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Local Organizations (local + organization)
Selected AbstractsDeveloping interdisciplinary maternity services policy in Canada.JOURNAL OF EVALUATION IN CLINICAL PRACTICE, Issue 1 2010Evaluation of a consensus workshop Abstract Context, Four maternity/obstetrical care organizations, representing women, midwives, obstetricians and family doctors conducted interdisciplinary policy research under auspices of four key stakeholder groups. These projects teams and key stakeholders subsequently collaborated to develop consensus on strategies for improved maternity services in Ontario. Objectives, The objective of this study is to evaluate a 2-day research synthesis and consensus building conference to answer policy questions in relation to new models of interdisciplinary maternity care organizations in different settings in Ontario. Methods, The evaluation consisted of a scan of individual project activities and findings as were presented to an invited audience of key stakeholders at the consensus conference. This involved: participant observation with key informant consultation; a survey of attendees; pattern processing and sense making of project materials, consensus statements derived at the conference in the light of participant observation and survey material as pertaining to a complex system. The development of a systems framework for maternity care policy in Ontario was based on secondary analysis of the material. Findings, Conference participants were united on the importance of investment in maternity care for Ontario and the impending workforce crisis if adaptation of the workforce did not take place. The conference participants proposed reforming the current system that was seen as too rigid and inflexible in relation to the constraints of legislation, provider scope of practice and remuneration issues. However, not one model of interdisciplinary maternity/obstetrical care was endorsed. Consistency and coherence of models (rather than central standardization) through self-organization based on local needs was strongly endorsed. An understanding of primary maternity care models as subsystems of networked providers in complex health organizations and a wider social system emerged. The patterns identified were incorporated into a complexity framework to assist sense making to inform policy. Discussion, Coherence around core values, holism and synthesis with responsiveness to local needs and key stakeholders were themes that emerged consistent with complex adaptive systems principles. Respecting historical provider relationships and local history provided a background for change recognizing that systems evolve in part from where they have been. The building of functioning relationships was central through education and improved communication with ongoing feedback loops (positive and negative). Information systems and a flexible improved central and local organization of maternity services was endorsed. Education and improved communication through ongoing feedback loops (positive and negative) were central to building functioning relationships. Also, coordinated central organization with a flexible and adaptive local organization of maternity services was endorsed by participants. Conclusions, This evaluation used an approach comprising scoping, pattern processing and sense making. While the projects produced considerable typical research evidence, the key policy questions could not be addressed by this alone, and a process of synthesis and consensus building with stakeholder engagement was applied. An adaptive system with local needs driving a relationship based network of interdisciplinary groupings or teams with both bottom up and central leadership. A complexity framework enhanced sense making for the system approaches and understandings that emerged. [source] Knowledge, Market Structure, and Economic Coordination: Dynamics of Industrial DistrictsGROWTH AND CHANGE, Issue 3 2002Ron A. Boschma The industrial rise of the Third Italy has been characterized by the growth of dynamic networks of flexible small and medium,sized enterprises (SMEs) that are spatially concentrated in specialized industrial districts. This network type of coordination has been associated with horizontal, trust,based relations rather than vertical relations of power and dependency between local organizations. This would lower transaction costs (essential for local systems with an extreme division of labor), facilitate the transmission and exchange of (tacit) knowledge (and thus, learning and innovation), encourage cooperation mechanisms (such as the establishment of research centers), and stimulate political,institutional performance (e.g. through regulation of potential social conflicts). From an evolutionary perspective, the focus is on the dynamics of industrial districts drawing from current experiences in Italy. In this respect, this paper concentrates on two main features of industrial districts that have largely contributed to their economic success in the past, that is, their network organization and the collective learning process. The evolution of industrial districts is described in terms of organizational adjustments to structural change. The way in which the size distribution of firms has changed is discussed (in particular the role of large companies), how the (power) relationships between local organizations have evolved, what are the current sources and mechanisms of learning, and to what extent institutional lock,in has set in. Finally, a number of trajectories districts may go through in the near future are presented. [source] Entre la autonomía y la institucionalización: Dilemas del movimiento negro colombianoJOURNAL OF LATIN AMERICAN & CARIBBEAN ANTHROPOLOGY, Issue 2 2002Mauricio Pardo Among the various trends of the black movement in Colombia, with diverse claims, it is the peasant movement of the Pacific,whose territorial struggle has been presented as ethnic vindication,with the most initiative and the greatest accomplishments. The so-called "black communities" Law 70 of 1993, the result of the mobilization of heterogeneous black organizations, centers on the creation of collective territories in the Pacific, but has marginalized other aspects of the black movement and has caused it a decrease in political initiative, as well as considerable institutionalization. This, along with particular identitary proposals and organizing styles, has favored local organizations tied or aspiring to collective territories, but has also generated increasing fragmentation of other black organizations. Recently, armed conflict has burst violently into areas of rural black organizations. This article analizes this situation in the last decade, in light of theoretical reflections on identity, ethnicity, race, and social movements. [source] SUSTAINING LOCAL WATERSHED INITIATIVES: LESSONS FROM LANDCARE AND WATERSHED COUNCILS,JOURNAL OF THE AMERICAN WATER RESOURCES ASSOCIATION, Issue 5 2002Allan Curtis ABSTRACT: In the last decade, watershed groups (WG) established through government initiatives have become an important part of the natural resource management landscape in developed economies. In this paper, the authors reflect upon their research and experience with Landcare in Victoria, and to a lesser extent with Watershed Councils in Oregon, to identify the principles that appear fundamental to sustaining effective WG. In the first instance, these groups must be established at a local scale using social as well as biophysical boundaries. It is also critical that WG are embedded within a supportive institutional framework that identifies realistic roles for private landowners, local organizations such as WG, and regional planning bodies. Without broad stakeholder representation, the perceived benefits of participation are quickly forfeited. It is simply unrealistic to expect an effective network of WG to be sustained without substantial investment by government to provide for program management, group coordination, and cost sharing for on-ground work. There must also be the commitment and skills within a program to establish processes that build trust and competency amongst citizens and agencies. These principles should also provide a foundation for the critical evaluation of WG programs. [source] GENTRIFICATION AND THE GRASSROOTS: POPULAR SUPPORT IN THE REVANCHIST SUBURBJOURNAL OF URBAN AFFAIRS, Issue 2 2006Christopher Niedt Drawing from a year of fieldwork in Dundalk, MD, I argue that developers and the neoliberal state will probably find popular support for gentrification as they reinvest in the politically divided industrial suburbs of the United States. Local homeowners and community associations have emerged as gentrification supporters for three interrelated reasons. First, many of them have drawn from a resurgent national conservatism to explain decline as an effect of government subsidies and "people from the city;" their desire to reclaim suburban space,a "suburban revanchism",although avoiding accusations of racism makes gentrification-induced displacement appealing. Second, the rebirth of urban neighborhoods and other industrial suburbs provides visual evidence of gentrification's success. Third, the neoliberal state's retreat from social programs and its emphasis on private-sector redevelopment allay suspicion of government and enable collaboration between the local state, developers, and homeowners. The redevelopment efforts of two local organizations illustrate how residents have become indispensable partners in Dundalk's emergent pro-gentrification coalition. [source] Soft Governance, Hard Consequences: The Ambiguous Status of Unofficial GuidelinesPUBLIC ADMINISTRATION REVIEW, Issue 4 2006Taco Brandsen Soft governance is an approach to policy implementation in which the central government relies less on hierarchy than on information to steer local organizations. This allows for a combination of formal accountability and professional autonomy that improves the quality of public services in both the short and the long term. Guidelines of an advisory, unofficial status are one tool that central government can use for this purpose. However, an inherent problem with this approach is that even though guidelines have no official legal status, in practice, they can take on the character of formal regulation when local organizations suspect that they cannot choose alternative courses of action, however well reasoned, without being sanctioned. It is a situation that encourages conformist behavior and diminishes the long-term potential for innovation. This phenomenon is illustrated with an analysis of disaster management in the Netherlands. [source] | ||||||||||