information Center

Guarino, Cassandra M.; Galama, Titus; Constant, Louay; Gonzalez, Gabriella; Tanner, Jeffery C.; Goldman, Charles A.

2009-01-01

Qatar's education reform, which included implementation of a new finance system, appears to be providing schools with adequate funding but is still struggling with issues of transparency and swift policy shifts that have been difficult to accommodate. [For full report, "Developing a School Finance System for K-12 Reform in Qatar", see…

Curriculum Reform in Higher Education: A Contested Space

ERIC Educational Resources Information Center

Shay, Suellen

2015-01-01

Drawing on the theoretical and analytical tools from the sociology of education, in particular the work of Basil Bernstein and Karl Maton, the paper explores the tensions within curriculum reform discourses and how these tensions play out in different global contexts. The analysis focuses on two curriculum reform policies--Hong Kong and South…

The SAZA study: implementing health financing reform in South Africa and Zambia.

PubMed

Gilson, Lucy; Doherty, Jane; Lake, Sally; McIntyre, Di; Mwikisa, Chris; Thomas, Stephen

2003-03-01

This paper explores the policy-making process in the 1990s in two countries, South Africa and Zambia, in relation to health care financing reforms. While much of the analysis of health reform programmes has looked at design issues, assuming that a technically sound design is the primary requirement of effective policy change, this paper explores the political and bureaucratic realities shaping the pattern of policy change and its impacts. Through a case study approach, it provides a picture of the policy environment and processes in the two countries, specifically considering the extent to which technical analysts and technical knowledge were able to shape policy change. The two countries' experiences indicate the strong influence of political factors and actors over which health care financing policies were implemented, and which not, as well as over the details of policy design. Moments of political transition in both countries provided political leaders, specifically Ministers of Health, with windows of opportunity in which to introduce new policies. However, these transitions, and the changes in administrative structures introduced with them, also created environments that constrained the processes of reform design and implementation and limited the equity and sustainability gains achieved by the policies. Technical analysts, working either inside or outside government, had varying and often limited influence. In part, this reflected the limits of their own capacity as well as weaknesses in the way they were used in policy development. In addition, the analysts were constrained by the fact that their preferred policies often received only weak political support. Focusing almost exclusively on designing policy reforms, these analysts gave little attention to generating adequate support for the policy options they proposed. Finally, the country experiences showed that front-line health workers, middle level managers and the public had important influences over

Public service or commodity goods? Electricity reforms, access, and the politics of development in Tanzania

NASA Astrophysics Data System (ADS)

Ghanadan, Rebecca Hansing

Since the 1990s, power sector reforms have become paramount in energy policy, catalyzing a debate in Africa about market-based service provision and the effects of reforms on access. My research seeks to move beyond the conceptual divide by grounding attention not in abstract 'market forces' but rather in how development institutions shape energy services and actually practice policy on the ground. Using the case of Tanzania, a country known for having instituted some of the most extensive reforms and a 'success story' in Africa, I find that reforms are creating large burdens and barriers for access and use of services, including: increasing costs, enforcement pressures, and measures to impose 'market' discipline. However, I also find that many of the most significant outcomes are not found in direct 'market' changes, but rather how reforms are selective, partial, and shaped by the wider needs and claims of the institutions driving reforms, so that questions of how reforms are implemented, how they are measured, and who tells the story become as important as the policies themselves. Using a multiple-arenas framework, including (i) a household and community level study of urban energy conditions, (ii) a study of service and management conditions at the national electric utility, (iii) an examination of the international policy process, and (iv) a study of the history of electricity services across colonial, post-independence, and reform periods, I show that African energy reforms are a technical and political project connecting energy to international investments, donor aid programs, and elite interests within national governments. Energy reforms also involve fundamental service changes that are reorganizing how the costs and benefits of energy systems are distributed, allocated, and managed. The effects of reform extend beyond formal services to have wide-reaching repercussions within natural resources, and uneven social dynamics on the ground. These features point

"Doi Moi" (Renovation) and Higher Education Reform in Vietnam

ERIC Educational Resources Information Center

Thanh, Pham Thi Hong

2011-01-01

Vietnam has experienced significant social, economic, political, and educational changes during the last two decades since the "Doi Moi" policy was implemented. To respond to new requirements required by the global economy, Vietnamese education has undergone remarkable reforms. This article critically examines these reforms in three…

Job satisfaction of village doctors during the new healthcare reforms in China.

PubMed

Zhang, Xiaoyan; Fang, Pengqian

2016-04-01

Objective China launched new healthcare reforms in 2009 and several policies targeted village clinics, which affected village doctors' income, training and duties. The aim of the present study was to assess village doctors' job satisfaction during the reforms and to explore factors affecting job satisfaction. Methods Using a stratified multistage cluster sampling process, 935 village doctors in Jiangxi Province were surveyed with a self-administered questionnaire that collected demographic information and contained a job satisfaction scale and questions regarding their work situation and individual perceptions of the new healthcare reforms. Descriptive analysis, Pearson's Chi-squared test and binary logistic regression were used to identify village doctors' job satisfaction and the factors associated with their job satisfaction. Results Only 12.72% of village doctors were either satisfied or very satisfied with their jobs and the top three items leading to dissatisfaction were pay and the amount of work that had to be done, opportunities for job promotion and work conditions. Marriage, income, intention to leave, satisfaction with learning and training, social status, relationship with patients and satisfaction with the new healthcare reforms were significantly associated with job satisfaction (P<0.05). Conclusions China is facing critical challenges with regard to village doctors because of their low job satisfaction. For future healthcare reforms, policy makers should pay more attention to appropriate remuneration and approaches that incentivise village doctors to achieve the goals of the health reforms. What is known about the topic? Village doctors act as gatekeepers at the bottom tier of the rural health system. However, the policies of the new healthcare reform initiatives in China were centred on improving the quality of care delivered to the rural population and reducing fast-growing medical costs. There have been limited studies on village doctors

Higher Education Reforms: Latin America in Comparative Perspective

ERIC Educational Resources Information Center

Bernasconi, Andrés; Celis, Sergio

2017-01-01

This article introduces a special issue of EPAA/AAPE devoted to recent higher education reforms in Latin America. The last two decades have seen much policy development in higher education in the region, examined and discussed by scholars in each country, but dialog with the international literature on higher education reform, or an explicit…

Assessing the Rationales for Educational Reforms: A Test of the Professional Development, Comprehensive Reform, and Direct Instruction Hypotheses. Policy Research Report.

ERIC Educational Resources Information Center

St. John, Edward P.; Manset, Genevieve; Chung, Choong-Geun; Worthington, Kimberly

Educational reforms are advocated based on rationales that emerge from the research literature. However, evaluation studies seldom examine whether the rationales used to argue for a reform actually hold up when empirical evidence is examined after the reform has been implemented. This paper examines survey data from 3 years of analyses of early…

Alcohol policy reform in Australia: what can we learn from the evidence?

PubMed

Doran, Christopher M; Hall, Wayne D; Shakeshaft, Anthony P; Vos, Theo; Cobiac, Linda J

2010-04-19

Alcohol consumption is a major risk factor contributing to the burden of disease in Australia. The National Preventative Health Taskforce recommends the long-term goal of reshaping Australia's drinking culture to produce healthier and safer outcomes. A study of the cost-effectiveness of interventions to reduce alcohol-related harm in Australia suggests that policymakers could achieve over 10 times the health gain if they reallocated the current level of investment. The optimal package of interventions identified in the study comprises, in order of cost-effectiveness, volumetric taxation, advertising bans, an increase in the minimum legal drinking age to 21 years, brief intervention by primary care practitioners, licensing controls, a drink-driving mass media campaign, and random breath testing. Australia has a window of opportunity to significantly expand activities to reduce alcohol-related harm. It is important that federal and state governments take this opportunity to reform alcohol policy in Australia.

Hearing on Telecommunications Policy Reform. Hearing of the Committee on Commerce, Science, and Transportation. United States Senate, One Hundred Fourth Congress, First Session.

ERIC Educational Resources Information Center

Congress of the U.S., Washington, DC. Senate Committee on Commerce, Science, and Transportation.

This document presents witness testimony and supplemental materials from a Congressional hearing regarding reform to national telecommunications policy, namely, replacing a regime of heavy regulation with a true market system. Statements are featured by Senators John Ashcroft, Conrad Burns, Ernest Hollings, Kay Baily Hutchison, John D. Rockefeller…

[Human resources for health in Chile: the reform's pending challenge].

PubMed

Méndez, Claudio A

2009-09-01

Omission of human resources from health policy development has been identified as a barrier in the health sector reform's adoption phase. Since 2002, Chile's health care system has been undergoing a transformation based on the principles of health as a human right, equity, solidarity, efficiency, and social participation. While the reform has set forth the redefinition of the medical professions, continuing education, scheduled accreditation, and the introduction of career development incentives, it has not considered management options tailored to the new setting, a human resources strategy that has the consensus of key players and sector policy, or a process for understanding the needs of health care staff and professionals. However, there is still time to undo the shortcomings, in large part because the reform's implementation phase only recently has begun. Overcoming this challenge is in the hands of the experts charged with designing public health strategies and policies.

Neoliberalism and Corporate School Reform: "Failure" and "Creative Destruction"

ERIC Educational Resources Information Center

Saltman, Kenneth J.

