State Of Integrated Health Delivery System Case Study

State Of Integrated Health Delivery System - Case Study Example The houses of HMA must, therefore, be put in place and in order before any external solutions can be solved. There is also a problem of personal acquaintance to administrative task delivery. By this, reference is being made to what is seemingly an absence of committed understanding of the core needs and strategic focus of the facility by the human resource base of HMA. It will, therefore, be very necessary for there to be a human resource based change that identifies the needs of staff and readily solve them. The essence of this change is that is it only when the service provider who in this case are the staff are well motivated to deliver work and understand the reasons to display committed service that the service provider can receive such guaranteed excellence in service delivery (Wennberg, therefore, In effect, changes in the human resource capacity building of the organization will ensure that there is improved productivity, which could also ensure that there is improvement in f inancial situation of HMA. Impact of current financial crisis on physician groups in the delivery of health care From every indication, the financial strength of a healthcare organization like HMA can greatly affect the plans and focuses of the organization in instituting and implementing for a new strategy (Halvorson, 2007). Once this inhabitation of strategy happens, the delivery of excellent healthcare, in general, can become greatly limited. This is because in most cases, health organizations depend on the use of such strategic changes to bring about excellent service delivery to clients as has been exhibited by HMA which is currently seeking to put in place the integrated delivery system as a strategy. Having said this, there have been other studies and works of literature that have argued that financial crisis at organizations such as HMA does not outrightly mean a flaw in the quest to deliver quality healthcare (Shi and Singh, 2004).  

Was Henry David Thoeau a true transcendentalist Essay

Was Henry David Thoeau a true transcendentalist - Essay Example Through many of his works, more specifically Walden, Thoreau divulged into the concept of living without the dependency of material goods and completely giving up ideas of religion and spirituality, as these two things only existed to impede on the happiness of human beings. By living a life of simplicity, a life that was without such an attachment to materialism, and by understanding that spirituality is within a person and not without them, then a person could discover true human happiness. Unfortunately, in a world that depends so much on the quality and quantity of what they have externally, paying very little attention to what is available internally, true human happiness was often easier discussed than it was obtained. The factor that truly make Thoreau a transcendentalist is that he actually did what he had to in an effort to obtain true happiness. Instead of simply preaching to others that all it takes is for someone to live a simple life without all of the material possessio ns and to live without a need for religion and spirituality, Thoreau actually set out to live a life just like that. In his book, Walden, Thoreau details his life after he built a small cabin on the shore of Walden Pond, Massachusetts (Thoreau).

