Página 1 dos resultados de 2261 itens digitais encontrados em 0.008 segundos

Justiça, cidadania e saúde: reflexões sobre limites, possibilidades e desafios para a implementação da reforma psiquiátrica nos hospitais de custódia e tratamento psiquiátrico no Estado de São Paulo; Justice, Rights and Health: Reflections on Limits, Possibilities and Challenges for the Implementation of the Psychiatric Hospitals Reform in Custody and Psychiatric Treatment in the State of São Paulo

Lhacer, Patricia Maria Villa
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 14/10/2013 PT
Relevância na Pesquisa
36.39%
O presente trabalho foca a questão da implementação da Reforma Psiquiátrica nos Hospitais de Custódia e Tratamento Psiquiátrico, objetivando delinear os limites, desafios e possibilidades da referida Reforma no Estado de São Paulo. O trabalho, do ponto de vista metodológico, partiu da técnica de análise do discurso de entrevistas realizadas com pessoas chave no processo de discussão e implementação das diretrizes da Reforma Psiquiátrica nos Hospitais de Custódia e Tratamento Psiquiátrico Paulistas, além da revisão de literatura, subsídio a dados estatísticos e pesquisa jurisprudencial. Os principais limites e desafios para a implementação da Reforma Psiquiátrica nos Hospitais de Custódia e Tratamento Psiquiátrico no Estado de São Paulo são comuns a outros Estados da Federação. Em seu funcionamento, os HCTPs apresentam a predominância do aspecto custodial sobre o terapêutico, sendo que a contenção química e a física continuam a representar o agir institucional. As principais questões legais envolvidas e questionadas pelos entrevistados referem-se à não aplicação da Lei 10.216/01 na seara das medidas de segurança e a questão da presunção da periculosidade legal, reservada ao considerado louco infrator. A desinstitucionalização...

Managing Public Debt : From Diagnostics to Reform Implementation

World Bank
Fonte: Washington, DC: World Bank Publicador: Washington, DC: World Bank
EN_US
Relevância na Pesquisa
46.13%
Managing Public Debt will serve government officials contemplating or in the process of reforming their practices, providers of technical assistance, and practitioners working on building capacity in public debt management. Because effective implementation of debt management strategies also requires a developed domestic government debt market, readers will also be interested in the companion volume, Developing the Domestic Government Debt Market, published by The World Bank in February 2007, based on the same joint pilot program.

Pension Reform Implementation Support Technical Assistance (PRISTA) : Institution Building in Iraq - The PRISTA Model

Alkhoja, Ghassan; Dawani, Zaina
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Relevância na Pesquisa
56.2%
The Pension Reform Implementation Support Technical Assistance (PRISTA) is a World Bank- executed US$5.8 million grant to the Government of Iraq (GOI), which was formally launched in February 2010. PRISTA responds to GOIs request for assistance to support pension reforms in Iraq and the implementation of the Unified Pension Law, and to bring international experience in supporting such reforms. This note provides a brief outline of the objectives of PRISTA and how PRISTA is structured to provide sustainable institution building in the context of Iraq.

A Scorecard for Energy Reform in Developing Countries

Bacon, Robert
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Relevância na Pesquisa
46.12%
Only a handful of developing countries have fully reformed their energy sector - oil, gas, and power. A World Bank Survey of 115 developing countries shows that on average, in mid-1998 just 39 percent of key reform steps had been carried out. There are large variations among countries in the number of reform steps take, with most reforms concentrated in a small number of countries. In a great majority of countries, little or no reform has been done. This paper compares the results of the survey across regions and countries, and looks at how private investment has influenced the reforms.