2014-01-01

In the United States, corporate school reform or neoliberal educational restructuring has overtaken educational policy, practice, curriculum, and nearly all aspects of educational reform. Although this movement began on the political right, the corporate school model has been heralded across the political spectrum and is aggressively embraced now…

Education Reform in New York City (2002-2013)

ERIC Educational Resources Information Center

Elwick, Alex

2017-01-01

In 2002 Michael Bloomberg took office as Mayor of New York City and, over the next 12 years of his administration, oversaw a series of sweeping reforms in order to "fix" the broken education system which he believed he had inherited. This paper details the key policy reforms in New York City's public school system during this period,…

Integrating water and agricultural management: collaborative governance for a complex policy problem.

PubMed

Fish, Rob D; Ioris, Antonio A R; Watson, Nigel M

2010-11-01

This paper examines governance requirements for integrating water and agricultural management (IWAM). The institutional arrangements for the agriculture and water sectors are complex and multi-dimensional, and integration cannot therefore be achieved through a simplistic 'additive' policy process. Effective integration requires the development of a new collaborative approach to governance that is designed to cope with scale dependencies and interactions, uncertainty and contested knowledge, and interdependency among diverse and unequal interests. When combined with interdisciplinary research, collaborative governance provides a viable normative model because of its emphasis on reciprocity, relationships, learning and creativity. Ultimately, such an approach could lead to the sorts of system adaptations and transformations that are required for IWAM. Copyright © 2009 Elsevier B.V. All rights reserved.

ETF Yearbook 2012: Evaluation and Monitoring of Vocational Education and Training Systems and the Role of Evidence-Based Policy in Their Reforms

ERIC Educational Resources Information Center

European Training Foundation, 2012

2012-01-01

The "ETF Yearbook 2012" continues the tradition of highlighting a thematic field of particular importance to the work of the European Training Foundation (ETF). The theme of this yearbook is evaluation and monitoring of vocational education and training (VET) systems and the role of evidence-based policy in VET reforms in ETF partner…

Reform of the College Entrance Examination: Ideology, Principles, and Policy Recommendations

ERIC Educational Resources Information Center

Liu, Haifeng

2013-01-01

Reform of the College Entrance Examination is trending toward simultaneous unification and diversification. The objective of reforming the entrance exam is to establish a college enrollment examination system that is primarily based on a unified test, which would assess students' abilities, appraise them on multiple levels, and classify them.…

Inclusive Education Policy in the Hong Kong Primary Music Classroom

ERIC Educational Resources Information Center

Wong, Marina Wai-yee; Chik, Maria Pik-yuk

2016-01-01

An education reform policy and inclusive education policy have been implemented in Hong Kong for over a decade. As more students with special educational needs have entered the mainstream education system under these policies, Hong Kong's primary music classrooms offer a site where three policies interact--the education reform policy entitled…

Development and evaluation of the microbial fate and transport module for the Agricultural Policy/Environmental eXtender (APEX) model

USDA-ARS?s Scientific Manuscript database

Microbial contamination of waters in agricultural watershed is the critical public health issue. The watershed-scale model has been proven to be one of the candidate tools for predicting microbial water quality and evaluating management practices. The Agricultural Policy/Environmental eXtender (APEX...

Estimating the cardiovascular mortality burden attributable to the European Common Agricultural Policy on dietary saturated fats

PubMed Central

O’Flaherty, Martin; Mwatsama, Modi; Birt, Christopher; Ireland, Robin; Capewell, Simon

2008-01-01

Abstract Objective To estimate the burden of cardiovascular disease within 15 European Union countries (before the 2004 enlargement) as a result of excess dietary saturated fats attributable to the Common Agricultural Policy (CAP). Methods A spreadsheet model was developed to synthesize data on population, diet, cholesterol levels and mortality rates. A conservative estimate of a reduction in saturated fat consumption of just 2.2 g was chosen, representing 1% of daily energy intake. The fall in serum cholesterol concentration was then calculated, assuming that this 1% reduction in saturated fat consumption was replaced with 0.5% monounsaturated and 0.5% polyunsaturated fats. The resulting reduction in cardiovascular and stroke deaths was then estimated, and a sensitivity analysis conducted. Findings Reducing saturated fat consumption by 1% and increasing monounsaturated and polyunsaturated fat by 0.5% each would lower blood cholesterol levels by approximately 0.06 mmol/l, resulting in approximately 9800 fewer coronary heart disease deaths and 3000 fewer stroke deaths each year. Conclusion The cardiovascular disease burden attributable to CAP appears substantial. Furthermore, these calculations were conservative estimates, and the true mortality burden may be higher. The analysis contributes to the current wider debate concerning the relationship between CAP, health and chronic disease across Europe, together with recent international developments and commitments to reduce chronic diseases. The reported mortality estimates should be considered in relation to the current CAP and any future reforms. PMID:18670665

A modelling approach for the assessment of the effects of Common Agricultural Policy measures on farmland biodiversity in the EU27.

PubMed

Overmars, Koen P; Helming, John; van Zeijts, Henk; Jansson, Torbjörn; Terluin, Ida

2013-09-15

In this paper we describe a methodology to model the impacts of policy measures within the Common Agricultural Policy (CAP) on farm production, income and prices, and on farmland biodiversity. Two stylised scenarios are used to illustrate how the method works. The effects of CAP measures, such as subsidies and regulations, are calculated and translated into changes in land use and land-use intensity. These factors are then used to model biodiversity with a species-based indicator on a 1 km scale in the EU27. The Common Agricultural Policy Regionalised Impact Modelling System (CAPRI) is used to conduct the economic analysis and Dyna-CLUE (Conversion of Land Use and its Effects) is used to model land use changes. An indicator that expresses the relative species richness was used as the indicator for biodiversity in agricultural areas. The methodology is illustrated with a baseline scenario and two scenarios that include a specific policy. The strength of the methodology is that impacts of economic policy instruments can be linked to changes in agricultural production, prices and incomes, on the one hand, and to biodiversity effects, on the other - with land use and land-use intensity as the connecting drivers. The method provides an overall assessment, but for detailed impact assessment at landscape, farm or field level, additional analysis would be required. Copyright © 2013 Elsevier Ltd. All rights reserved.

Perspectives on High School Reform. NCREL Viewpoints, Volume 13

ERIC Educational Resources Information Center

Learning Point Associates / North Central Regional Educational Laboratory (NCREL), 2005

2005-01-01

Viewpoints is a multimedia package containing two audio CDs and a brief, informative booklet. This volume of Viewpoints focuses on issues related to high school reform. This booklet offers background information explaining the issues surrounding high school reform with perspectives from research, policy, and practice. It also provides a list of…

Despite the Odds: The Contentious Politics of Education Reform

ERIC Educational Resources Information Center

Grindle, Merilee S.

2004-01-01

"Despite the Odds" poses an important question: How can we account for successful policy reform initiatives when the political cards are stacked against change? Theories of politics usually predict that reform initiatives will be unsuccessful when powerful groups are opposed to change and institutions are biased against it. This book,…

The impact of high-end climate change on agricultural welfare

PubMed Central

Stevanović, Miodrag; Popp, Alexander; Lotze-Campen, Hermann; Dietrich, Jan Philipp; Müller, Christoph; Bonsch, Markus; Schmitz, Christoph; Bodirsky, Benjamin Leon; Humpenöder, Florian; Weindl, Isabelle

2016-01-01

Climate change threatens agricultural productivity worldwide, resulting in higher food prices. Associated economic gains and losses differ not only by region but also between producers and consumers and are affected by market dynamics. On the basis of an impact modeling chain, starting with 19 different climate projections that drive plant biophysical process simulations and ending with agro-economic decisions, this analysis focuses on distributional effects of high-end climate change impacts across geographic regions and across economic agents. By estimating the changes in surpluses of consumers and producers, we find that climate change can have detrimental impacts on global agricultural welfare, especially after 2050, because losses in consumer surplus generally outweigh gains in producer surplus. Damage in agriculture may reach the annual loss of 0.3% of future total gross domestic product at the end of the century globally, assuming further opening of trade in agricultural products, which typically leads to interregional production shifts to higher latitudes. Those estimated global losses could increase substantially if international trade is more restricted. If beneficial effects of atmospheric carbon dioxide fertilization can be realized in agricultural production, much of the damage could be avoided. Although trade policy reforms toward further liberalization help alleviate climate change impacts, additional compensation mechanisms for associated environmental and development concerns have to be considered. PMID:27574700

The impact of high-end climate change on agricultural welfare.

PubMed

Stevanović, Miodrag; Popp, Alexander; Lotze-Campen, Hermann; Dietrich, Jan Philipp; Müller, Christoph; Bonsch, Markus; Schmitz, Christoph; Bodirsky, Benjamin Leon; Humpenöder, Florian; Weindl, Isabelle

2016-08-01

Climate change threatens agricultural productivity worldwide, resulting in higher food prices. Associated economic gains and losses differ not only by region but also between producers and consumers and are affected by market dynamics. On the basis of an impact modeling chain, starting with 19 different climate projections that drive plant biophysical process simulations and ending with agro-economic decisions, this analysis focuses on distributional effects of high-end climate change impacts across geographic regions and across economic agents. By estimating the changes in surpluses of consumers and producers, we find that climate change can have detrimental impacts on global agricultural welfare, especially after 2050, because losses in consumer surplus generally outweigh gains in producer surplus. Damage in agriculture may reach the annual loss of 0.3% of future total gross domestic product at the end of the century globally, assuming further opening of trade in agricultural products, which typically leads to interregional production shifts to higher latitudes. Those estimated global losses could increase substantially if international trade is more restricted. If beneficial effects of atmospheric carbon dioxide fertilization can be realized in agricultural production, much of the damage could be avoided. Although trade policy reforms toward further liberalization help alleviate climate change impacts, additional compensation mechanisms for associated environmental and development concerns have to be considered.

