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Covid-19, the disease caused by severe acute respiratory syndrome coronavirus 2 is recognised as one of the most challenging global events of the twenty-first Century. The detrimental impact of the pandemic resulted in high rates of infection, morbidity, and mortality, with health-care workers firmly positioned on the frontline of this unparalleled international crisis. An emerging literature detailing the impact of COVID-19 on health-care practitioners identifies high levels of depression, anxiety, and distress. Accordingly, there are calls for the implementation of effective interventions to tackle the impending spectre of psychological morbidities and staff burnout. While it is important to explore new approaches, it is also valuable to examine how existing strategies, such as reflective practice, can be repurposed to specifically address practitioner well-being. This requires a reimagining of reflective practice and a reimagining of the reflective practice contexts in which reflective activity occurs. This paper presents The Reflective Practice Integrative Framework, which illustrates how reflective practice can be used to address the complex aims of supporting effective patient care, while also facilitating practitioner well-being. The Reflective Organisational Learning Framework is also presented which can be used to develop effective reflective practice environments through single, double, and/or triple loop learning. [ABSTRACT FROM AUTHOR]

In this White Paper, we outline recommendations from the perspective of health psychology and behavioural science, addressing three research gaps: (1) What methods in the health psychology research toolkit can be best used for developing and evaluating digital health tools? (2) What are the most feasible strategies to reuse digital health tools across populations and settings? (3) What are the main advantages and challenges of sharing (openly publishing) data, code, intervention content and design features of digital health tools? We provide actionable suggestions for researchers joining the continuously growing Open Digital Health movement, poised to revolutionise health psychology research and practice in the coming years. This White Paper is positioned in the current context of the COVID-19 pandemic, exploring how digital health tools have rapidly gained popularity in 2020–2022, when world-wide health promotion and treatment efforts rapidly shifted from face-to-face to remote delivery. This statement is written by the Directors of the not-for-profit Open Digital Health initiative (n = 6), Experts attending the European Health Psychology Society Synergy Expert Meeting (n = 17), and the initiative consultant, following a two-day meeting (19–20th August 2021). [ABSTRACT FROM AUTHOR]

The purpose of this paper is to provide discourse regarding awareness of institutional racism, from a non-Indigenous, Australian nursing student's perspective. The discussion has a focus on the presence of institutional racism in the Australian healthcare system, its impact on the health of First Nation Peoples and a commitment to ensuring culturally safe practice. It will be argued that institutional racism is pervasive in healthcare as a consequence of three factors: exclusion of First Nations Peoples from governance roles, inherent racism impacting on socio-cultural treatment bias, and institutional racism influencing key relationships in healthcare delivery. [ABSTRACT FROM AUTHOR]

Purpose: Children's perspectives in the context of health service delivery have historically been seen as unimportant. They have been viewed as unintelligent, unable to effectively share or tell of their experiences or fully participate in their care, potentially resulting in a sense of dehumanisation. Method: The present paper illustrates children's experiences when undergoing medical procedures, using application of the eight dimensions of humanised care theoretical framework. Results: Findings from six published papers were reflectively interrogated to identify implicit findings related to the dimensions of humanised care. These implicit findings show ways of caring for childrenwhichcan lead to enhanced human sensitivity in care or conversely where the dimensions of being human are obscured to greater or lesser degrees and can result in forms of dehumanisation. Conclusions: Inadvertent dehumanising features of practice can be mediated by encouraging the inclusion of children's own lifeworld perspective and make room for their voices in both care and research. In this way the present well documented power imbalance could be addressed. Adding the value of the theoretical framework highlights areas of need for young children to be cared for as human beings. [ABSTRACT FROM AUTHOR]