Impact of Feminism on Public Administration

Impact of Feminism on Public Administration Impact of Feminism on Public Administration Literature Review The article is all about the impact of feminism on Public administration. It discusses the feminism and feminist perspective in Public administration as well. It narrates the role of woman in public administration on the basis of challenges, duties and capabilities of woman with respect to public administration. The article also describes the nature of woman and discusses it in depth with the help of different phenomena discussed in the different other classic articles that were relevant to the topic as well. The article gives a better view of role of women in public administration, their management skills, their thinking and decision making abilities and tries to sum up the impact which feminism imparts on public administration. The article has following sections. Literature Review Integration with article from PAR Case Study Women are the greater part of world population. They are taking part in every course of life at equality with the men. In the west women are also involved in public administration as well and doing their responsibilities in a satisfactory manner. It is really important to understand the natural difference that Nature has drawn between the aptitude of men and women. In general women are far much sensitive than the men so it’s really important for the employers who have women employees, because as compared to men women just don’t like to be bossed and given orders. But when it comes to the public administration women have to follow the orders. This leads us to think about the way and mechanism of giving orders. High ups must realize that they should not make feel their subordinates down and should be very careful and professional while issuing orders. This concept becomes more complex when the subordinate is a woman because if a manager or high rank officer makes a woman feel that she is solely bound to his order. She would definitely show some resentment which can be the violation of deadlines, compromising the quality of work or in worst case it can cause resignation of that woman employee. (Follett, 1926) The most important factor with respect to the impact of feminism’s impact on public administration is gender discrimination. According to Maslow’s theory of human motivation, it’s a basic right of an individual to get a job regardless of the gender. But it is quite tragic that if we analyze this situation in a broader perspective, we come to know that apart from some developed countries in the west, there is huge gender discrimination in rest of the world. Even in the west when the women become the part of the system, they have to face a lot of gender discrimination that really affects their performance and also renders their management skills. (MASLOW). Apart from the way of giving orders and gender discrimination another thing that is relevant to impact of the feminism on public administration is the importance of woman as a resource of an organization. Analyzing an institution in terms of its human resource helps the organization to minimize the differences be tween employees and high ups. (McGregor). After discussing the general things that play a vital role in terms of deciding the impact of feminism on public administration, now it’s important to apply these things in a particular environment that is public administration and bureaucracy. (Krislov, 2003). Women can be good administrators if they are assigned the duties which match their capabilities and address all the differences that Nature has drawn between the men and women. In other words feminism can imparts some good impact on the public administration even if the concept of feminism is understood and conceived properly. Integration with article from PAR It’s been quite a while that in the developed world women are given equal chances to contribute in public administration as well. It is a fact that they are doing their responsibilities in an appropriate manner and many of the women are playing major role in the overall governance of their countries as well. West has done a fabulous job in order to empower the women empowering them with the confidence that they can be the part of government as well and can play a major role to better the overall governance of the country as well. But it’s still a need of time that rest of the world also realize this fact and provide equal chances to women in order to prove their management and administrative skills by playing their role in public administration. The world has become a global village and now the mode of governance has also been modified to a greater extent. Most of the developed countries have realized that it’s all about devolution of power and authority in order to better the overall governance. Devolution of power involves a long series of acts but with our perspective the most important one is to give equal rights to women to serve their country. The most common example of empowering the women is to give them chances to be a part of public administration. Inclusion of women in public administration can be a real good for the all other women in the country as it is a fact that women are much more aware of the problems of their gender and it can be useful to take their input. It is really important to make sure the devolution of power in order to better the governance because it is the need of time as world is evolving at a really faster pace. Hence, the role of government becomes very crucial as it has to take some steps in order to empower all the communities of society in some way. One of the most common ways of doing that is to encourage the inclusion of women in public administration. Case Study How gender affects women’s status in public administration? The case study is relevant to all the discussion done in above sections. It is really important to perceive the effects of gender discrimination on the performance of women who are playing their role in public administration in different capacities. Although west has done a remarkable job in terms of perishing the negative effects of gender discrimination but still there can be found a significant number of women complaining about the gender discrimination in public administration. Most of them complained that gender discrimination caused their performance to decrease and eventually they felt retarded. They said that throughout their professional career, they have faced a lot of gender discrimination. This shows that women in the west are also facing the curse of gender discrimination and that too in the public administration that is really crucial for any country and society. It is really important that a workplace should be depolarized and appreciates the both men and women. (Schumacher, 2009) It becomes even more important when it comes to public administration as negative effects of gender discrimination do not only affect the women but eventually they impart bad impact on the whole society as well. Public administration is related to public affairs and all the officials related to this sort of work should be focused only on their work. But when the employees will face issues like gender discrimination, it would be a tragic situation for the whole society. Gender discrimination creates a trust deficit among the women involved in public administration and eventually they are just unable to fulfill their duties in an appropriate manner. Works Cited Follett, M. P. (1926). The Giving of Orders. Krislov, S. (2003). Representative Bureaucracy. M.E Sharpe, Inc. MASLOW, A. H. (n.d.). A THEORY OF HUMAN MOTIVATION. McGregor, D. (n.d.). The Human Side of Enterprise. The Human Side of Enterprise . Schumacher, M. E. (2009). Foundations of Public Administration. Retrieved September 10, 2014, from http://www.aspanet.org: http://www.aspanet.org/public/ASPADocs/PAR/FPA/FPA-DIV-Article.pdf