Culture Matters in Educational Policy Transfer: The Case of Curricular Reforms in the Two Koreas during the Soviet and US Military Occupation

ERIC Educational Resources Information Center

Kim, Sun

2017-01-01

This paper investigates the influence of cultural and historical factors on educational policy transfer, drawing on an analysis of the curricular reforms made during the Soviet and US military occupation of the two Koreas. In South Korea, curricular changes were made, such as the introduction of the subject of social studies, in order to teach…

Policies for agricultural nitrogen management—trends, challenges and prospects for improved efficiency in Denmark

NASA Astrophysics Data System (ADS)

Dalgaard, Tommy; Hansen, Birgitte; Hasler, Berit; Hertel, Ole; Hutchings, Nicholas J.; Jacobsen, Brian H.; Stoumann Jensen, Lars; Kronvang, Brian; Olesen, Jørgen E.; Schjørring, Jan K.; Sillebak Kristensen, Ib; Graversgaard, Morten; Termansen, Mette; Vejre, Henrik

2014-11-01

With more than 60% of the land farmed, with vulnerable freshwater and marine environments, and with one of the most intensive, export-oriented livestock sectors in the world, the nitrogen (N) pollution pressure from Danish agriculture is severe. Consequently, a series of policy action plans have been implemented since the mid 1980s with significant effects on the surplus, efficiency and environmental loadings of N. This paper reviews the policies and actions taken and their ability to mitigate effects of reactive N (Nr) while maintaining agricultural production. In summary, the average N-surplus has been reduced from approximately 170 kg N ha-1 yr-1 to below 100 kg N ha-1 yr-1 during the past 30 yrs, while the overall N-efficiency for the agricultural sector (crop + livestock farming) has increased from around 20-30% to 40-45%, the N-leaching from the field root zone has been halved, and N losses to the aquatic and atmospheric environment have been significantly reduced. This has been achieved through a combination of approaches and measures (ranging from command and control legislation, over market-based regulation and governmental expenditure to information and voluntary action), with specific measures addressing the whole N cascade, in order to improve the quality of ground- and surface waters, and to reduce the deposition to terrestrial natural ecosystems. However, there is still a major challenge in complying with the EU Water Framework and Habitats Directives, calling for new approaches, measures and technologies to mitigate agricultural N losses and control N flows.

Policy feedbacks and the impact of policy designs on public opinion.

PubMed

Campbell, Andrea Louise

2011-12-01

A recently developed analytic approach--policy feedback effects--provides health policy analysts with a crucial new tool for understanding the politics of health policy. Three cases--senior citizens' opposition to the Obama health care reform, tax breaks for employer-provided health insurance, and the Medicare Part D prescription drug program--demonstrate how policy designs affect subsequent policy outcomes. To differing degrees, the three cases show how public policies can create constituencies with particular understandings of their benefits who attempt to thwart reform; can highlight or reduce the visibility of the government role in health care, shaping attitudes about the worth of government action; and can provide half solutions that fail to maximize beneficiary welfare but that deflate momentum for policy improvements. The cases illustrate a general pattern revealed by wide-ranging research on policy feedback effects: the designs of public policies influence preferences and alter patterns of political mobilization, effects that feed back into the political system, shaping the political environment and the possibilities for future policy making.

Ascendancy of agricultural biotechnology in the Australian political mainstream coexists with technology criticism by a vocal-minority.

PubMed

Tribe, David

2014-07-03

Australia is a federation of States. This political structure necessitates collaborative arrangements between Australian governments to harmonize national regulation of gene technology and food standards. Extensive political negotiation among institutions of federal government has managed regulation of GM crops and food. Well-developed human resources in Australian government provided numerous policy documents facilitating a transparent political process. Workable legislation has been devised in the face of criticisms of gene technology though the political process. Conflicts between potential disruptions to food commodity trade by precautionary proposals for environmental protection were one cause of political tensions, and differences in policy priorities at regional political levels versus national and international forums for negotiation were another. Australian policy outcomes on GM crops reflect (a) strong economic self-interest in innovative and productive farming, (b) reliance on global agricultural market reforms through the Cairns trade group and the WTO, and (c) the importance of Codex Alimentarius and WTO instruments SPS and TBT. Precautionary frameworks for GM food safety assurance that are inconsistent with WTO obligations were avoided in legislation. Since 2008 the 2 major parties, Australian Labor Party (ALP) and the Liberals appear to have reached a workable consensus at the Federal policy level about an important role for agricultural biotechnology in Australia's economic future.

Ascendancy of agricultural biotechnology in the Australian political mainstream coexists with technology criticism by a vocal-minority

PubMed Central

Tribe, David

2014-01-01

Australia is a federation of States. This political structure necessitates collaborative arrangements between Australian governments to harmonize national regulation of gene technology and food standards. Extensive political negotiation among institutions of federal government has managed regulation of GM crops and food. Well-developed human resources in Australian government provided numerous policy documents facilitating a transparent political process. Workable legislation has been devised in the face of criticisms of gene technology though the political process. Conflicts between potential disruptions to food commodity trade by precautionary proposals for environmental protection were one cause of political tensions, and differences in policy priorities at regional political levels versus national and international forums for negotiation were another. Australian policy outcomes on GM crops reflect (a) strong economic self-interest in innovative and productive farming, (b) reliance on global agricultural market reforms through the Cairns trade group and the WTO, and (c) the importance of Codex Alimentarius and WTO instruments SPS and TBT. Precautionary frameworks for GM food safety assurance that are inconsistent with WTO obligations were avoided in legislation. Since 2008 the 2 major parties, Australian Labor Party (ALP) and the Liberals appear to have reached a workable consensus at the Federal policy level about an important role for agricultural biotechnology in Australia's economic future. PMID:25437242

Implementing community participation through legislative reform: a study of the policy framework for community participation in the Western Cape province of South Africa

PubMed Central

2012-01-01

policy reforms necessary: to codify clearly defined roles and functions of community representation; to outline how communities engage with government through effective and accountable channels for participation; and to ensure extensive training and capacity building of community representatives. Given the public health importance of structured and effective policies for community participation, and the normative importance of participation in realizing a rights-based approach to health, this analysis informs researchers on the challenges to institutionalizing participation in health systems policy and provides practitioners with a research base to frame future policy reforms. PMID:22920557

Coupled social and ecological outcomes of land use change and agricultural intensification in Costa Rica and the future of biodiversity conservation in tropical agricultural regions.

NASA Astrophysics Data System (ADS)

Sanfiorenzo, A. R.; Shaver, I.; Chain Guadarrama, A.; Cleary, K.; Santiago-Garcia, R.; Finegan, B.; Hormel, L.; Sibelet, N.; Vierling, L. A.; Bosque-Perez, N.; DeClerck, F.; Fagan, M. E.; Waits, L.

2017-12-01

Tropical ecosystem conversion to agriculture has caused widespread habitat loss and created fragmented landscapes composed of remnant forest patches embedded in a matrix of agricultural land uses. Non- traditional agricultural export (NTAE) crops such as pineapple are rapidly replacing multiuse landscapes characterized by a diverse matrix of pasture and smallholder crops with intensive, large-scale, monoculture plantations. Using an interdisciplinary approach, we conduct a case study to examine the coupled social and ecological implications of LUCC and agricultural intensification in this region, with larger application to regions experiencing similar patterns. Guided by frameworks from both political and landscape ecology, we: (1) describe the social and economic implications of pineapple expansion, specifically the concentration of land, labor and financial resources, (2) quantify pineapple cultivation's spatial characteristics, and (3) assess the effects of pineapple expansion on surrounding forest ecosystems, on the agricultural matrix and on biodiversity conservation. Our results indicate that pineapple production concentrates land, labor, and financial resources, which has a homogenizing effect on the agricultural economy in the study region. This constrains farm-based livelihoods, with larger implications for food security and agricultural diversity. Landscape ecology analyses further reveal how pineapple production simplifies and homogenizes the agricultural matrix between forest patches, which is likely to have a negative effect on biodiversity. To offset the effects of pineapple expansion on social and environmental systems, we recommend developing landscape level land use planning capacity. Furthermore, agricultural and conservation policy reform is needed to promote landscape heterogeneity and economic diversity within the agricultural sector. Our interdisciplinary research provides a detailed examination of the social and ecological impacts of

Coupled social and ecological outcomes of land use change and agricultural intensification in Costa Rica and the future of biodiversity conservation in tropical agricultural regions.

NASA Astrophysics Data System (ADS)

Sanfiorenzo, A. R.; Shaver, I.; Chain Guadarrama, A.; Cleary, K.; Santiago-Garcia, R.; Finegan, B.; Hormel, L.; Sibelet, N.; Vierling, L. A.; Bosque-Perez, N.; DeClerck, F.; Fagan, M. E.; Waits, L.