Achieving Medium Term Expenditure Framework Reform : A Case Study of Korea

Choi, Jae-Young; Park, Nowook
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
EN_US
Relevância na Pesquisa
46.33%
A medium-term expenditure framework is considered an essential element of public financial management reform, and this framework has been adopted in many countries. However, in terms of implementation in those countries, the medium-term expenditure framework continues to present a significant challenge within the budget process. This case study provides an inside story of medium-term expenditure framework reform in the Republic of Korea and offers some suggestive evidence about the impact of the reform. Drawing on theories of change management, the study explores how actors within the Korean government created acceptance of reform needs among relevant stakeholders, how they handled various challenges throughout the reform, how they built capacity among stakeholders, and how they institutionalized the reform measures that were consistent with stakeholder incentives. The case highlights the following implications: (1) having strong support from top decision makers is essential to successful medium-term expenditure framework reform; (2) finding ways of integrating a medium-term expenditure framework into the budget process is critical; and (3) making the framework stable and sustainable requires both capacity building of relevant stakeholders and significant organizational restructuring.

Investment Climate Reform: Going the Last Mile The Bulldozer Initiative in Bosnia and Herzegovina

Herzberg, Benjamin
Fonte: World Bank, Washington, D.C. Publicador: World Bank, Washington, D.C.
EN_US
Relevância na Pesquisa
56.41%
The author examines the Bulldozer Initiative in Bosnia and Herzegovina, an innovative reform methodology that successfully overcame the lack of political will and capacity at the government level through a bottom-up approach. Using an innovative grassroots and public awareness methodology, the initiative mobilized the local business community to bulldoze barriers by identifying concrete legislative changes and advocating for their adoption and implementation. By delivering fast results-50 reforms in 150 days-the initiative won the confidence of entrepreneurs and empowered them to institutionalize permanent grassroots reform committees. The force of this lobby group created political will by putting public pressure on the politicians to do their part to enact the reforms. Most important, it carried investment climate reform the last mile by delivering concrete, quantifiable results in all sectors of the economy. Over time, the initiative is establishing a dynamic of reform and public-private partnership that will facilitate the tackling of more complicated structural reforms. Complementing the systemic approach and framework reform efforts of governments and international agencies...

An Assessment of Institutional Capacity for Social Sector Reform in Argentina; Evaluacion de la capacidad institucional para reformar el sector social en la Argentina

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Pre-2003 Economic or Sector Report; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
56.47%
The study explores the interactive clash resulting from reforms, and institutional capacity at the provincial level, as the main element to explain current limitations, and to suggest recommendations conducive to further social reform. To understand the framework for past reforms, the study reviews the economic, political, and institutional context within which such reforms were implemented, and examines the national government's reform policy - within the implementation strategy - and, as well, the provincial governments' capacity to manage change - i.e., in three provinces, Catamarca, Cordoba and Salta. The study focuses mainly on education, and health reforms, significantly different in both design, and formulation: health reform only introduced administrative hospital autonomy, merely a partial aspect of a broad health system reform; whereas, the education reform consisted of a total educational system change. The result was that the health reform was supported basically by interested syndicates, who envisaged compensatory benefits...

Cameroon - Transport Sector Reform; Cameroun - Reforme du secteur de transport

Reja, Binyam
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Brief; Publications & Research
ENGLISH
Relevância na Pesquisa
46.06%
The note briefly outlines the impacts, and lessons of the Transport Sector Reform Project in Cameroon, whose objectives aimed at developing private participation, and continue the restructuring of transport sector utilities. While some activities, such as railway operations are being partly privatized, through concession arrangements, and bus companies liquidated, allowing liberalization of urban transport, efforts at reforming the port sector, will continue under the Third Structural Adjustment Credit. However, the privatization of the civil aviation company did not take place, and, efforts to improve the international transit system were only partially achieved. Lessons point at the need to address the budgetary, and social impact of privatization, including severance payments, early on during project preparation; the crucial aspect for higher level management - Government and donors - to be committed to, and involved in the process of reform implementation; the essential need for Bank continuity in supporting the country strategy...

