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Tetiana Stepurko, Milena Pavlova and Wim Groot
Informal payments in health care exist in many countries around the world. However, the prevalence of informal payments varies between countries. A distinction between illegal or…
Abstract
Informal payments in health care exist in many countries around the world. However, the prevalence of informal payments varies between countries. A distinction between illegal or unethical informal payments like bribes and corruption, and legal and ethical forms of informal payment like giving gifts is not always easy to make. Illegal and unethical practices include, for example, buying medical certificates, bid rigging during procurements, or selecting service-providers for a hospital based on personal connections. A conceptual global definition of informal payments in health care is not feasible because informality depends on local regulations, values, and traditions. In this chapter, we provide an up-to-date understanding of informal payments in health care (including corruption, fraud etc.) by distinguishing micro, meso, and macro levels of informal payments. We argue that informal payments that occur at these levels cannot be unified under one umbrella of corruption because the various forms of informal payments in health care differ in nature, scope, and damaging effects.
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Sara Bonesso, Fabrizio Gerli, Anna Comacchio and Laura Cortellazzo
Research has extensively underlined the positive impact of emotional, social and cognitive competencies on leadership effectiveness. Despite the fact that literature acknowledges…
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Research has extensively underlined the positive impact of emotional, social and cognitive competencies on leadership effectiveness. Despite the fact that literature acknowledges that these competencies can be learned from different experiences over a person’s lifetime, research has mainly focused on leadership development in adulthood. Through the case study of the Ca’ Foscari Competency Centre, this chapter advances the understanding on how higher education can favour leadership development at the early stage, in terms of identity formation and self-regulation, through the implementation of the intentional change theory, considering that this learning process varies according to different developmental trajectories.
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David L. McKee and Yosra A. McKee
In the USA a nationwide grid of metropolitan areas with populations beyond the million mark has emerged. The strength of the national economy appears to be exhibited through those…
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In the USA a nationwide grid of metropolitan areas with populations beyond the million mark has emerged. The strength of the national economy appears to be exhibited through those large agglomerations and the linkages that they have developed amongst themselves, other components of the national economy and in some instances elements external to that economy. Metropolitan areas in the size class referred to, and some not quite so large, are expanding their boundaries or spheres of influence in ways that signal changes for the urban areas in question and indeed for the national economy. The current discussion reviews and synthesizes recent thinking concerning urban peripheries and adjacent areas with an eye to understanding their role in a changing economic infrastructure. In keeping with advances in transportation and communications and the emergence of service industries, developments on the metropolitan peripheries are assisting with the ongoing functional linkages of their metropolitan hosts to the national economy and beyond, and thus are contributing to their continuing viability.
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Gerasimos A. Gianakis and Clifford P. McCue
This article describes the implementation of Joint Economic Development Districts between the City of Akron, Ohio and surrounding townships. We examine the capacity of the JEDD…
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This article describes the implementation of Joint Economic Development Districts between the City of Akron, Ohio and surrounding townships. We examine the capacity of the JEDD structure to make Akron’s boundaries more “elastic” without contentious annexation, explore its capacity to serve as a vehicle for cooperative regional economic development, and assess its utility as mechanism for generating the funds necessary to finance the infrastructure improvements required for economic development. Preliminary indications are that the JEDD mechanism will allow the benefits of economic development to accrue to Akron while it avoids costly and contentious annexations and will generate funds to support economic development, but it does not manifest a cooperative, regional approach to economic development.
The initial jurisprudential response to the gig economy above has included the exploration of two new legal personae: algorithmic persons and dependent contractors. The author…
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The initial jurisprudential response to the gig economy above has included the exploration of two new legal personae: algorithmic persons and dependent contractors. The author uses the word ‘exploration’ here, because neither figure has become an established character on the legal landscape in the United States – yet. Given the sector’s claims of absolute novelty, it may seem that the best way to develop regulations is to identify new positions and actors, define them, and then apply existing regulations and expectations or develop new ones accordingly. This chapter explains why this approach is misguided. First, legal personae have only a tangential relationship with actually existing human beings. Much regulatory energy could be caught up in elaborate definitions and descriptions intended to develop robust regulation, only to find that they create the blueprint for future business models that avert these very frameworks. Second, these legal personae are developed within the existing frameworks of employment law and corporate regulation, which in the United States, are determined by a phantasmagoric understanding of ‘the market’. Unless this basic framework is questioned, one can expect that these new legal personae will fail to protect actual workers and consumers.