BACKGOUND In Canada and other countries, sickness absence among workers is a significant concern. Local return-to-work policies developed by both management and workers' representatives are preferred to tackle the problem. OBJECTIVE This article examines how managers perceive this local bipartite agreed upon return-to-work policy, wherein a social constructivist view on the policy process is ...

Health sector reform in China has led to increasing responsibility for hospital managers in the management of staff; but constraints continue. New personnel reforms offer new opportunities but face a number of difficulties. Drawing on research in Chinese hospitals in 1997 this paper identifies two major obstacles to improved human resource management: wage policy and lack of control by local ma...

We used structured decision-making to develop a 2-part framework to assist managers in the proactive management of disease outbreaks in Montana, USA. The first part of the framework is a model to estimate the probability of disease outbreak given field observations available to managers. The second part of the framework is decision analysis that evaluates likely outcomes of management alternati...

This qualitative study aimed at analyzing the participation of the local health managers in the assistance provided to the adolescent victim of violence in the city of Itabuna, Bahia, Brazil. Specific objectives of this study were: to identify how the local health managers perceive violence and its repercussions in adolescence; to identify the public healthcare policies directed to the adolesce...

This study analyses health managers' perceptions of local public health agendas addressing violence against rural women in municipalities in the southern part of the State Rio Grande do Sul in Brazil. It consists of an exploratory descriptive study utilizing a qualitative approach. Municipal health managers responsible for planning actions directed at women's health and primary health care were...

I show that performance incentives vary by decision-making authority of division managers. For division managers with broader authority, i.e., those designated as corporate officers, both the sensitivity of pay to global performance measures and the relative importance of global to local measures are larger, relative to non-officers. There is no difference in sensitivity of pay to local measure...

Purpose: The 2008–2012 French Alzheimer plan aims to implement an integrated services delivery (ISD) called “Homes for Integration and Autonomy for Alzheimer patients”. Alzheimer disease is taken as a model to implement ISD in the whole system. All pilot projects were driven by a ‘local pilot’ fully dedicated to the ISD implementation. Methods: We aimed to analyze factors related to the ‘local ...

In Brazil, in recent years, as a result of the increasing participation of county authorities in health care, a need for tools which would contribute to the better preparation of local administrators, complementary to the activities of a more academic nature, has been recognized. One of the possible alternatives is the exploitation of experiences, regarded as successful, in local health care pl...

In this paper, we propose a signature-based hierarchical email worm detection (SHEWD) system to detect e-mail worms in large-scale networks. The proposed system detects novel worms and instantly generates their signatures. This feature helps to check the spread of any kind of worm—known or unknown. We envision a two-layer hierarchical architecture comprising local security managers (LSMs), metr...

This qualitative study captured the opinions of the owners and managers of smoke-free restaurants. The purpose of this study, initiated by local citizens who were members of a group called Healthy Alamance, was to identify the motivations and experiences of restaurant owners and managers who had committed to smoke-free indoor environments. Telephone interviews were attempted with all 80 owners/...