Increased awareness, interest and use of assistive technology (AT) presents substantial opportunities for many citizens to become, or continue being, meaningful participants in society. However, there is a significant shortfall between the need for and provision of AT, and this is patterned by a range of social, demographic and structural factors. To seize the opportunity that assistive technology offers, regional, national and sub-national assistive technology policies are urgently required. This paper was developed for and through discussion at the Global Research, Innovation and Education on Assistive Technology (GREAT) Summit; organized under the auspices of the World Health Organization’s Global Collaboration on Assistive Technology (GATE) program. It outlines some of the key principles that AT polices should address and recognizes that AT policy should be tailored to the realities of the contexts and resources available. AT policy should be developed as a part of the evolution of related policy across a number of different sectors and should have clear and direct links to AT as mediators and moderators for achieving the Sustainable Development Goals. The consultation process, development and implementation of policy should be fully inclusive of AT users, and their representative organizations, be across the lifespan, and imbued with a strong systems-thinking ethos. Six barriers are identified which funnel and diminish access to AT and are addressed systematically within this paper. We illustrate an example of good practice through a case study of AT services in Norway, and we note the challenges experienced in less well-resourced settings. A number of economic factors relating to AT and economic arguments for promoting AT use are also discussed. To address policy-development the importance of active citizenship and advocacy, the need to find mechanisms to scale up good community practices to a higher level, and the importance of political engagement for the policy process, are highlighted. Policy should be evidence-informed and allowed for evidence-making; however, it is important to account for other factors within the given context in order for policy to be practical, authentic and actionable. Implications for Rehabilitation: The development of policy in the area of asssitive technology is important to provide an overarching vision and outline resourcing priorities. This paper identifies some of the key themes that should be addressed when developing or revising assistive technology policy. Each country should establish a National Assistive Technology policy and develop a theory of change for its implementation. [ABSTRACT FROM AUTHOR]

Development of the Nurse practitioner role and the specialisation of practice is an increasing focus in healthcare. To date, a bibliometric evaluation of scholarly work referring to Nurse Practitioners, has not been located in the published literature. With the aim of identifying the top 100 cited articles in the Nurse Practitioner domain, the Scopus™ database was searched for Nurse Practitioner studies during 2007–2021. Using bibliometric analysis we identified prolific authors; annual trend; citation rates; countries of origin; and study design. There were 1768 papers identified across 360 peer reviewed journals in 33 countries. Finding from this analysis provides evidence of an evolving research area of inquiry which contributes to knowledge of the Nurse Practitioner role and scope of practice. [ABSTRACT FROM AUTHOR]

This article uses the problems associated with citizenship verification in U.S. government health insurance programs to argue that paper needs to be analyzed as a media technology. To examine paper as a media technology is to ask, “How does paper work?” and “What are the rules and habits that enable paper to be used in paperwork?” To consider paper as a media technology, this article makes 2 arguments. First, it argues that there is a set of skills and knowledge associated with paper documents that need to be recognized as a distinct form of literacy. Second, this article argues that the relation between paper and identity is an argument about the materiality of information. In focusing on how paper facilitates the materialization of information, this case study illustrates how distinct practices of use create specific relationships between technology and information that give information a distinct functional presence. [ABSTRACT FROM PUBLISHER]

Candidates' views of postgraduate medical examinations are seldom sought in a systematic way. There is little published evidence of candidates' views of the MRCGP examination, and its consequential validity, i.e. the effect of the assessment on learning or care for patients. A random sample of 100 registrars sitting the October 2003 multiple-choice paper (MCP) of the MRCGP exam were sent a questionnaire to seek their views about the validity of the paper. Most respondents found the questions difficult, in particular general medicine and medical specialties, but believed the paper assessed the application of their knowledge about common or important topics, relevant to general practice. However, more than half the candidates believed the paper contained inappropriate questions and were critical of some of the question formats. Pressure of time was a problem for many candidates, most of whom believed they needed a further 30 minutes to complete the paper. Preparation strategies were almost exclusively strategic, most often through help from fellow registrars rather than the trainer or vocational training scheme. Practising past papers was the most frequent desirable additional help. There are opportunities afforded by candidate feedback for the assessment governance system and the development of the paper, and qualitative feedback is of benefit in the evaluation of the quantitative data from the results of the assessment. [ABSTRACT FROM AUTHOR]

What role do texts play in LGBTQ (lesbian, gay, bisexual, transgender, and queer) parents’ experiences of disability service systems? In interviews with 15 LGBTQ parents of disabled children in Toronto, Canada, participants selected documents to be used as a focus for discussion. Parents considered how LGBTQ identity and other intersectional identities influenced their experiences of institutional texts including adoption certificates, intake forms, and assessments. Findings suggest that documentation practices can operate as forms of systemic gatekeeping. LGBTQ identity was sometimes very significant in parents’ accounts, and sometimes less central than other aspects of their families' identities and experiences. [ABSTRACT FROM PUBLISHER]