Business Environment Reform in MENA : Setting Up the Right Implementation Framework

de Meneval, Philippe; Saadani, Youssef
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Brief; Publications & Research
ENGLISH
Relevância na Pesquisa
36.37%
In many developing countries numerous ambitious reform agendas have faltered and failed to have significant impact on the ground, often creating a counterproductive 'reform fatigue'. Most governments have at their disposal detailed assessments of their investment climate and are able to identify weaknesses. However, expert diagnostics and political will alone are not enough to succeed in reforming the investment climate. Reform initiatives often get bogged down because of a lack of institutionalized inter-ministerial coordination, open public-private dialogue, and efficient project management. Best reformers worldwide have taken into account this implementation challenge. Recent studies have demonstrated that, in addition to establishing a performing high-level decision-making body, these countries have developed a full-fledged reform process that includes a dedicated reform team at the center of government and a structured dialogue mechanism with the private sector to better coordinate reform identification and implementation. As highlighted in the 2008 report of the commission on growth and development: 'making policy is only part of the battle. Policies must also be faithfully implemented and tolerably administered.'

Vietnam - Delivering on Its Promise : Development Report 2003

World Bank
Fonte: Washington, DC Publicador: Washington, DC
ENGLISH; EN_US
Relevância na Pesquisa
46.38%
The focus of the report, combined with Vietnam's remarkable long-term growth potential, presents a favorable outlook, suggesting the effects of the East Asian crisis are over. The country is committed to socially inclusive development, and, translates a vision of transition towards a market economy, with socialist orientation into concrete public actions, emphasizing the transition should be pro-poor, noting this will require investments in the rural, and lagging regions, and a more gradual reform implementation, than often recommended. However, challenges identified include, first, further progress in economic reform - fast progress in liberalizing foreign trade, and integrating with world economy is increasingly at odds with the slowdown of state-owned enterprise reform. Second, poverty alleviation may be endangered - for in the absence of vigorous action, inequality is likely to increase. And, third, improving the quality of governance faces an economic inefficient mismatch, reflected by its legal framework...

Using Strategic Communications to Engage Stakeholders in Tax Reform

Rahman, Shaela
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Brief; Publications & Research
ENGLISH
Relevância na Pesquisa
46.3%
Strategic communications is used to build support and local ownership for reform initiatives while diffusing stakeholder opposition. It addresses the critical 'people' side of the reform process by fostering dialogue between stakeholders, changing perceptions, and strengthening the capacity of government to assist taxpayers. This note outlines an approach tested in tax reform projects in the Republic of Yemen and Sierra Leone, where strategic communications has been used to identify, and then systematically inform and engage relevant stakeholders a process that has proved essential to reform implementation and acceptance. This note also highlights the experience of the Lao People's Democratic Republic, where a multimedia informational campaign preceded the introduction of the value-added tax (VAT), influencing public opinion and paving the way for the reform.

India : Sustaining Reform, Reducing Poverty

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Development Policy Review (DPR); Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
46.18%
The report analyzes India's continued good progress in increasing incomes, and improving living standards over the past decade, which after the setback associated with the 1991 balance of payments crisis, economic growth picked up, income poverty continued to decline, and many social indicators, in particular literacy, continued to improve. Likewise, there has been an opening to private activity, trade policy and the exchange rate regime have been further liberalized, and capital markets have been reformed, leading to an improved investment climate. Nonetheless, development progress has been steady, but uneven, while in addition, the recent growth deceleration was accompanied by a slowdown in investment, especially in the private sector. The fiscal position of the general government has now also deteriorated, with a rising budget deficit, the result of a significant increase in government consumption, and continued low revenue mobilization. But at the same time, prudent monetary policy has helped contain inflation...

Kingdom of Morocco : Country Financial Accountability Assessment; Maroc - Etude d'evaluation de la gestion des finances publiques

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Country Financial Accountability Assessment; Economic & Sector Work
ENGLISH; EN_US
Relevância na Pesquisa
36.44%
This Country Financial Accountability Assessment (CFAA) reviews Morocco's public sector financial management system, largely based on the French system that separates accounting practices from services organization, and from the initial expenditure control to the latter jurisdictional control. The Moroccan system appears largely robust, characterized by legal institutions; however, this seemingly, poses delays affecting the relation between public expenditures, and its results. Given these apparent weaknesses, the Government fostered reforms to modernize public administration, and improve services delivery. Recommendations included in this CFAA to improve public sector efficiency, address actions to improve budget preparation, and to formally standardize budgetary information to Parliament. Budget implementation should be made public, supported by legislation, while improved ministerial support should be ensured in human resources expenditures, and management; similarly, information related to investment payments should be improved...