2016-12-01

Tropical ecosystem conversion to agriculture has caused widespread habitat loss and created fragmented landscapes composed of remnant forest patches embedded in a matrix of agricultural land uses. Non- traditional agricultural export (NTAE) crops such as pineapple are rapidly replacing multiuse landscapes characterized by a diverse matrix of pasture and smallholder crops with intensive, large-scale, monoculture plantations. Using an interdisciplinary approach, we conduct a case study to examine the coupled social and ecological implications of LUCC and agricultural intensification in this region, with larger application to regions experiencing similar patterns. Guided by frameworks from both political and landscape ecology, we: (1) describe the social and economic implications of pineapple expansion, specifically the concentration of land, labor and financial resources, (2) quantify pineapple cultivation's spatial characteristics, and (3) assess the effects of pineapple expansion on surrounding forest ecosystems, on the agricultural matrix and on biodiversity conservation. Our results indicate that pineapple production concentrates land, labor, and financial resources, which has a homogenizing effect on the agricultural economy in the study region. This constrains farm-based livelihoods, with larger implications for food security and agricultural diversity. Landscape ecology analyses further reveal how pineapple production simplifies and homogenizes the agricultural matrix between forest patches, which is likely to have a negative effect on biodiversity. To offset the effects of pineapple expansion on social and environmental systems, we recommend developing landscape level land use planning capacity. Furthermore, agricultural and conservation policy reform is needed to promote landscape heterogeneity and economic diversity within the agricultural sector. Our interdisciplinary research provides a detailed examination of the social and ecological impacts of

Facing the Hard Facts in Education Reform: A Policy Information Perspective.

ERIC Educational Resources Information Center

Barton, Paul E.

This paper makes the case that the standards-based reform movement is too limited an approach to rely on in educational reform, and that there is a set of hard facts that must be faced if there is to be any significant improvement in student achievement. These facts are the attitudes, practices, and conditions that are so embedded in culture and…

Reforming Science and Mathematics Education

NASA Astrophysics Data System (ADS)

Lagowski, J. J.

1995-09-01

Since 1991, the National Science Foundation has signed cooperative agreements with 26 states to undertake ambitious and comprehensive initiatives to reform science, mathematics, and technology education. Collectively, those agreements are known as the State Systemic Initiatives (SSI's). Two complimentary programs, The Urban and Rural Systemic Initiatives (USI's and RSI's), address similar reforms in the nation's largest cities and poorest rural areas. The SSI Program departs significantly from past NSF practice in several ways. The funding is for a longer term and is larger in amount, and the NSF is taking a more activist role, seeking to leverage state and private funds and promote the coordination of programs within states. The Initiatives also have a stronger policy orientation than previous NSF programs have had. The NSF strategy is a reflection of the growing and widely held view that meaningful reforms in schools are most likely to be achieved through state initiatives that set clear and ambitious learning goals and standards; align all of the available policy levers in support of reform; stimulate school-level initiatives; and mobilize human and financial resources to support these changes. Two premises underlie systemic reform: (1) all children can meet significantly higher standards if they are asked to do so and given adequate opportunities to master the content, and (2) state and local policy changes can create opportunities by giving schools strong and consistent signals about the changes in practice and performance that are expected. Because this is an enormous investment of Federal resources that is intended to bring about deep, systemic improvement in the nation's ability to teach science and mathematics effectively, the NSF has contracted with a consortium of independent evaluators to conduct a review of the program. The first of the SSI's were funded in 1991, sufficiently long ago to begin to formulate some initial impressions of their impact. Take

Framing divorce reform: media, morality, and the politics of family.

PubMed

Adams, Michele; Coltrane, Scott

2007-03-01

No-fault statutes changed divorce from an adversarial system pitting victims against victimizers, with the state acting as enforcer of marital norms, to a private decision between unhappily married but legally blameless partners. Divorce reform following no-fault primarily focused on making divorce more fair for the parties involved. Over the last several decades, divorce reform has transitioned from making divorce better to making marriage healthier. The good divorce has slipped from policy attention, elevating the potential for restigmatization of divorced couples and their children. We trace the trajectory of media framing of divorce reform discourse in three general circulation newspapers from the start of the no-fault revolution, noting how media framing parallels and naturalizes the transition in divorce reform policy. We conclude by observing the prevalence of divorce and the related need for therapists to be cognizant of this naturalization process, thereby keeping the good divorce as a goal for those who desire to end their marriages.

The Retrospection and Elicitation of China's Teacher Education Reform and Opening-Up More Than 30 Years

ERIC Educational Resources Information Center

Tian-Ping, Yang

2012-01-01

Since implementation of reform and opening-up policy, China's teacher education has got significant success on policy design, legislation process, theory research, system reform, model innovation and teaching qualification system building. Teachers' educational background level has been increased. Teachers' professional ethics and teaching…

Policy toward individual economic holdings and private enterprises in agriculture, forestry, and fisheries, November 1988.

PubMed

1989-01-01

On 29 November 1988, Viet Nam adopted a policy allowing individual economic holdings and private enterprises in the areas of agriculture, forestry, and fisheries. The policy recognizes the positive effect of such holdings and charges the state with creating favorable conditions for them. Ownership and inheritance rights are recognized, and all citizens are entitled to apply for permission to use certain land for business purposes. The production of exports is encouraged, and such enterprises may engage in financial transactions, including borrowing money.

"Decentralised" Neoliberalism and/or "Masked" Re-Centralisation? The Policy to Practice Trajectory of Maltese School Reform through the Lens of Neoliberalism and Foucault

ERIC Educational Resources Information Center

Mifsud, Denise

2016-01-01

The politics of the later part of the twentieth century have been marked by the emergence of neoliberalism, which has consequently impregnated the global policy climate with neoliberal technologies of government. It is within this political scenario of hegemonic neoliberal discourse that I explore one aspect of school reform in Malta--contrived…

Resilience of Socio-Hydrological Systems in Canadian Prairies to Agricultural Drainage: Policy Analysis and Modelling Approach

NASA Astrophysics Data System (ADS)

Wheater, H. S.; Xu, L.; Gober, P.; Pomeroy, J. W.; Wong, J.

2017-12-01

Extensive agricultural drainage of lakes and wetlands in the Canadian Prairies has led to benefits for agricultural production, but has had a substantial influence on hydrological regimes and wetland extent. There is need for the potential impacts of current policy in changing the socio-hydrological resilience of prairie wetland basins in response to agricultural drainage to be examined. Whilst wetland drainage can increase agricultural productivity, it can also reduce stocks of natural capital and decrease ecosystem services, such as pollutant retention, habitat for waterfowls, carbon sequestration, and downstream flood attenuation. Effective policies that balance drainage benefits and negative externalities have to consider pricing. This is explored here using the Cold Regions Hydrological Model for hydrological simulations and the Inclusive Wealth approach for modelling in support of cost-benefit analysis. Inclusive wealth aggregates the value of natural, human, and technological assets used to produce social welfare. A shadow price, defined as the marginal change in social value for a marginal change in the current stock quantity, is used to valuate assets that contribute to social welfare. The shadow price of each asset is estimated by taking into account the social and economic benefits and external losses of wetland services caused by wetland drainage. The coupled model was applied to the Smith Creek Research Basin in south-eastern Saskatchewan, Canada where wetland drainage has caused major alterations of the hydrological regime including increased peak flows, discharge volumes and duration of streamflow. Changes in depressional storage in wetlands was used to calculate the corresponding changes of inclusive wealth over a 30-year period under the impacts from the limitation proposed in the Agricultural Water Management Strategy of Saskatchewan. The adjusted societal values of drainage demonstrate the dynamics between changes in hydrological conditions of

78 FR 10127 - Request for Nominations to the Agricultural Air Quality Task Force

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-13

... Conservation Service Request for Nominations to the Agricultural Air Quality Task Force AGENCY: Natural... Nominations to the Agricultural Air Quality Task Force. SUMMARY: The Secretary of Agriculture invites... Force (AAQTF) which was established by the Federal Agriculture Improvement and Reform Act of 1996 to...

Perspectives: parity--prelude to a fifth cycle of reform.

PubMed

Goldman, Howard H

2002-09-01

Based on 2000 Carl Taube Lecture at the NIMH Mental Health Economics Meeting. This perspective article examines the relationship between a policy of parity in financing mental health services and the future of reform in service delivery. Applying theories of static and dynamic efficiency to an understanding of parity and the evolution of mental health services, drawing upon Burton Weisbrod s concept of the health care quadrilemma . Each of four cycles of reform in mental health services have contended with issues of static and dynamic efficiency. Each cycle was associated with static efficiency in the management and financing of services, and each was associated with a set of new treatment technologies intended to improve dynamic efficiency. Each reform proved ultimately unsuccessful primarily because of the failure of the treatment technologies to prevent future patient chronicity or to achieve sustained recovery. Recent advances in treatment technology and management of care can permit an unprecedented level of efficiency consistent with a policy of improved access to mainstream health and social welfare resources, including insurance coverage. This policy of so-called financing parity can improve current mental health service delivery, but it may also portend a future fifth cycle of reform. If new technologies continue to advance as full technologies - simple to deliver and producing true recovery - and mainstream resources are made available, then the specialty mental health services may contract dramatically in favor of effective care and treatment of mental illness in primary care and other mainstream settings. Predicting the future of health care is speculative, but it may be easier using the Weisbrod formulation to understand the process of mental health reform. Over-reliance on administrative techniques for building static efficiency and false optimism about dynamic efficiency from new technology have stymied previous reforms. All the same, a fifth cycle

Small Schools, Large Districts: Small-School Reform and New York City's Students

ERIC Educational Resources Information Center

Iatarola, Patrice; Schwartz, Amy Ellen; Stiefel, Leanna; Chellman, Colin C.

