In the current socio-economic scenario characterized by a growing shortage of resources and progressive budget constraints, the need to better coordinate processes in health institutions appears as a relevant aspect t...In the current socio-economic scenario characterized by a growing shortage of resources and progressive budget constraints, the need to better coordinate processes in health institutions appears as a relevant aspect to ensure the future sustainability of system. In this sense, Relational Coordination(RC) provides a valuable opportunity for the reconfiguration of clinical guidelines concerning isolated single-level considerations. In this research the RC model has been applied to explain best results in the process of diagnosing and offering clinical treatments for lung cancer. Lung cancer presents the higher rates of tumor's mortality worldwide. Through unstructured and informal interviews with clinicians at both levels(Primary/Specialist Care), a diagnosis of the situation in relation to joint management of lung cancer is provided. Solutions of continuity in terms of coordination are explained due to the observation of lack of effective knowledge transfer between the two levels. It is this disconnection which justifies the introduction of a modified model of RC for the study and implementation of transfer relations between the knowledge holders, in order to structure consolidated and cooperative evidence-based models that lead to a substantial shortening in the response times with a marked outcomes improvement. To our knowledge, the application of this model to a Public Health problem bringing together both levels of care, hasn't been made till now.展开更多
水资源承载力是指一个区域或国家所能提供的可持续利用的水资源量,它直接关系到社会经济的可持续发展和生态环境的健康,也是衡量特定区域水资源供需平衡能力的重要指标。本文将对云南省水资源承载力进行分析评价,首先运用博弈论组合赋权...水资源承载力是指一个区域或国家所能提供的可持续利用的水资源量,它直接关系到社会经济的可持续发展和生态环境的健康,也是衡量特定区域水资源供需平衡能力的重要指标。本文将对云南省水资源承载力进行分析评价,首先运用博弈论组合赋权法,结合专家打分的层次分析法和客观分析原始数据的熵权法及变异系数法,得出综合权重;然后采用灰色关联度改进的逼近理想解的排序方法(Technique for order preference by similarity to ideal solution,TOPSIS)及耦合协调分析法,综合得出云南省在2008~2020年间水资源承载力的变化情况并做出评价。结果表明,2008~2020年水资源承载力总体呈上升趋势,其中,经济子系统和社会子系统的承载力始终保持持续上升的状态,而水资源子系统和生态环境子系统则出现波动情况。2008~2014年,云南省为大力发展经济,牺牲了一定的水资源合理开发利用,但在2014年后,开始注重水资源保护,实施绿色可持续发展战略,水资源子系统的承载力逐步提升。展开更多
文摘In the current socio-economic scenario characterized by a growing shortage of resources and progressive budget constraints, the need to better coordinate processes in health institutions appears as a relevant aspect to ensure the future sustainability of system. In this sense, Relational Coordination(RC) provides a valuable opportunity for the reconfiguration of clinical guidelines concerning isolated single-level considerations. In this research the RC model has been applied to explain best results in the process of diagnosing and offering clinical treatments for lung cancer. Lung cancer presents the higher rates of tumor's mortality worldwide. Through unstructured and informal interviews with clinicians at both levels(Primary/Specialist Care), a diagnosis of the situation in relation to joint management of lung cancer is provided. Solutions of continuity in terms of coordination are explained due to the observation of lack of effective knowledge transfer between the two levels. It is this disconnection which justifies the introduction of a modified model of RC for the study and implementation of transfer relations between the knowledge holders, in order to structure consolidated and cooperative evidence-based models that lead to a substantial shortening in the response times with a marked outcomes improvement. To our knowledge, the application of this model to a Public Health problem bringing together both levels of care, hasn't been made till now.
文摘水资源承载力是指一个区域或国家所能提供的可持续利用的水资源量,它直接关系到社会经济的可持续发展和生态环境的健康,也是衡量特定区域水资源供需平衡能力的重要指标。本文将对云南省水资源承载力进行分析评价,首先运用博弈论组合赋权法,结合专家打分的层次分析法和客观分析原始数据的熵权法及变异系数法,得出综合权重;然后采用灰色关联度改进的逼近理想解的排序方法(Technique for order preference by similarity to ideal solution,TOPSIS)及耦合协调分析法,综合得出云南省在2008~2020年间水资源承载力的变化情况并做出评价。结果表明,2008~2020年水资源承载力总体呈上升趋势,其中,经济子系统和社会子系统的承载力始终保持持续上升的状态,而水资源子系统和生态环境子系统则出现波动情况。2008~2014年,云南省为大力发展经济,牺牲了一定的水资源合理开发利用,但在2014年后,开始注重水资源保护,实施绿色可持续发展战略,水资源子系统的承载力逐步提升。