In discussing therapeutic action as conceived within the British Independent School and the conceptual and technical difficulties involved in integrating dissociated states of mind, the author's linking of relational concepts of dissociated patterns of interaction with Winnicott's theory of potential space (for the purpose of transforming latent psychic capacities) presents a number of difficulties for this discussant which may reflect in part a culture different from the author's own but also profound differences of approach. Despite attempts to achieve common ground within psychoanalysis there are numerous variations of the discipline and areas of commonality are neither obvious nor clear. The paper under discussion left this discussant with a sense not having entered clinically into the unconscious world of the patient in a way that felt familiar. There is an emphasis on psychic change in the paper, but there is also an emphasis on the role of consciousness in relationships, which, though important, does not for this writer constitute the foundation of enduring psychological change. Overlaps and gaps in understanding are discussed which may reflect differing clinical trajectories or destinies as we undertake the analytic journey with our respective patients. [ABSTRACT FROM PUBLISHER]

The article discusses the commentary on Debra Rothschild's paper related to Dissociative Identity Disorder (DID) treatment. The author states the focus of Rothschild's paper on the relation of the concept of integration and the recognition of self-existence. Some elements of treatment used by Rothschild in his therapy to Sarah, a survivor of extreme trauma, are emphasized by the author on his discussion. A detailed discussion of the author's commentary is also presented.

The purpose of this paper is to describe the Caribbean HIV Evaluation Support demonstration program, a five-site HRSA-funded demonstration project that aimed to implement a peer support intervention to help HIV-positive Caribbeans living in the United States. This paper provides a framework of the demonstration including the rationale for the program, program requirements, and eligibility of participants. In addition, this paper describes each of the five programs including, Brookdale University Hospital and Medical Center, Brooklyn, NY; Lutheran Medical Center, Brooklyn, NY; Community Healthcare Network, New York, NY; University of Miami, Miami, FL; and Montefiore Medical Center, Bronx, NY. The background of each program description includes: setting, theoretical frameworks, peer training, client recruitment & staffing and content of the intervention. Finally, lessons learned including the utility and feasibility of the peer-support intervention program is identified at the closing. [ABSTRACT FROM AUTHOR]

The impact of information and communication technology has been felt globally and the healthcare sector is not immune to the changes brought about by the introduction of new technologies. In contemporary clinical practice environments, information and communication technology skills are advantageous, not only to nurses, but also to the patients for whom they care. There is good evidence that these skills, appropriately utilised, can have a significant impact on patient outcomes. This scholarly paper presents the background to a project that explores graduate nurses' experiences of using information and communication technology in clinical contexts. A broad historical overview of the implementation of information and communication technology in higher education and healthcare in Australia is provided before discussing the extent to which the technology skills learnt at university are relevant or transferable to contemporary practice environments. The current levels and use of information and communication technology among new graduate nurses, the apparent dichotomy between technological versus humanised healthcare, and the need for national information and communication technology competency standards are discussed. [ABSTRACT FROM AUTHOR]

The way that the current conception of mutual enactment is understood, any analysis, in order to be ultimately successful must first go badly for some period of time. Any analysis that goes too smoothly is subject to the suspicion that some very difficult interactional material is being mutually unaddressed. In this context I see that Dr. Lauren Levine enacted the role of her abandoned patient (concordant countertransference) and as well, for a time, indeed, figuratively abandoned her patient (complementary countertransference). The author's central contribution in this paper is an illustration of how drawing on difficult and painful dimensions in one's own personal analysis, the analyst has the advantage of being able to withstand highly toxic material in both the transference and the countertransference. Dr. Levine is fortunate in having had a personal analysis that helped her integrate highly shameful aspects of her self, though it must be recognized that this is not always the case in all training analyses. [ABSTRACT FROM AUTHOR]

Although the public uses the media for sex advice, information and validation, much media coverage of sex contains inconsistent, outdated, or incorrect messages. There is little encouragement for those working in sex therapy, research, education or healthcare to engage with the media. The standard of media training and availability for these professions varies. Not all professionals work from an evidence-based perspective, and not all ‘experts’ in the media are recognised as such by their peers, resulting in inconsistent information being given to journalists by people not always qualified to speak about sex. Furthermore, a lack of training and understanding of sex and relationships results in misunderstanding or misreporting of stories by journalists, and perpetuating poor media coverage of sex. This paper outlines problems in media coverage, and highlights training opportunities and deficits for both sexologists and journalists. It advocates collaborative working, greater training in evidence-based sexology, and challenging problems in media training and sex coverage. [ABSTRACT FROM AUTHOR]

