'Designing Better Health Care in the South': A Case Study of Unsuccessful Transformational Change in Public Sector Health Service Reform

This article presents a case study of a project known as 'Designing Better Health Care in the South' that attempted to transform four separately incorporated health services in southern Adelaide into a single regional health service. The project's efforts are examined using Kotter's (1996) model of the preconditions for transformational change in organisations and the areas in which it met or failed to meet these preconditions are analysed, using results from an evaluation that was commenced during the course of the attempted reform. The article provides valuable insights into an attempted major change by four public sector health organisations and the facilitators and barriers to such change. It also examines the way in which forces beyond the control of individual public sector agencies can significantly impact on attempts to implement organisational change in response to an identified need. This case study offers a rare glimpse into the micro detail of health care reform processes that are so widespread in contemporary health services but which are rarely systematically evaluated.     

The risky business of public–private partnerships

Public–private partnerships (PPPs) are now a common strand of third way government policy, with better efficiency promised from the private funding of public infrastructure through the transfer of risks to private parties. This paper aims to investigate, on an empirical basis, the realities of risk transfers in PPPs and compare this experience against both the rhetoric of project proponents and the formal contract conditions. The paper outlines some conceptual frameworks underpinning PPPs and establishes the notions of risk shifting and risk sharing. The range of typical risks encountered in infrastructure projects is specially considered, and differences to traditional project delivery arrangements are articulated. Some empirical experience on the transfer of risks under PPPs is then outlined through a case study. This analysis shows the extent to which risks were shifted to the private parties as planned, or whether risks remained with government. It is argued that while commercial risks were largely well managed, governance risks were not. It is critical to understand better the nature of risk transfers in PPPs in view of the large financial implications of these deals along with long contract terms.     

试析实施民爆物品安全管理的新举措

为切实加强民用爆炸物品安全管理 ,严防涉爆案 (事 )件的发生 ,罗平县公安局在深入调研和总结近年来民爆物品管理工作经验、教训的基础上 ,确定了新形势下民爆物品安全管理的新路子 :1 加强组织领导 ,层层明确责权 ,严格奖惩考核 ;2 建立完善管理制度 ,规范日常安全管理 ;3 依托基层治保组织 ,落实日常动态监管 ;4 实现管理与服务相统一 ;5 提高爆破作业人员和安全管理员队伍素质。     

从治安学的研究看社区警务

社区警务是警察对社会现代化、民主化和城市化所做出的一种反应,也是社会自身结构日益分化、公共权力扩大并在区域层面上进行社会治安资源整合的一种表现,是一项复杂的系统工程。因此,从治安学的研究领域出发,通过对社区概念与特点的分析,来理解社区警务的本质,为指导社区警务工作的开展和落实提供理论支持。     

当前我国缉毒工作构想

毒品犯罪是一个极其严重的社会问题,关系到国家的兴衰,民族的兴亡。针对我国现阶段毒品犯罪的状况以及目前我国缉毒工作中存在的问题,提出相应的对策,以引起社会广泛关注,共同寻求打击毒品犯罪的根本途径。     

关于公安机关建立社会治安预警机制的几点构想

建立科学预警体系是公安机关提高应对危机的第一步,也是消除危机的第一步。建立预警体系需要建立网络严密的信息系统,保证信息来源的广泛性和覆盖面;建立信息工作管理、协调机构,完善情报信息工作的运作模式;建立科学分析模型、挖掘深层次的情报;情报信息将迅速的进入到决策层,为决策提供科学的依据。     

奥运安全与流动人口犯罪--流动人口犯罪的发展趋势与防控策略

本文预断,受奥运筹办工作的影响,流动人口犯罪的数量将会增长,犯罪的类型也将增多.对流动人口犯罪,我们应冷静对待,理性地分析原因、探讨合理对策;应采取切实有效措施保护流动人口的正当权益;应把犯罪机会的减少、控制作为流动人口犯罪防控的重点.     

提高党的执政能力与深化行政体制改革

加强党的执政能力建设是党执政后的一项最根本的建设。提高党的执政能力 ,必须深化行政体制改革。要按照科学执政的要求 ,落实科学发展观 ,把握行政体制改革的规律性 ;要按照民主执政的要求 ,坚持执政为民 ,建设人民满意的公共服务型政府 ;要按照依法执政的要求 ,推进依法治国与依法行政 ,建立以公民权利为本位的法治政府     

城乡统筹:城乡协调发展的政策机制

本文在分析城乡协调发展与城乡统筹的关系的同时,明确指出实施城乡统筹是先进生产力发展的必然要求,城乡统筹的实际含义是建立城乡协调发展的政策机制。在此基础上,本文就统一领导和统一管理、增强服务性管理职能和缩减控制性行政权力,以及保障和落实农民生产资料所有权等问题,分析了政府在城乡统等方面的改革路径。     

略论网络环境对犯罪动机的强化效应

网络犯罪的高发性表明网络环境对于犯罪心理的形成会有影响。犯罪心理形成的标志是犯罪动机的建立。在网络环境中,人的需要、犯罪条件、个体消极心理因素等直接影响犯罪动机形成的因素都有条件得到强化,从而使犯罪动机产生的几率大大增加。