Explicit Priorities Research Articles

Are Cities Doing the Same? Local Policies on Immigrant Integration in Catalonia Since the Great Recession

This article analyzes the extent to which the councils of five Catalan cities have modified their integration policies. The structural transformations of contemporary societies have had a great impact on city councils and local integration policies, especially from the point of view of planning and policy orientation. The article studies the policies developed in five Catalan cities in the last four mandates, specifically between 2007 and 2023, based on in-depth interviews and analysis of political and technical documentation. Although the strategies used in the five cities analyzed are not identical, the results show that during these years there has been a tendency to limit the approval of plans for the integration of immigrants, although this does not mean that the councils do not have explicit political priorities and objectives. The cities also tend to speak less specifically about integration and, on the contrary, resort to two different orientations: some councils design and implement policies related to security, mediation, and community work in neighborhoods, while others tend to broaden the focus of their policies, opting for more holistic approaches focused on multiple forms of diversity, intersectionality, and anti-racism.

Spatial prioritization for widespread invasive species control: Trade-offs between current impact and future spread.

Spatially explicit prioritization of invasive species control is a complex issue, requiring consideration of trade-offs between immediate and future benefits. This study aimed to prioritize management efforts to account for current and future threats from widespread invasions and examine the strength of the trade-off between these different management goals. As a case study, we identified spatially explicit management priorities for the widespread invasion of introduced willow into riparian and wetland habitats across a 102,145-km2 region in eastern Australia. In addition to targeting places where willow threatens biodiversity now, a second set of management goals was to limit reinfestation and further spread that could occur via two different mechanisms (downstream and by wind). A model of likely willow distribution across the region was combined with spatial data for biodiversity (native vegetation, threatened species and communities), ecological conditions, management costs, and two potential dispersal layers. We used systematic conservation planning software (Zonation) to prioritize where willow management should be focussed across more than 100,000 catchments for a range of different scenarios that reflected different weights between management goals. For willow invasion, we found that we could prioritize willow management to reduce the future threat of dispersal downstream with little reduction in the protection of biodiversity. However, accounting for future threats from wind dispersal resulted in a stronger trade-off with protection of threatened biodiversity. The strongest trade-off was observed when both dispersal mechanisms were considered together. This study shows that considering current and future goals together offers the potential to substantially improve conservation outcomes for invasive species management. Our approach also informs land managers about the relative trade-offs among different management goals under different control scenarios, helping to make management decisions more transparent. This approach can be used for other widespread invasive species to help improve invasive species management decisions.

Evaluating Urban Green Space Inequity to Promote Distributional Justice in Portland, Oregon

Access and exposure to urban green space—the combination of parks and vegetative cover in cities—are associated with various health benefits. As urban green space is often unequally distributed throughout cities, understanding how it is allocated across socio-demographic populations can help city planners and policy makers identify and address urban environmental justice and health equity issues. To our knowledge, no studies have yet combined assessments of park quality, park availability, and green cover to inform equitable urban green space planning. To this end, we developed a comprehensive methodology to identify urban green space inequities at the city scale and applied it in Portland, OR, USA. After auditing all public parks in Portland and gathering green cover data from publicly accessible repositories, we used a suite of statistical tests to evaluate distribution of parks and green cover across Census block groups, comprising race, ethnicity, income, and educational attainment characteristics. Right-of-way tree canopy cover was the most significant urban green space inequity identified in bivariate analysis (rs = −0.73). Spatial autoregressive models identified that right-of-way, private, and overall tree canopy cover (Nagelkerke pseudo-R2 = 0.66, 0.77, and 0.67, respectively) significantly decreased with the proportion of minoritized racial population and increased with median income. The results were then used to identify priority locations for specific urban green space investments. This research establishes a process to assess intra-urban green space inequities, as well as identify data-informed and spatially explicit planning priorities to promote health equity and environmental justice.

Consolidating political leadership in healthcare: a mediating institution for priority-setting as a political strategy in a local health system.

