Cristián Mansilla, Lucy Kuhn-Barrientos, Natalia Celedón, Rafael de Feria and Julia Abelson
Health systems are progressively stressed by health spending, which is partially explained by the increase in the cost of health technologies. Countries have defined processes to…
Abstract
Purpose
Health systems are progressively stressed by health spending, which is partially explained by the increase in the cost of health technologies. Countries have defined processes to prioritize interventions to be covered. This study aims to compare for the first time health technology assessment (HTA) processes in Canada and Chile, to explain the factors driving these decisions.
Design/methodology/approach
This is a health policy analysis comparing HTA processes in Canada and Chile. An analysis of publicly available documents in Canada (for CADTH) and Chile (for the Ministry of Health (MoH)) was carried out. A recognized political science framework (the 3-I framework) was used to explain the similarities and differences in both countries. The comparison of processes was disaggregated into eligibility and evaluation processes.
Findings
CADTH has different programmes for different types of drugs (with two separate expert committees), whereas the MoH has a unified process. Although CADTH’s recommendations have a federal scope, the final coverage is a provincial decision. In Chile, the recommendation has a national scope. In both cases, past recommendations influence the scope of the evaluation. Pharmaceutical companies and patient associations are important interest groups in both countries. Whereas manufacturers and tumour groups are able to submit applications to CADTH, the Chilean MoH prioritizes applications submitted by patient associations.
Originality/value
Institutions, interests and ideas play important roles in driving HTA decisions in Canada and Chile, which is demonstrated in this novel analysis. This paper provides a unique comparison to highly relevant policy processes in HTA, which is often a research area dominated by effectiveness and cost-effectiveness studies.
Details
Keywords
This paper explores tools and methodologies associated with the recovery of industrial areas from a territorial and urban perspective.
Abstract
Purpose
This paper explores tools and methodologies associated with the recovery of industrial areas from a territorial and urban perspective.
Design/methodology/approach
This study describes the theoretical foundations of a specific industrial reality, using the city of Valdivia as a case study. Intermediate cities are resilient urban areas that support the changes derived from deindustrialization. Here, we present the contextualization of a contemporary recovery tool in Valdivia. First, industrial and geographical antecedents are described. Then, essential aspects of memory, territory and society are defined. Finally, challenges and opportunities derived from the contextual approach of the proposed recovery model are discussed.
Findings
Three thematic lines were used to design the proposed heritage recovery model: memory, territory and society. The recovery of industrial memory, a programmatic reconstruction that includes a contemporary and environmentally sensitive utilization of the territory, and the restoration of the lost connection between the city and the territory, proved to be essential in this task.
Research limitations/implications
This proactive research allowed an in-depth analysis of the addressed topic and the exhaustive design of a tool for heritage recovery, following the provisions of the regional legislation. However, the authors acknowledge that the contextualization of the contextualization of the project actual project may limit the project execution.
Originality/value
This paper explores the development of a new tool for the evaluation, intervention, and preservation of the industrial heritage of intermediate cities, as an alternative to the traditional methods of intervention.
Details
Keywords
Victoria Rodner and Finola Kerrigan
The purpose of this paper is to examine the role played by the visual arts in expressing and shaping the nation brand. In doing so, it establishes the centrality of visual…
Abstract
Purpose
The purpose of this paper is to examine the role played by the visual arts in expressing and shaping the nation brand. In doing so, it establishes the centrality of visual discourse in nation branding; illustrating that discursive strategies can directly alter the nation brand’s perception.
Design/methodology/approach
This single case study drawing on in-depth interviews, field observation and secondary/historical material, applies mediated discourse analysis and critical discourse analysis to capture a transitional period in the cultural policies and nation branding rhetoric across a time frame of 60 years.
Findings
This study establishes the visual arts as a significant carrier of meaning, thus reflecting changes in the national discourse. This analysis illustrates that publicly supported visual arts can articulate policy aspirations and provide insight into the power of competing national discourse which co-exists, thereby shaping the internal and external nation brand.
Research limitations/implications
The study focuses on the visual arts and the context of Venezuela. Future research could expand this to look at the visual arts in other national or regional contexts.
Practical implications
The paper establishes visual art as central to expressing national identity and policy, and a tool for examination of national identity and policy. More broadly, the paper establishes public support for the (visual) arts as central to nation-branding projects providing insight for those engaged in such campaigns to prioritize arts funding.
Originality/value
The authors’ study indicates the marketing relevance of visualization of the nation through the arts and establishes the visual arts as a central tenant of the nation brand.
Details
Keywords
Sandra Milena Santamaria-Alvarez and Martyna Śliwa
The purpose of this paper is to discuss the transnational entrepreneurial activities of Colombian emigrants to the USA in the context of the Colombian government’s policies and…
Abstract
Purpose
The purpose of this paper is to discuss the transnational entrepreneurial activities of Colombian emigrants to the USA in the context of the Colombian government’s policies and initiatives aimed at encouraging and facilitating emigrants’ transnational entrepreneurship. It examines the profile of Colombian emigrants, the entrepreneurial transnational activities they pursue and the actual and potential role of the government in instigating and shaping these activities.
Design/methodology/approach
The paper analyzes data obtained from focus groups with migrant families and interviews with governmental officials and an expert researcher. It also evaluates secondary data sources relevant to the subject of the paper.
Findings
The impact of transnational activities of Colombian migrants upon Colombian economy and society is much lower compared with the activities of migrants in other countries and with the potential these activities could have for contributing to the economic development of Colombia. Possible causes of this include: the specific characteristics of the Colombian emigrant and entrepreneur profile, the fragmentation of transnational networks of the migrants and the lack of governmental strategies to support the development of transnational activities of migrants.
Originality/value
The paper contributes to the debates on emigrant–state relation through offering an analysis of migrant entrepreneurship, technology and knowledge transfer and investment activities of Colombian emigrants in the home country. It also provides recommendations for policy action and concrete government programs that might encourage greater involvement of Colombian migrants in high value-adding activities that could benefit the country’s development.
Details
Keywords
Julio Ore, Alex Pacheco, Edwin Roque, Andy Reyes and Liz Pacheco
People who suffer from phobias try to avoid a specific object or feared situation by creating a great obstacle that causes serious consequences in their daily life; the most…
Abstract
Purpose
People who suffer from phobias try to avoid a specific object or feared situation by creating a great obstacle that causes serious consequences in their daily life; the most effective way to deal with a phobia is through exposure therapy, which according to one of the most important principles of psychology states that to overcome a fear you have to face it. The purpose of this paper is to develop a mobile application based on augmented reality (AR) for the treatment of spider phobia (Araneae).
Design/methodology/approach
The application development methodology was divided into two phases: design where sketches were made according to functional requirements, and the client server model was used for user queries and the development phase where the modules for the information of the phobia; and visualization of the arachnid in different morphological forms was implemented through the development tools.
Findings
The findings of this study, in this sense, state that it was possible to overcome the phobia in an essential way by ceasing to perceive harmless things as dangerous, helping them to manage stress and keep them under control.
Originality/value
Allowing to face their fears in support of existing therapeutic processes through images with progressively AR, being an innovative and accessible treatment from an economic, technological and professional point of view.