Agent of reform

The evolution of donor-recipient relations in electricity reform: rethinking the principal-agent framework

Reform reform: an essay by John Oldham.

The NHS in England has undergone structural reform more times than I have changed my mobile phone. The driver is almost always political, with the government, of whichever party, reacting to public frustrations with the health and care system. These frustrations express themselves both publicly in the media and more privately in the constituency surgeries of members of parliament. Concerns ofte...

Building a Case for Agent-Assisted Learning as a Catalyst for Curriculum Reform in Medical Education

Animated pedagogical agents offer promise as a means of making computer-aided learning more engaging and effective. Realizing its full potential fully will involve integrating agents into curricula on a massive scale, so that they are as pervasive as textbooks currently are. This paper describes progress toward this end: the development of an agent-assisted learning environment designed for wid...

Post-Reform Ratemaking: Adjustment of Pre-Reform loss Post-Reform LOS Development Patterns

Objecrive Ratemaking data, particularly loss development pattems, for a state which has enacted major workers compensation reform is not available for a number of years following reform. As a result adjustment, or actuarial judgment, needs to be applied to historical pre-reform data to reflect expected post-refotm loss development pattems. The adjusted pattem can then be incorporated into tradi...

Policy Capacity for Health Reform: Necessary but Insufficient; Comment on “Health Reform Requires Policy Capacity”

Forest and colleagues have persuasively made the case that policy capacity is a fundamental prerequisite to health reform. They offer a comprehensive life-cycle definition of policy capacity and stress that it involves much more than problem identification and option development. I would like to offer a Canadian perspective. If we define health reform as re-orienting the health system from acut...