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Selected AbstractsIMPLICIT DEMAND CHARACTERISTICS IN RESEARCH FUNDING SOURCES,IT'S NOT JUST SOME SOURCESADDICTION, Issue 7 2007A. THOMAS MCLELLAN No abstract is available for this article. [source] Somalia: Top Ten Humanitarian Funding Sources 2009AFRICA RESEARCH BULLETIN: ECONOMIC, FINANCIAL AND TECHNICAL SERIES, Issue 10 2009Article first published online: 27 NOV 200 No abstract is available for this article. [source] Independent sector mental health care: a 1-day census of private and voluntary sector placements in seven Strategic Health Authority areas in EnglandHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 5 2007Barbara Hatfield PhD Abstract The aims of this study were (i) to map the extent of all mental health placements in the independent sector, for adults of working age, and elderly people (excluding those with a diagnosis of dementia placed in Local Authority care homes), on a census date, across the areas in which the study was commissioned; (ii) to identify the characteristics of the population in placements; (iii) to explore some of the characteristics of the placements and the patterns of use within the private and voluntary sectors; and (iv) to identify the funding source of placements, and cost differences between the private and voluntary sector. The study took place in seven Strategic Health Authority areas, and information was sought from all Primary Care Trust and Social Services commissioners of mental health services, including regional secure commissioning teams, within those areas. A cross-sectional sample was used. Information was requested in relation to every individual meeting the inclusion criteria, placed in independent (private or voluntary) psychiatric hospitals, registered mental nursing homes and care homes on a specified study ,census date' of 28 June 2004 in six of the Strategic Health Authority areas, and 7 October 2004 in the seventh. Information was recorded on a standard questionnaire specifically designed for the study. Information was obtained on 3535 adults and 1623 elderly people in private or voluntary facilities. The largest groups of adults and elderly people had diagnoses of severe mental illnesses (42.1% and 30.5%, respectively), and placements were described as ,continuing care' or rehabilitation, with a ,niche' in specialist forensic care. Around four-fifths of units were in the private sector, which for adults was significantly more expensive than the voluntary sector. A large proportion of units (47.2% of adult placements and 59.3% of placements for elderly people) had only single placements from particular commissioning authorities, whilst others had large numbers, raising issues for effective commissioning. The distance of placements from patients' area of origin, is also an issue highlighted by the study. The study findings are discussed in relation to commissioning practice, and the development of the independent sector in mental health care. [source] Are single-gift committed donors different from their multiple-gift counterparts?INTERNATIONAL JOURNAL OF NONPROFIT & VOLUNTARY SECTOR MARKETING, Issue 3 2010Anyuan Shen Committed donors who keep giving every year are a key asset for nonprofit organizations because they provide a steady funding source and return a higher lifetime value. We distinguish between committed donors who give only one gift per year (single-gift (SG) donors) and those who give multiple gifts in at least some year (multiple-gift (MG) donors). In this paper, we study whether SG donors and MG donors follow different longitudinal patterns of gift-giving in four consecutive years. We theorize that a donor's yearly gift amount is an indication of his or her willingness to give (WTG) to the organization and may be explained in terms of his or her intrinsic willingness to give (IWTG) and extrinsic willingness to give (EWTG) for that year. We test our theory with data from a leading US nonprofit organization and find that SG donors and MG donors would follow different longitudinal patterns: While SG donors and MG donors would start off at a similar level of WTG in year 1 and would both increase WTG in subsequent years, MG donors would record a higher rate of increase than SG donors. IWTG and EWTG would have different relative importance as determinants of the observed yearly giving level: MG donors depend on both IWTG and EWTG whereas SG donors largely depend on IWTG rather than EWTG to determine how much to give in a year. Our findings suggest that different strategies are needed to manage SG donors and MG donors to sustain and grow annual contributions. Copyright © 2009 John Wiley & Sons, Ltd. [source] Stakeholder governance of organ transplantation: A desirable model for inducing evidence-based medicine?REGULATION & GOVERNANCE, Issue 3 2010David L. Weimer Abstract Medical governance should secure and apply appropriate expertise, accommodate stakeholder interests, and promote social values. The most common form of governance, public (agency) rulemaking by government agencies, usually involves supplementing in-house expertise through advisory committees. An alternative, private (stakeholder) rulemaking, involves delegating the authority for developing rules directly to stakeholders, who often command relevant expertise, including that arising out of tacit knowledge. The possible advantages and disadvantages of agency and stakeholder rulemaking in medical governance can be assessed both from what we know about these forms in general and from experience with a prominent example of stakeholder rulemaking; that is, governance of the US organ transplantation system. It appears that this governance has been exceptionally successful in promoting evidence-based medicine. The stakeholder role in the governance of transplantation could be replicated in other areas by creating meaningful stakes to engage stakeholders and by increasing isolation from legislative politics through an independent funding source and circumscribed oversight. [source] Role of the funding sourceAPMIS, Issue 9 2007Article first published online: 10 OCT 200 No abstract is available for this article. [source] An international survey of training programs for treating tobacco dependenceADDICTION, Issue 2 