Reforming Road Management in Sub-Saharan Africa : Overcoming Obstacles to Implementation; Reforme de la gestion routiere en Afrique sub-saharienne surmonter les obstacles a sa mise en oeuvre

Nyangaga, Francis N.
Fonte: Banco Mundial Publicador: Banco Mundial
Tipo: Publications & Research :: Brief; Publications & Research
ENGLISH
Relevância na Pesquisa
46.32%
The obstacles to implementation of the entire package of reforms required by the Road Management Institute (RMI) are not only due to governments unwillingness to share management of resources and works with the private sector stakeholders. Of importance also is government uncertainty about: how the RMI concept may work in practice in Africa since no best practice examples are available from countries at similar levels of development. (New Zealand may be in a different league) how government may exercise its overall governance responsibilities by the ministry responsible for roads; and how to fund and manage the institutional reform process, including adequate capacity building at all levels as a solution to public sector redundancy problems. There is thus need for implementation plans that are more comprehensive than those available at this date, with strategies and budgets that clearly address the indicated obstacles and other relevant issues. The RMI- which has greatly contributed to the reform achievements so far-could also be a useful instrument to facilitate the drafting and implementation of such plans and...

Visible Success and Invisible Failure in Post-Crisis Reform in the Republic of Korea : Interplay of the Global Standards, Agents, and Local Specificity

Lee, Keun; Kim, Byung-Kook; Lee, Chung H.; Yee, Jaeyeol
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Policy Research Working Paper; Publications & Research
ENGLISH
Relevância na Pesquisa
36.39%
The reform package in post-crisis Korea was one of the most comprehensively designed and decisively implemented. Though impressed by the quick recovery, many are now raising doubts about real changes in the economy, as the result of a cost-benefits analysis: While the business climate is more stable and supportive, the economy is suffering from weak investment and rising unemployment. This study views the Korean story as one of "visible success and invisible failure," based on the following findings: First, while some new laws were enacted and several quantifiable targets met, little real progress was made in changing institutional conventions, habits, and beliefs, such as enhancing transparency in management or trust in labor relations. Second, the reform process involved tension between global standards and local specificity, which accounts for the mixed results. Third, special interest politics at the implementation stage, plus the complexities caused by increasing democratization and globalization, have undermined the authorities' implementation capacity, which accounts for uneven outcomes of the reform. While globalization necessitates increasing flexibility, Korean managers are now facing much stronger labor unions. The outcome is not a fully flexible but segmented labor market...

Trade Reform in Vietnam : Opportunities with Emerging Challenges

Auffret, Phillipe
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Policy Research Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
36.39%
In 1986 Vietnam initiated a transition from a centrally planned economy to a market-oriented economy where the government would keep playing a leading role. These renovation (doi moi) policies were successful at generating economic growth and reducing poverty. In the ten-year socioeconomic strategy endorsed by the Ninth Party Congress in April 2001, the authorities further articulated their development objectives in terms of economic growth and poverty reduction. To reach these objectives, the government indicated that its structural reform priorities were to change Vietnam's trade and financial policies, liberalize the climate for private investment, increase the efficiency of public enterprises, and improve governance. The author argues that the pace of implementation of trade reform-which has been impressive so far-is raising new challenges. On one side, fast liberalization of trade reform may soon conflict with the slow pace of implementation of other reforms, including restructuring of state-owned enterprises and state-owned commercial banks. On the other side...

A Policy Note on Telecommunications Reform in Algeria

Noumba, Paul
Fonte: World Bank, Washington, D.C. Publicador: World Bank, Washington, D.C.
Tipo: Publications & Research :: Policy Research Working Paper; Publications & Research
ENGLISH; EN_US
Relevância na Pesquisa
46.12%
By the end of the 1990s, most industrial and many developing countries had liberalized their telecommunications markets to improve service accessibility and affordability for both businesses and households. In contrast, Algeria still managed its telecommunications sector as public property. The Ministry of Post and Telecommunications set the policy, enforced regulation, and was in charge of service provision. The sector suffered from huge supply shortages, the waiting list lengthened, the quality of service deteriorated and unbalanced the overall fiscal situation. In 1999, a new government appointed in the aftermath of President Bouteflika's election decided to change the situation and launched a comprehensive sector reform. Um reviews progress made in implementing this reform, discusses its preliminary impact, and comments on the main lessons learned. The author shows that by restraining arbitrary administrative action during the reform implementation, the government of Algeria laid the foundation for sustainable growth in the telecommunications sector.

