scholarly journals Integrated policy making in England for adults with long-term neurological conditions (LTNCs): some preliminary findings from a scoping study

2008 ◽  
Vol 8 (3) ◽  
Author(s):  
Sylvia Bernard ◽  
Fiona Aspinal ◽  
Kate Gridley ◽  
Gillian Parker
Keyword(s):  
Policy Making ◽  
Scoping Study ◽  
Integrated Policy ◽  
Neurological Conditions

scholarly journals Some Problems of Perspective Planning in Pakistan

1964 ◽  
Vol 4 (2) ◽  
pp. 193-202
Author(s):  
Said Hasan
Keyword(s):  
Policy Making ◽  
Time Horizon ◽  
Close Relation ◽  
The Third ◽  
Preceding Period ◽  
The Subject ◽  
Perspective Planning ◽  
Economic Future ◽  
Work Done

The growing confidence of Pakistan's planners in the nation's economic future is indicated by the boldness of their successive plans and by the lengthening of their time horizon. As far as the latter is concerned, the First Five-Year Plan did not reflect any thinking on economic and social development beyond a specific five-year period; the Second Plan, however, contained some remarks on long-term growth; the Third Plan is being prepared in close relation to the work being done on the Perspective Plan. What fifteen years ago would have been regarded as a waste of time is now considered to be of basic import¬ance for sound planning. What nobody dared think about in the earlier days is now the subject of serious analysis and policy-making. The need for a Perspective Plan is there not only from an economic angle but there are also sound political reasons for it. From the economic angle, we realized that the five-year periods chosen for our plans are only arbitrary periods in a process stretching over a much longer time. Our decisions and policies during one plan influence the pattern of growth in the next one, and influence also the effectiveness of established policies. Therefore, any particular five-year plan has to be part of a whole chain of plans, all fitting together and building further on the work done in the preceding period.

Getting to a Wealthier and Fairer Scotland

2017 ◽  
Author(s):  
Michael Keating ◽  
Robert Liñeira
Keyword(s):  
Public Opinion ◽  
Policy Making ◽  
Public Services ◽  
Public Spending ◽  
Social Investment ◽  
Division Of Powers ◽  
Scottish Government

Scotland has some of the prerequisites for a social investment state. Yet the division of powers between the Scottish and UK levels in relation to taxation and welfare is not optimal. The Scottish Government has reformed its policy-making structures but still has shortcomings in planning for the long term. While public opinion in Scotland supports spending on public services from which citiziens benefit, it is only slightly more favourable to redistribution than in England. The experience of other counrties shows that citizens will support public spending and the resultant taxes if they know that they will get good services.

Neurosurgery nursing

2020 ◽  
pp. 279-352
Keyword(s):  
Spinal Cord ◽  
Nervous System ◽  
Spinal Surgery ◽  
Deep Brain Stimulator ◽  
Disease Symptoms ◽  
Knowledge And Skills ◽  
Vagal Nerve Stimulator ◽  
Neurological Conditions ◽  
The Brain

Neurosurgery describes the surgical treatment and management of various disease processes that target the brain, spinal cord, and peripheral nervous system. The specialty is wide and varied as increasing numbers of neurological conditions can now be improved following neurosurgery; for example, some types of epilepsy respond to the insertion of a vagal nerve stimulator, Parkinson’s disease symptoms can be diminished with a deep brain stimulator, and intractable back pain may be improved following spinal surgery. Practitioners must be equipped with the knowledge and skills to care for these patients and meet their immediate and long-term needs.

The economic benefits of rehabilitation for neurological conditions

2020 ◽  
pp. 23-30
Author(s):  
Rory J. O’Connor
Keyword(s):  
Psychological Functioning ◽  
Cost Effective ◽  
Economic Benefits ◽  
Economic Evaluations ◽  
Healthcare Intervention ◽  
Effective Interventions ◽  
Neurological Conditions ◽  
Economic Analyses

Rehabilitation programmes are highly cost-effective interventions that restore people’s independence, dignity, and quality of life. In the past there was an impression that they appeared expensive, which resulted in a lack of enthusiasm to develop them by funding bodies and commissioners. However, the evidence demonstrating the long-term cost-effectiveness of rehabilitation is robust. Many people with long-term neurological conditions will live for many years after the onset of the condition and investment in their physical and psychological functioning early on will, over that person’s lifetime, will result in substantial savings. Nevertheless, calculating economic evaluations can be complicated and the correct measure must be chosen to identify the change produced by the rehabilitation intervention. These data must then be handled appropriately, and any ancillary costs included. The economic impact of the rehabilitation programme is wider than a purely healthcare intervention and will include potential earnings and reduced costs to social care. The economic analyses will also include housing, education, and vocational outcomes, and the effect of the long-term condition on family members who may have a caring role.

scholarly journals Symposium 1: Overnutrition: consequences and solutions Foresight Report: the obesity challenge ahead

2009 ◽  
Vol 69 (1) ◽  
pp. 80-85 ◽  
Author(s):  
Peter Kopelman
Keyword(s):  
Weight Gain ◽  
System Approach ◽  
Time Lag ◽  
Population Level ◽  
Economic Benefits ◽  
Small Scale ◽  
Considerable Time ◽  
Policy Responses ◽  
Integrated Policy

Successfully tackling obesity is a long-term commitment. Current levels of obesity in the population have been ≥30 years in the making. Not only will this position take time to reverse but there will be a considerable time lag before health and economic benefits are achieved through reductions in the morbidity from obesity-related diseases. There is clear evidence that policies aimed only at individuals will be inadequate and that increasing small-scale interventions will not suffice. Major action to prevent excess weight gain at a population level is required. The Foresight Report has confirmed that a ‘whole system’ approach is critical. This approach will require a broad portfolio of integrated policy responses including both national and local measures. This strategy requires action by government, both central and local, industry and communities and by families and the societies in which they live.

Reaching the ‘hard to reach’: strategies to recruit black and minority ethnic service users with rare long-term neurological conditions

2012 ◽  
Vol 15 (6) ◽  
pp. 485-495 ◽  
Author(s):  
Thomas Hoppitt ◽  
Sonal Shah ◽  
Peter Bradburn ◽  
Paramjit Gill ◽  
Melanie Calvert ◽  
...  
Keyword(s):  
Service Users ◽  
Neurological Conditions ◽  
Minority Ethnic

scholarly journals Nonconsensual Dose Reduction Mandates are Not Justified Clinically or Ethically: An Analysis

2020 ◽  
Vol 48 (2) ◽  
pp. 259-267 ◽  
Author(s):  
Stefan G. Kertesz ◽  
Ajay Manhapra ◽  
Adam J. Gordon
Keyword(s):  
Disease Control ◽  
Dose Reduction ◽  
Policy Making ◽  
Clinical Evidence ◽  
Healthcare Providers ◽  
Opioid Dose ◽  
Control And Prevention ◽  
Clinical Considerations ◽  
Centers For Disease Control

This manuscript describes the institutional and clinical considerations that apply to the question of whether to mandate opioid dose reduction in patients who have received opioids long-term. It describes how a calamitous rise in addiction and overdose involving opioids has both led to a clinical recalibration by healthcare providers, and to strong incentives favoring forcible opioid reduction by policy making agencies. Neither the 2016 Guideline issued by the Centers for Disease Control and Prevention nor clinical evidence can justify or promote such policies as safe or effective.

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