Hydro :: essays research papers

Many differing opinions exist on what needs to be done about our current status of conserving energy and conserving our environment. With increased gas prices and energy costs, consumers are more aware of what benefits are available and the methods of obtaining them. The introduction of hydropower has been a major step for some, while a stumbling back for others. Advocates for hydropower have provided much information about the many benefits that we reap from using hydroelectric dams. Environmental activists denounce the many negatives that are created by the numerous dams located throughout the United States as well as other countries. Both sides present valid arguments and need to be addressed in order to fully understand the complex social, biological, political, and economic pros and cons. Dams operate by using water as its main source of power. They produce power from fast volumes of moving water that turns a generator. This falling water at one gallon of water per second, can create one kilowatt of electrical power if it falls one hundred feed. When water behind a dam is released, it runs through a pipe called a penstock, which then delivers it to the turbine. Different shapes are used on these turbines, but are generally created to harness kinetic force of the moving water as well as the water pressure. Another use of hydropower is pumped storage. In pumped storage plants, water is pumped from low resevoirs to a higher reservoir during off peak times, using electricity from different types of generators. Operators release it back into the lower reservoir through turbines if power is needed. Some power is initially lost, but pumped storage systems can be about 80 percent efficient. Sometimes it's important to meet power demands where hydro plants have an advantage in their abilities when they also have reservoirs. Most plants may only produce hydro power all the time and can't be adjusted when it comes to wanting more power in times of need. Whereas hydro plants with dams save up the water and allow it to flow only during peak times. These peak times can be beneficial to whitewater enthusiasts, but can also inhibit fishing opportunities because of the increased water flow.   Ã‚  Ã‚  Ã‚  Ã‚   The United States is one of the largest producers of hydropower in the world, second only to China. Hydroelectric power is the largest source of renewable electricity in the world and in the United States. Hydro :: essays research papers Many differing opinions exist on what needs to be done about our current status of conserving energy and conserving our environment. With increased gas prices and energy costs, consumers are more aware of what benefits are available and the methods of obtaining them. The introduction of hydropower has been a major step for some, while a stumbling back for others. Advocates for hydropower have provided much information about the many benefits that we reap from using hydroelectric dams. Environmental activists denounce the many negatives that are created by the numerous dams located throughout the United States as well as other countries. Both sides present valid arguments and need to be addressed in order to fully understand the complex social, biological, political, and economic pros and cons. Dams operate by using water as its main source of power. They produce power from fast volumes of moving water that turns a generator. This falling water at one gallon of water per second, can create one kilowatt of electrical power if it falls one hundred feed. When water behind a dam is released, it runs through a pipe called a penstock, which then delivers it to the turbine. Different shapes are used on these turbines, but are generally created to harness kinetic force of the moving water as well as the water pressure. Another use of hydropower is pumped storage. In pumped storage plants, water is pumped from low resevoirs to a higher reservoir during off peak times, using electricity from different types of generators. Operators release it back into the lower reservoir through turbines if power is needed. Some power is initially lost, but pumped storage systems can be about 80 percent efficient. Sometimes it's important to meet power demands where hydro plants have an advantage in their abilities when they also have reservoirs. Most plants may only produce hydro power all the time and can't be adjusted when it comes to wanting more power in times of need. Whereas hydro plants with dams save up the water and allow it to flow only during peak times. These peak times can be beneficial to whitewater enthusiasts, but can also inhibit fishing opportunities because of the increased water flow.   Ã‚  Ã‚  Ã‚  Ã‚   The United States is one of the largest producers of hydropower in the world, second only to China. Hydroelectric power is the largest source of renewable electricity in the world and in the United States.

