Suchergebnisse

Part one -- 1. The moral ecology of health care organizations -- 2. Organizational theory, culture, and psychology: tools for organizational ethics -- 3. Organizational support for ethical behavior -- 4. Corporate compliance and integrity programs: the uneasy alliance between law and ethics -- 5. Managing human resources -- 6. Conflicts of interest -- 7. Discretion and control -- 8. Evaluating the moral life of an organization: the case of resource allocation policies -- 9. Resource allocation and utilization: structural issues --10. Mission and the bottom line -- Part two: cases -- 1. The waiting room -- 2. Nursing strikes -- 3. A gift, or an obligation? -- 4. Obligations for adequate health care coverage -- 5. A manager's dilemma in hiring -- 6. Conflict of interest, or just a great lunch? -- 7. Organizations and spousal equivalent benefits -- 8. Organizational teflon: making sure the case doesn't stick -- 9. Investment policy -- 10. Compassionate sedation, or euthanasia? compassionate communication, or deceit? -- 11. Ethical considerations in charting -- 12. Executive use of discretionary funds: the bonus pool -- 13. Integrating spirituality in the health care setting -- 14. Alternative and complementary medicine -- 15. Overstepping the bounds of expertise -- 16. Marketing products and practicing medicine -- 17. Following the rules, or using them as a smokescreen? -- 18. Organizational advancement and corporate compliance -- 19. The compliance officer and the ethics committee -- 20. Aggressive accounting -- Appendixes.

Cet article prend les préparations pour les Jeux olympiques d'hiver de 2010 comme point départ d'un examen de l'idée et de la pratique de la résilience dans les domaines de la sécurité publique et de la gouvernance urbaine. Cet enthousiasme contemporain pour la résilience est généralement relié à des changements plus substantiels dans les logiques sécuritaires en réponse à une prolifération d'événements disruptifs difficiles à anticiper et aux conséquences potentiellement catastrophiques. Cependant, comment est‐il possible de planifier en vue d'un avenir inconnu et inconnaissable? Cet article décrit trois ensembles de pratiques visant à construire une résilience urbaine. Paraissant routinières et ordinaires et associées principalement au domaine de la gestion des urgences, ces pratiques illustrent néanmoins un domaine de l'action gouvernementale qui a prospéré depuis le 11 septembre 2001, mais qui a reçu peu d'attention académique et scientifique.

Discusses the future role of genetic technology & services in the health care industry. Huge grants from both public & private institutions have pushed ahead genetic resarch at an alarmingly rapid pace. Although these services will become available to public health care in the next decade, it is suggested that the burden of incorporating this multidude of genetic services into an already crippled system may destroy US health care. This danger demands that informed decisions be made both by government & the public regarding the availability & distribution of genetic services. Furthermore, these decisions must be grounded in an understanding of the social context & implications of genetic services distribution. These decisions also require the resolution of underlying problems: the potential misuse of the technology, lack of testing, settling the dispute regarding definitions of genetic services, & the difficulty of prioritizing the cost/benefit gains of genetic services. However, it is concluded that the public has not yet been involved with these important decisions, & that social context continues to be ignored by decisionmakers. T. Sevier

AbstractThough described as the first milestone towards securing Canada's critical infrastructure (CI), the 2009 National Strategy for Critical Infrastructure is the most recent effort in decades of federal engagement with the problem of how to secure the material elements that underpin state, economy, and society. In this article, we show how a little-known civil defence program initiated after WWII to protect important industrial facilities from military enemies has transformed in the contemporary period into the monitoring of a range of political and social movements as perceived dangers to what is understood today as CI. We view these changes as indicative of transformations in the exercise of police power through which the contemporary colonial-liberal order is enacted.

The paper analyses Project Civil City (PCC), a major initiative launched by the City of Vancouver in 2006 that aimed for significant reductions in street disorder in time for the 2010 Winter Olympics. This initiative is considered in light of the links between urban regeneration/revitalisation efforts and security and surveillance practices. PCC stands as a telling moment in the on-going and highly politicised efforts to regulate urban disorder in this 'world city'. The paper concentrates on three distinct initiatives aimed at ordering different components of urban disorder in Vancouver.

This article provides a genealogy of the governance of critical infrastructure in Canada. We focus in particular on a largely unknown and unexamined civil defense initiative introduced during World War II that sought to count, categorize and, under declaration of a national emergency, directly protect what were then known as 'vital points' from sabotage. Our analysis recounts major episodes and turning points in the deployment of this organizational apparatus by the various institutions responsible for civil defence and emergency management in which it was embedded. In the latter sections of this article we show how the problem of critical infrastructure was decoupled from the exercise of exceptional emergency power and reconstituted in the form of what we refer to as 'coordinated preparedness', through which the governance of critical infrastructure is accomplished in ways that are compatible with the constitutionalization of Canada's emergency power. We conclude by considering what the governance of critical infrastructure in Canada reveals for critical understandings of emergencies and emergency power.

This article compares security dynamics at two Olympic Games hosted by Canada: Montreal (1976) and Vancouver (2010). It is the first study of security at the Montreal Olympics and was only made possible after four years of requests under the Access to Information Act that resulted in the release of thousands of classified security documents in French and English. A comparative study of the two largest peacetime security operations in Canadian history offers unique insights into the challenges of hosting a major international gathering in the aftermath of an international terrorist incident: the 1972 Munich massacre and the 11 September 2001 attack on the World Trade Center. The comparison further offers an opportunity to chart the continuities and differences in Olympic security over time. We focus in part on how the historical context of each event informed 'imaginaries of disaster'. We also examine continuities in the official security response, such as the emphasis on advance intelligence gathering, security 'mock-ups', manpower allocation, coalitions of security agencies and technological innovation. We conclude with some considerations on security legacies and the importance of major event security as a subject of comparative inquiry.