2008-01-01

Background/Context: High school reform is currently at the top of the education policy making agenda after years of stagnant achievement and persistent racial and income test score gaps. Although a number of reforms offer some promise of improving U.S. high schools, small schools have emerged as the favored reform model, especially in urban areas,…

Education Policy Outlook: Korea

ERIC Educational Resources Information Center

Golden, Gillian; Figueroa, Diana Toledo

2016-01-01

This policy profile on education in Korea is part of the Education Policy Outlook series, which presents comparative analysis of education policies and reforms across OECD countries. Building on the OECD's substantial comparative and sectorial policy knowledge base, the series offers a comparative outlook on education policy by providing analysis…

Education Policy Outlook: Latvia

ERIC Educational Resources Information Center

Jankova, Bojana; Figueroa, Diana Toledo; Golden, Gillian; Giovinazzo, Manon

2017-01-01

This policy profile on education in Latvia is part of the Education Policy Outlook series, which presents comparative analysis of education policies and reforms across OECD countries. Building on the OECD's substantial comparative and sectoral policy knowledge base, the series offers a comparative outlook on education policy by providing analysis…

Nitrous oxide emissions from agricultural landscapes: quantification tools, policy development, and opportunities for improved management

NASA Astrophysics Data System (ADS)

Tonitto, C.; Gurwick, N. P.

2012-12-01

Policy initiatives to reduce greenhouse gas emissions (GHG) have promoted the development of agricultural management protocols to increase SOC storage and reduce GHG emissions. We review approaches for quantifying N2O flux from agricultural landscapes. We summarize the temporal and spatial extent of observations across representative soil classes, climate zones, cropping systems, and management scenarios. We review applications of simulation and empirical modeling approaches and compare validation outcomes across modeling tools. Subsequently, we review current model application in agricultural management protocols. In particular, we compare approaches adapted for compliance with the California Global Warming Solutions Act, the Alberta Climate Change and Emissions Management Act, and by the American Carbon Registry. In the absence of regional data to drive model development, policies that require GHG quantification often use simple empirical models based on highly aggregated data of N2O flux as a function of applied N - Tier 1 models according to IPCC categorization. As participants in development of protocols that could be used in carbon offset markets, we observed that stakeholders outside of the biogeochemistry community favored outcomes from simulation modeling (Tier 3) rather than empirical modeling (Tier 2). In contrast, scientific advisors were more accepting of outcomes based on statistical approaches that rely on local observations, and their views sometimes swayed policy practitioners over the course of policy development. Both Tier 2 and Tier 3 approaches have been implemented in current policy development, and it is important that the strengths and limitations of both approaches, in the face of available data, be well-understood by those drafting and adopting policies and protocols. The reliability of all models is contingent on sufficient observations for model development and validation. Simulation models applied without site-calibration generally

Health Care System Reforms in Developing Countries

PubMed Central

Han, Wei

2012-01-01

This article proposes a critical but non-systematic review of recent health care system reforms in developing countries. The literature reports mixed results as to whether reforms improve the financial protection of the poor or not. We discuss the reasons for these differences by comparing three representative countries: Mexico, Vietnam, and China. First, the design of the health care system reform, as well as the summary of its evaluation, is briefly described for each country. Then, the discussion is developed along two lines: policy design and evaluation methodology. The review suggests that i) background differences, such as social development, poverty level, and population health should be considered when taking other countries as a model; ii) although demand-side reforms can be improved, more attention should be paid to supply-side reforms; and iii) the findings of empirical evaluation might be biased due to the evaluation design, the choice of outcome, data quality, and evaluation methodology, which should be borne in mind when designing health care system reforms. PMID:25170464

In the Midst of Comprehensive School Reform: Principals' Perspectives

ERIC Educational Resources Information Center

Good, Thomas L.

2008-01-01

Background/Context: The role of the principal, and especially the role of the principal in promoting school reform to increase student achievement, is a topic with a long and evolving history. Principals are believed to play a critical role in school reform because they have the potential to impact all aspects of school policy, from time allocated…

Education Policy Outlook: Japan

ERIC Educational Resources Information Center

Miki, Tadakazu; Pont, Beatriz; Figueroa, Diana Toledo; Peterka, Judith; Fraccola, Sylvain

2015-01-01

This policy profile on education in Japan is part of the "Education Policy Outlook" series, which presents comparative analysis of education policies and reforms across the Organisation for Economic Co-operation and Development (OECD) countries. Building on the OECD's substantial comparative and sectorial policy knowledge base, the…

Education Policy Outlook: Brazil

ERIC Educational Resources Information Center

Zapata, Juliana; Pont, Beatriz; Figueroa, Diana Toledo; Peterka, Judith; Fraccola, Sylvain

2015-01-01

This policy profile on education in Brazil is part of the "Education Policy Outlook" series, which presents comparative analysis of education policies and reforms across the Organisation for Economic Co-operation and Development (OECD) countries. Building on the OECD's substantial comparative and sectorial policy knowledge base, the…

Education Policy Outlook: Hungary

ERIC Educational Resources Information Center

Peterka, Judith; Pont, Beatriz; Figueroa, Diana Toledo; Fraccola, Sylvain

2015-01-01

This policy profile on education in Hungary is part of the "Education Policy Outlook" series, which presents comparative analysis of education policies and reforms across the Organisation for Economic Co-operation and Development (OECD) countries. Building on the OECD's substantial comparative and sectorial policy knowledge base, the…

Bahrain: Reform, Security, and U.S. Policy

DTIC Science & Technology

2012-10-05

occurred long ago had the king’s reforms not been enacted. Al Khalifa family members have consistently held at least half of all ministerial slots...including all strategic ministry positions. Even before the 2011 unrest that has seen most senior Shiites in government resign, there were only 4 Shiite...Council of Representatives (COR)5 and the all -appointed Shura (Consultative) Council were to be of equal size (40 seats each). Together, they constitute a

Following Policy: Networks, Network Ethnography and Education Policy Mobilities

ERIC Educational Resources Information Center

Ball, Stephen J.

2016-01-01

Based on the "case" of educational reform in India, this paper explores the emergence of both new trans-national spaces of policy and new intra-national spaces of policy and how they are related together, and how policies move across and between these spaces and the relationships that enable and facilitate such movement. The paper is an…

Observing the "Local Globalness" of Policy Transfer in Education

ERIC Educational Resources Information Center

Hartong, Sigrid; Nikolai, Rita

2017-01-01

This article contributes to a growing body of research on global policy transfer and flows in education, arguing that a large number of such research has too often viewed nation-states as uniform policy containers, focusing mainly on national-level policy changes or using binary understandings of reform adaptation versus reform resistance.…

The Cultural Politics of the Texas Educational Reform Agenda: Examining Who Gets What, When, and How

ERIC Educational Resources Information Center

Salinas, Cinthia S.; Reidel, Michelle

2007-01-01

This critical policy examination of the economistic discourses that control Texas's accountability reforms explores how over the last three decades Texas business elite utilized the policy process, power relationships, and educational value conflicts that promote accountability as the paradigm for education reform. Attention on "who gets…

Education as Recovery: Neoliberalism, School Reform, and the Politics of Crisis

ERIC Educational Resources Information Center

Slater, Graham B.

2015-01-01

Building upon critical education policy studies of crisis, disaster, and reform, this essay develops a theory of "recovery" that further elaborates the nature and operation of "crisis politics" in neoliberal education reform. Recovery is an integral process in capital accumulation, exploiting material, and subjective…

Evaluating the Labour Government's English NHS health system reforms: the 2008 Darzi reforms.

PubMed

Mays, Nicholas

2013-10-01

Starting in 2002, the UK Labour Government of 1997-2010 introduced a series of changes to the National Health Service (NHS) in England designed to increase patients' choices of the place of elective hospital care and encourage competition among public and private providers of elective hospital services for NHS-funded patients. In 2006, the Department of Health initiated the Health Reform Evaluation Programme (HREP) to assess the impact of the changes. In June 2008, the White Paper, High quality care for all, was published. It represented the government's desire to focus the next phase of health care system reform in England as much on the quality of care as on improving its responsiveness and efficiency. The 2008 White Paper led to the commissioning of a further wave of evaluative research under the auspices of HREP, as follows: an evaluation of the implementation and outcomes of care planning for people with long-term conditions; an evaluation of the personal health budget pilots; an evaluation of the implementation and outcomes of the Commissioning for Quality and Innovation (CQUIN) framework; and an evaluation of cultural and behavioural change in the NHS focused on ensuring high quality care for all. This Supplement includes papers from each project. The evaluations present a mixed picture of the impact and success of the 2008 reforms. All the studies identify some limitations of the policies in the White Paper. The introduction of personal health budgets appears to have been the least problematic and, depending on assumptions, likely to be cost-effective for the sorts of patients involved in the pilot. For the rest of the changes, impacts ranged from little or none (CQUIN and care planning for people with chronic conditions) to patchy and highly variable (instilling a culture of quality in acute hospitals) in the three years following the publication of the White Paper. On the other hand, each of the studies identifies important insights relevant to modifying

Teacher Tenure Reform: Problem Definition in Policy Formulation.

ERIC Educational Resources Information Center

Elrod, Ann L.

