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Strengthening management capacity within the health care sector could have a significant impact on population health. However, many training programs in this area are still delivered using a classic lecture-based approach. The purpose of this paper is to evaluate and better understand the feasibility of using a problem-based learning (PBL) approach in health services management training programs.

A PBL teaching approach (based on the Maastricht University model) was tested with second-year postgraduate students from the Master in Public Health Management program at the Lithuanian University of Health Sciences. Students’ opinions about PBL were investigated using a questionnaire with eight open-ended questions. Thematic content analysis was chosen to reflect the search for patterns across the data.

Respondents stated that the main advantage of PBL was that it was a more interesting and effective way of learning: “It is easier to remember, when you study by yourself and discuss with all peers”. In addition, it was mentioned that PBL initiated a rapid exchange of ideas and sharing of personal experience. Students stressed that PBL was a good tool for developing other skills as well, such as “public speaking, communication, logic thinking”. All students recommended delivering all other courses in the health services management program using PBL methodologies.

Findings from our study suggest that PBL may be an effective approach to teaching health services management. Potential problems in implementation are noted.

This study explores key governance, leadership and management activities that have impact on quality, risk and safety within Australian healthcare organisations.

Current non-executive directors (n = 12) of public and private health boards were interviewed about contemporary approaches to fiduciary and corporate responsibilities for quality assurance and improvement outcomes in the context of risk and safety management for patient care. Verbatim transcripts were subjected to thematic analysis triangulated with Leximancer-based text mining.

Boards operate in a strong legislative, healthcare standards and normative environment of quality and risk management. Support and influence that create a positive quality and risk management culture within the organisation, actions that disseminate quality and risk broadly and at depth for all levels, and implementation and sustained development of quality and risk systems that report on and contain risk were critical tasks for boards and their directors.

Findings from this study may provide health directors with key quality and risk management agenda points to expand or deepen the impact of governance around health facilities' quality and risk management.

This study has identified key governance activities and responsibilities where boards demonstrate that they add value in terms of potential improvement to hospital and health service quality care outcomes. The demonstrable influence identified makes an important contribution to our understanding of healthcare governance.

The purpose of this paper is to evaluate socio-economic inequalities in the use, accessibility and satisfaction with health services amongst 60-84 year old people from seven European urban communities.

Data for this study were collected in 2009. The target population was people aged 60-84 years from Stuttgart (Germany), Athens (Greece), Ancona (Italy), Kaunas (Lithuania), Porto (Portugal), Granada (Spain) and Stockholm (Sweden). The total sample comprised 4,467 respondents with a mean response rate across these countries of 45.2 per cent.

The study demonstrated that the majority of respondents had contact with a health care provider within the last 12 months. The highest percentages were reported by respondents from Spain (97.8 per cent) and Portugal (97.7 per cent). The results suggest that 13.0 per cent of respondents had refrained from seeking care services. The highest rates were amongst seniors from Lithuania (24.0 per cent), Germany (16.2 per cent) and Portugal (15.4 per cent). Logistic regression suggests that seniors who refrained from seeking health care was statistically significant associated with those with higher levels of education (odds ratios (OR)=1.21; 95 per cent confidence intervals (CI)=1.01-1.25) and financial strain (OR=1.26; 95 per cent CI=1.16-1.37). Furthermore, the majority of respondents were satisfied with health care services.

The findings from the “Elder Abuse: a multinational prevalence survey” study indicate the existence of significant variations in use, accessibility and satisfaction with health services by country and for socio-economic factors related to organizing and financing of care systems.

Throughout their histories the Evangelical and Catholic communities have been traditional opponents. Seldom have they agreed, and never have they joined to work as one within the US society and polity. However, beginning in the early 1990s some small, self‐identifying élites from each religious community sought out in the other visible persons of similar ideological and moral commitment. Advances the context of that dialogue between these micro‐élites, proposes the application of classical élite theory to explain the dialogue better. Generates a seven‐postulate hypothesis to answer the question posed by the context and the application of élite theory: can self‐selected micro‐élites maintain their alliance and accommodation for a significant period of time? Given that these are integrative and pattern maintenance élites (not the more usual ruling and adaptive ones) the application of élite theory offers an unconventional understanding of alliance building, as well as an uncommon insight into religious co‐operation and political accommodation by micro‐élites in contemporary US politics.

THE Avery Connecting Rod Prover is designed for the balancing of both ends of a connecting rod simultaneously, the results being then compared with a standard rod previously tested. The standard rod is placed in the machine and balanced off by moving the poise weights until the automatic indicators remain at zero.

Even more than 50 years after the Civil Rights Act of 1964 prohibited discrimination toward a number of groups in employment settings in the United States, workplace discrimination remains a persistent problem in organizations. This chapter provides a comprehensive review and analysis of contemporary theory and evidence on the nature, causes, and consequences of discrimination before synthesizing potential methods for its reduction. We note the strengths and weaknesses of this scholarship and highlight meaningful future directions. In so doing, we hope to both inform and inspire organizational and scholarly efforts to understand and eliminate workplace discrimination.

This guide attempts to identify those items that should form the foundation of any collection of reference tools on architectural history and upon which more specialized collections can be built. The core collection suggested here is for a college or university library offering courses in architectural history at the upper undergraduate level and above, but the annotations should enable those developing the collections of other types of libraries to select appropriate items.

BOOKS on Work Study and its related techniques written by British authors are a mere runnel when contrasted with the literary Mississippi which flows from the American presses. A new one is an event, so we are glad to welcome Michael Avery's volume on Methods Engineering which embodies some material previously contributed to this journal.