The impact of structural changes in liner shipping on Caribbean ports

This edition of the FAL Bulletin deals with maritime transport in the Caribbean and focuses on structural changes in liner shipping and its impact on ports and transhipment in the Caribbean. The article has been written by Dr. Gustaaf de Monie of Policy Research Corporation N.V., Antwerp, Belgium, and is based on the study "Caribbean Ports Scan", which is about to be published by Policy Research Corporation (Fax 32-3-2869496). The opinions expressed in this article are of the author and may not necessarily coincide with the views of ECLAC. The main purpose of this edition is to encourage a constructive and fruitful discussion.

Evaluation report of the training workshop on the use of the module to analyse growth of international commerce (Magic Plus) and the competitive analysis of nations (TRADECAN 2009) software

The aim of the workshop was to provide a functional overview of the software package, to enable participants to use the software in order to inform more evidence-based trade strategies, and build capacity for researchers and trade negotiators to provide more rigorous, analytical policy research to inform future trade negotiations. Participants came from the ministries of trade of the following CDCC member countries: Dominica, Grenada, Jamaica, Saint Lucia, Saint Kitts and Nevis, Saint Vincent and the Grenadines, and Trinidad and Tobago. Representatives of the following regional institutions were represented: the Caribbean Community/Caribbean Regional Negotiating Mechanism (CARICOM/CRNM); the Organisation of Eastern Caribbean States (OECS); the University of Guyana, University of Suriname and the University of the West Indies (UWI). It was hoped the workshop would be a stepping stone towards more advanced trade analysis training. The list of participants appears as Annex I.

Contribuições da informática para desenvolvimento da pesquisa em Educação: digitalização de acervos documentais

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A pesquisa metamorfoseada em objeto de eloqüência institucional e sua efetividade na proposta curricular do curso de Ciências Sociais da Universidade da Amazônia

A presente dissertação versa sobre a atividade investigativa dos professores do Curso de Ciências Sociais da Universidade da Amazônia - UNAMA delimitada na pesquisa como eixo central do estudo. Estabeleceu-se como limite temporal e espacial o período de 1980 até o ano de 2008 elegendo-se tal período em função das mudanças ocorridas no campo das relações sociais, políticas, econômicas e educacionais. Objetivou-se no estudo analisar a atividade investigativa dos professores do Curso de Ciências Sociais da UNAMA, mediante a avaliação dos impactos da política de pesquisa institucionalizada e refletir sobre os posicionamentos dos docentes diante de tal da política. Definiram-se quatro problemas básicos para investigação: Que fatores impulsionaram a incorporação da atividade investigativa enquanto componente da prática pedagógica dos professores do Curso de Ciências Sociais da UNAMA no contexto social amazônico que se configurou a partir da década de 1980? Sob quais estratégias foram instituídas as políticas de estímulo à produção do conhecimento científico nessa instituição de ensino superior? De que modo a política de pesquisa institucionalizada na UNAMA refletiu na atividade investigativa dos professores vinculados ao Curso de Ciências Sociais? Sob quais condições os professores-pesquisadores exercem o protagonismo científico no âmbito do Curso de Ciências Sociais da UNAMA? Adotou-se como percurso metodológico a pesquisa documental, complementada por pesquisa de campo com a realização de entrevistas envolvendo docentes do referido curso. Os resultados indicam que a atividade investigativa como parte componente do fazer docente no curso de ciências sociais da UNAMA não expressa a consistência suficiente para atender a qualidade do conhecimento produzido, no entanto ela justifica o status de universidade. Conclui-se que o pensamento descrito pelo grupo mantenedor da UNAMA em relação à pesquisa como parte integrante do fazer dos docentes, conforme é expresso nos documentos institucionais, não converge com a realidade existente na instituição.

As ouvidorias de saúde pública no Estado do Pará: uma relação dialógica entre governo, medicina e sociedade?