When Colorado's Tenure Reform Bill, House Bill 1159, was signed into law, the work of teachers was not significantly changed. However, the law did make some significant inroads in the work of administrators and streamlined the due process accorded to teachers in the event that dismissal becomes necessary. This paper addresses whether the…

Education Policy Outlook: Slovenia

ERIC Educational Resources Information Center

Peterka, Judith; Field, Simon; Figueroa, Diana Toledo; Golden, Gillian; Jankova, Bojana; Fraccola, Sylvain

2016-01-01

This policy profile on education in Slovenia is part of the "Education Policy Outlook" series, which presents comparative analysis of education policies and reforms across OECD countries. Building on the OECD's substantial comparative and sectoral knowledge base, the series offers a comparative outlook on education policy by providing…

Education Policy Outlook: Poland

ERIC Educational Resources Information Center

Fraccola, Sylvain; Jarczewska, Daria; Peterka, Judith; Pont, Beatriz; Figueroa, Diana Toledo

2015-01-01

This policy profile on education in Poland is part of the "Education Policy Outlook" series, which presents comparative analysis of education policies and reforms across OECD countries. Building on the OECD's substantial comparative and sectoral knowledge base, the series offers a comparative outlook on education policy by providing…

Education Policy Outlook: Belgium

ERIC Educational Resources Information Center

Golden, Gillian; Figueroa, Diana Toledo; Giovinazzo, Manon; Crosby, Shiana; Horvathova, Michaela

2017-01-01

This policy profile on education in Belgium is part of the "Education Policy Outlook" series, which presents comparative analysis of education policies and reforms across OECD countries. Building on the OECD's substantial comparative and sectoral knowledge base, the series offers a comparative outlook on education policy by providing…

Education Policy Outlook: Canada

ERIC Educational Resources Information Center

Guerriero, Sonia; Pont, Beatriz; Figueroa, Diana Toledo; Albiser, Etienne; Maghnouj, Soumaya; Fraccola, Sylvain

2015-01-01

This policy profile on education in Canada is part of the "Education Policy Outlook" series, which presents comparative analysis of education policies and reforms across OECD countries. Building on the OECD's substantial comparative and sectoral knowledge base, the series offers a comparative outlook on education policy by providing…

Education Policy Outlook: Estonia

ERIC Educational Resources Information Center

Fraccola, Sylvain; Field, Simon; Figueroa, Diana Toledo; Peterka, Judith; Jankova, Bojana; Golden, Gillian

2016-01-01

This policy profile on education in Estonia is part of the "Education Policy Outlook" series, which presents comparative analysis of education policies and reforms across OECD countries. Building on the OECD's substantial comparative and sectoral knowledge base, the series offers a comparative outlook on education policy by providing…

Education Policy Outlook: Austria

ERIC Educational Resources Information Center

Figueroa, Diana Toledo; Golden, Gillian; Giovinazzo, Manon; Peterka, Judith; Ullmann, Marie

2017-01-01

This policy profile on education in Austria is part of the "Education Policy Outlook" series, which presents comparative analysis of education policies and reforms across OECD countries. Building on the OECD's substantial comparative and sectoral knowledge base, the series offers a comparative outlook on education policy by providing…

Water reform in Sub-Saharan Africa: what is the difference?

NASA Astrophysics Data System (ADS)

Van Koppen, Barbara

Since the early 1990s African governments took an active part in the global movement of water reform towards Integrated Water Resources Management (IWRM). The first step consisted primarily of assimilating the generic principles of IWRM. At this generic level, water reform in Sub-Saharan Africa seems quite similar to water reform elsewhere in the developed and developing world. However, in taking the second step of operationalizing generic principles into concrete actions on the ground, at least three salient differences between Sub-Saharan Africa and elsewhere emerged: (a) Africa’s relative abundance of water resources but its scarcity of economic means to harness available water resources; (b) the importance of agriculture and agricultural water development for economic growth and poverty eradication; and (c) the need for systems of water rights and financial resource mobilization that are separated and suit the African reality in which large water users are relatively few, while the bulk of water users are scattered smallholders. This paper discusses the early operationalization with regard to these three unique features and identifies lessons learnt.

Public Science and Participatory Policy Development: Reclaiming Policy as a Democratic Project

ERIC Educational Resources Information Center

Fine, Michelle; Ayala, Jennifer; Zaal, Mayida

2012-01-01

People witness today in the US what might be considered a "generous hijacking" of educational policy. Policy debates on charters, vouchers, for profit schools, testing and evaluation companies, and "education reform" reveal a triple privatization of educational policy. Varied enactments of educational privatization dot the…

A Policy Analysis of Reserve Retirement Reform

DTIC Science & Technology

2013-01-01

of the basic pay bill for the AC force, consistent with the practice of the DoD Actuary . This gives an amount, an accrual charge, sufficient to cover...accrual charges made during its AC service. This also follows the practice of the DoD Actuary . Specifically, the amount transferred from the AC...retirement reform. 16 The actuarial calculation is made for those leaving AC by AC year of service. For example, consider 100 AC service members in

Opportunity for marine fisheries reform in China

PubMed Central

Cao, Ling; Chen, Yong; Dong, Shuanglin; Hanson, Arthur; Huang, Bo; Leadbitter, Duncan; Little, David C.; Pikitch, Ellen K.; Qiu, Yongsong; Sadovy de Mitcheson, Yvonne; Sumaila, Ussif Rashid; Williams, Meryl; Xue, Guifang; Ye, Yimin; Zhang, Wenbo; Zhou, Yingqi; Zhuang, Ping; Naylor, Rosamond L.

2017-01-01

China’s 13th Five-Year Plan, launched in March 2016, provides a sound policy platform for the protection of marine ecosystems and the restoration of capture fisheries within China’s exclusive economic zone. What distinguishes China among many other countries striving for marine fisheries reform is its size—accounting for almost one-fifth of global catch volume—and the unique cultural context of its economic and resource management. In this paper, we trace the history of Chinese government priorities, policies, and outcomes related to marine fisheries since the 1978 Economic Reform, and examine how the current leadership’s agenda for “ecological civilization” could successfully transform marine resource management in the coming years. We show how China, like many other countries, has experienced a decline in the average trophic level of its capture fisheries during the past few decades, and how its policy design, implementation, and enforcement have influenced the status of its wild fish stocks. To reverse the trend in declining fish stocks, the government is introducing a series of new programs for sustainable fisheries and aquaculture, with greater traceability and accountability in marine resource management and area controls on coastal development. As impressive as these new plans are on paper, we conclude that serious institutional reforms will be needed to achieve a true paradigm shift in marine fisheries management in China. In particular, we recommend new institutions for science-based fisheries management, secure fishing access, policy consistency across provinces, educational programs for fisheries managers, and increasing public access to scientific data. PMID:28096504

Opportunity for marine fisheries reform in China.

PubMed

Cao, Ling; Chen, Yong; Dong, Shuanglin; Hanson, Arthur; Huang, Bo; Leadbitter, Duncan; Little, David C; Pikitch, Ellen K; Qiu, Yongsong; Sadovy de Mitcheson, Yvonne; Sumaila, Ussif Rashid; Williams, Meryl; Xue, Guifang; Ye, Yimin; Zhang, Wenbo; Zhou, Yingqi; Zhuang, Ping; Naylor, Rosamond L

2017-01-17

China's 13th Five-Year Plan, launched in March 2016, provides a sound policy platform for the protection of marine ecosystems and the restoration of capture fisheries within China's exclusive economic zone. What distinguishes China among many other countries striving for marine fisheries reform is its size-accounting for almost one-fifth of global catch volume-and the unique cultural context of its economic and resource management. In this paper, we trace the history of Chinese government priorities, policies, and outcomes related to marine fisheries since the 1978 Economic Reform, and examine how the current leadership's agenda for "ecological civilization" could successfully transform marine resource management in the coming years. We show how China, like many other countries, has experienced a decline in the average trophic level of its capture fisheries during the past few decades, and how its policy design, implementation, and enforcement have influenced the status of its wild fish stocks. To reverse the trend in declining fish stocks, the government is introducing a series of new programs for sustainable fisheries and aquaculture, with greater traceability and accountability in marine resource management and area controls on coastal development. As impressive as these new plans are on paper, we conclude that serious institutional reforms will be needed to achieve a true paradigm shift in marine fisheries management in China. In particular, we recommend new institutions for science-based fisheries management, secure fishing access, policy consistency across provinces, educational programs for fisheries managers, and increasing public access to scientific data.

Beyond Random Acts: Family, School, and Community Engagement as an Integral Part of Education Reform. National Policy Forum for Family, School, & Community Engagement

ERIC Educational Resources Information Center

Weiss, Heather B.; Lopez, M. Elena; Rosenberg, Heidi

2010-01-01

The policy forum brought to the center what is now on the periphery of education reform: family, school, and community engagement (FSCE) as a strategy to support student success. The forum sought to serve as a catalyst for reframing what FSCE should look like in the twenty--first century, and for repositioning this engagement as a major…

Patent reform in the United States.

PubMed

Mills, Ann; Tereskerz, Patti

2010-01-01

The recent financial meltdown has muted the patent reform debate in the United States. But given that President Obama, as well as many members of Congress, support patent reform, we expect the debate to resurface. In this essay, we look carefully at reports from three prestigious organizations which have been enormously influential in the debate. We examine the empirical basis contained in these reports upon which proposed legislative changes are based. We conclude that the empirical data being used to justify the need for reform either has serious methodological limitations or is non-existent.  Moreover, we review recent court decisions which have already altered the patent environment calling into further question whether the limited data that exists is still applicable. The effect of these recent decisions has not been adequately evaluated or assessed. Thus, we recommend other empirical studies are needed to inform public policy as to whether patent reform is necessary.

Theoretical Notes on the Sociological Analysis of School Reform Networks

ERIC Educational Resources Information Center

Ladwig, James G.

