This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
The landscape of European migration has changed considerably over the past decades, in particular after the fall of the iron curtain and again after the EU enlargement to the east. The author researches the phenomenon of highly qualified migration using the example of migration between the Czech Republic and Germany. The book reveals diverse strategies migrants use to respond to the possible de-valuation of their qualification, e.g. by making use of their language skills, starting new studies or using transnational knowledge.
Violent conflicts today are complex and increasingly protracted, involving more nonstate groups and regional and international actors. It is estimated that by 2030—the horizon set by the international community for achieving the Sustainable Development Goals—more than half of the world’s poor will be living in countries affected by high levels of violence. Information and communication technology, population movements, and climate change are also creating shared risks that must be managed at both national and international levels. Pathways for Peace is a joint United Nations†“World Bank Group study that originates from the conviction that the international community’s attention must urgently be refocused on prevention. A scaled-up system for preventive action would save between US$5 billion and US$70 billion per year, which could be reinvested in reducing poverty and improving the well-being of populations. The study aims to improve the way in which domestic development processes interact with security, diplomacy, mediation, and other efforts to prevent conflicts from becoming violent. It stresses the importance of grievances related to exclusion—from access to power, natural resources, security and justice, for example—that are at the root of many violent conflicts today. Based on a review of cases in which prevention has been successful, the study makes recommendations for countries facing emerging risks of violent conflict as well as for the international community. Development policies and programs must be a core part of preventive efforts; when risks are high or building up, inclusive solutions through dialogue, adapted macroeconomic policies, institutional reform, and redistributive policies are required. Inclusion is key, and preventive action needs to adopt a more people-centered approach that includes mainstreaming citizen engagement. Enhancing the participation of women and youth in decision making is fundamental to sustaining peace, as well as long-term policies to address the aspirations of women and young people.
Pathways through the life course have changed considerably in recent decades. Many of our assumptions about leaving home, starting new relationships and having children have been turned upside down. It is now almost as common to have children prior to marriage as afterwards, and certainly much more common to live together before marrying than to marry without first living together. Women are more likely to remain in the labour force after having children and many families struggle with problems of work-family balance at some stage in their lives, particularly when they have young children. But how much has really changed? Is there really more diversity in how individuals transition through these life course stages, or just variations at the margin with most people following a standard work and family life course? This volume makes use of rich longitudinal data from a unique Australian project to examine these issues. Drawing on broader theories of social change and demographic transitions in an international context, each chapter provides a detailed empirical assessment of the ways in which Australian adults negotiate their work and family lives. In doing so, the volume provides important insight into the ways in which recent demographic, social and economic changes both challenge and reproduce gender divisions.
Romantic Motives explores a topic that has been underemphasized in the historiography of anthropology. Tracking the Romantic strains in the the writings of Rousseau, Herder, Cushing, Sapir, Benedict, Redfield, Mead, Levi-Strauss, and others, these essays show Romanticism as a permanent and recurrent tendency within the anthropological tradition."
From Borders to Pathways: Innovations and Regressions in the Movement of People into Europe examines the evolution of European migration policy, offering a forward-looking analysis that extends beyond traditional border controls to innovative legal migration pathways. Contributors provide an in-depth exploration of the drivers shaping migration policies, including public opinion and the rise of populist discourses, the contrasting responses to various real and imagined migrant crises, and critiques of recent policy innovations such as refugee finance schemes, ‘safe legal pathways’, and migrant lotteries. Through interdisciplinary perspectives, the authors assess socio-political, legal, geo-political and cultural shifts to advocate for a more inclusive, humane and sustainable approach to migration. By challenging dominant narratives of deterrence, extraterritoriality and exclusion, this book advocates for policies that balance Europe’s myriad commitments, values and imperatives, highlighting the need for ethical frameworks that respect the dignity of migrants. Essential reading for policymakers, scholars and stakeholders, From Borders to Pathways offers a comprehensive reflection on the complexities of migration in Europe, signalling a paradigm shift towards cooperation, inclusivity, and shared responsibility in global mobility.
Despite recent studies of imperial Germany that emphasize the empire’s modern and reformist qualities, the question remains: to what extent could democracy have flourished in Germany’s stony soil? In Germany’s Second Reich, James Retallack continues his career-long inquiry into the era of Bismarck and Kaiser Wilhelm II with a wide-ranging reassessment of the period and its connections with past traditions and future possibilities. In this volume, Retallack reveals the complex and contradictory nature of the Second Reich, presenting Imperial Germany as it was seen by outsiders and insiders as well as by historians, political scientists, and sociologists ever since.
Two leading researchers make the controversial argument that the human species is still measurably evolving in important ways--in fact, faster than ever before.
This review incorporates the views and visions of 2,000 clinicians and other health and social care professionals from every NHS region in England, and has been developed in discussion with patients, carers and the general public. The changes proposed are locally-led, patient-centred and clinically driven. Chapter 2 identifies the challenges facing the NHS in the 21st century: ever higher expectations; demand driven by demographics as people live longer; health in an age of information and connectivity; the changing nature of disease; advances in treatment; a changing health workplace. Chapter 3 outlines the proposals to deliver high quality care for patients and the public, with an emphasis on helping people to stay healthy, empowering patients, providing the most effective treatments, and keeping patients as safe as possible in healthcare environments. The importance of quality in all aspects of the NHS is reinforced in chapter 4, and must be understood from the perspective of the patient's safety, experience in care received and the effectiveness of that care. Best practice will be widely promoted, with a central role for the National Institute for Health and Clinical Excellence (NICE) in expanding national standards. This will bring clarity to the high standards expected and quality performance will be measured and published. The review outlines the need to put frontline staff in control of this drive for quality (chapter 5), with greater freedom to use their expertise and skill and decision-making to find innovative ways to improve care for patients. Clinical and managerial leadership skills at the local level need further development, and all levels of staff will receive support through education and training (chapter 6). The review recommends the introduction of an NHS Constitution (chapter 7). The final chapter sets out the means of implementation.