Health reform implementation and policy formation; Implementação da reforma sanitária: a formação de uma política

Menicucci, Telma Maria Gonçalves
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 01/08/2006 POR
Relevância na Pesquisa
46.39%
Este artigo procura interpretar o processo de implementação da reforma do sistema de saúde ocorrida na década de 1990. A implantação de uma política é dotada de autonomia e envolve decisões, além de ser um processo de adaptação em função das mudanças do contexto, portanto, sua implementação exige decisão e iniciativa governamental, e instrumentos para efetivá-la, entre os quais a disponibilidade de recursos financeiros e o suporte político organizado, particularmente, por parte dos grupos sociais afetados positivamente. O processo de implementação da reforma da política de saúde não é simplesmente a tradução concreta de decisões, mas um processo ainda de formulação da política de saúde. Durante esse processo, tiveram grande importância não apenas os efeitos do contexto político-econômico de ajustes e a reconfiguração da agenda pública, mas principalmente os efeitos de feedback das políticas de saúde anteriores, que se traduziram na ausência de suporte político, no subfinanciamento e na incapacidade de publicização da rede de serviços, os quais funcionaram como constrangimentos à implementação completa da reforma nos termos de seus formuladores. Dentro desses limites, foram tomadas decisões cruciais que redefiniram a reforma...

Managerial adjustment and its limits: sequential fault in comparative perspective

Rezende,Flávio da Cunha
Fonte: Revista de Sociologia e Política Publicador: Revista de Sociologia e Política
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2008 EN
Relevância na Pesquisa
46.19%
This article focuses on explanations for sequential faults in administrative reform. It deals with the limits of managerial adjustment in an approach that attempts to connect theory and empirical data, articulating three levels of analysis. The first level presents comparative evidence of sequential fault within reforms in national governments through a set of indicators geared toward understanding changes in the role of the state. In light of analyses of a representative set of comparative studies on reform implementation, the second analytical level proceeds to identify four typical mechanisms that are present in explanations on managerial adjustment faults. In this way, we seek to configure an explanatory matrix for theories on sequential fault. Next we discuss the experience of management reform in the Brazilian context, conferring special attention on one of the mechanisms that creates fault: the control dilemma. The major hypotheses that guide our article are that reforms lead to sequential fault and that there are at least four causal mechanisms that produce reforms: a) transactions costs involved in producing reforms; b) performance legacy; c) predominance of fiscal adjustment and d) the control dilemma. These mechanisms act separately or in concert...

A comparative analysis of the changes in nursing practice related to health sector reform in five countries of the Americas

Guevara,Edilma B.; Mendias,Elnora P.
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/11/2002 EN
Relevância na Pesquisa
46.25%
Objective. To identify changes in nursing practice and the nursing-practice environment that have occurred with implementation of health sector reform in five countries in the Americas. Methods. An exploratory study of selected settings in Argentina, Brazil, Colombia, Mexico, and the United States of America was conducted between 1997 and 1999 to collect narrative data from 125 professional nurses about their perceptions of nursing practice and changes in work environments. Descriptions of characteristics and trends in nursing practice in the study sites were also obtained. Results. Reorganization of health services has occurred in all five of the countries, responding to health sector reform initiatives and affecting nursing practice in each country. Respondents from all five countries mentioned an emphasis on private enterprise, changes in payment systems for patients and providers, redistributions in the nursing workforce, changes in the personnel mix and nursing-practice functions, work shifting from the hospital to the community, and greater emphasis on cost control and prevention in practice settings. Conclusions. The study provides initial information about current nursing issues that have arisen as a result of health care reform initiatives. Regardless of differences in service models or phases of health sector reform implementation...