2014-01-01

Nearly two decades ago, Ladwig outlined the theoretical and methodological implications of Bourdieu's concept of the social field for sociological analyses of educational policy and school reform. The current analysis extends this work to consider the sociological import of one of the most ubiquitous forms of educational reform found around…

Teacher Educators and Indigenous Language Rights Reform in Southern Mexico

ERIC Educational Resources Information Center

Tanner, Paul Edward

2012-01-01

Nations throughout the world have increasingly looked at teacher education policy as a vehicle for reform of both the educational system and the society at large, and teacher quality is often positively associated with the quality of the overall educational system. Although such reforms often target pre-service teacher education, little is known…

Water storage equity and safety assurance policy to mitigate potential 'dual-extreme cumulative threats' in agricultural catchments

NASA Astrophysics Data System (ADS)

Pisaniello, John D.; Tingey-Holyoak, Joanne L.

2017-02-01

Farm dams that are not managed properly at the individual level can create water storage equity and safety threats to downstream communities and the environment that aggregate at the catchment level: a potential 'dual-extreme cumulative' problem. The paper provides indicative evidence and develops understanding of this novel phenomenon and associated policy needs within the Australian setting comprising dual hydrologic extremes of floods and droughts, further exacerbated by climate change. This is achieved through comparative case studies involving surveys of both dam owner perceptions and dam management practices in four States representing a complete range of integrated policy approaches from weak to strong. Survey results find most farmers do not believe dam maintenance is important, will undertake spillway blocking and do not plan for emergencies. These results are supported by physical on-site findings of farmers neglecting dams and blocking or under-designing spillways, in turn storing more water than they are entitled and creating unsafe dams at both the individual and cumulative levels. From detailed cross-case comparative assessment against policy context, it emerges that on-farm perceptions and practices form a range of 'acceptability' of dam management that directly reflects policy strength and integration in each setting. The paper advances the international small dams policy, agricultural water management and hydrology literatures, evidencing the need for effective integrated policy to mitigate dual extreme cumulative threats. Importantly, guidance is provided to jurisdictions internationally with high inter-annual rainfall variation on how best to design integrated policy that can achieve both water storage equity and safety in agricultural catchments.

A network approach for researching political feasibility of healthcare reform: the case of universal healthcare system in Taiwan.

PubMed

Wang, Guang-Xu

2012-12-01

This study evaluates the political feasibility of healthcare reform taking place in Taiwan in the past decade. Since Taiwan adopted National Health Insurance (NHI) in 1995, it has provided coverage for virtually all of the island's citizens. However, the imbalance between expenditure and revenue has resulted in a cycle of unsustainable spending which has necessitated financial reforms and political confrontations. By applying social network analysis, this paper examines multiple types of ties between policy elites and power distribution that have evolved in crucial policy events of the NHI's financial reforms between 1998 and 2010. Data sources include official documents and 62 social network interviews that were held with government officials and related unofficial policy participants. Blockmodeling and multidimensional scaling (MDS) are used to determine the major participants and network structures in the NHI domain, as well as the influential policy actors, based on information transmission, resource exchange, reputation attribution and action-set coalition networks in Taiwan's current political situation. The results show that although both public actors and all medical associations are the leading actors in the NHI reform, without good communication with societal actors, the promotion of reform proposals ends in failure. As a tool of political feasibility evaluation, social network analysis can map the political conflict between policy stakeholders systematically when policy makers pursue the result of policy adoption. Copyright © 2012 Elsevier Ltd. All rights reserved.

Strengthening revenue cycle capabilities in an era of reform.

PubMed

Glaser, John

2011-05-01

Strategies that healthcare finance professionals should incorporate to help their organizations respond effectively to payment reforms include: Assessing the organization's ability to capture and share relevant data. Educating themselves, the board of trustees, and the medical staff on pertinent rules as payment reforms are rolled out. Examining inefficiencies related to care processes. Establishing policies and procedures to address "commingled" data.

Land Reform and Productivity: The Mexican Case. Analysis of Census Data.

ERIC Educational Resources Information Center

Dovring, Folke

The report covers an investigation of the productivity of land, labor, and capital in Mexican agriculture as a means of clarifying the role played by land-reform, and more specifically its main outcome--the institution of the ejido--in the recent rapid rise of agricultural output in Mexico. The ejido is a form of communal property, although only a…

Education Policy Outlook: Denmark

ERIC Educational Resources Information Center

Pont, Beatriz; Figueroa, Diana Toledo; Albiser, Etienne; Yee, Hyo Jeong; Skalde, Annette; Zapata, Juliana; Fraccola, Sylvain

2014-01-01

This policy profile on education in Denmark is part of the new Education Policy Outlook series, which will present comparative analysis of education policies and reforms across OECD countries. Building on the substantial comparative and sectorial policy knowledge base available within the OECD, the series will result in a biennial publication…

Welfare Reform and Labor Force Exit by Young, Low-Skilled Single Males.

PubMed

Groves, Lincoln H

2016-04-01

While the labor market woes of low-skilled male workers in the United States over the past several decades have been well documented, the academic literature identifying causal factors leading to declines in labor force participation (LFP) by young, low-skilled males remains scant. To address this gap, I use the timing and characteristics of welfare-reform policies implemented during the 1990s and fixed-effects, instrumental variable regression modeling to show that policies seeking to increase LFP rates for low-skilled single mothers inadvertently led to labor force exit by young, low-skilled single males. Using data from the Current Population Survey and a bundle of work inducements enacted by states throughout the 1990s as exogenous variation in a quasi-experimental design, I find that the roughly 10 percentage point increase in LFP for low-skilled single mothers facilitated by welfare reform resulted in a statistically significant 2.8 percentage point decline in LFP for young, low-skilled single males. After conducting a series of robustness checks, I conclude that this result is driven entirely by white males, who responded to welfare-reform policies with a 3.7 percentage point decline in labor supply. Young black males, as well as other groups of potentially affected workers, appear to be uninfluenced by the labor supply response of less-educated single mothers to welfare reform. Impacts on young, single white males are large and economically significant, suggesting that nearly 150,000 males departed the formal labor market in response to directed welfare-reform policies.

Decree No. 896, Law on transferring rural state property suitable for agriculture and livestock to the beneficiaries of agrarian reform, 18 February 1988.

PubMed

1988-01-01

This Law creates a Special Technical Commission in El Salvador to collect information, investigate, and make decisions on the transfer of property belonging to the State. State property includes property belonging to the State at the national, regional, and local levels as well as land belonging to official autonomous institutions and public law corporations. Such property is eligible for transfer if it is not indispensable for state activities and if it is suitable for agriculture. Under the Law, all government bodies, official autonomous institutions, and public law corporations have the duty to report to the Commission the status of their property. After the Executive determines which properties are to be transferred, the property will be paid for through agrarian reform bonds. The property will be transferred to farmers with no land or with insufficient land and to farming cooperatives. Preference will be given to farmers without land and to those who have been exploiting the land subject to transfer. Persons acquiring land will pay for it through mortgages in favor of state agrarian reform agencies. full text

Inexpensive health care reform: the mathematics of medicine.

PubMed

Forsyth, Roger A

2010-02-01

There is data to support the hypothesis that US healthcare reform will require systemic changes in their delivery system rather than a segment-by-segment approach to improving individual components such as administrative or pharmaceutical costs or illness-by-illness programs such as comparative effectiveness or disease management. Mathematically, personnel costs provide the largest potential for savings. These costs are reflected in utilization rates. However, when governments or insurers try to control utilization, shortages or dissatisfaction ensue. Therefore, reform should be structured to encourage individually initiated reductions in utilization. This can be facilitated by changing from employer-paid comprehensive group policies of variable coverage to a three-part, standardized, individually purchased, group policy with a targeted deductible and co-pays that provide disincentives to over-utilization and incentives (refunds on unused contributions) to reduce utilization. There will be a public health policy (maternal, infant, and immunizations) that will be very inexpensive and not subject to any disincentives, a catastrophic policy with a deductible and enhanced but diminishing co-pays, and a Health Savings Account that pre-positions funds to cover the deductible and co-pays. These changes will lead to a reduction in administrative costs. The excess capacity created will provide care for the currently uninsured. Savings will be refunded to individuals thereby generating taxes that can pay for needed subsidies. Reform can be inexpensive if it puts the mathematics before the politics.

Distribution of Personal Income in Agriculture-Dependent Counties of Midwestern States: A Policy Variables Approach.

ERIC Educational Resources Information Center

Goreham, Gary A.; And Others

Significant social, demographic, and economic changes have occurred in the North Central states since 1960. This document examines structural and policy variables related to distribution of income, during the years 1960-80 in the 397 counties defined as agriculture-dependent in 13 North Central states. Personal income distribution has been…

Agricultural Policy Environmental eXtender simulation of three adjacent row-crop watersheds in the claypan region

USDA-ARS?s Scientific Manuscript database

The Agricultural Policy Environmental Extender (APEX) model can simulate crop yields, and pollutant loadings in whole farms or small watersheds with variety of management practices. The study objectives were to identify sensitive parameters and parameterize, calibrate and validate the APEX model fo...

Why Theory Matters: An Examination of Contemporary Learning Time Reforms

ERIC Educational Resources Information Center

DiGiacomo, Daniela K.; Prudhomme, Joshua J.; Jones, Hannah R.; Welner, Kevin G.; Kishner, Ben

2016-01-01

This article explores the contemporary policy reform push to extend and expand learning time in schools. In light of the potential and continued prominence of learning time reforms in today's national educational landscape, this article makes visible the ways in which theory matters for the near- and long-term success of equity-focused educational…

Land-use policies and corporate investments in agriculture in the Gran Chaco and Chiquitano

PubMed Central

le Polain de Waroux, Yann; Garrett, Rachael D.; Heilmayr, Robert; Lambin, Eric F.

