Developing and evaluating innovative community programmes

Author(s):  
Diana PK Roeg ◽  
Theo JM Kuunders
Keyword(s):  
1993 ◽  
Vol 22 (4) ◽  
pp. 487-505 ◽  
Author(s):  
Neena L. Chappell

ABSTRACTCanada, like all industrialised countries, has become concerned over health care costs. Canada has reason to be concerned, with the most expensive system, on a per capita basis, of any country with national health insurance. This paper briefly reviews Canada's health care system, examines the rhetoric being adopted throughout the country at the current time, and discusses the changes which are now occurring. An assessment of whether change will lead to a more cost efficient and appropriate system for an aging society is then presented. It is concluded that there are profound changes taking place in the health care system in all provinces in Canada. Most of the changes to date reflect a restricting of current medical care by making ineligible previously eligible procedures, introducing user fees where there were none before, and in some instances including means testing where there was none before. In addition, hospital budgets are being cut and beds are being closed. However, a corresponding expansion of community programmes, while evident in the rhetoric, is less evident within current actions.


2009 ◽  
pp. 47-57
Author(s):  
Laura Grazi

- The article describes the different stages which marked the elaboration of the EEC regional policy starting from the preliminary studies in the Sixties to the formal inclusion of this domain in the Single European Act (1986). The creation of the European Regional Development Fund (1975) and its reforms are crucial events in the definition of the EEC regional policy which highlight the slow and difficult passage from a system redistributing money among Member States to the launch of new form of supranational territorial solidarity. The ERDF, that was initially linked to the need to rearrange the financial benefits of membership/accession to the EEC for some members States (in particular, Italy and Great Britain), was later rearranged in order to allow more autonomous policy choices at the Community level (Community programmes). The Integrated Mediterranean Programmes, adopted in the Eighties, are the symbol of this new approach because they linked EEC regional measures to common problems arising from economic integration and increased the coordinating functions of the Commission.Parole chiave: Politica regionale della CEE, Commissione europea, Economie regionali, FESR, Programmi comunitari, PIM EEC Regional Policy; European Commission, Regional Economies, European Regional Development Fund, Community Programmes, Integrated Mediterranean Programmes


Author(s):  
F. Amoretti

The term “e-government” became part of the political vocabulary toward the end of the 1990s. Previously, with the onset of new technologies, it found its place in the wider “semantic container,” the information society. To respond to the United States and Japan’s economic challenge, the European Commission drew up a “White Paper on Growth, Competitiveness, and Employment: Challenges and Ways Forward to the 21st Century” (the so-called Delors’ White Paper). The construction of the IS is considered one of the five fundamental priorities of the Union to create a “common information area” based on ICTs and telematic infrastructure. E-government was the key element of significant community programmes (i.e., IDA [Interchange of Data between Administrations] and TEN-TELECOM [from 2002 renamed eTen]). A decisive step toward the development of EU policies for e-government came with the approval, in June 2000, of the Action Plan “eEurope 2002: An Information Society for All.” Guidelines were fixed for greater use of the Internet, and the initiative “Government online: electronic access to public services, [which] aims to ensure that citizens have easy access to essential public data, [...] [and, in order to improve] efficiency in the public sector, will require a re-thinking of internal organisation and of electronic exchanges between institutions” (Council of the European Union & Commission of the European Communities, 2000, p. 22). A few months previously, based on numerous EC documents, the Council of Europe of Lisbon indicated an ambitious objective for the European Union: “to become the most competitive and dynamic economy based on knowledge in the world, capable of achieving sustainable economic growth, creating new and better jobs and more social cohesion.” The so-called “Lisbon strategy” to permit Europe to recover the delay accumulated compared to the U.S., was intended to guide community policies up to 2010. It is in this context, interwoven with different and often conflicting pressures (economic competition and social cohesion, market logics, and the language of rights) that action plans are formulated and policies for e-government implemented in Europe.


1990 ◽  
Vol 4 (1) ◽  
pp. 76-78
Author(s):  
Priyani E. Soysa

This study compares the use of the Nabarro Thinness Chart with other nutritional screening tools among school children in Sri Lanka. It concludes that this method is a simpler, more precise approach to assess students requiring food supplementation in community programmes than others which are commonly utilized.


2013 ◽  
Vol 18 (3) ◽  
pp. 115-127 ◽  
Author(s):  
Mark Robinson ◽  
Debbie Braybrook ◽  
Steve Robertson

Subject Tackling online extremism. Significance Online fringe communities pose jurisdictional and investigation challenges, amid technological limits and a free speech dilemma for Western law enforcement. This makes effective policing extremely difficult, even though the hate speech and extremism that such sites offer a platform to are contributing to real-world crimes, with the US El Paso shooting last month being only the latest. Impacts Trust-based community programmes will expand. Federal US funding will shape state-level anti-crime priorities. US gun laws will remain a major sticking point in tackling violent extremism.


2008 ◽  
Vol 11 (12) ◽  
pp. 1296-1305 ◽  
Author(s):  
Carmen Tse ◽  
Valerie Tarasuk

AbstractObjectivesTo assess the potential nutritional contribution of meals provided in a sample of community programmes for homeless individuals, to determine the effect of food donations on meal quality and to develop food-based guidance for meals that would meet adults’ total nutrient needs.SettingToronto, Canada.DesignAn analysis of weighed meal records from eighteen programmes. The energy and nutrient contents of meals were compared to requirement estimates to assess contribution to total needs, given that homeless people have limited access to nutritious foods. Mixed linear modelling was applied to determine the relationship between the use of food donations and meal quality. The composition of meals that would meet adults’ nutrient requirements was determined by constructing simulated meals, drawing on the selection of foods available to programmes.SampleIn all, seventy meals, sampled from eighteen programmes serving homeless individuals.ResultsOn average, the meals contained 2·6 servings of grain products, 1·7 servings of meat and alternatives, 4·1 servings of vegetables and fruits and 0·4 servings of milk products. The energy and nutrient contents of most meals were below adults’ average daily requirements. Most meals included both purchased and donated foods; the vitamin C content of meals was positively associated with the percentage of energy from donations. Increasing portion sizes improved the nutrient contribution of meals, but the provision of more milk products and fruits and vegetables was required to meet adults’ nutrient requirements.ConclusionsThe meals assessed were inadequate to meet adults’ nutrient requirements. Improving the nutritional quality of meals requires additional resources.


1993 ◽  
Vol 162 (5) ◽  
pp. 587-592 ◽  
Author(s):  
H. Richard Lamb

Deinstitutionalisation is at an advanced stage in the US, both in duration, and in reduction in state hospital beds. The new generation of chronically and severely mentally ill persons has posed the greatest problems. They no longer receive life-long hospital admission and thus permanent asylum from the demands of the world. Resistance to treatment and substance abuse are problems. Early proponents of deinstitutionalisation believed it would be cheaper, better, and give the mentally ill their freedom. In reality, good community care does not cost less. While a number of community programmes in the US have been impressive, they have served only a small proportion of the total population of severely mentally ill persons. More freedom has been of benefit for many, but has proved difficult for some patients. Some patients have been deinstitutionalised who cannot be effectively treated in the community. The homeless mentally ill epitomise all these problems.


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