National Agenda (national + agenda)

Distribution by Scientific Domains

Selected Abstracts

Health Care Information Technology in Rural America: Electronic Medical Record Adoption Status in Meeting the National Agenda

James A. Bahensky MS
ABSTRACT:,Continuing is a national political drive for investments in health care information technology (HIT) that will allow the transformation of health care for quality improvement and cost reduction. Despite several initiatives by the federal government to spur this development, HIT implementation has been limited, particularly in the rural market. The status of technology use in the transformation effort is reviewed by examining electronic medical records (EMRs), analyzing the existing rural environment, identifying barriers and factors affecting their development and implementation, and recommending needed steps to make this transformation occur, particularly in rural communities. A review of the literature for HIT in rural settings indicates that very little progress has been made in the adoption and use of HIT in rural America. Financial barriers and a large number of HIT vendors offering different solutions present significant risks to rural health care providers wanting to invest in HIT. Although evidence in the literature has demonstrated benefits of adopting HIT such as EMRs, important technical, policy, organizational, and financial barriers still exist that prevent the implementation of these systems in rural settings. To expedite the spread of HIT in rural America, federal and state governments along with private payers, who are important beneficiaries of HIT, must make difficult decisions as to who pays for the investment in this technology, along with driving standards, simplifying approaches for reductions in risk, and creating a workable operational plan. [source]

The Changing Emphasis of Disasters in Bangladesh NGOs

DISASTERS, Issue 3 2001
Nilufar Matin
Bangladesh is one of the most disaster-prone countries in the world, affected by cyclones and floods, as well as chronic hazards such as arsenic poisoning. NGOs have played a major role in bringing concerns related to risk management on to the national agenda and promoting a shift of focus from mere relief response to disaster mitigation and preparedness. The government has, after earlier scepticism, now accepted NGOs as major partners in these tasks. Innovative approaches, such as the use of microfinance, have been applied; many of which are related to preserving the gains of development efforts as part of rehabilitation. NGOs have pressured for better co-ordination with government. Improved structures are now approved, but it is still too early to judge their impact. Despite progress, neither NGOs nor governmental agencies have clearly defined roles in the effort to link disaster management priorities. This will ensure that longer-term development efforts build on local capacities and reduce vulnerabilities. [source]

Talking past each other: Journalists, readers and local newspaper reporting of general election campaigns in the UK

Bob Franklin
Abstract Drawing on an extensive database of local press reporting of the last four general elections (1987, 1992, 1997 and 2001), as well as contemporary interviews with journalists and editors, this paper argues that local press coverage of the constituency campaign has changed markedly since 1987, and in ways which may contribute to diminishing voter interest and participation in elections. Significantly, journalists do not perceive themselves as the ,cause' of voter apathy, but their efforts to ,lighten up' election coverage and report local election issues, contrast starkly with readers' preference for more serious reporting of the national agenda. Journalists and readers appear to be talking past each other in the pages of the local press. Copyright 2004 Henry Stewart Publications [source]

Updating the Foreign Language Agenda

Richard D. Lambert
At the founding of the National Foreign Language Center in 1987, several major structural problems facing the field of foreign language (FL) instruction were identified in an editorial in The Modern Language Journal. These broad architectural issues are part of a national agenda for change, both here and abroad, and have been the focus of the NFLC's activities since its establishment. The agenda issues identified in the article are: evaluating language competency; articulating instruction across educational levels and the different contexts in which FLs are taught; increasing the range of languages taught and studied; achieving higher levels of language skills; promoting language competency and use among adults; expanding research and maximizing its impact on FL teaching and learning; and assessing and diffusing new technologies in instructional practice, with particular attention to Internet communication, machine translation, and distance education. The article briefly indicates the nature of these challenges and notes the progress that has been made. [source]

Leading from Below: How Sub-National Governments Influence Policy Agendas

J.N. Keddie
This article takes a state's eye view of trends towards a more centralised system of governance in Australia. It argues that while globalisation strengthens the roles of national governments it also provides less noticed public policy and management opportunities for sub-national governments. The article shows how state governments in Australia can use high-level policy proposals to reinforce their continuing relevance as key members of a federal system of government. It proposes that skilful deployment of policy ideas and analyses can enable the states to sustain alternative national agendas despite hostility or lack of interest by the federal government. In conclusion, the article examines the implications for federal-state relations under the Rudd government. It suggests that the elements for productive reform agendas are present but that bringing them together will require considerable effort. [source]