Interprofessional education (IPE) is being built into the mainstream of professional education for all health and social care professions throughout the United Kingdom (UK) driven by the Labour Government elected in 1997, coincidentally the year that this Journal hosted the first All Together Better Health conference in London. The incoming government prioritized pre-qualifying IPE to be provided in partnership by universities and service agencies supported regionally by workforce development confederations, later absorbed into strategic health authorities (SHAs), and centrally by educational, professional and regulatory bodies. Ambitious agenda for pre-qualifying IPE set by government are being tempered by realistic assessment of current outcomes borne of experience and corroborated by evidence. This paper suggests some ways to ease constraints and improve outcomes, but emphasizes the need to generate continuing interprofessional learning opportunities that build on the basics. It argues that accumulating experience and evidence must be brought to bear in formulating criteria for the approval and review of IPE within regulatory systems for professional education. Can IPE be sustained within mainstream professional education once initial enthusiasm ebbs and earmarked funds run dry? That is the issue. [ABSTRACT FROM AUTHOR]

There are many ways that occupations are regulated, with the degree of regulation usually depending on the amount of harm to the public that lack of regulation could bring. Strict regulations, such as mandatory licensure, are established through state law and maintained by a state board. Less strict regulations, such as voluntary credentialing, may be requirements by employers or third-party payers. This white paper reviews the possible approaches ASET could take toward regulation of the practice of electroneurodiagnostic technology: maintain position of neutrality, advocate for no statutory regulation of END, advocate for statutory regulation of END, or advocate for voluntary credentialing. The routes taken by other allied health fields are outlined, with exploration of the advantages and disadvantages of each option, as well as what would be required of ASET in terms of time and other resources to achieve each option. The appendix is a summary of entry requirements of several healthcare professions. [ABSTRACT FROM AUTHOR]

The article discusses the concept of re-invention and its importance in aging well and maintaining health and well-being. It explores the role of design in facilitating re-invention and creating different perspectives. The article also highlights the use of design thinking and co-design in mental health and dementia caregiving, as well as the potential of storytelling and painting to challenge stigma and uncover different perspectives. Additionally, it examines the potential of design in re-imagining healthcare delivery models and evaluating the impact of 3D medical printing. The article concludes by acknowledging the departure of the Assistant Editor and expressing gratitude for her contributions. [Extracted from the article]

"Abortion Care is Health Care" by Barbara Baird provides a historical account of abortion services in Australia from the 1990s to the 2020s. The book argues that although abortion has been effectively pro-choice for decades, access to abortion services remains uneven and inequitable. Baird highlights that the majority of abortion services are provided by private clinics, resulting in limited access for marginalized and disadvantaged women. The book is meticulously researched and provides comprehensive information on providers, laws, regulations, and events in each Australian state and territory. However, it may be more suitable for scholars than a general audience. [Extracted from the article]

This paper is intended to provide a scoping review on interfaces in service modularity. There is little detailed understanding of this concept despite its attributed importance. We identified 12 papers, showing that interfaces in service modularity are an area still open to research, especially with regard to interfaces that cross organisational boundaries. We found common themes in the available literature: the nature of interfaces, service fragmentation and predefined interfaces. Further research is needed on interfaces in service modularity, especially for complex services with components that stem from multiple, autonomous organisations. More specifically, there is a need for more studies that explore in detail how interfaces manifest themselves, and how they can be addressed to improve complex service provision. In addition, we argue why healthcare could be an interesting domain in which to conduct those studies. Our paper’s contribution comprises a detailed description of interfaces in service modularity, the dissemination of summarised research findings and suggestions for potential future research. [ABSTRACT FROM AUTHOR]

Issues relating to limited healthcare resources are relevant to all health professionals. Allocation of such resources is increasingly linked to evidence based practice. Thus, involvement in decision-making by health professionals will allow for accurate and meaningful interpretation of clinical results and evidence. Inherent in resource allocation are issues of economic origin. An understanding of the basics of economic evaluation and costing will enhance health professionals' participation in service development and funding procurement. The types of economic evaluation utilised in health care are cost minimisation analysis, cost effectiveness analysis, cost utility analysis and cost benefit analysis. Each type of evaluation measures the costs and consequences of health care programmes in a unique way. [ABSTRACT FROM AUTHOR]

An introduction is presented in which the editor discusses various reports within the issue on topics including the state-of-the-art analysis of some subarea of healthcare, surgery planning and scheduling, hospital operation management and regional healthcare delivery.

