Efficient Partnership Research Articles

A paradigm shift in public health structures: creating sustainable systems to achieve global healthcare equity

A paradigm shift is required to effectively serve the public health needs of the developing world. Such a shift will rely on more efficient partnerships between public health entities, as well as more sustainable models of providing care, and the application of new medical technologies.

Employee Voice •Key Factor in Internal Communication

The article focuses on the role played by the employee voice in an organisation. A good internal communication also depends on knowing and taking into consideration the opinions of the employees; if ignored it can end up in lack of motivation, resignation, and eventually in leaving the organisation in favour of the competition. People's attitude towards the working place is extremely important as it influences the efficiency of the organisation. The effectiveness of the employee voice depends on effective information sharing. Well informed employee voice will certainly increase the level of employee engagement. Only by understanding the organisation policy employees can become more involved. If people get to know the company policy, who trusts them and who they can trust, they can put together an efficient partnership. Confidence in management can lead to an increased employee commitment. The implications of adopting an informed employee voice approach to internal communication are significant and a proof that the value of communication is understood.

Usage d’alcool chez les patients souffrant de troubles psychiatriques : quelles évaluations ? Quelle prise en soin ?

Alcohol consumption in France exceeds the European average (12.7L of pure alcohol/habitant/year in 2009 for an average of 12.5 L). This consumption has a major professional, social and health impact on the individuals and their families. The cost of such, estimated in Europe to be of 155.8 billion Euros in 2010, is the highest among the central nervous system diseases in Europe, far higher than that of depression or dementia. Patients suffering from psychiatric disorders are more frequently affected by problems related to alcohol use than the general population. They are also more vulnerable to the immediate and subsequent consequences of their consumption. The alcohol related disorders that are often accompanied by risk taking and other addictive behaviour require a global assessment of the addiction, with and without substance, and of the complications. These have a strong impact on risk taking, compliance with care, and the morbidity of somatic and psychiatric disorders, as well as access to optimal care and the life span of patients suffering from psychiatric disorders. The development of addictology care, with integrative treatment programs, is recommended in response to these public health issues. Nevertheless, specific addictology practices and partners with addictology care structures are still scarcely developed in psychiatry. Firstly, it would be necessary to set up such integrated treatments through the systematisation of an "addictology" checkup on admission, a global assessment of addictive behaviour and cognitive disorders, using pragmatic tools that are user-friendly for the care teams, maintain the reduction in risk taking, and apply prescriptions for addiction to psychotropic treatments, in liaison with the referring general practitioner. As early as possible, accompanied by specific training in addictology for the psychiatrists and the mental health nursing teams, such care could be enhanced by the development of liaison and advanced psychiatric consultation teams, specialised in addictology, together with the installation of a addictology care network in supplementary psychiatry of levels 1, 2 and 3 in addictology. This network of specific care would notably permit the integrated management of patients suffering from acute psychiatric disorders or requiring care under constraint. More specific care networks for particular problems (maternity issues, adolescence, HIV and hepatitis, cognitive disorders…) and programs of therapeutic education could reinforce this proposal within a protocol of care that should be legible, coherent and coordinated. The psychiatrist and the addictologist must therefore learn to work together over and above the dogmatic boundaries and positioning in a constructive and efficient partnership, beneficial for the patient.

Területfejlesztési vagy iparpolitika? A francia versenyképességi pólus program tapasztalatai

A tanulmány felvázolja a területfejlesztési, a verseny- és az iparpolitika metszetében elhelyezkedő francia versenyképességi pólusok kialakulásának előzményeit, elméleti hátterét, és az alig egy évtizedes múltra visszatekintő gyakorlati tapasztalatok összegzésére vállalkozik. A versenyképességi pólusok az innovációs szereplők hálózatos kapcsolataira épülnek, fejlődésüket a szereplők közötti együttműködés minősége alakítja. Miközben a teljesítményszemléletű politikák a legdinamikusabban fejlődő régiókra összpontosítanak az ország európai és globális pozícióját szem előtt tartva és a pólusok esetében is a legígéretesebb csúcstechnológiai ágazatok támogatását szorgalmazzák, a közel fél évszázados múltú kiegyenlítő területfejlesztési politikák céljai a pólusok nagy számával és a hagyományos ágazatok támogatásával realizálódnak. A kettős célkitűzés egyidejűleg a pólusprogram esetében is nehezen teljesíthető, de mindmáig jelen van az ország jövőjét meghatározó területpolitikai vitákban.

