Working together for public service : report of the U.S. Secretary of Labor's Task Force on Excellence in State and Local Government Through Labor-Management Cooperation /

"Issued May 1996."

Public Employee Pension Plan Reporting and Accountability Act of 1982 : report of the Committee on Education and Labor, U.S. House of Representatives on H.R. 4928 together with a dissenting view (to accompany H.R. 4928 which on November 10, 1981, was jointly referred to the Committee on Education and Labor and the Committee on Ways and Means) (including cost estimate of the Congressional Budget Office).

"May 17, 1982."

Public service training for local government personnel in 1956 ; a survey of current programs and practices /

Mode of access: Internet.

Public and local acts of the Legislature of the State of Michigan

Includes regular, special, adjourned and extra sessions

United States Housing Corporation. Hearins before subcommittee of the Committee on Public Buildings and Grounds, United States Senate, Sixty-sixth Congress, first session, pursuant to S. Res. 210, a resolution directing the Committee on Public Buildings and Grounds to investigate and report to the Senate concerning the cost of construction and maintenance of public buildings of the Government, their location, and the plan of the Government as to their future disposition.

Bert M. Fernald, chairman.

Organization and staffing for local health services; analysis of information submitted to the Public Health Service in Report of public Health personnel as of January 1, 1958.

Mode of access: Internet.

To establish a federal cost-sharing policy for the construction and maintenance of deep draft ports : hearing before the Subcommittee on Water Resources of the Committee on Environment and Public Works, United States Senate, Ninety-eighth Congress, first session, September 24, 1983--Portsmouth, N.H.

Mode of access: Internet.

Report of the President's Private Sector Survey on Cost Control : hearing before the Committee on Environment and Public Works, United States Senate, Ninety-eighth Congress, second session, on the effect of the report of the President's Private Sector Survey on Cost Control, on Titles V and X of S. 1739, the Water Resources Development Act of 1983, February 22, 1984.

Mode of access: Internet.

Public and local acts of the Legislature of the State of Michigan.

Printed Detroit : J.S. Bagg (1836)

Public Perceptions and Pesticides - A Case Study of the Willapa Bay Oyster Bed Spraying Permit of 2015

Thesis (Master's)--University of Washington, 2016-06

Utilising survey data to inform public policy: Comparison of the cost-effectiveness of treatment of ten mental disorders

Background Mental health survey data are now being used proactively to decide how the burden of disease might best be reduced. Aims To study the cost-effectiveness of current and optimal treatments for mental disorders and the proportion of burden avertable by each. Method Data for three affective, four anxiety and two alcohol use disorders and for schizophrenia were compared in terms of cost, burden averted and efficiency of current and optimal treatment. We then calculated the burden unavertable given current knowledge. The unit of health gain was a reduction in the years lived with disability (YLDs). Results Summing across all disorders, current treatment averted 13% of the burden, at an average cost of AUS$30 000 per YLD gained. Optimal treatment at current coverage could avert 20% of the burden, at an average cost of AUS$18 000 per YLD gained. Optimal treatment at optimal coverage could avert 28% of the burden, at AUS$16 000 per YLD gained. Sixty per cent of the burden of mental disorders was deemed to be unavertable. Conclusions The efficiency of treatment varied more than tenfold across disorders. Although coverage of some of the more efficient treatments should be extended, other factors justify continued use of less-efficient treatments for some disorders. Declaration of interest None. Funding detailed in Acknowledgements.

Does pharmacogenomics provide an ethical challenge to the utilisation of cost-effectiveness analysis by public health systems?

Pharmacogenomics promotes an understanding of the genetic basis for differences in efficacy or toxicity of drugs in different individuals. Implementation of the outcomes of pharmacogenomic research into clinical practice presents a number of difficulties for healthcare. This paper aims to highlight one of the Unique ethical challenges which pharmacogenomics presents for the utilisation of cost-effectiveness analysis by public health systems. This paper contends that pharmacogenomics provides a challenge to fundamental principles which underlie most systems for deciding which drugs should be publicly subsidised. Pharmacogenomics brings into focus the conflict between equality and utility in the context of using cost-effectiveness analysis to aid distribution of a limited national drug budget.

Cost of tobacco-related diseases, including passive smoking, in Hong Kong

Background: Costs of tobacco-related disease can be useful evidence to support tobacco control. In Hong Kong we now have locally derived data on the risks of smoking, including passive smoking. Aim: To estimate the health-related costs of tobacco from both active and passive smoking. Methods: Using local data, we estimated active and passive smoking-attributable mortality, hospital admissions, outpatient, emergency and general practitioner visits for adults and children, use of nursing homes and domestic help, time lost from work due to illness and premature mortality in the productive years. Morbidity risk data were used where possible but otherwise estimates based on mortality risks were used. Utilisation was valued at unit costs or from survey data. Work time lost was valued at the median wage and an additional costing included a value of US$1.3 million for a life lost. Results: In the Hong Kong population of 6.5 million in 1998, the annual value of direct medical costs, long term care and productivity loss was US$532 million for active smoking and US$156 million for passive smoking; passive smoking accounted for 23% of the total costs. Adding the value of attributable lives lost brought the annual cost to US$9.4 billion. Conclusion: The health costs of tobacco use are high and represent a net loss to society. Passive smoking increases these costs by at least a quarter. This quantification of the costs of tobacco provides strong motivation for legislative action on smoke-free areas in the Asia Pacific Region and elsewhere.