The allocation of resources is a crucial part of political decision-making in healthcare, but explicit priorities are rarely set when resources are distributed. Two areas that have received some attention in research about legitimacy and priority-setting decisions in healthcare are the role of technical expert agencies as mediating institutions and the role of elected politicians. This paper investigates a political priority-setting advisory committee within a regional authority in Sweden. The aim is to explore how a political body can serve as a mediating institution for priority-setting in healthcare by disentangling the arrangements of its work in terms of what role it performs in the organisation and what it should do. The findings illustrate that promoting the notion of explicit priority-setting and the political aspects inherent in priority-setting in political healthcare management can contribute to consolidating political governance and leadership. There is, however, a complex tension between stability and conflicting values which has implications for the role of politicians as citizens' democratic representatives. This paper enhances our understanding of the role of mediating institutions and political properties of healthcare priority-setting, as well as our understanding of political and democratic healthcare governance in local self-government.

Pojetí integrace migrantů v ČR perspektivou analýzy podpory stanovených priorit

Perspectives on migrant integration differ by time and place. This article examines this vague concept to shed light on how its evolution over time has shaped the current conceptions of migrant integration in the EU and the Czech Republic. It describes the situation in the Czech Republic and the country's normative goals in the field of migrant integration. While the country has explicit integration priorities in place, there is no evaluation of their fulfilment. The article explores whether these priorities are indeed fulfilled and from what sources by analysing a unique dataset of 3061 projects in the field of migrant integration. All these projects were implemented in the Czech Republic between 2010 and 2019. The results show that although funding for migrant integration has increased since 2016, even taking into account the long-term increase in the number of migrants in the Czech Republic, funding in support of these priorities is allocated very unevenly. European funding remains crucial. Among the most supported priorities is knowledge of the Czech language and education. There is also some support in the social field. By contrast, the issues of discrimination, equal rights, foreign nationals' access to health care, and the development of professional skills receive hardly any support. The results thus show a discrepancy between the priorities that have been set and their fulfilment, especially in the area of activities targeting the majority society and its institutions. The declared two-sidedness to the process of integration process thus remains a somewhat unsupported vision.

Targeting current species ranges and carbon stocks fails to conserve biodiversity in a changing climate: opportunities to support climate adaptation under 30 × 30

Protecting areas for climate adaptation will be essential to ensuring greater opportunity for species conservation well into the future. However, many proposals for protected areas expansion focus on our understanding of current spatial patterns, which may be ineffective surrogates for future needs. A science-driven call to address the biodiversity and climate crises by conserving at least 30% of lands and waters by 2030, 30 × 30, presents new opportunities to inform the siting of new protections globally and in the US. Here we identify climate refugia and corridors based on a weighted combination of currently available models; compare them to current biodiversity hotspots and carbon-rich areas to understand how 30 × 30 protections siting may be biased by data omission; and compare identified refugia and corridors to the protected areas database to assess current levels of protection. Available data indicate that 20.5% and 27.5% of identified climate adaptation areas (refugia and/or corridor) coincides with current imperiled species hotspots and carbon-rich areas, respectively. With only 12.5% of climate refugia and corridors protected, a continued focus on current spatial patterns in species and carbon richness will not inherently conserve places critical for climate adaptation. However, there is ample opportunity for establishing future-minded protections: 52% of the contiguous US falls into the top quartile of values for at least one class of climate refugia. Nearly 27% is already part of the protected areas network but managed for multiple uses that may limit their ability to contribute to the goals of 30 × 30. Additionally, nearly two-thirds of nationally identified refugia coincide with ecoregion-specific refugia suggesting representation of nearly all ecoregions in national efforts focused on conserving climate refugia. Based on these results, we recommend that land planners and managers make more explicit policy priorities and strategic decisions for future-minded protections and climate adaptation.