Esta Dissertação tematiza sobre as ouvidorias de saúde pública como um espaço de participação cidadã na gestão administrativa, indagando se acontece uma relação dialógica entre governo, medicina e sociedade, na perspectiva de aproximação da gestão e serviços prestados pela saúde pública, de acordo com a Política de Humanização do SUS. A hipótese norteadora do estudo é a de que com a participação popular, através das ouvidorias, são produzidas transformações nas práticas desempenhadas pelos diferentes atores na configuração das práticas no cuidado em saúde, em aproximação com os princípios e estratégias de Humanização do Sistema Único de Saúde, com capacidade de tensionar os papéis constituídos no contexto biomédico que se constituiu como predominante, a partir dos fins do século XVII. Objetiva identificar as contribuições efetivas da atuação das ouvidorias de saúde pública, na construção e execução de novas práticas da saúde, de acordo com a PNH. Foi desenvolvida em quatro capítulos, que tratam da participação social e da história das ouvidorias de saúde pública, no Brasil, do SUS e da Política de Humanização na Saúde,da pesquisa propriamente dita e as considerações finais. A investigação, com desenho qualitativo e exploratório, visa a conhecer, descrever e compreender a realidade da política de humanização nas instituições de saúde pública no estado do Pará, por intermédio das demandas das ouvidorias em um processo de ampliação de mecanismos democráticos de controle social das políticas públicas de saúde. Entre os resultados alcançados nesta pesquisa, cita-se que as Ouvidorias de Saúde Pública têm o claro compromisso de se tornarem instituições de excelência e cumprirem o seu papel na promoção do diálogo entre o estado, a medicina e a sociedade. Quanto a esse processo colaborar na construção de novas práticas em saúde, não se identificam grandes efetividades, porém, serve como valor simbólico de representatividade de acessibilidade de comunicação e diálogo sem burocracia entre sociedade e gestão pública é significativa. Observa-se a necessidade da gestão da saúde pública, no sentido de se organizar em suas várias instâncias.

Rationalities, Practices, and Resistance in Post-Welfarism. A Comment on Kevin Stenson

The former welfare arrangements are, according to Stenson, in a process of fundamental re-structuring. Or regarding the topic of this SW&S-Special Issue (was meint ihr genau mit dem vorhergehenden Satz? Man sollte einen Satz besser nicht mit ‘or’ anfangen): the spatial scales of the welfare states are under siege. With this advice Stenson assents to the prevalent description of a fundamental shift of former welfare arrangements since the last third of the 20th century (see for welfare policy research, research on human services and social work: Castel 2003; Clarke 2004; Gilbert 2004; Lessenich 2008/forthcoming; Marston/McDonald 2006; Webb 2006).

After Bali: WTO Rules Applying to Public Food Reserves

Once more, agriculture threatened to prevent all progress in multilateral trade rule-making at the Ninth WTO Ministerial Conference in December 2013. But this time, the “magic of Bali” worked. After the clock had been stopped mainly because of the food security file, the ministers adopted a comprehensive package of decisions and declarations mainly in respect of development issues. Five are about agriculture. Decision 38 on Public Stockholding for Food Security Purposes contains a “peace clause” which will now be shielding certain stockpile programmes from subsidy complaints in formal litigation. This article provides contextual background and analyses this decision from a legal perspective. It finds that, at best, Decision 38 provides a starting point for a WTO Work Programme for food security, for review at the Eleventh Ministerial Conference which will probably take place in 2017. At worst, it may unduly widen the limited window for government-financed competition existing under present rules in the WTO Agreement on Agriculture – yet without increasing global food security or even guaranteeing that no subsidy claims will be launched, or entertained, under the WTO dispute settlement mechanism. Hence, the Work Programme should find more coherence between farm support and socio-economic and trade objectives when it comes to stockpiles. This also encompasses a review of the present WTO rules applying to other forms of food reserves and to regional or “virtual” stockpiles. Another “low hanging fruit” would be a decision to exempt food aid purchases from export restrictions.