This paper provides a review of the use of action learning in healthcare organisations, or by healthcare professionals, in the past decade, as evidenced in peer-reviewed journals. Action learning has a long history in healthcare and is perhaps particularly suited to an environment where wicked problems abound, where professional development is prized, and where many of the professions subscribe to reflective practice as a vehicle of development. A systematic search for literature in peer-reviewed English language journals was undertaken, followed by a process of pursuing references from the publications revealed by that search. Papers that provided accounts or evaluations of programmes and projects that included action learning were analysed. Common themes concerning purposes, processes, benefits and challenges were identified. Action learning was used for three purposes in the projects and programmes: to improve an aspect of healthcare services; to develop skills of the participants; to enhance collective capability. Whilst in some cases the intention was to achieve all three beneficial outcomes, it was apparent that in the majority of examples one or another of these purposes was prioritised as the principal aim of the programme or project. [ABSTRACT FROM AUTHOR]

EMS personnel in the U.S. continue to be overwhelmingly Caucasian and male, with 75% being male and 85% identifying as nonminority. While the population of the United States becomes more diverse in ethnicity, religion, and race, the EMS workforce remains largely homogenous and does not reflect the diversity of the population it serves. Given the growing diversity across the country, EMS personnel will increasingly be responding to calls for service involving patients with different cultural backgrounds than their own. This growing gap between providers and the population they serve may exacerbate already existing disparities in care. [ABSTRACT FROM AUTHOR]

This paper aims to 'identify', 'analyse', and 'categorise' the barriers affecting the green transformation process in healthcare using Total Interpretive Structural Modelling (TISM) and MICMAC analysis. The TISM technique was utilized to determine how the components interacted and the green transformation process barriers criteria were ranked and categorized using the MICMAC method. This study identified 11 barriers to green transformation process in healthcare organizations. The key factors identified in this study are inadequate strategic planning, financial barriers, and high technology adoption cost, information barriers, international issues in healthcare environmental sustainability, lack of supportive atmosphere. The TISM technique for healthcare is proposed in this paper as a novel attempt to address the subject of green transformation process barriers. This research will aid key stakeholders and academics in the better understanding the barriers affecting the green transformation process in healthcare organizations. [ABSTRACT FROM AUTHOR]

In Antarctica, it is extremely difficult to organise medical evacuations in winter. Antarctic physicians are often alone and must be prepared to perform surgery and dentistry, even if they are not specialists. This scoping review summarises epidemiological data on the types of surgical procedures performed in Antarctica and identifies gaps in the literature in this area. We searched PubMed and Google Scholar, without language restriction, for papers published between 1 January 1904, and 1 February 2022. Of the 35 papers on 12 Antarctic programs, very few were retrospective observational epidemiological studies; the majority were medical reports. The search identified 41 surgical procedures or reasons for surgical consultation, 19 different reasons for medical evacuations, and 12 causes of death that may have required surgical management. The diagnostic classifications used and the prevalence of each reported surgical speciality were heterogeneous. The most cited specialities were orthopaedics, dentistry, and digestive surgery. Telemedicine was integrated into on-site care or medical evacuation decisions. The current literature is poor, and most studies do not apply to surgical issues. The heterogeneous data collection methodologies limit their interpretation. A standardised diagnostic classification and detailed and systematic epidemiological registers will help define the contours of surgical management in Antarctica. [ABSTRACT FROM AUTHOR]

Copyright of European Journal of Social Work is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

We review medical economics literature presented at the 2023 annual AEA-ASSA convention, the largest gathering of economists worldwide. Pharmacoeconomic papers addressed a wide range of issues, including gender and racial gaps in clinical trials, hospital credit financing, drug rebates, covid-19 vaccine equality, and the opioid epidemic. Yet, they had some common identifiable themes. We examine them in the context of the "twin towers" of biopharmaceutical innovation: discovery and commercialization. Implementation outcomes and relative success of innovative solutions — whether in terms of products and services, structural design and arrangements, or policies — depend on how adequately they respond to questions and challenges that arise in drug discovery and commercialization, and who gains from them. That innovation's beneficiaries might not equally gain from its intended advantages is another unifying theme in the reviewed literature. Against this backdrop, biopharmaceutical innovation can breed new challenges and opportunities. And health policy can perform a critical, leveling function that reduces cost, increases access, and ensures quality of biopharmaceutical solutions. [ABSTRACT FROM AUTHOR]

The article offers information on the research paper titled "PrEP: A review for mental health professionals" co-authored by Luis F. Pereira, and Simona Goschin, which has received the 2017 Outstanding Resident Paper Award given by the journal.

