Author: United States. Congress. House. Committee on Appropriations
Publisher:
ISBN:
Category :
Languages : en
Pages : 1890

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Author: United States. Army. Office of the Chief of Engineers
Publisher:
ISBN:
Category : Engineering
Languages : en
Pages : 1152

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Book Description

Author: Lucy Emerton
Publisher: IUCN
ISBN: 9782831708812
Category : Environmental protection
Languages : en
Pages : 116

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Book Description
It has become clear during recent global deliberations on biodiversity conservation that achieving Protected Area (PA) financial sustainability will require major changes in the way that PA funding is conceptualized, captured and used. With many, if not most, PAs facing funding crises, both in terms of the amount of funds available and how those are used, there is an urgent need to expand and diversify PA financial portfolios, and to ensure that funding reaches the groups and activities essential for biodiversity conservation. A range of innovative financing mechanisms have been developed and implemented to increase funding for PAs. This document aims to review and assess the status of a variety of these mechanisms, the major obstacles and opportunities for their implementation, and the potential for improvement.

Author: Rochester (N.Y.). Council
Publisher:
ISBN:
Category :
Languages : en
Pages : 810

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Author: United States. Congress. House. Committee on Appropriations
Publisher:
ISBN:
Category : Washington (D.C.)
Languages : en
Pages : 1430

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Book Description

Author: Hyeyoung Oh Nelson
Publisher: Stanford University Press
ISBN: 1503633489
Category : Medical
Languages : en
Pages : 241

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Book Description
An eye-opening and compelling ethnography about how doctors make decisions The oath that doctors take to "do no harm" suggests that patient welfare is at the center of what it means to be a successful medical professional. It is also understood, however, that hospitals are not only vessels for medical care—they are businesses, educational institutions, and complex bureaucracies with intricate codes of etiquette that dictate how each staff member should approach situations with patients. In Conflicted Care, Hyeyoung Oh Nelson provides an in-depth look at the decision-making processes of physicians at a large, prestigious academic medical center—that she calls Pacific Medical Center—and finds that more often than not patient wellbeing is only one of several factors governing day-to-day decisions. The steps physicians take reveal a kind of hidden curriculum of the medical world, one that is guided by status and hierarchy, bureaucracy, norms for consulting with third-parties, regulations for interactions with patients, and medical uncertainty. While at an institutional and individual level patient care continues to be integral to everything the physicians do, they are forced to reconcile that vow with these other, often-conflicting internal logics. Harm, Nelson argues, is thus built into the practice of medicine in the United States. This harm can take the form of unnecessary treatments and consultations or inadequate treatment for pain to motivate specialist intervention that would otherwise be resisted. These and other practices have the overall consequence of significantly driving up inpatient care costs, which then results in patients forgoing needed, ongoing treatment once they receive their medical bills. Drawing on a deep ethnography of physicians in the Internal Medicine Service unit, Nelson offers a sharp assessment of current policies aimed at alleviating medical costs and explains why they are ineffective. She concludes by offering novel policy and practice recommendations for health care practitioners, policy makers, and healthcare institutions.

Author: United States. War Department. Corps of Engineers
Publisher:
ISBN:
Category : Engineering
Languages : en
Pages : 578

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Author: United States. Internal Revenue Service
Publisher:
ISBN:
Category : Charitable uses, trusts, and foundations
Languages : en
Pages : 1142

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Book Description

Author:
Publisher:
ISBN:
Category : Alcoholics
Languages : en
Pages : 788

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Book Description

Author: United States. Congress. House. Committee on Appropriations
Publisher:
ISBN:
Category : United States
Languages : en
Pages : 1176

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Book Description