Exploring implicit and explicit cultural policy dimensions through major-event and neoliberal rhetoric

This paper is conceptually positions the emergence of the neoliberal city in the context of transitions to late-capitalism. The aim of this study is to understand intersections between explicit and implicit cultural policy dimensions focusing on the Rijeka2020 programme as intended and how it was restructured as a response to COVID-19. Through cultural policy analysis, this ex-ante qualitative case study of the Rijeka2020 programme illuminates overlapping explicit and implicit policy priorities of the ECoC—offering a unique insight into what could potentially be the future of the European cultural policy. Rijeka2020 can be seen as a changing point amidst different rhetoric, analysed around three themes (regeneration, legacy, and participation). Results examine how Rijeka's culture-led urban regeneration agenda was shy on creative industry oriented programming, yet reinforced through capital cultural infrastructural projects. Through attempts to avoid event-led spectacle, officials planned to engage more at the neighbourhood-scale using participatory art practices that concentrated on capacity building. Important take-away points address shifts from culture-oriented regeneration to local participatory art practices is a step towards reconstructing the cultural sector upstream (based on production) and downstream (through reception). • Rijeka2020 rhetoric offers unique insight into what could potentially be future European major-event cultural policy. • Rijeka2020 culture-led urban regeneration was shy on the creative industry, yet reinforced through cultural infrastructural. • Neighbourhood-scale participatory art was impactful, upskilling the workforce and developing audiences. • Through COVID-19, Rijeka focused on the reconstruction of cultural sector activities and active citizen participation.

Assessing Local Public Health Agency Alignment With Public Health 3.0: A Content Analysis of Illinois Community Health Improvement Plans.

Public Health 3.0 described the need for public health agencies and the public health workforce to transform and obtain new skills and approaches to address the social determinants of health (SDOH) through cross-sectoral partnerships and collective action. To assess the current state of local health departments' Public Health 3.0 alignment through interventions and initiatives documented in community health improvement plans (CHIPs). We conducted a content analysis of Illinois CHIPs from July to November 2020. A coding framework aligned with Public Health 3.0 concepts was developed on the basis of constructs from the literature, faculty expertise, and preliminary reviews of the CHIPs. Two researchers deductively coded for health priorities and interventions in Microsoft Excel 2016 and calculated the number of CHIPs in which each code appeared. Ninety CHIPs representing 98 counties across the state were analyzed; 2 CHIPs were excluded because of a lack of strategies. Our content analysis found that 13% (n = 12) of CHIPs had explicit priorities related to SDOH and 12% (n = 11) included interventions that addressed socioeconomic factors. Ten percent (n = 9) of CHIPs proposed multilevel multicomponent interventions. Eighty-nine percent (n = 80) of CHIPs included community-level interventions, and 53% (n = 48) of CHIPs included policy, systems, and environmental strategies focused on specific health content. The majority of CHIPs (96%; n = 86) had at least 1 partnership strategy. Thirty-two percent (n = 29) of CHIPs mentioned the use of an evidence-based strategy. Our content analysis found opportunities to improve Illinois public health agencies' Public Health 3.0 capacities and capability. Findings are limited to this data source and definitions of the Public Health 3.0 attributes, leaving room for practice and research opportunities to develop operational definitions of Public Health 3.0; capacity building to improve the public health workforce readiness; and research and evaluation to measure improvements.

An Architecture for Argumentation-Based Epistemic Planning: A First Approach With Contextual Preferences

Argumentation-based planning systems present an interesting proposal for complex and dynamic domains where defeasible argumentation is used in the reasoning processes during the construction of plans by considering the available knowledge. In many real-world application scenarios, knowledge is provided with explicit priorities. Despite its importance, existing planning systems do not provide additional reasoning capacities of dynamically changing the preferences expressed by these priorities when a plan is being constructed. In this article, we present an argumentation and planning architecture, and propose a set of software engineering guidelines to analyze and design planning systems leveraging this capacity.

What Is the AAFP's Political Action Committee Fighting For?

In this essay, the author analyzes contributions from the American Academy of Family Physician's (AAFP's) political action committee (FamMedPAC) during the 2018 election cycle. The author highlights discrepancies between explicit AAFP legislative priorities and the voting records and public positions of Congressional members who received FamMedPAC support during the election cycle. The analysis raises questions about FamMedPAC's decision-making process for allocating support to candidates. The author posits that consistency between AAFP positions and those of candidates receiving FamMedPAC contributions is essential to preserve both public trust in family physicians and family physicians' trust in the AAFP.

