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Continuous quality improvement (CQI) programmes have been taken up widely by indigenous primary health care services in Australia, but as yet there has not been a systematic assessment of their focus and achievements. A scoping review of the literature from studies of CQI in indigenous primary health care services was undertaken to explore impacts on service systems, care and client outcomes with the aim of providing guidance on future evaluation efforts. The paper aims to discuss these issues,

Searches were conducted in MEDLINE, CINAHL and the Cochrane Database of Systematic Reviews to December 2016 and handsearching of key websites and publications. Studies of CQI programs or activities in Indigenous primary health care services which demonstrated some combination of CQI characteristics, as described by Rubenstein (2013) were included. A two-stage approach to analysis was undertaken. Stage 1 identified the range and scope of literature, and Stage 2 investigated impacts to service systems, care and client outcomes. The Framework for Performance Assessment in Primary Health Care was used to frame the Stage 2 analysis.

The majority of Aboriginal community controlled health services have been involved in CQI but there are gaps in knowledge about uptake in general practice and government clinics. There are as many baseline studies as studies on impacts over time. Of the 14 studies included for further analysis, 6 reported on impacts on service systems; all 14 reported on impacts on care and 6 on client outcomes. Changes to services systems are variable and studies of impacts on care and client outcomes show promising though uneven improvements. There are no economic studies or studies addressing community engagement in CQI activities.

To supplement existing limited knowledge about which service system change strategies are effective and sustainable for which problems in which settings, there needs to be investment in research and development. Research needs to be grounded in the realities of service delivery and contribute to the development of CQI capacity at the service level. Knowledge translation needs to be built into implementation to ensure maximum benefit to those endeavouring on a daily basis to constantly reflect on and improve the quality of the care they deliver to clients, and to the stewardship structures supporting services at regional, state/territory and national levels.

Improved approaches, methods, data capture and reporting arrangements are needed to enhance existing activity and to ensure maximum benefit to services endeavouring to reflect on and improve quality of care and to the stewardship structure supporting services at regional, state/territory and national levels.

Although there is a growing body of research evidence about CQI both nationally and internationally, and considerable investment by the federal government in Australia to support CQI as part of routine practice, there has not been a systematic assessment of the achievements of CQI in Indigenous primary health care services. Many unanswered questions remain about the extent of uptake, implementation and impacts. This is a barrier to future investment and regional and local programme design, monitoring and evaluation. The authors conducted a scoping review to address these questions. From this, the authors draw conclusions about the state of knowledge in Australia with a view to informing how future CQI research and evaluation might be intensified.

The focus and goal of this chapter is to systematically detail how the “cascade” system is organized and how it operates by coordinating current research. To do so, this chapter first builds an understanding of the historical conditions that forged the “cascade” system, then turns to how the system operates – charting its affordances and limitations through others’ research – and then discusses what opportunities can be leveraged to support teachers’ work. In doing so, this chapter provides relevant information and documentation about the “cascade” system so that readers can understand how this system currently works and what is possible. Two interpretations are made from the analysis of current research. First, the “cascade” is overwrought with voices, and the participants overwhelmed; and second, the “cascade” fosters an untenable view of how people learn and what constitutes teaching. Increasingly, teachers and their education are being widely recognized as central to the fortunes of schoolchildren. In India, a significant amount of attention is being paid to teacher education more than ever before. For example, the recent 5-year planning and operations budget is being touted as the “Teacher Education Plan.” Thus, probing the existing system and its norms and practices is vital to ensuring this attention isn’t frittered away and is put toward helping teachers step up to the challenge of providing all students rich opportunities to learn.

Gives an in depth view of the strategies pursued by the world’s leading chief executive officers in an attempt to provide guidance to new chief executives of today. Considers the marketing strategies employed, together with the organizational structures used and looks at the universal concepts that can be applied to any product. Uses anecdotal evidence to formulate a number of theories which can be used to compare your company with the best in the world. Presents initial survival strategies and then looks at ways companies can broaden their boundaries through manipulation and choice. Covers a huge variety of case studies and examples together with a substantial question and answer section.

Presents over sixty abstracts summarising the 1999 Employment Research Unit annual conference held at the University of Cardiff. Explores the multiple impacts of globalization on work and employment in contemporary organizations. Covers the human resource management implications of organizational responses to globalization. Examines the theoretical, methodological, empirical and comparative issues pertaining to competitiveness and the management of human resources, the impact of organisational strategies and international production on the workplace, the organization of labour markets, human resource development, cultural change in organisations, trade union responses, and trans‐national corporations. Cites many case studies showing how globalization has brought a lot of opportunities together with much change both to the employee and the employer. Considers the threats to existing cultures, structures and systems.

This article attempts to analyse social relations between tourists and the inhabitants of tourism regions in Greece, from 1960 to the present. The introduction describes the special characteristics of the regions concerned by the analysis, and the parameters of greatest importance to the analysis framework. The analysis itself discusses two periods in detail. The first period (1960–80) covers what is historically considered Greece's first stage of tourism development. The second (1980–98) discusses the basis for the subsequent transition to industrialised mass tourism. In its conclusions the article sums up the main characteristics and peculiarities of communication between tourists and the local population in a country as dependent on tourism as Greece.

The purpose of this paper is to develop an efficient numerical method to study the complex crack initiation and propagation in linear elastic multiphase composites.

A phase field method is developed to study the complex fracture behavior in multiphase composites. A damage threshold is introduced for referring crack initiation in the proposed method. The damage threshold is assigned as a material property so that different composite components possess different thresholds. In this manner, smooth transition from crack initiation to propagation is revealed.

The proposed method is used to investigate complex crack evolution in mesoscale cementitious composite, which consists of aggregates, matrix and void pores. From a mesoscale point of view, it is found that cracks prefer to evolve within the matrix phase. As a crack encounters an aggregate, it tends to bypass the aggregate and evolve along the interface. Cracks tend to avoid to penetrate through aggregates. Also, cracks tend to be attracted by void pores. From a mesoscale point of view, it is revealed that the elastic modulus and strength of concrete models are closely related to porosity.

A criterion with a damage threshold is introduced to the proposed method. The criterions with and without a damage threshold are compared with each other in details. The proposed method is proven to be a useful tool to study mechanical behavior and crack evolution of brittle multiphase composites.