Fourier analysis is well known to provide complete information of the frequencies present in a signal. But in the process, time information is lost. Therefore, its time-frequency representation is required for depicting both time and frequency information simultaneously. Therefore in this paper, fractional wavelet transform (FrWT) is proposed to be used for the first time for extracting the features of various datasets in a standard ECG database by combining the advantages of both fractional domain techniques and wavelets as case-II. Afterwards, Probabilistic Principal Component Analysis (PPCA) is used for detecting R-peaks for diagnosing heart abnormalities in various morphologies of the ECG signal. The proposed technique has been evaluated on the basis of sensitivity (SEN), detection error rate (DER), and positive predictivity (PPR) (of the detected ECG beats) for MIT-BIH Arrhythmia database (M/B Ar DB). Even though both FrFT and FrWT techniques exhibit a high degree of robustness, but SEN of 99.99%, DER of 0.026%, & PPR of 99.99% obtained by latter in case-II are better than SEN of 99.97%, DER of 0.053%, & PPR of 99.98% obtained by the former in case-I for M/B Ar DB. In this paper, average time error (ATE) is also obtained for the considered datasets establishing the effectiveness of the proposed technique further. These encouraging results suggest that the proposed methodology will go a long way in assisting the cardiologists to detect temporal patterns in a wide variety of electrophysiological cases, which is important for improved management of healthcare system. [ABSTRACT FROM AUTHOR]

Colonial administrations introduced various social infrastructures in Africa. This paper analyses and compares the development of colonial governments' health care provision and policies in Ghana and Côte d'Ivoire from circa 1900 to 1955. Using qualitative and quantitative information from colonial reports, a new dataset captures the development of four factors relevant to these aims: health care expenditures, health care facilities, medical staff, and patients. Deflated health care expenditures per capita were found to be higher in Ghana than in Côte d'Ivoire in almost all years. The number of health care facilities per capita was larger in Côte d'Ivoire than in Ghana, and facilities were more geographically dispersed. Ghana had a lower number of medical staff per capita than Côte d'Ivoire as of the 1920s. Medical staff from Côte d'Ivoire formed the majority of the staff base as early as the mid-1910s. Finally, the analysis shows that the number of patients treated in health care facilities in Ghana was low until the 1920s, and took off as more facilities became available during the 1940s. These findings provide evidence that even two countries that are relatively similar (apart from their colonial history) can have different colonial health care trajectories. [ABSTRACT FROM AUTHOR]

Winner of the Ronald Melzack-Canadian Journal of Pain 2018 Paper of the Year Award/Récipiendaire du Prix Ronald Melzack pour L'Annee 2018 des Articles Parus dans La Revue Canadienne de la Douleur This year's prize for the Ronald Melzack- I Canadian Journal of Pain i 2018 Paper of the Year Award goes to Dr. Heather Hajistavropoulos and colleagues, Drs. Effectiveness, acceptability and feasibility of an Internet-delivered cognitive behavioral pain management program in a routine online therapy clinic in Canada. [Extracted from the article]

Copyright of Public Money & Management is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The incoming editors of the journal welcome their readers and they comment on their intentions of maintaining the traditions of the journal in assembling and publishing good-quality research for a wide audience. They indicate that the journal will continue to be international in scope. The editors note the content and aspects of original papers on ethnicity and health that they will encourage. Also noted are disciplines of interest including medicine medicine, nursing, epidemiology, and public health.

This paper considers the ways that publicly funded developmental services for adults with developmental disabilities in southern Ontario are limited in how they support clients. This paper is informed by field research conducted in the summer of 2019, which was composed of semi-structured interviews, focus groups, and a policy review. Informed by parent advocates who are the main caregivers of their adult children labelled with intellectual and developmental disabilities, this paper claims that the administrative processes of the Ontario ministry that manages and funds adult disability services relate to broader exclusionary patterns among adults with developmental disabilities. I explore this claim by reviewing how common ableist assumptions of people with developmental disabilities are ingrained in the policies and administrative processes of these services. I contribute to ongoing discussions among Critical Disability Scholars of the ways that disability as a social category can be articulated outside of ableist assumptions. Informed by parent caregiver perspectives, this article outlines how the limitations of provincially funded disability services in Ontario, Canada cause significant challenge in the lives of those labelled with intellectual and developmental disabilities. One possible explanation for these limitations is that there is a disconnect between how the provincial government classifies who should receive immediate services and how many services, versus the actual need of those labelled with intellectual and developmental disabilities. The criteria for high supports, such as monthly funding, placement into a living facility, and the provincial assessment for determining a person's 'adaptive functioning' are rooted in problematic assumptions made of people labelled with intellectual and developmental disabilities. [ABSTRACT FROM AUTHOR]