Interprofessional Competency Frameworks in Education.

This article was migrated. The article was marked as recommended. Interest in Interprofessional collaboration (IPC) in health care is increasing, as concerns about patient safety, resource shortages, and effective and efficient care have become explicit priorities. Although there are many exemplars of Interprofessional education (IPE) for collaborative, patient-centered care, there is little in the literature to describe competencies for an Interprofessional collaborative practitioner. Although there are many perspectives on the concept of Interprofessional collaboration, there is scarce literature on the subject related to its application in health education programs. This article describes two Interprofessional competency frameworks that have been developed in Canada and Qatar. These particular frameworks are highlighted because of College of the North Atlantic's (CNA-Q) tie to Canada as a Canadian College operating within Qatar. The frameworks, which have been respectively applied within their own contexts, offer opportunities for the application of Interprofessional competencies elsewhere in the worldwide. The models proposed are reviewed and their utility for educators and practitioners is discussed. The first framework is a Canadian competency framework for IPC that: (1) considers descriptions of collaborative practice and (2) uses existing literature to support a model for describing competencies for collaborative practice. The second framework of Interprofessional health competencies developed in Doha, Qatar originated from a National Priorities Research Project supported by the Qatar National Research Fund. It builds upon a model developed by Qatar University (QU) ( El-Awaisi et al., 2017) and the Canadian National Interprofessional Competency Framework for Collaborative Practice ( Johnson, et al., 2015). It provides guidance for implementation of IPE in pre- and post-licensure settings.

Setting Priorities in Childhood Cancer in Low Income Countries Using Nominal Group Technique: Experience from an International Childhood Cancer Forum Exercise in Bangladesh

Background and Objectives:Cancer is one of the major causes of mortality and morbidity worldwide. The incidence of paediatric cancer in particular, in Bangladesh is alarming and most of these patients die without correct diagnosis and adequate medical treatment (MOHFW, 2008). There is a clear disparity in access to care between rural and urban areas (WHO, 2015; Rahman, 2001). There are no established formal childhood cancer registry systems to help inform planning decisions across the country. Most importantly, there are no explicit priorities or methods for identifying such priorities in Low and Middle Income Countries (LMICs). We used a Nominal Group Technique (NGT) method during the International Childhood Cancer Forum (ICCF) for setting priorities. The following two key objectives were addressed: Trialling the NGT in Bangladesh as a priority setting tool; and identify childhood cancer priorities in Bangladesh.Methods:The Nominal Group Techniques (NGT) method was used to elicit information from the participants of ICCF to identify priorities for research and interventions for childhood cancer care in Bangladesh. Participants were divided into four groups. Each group discussed one question each. Two questions focused on cancer research, and the other two focused on interventions.Results:In regards to outcomes, NGT successfully identified the scale of childhood cancer care and identified priorities/action areas to address in Bangladesh. Six priorities were identified and a successful collaboration for implementation has been established with several international organisations.Conclusion:Nominal group technique was found to be an effective tool to identify research and intervention priorities to address childhood cancer in a developing country. For resource limited countries in similar situations, they could benefit from adopting this approach in healthcare settings.

Polarization of universities in the Central Federal District of Russia under reform

Purpose The purpose of this paper is to analyze the changes in higher education under the new configuration of resources based on the income structure of universities located in the Central Federal District (CFD). Particular focus is given to the changes in the structure of public financing of higher education, considering the explicit priorities of increasing teaching staff salaries and promoting research. The study also assesses regional differentiation in financial resources for the maintenance of university property and the accumulation of funds from extra-budgetary sources. Design/methodology/approach Using statistical and economic analysis methods, the research reveals the main trends of structural changes in public funding of higher education in Russia as a whole, and the regional peculiarities of financial support in the universities of the CFD. Findings The results of this investigation of universities in the CFD point to inertia in the development of universities in the regions, and problems transitioning to new business models. Groups of universities in the region often lobby for the “previous rules of the game.” The results evidence a change in financial support from different income sources and in cost structures at the university level. These are the result of higher education reform and university support programs aimed at enhancing the academic and research capacity of the leading Russian universities and developing a competitive national education system. Originality/value A costs optimization policy has led to polarization of universities and reduced development opportunities for a significant proportion of regional universities. In order to maintain their properties in good condition, they have to make active efforts to seek non-budgetary funding sources against a fall in effective demand from the population.

