Growing recognition that the acute health care delivery system contributes proportionally less to health when compared with environment and behavior has focused scholars and public health experts on the need to address nonmedical determinants of health. This paper outlines some steps that the U.S. government can take to address these factors and describes some of the challenges involved. Action...

In this paper we examine how New York City coped with the destruction of its Emergency Operations Center following the World Trade Center attack and how it reconstituted that center in a new location. We make the observation that, although the physical facility was destroyed, the organization that had been established to manage crises in New York City remained substantially intact, enabling a r...

Context OpenCoesione is the first portal about the fulfilment of investments and projects planned by the Italian central government and by the Italian Regions using the 2007­2013 European Cohesion funds. Together with Monithon, it is a “transparency tool” whose aim is to foster participation of the citizens and efficiency of the public sector bodies in order to improve the implementation of dev...

Recently, within the higher education system in the United Kingdom, there has been close examination of the way institutions teach and assess students. This scrutiny has been intensified by central government with the proposed introduction of the Teaching Excellence Framework (TEF). The anticipated TEF demands that higher education institutions evaluate their teaching and learning practices and...

The federal government took on the responsibility for the funding and coordination of medical research in 1938 with the creation of the Associate Committee on Medical Research of the National Research Council of Canada. The Associate Committee and its successor, the Division of Medical Research, developed policies and practices which promoted the growth of original investigation in the medical ...

The Congress is currently considering various approaches for instituting major changes in the nation’s system of health insurance. Some of those proposals would significantly expand the federal government’s role in that system, thus raising the question of how such changes might be reflected in the federal budget. This brief describes the approach that the Congressional Budget Office (CBO) will...

n engl j med 365;19 nejm.org november 10, 2011 1758 over the past decade. We must do better over the next decade. EHRs can improve the safety and culture of U.S. health care, but only if the federal government, as the nation’s largest health care payer, demonstrates that it is serious about improving patient safety. Disclosure forms provided by the authors are available with the full text of th...

O October 1, 2013, without a continuing resolution in place to support its budget, the U.S. federal government partially closed. One of many effects of the government shutdown was the defunding of the Children’s Hospitals Graduate Medical Education (CHGME) Payment Program. Fiftyfive freestanding children’s hospitals currently receive CHGME funds. These hospitals train almost 30% of the general ...

The history of Italian neuroradiology is marked by a series of events peculiar to Italy. Italy was among the first European countries in which neuroradiology developed as an independent discipline, overcoming the obstacles presented by the notorious political situation and the failure of central government to implement long-term planning strategies. Some apparently minor events will be recalled...

Economists have long been concerned with educational policies, but, in this decade of educational reform proposals, economists have not made much effort to translate research into direct policy implications. This is particularly true with respect to federal government policies. This paper provides an overview of current federal involvement in education and considers what, if anything, research ...