Secondary prevention efforts, which target risk and protective factors associated with harmful sexual behaviour (HSB) and seek to intervene early in the trajectory of HSB, are underdeveloped in Australia. This study explored design considerations for an online early intervention service for children and young people worried about their sexual thoughts and behaviours. A trauma-informed child right's framework underpinned the study, which involved 10 individual interviews with international experts in HSB, and one group interview (n = 3) with Australian practitioners. Analysis was carried out using thematic analysis. Results reflect design considerations in relation to: theoretical approaches; practice frameworks; service delivery components; and helpseeking challenges. Key tensions emerging from the results are discussed, including the need to move beyond binary constructions of victims and perpetrators. PRACTICE IMPACT STATEMENT: This paper has significant potential to influence practice in the field of harmful sexual behaviour prevention and response. The paper sets out the components of an early intervention online service for children and young people worried about their sexual thoughts and behaviours. The online service could be built and trialed for impact and efficacy in supporting children and young people not to sexually harm. It would be the first service of its kind in Australia and fill a gap in the current service delivery landscape. [ABSTRACT FROM AUTHOR]

Health care accounts for a substantial amount of government spending and is one of the most vulnerable sectors of theeconomy. Having a significant role to play in saving lives, health care services are very valuable to customers, and without appropriatecontrol, the price of such services can be very high. Due to this, the government oversees a significant portion of healthcare costs andenacts special pricing controls. In this paper, exclusive domestic production of licensed brand drugs is studied by forming acooperative strategy between a domestic manufacturer and a foreign licensor. This strategy increases the manufacturer's income; as aresult, the government also expects discounts from the cooperative firm. A Nash bargaining solution based on cooperative gametheory is proposed to model the related pricing negotiations between partners. A real-life pharmaceutical company case study isapplied to the proposed model. The cooperative strategy indicates that the market share of the licensor in the local market and thereturn on capital of the local licensee manufacturers positively affect the equilibrium price at a lower price than the new equilibriumprice, the foreign company will not benefit from the coalition significantly and will not have any incentive for it. [ABSTRACT FROM AUTHOR]

This paper describes the past, present, and future of medical education in Cambodia. Although doctor training began in 1902, the first medical school was not founded until 1946. Since the colonial era, the curriculum and teaching strategies have been strongly influenced by the French system, dominated by didactic lectures and the apprenticeship model. Three chronic issues have plagued medical education in the country following the Khmer Rouge regime: a shortage of doctors, poor-quality training, and lack of relevance to the current and future population needs. An increasing number of medical schools and yearly student enrollment have addressed the first issue. Today, the fundamental challenges have shifted from quantity to ensuring the quality and relevance of medical education. Competency-based medical education (CBME) has been adopted as a new curricular model to tackle the latter two issues. Active collaboration between government institutions, public universities, and development partners drives this curricular reform at the national and institutional levels. This paper further examines the challenges associated with medical education and proposes recommendations. [ABSTRACT FROM AUTHOR]

This paper describes the curriculum model developed for an ambitious interprofessional education programme for health and social care professions implemented in two universities in the south of England (the New Generation Project). An outline of how the New Generation Project has interpreted the meaning of interprofessional learning is presented first. This is followed by an outline of the structure of the programme, describing both learning in common and interprofessional learning components. The pedagogies underpinning this curriculum initiative are presented and an integrated pedagogical model, facilitated collaborative interprofessional learning, is proposed. The New Generation Project curriculum is then discussed as an extension of an established typology of interprofessional education. [ABSTRACT FROM AUTHOR]

The article offers information on the topics for which manuscripts will be submitted to the periodical including hospital costing models and capital investment in healthcare technology along with information on manuscript submission and important dates.