Offline: UHC—one promise and two misunderstandings

Offline: UHC—one promise and two misunderstandings

Proposing priorities of intervention for the recovery of native fish populations using hierarchical ranking of environmental and exotic species impact

The freshwater populations of native fish species (Ns) have reached critical levels in many parts of the world due to combined habitat deterioration by human interventions and exotic fish species (Es) invasions. These alarming conditions require combined and well-designed interventions for restoring environmental quality and restricting Es invasion. The aim of the study is to propose a method to design spatially explicit priorities of intervention for the recovery of Ns populations in highly impacted freshwater systems by exotic multi-species invasion and water quality (WQ) degradation. WQ and Es are used as Ns descriptors, which require intervention. The method uses gradient analysis (ordination method of Canonical Correspondence Analysis) for assessing the weights of Ns descriptors' effects, which are further used to develop weighted severity indices; the severity index of WQ (Swq) and Es invasion (Se), respectively. Swq and Se are further merged to one combined total severity index St. The proposed method provides a) a ranking of the sites, based on the values of St, which denotes the priority for combined intervention in space and can be visualized in maps, b) a ranking of the most important Ns descriptors for each site to perform site-specific interventions, and c) Es rankings based on their potential threat on Ns for species-specific interventions. WQ, Es and Ns data from 208 sampling sites located in the Emilia-Romagna Region (Northern Italy) were used as a case study for the presentation of the proposed method. The application of the method showed that the north and northwestern lowland areas of Emilia-Romagna region presented the higher priority for intervention since the Ns of these areas are the most impacted from combined Es invasions and WQ degradation. Specific Es belonging to cyprinids, which are mostly responsible for the decline of aquatic vegetation and the increase of water turbidity, and a top Es predator (Wels catfish) were mostly present in these areas. Additionally, the most important WQ stressors of Ns were found to be COD, BOD and temperature that are all connected to oxygen depletion. The aforementioned conditions in the areas described by high priority for intervention can be used as a basis for the development of specific Ns conservation practices targeting the containment of the most harmful Es, the restoration of aquatic vegetation and the improvement of oxygen conditions.

Toward Establishing Core Outcome Domains For Trials in Kidney Transplantation: Report of the Standardized Outcomes in Nephrology-Kidney Transplantation Consensus Workshops.

Treatment decisions in kidney transplantation requires patients and clinicians to weigh the benefits and harms of a broad range of medical and surgical interventions, but the heterogeneity and lack of patient-relevant outcomes across trials in transplantation makes these trade-offs uncertain, thus, the need for a core outcome set that reflects stakeholder priorities. We convened 2 international Standardized Outcomes in Nephrology-Kidney Transplantation stakeholder consensus workshops in Boston (17 patients/caregivers; 52 health professionals) and Hong Kong (10 patients/caregivers; 45 health professionals). In facilitated breakout groups, participants discussed the development and implementation of core outcome domains for trials in kidney transplantation. Seven themes were identified. Reinforcing the paramount importance of graft outcomes encompassed the prevailing dread of dialysis, distilling the meaning of graft function, and acknowledging the terrifying and ambiguous terminology of rejection. Reflecting critical trade-offs between graft health and medical comorbidities was fundamental. Contextualizing mortality explained discrepancies in the prioritization of death among stakeholders-inevitability of death (patients), preventing premature death (clinicians), and ensuring safety (regulators). Imperative to capture patient-reported outcomes was driven by making explicit patient priorities, fulfilling regulatory requirements, and addressing life participation. Specificity to transplant; feasibility and pragmatism (long-term impacts and responsiveness to interventions); and recognizing gradients of severity within outcome domains were raised as considerations. Stakeholders support the inclusion of graft health, mortality, cardiovascular disease, infection, cancer, and patient-reported outcomes (ie, life participation) in a core outcomes set. Addressing ambiguous terminology and feasibility is needed in establishing these core outcome domains for trials in kidney transplantation.