2016-01-01

Growing demand for agricultural commodities is causing the expansion of agricultural frontiers onto native vegetation worldwide. Agribusiness companies linking these frontiers to distant spaces of consumption through global commodity chains increasingly make zero-deforestation pledges. However, production and land conversion are often carried out by less-visible local and regional actors that are mobile and responsive to new agricultural expansion opportunities and legal constraints on land use. With more stringent deforestation regulations in some countries, we ask whether their movements are determined partly by differences in land-use policies, resulting in “deforestation havens.” We analyze the determinants of investment decisions by agricultural companies in the Gran Chaco and Chiquitano, a region that has become the new deforestation “hot spot” in South America. We test whether companies seek out less-regulated forest areas for new agricultural investments. Based on interviews with 82 companies totaling 2.5 Mha of properties, we show that, in addition to proximity to current investments and the availability of cheap forestland, lower deforestation regulations attract investments by companies that tend to clear more forest, mostly cattle ranching operations, and that lower enforcement attracts all companies. Avoiding deforestation leakage requires harmonizing deforestation regulations across regions and commodities and promoting sustainable intensification in cattle ranching. PMID:27035995

Land-use policies and corporate investments in agriculture in the Gran Chaco and Chiquitano.

PubMed

le Polain de Waroux, Yann; Garrett, Rachael D; Heilmayr, Robert; Lambin, Eric F

2016-04-12

Growing demand for agricultural commodities is causing the expansion of agricultural frontiers onto native vegetation worldwide. Agribusiness companies linking these frontiers to distant spaces of consumption through global commodity chains increasingly make zero-deforestation pledges. However, production and land conversion are often carried out by less-visible local and regional actors that are mobile and responsive to new agricultural expansion opportunities and legal constraints on land use. With more stringent deforestation regulations in some countries, we ask whether their movements are determined partly by differences in land-use policies, resulting in "deforestation havens." We analyze the determinants of investment decisions by agricultural companies in the Gran Chaco and Chiquitano, a region that has become the new deforestation "hot spot" in South America. We test whether companies seek out less-regulated forest areas for new agricultural investments. Based on interviews with 82 companies totaling 2.5 Mha of properties, we show that, in addition to proximity to current investments and the availability of cheap forestland, lower deforestation regulations attract investments by companies that tend to clear more forest, mostly cattle ranching operations, and that lower enforcement attracts all companies. Avoiding deforestation leakage requires harmonizing deforestation regulations across regions and commodities and promoting sustainable intensification in cattle ranching.

Evolution of US Health Care Reform.

PubMed

Manchikanti, Laxmaiah; Helm Ii, Standiford; Benyamin, Ramsin M; Hirsch, Joshua A

2017-03-01

Major health policy creation or changes, including governmental and private policies affecting health care delivery are based on health care reform(s). Health care reform has been a global issue over the years and the United States has seen proposals for multiple reforms over the years. A successful, health care proposal in the United States with involvement of the federal government was the short-lived establishment of the first system of national medical care in the South. In the 20th century, the United States was influenced by progressivism leading to the initiation of efforts to achieve universal coverage, supported by a Republican presidential candidate, Theodore Roosevelt. In 1933, Franklin D. Roosevelt, a Democrat, included a publicly funded health care program while drafting provisions to Social Security legislation, which was eliminated from the final legislation. Subsequently, multiple proposals were introduced, starting in 1949 with President Harry S Truman who proposed universal health care; the proposal by Lyndon B. Johnson with Social Security Act in 1965 which created Medicare and Medicaid; proposals by Ted Kennedy and President Richard Nixon that promoted variations of universal health care. presidential candidate Jimmy Carter also proposed universal health care. This was followed by an effort by President Bill Clinton and headed by first lady Hillary Clinton in 1993, but was not enacted into law. Finally, the election of President Barack Obama and control of both houses of Congress by the Democrats led to the passage of the Affordable Care Act (ACA), often referred to as "ObamaCare" was signed into law in March 2010. Since then, the ACA, or Obamacare, has become a centerpiece of political campaigning. The Republicans now control the presidency and both houses of Congress and are attempting to repeal and replace the ACA. Key words: Health care reform, Affordable Care Act (ACA), Obamacare, Medicare, Medicaid, American Health Care Act.

Species distributions models in wildlife planning: agricultural policy and wildlife management in the great plains

USGS Publications Warehouse

Fontaine, Joseph J.; Jorgensen, Christopher; Stuber, Erica F.; Gruber, Lutz F.; Bishop, Andrew A.; Lusk, Jeffrey J.; Zach, Eric S.; Decker, Karie L.

2017-01-01

We know economic and social policy has implications for ecosystems at large, but the consequences for a given geographic area or specific wildlife population are more difficult to conceptualize and communicate. Species distribution models, which extrapolate species-habitat relationships across ecological scales, are capable of predicting population changes in distribution and abundance in response to management and policy, and thus, are an ideal means for facilitating proactive management within a larger policy framework. To illustrate the capabilities of species distribution modeling in scenario planning for wildlife populations, we projected an existing distribution model for ring-necked pheasants (Phasianus colchicus) onto a series of alternative future landscape scenarios for Nebraska, USA. Based on our scenarios, we qualitatively and quantitatively estimated the effects of agricultural policy decisions on pheasant populations across Nebraska, in specific management regions, and at wildlife management areas. 

Policy reform dilemmas in promoting employment of persons with severe mental illness.

PubMed

Noble, J H

1998-06-01

Recent evaluations by the U.S. General Accounting Office and the National Alliance for the Mentally Ill of reemployment efforts of the federal-state vocational rehabilitation program found that services offered by state vocational rehabilitation agencies do not produce long-term earnings for clients with emotional or physical disabilities. This paper examines reasons for these poor outcomes and the implications of recent policy reform recommendations. Congress must decide whether to take action at the federal level to upgrade programs affecting persons with severe mental illnesses or to continue to rely on state decision making. The federal-state program largely wastes an estimated $490 million annually on time-limited services to consumers with mental illnesses. Rechanneled into a variety of innovative and more appropriate integrated services models, the money could buy stable annual vocational rehabilitation funding for 62,000 to 90,000 consumers with severe mental illnesses. Larger macrosystem problems involve the dynamics of the labor market that limit job opportunities and the powerful work disincentives for consumers with severe disabilities now inherent in Social Security Disability Insurance, Supplemental Security Income, Medicare, and Medicaid.

Assessing the interactions among U.S. climate policy, biomass energy, and agricultural trade

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wise, Marshall A.; McJeon, Haewon C.; Calvin, Katherine V.

Energy from biomass is potentially an important contributor to U.S. climate change mitigation efforts. However, an important consideration to large-scale implementation of bioenergy is that the production of biomass competes with other uses of land. This includes traditionally economically productive uses, such as agriculture and forest products, as well as storage of carbon in forests and non-commercial lands. In addition, in the future, biomass may be more easily traded, meaning that increased U.S. reliance on bioenergy could come with it greater reliance on imported energy. Several approaches could be implemented to address these issues, including limits on U.S. biomass importsmore » and protection of U.S. and global forests. This paper explores these dimensions of bioenergy’s role in U.S. climate policy and the relationship to these alternative measures for ameliorating the trade and land use consequences of bioenergy. It first demonstrates that widespread use of biomass in the U.S. could lead to imports; and it highlights that the relative stringency of domestic and international carbon mitigation policy will heavily influence the degree to which it is imported. Next, it demonstrates that while limiting biomass imports would prevent any reliance on other countries for this energy supply, it would most likely alter the balance of trade in other agricultural products against which biomass competes; for example, it might turn the U.S. from a corn exporter to a corn importer. Finally, it shows that increasing efforts to protect both U.S. and international forests could also affect the balance of trade in other agricultural products.« less

Evaluation of Large-Scale Public-Sector Reforms: A Comparative Analysis

ERIC Educational Resources Information Center

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…

Blurry Vision: Institutional Impediments to Reform in Saudi Arabia

DTIC Science & Technology

2017-09-01

implement economic and social reform. Analyzing interconnected political, economic , and social causes that manifest in the structure of the state and...governance and modifications to the country’s patronage policies, economic change will be limited at best. Elites’ preferences for blocking political...reform has hampered achievement of economic goals and will continue to prove problematic if not rescinded. 14. SUBJECT TERMS Saudi Arabia, Vision

Teacher Resistance against School Reform: Reflecting an Inconvenient Truth

ERIC Educational Resources Information Center

Terhart, Ewald

2013-01-01

In this article, the contexts, forms and consequences of teacher resistance against school reforms based on quality assurance policies are discussed. The problems are demonstrated by recurring on research devoted to the acceptance and/or resistance of (German) teachers against standards-based accountability policies. These results demonstrate that…

Becoming Good American Schools: The Struggle for Civic Virtue in Education Reform. The Jossey-Bass Education Series.

ERIC Educational Resources Information Center

Oakes, Jeannie; Quartz, Karen Hunter; Ryan, Steve; Lipton, Martin

Education reform based on technical and rational processes often short-circuits reform because it is uncontentious, abstract, and provides educators with no legitimate ways to question the marketplace values and policies that drive much contemporary school reform. The perspective referred to as "betterment" is an alternative reform that…