This paper presents a reflection on the experience of obtaining a PhD degree in Participatory Healthcare Systems amid the COVID-19 pandemic. The paper first introduces the PhD research and how the methodology was adjusted during the pandemic. Then, the reflections are presented considering the benefits/advantages (the good), the barriers/difficulties (the bad) and the struggles (the ugly). The topics presented show that positive aspects were overshadowed by the emotional burdens and increasing limitations of data collection and study design. Learnings from this experience indicate that designing a more resilient methodology that integrates creative methods, supporting PhD students to pause the research, fostering a culture of care that rethinks what a successful PhD is, and a greater focus on the Mental Health of PhD students is advisable. [ABSTRACT FROM AUTHOR]

Healthcare is a rapidly evolving field. Such development creates opportunities to provide better quality, evidence-based treatment, however, increasing privacy violations. Anonymization can be applied to share data safely. This paper is a literature review of methods and tools for anonymization that includes 1930 papers, 32 of which were selected for the final evaluation. This article is an updated and extended version of the research conducted by our team in 2020 (Vovk 2021a). We found that despite the variety of methods, there is no single method that fits all cases. Certain methods are more widely used and create a background for advanced and secure methods. Our research shows that anonymization methods are used in tools for simplification and automation. Among challenges related to the use of all anonymization methods, is the proper balance between risk and data utility and highlight that the anonymization process is not limited to only technical measures but interdisciplinary. [ABSTRACT FROM AUTHOR]

The challenges faced by those who are returning to the community after prison are well documented. Community re-entry, especially for those who have sexually offended, is particularly stressful and fraught with many difficulties. Community maintenance programmes (CMPs) are community programmes designed to assist those who are released from prison, who have generally completed an offence-specific custodial treatment programme. There remains however no known published research that has examined the programmatic features of CMPs, their efficacy, the experiences of those who facilitate and participate in CMPs, and little is known about the theoretical underpinnings of CMPs. This paper reviews some of the factors that may contribute to behaviour change and the maintenance of that change, with a particular focus on CMPs for those who have sexually offended. Stemming from two recent qualitative studies interviewing CMP participants and service providers in Australia's largest CMP, this paper proposes Self-Determination Theory (SDT) as an underpinning for CMPs. There will also be a consideration of implications for practice as well as future research. This paper proposes Self-Determination Theory as a framework for the delivery of community maintenance programmes (CMPs) for those who have sexually offended. It is the first time a framework for the delivery of CMPs is considered, with practical implications related to the content and focus of the programme discussed. [ABSTRACT FROM AUTHOR]

While it is generally accepted in the leisure field that leisure has a role, and arguably a key one in wellness and wellbeing, this is largely at odds with the operations and funding frameworks of contemporary healthcare systems. Governments spend much less on leisure which involves social aspects of health than they do on healthcare systems which are focussed on biomedical interventions. Yet, many leisure and healthcare practitioners and academics are aware of the intersections between leisure, health and wellbeing and the aim of this edition was to offer a forum for overtly presenting these intersections. Here we set the scene for the papers in this special edition, summarizing the contribution of each paper to progressing discussions regarding the intersections of leisure and health and suggesting future directions for exploration. [ABSTRACT FROM AUTHOR]

Health organisations have adopted technologies since the 1960s, but only after the Industry 4.0 were such technologies systematized and organised under the H4.0 acronym. The pace at which digital information and communication applications have been developed in recent years challenge healthcare managers to choose assertively those with the largest potential impacts on their operations. In this paper, we propose using value stream mapping, a technique from the lean healthcare (LH) toolbox, to guide the choice of H4.0 digital applications that are more likely to support the improvement of value flows in healthcare organisations. We propose a three-step method, starting with mapping current and future value streams of the process under analysis, gathering data from team members on the indicated kaizen bursts and H4.0 digital applications, and finally assessing and ranking H4.0 digital applications that best support improvements and comply with attributes that characterise successful technological innovations. Our propositions are illustrated through a case study conducted in the sterilisation unit of a large public university hospital. Our findings indicate that three H4.0 digital applications should be prioritised to support the improvement of the value stream under analysis. Our method combines the simplicity of LH with more sophisticated solutions brought by H4.0. [ABSTRACT FROM AUTHOR]

The paper presents the introductory remarks to the special series "Science-Informed Treatment Adaptations with Youth: Bridging Pathways for Specialized Settings and Unique Populations" for Evidence-Based Practice in Children & Adolescent Mental Health. We discuss barriers to EST in specialized settings and with unique populations and consider possible bridging pathways to over-come these obstacles at both the individual and organizational levels. The paper concludes with a brief summary of the papers grouped into the following conceptual areas: 1) Bridging models within the related domains of case conceptualization, treatment planning, and continuous assessment; 2) science-informed adaptable treatment models in specialized settings; and 3) education and treatment pathways for clinicians practicing with unique youth populations. [ABSTRACT FROM AUTHOR]