scholarly journals Developing an analytical framework for the analysis of national and local governance processes in integrated care

2008 ◽  
Vol 8 (5) ◽  
Author(s):  
Susanne Kümpers
2021 ◽  
pp. 135581962110556
Author(s):  
Viola Burau ◽  
Ellen Kuhlmann ◽  
Loni Ledderer

Objective Good governance of integrated care is key to better health care, but we know little about how professions can help make this happen. Our aim is to introduce a conceptual framework to analyse how professions contribute to the governance of integrated care, and to apply the framework to a secondary analysis of selected case studies from Denmark. Methods We developed a framework, which identified the what, how and why of the contribution professions make to the governance of integrated care. We included five qualitative Danish studies, using coordination as an indicator of integrated care. We adopted a thematic approach in our analysis, combining deductive and inductive elements. Results Health professions engage in highly diverse activities, which fall into closely connected clusters of more formal or more informal coordination. Professions apply many different adaptive mechanisms at different levels to fit coordination into local contexts. Professions are driven by interlocking rationales, where a common focus on patients connects organizational and professional concerns. Conclusions Our analytical framework emerges as a useful tool for analysis. The contribution of professions to the governance of integrated care needs greater attention in health policy implementation as it can promote more effective governance of integrated care.


2019 ◽  
Vol 11 (19) ◽  
pp. 5158
Author(s):  
Luca Eufemia ◽  
Izabela Schlindwein ◽  
Michelle Bonatti ◽  
Sabeth Tara Bayer ◽  
Stefan Sieber

The megadiverse biome of the Paraguayan Pantanal is in danger due to the expansion of cattle ranching and agricultural frontiers that threaten not only the fragile equilibrium of natural resources, but also that of local governance and cultural identities. As a consequence, weak governance stresses the relations between natural resource-dependent communities, generating socio-environmental conflicts. This perception study seeks to find community-based governance models for sustainability in the context of Paraguayan wetlands. According to the organizational principles of community-based natural resource management (CBNRM), we applied qualitative approaches with the use of the Governance Analytical Framework (GAF) to identify problems and social norms. Our findings suggest that the Yshiro indigenous self-organized group (Unión de las Comunidades Indígenas de la Nación Yshiro (UCINY)) can be considered as a model for community-based governance. Besides, we discovered that this specific governance model is highly threatened by the impact of the national neo-extractive economy.


2000 ◽  
Vol 40 (2) ◽  
pp. 51-63 ◽  
Author(s):  
Robert H. Wilson

Enormous change and innovation in governmental practices are occurring throughout the world. Local governance, in particular, has become a concern in many countries. Processes such as redemocratization and decentralization and imperatives of international lending agencies have focused attention on developing good governance practices. Improvement in local government remains a high priority in most countries, but unless the relationship between citizens and government is more fully developed the actions of local government will not necessarily lead to improvement in the conditions of people's lives. This paper will explore the concept of governance and propose an analytical framework for the study of local governance in an international context. The article concludes with recommendations on strategies to improve governance systems and government performance.


2021 ◽  
pp. 239965442110057
Author(s):  
Sangmin Kim

As the concept of social innovation gains increasing credence in the public consciousness, a number of questions have become increasingly prominent in the relevant discourse: what does social innovation mean at the local level? How can social innovation be promoted? In particular, what kinds of social and institutional arrangements are needed to facilitate socially innovative activities and practices in neighborhoods and communities? To address these questions, this paper first outlines the related theories and literature as an overview of the notion of social innovation. Next, to provide an example of a promising approach to social innovation at the local level, the paper develops a theoretical discussion on the interface between local social innovation and participatory local governance arrangements, and proposes a process model of local social innovation as an analytical framework for a case study of a district-level initiative in Seongbuk-gu in Seoul, South Korea. By examining the governance structure and socially innovative strategies utilized in this locality, the case study demonstrates how the local participatory governance system can furnish an enabling environment for socially innovative ideas and strategies. Lastly, along with a look at some of the unique aspects of the case, the paper discusses contributions of this study to the theory and practice of social innovation, along with implications for other cases that may consider the governance approach to social innovation.


