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1.
F1000Res ; 13: 832, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39328392

RESUMO

Background: Public tenders are vital for a country's GDP and citizens' quality of life, enabling public administration to achieve various goals. Developing and developed countries allocate over 10% of their GDP to public procurement. This highlights the significant societal support public tenders can provide, making it important to consider how they can further benefit society. Policy and implications: Public procurement can achieve policy objectives and benefit society by selecting tenders based on criteria beyond price, such as economic advantage and social benefits. This approach, endorsed by EU directives since 2014, encourages innovation and socially responsible practices. Contracting authorities in the EU can use social, environmental, and qualitative criteria to determine the most advantageous offers.Poland's Public Procurement Law (PPL) allows contract award criteria based on quality and price, including social aspects. Contracting authorities can specify criteria like employing marginalized groups, though these criteria often face scrutiny and legal challenges. Non-price criteria aim to enhance competition and achieve social, environmental, and economic goals. Recommendations: EU and Polish laws permit and encourage using social aspects as contract award criteria in public procurement. However, contracting authorities must analyze priorities, risk balancing, time constraints, and departmental coordination to effectively implement these criteria. This approach can improve the social situation and support specific groups. Conclusions: Public procurement significantly influences a country's economy and quality of life, with EU and Polish laws allowing social criteria in contract awards. Directive 2014/24/EU supports tenders based on economic and social benefits. Poland's PPL aligns with this, emphasizing marginalized group employment. Effective implementation fosters job creation, social integration, and improved living standards.


Assuntos
União Europeia , Polônia , Humanos , Contratos/legislação & jurisprudência
3.
PLoS One ; 19(8): e0308281, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39121040

RESUMO

This paper examined the psychological impact of contextual influences (i.e., contract type and playing experience) on sport anxiety in elite women cricketers participating in The Hundred. A sample of 71 elite female cricketers playing during the 2021-2022 season took part. Forty-nine of the sample (69%) held professional contracts, and 22 (31%) had yet to sign a professional contract. Participants provided details about their contract type and playing experience and completed self-report measures assessing sport anxiety, mental toughness, and general self-efficacy. Since mental toughness and self-efficacy are non-cognitive constructs, which buffer competitive trait anxiety, analysis controlled for these variables. Multivariate analyses of covariance examined sport anxiety scores among participants in relation to Hundred matches played (either 0, 1-10, or more than 10) and contract type (whether participants had a professional contract in place or not). Subfactors of Worry, Somatic, and Confusion assessed sports anxiety. No significant main effects existed. However, alongside a significant interaction, a covariate mental toughness effect occurred. Examination of the interaction revealed Worry scores were lower in cricketers who were yet to play a Hundred match who had not received a professional contract. Furthermore, Worry and Somatic scores were higher in cricketers that had played more than 10 Hundred matches and had not received a professional contract. These findings have important implications for the development of elite women cricketers. Particularly, they highlight the need to differentially support players through their career progression.


Assuntos
Ansiedade , Atletas , Humanos , Feminino , Ansiedade/psicologia , Adulto , Atletas/psicologia , Adulto Jovem , Críquete , Autoeficácia , Desempenho Atlético/psicologia , Comportamento Competitivo , Contratos , Autorrelato
6.
JAMA Netw Open ; 7(8): e2428267, 2024 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-39163045

RESUMO

Importance: Approximately one-fifth of Medicare Advantage (MA) contracts terminated their participation in the MA program between 2011 and 2020. Little is known about subsequent insurance choices following a termination. Objective: To examine the insurance destinations of MA enrollees and the characteristics of enrollees who switch into traditional Medicare (TM) after a contract termination. Design, Setting, and Participants: This cross-sectional study examined MA program data of MA beneficiaries in the Medicare Master Beneficiary File from 2016 to 2018. Statistical analysis was performed from June 2023 to April 2024. Exposures: Beneficiary characteristics, including age, sex, race and ethnicity, dual eligibility; hospital, nursing home, and home health utilization; and contract characteristics, including plan type, vertical integration, premium, and MA star rating. Main Outcome and Measures: The main outcome was switching to TM in the year immediately after termination. We also evaluated the characteristics of contracts among those who remained in MA. Results: A total of 117 681 beneficiaries were included in this analysis (64 654 [54.9%] female; 409 [0.4%] American Indian or Alaska Native; 2817 [2.4%] Asian; 76 725 [16.8%] Black; 11 131 [9.5%] Hispanic; 81 226 [69.0%] White; and 2373 [2.0%] other race or ethnicity; 27 078 [23.0%] dual-eligible; mean [SD] age, 71.2 [10.4] years). Following a contract termination, 20.1% (95% CI, 19.9%-20.4%) of enrollees switched to TM, including 32.7% (95% CI, 32.4%-33.1%) of dual-eligible beneficiaries and 16.4% (95% CI, 16.2%-16.5%) of non-dual-eligible beneficiaries. In nonterminated contracts, the concurrent switch rate was 6.2% (95% CI, 6.2%-6.2%) for all, 10.4% (95% CI, 10.4%-10.4%) for dual-eligible beneficiaries and 5.1% (95% CI, 5.1%-5.1%) for non-dual-eligible enrollees. The highest switch rates to TM were among Black enrollees (32.3% [95% CI, 31.7%-32.8%]) and those with prior use of hospital (31.3% [95% CI, 30.7%-31.9%], nursing home, 41.4% [95% CI, 40.4%-42.4%], or home health care (28.3% [95% CI, 27.4%-29.2%]). Beneficiaries who stayed in MA selected higher-rated star plans (mean posttermination contract star rating of 3.8 [95% CI, 3.8-3.8] stars compared with 3.3 [95% CI, 3.3-3.3] stars in the terminated year), but did not pay more in monthly premiums with 66.5% (95% CI, 66.2%-66.8%) paying the same or lower premiums. Conclusions and Relevance: In this cross-sectional study, 1 in 5 MA beneficiaries switched to TM after a contract termination, with Black beneficiaries and those with more intensive health needs having the highest switch rates. These findings highlight the need to examine consequences of contract terminations and subsequent insurance destinations on access to care and health outcomes, especially among those with marginalized race and ethnicity, those who are dual-eligible, and beneficiaries with higher health care needs.