Marriage and Affianced Pair Essay

1. Identify and describe the folkways that happened in your hometown during the last ten years and compare it today. Include the dressing, relationship between parents and children and the customs and traditions. 1. Mano Po – Blessing of the hand/ means â€Å"right† [opposite of â€Å"left†] and po is a word you say to show respect. Before – Usually, it’s the kids who execute the â€Å"Mano Po† although adults will also do this especially when visiting their parents, or the parents of their girlfriend. Now – the kids are not using â€Å"Mano Po† and it seems that some kids today are disrespectful to elders. But some kids are â€Å"Sosyal† because instead of using â€Å"Mano Po†, they’re just kiss their parents or elders to show their respect. 2. Po and Opo – Kind of respect you use among elders in the Filipino culture. It’s also a custom provided in the Philippines. Opo is actually 2 words. PO and o. O generally means yes or what. Po is just added on to certain sentences in Tagalog to mean respect for older people. Before – kids are saying Po and Opo to elders to show their respect. Now – some kids are not saying Po and Opo that’s why it shows that they are disrespectful. 3. Bayanihan – Filipino term taken from the word bayan, referring to a nation, town or community. The whole term bayanihan refers to a spirit of communal unity or effort to achieve a particular objective. Before – people are helping each other to achieve a particular objective. Now – they do not help each other and sometimes they don’t care if you need help. 4. Harana – an old Filipino courtship tradition of serenading women, probably a Spanish influence. It has been practiced mostly in rural areas and small towns. Before – The man, usually accompanied by his close friends, goes to the house of the woman he is courting and plays music and sings love songs to her. Now – Serenade is not popular. Because today, you can court a girl by simply texting her or sending a text messages or court a girl even in other gadgets or through technology and a girl can say yes to a boy through technology also. 5. Pamamanhikan – From the word panik [which means to ascend or to climb a house’s flight of stairs], pamamanhikan is â€Å"the asking for the girl’s parents’ permission to wed the affianced pair.† The custom symbolizes honor and respect for the parents, seeking their blessing and approval before getting married. Before – the man is going to a woman’s house to ask for the girl’s parents’ permission to wed the affianced pair. Now – even if the man did not went to a woman’s house to ask girl’s parents’ permission to wed the affianced pair, the man can still marry the woman. And sometimes, the couple are going to marry each other not because they’re ready or they’re really love each other. But because they have a baby. 6. Wearing formal clothes to church Before – people who are going to church to attend a mass are wearing a formal clothes. They are wearing long sleeves or t-shirts, pants, and dresses. Now – people who are going to church to attend a mass are wearing informal clothes. They are wearing clothes that are spaghetti straps and almost see their cleavage, mini skirts or shorts, sando’s, and sometimes they are wearing cap. 7. Saying please, thank you and excuse me Before – people who have hurt anyone would say I’m sorry; people who have received goods would say thank you; and people who have a favour or request would say please. Now – people who have hurt anyone wouldn’t say I’m sorry; people who have received goods wouldn’t say thank you; and people who have a favour or request wouldn’t say please. 2. List and compare the values of the past Filipino culture as to how it is practiced in our generation. (provide examples) 1. Tattoos used to be a big practice. There are very few left who can do the traditional tattooing. It is said that a ring of tattoo is done for every war you survive/ every man you kill. It starts from the ankles, and extends to the forehead. You have to at least reach the neckline to become a chieftan. 2. Male Circumcision is also a tradition handed down, and it is still being continued today. 3. Some people still give dowrys. Unlike dowry for westerners (which is given by females), dowry in the Philippines is offered by the groom to the bride’s family to show how much he values their daughter, or literally, how much he is willing to give to get her hand in marriage. It’s not practiced much now, except for some regions. 4. Filipino cultural values are centered around family and the Roman Catholic Church. Filipinos’ home life centers around family. Elders in the family are highly respected and generally live in the homes of the adult children. Children often reside in their parents’ home until marriage. Many social activities are based around family. 5. Filipinos are known to be devout Roman Catholics. Their Good Friday processions are world-famous for including re-enactments of the Crucifixion. All major religious holidays are observed and celebrated. Churchgoing in the Philippines is often not restricted to just Sundays; many Filipinos attend daily Mass, although this trend is decreasing.