The Strategic Dimension of the Bulgarian—Israeli Partnership

There is no doubt that our relations have evolved into a full-fledged strategic partnership We are grateful to Israel for the support we received during the investigation into the terrorist act at Sarafovo Airport in Burgas; today I can report that we will soon indict the perpetrators of that heinous crime. I am confident that our cooperation in the security sector will continue to grow, and I hope that in the future we will be able to counter such irrational acts, since they are completely unacceptable and can never be justified under any circumstances. The tragedy in Burgas is further proof of our meaningful bilateral relations. This incident immediately mobilized our two countries’ authorities, and demonstrated an efficient partnership.

AN OVERVIEW OF MALARIA CONTROL

Malaria remains a serious global public health prob lem and a leading cause of morbidity and mortality in sub Saharan Africa. In Zambia the disease is endemic with stable transmission, accounting for 40% of all o ut-patient attendances and is responsible for 20% deaths among children under five. Scaling up of scientifically proven high impact preventive, curative and supportive interven tions and deploying the three-ones strategy: one co ordinating mechanism; one implementation plan and one monitoring plan which is key for increased and successful p ublicprivate sector partner coordination, strengthening and mobilization. There has been marked impact in the reduction of the annual number of malaria deaths by over 60% and malaria cases by 66% (2000-2008), underfive malaria deaths by 41% (2006-2008), parasite pr evalence among children under five from 22 to16% in 2010 and severe anemia rates in children by 56% (2006-2010). Intermittent presumptive treatment in pregnanc y uptake has reached the RBM target at 86%. With these achievements, the country has surpassed targets set by: (i) the Abuja Declaration and (ii) the RBM of reducing the global malaria burden by 50% by 2010. The achievements can be attributed to increased advocacy, communication and behaviour change, efficient partnership coo rdination including strong community engagement, increased financial resources and evidence-based deployment of key technical interventions in accordance with the nati onal malaria control programme policy and strategic direction. Maintaining the momentum and the gains is critical as the programme strives to achieve universal cover age of evidence-based and proven interventions. The country offers some unique models and experiences that could really benefit other programmes in the region. Community-level integrated entomological and active cas e surveillance, prompt effective treatment and sustai ned high levels of contemporary malaria prevention tools is pivotal to the long-term success of malaria control and future malaria elimination. However, there is great need for sustained, predictable, regular resources and broadening the partnership base. To ensure sustain ability, Government needs to remain on the driving seat and committed to malaria control in terms of funding.

An overview of the malaria control programme in zambia.

The Zambian national malaria control programme has made great progress in the fight against Malaria. The country has solid, consistent, and coordinated policies, strategies, and guidelines for malaria control, with government prioritizing malaria in both the National Health Strategic Plan and the National Development Plan. This has translated into high coverage of proven and effective key preventive, curative, and supportive interventions with concomitant marked reduction in both malaria cases and deaths. The achievements attained can be attributed to increased advocacy, communication and behaviour changes, efficient partnership coordination including strong community engagement, increased financial resources, and evidence-based deployment of key technical interventions in accordance with the national malaria control programme policy and strategic direction. The three-ones strategy has been key for increased and successful public-private sector partner coordination, strengthening, and mobilization. However, maintaining the momentum and the gains is critical as the programme strives to achieve universal coverage of evidence-based and proven interventions. The malaria control programme's focus is to maintain the accomplishments, by mobilizing more resources and partners, increasing the government funding towards malaria control, scaling up and directing interventions based on epidemiological evidence, and strengthen active malaria surveillance and response to reduce transmission and to begin considering elimination.

Partnership, reciprocity and team design

This paper studies the effect of intention-based reciprocity preferences on the free-riding problem arising in partnerships. Our results suggest a tendency of efficient partnerships to consist of members whose sensitivity to reciprocity is – individually or jointly – sufficiently high. Sufficient conditions for the implementation of the efficient strategy profile require a reciprocity-based sharing rule so that each partner gets a fraction of the output, which is a percentage of his own sensitivity to reciprocity with respect to the overall sensitivity in the team. Finally, we introduce the concept of psychological strong Nash equilibrium and show that it allows for the unique and collusion-proof implementation of the efficient strategy profile.

Leverage photonics with efficient partnerships between science and industry

No abstract available.