2009Nancy A. Rigotti ABSTRACT Aims The World Health Organization (WHO) Framework Convention on Tobacco Control (FCTC) requires countries to implement tobacco dependence treatment programs. To provide treatment effectively, a country needs trained individuals to deliver these services. We report on the global status of programs that train individuals to provide tobacco dependence treatment. Design Cross-sectional web-based survey of tobacco treatment training programs in a stratified convenience sample of countries chosen to vary by WHO geographic region and World Bank income level. Participants Key informants in 48 countries; 70% of 69 countries who were sent surveys responded. Measurements Program prevalence, frequency, duration and size; background of trainees; content (adherence to pre-defined core competencies); funding sources; challenges. Findings We identified 61 current tobacco treatment training programs in 37 (77%) of 48 countries responding to the survey. Three-quarters of them began in 2000 or later, and 40% began after 2003, when the FCTC was adopted. Programs estimated training 14 194 individuals in 2007. Training was offered to a variety of professionals and paraprofessionals, but most often to physicians and nurses. Median program duration was 16 hours, but programs' duration, intensity and size varied widely. Most programs used evidence-based guidelines and reported adherence to core tobacco treatment competencies. Training programs were less frequent in low-income countries and in Africa. Securing funding was the major challenge for most programs; current funding sources were government (58%), non-government organizations (23%), pharmaceutical companies (17%) and, in one case, the tobacco industry. Conclusion Training programs for tobacco treatment providers are diverse and growing. Most upper- and middle-income countries have programs, and most programs appear to be evidence-based. However, funding is a major challenge. In particular, more programs are needed for non-physicians and for low-income countries. [source] From renewable energy to fire risk reduction: a synthesis of biomass harvesting and utilization case studies in US forestsGCB BIOENERGY, Issue 3 2009A. M. EVANS Abstract The volatile costs of fossil fuels, concerns about the associated greenhouse gas emissions from these fuels, and the threat of catastrophic wildfires in western North America have resulted in increased interest and activity in the removal and use of woody biomass from forests. However, significant economic and logistical challenges lie between the forests and the consumers of woody biomass. In this study, we provide a current snapshot of how biomass is being removed from forests and used across the United States to demonstrate the wide variety of successful strategies, funding sources, harvesting operations, utilization outlets, and silvicultural prescriptions. Through an analysis of 45 case studies, we identified three themes that consistently frame each biomass removal and utilization operation: management objectives, ecology, and economics. The variety and combination of project objectives exemplified by the case studies means biomass removals are complex and difficult to categorize for analysis. However, the combination of objectives allows projects to take advantage of unique opportunities such as multiple funding sources and multiparty collaboration. The case studies also provide insight into the importance of ecological considerations in biomass removal both because of the opportunity for forest restoration and the risk of site degradation. The national view of the economic aspects of biomass removal provided by this wide variety of case studies includes price and cost ranges. This study is an important first step that helps define woody biomass removals which are becoming an essential part of forestry in the 21st century. [source] Movement and change: independent sector domiciliary care providers between 1995 and 1999HEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 6 2001Patricia Ware Abstract Promoting the development of a flourishing independent sector alongside good quality public services was a key objective of the community care reforms of the last decade. This paper charts some of the ways the independent domiciliary care sector is changing, as local authorities shift the balance of their provision toward independent sector providers and away from a reliance on in-house services. Two surveys of independent domiciliary care providers were carried out in 1995 and 1999. The aims of the studies were to describe the main features of provider organisations, such as size of business, client group and funding sources; to examine the nature of provider motivations and their past and future plans; to consider how local authorities manage the supply side of social care markets; and to examine the effects on providers of the development of the mixed economy. The first survey in 1995 was conducted in eight local authority areas, which by 1999 had increased to 11 because of the creation of three new unitary authorities. The findings are based on 261 postal surveys together with 111 interviews between the two studies. The research illustrates a domiciliary care market that is still relatively young with many small but growing businesses. There are considerable differences in the split between in-house and independent sector services in individual authorities and a common perception among independent providers that in-house services receive favourable treatment and conditions. Spot or call-off contracts continue to be the most common form of contract although there are moves toward greater levels of guaranteed service and more sophisticated patterns of contracting arrangements. There remains an ongoing need to share information between local authorities and independent providers so that good working relationships can develop with proven and competent providers. [source] Solidarity put to the test.INTERNATIONAL JOURNAL OF SOCIAL WELFARE, Issue 4 2000Health, social care in the UK As welfare states experience challenges from ideological and funding sources, the position of the United Kingdom represents an important case study. Apparently under severe attack for its perceived failures to deliver