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World Affairs Online
Intro -- Title Page -- Copyright Page -- Contents -- List of contributors -- Participants -- Foreword -- Preface -- 1 The international context -- Oregon -- The Netherlands, New Zealand and Sweden -- United Kingdom -- Issues arising -- 2 The Southampton experience -- Simulation seminar of 1991 -- The growth of commissioning -- Rational planning and decision making - 1994 -- Trial run -- Development of the health strategy -- Stakeholder consultation -- Identifying criteria -- Views of experts -- Determining importance of criteria -- Preliminary ranking of 49 options -- Ranking of the options -- Purchasing plan -- Rankings compared -- Comparison with GP rankings -- Approach to disinvestment -- Overview of procedure -- 3 Lessons learned -- Relevance of the Southampton experience -- No quick fix -- Coping with many options -- Rational planning -- Limited cost-utility data rule out marginal analysis -- Needs assessment essential -- Clearer definition of criteria -- Assigning weights to criteria -- Health gain versus equity -- No clear way to relate criteria to choices -- Pragmatic criteria strongly influence rankings -- Protection for chronic sick and deprived groups -- Stakeholder consultation necessary and needs more care -- The public's role -- GPs can help decide priorities -- More involvement by provider groups -- Efficiency before exclusions -- Disinvestments cannot always be ignored -- 4 Emergent themes -- Health economics and priority setting: nonsense on stilts? -- How not to ration health care: the moral perils of utilitarian decision making -- The strengths and limitations of programme budgeting -- Reflections on a brief return to strategic planning -- The view from a small plane over Hampshire -- Promoting equity and avoiding prejudice -- The future strategic role of commissions -- When the elephants fight, it is the grass which suffers
World Affairs Online
The world's population is ageing. Improvements in health care in the past century have contributed to people living longer and healthier lives. However this has also resulted in an increase in the number of people with noncommunicable diseases including dementia. Although dementia mainly affects older people it is not a normal part of ageing. Dementia is a syndrome usually of a chronic or progressive nature caused by a variety of brain illnesses that affect memory thinking behaviour and ability to perform everyday activities. Dementia is devastating not only for the people who have it but also
In: Hypomnemata
The book inquires into Aristotle's claim that of the four kinds of change that exist, locomotion is the most fundamental and important kind. In a first step, the author shows that the arguments for the thesis of locomotion's priority play a crucial role in the argument of Physics VIII and for the understanding of Aristotle's philosophy of nature in general. The main focus of the book lies on the thorough and careful reconstruction and analysis of the arguments Aristotle presents in Physics VIII.
In: Tropical Forestry
In: Tropical Forestry Ser.
Foreword -- Preface -- Acknowledgments -- Contents -- Part I: Introduction -- Chapter 1: Introduction to South Asian Bamboos -- 1.1 Bangladesh -- 1.2 Bhutan -- 1.3 India -- 1.4 Myanmar -- 1.5 Nepal -- 1.6 Pakistan -- 1.7 Sri Lanka -- Chapter 2: Some Priority Bamboo Species for South Asian Region -- Part II: Species Silviculture -- Chapter 3: Bambusa -- 3.1 Bambusa balcooa Roxb. -- 3.1.1 General Information -- 3.1.1.1 Vernacular and Local Names -- 3.1.1.2 Natural Distribution and General Habitat -- 3.1.1.3 Climatic Conditions -- 3.1.1.4 Uses -- 3.1.1.5 Ethnic Utilization -- 3.1.2 Plant Data