Paul G. Kaminski: Efficient partnerships respond to budget constraints

Paul G. Kaminski: Efficient partnerships respond to budget constraints

대구·경북지역 섬유업체의 파트너십 형성요인이 성과에 미치는 영향

This study focused on investigating factors of partnership formation for transactional enterprises on supply chain to form a transactional relationship centering around textile industry in Daegu and Gyeongbuk. The study also investigated the effect of the factors of partnership formation for mutual cooperation among textile manufacturers in Daegu and Gyeongbuk on partnership outcomes, and finally provided basic information that help enterprises form efficient partnership relationships with related manufacturers. The sample of the study was manufacturers of yarn, dyeing, weaving, process and fabrics in Daegu and Gyeongbuk that are registered on Korea Federation of Textile Industries. The total of 81 responses were used for data analyses, and factor analyses, regression analyses, and ANOVA were utilized appling SPSS 14.0 Package. The results of the research were as follows: First, among partnership formation factors mutual confidence was highly related to presentation of exclusive technological information, efforts to keep relationships between enterprises, presentation of information, and transactions between reliable enterprises that were formed despite of any losses. Second, it was also important that enterprises exchange and communicate their business goals with partners by having common goals. Third, it was also important that problems and damages were informed to and were shared with transaction companies. If conflicts between enterprises occurred, they can be smoothly solved based on the partnership formation. Fourth, enterprises form partnerships with transaction companies by considering their operation abilities. Fifth, transactions with enterprises which are mutually reliable and have superior technology and information contributed a lot to economic outcome. Lastly, the study revealed that among partnership formation factors mutual confidence to transaction companies influenced outcome of mutual confidence profit creation, outcome of technology & information efficiency were closely related to the ability to solve generated problem, and an important factor of the outcome of technology & information profit creation was communication.

N-Donor ligands based on bipyridine and ionic liquids: an efficient partnership to stabilize rhodium colloids. Focus on oxygen-containing compounds hydrogenation

Polynitrogen ligands and/in ionic liquids (ILs) are described as a pertinent tandem to efficiently stabilize rhodium nanoparticles (NPs) in the size range of 2.0 nm for catalytic applications. Several N-donor ligands based on bipyridine skeleton were used as extra protective agents in [BMI][PF(6)] and compared in the hydrogenation of functionalized aromatic compounds at 80 °C and under 40 bar H(2). The nature of the bipyridine derivative and its influence on the coordination mode on the particle surface were proposed to explain the observed different kinetic properties. The hydrogenation of various oxygen-containing arenes was investigated and original results were described in the reduction of anisole and cresols as model lignin compounds, providing a significant ratio of ketone derivatives. A first explanation based on possible reaction routes is proposed to justify the formed products.

On efficient partnership dissolution under ex post individual rationality

This paper studies ex post individually rational, efficient partnership dissolution in a setting with interdependent valuations. We derive a sufficient condition that ensures the existence of an efficient dissolution mechanism that satisfies Bayesian incentive compatibility, ex post budget balancedness, and ex post individual rationality. For equal-share partnerships, we show that our sufficient condition is satisfied for any symmetric type distribution whenever the interdependence in valuations is non-positive. This result improves former existence results, demonstrating that the stronger requirement of ex post individual rationality does not always rule out efficiency. We also show that if we allow for two-stage revelation mechanisms, in which agents report their realized payoffs from the allocation, as well as imposing penalties off the equilibrium path, efficient dissolution is always possible even when the interdependence is positive. We further discuss the possibility of efficient dissolution with ex post quitting rights.

European network for Health Technology Assessment, EUnetHTA: Planning, development, and implementation of a sustainable European network for Health Technology Assessment

The European network on Health Technology Assessment (EUnetHTA) aimed to produce tangible and practical results to be used in the various phases of health technology assessment and to establish a framework and processes to support this. This article presents the background, objectives, and organization of EUnetHTA, which involved a total of sixty-four partner organizations. Establishing an effective and sustainable structure for a transnational network involved many managerial, policy, and methodological tools, according to the objective of each task or Work Package. Transparency in organization, financial transactions, and decision making was a key principle in the management of the Project as was the commitment to appropriately involve stakeholders. EUnetHTA activities resulted in a clear management and governance structure, efficient partnership, and transnational cooperation. The Project developed a model for sustainable continuation of the EUnetHTA Collaboration. The EUnetHTA Project achieved its goals by producing a suite of practical tools, a strong network, and plans for continuing the work in a sustainable EUnetHTA Collaboration that facilitates and promotes the use of HTA at national and regional levels. Responsiveness to political developments in Europe should be balanced with maintaining a high level of ambition to promote independent, evidence-based information and well-tested tools for best practice based on a strong network of HTA institutions.