Economic Opportunities and Trade-Offs in Collaborative Forest Landscape Restoration

We modeled forest restoration scenarios to examine socioeconomic and ecological trade-offs associated with alternative prioritization scenarios. The study examined four US national forests designated as priorities for investments to restore fire resiliency and generate economic opportunities to support local industry. We were particularly interested in economic trade-offs that would result from prioritization of management activities to address forest departure and wildfire risk to the adjacent urban interface. The results showed strong trade-offs and scale effects on production possibility frontiers, and substantial variation among planning areas and national forests. The results pointed to spatially explicit priorities and opportunities to achieve restoration goals within the study area. However, optimizing revenue to help finance restoration projects led to a sharp reduction in the attainment of other socioecological objectives, especially reducing forest departure from historical conditions. The analytical framework and results can inform ongoing collaborative restoration planning to help stakeholders understand the opportunity cost of specific restoration objectives. This work represents one of the first spatially explicit, economic trade-off analyses of national forest restoration programs, and reveals the relative cost of different restoration strategies, as well scale-related changes in production frontiers associated with restoration investments.

The NBU’s Balance Sheet: Before, During, and After the Crisis

Looking at the evolution of the central bank’s balance sheet gives us a unique window on the forces that have shaped our economy and central bank reaction functions. This paper considers the evolution of the NBU’s balance sheet over the period from 2001-2016, focusing on explicit and implicit monetary policy priorities at different periods. We then make simulations on the NBU’s balance sheet for the next five years assuming current NBU priorities for monetary policy. We then draw conclusions on the likely financial position of the NBU in the future and recommendations to ensure the NBU’s financial strength – essential for its continued independence.

Temporal and Spatial Gap Acceptance for Minor Road at Uncontrolled Intersections in India

Capacity analysis of unsignalized intersections is done primarily with gap acceptance principles. The vehicles on lower-priority approaches maneuver when a suitable gap is available in higher-priority conflicting streams. Although temporal gaps are widely used, some researchers advocate the use of spatial gaps. The focus of this study was on analyzing temporal and spatial gaps at four-legged, partially controlled intersections in India. Unlike in developed countries, unsignalized intersections in India are not controlled with stop and yield signs with explicit priorities. The priorities are mainly set by the situations drivers perceive. Field data were collected at three four-legged intersections with video cameras. Temporal and spatial critical gaps were estimated with Raff's, logit, lag, Ashworth's, and maximum likelihood methods. The values of temporal critical gap by different methods were found to vary between 3.0 and 3.9 s. The spatial critical gap values varied from 29 to 36 m. These values were smaller than the similar values reported in developed countries, indicating aggressiveness in Indian drivers. The insights from this study can be used for the capacity analysis of unsignalized intersections in India.

Cultural Resources Priority Area Planning in Sub-Mogollon Arizona and New Mexico

AbstractRegional planning is an essential element of comprehensive archaeological management programs. Most regional planning efforts in archaeology focus on predictive modeling to distinguish areas based on the likelihood of encountering archaeological resources. We discuss a complementary approach that uses known sites and expert opinion to identify spatially explicit cultural resource preservation priorities. Loosely analogous to biodiversity conservation planning, priority cultural resource assessments provide an evolving vision of an archaeological reserve network which, if managed appropriately, could protect a significant part of our cultural heritage. We outline an efficient approach to identifying spatially explicit Priority Areas within portions of Arizona and New Mexico. This information complements assessments of individual site eligibility for purposes of listing on the National Register of Historic Places by providing an added layer of regionally contextualized information at larger geographic scales. By establishing priorities, this information can also enhance cultural resource considerations in local, state, and federal land use planning. While our consideration of significance is based on the potential information content of the resource, we argue that this planning process can easily incorporate other cultural resource values and help to address preservation actions in support of this broader set of values.