Assuntos
Medicare Part C , Humanos , Estados Unidos , Feminino , Medicare Part C/estatística & dados numéricos , Masculino , Estudos Transversais , Idoso , Idoso de 80 Anos ou mais , Contratos/estatística & dados numéricos , Cobertura do Seguro/estatística & dados numéricos , Pessoa de Meia-Idade , Seguro Saúde/estatística & dados numéricos
8.
Environ Manage ; 74(4): 790-807, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39127982

RESUMO

Continued innovation in contract design may enhance the delivery of agri-environmental climate public goods (AECPG), but barriers to adoption arise in terms of how farmers perceive the economic benefits. Therefore, this paper examines survey data from Ireland and the Netherlands to analyse whether land managers agree that results-based, collective action, value chain and land tenure contracts for the delivery of AECPG are understandable, applicable to their farm and economically beneficial. Using Probit models, we also identify groups of land managers who perceive the different contract types as being economically beneficial, and these findings can inform policymakers of farmer groups who need adequate consideration during the design of agri-environmental contracts. For example, greater incentives could encourage older farmers to enrol in results-based contracts in Ireland and value chain contracts in the Netherlands. We also find a link between contract duration and the perceived economic benefits of collective action contracts in both countries, with land managers in Ireland desiring a longer duration. We highlight that policymakers and land managers in Ireland could apply lessons from the design of agri-environmental contracts in the Netherlands, where they are more common and varied. Greater knowledge exchange between users and non-users of such contracts would also help bridge the gap between theory and practice in both countries.


Assuntos
Agricultura , Conservação dos Recursos Naturais , Contratos , Países Baixos , Irlanda , Conservação dos Recursos Naturais/métodos , Conservação dos Recursos Naturais/economia , Agricultura/economia , Humanos
10.
Dig Dis Sci ; 69(9): 3128-3133, 2024 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-38977520

RESUMO

GI fellowships do not mandate curricula in career development. Often, fellows resort to peer mentorship for guidance. Fellows should recognize that the path to a successful career varies greatly based on how one defines and measures success. Keywords are preferr Through introspection, fellows will be able to craft their ideal post-fellowship position that balances wants versus needs. In this article, we cover four practical tips for trainees entering the job negotiation process.


Assuntos
Bolsas de Estudo , Gastroenterologia , Negociação , Gastroenterologia/educação , Humanos , Negociação/métodos , Contratos , Mentores , Candidatura a Emprego , Educação de Pós-Graduação em Medicina/métodos
11.
J Int Bioethique Ethique Sci ; 35(2): 49-61, 2024.
Artigo em Francês | MEDLINE | ID: mdl-39013764

RESUMO

Smart contracts, which are computer programmes that run automatically when pre-programmed conditions are met, will impact the contractual process, especially when their development focuses on the contract formation phase. The use of digital oracles, which transmit information from the real world to the digital world, to trigger the application of the smart contract may degrade the quality of consent, replacing it with mere assent.


Assuntos
Contratos , Voluntários , Humanos
12.
J Int Bioethique Ethique Sci ; 35(2): 63-75, 2024.
Artigo em Francês | MEDLINE | ID: mdl-39013766

RESUMO

After being enthusiastic, insurers are now increasingly reluctant to exploit the blockchain. The innovative technology promising a better customer relationship and a reduction in fraud associated with automated contract management seems promising. That is the reason why it is interesting to confront blockchain technology with insurance requirements. Thus, the contribution, without wanting to be exhaustive of the various difficulties generated by the blockchain, proposes to highlight some of them by targeting in turn the insurance of property, liability or even of person. The problems, mainly of a technical nature, could justify a temporary withdrawal from the insurance market in view of the advantages presented by the use of these technologies.


Assuntos
Blockchain , Contratos , Humanos , Contratos/legislação & jurisprudência , Seguro Saúde/legislação & jurisprudência
14.
Bioethics ; 38(8): 702-708, 2024 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-39072828

RESUMO

Some feminists hold that surrogacy contracts should be unenforceable or illegal because they contribute to and perpetuate unjust gender inequalities. I argue that in developed countries, surrogacy contracts either wouldn't have these negative effects or that these effects could be mitigated via regulation. Furthermore, the existence of a regulated surrogacy market is preferable on consequentialist grounds.


Assuntos
Contratos , Equidade de Gênero , Mães Substitutas , Humanos , Mães Substitutas/legislação & jurisprudência , Feminino , Contratos/legislação & jurisprudência , Contratos/ética , Gravidez , Países Desenvolvidos , Feminismo
16.
JAMA ; 332(8): 615-616, 2024 08 27.
Artigo em Inglês | MEDLINE | ID: mdl-39083253

RESUMO

This Viewpoint explains the 3 trends­personal conscience, employment contracts, and laws­that challenge physicians from putting their patients first and offers ways to reverse these barriers.


Assuntos
Consciência , Ética Médica , Médicos , Profissionalismo , Humanos , Contratos/legislação & jurisprudência , Profissionalismo/ética , Estados Unidos , Médicos/ética , Médicos/legislação & jurisprudência , Médicos/psicologia , Emprego/legislação & jurisprudência
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