Photorhabdusand a Host of Hosts

Photorhabdus is a member of the family Enterobacteriaceae that lives in a mutualistic association with a Heterorhabditis nematode worm. The nematode worm burrows into insect prey and regurgitates Photorhabdus, which goes on to kill the insect. The nematode feeds off the growing bacteria until the insect tissues are exhausted, whereupon they reassociate and leave the cadaver in search of new prey. This highly efficient partnership has been used for many years as a biological crop protection agent. The dual nature of Photorhabdus as a pathogen and mutualist makes it a superb model for understanding these apparently exclusive activities. Furthermore, recently identified clinical isolates of Photorhabdus are helping us to understand how human pathogens can emerge from the enormous reservoir of invertebrate pathogens in the environment. As Photorhabdus has never been found outside a host animal, its niche represents an entirely biotic landscape. In this review we discuss what molecular adaptations allow this bacterium to complete this fascinating and complex life cycle.

On Efficient Partnership Dissolution under Ex Post Individual Rationality

This paper studies efficient partnership dissolution with ex post participation constraints in a setting with interdependent valuations. We derive a sufficient condition that ensures the existence of an efficient dissolution mechanism that satisfies Bayesian incentive compatibility, ex post budget balancedness, and ex post individual rationality. For equal-share partnerships, we show that our sufficient condition is satisfied for any symmetric type distribution whenever the interdependence in valuations is non-positive. This result improves former existence results, demonstrating that the stronger requirement of ex post individual rationality does not always rule out efficiency. We also discuss the possibility of efficient dissolution with asymmetries in type distributions and ownership shares, positive interdependence in valuations, and ex post quitting rights.

Dimensions of the Efficiency of Public - Private Partnership

Efficiency of public administration is recognized as a rather broad concept encompassing a variety of areas, therefore instruments and optimal solutions it requires must be selected individually for a single case. However, efficiency is always related to application of limited financial resources, minimal organizational costs and efforts in pursue of target results. Despite the limitation of financial possibilities, needs of society in the context of global and regional changes are constantly growing. An increased demand both for quantity and quality of services and infrastructure is observed. For complex and permanent modernization of public sector, a complex strategy of modernization is required (vision, mission, provisions, and concepts of modernization). Partnership is recognized as one of the factors of infrastructure development and service efficiency. The nature of partnership is revealed when the public sector recognizes its dependence on other sectors and starts solving governance problems by decentralizing activity. Thus the principle of partnership is consolidated both vertically (by relating different levels of administration) and horizontally (inter-sectoral). For efficient partnership three key constituents should be taken into consideration: 1) need; 2) political, legal, administrative environment; 3) communication. This enables both the compatibility of natures of different sectors and development of partnership reaching ultimate synergy. Precise identification of needs enables preparation of plans and strategies of actions. Possibilities of performance of the latter are limited by political, legal and administrative environment. Communication needs to act in two directions: between partners (internal) and towards the society (external). Internal communication strengthens interrelation and trust whereas the external one enhances approval of the society for ongoing changes. Partnership can assume a variety of forms; however roles and obligations must be clearly defined. It is recognized that each of the sectors pursues not only common goals of the project (better quality services, development of infrastructure), but personal ones as well: the public sector laying its accounts on political and economic benefits, whereas the private one striving for recognition, profit, possibilities for development. Philanthropy from the private sector or government benevolence is not a reliable foundation for a partnership. Central governments decentralize some decision-making and financial power to local tiers or share them with community members and the private sector.

Interlibrary Loan on a Shoestring

The challenge to the Benedictine University Library In-terlibrary Loan Department, and too many other small academic interli-brary loan departments, is to provide items to patrons in a timely fashion with little or no budget. Techniques to facilitate interlibrary loan in small libraries are described and discussed. Efficient workflow, consortia and statewide library partnerships, reciprocal sharing agreements and leveraging existing tools in creative ways to save labor and time are also described.