Historical accounts Essay

Historical accounts that support the role of globalization in poverty reduction are observed especially during peace time and pro-globalization among countries. There is at least eighty percent of the world population that lived at an inflation-adjusted $1 per day at the onset of wartime in the early nineteenth century (Srinivasan and Wallack 2003). Half century by half century, this level is consistently lowered with drastic improvement in post-war period. However, up to this day, debates continued at the gates of international organizations such as WTO, WB, IMF, etc. Most of the protagonists are still in doubt not on how globalization contributed to economic growth but more importantly how it impacted the poor. These debates are inconsistent with historical accounts that proved globalization as solution to poverty. The impact of globalization on poverty is a matter of time to give way for trickle effects, institutional adjustments and change of perception on traditional beliefs. And so, in the long run, there are fewer questions about the benefits that poor may have from globalization. In this view, protagonists are highly concern on the distance between the deliveries of poverty effects of globalization to the grass root people which are normally the poor with economic growth serving as intermediary. They are primarily concern on how unequal the amount that is delivered and how unfair the delay of those amount. Thus, economic growth is criticized to prioritize the welfare of the well-off sector rather than the welfare of the poor. The preceding statement is especially true when the risks of well-off people are compared with the risks of the poor. The former have ease in searching for employment, has enough liquidity for the delay in the welfare delivery and thus in the position to be doubly happy. On the other hand, the latter is in reverse situation aggravated by subsistence living and exposure to physical hazards and capitalist exploitation making them in absolute despair by lengthy wait for delivery of minimal welfare. A good example is the inequitable income distribution. As industries expand business due to increasing inflow of direct and portfolio capital from abroad, well-off people are prioritized to jobs that are created due to formal education. If they are terminated or walk out of the office in their voluntary preference, they are still on-demand from expanding businesses. In contrast, the poor with little knowledge of how the sector works and little options would feel inferior and thus is willing to take whatever salary, conditions of work and other dictates of their employer. Both their mobility and freedom are taken away. There are several empirical studies that suggest globalization is pro-poor. Besley and Burgess (2003) found that there is a negative relationship between the poverty and income per capita. In monitoring GDP growth and poverty on a twenty-year frame from 1980 to 2000, Deaton (2001) concluded that economic growth is responsible to poverty reduction in India. China, which is referred to as an economic giant awaken by foreign direct investments, is quoted by Park and Wang (2001) to have drastically eradicated rural poverty since 1998. To evidence that the role of globalization is not only limited to income aspect, poor nations in Africa showed high levels of lowered poverty during the 1990s elevated by consequently addressing issues of mortality, education and AIDS epidemic. According to Besley and Burgess (2003), economic growth is only possible when three resources are present; namely, physical capital, human capital and technological change. This is illustrated in many ways. As the poor gain equal knowledge as the well-off, the former salary will increase and thus get both of them in equal footing in terms of income. As newer technologies primarily in agriculture increase the yield of the poor, their incomes as well as capitalist tendencies will simultaneously benefit. There is even a surplus harvest to attend their nutritional demands and less risk that a natural calamity will make this positive situation short-lived. As road infrastructure takes over the rural and farm areas, access to larger markets and faster economic activity will further improve the situation of the poor. These three sources of economic growth can be done minimally by the national and local government due to the vicious cycle of being a poor nation. With globalization, deficient funding will not be a hindrance to provide sources of economic growth due to inflow of capital. Accepting the argument that economic growth is indeed a good middleman to improve the welfare of the poor from globalization, the global community must have an average annual economic growth of 3. 8% by 2015 with lowest demand growth from Eastern Europe and Central Asia and highest demand growth from Sub-Saharan Africa (Besley and Burgess 2003). Eminent in the work of Srinivasan and Wallack (2003) is that globalization must be coupled with redistribution such as price support and public services to the poor. On the other hand, Besley and Burgess (2003) specifically defined their preference on the term redistribution through income distribution. They argued that the volatility of income distribution among developing countries is very minimal. Thus, the impact of globalization on the poor sector is loomed by increasing the average income of the population. In the study of Dollar and Kraay (2001), it is found that globalizing large economies of the developing world are characterized by large rise in trade and large fall in tariff barriers starting in 1980s. Economic growth compared to 1970s is higher for the following decade through 1990s. However, even with this figures, non-globalizing developing countries that are small did not gain the same success of their large economy counterparts. On the positive side, the welfare of the poor in respect to level of income is argued to have regression relevance with the level of trade. This study supported the role of globalization to poverty reduction and the effectiveness of economic growth to deliver the necessary benefits to industries, sectors and public at large. Still, the minority of small countries that may not have the sufficient market as well as institutional backbone to exploit large foreign capital inflows are hoping for the miracles of globalization. Conclusion Would I support Globalization in terms of growth? The answer is relative and as much as we would like to place straightforward answer we cannot. It is hard to generalize the behavior of developed countries towards transition economies. The overlapping issue is that the former is offering the latter with the chance to achieve the former economic status without going through historical hardships which can include war. This is an offer that is hard to give away especially that most governments of transition economies are administered by older people. In addition, inability to integrate relations to world affairs at least partially would make the transitional country weak against global shocks, external feud and addressing of internal objectives. To this view, globalization is for growth since it encourages transitional economies to join the globalization wave to improve national economy. On the flip side, it is rational for the leaders of transitional economies to make a well-prepared and if not rigid bilateral and multilateral agreements with trading partners. This is true especially when its internal resources are vulnerable to adverse spill-over effects of globalization. It is a conservative but helpful to view these treaties as anti-growth particularly on quality of life, history and well-being of the nation’s identity. Internal resources do not only include people, places and things but also intangible resources like ideologies and memories. Globalization serves as intervening if not modifying mechanisms to status quo of these components. As a result, to be able to protect the non-economic growth of several national treasures and resources, seeing globalization as anti-growth to internal well-being is valid. References Besley, Timothy J, & Burgess, Robin (2003). Halving global poverty. Journal of economic perspectives, 17(3), 3-22. David Dollar, Aart Kraay (2004) Trade, Growth, and Poverty* The Economic Journal 114 (493), F22–F49 Deaton, Angus. (2001a), â€Å"Counting the World’s Poor’s Problems and Possible Solutions,† World Bank Research Observer, 16(2), 125-47. Park, A. and S. Wang (2001), â€Å"China’s Poverty Statistics,† China Economic Review, 23, 384-95. Srinivasan, T. N.? Wallack, J. S. ,â€Å"Globalization,Growthandthe Poor†,in De Economist, 152 (2), 2004, p. 251