What Body Parts Do We Owe Each Other?

The American experience in organ transplantation illuminates the attitudes and practices that underlie the ongoing failure to establish a national health insurance system. In both spheres, the public makes a sharp divide between the well-being of intimates and the well-being of strangers. Private and public duties remain distinct; obligations recognized on a personal level do not expand public commitments. As a result, individuals must shift for themselves, whether they require an organ donor or a doctor. In the world of transplantation as in the world of health care more generally, we are all on our own.

日本护理保险制度制定的原因分析及启示

战后,面对快速到来的老龄化社会,日本政府在社会保险方面采取了各种对策,老年护理保险制度经历了从无到有、不断发展完善的过程,其间既有成功经验,又有失败教训。目前,我国的老龄人口护理问题也日益突出,如何建立符合我国国情的老年护理保险体系,日本的做法是具有参考价值的。     

Improving caregiver attendance at forensic service users’ psychiatric clinic appointments

In Singapore, families play an important role caring for mentally disordered offenders. They are particularly important in cases where courts oblige psychiatric assessment, because they provide corroborating information not otherwise volunteered. However, their attendance is generally low. Our quality improvement project sought to increase caregiver attendance at outpatient visits. We followed WHO guidelines for quality improvement, determined the root cause of poor attendance, and devised three Plan–Do–Study–Act cycles over six weeks in late 2013. We followed their impact for 12 months. Case managers and medical social workers implemented three strategies to address issues of poor communication and awareness, which led to poor attendance. Prior to our project, caregivers attended 47% of outpatient visits. Following the implementation of our strategies, rates rose to 70%, sustained over the 12 following months. The entire case management department adopted our strategies. Simple changes to standard operating procedures improved the rate of caregiver attendance at follow-up appointments.     

Challenges of working from home during the COVID-19 pandemic for women in the UAE

This study explored the experiences of working from home among women in the United Arab Emirates (UAE) during the lockdown. Adopting the interpretative philosophical approach, this study conducts semi-structured interviews with sixteen (16) randomly selected women actively employed in different sectors in the UAE economy. The analysis was carried out using the thematic analysis to derive the themes and sub-themes emerging from the coded data. The research finds that most of the challenges are associated with spillover from work, affecting family time, and invading personal space. The research concluded that women working remotely faced issues linked to glitches, malfunctions, and knowledge deficiencies. The third most identified challenge to working from home was the distractions that come with the conscious attempt to divide attention between work and family, trying to stop one from interfering with the other. However, the research observed some notable advantages including workplace flexibility and control, as well as the opportunity to work from the comfort of the home. The findings also revealed the mixed feelings to continue working from home and its impact on the career progression of women in the UAE.     

Why is it taking so long to move down the road?: Creating a regional border agreement in the DMV as an alternative for the Interstate Compact on the Placement of Children

The Interstate Compact on the Placement of Children (ICPC) is an agreement between all 50 states and the District of Columbia governing the process of placing a foster child out of state. Notorious for its long wait times and system backlog, the ICPC presents a host of problems for children attempting to move mere minutes across state lines to be with a relative or kin placement instead of state foster care. In an effort to make this process smoother, 18 different “border agreements” have been adopted by several neighboring states across the U.S. Such border agreements give temporary placement licenses to relatives and kin while the ICPC process is ongoing. While this is a good start towards a solution, the ICPC could be further streamlined if border agreements were used more widely, especially in regional contexts. This article considers the possibility of such a regional agreement between the District of Columbia, Maryland, and Northern Virginia (known as the “DMV”). By comparing and contrasting two existing border agreements in these three jurisdictions, a regional DMV border agreement can be created implementing the best terms of both agreements.     

Barriers and enablers of coordination across healthcare system levels

Coordination across healthcare system levels is a global imperative to ensure efficient resource utilization and provide high-quality care. The substantial body of research on coordination in healthcare mainly concerns coordination across professional and organizational domains. Consequently, there is a dearth of empirical research aimed at delineating the determinants of coordination across healthcare system levels. This paper describes and analyses the barriers and enablers of healthcare coordination across national, regional, and local system levels in a populous Swedish region. Individual interviews and focus group discussions, encompassing a total of 63 individuals, were conducted with managers, administrators, and politicians. The findings of the paper underscore that the barriers identified were most often of a structural or institutional character, whereas the enablers of the studied cross-level coordination were mostly relational. Therefore, we propose that future research should aim to further delineate the prerequisites for personal relationships to emerge, as well as how they may act as enablers of coordination across healthcare system levels.     

云计算平台著作权侵权责任认定的内在机理与路径建构

云计算平台作为新型网络服务提供者的典型代表，相较传统网络服务提供者，具有大规模、虚拟化、多租户、回避用户内容等特征，已在一定程度上超出了传统避风港原则的制度设计范畴，为著作权侵权责任的认定带来诸多挑战，既有分析视角呈现抽象有余而体系化不足的趋势。云计算平台著作权侵权责任理论应以注意义务为核心要素，而针对用户上传内容不负有审查义务。在IaaS、PaaS、SaaS等不同服务模式下，云计算平台的注意义务边界应当随着控制对象和控制能力的不同有所区分。在认定云计算平台著作权侵权责任时，司法者应当在坚持“通知—必要措施”的基本方法下，实现“比例原则”的具体运用，同时注重“动态调整”的发展趋势。     

全面加强职工之家建设充分发挥基层工会作用

站在新的历史起点上,全面加强职工之家建设,要着眼于统一思想,在明确建家新观念上下功夫;着眼于与时俱进,在注入建家新内容上下功夫;着眼于激发活力,在创造建家新载体上下功夫;着眼于整体推进,在拓展建家新领域上下功夫;着眼于求真务实,在完善建家新措施上下功夫.