Current status and future directions of traditional ecological knowledge in forest management: a review

In the last 25 years, the number of published studies that refer to traditional ecological knowledge (TEK) has constantly increased, with now more than 200 papers published each year. The objective of this review was to determine how this knowledge is used in current forest management around the world, and how local communities are involved in forest management planning. Published papers from 1983 to 2005 relating to TEK were found using the ISI Web of Science database. Despite the growing amount of literature published on TEK, we found only 21 studies that specifically address forest management per se. In these studies, TEK integration took different paths: using traditional management rules as a framework (five studies), using value maps to adapt practices in time and space (three studies), or by a zoning process that divides the land into areas in which different land uses are emphasized (six studies). Some community involvements are “active” with co-management committees composed of stakeholders (including community members), each having a voice; some are “passive” with external managers using criteria and indicators previously developed from community values and objectives. Although important changes in mentality and firm political decisions are still required before more efficient partnership between TEK and western science is reached in forest management planning, our review showed that Canadian initiatives proposed promising processes that could ensure better TEK incorporation and improved community participation. Key words: traditional ecological knowledge, TEK, sustainable forest management, community participation, first nations, forest management planning

Épidémiologie et prise en charge de la douleur abdominale aiguë non traumatique (DA) au service des urgences (SU)

Les patients souffrant de troubles psychiatriques (TP) sont plus fréquemment affectés que la population générale par l’usage de substance psychoactives (SPA) et en particulier celui de l’alcool. Ils sont aussi plus vulnérables aux conséquences immédiates et tardives de ces consommations. Les troubles liés à l’utilisation d’alcool (TUA) impactent fortement la morbidité des TP, les conduites à risques, l’observance de soins et l’espérance de vie des patients souffrant de TP. Le développement d’une « prise en soin » addictologique en psychiatrie à l’aide de programmes intégratifs est nécessaire pour répondre à ces nécessités de santé publique. Ces pratiques de soins intégrés sont encore peu développées en psychiatrie. Elles pourraient associer la systématisation d’un bilan d’admission addictologique, une évaluation globale des conduites addictives avec ou sans produit, un entretien de réduction des risques et une prescription adaptée aux addictions des traitements psychotropes. Accompagnés par des formations spécifiques addictologiques pour les équipes soignantes psychiatriques, ces soins pourraient être optimisés par le développement d’équipes de liaison ou de consultations avancées de psychiatrie spécialisée en addictologie et par la mise en place d’une filière de soin addictologique en psychiatrie complémentaire des niveaux 1, 2 et 3 en addictologie.Alcohol consumption in France exceeds the European average (12.7 L of pure alcohol/habitant/year in 2009 for an average of 12.5 L). This consumption has a major professional, social and health impact on the individuals and their families. The cost of such, estimated in Europe to be of 155.8 billion Euros in 2010, is the highest among the central nervous system diseases in Europe, far higher than that of depression or dementia. Patients suffering from psychiatric disorders are more frequently affected by problems related to alcohol use than the general population. They are also more vulnerable to the immediate and subsequent consequences of their consumption. The alcohol related disorders that are often accompanied by risk taking and other addictive behaviour require a global assessment of the addiction, with and without substance, and of the complications. These have a strong impact on risk taking, compliance with care, and the morbidity of somatic and psychiatric disorders, as well as access to optimal care and the life span of patients suffering from psychiatric disorders. The development of addictology care, with integrative treatment programs, is recommended in response to these public health issues. Nevertheless, specific addictology practices and partners with addictology care structures are still scarcely developed in psychiatry. Firstly, it would be necessary to set up such integrated treatments through the systematisation of an “addictology” checkup on admission, a global assessment of addictive behaviour and cognitive disorders, using pragmatic tools that are user-friendly for the care teams, maintain the reduction in risk taking, and apply prescriptions for addiction to psychotropic treatments, in liaison with the referring general practitioner. As early as possible, accompanied by specific training in addictology for the psychiatrists and the mental health nursing teams, such care could be enhanced by the development of liaison and advanced psychiatric consultation teams, specialised in addictology, together with the installation of a addictology care network in supplementary psychiatry of levels 1, 2 and 3 in addictology. This network of specific care would notably permit the integrated management of patients suffering from acute psychiatric disorders or requiring care under constraint. More specific care networks for particular problems (maternity issues, adolescence, HIV and hepatitis, cognitive disorders…) and programs of therapeutic education could reinforce this proposal within a protocol of care that should be legible, coherent and coordinated. The psychiatrist and the addictologist must therefore learn to work together over and above the dogmatic boundaries and positioning in a constructive and efficient partnership, beneficial for the patient.