2021 ◽  
Vol 2 (4) ◽  
pp. 59-62
Author(s):  
Sarita Singh ◽  

A ‘Smart Village’ will provide long-term social, economic, and environmental welfare activity for village community, which will enable and empower enhanced participation in local governance processes, promote entrepreneurship and build more resilient communities. At the same time, a ‘Smart Village’ will ensure proper sanitation facility, good education, better infrastructure, clean drinking water, health facilities, environment protection, resource use efficiency, waste management, renewable energy etc. There is an urgent need for designing and developing ‘Smart Village’, which are independent in providing the services and employment and yet well connected to the rest of the world. The Smart Village concept will be based on the local conditions, infrastructure, available resources in rural area and local demand as well as potential of export of good to urban areas. The present paper examine motivation behind the concept on ‘Smart Village’ is that the technology should acts as a catalyst for development, enabling education and local business opportunities, improving health and welfare, enhancing democratic engagement and overall enhancement of rural village dwellers. In the Indian context, villages are the heart of the nation. So we can achieve socio economic development of the Nation by enlarging the concept of smart villages on improving pattern.


E-journal GEO ◽  
2018 ◽  
Vol 13 (2) ◽  
pp. 486-510
Author(s):  
Teruo Hatakeyama ◽  
Tsutomu Nakamura ◽  
Hitoshi Miyazawa

2009 ◽  
Vol 4 (1) ◽  
pp. 57-77 ◽  
Author(s):  
Marie Mahon ◽  
Frances Fahy ◽  
Micheál Ó Cinnéide ◽  
Brenda Gallagher

The urban-rural fringe in Ireland harbors diverse and often competing visions of place that unfold against a backdrop of rapid physical and socio-economic change. The desire to develop and articulate a shared sense of belonging rooted in place might be reasonably expected to lead to community-level expression through diverse local organizations. These in turn become embedded in wider institutionalized systems of governance. The importance of place vision, and the extent of civic engagement to create and protect such a vision, is the focus of this article. The ongoing and predominantly developer-led transformation of fringe locations has coincided with a shift from government to governance (particularly at local level) and associated changes in power relationships among various stakeholders. This article investigates the extent to which residents of fringe locations perceive themselves as part of local governance processes and explores the implications of such perceptions for citizenship and local democracy.


2019 ◽  
Vol 11 (24) ◽  
pp. 6978 ◽  
Author(s):  
Mikael Granberg ◽  
Karyn Bosomworth ◽  
Susie Moloney ◽  
Ann-Catrin Kristianssen ◽  
Hartmut Fünfgeld

The idea that climate change adaptation is best leveraged at the local scale is a well-institutionalized script in both research and formal governance. This idea is based on the argument that the local scale is where climate change impacts are “felt” and experienced. However, sustainable and just climate futures require transformations in systems, norms, and cultures that underpin and reinforce our unsustainable practices and development pathways, not just “local” action. Governance interventions are needed to catalyse such shifts, connecting multilevel and multiscale boundaries of knowledge, values, levels and organizational remits. We critically reflect on current adaptation governance processes in Victoria, Australia and the Gothenburg region, Sweden to explore whether regional-scale governance can provide just as important leverage for adaptation as local governance, by identifying and addressing intersecting gaps and challenges in adaptation at local levels. We suggest that regional-scale adaptation offers possibilities for transformative change because they can identify, connect, and amplify small-scale (local) wins and utilize this collective body of knowledge to challenge and advocate for unblocking stagnated, institutionalized policies and practices, and support transformative change.


2016 ◽  
Vol 8 (3) ◽  
pp. 207-226
Author(s):  
Erik Thorstensen ◽  
Ellen-Marie Forsberg ◽  
Anders Underthun ◽  
Pavel Danihelka ◽  
Jakub Řeháček

AbstractThis paper presents results from a study of Czech Local Action Groups (LAGs), focusing on gaining knowledge about their internally perceived legitimacy and their potential role in local adaptation to climate change. Former studies on the role of governance networks in climate change adaptation have suggested that these networks’ legitimacy are crucial for their success. In this article we provide an analytical framework that can be used to address different aspects of local governance networks which are important for their legitimacy and the way they are apt as instruments for climate change adaptation actions. We also present a survey among LAG members that provide empirical data that we discuss in the article. The framework and the data are discussed with reference to existing contributions in the intersection of legitimacy, governance networks and climate change adaptation. A specific aim is to provide research based recommendations for further improving LAGs as an adaptation instrument. In addition, knowledge is generated that will be interesting for further studies of similar local governance initiatives in the climate change adaptation context.


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