An empirical model to estimate the demand for primary care in urban settings

Objective. To measure the demand for primary care and its associated factors by building and estimating a demand model of primary care in urban settings.^ Data source. Secondary data from 2005 California Health Interview Survey (CHIS 2005), a population-based random-digit dial telephone survey, conducted by the UCLA Center for Health Policy Research in collaboration with the California Department of Health Services, and the Public Health Institute between July 2005 and April 2006.^ Study design. A literature review was done to specify the demand model by identifying relevant predictors and indicators. CHIS 2005 data was utilized for demand estimation.^ Analytical methods. The probit regression was used to estimate the use/non-use equation and the negative binomial regression was applied to the utilization equation with the non-negative integer dependent variable.^ Results. The model included two equations in which the use/non-use equation explained the probability of making a doctor visit in the past twelve months, and the utilization equation estimated the demand for primary conditional on at least one visit. Among independent variables, wage rate and income did not affect the primary care demand whereas age had a negative effect on demand. People with college and graduate educational level were associated with 1.03 (p < 0.05) and 1.58 (p < 0.01) more visits, respectively, compared to those with no formal education. Insurance was significantly and positively related to the demand for primary care (p < 0.01). Need for care variables exhibited positive effects on demand (p < 0.01). Existence of chronic disease was associated with 0.63 more visits, disability status was associated with 1.05 more visits, and people with poor health status had 4.24 more visits than those with excellent health status. ^ Conclusions. The average probability of visiting doctors in the past twelve months was 85% and the average number of visits was 3.45. The study emphasized the importance of need variables in explaining healthcare utilization, as well as the impact of insurance, employment and education on demand. The two-equation model of decision-making, and the probit and negative binomial regression methods, was a useful approach to demand estimation for primary care in urban settings.^

TECHNOLOGY ASSESSMENT: SMALL-VOLUME INFUSION PUMPS

"Technology assessment is a comprehensive form of policy research that examines the short- and long-term social consequences of the application or use of technology" (US Congress 1967).^ This study explored a research methodology appropriate for technology assessment (TA) within the health industry. The case studied was utilization of external Small-Volume Infusion Pumps (SVIP) at a cancer treatment and research center. Primary and secondary data were collected in three project phases. In Phase I, hospital prescription records (N = 14,979) represented SVIP adoption and utilization for the years 1982-1984. The Candidate Adoption-Use (CA-U) diffusion paradigm developed for this study was germane. Compared to classic and unorthodox curves, CA-U more accurately simulated empiric experience. The hospital SVIP 1983-1984 trends denoted assurance in prescribing chemotherapy and concomitant balloon SVIP efficacy and efficiency. Abandonment of battery pumps was predicted while exponential demand for balloon SVIP was forecast for 1985-1987. In Phase II, patients using SVIP (N = 117) were prospectively surveyed from July to October 1984; the data represented a single episode of therapy. The questionnaire and indices, specifically designed to measure the impact of SVIP, evinced face validity. Compeer group data were from pre-SVIP case reviews rather than from an inpatient sample. Statistically significant results indicated that outpatients using SVIP interacted socially more than inpatients using the alternative technology. Additionally, the hospital's education program effectively taught clients to discriminate between self care and professional SVIP services. In these contexts, there was sufficient evidence that the alternative technology restricted patients activity whereas SVIP permitted patients to function more independently and in a social lifestyle, thus adding quality to life. In Phase III, diffusion forecast and patient survey findings were combined with direct observation of clinic services to profile some economic dimensions of SVIP. These three project phases provide a foundation for executing: (1) cost effectiveness analysis of external versus internal infusors, (2) institutional resource allocation, and (3) technology deployment to epidemiology-significant communities. The models and methods tested in this research of clinical technology assessment are innovative and do assess biotechnology. ^

Clusters and Innovation: Beijing's Hi-technology Industry Cluster and Guangzhou's Automobile Industry Cluster

This paper proposes a flowchart approach to the automobile industry cluster policy and the hi-technology industry cluster policy to prioritize policy measures. First, in the automobile industry cluster, suppliers of parts and components to anchor firms such as Honda, Nissan and Toyota of Japanese assembly makers in Guangzhou, China, can innovate partly because the suppliers have become independent of their anchor firms in the Japanese Keiretsu system. Second, concerning the hi-technology industry clustering in Beijing, we show that the existence of universities is a precondition for the industrial cluster policy and that the leadership of the Zhongguancun Science Park Management Committee of Beijing Municipality is crucial to the success of the industrial cluster policy. The flowchart for the hi-technology industry is different from the one for the automobile industry cluster.