efficiency, effectiveness and social justice, there remains a continued high level of public support for `nationalised' health and social care. The paper explores the nature of the fissures in the systems and the data which indicates enduring solidarity. [source] Options for Sustaining School-Based Health CentersJOURNAL OF SCHOOL HEALTH, Issue 4 2004Susan M. Swider ABSTRACT: Several methods exist for financing and sustaining operations of school-based health centers (SBHCs). Promising sources of funds include private grants, federal grants, and slate funding. Recently, federal regulation changes mandated that federal funding specifically for SBHCs go only to SBHCs affiliated with a Federally Qualified Health Center (FQHC). Becoming a FQHC allows a SBHC to bill Medicaid at a higher rate, be notified about federal grants, and access the federal drug-pricing program. However, FQHCs must bill for services, including a sliding-fee scale based on ability to pay; develop a governance board with a majority of consumer members; provide a set of designated primary care services; and serve all people regardless of ability to pay. Private grants impose fewer restrictions and usually provide start-up and demonstration funds for specific program needs. Such funds are generally time limited, so new programs need to be incorporated into the operational budget of the center. State funding proves relatively stable, but fiscal challenges in some states made these funds less available. Using a variety of funding sources will enable ongoing provision of health care to students. Overall, SBHCs should consider infrastructure development that allows a variety of funding options, including formalizing existing partnership commitments, engaging in a needs assessment and strategic planning process, developing the infrastructure for FQHC status, and implementing a billing system for client services. [source] Market Perceptions and Opportunities for Native Plant Production on the Southern Colorado PlateauRESTORATION ECOLOGY, Issue 2010Donna L. Peppin Increases in revegetation activities have created a large demand for locally adapted native plant materials (NPM) in the southwestern United States. Currently, there is a minimal supply of local genotypes to meet this demand. We investigated the potential for the initiation of a native plant market in the southern Colorado Plateau. Through a literature search, interviews, and site visits, we identified existing native plant markets outside of the region as useful models to help initiate a regional market. We used web-based surveys to identify and analyze current and future NPM needs and concerns. Survey results indicate that management policy strongly drives decisions regarding the use and purchase of NPM. From a demand perspective , lack of availability and cost of NPM has kept purchasing minimal, despite policy changes favoring the use of natives. For suppliers, further development of NPM is limited by inconsistent and unreliable demand and lack of production knowledge. The knowledge and tools necessary to initiate an NPM market are available, but inadequate funding sources and insufficient information sharing hinder its development. Communication among producers, land managers, buyers, and researchers, as well as partnerships with local growers, appear to be vital to initiating a functional market. [source] Dental Services for Migrant and Seasonal Farmworkers in US Community/Migrant Health CentersTHE JOURNAL OF RURAL HEALTH, Issue 3 2006Sherri M. Lukes RDH ABSTRACT:,Context: Migrant and seasonal farmworkers are recognized as a medically underserved population, yet little information on need, access, and services is available,particularly with regard to oral health care. Purpose: This study describes the facilities, services, staffing, and patient characteristics of US dental clinics serving migrant and seasonal farmworkers, and identifies trends and issues that may impede or improve dental care access and service. Methods: National databases were used to identify community and migrant health centers providing oral health care to migrant and seasonal farmworkers. Mailed surveys collected information on clinic history, operational details, services provided, patient demographics, employment and resource needs, and perceived barriers to care. Findings: Among the 81 respondents (response rate 41%), hours of operation varied from 1 evening a week to more than 40 hours a week; 52% had no evening hours. Almost all the clinics offered preventive, diagnostic, and basic restorative dental services, and roughly two thirds also offered complex restorative services. Patients most frequently sought emergency dental care (44%) followed by basic restorative services (32%) and preventive services (26%). The dentist position was the most difficult to fill, and new funding sources were cited as the most important resource need. Respondents perceived cost of services, lack of transportation, and limited clinic hours as primary barriers to care. Conclusions: While some barriers to care have been almost universally addressed (eg, language), there is evidence that some impediments remain and may present significant obstacles to a broad improvement in oral health care for migrant and seasonal farmworkers. [source] A Review of the Federal Guidelines That Inform and Influence Relationships Between Physicians and IndustryACADEMIC EMERGENCY MEDICINE, Issue 8 2009Robert H. Birkhahn MD Abstract The effective delivery and continued advancement of health care is critically dependent on the relationship between physicians and industry. The private sector accounts for 60% of the funding for clinical research and more than 50% of the funding sources for physician education. The nature of the physician,industry relationship and the role of the physician as a gatekeeper for health care make this association vulnerable to abuse if certain safeguards are not observed. This article will review the current federal guidelines that affect the physician,industry relationship and highlight several illustrative cases to show how the potential for abuse can subvert this relationship. The recommendations and "safe harbors" that have been designed to guide business relationships in health care are discussed. [source] | ||||||||||||||||