The Impact of Political Orientation and Government Change on Public Satisfaction with Food Policy in South Korea.

This study investigates the relationship between political orientation, government change, and public satisfaction with food policies in the Republic of Korea. Utilizing data from the Consumer Behavior Survey for Foods (CBSF) conducted by the Korea Rural Economic Institute from 2020 to 2021, we employ fixed effects models to examine the impact of political orientation, the presence of a conservative government, and their interactions on satisfaction across various dimensions of food policy. We also analyze the change in satisfaction levels from 2020 to 2021 based on shifts in political orientation. The results reveal complex dynamics between political alignment, government performance, and public perceptions. While conservatives and liberals exhibit higher satisfaction with labeling policies, they show lower satisfaction with safety and redress policies. The presence of a conservative government is associated with higher satisfaction in specific policy areas but lower overall satisfaction. Changes in political orientation significantly influence policy satisfaction, with shifts away from conservatism and towards liberalism leading to decreased satisfaction. The findings highlight the importance of understanding the nuanced preferences of different political groups and the need for responsive and transparent food policy frameworks. This study advances the theoretical understanding of the political economy of policy satisfaction and provides novel policy implications for effective governance.

Leadership academy for excellence in disability services: evaluation of outcomes for state employees.

As the United States' first disability-specific leadership academy in state government, the Leadership Academy for Excellence in Disability Services is a year-long competency-based training experience designed for employees who manage programs that impact the lives of Tennesseans with intellectual and developmental disabilities and their families. The Tennessee Department of Human Resources, in collaboration with the Tennessee Council on Developmental Disabilities, began implementing this program in 2017. The lasting impact of such a training experience on the practices of state employees once they complete the program is not known; this was the aim of the study. A follow-up survey examining graduate perceptions and outcomes was sent to 71 graduates; 48 completed the measure. The results reveal an increase in knowledge of disability service systems and a perceived ability to lead and advocate for others. Leadership competencies deemed most important to graduates' current efforts in state government included developing direct reports, managing diversity, organizational agility, and innovation management. Graduates' written comments cited the variety of subject matter experts, networking opportunities, and small group projects as fundamental in breaking down barriers to cross-agency collaboration in their disability work. The impact of this experience continues to be seen years after completing the leadership academy.

Research on the mechanism of government subsidy on enterprise innovation based on industry-university-research collaboration.

This paper provides a theoretical and empirical examination of the relationship between government subsidies, enterprise innovation, and Industry-University-Research (IUR) collaboration. The study begins with a theoretical analysis of the impact of government subsidies on IUR collaboration and enterprise innovation, employing a dynamic game model. Secondly, the research sample comprises A-share listed enterprises in China, and the theoretical findings are validated through empirical methods. Moreover, this study investigates the mediating influence of IUR collaboration and the heterogenous impacts of government subsidies. Research has shown that government subsidies can facilitate enterprises in establishing IUR collaboration, enhancing the extent of IUR collaboration, and effectively stimulating enterprises to participate in innovation. Government subsidies have a more pronounced impact on non-state-owned enterprises, high-tech enterprises, and enterprises in eastern regions in terms of incentivization. By enhancing IUR upgrade, government subsidies can offset the shortcomings in limited Research and Experimental Development (R&D) funding and inadequate technical reserves of non-high-technology enterprises. This could result in an improvement in the quality of innovation and the performance of the subsidized enterprises.

Persistent inequities in maternal mortality in Latin America and the Caribbean, 1990-2019.

BACKGROUND: Despite the resources and personnel mobilized in Latin America and the Caribbean to reduce the maternal mortality ratio (MMR, maternal deaths per 100 000 live births) in women aged 10-54 years by 75% between 2000 and 2015, the region failed to meet the Millenium Development Goals (MDGs) due to persistent barriers to access quality reproductive, maternal, and neonatal health services. METHODS: Using 1990-2019 data from the Global Burden of Disease project, we carried out a two-stepwise analysis to (a) identify the differences in the MMR temporal patterns and (b) assess its relationship with selected indicators: government health expenditure (GHE), the GHE as percentage of gross domestic product (GDP), the availability of human resources for health (HRH), the coverage of effective interventions to reduce maternal mortality, and the level of economic development of each country. FINDINGS: In the descriptive analysis, we observed a heterogeneous overall reduction of MMR in the region between 1990 and 2019 and heterogeneous overall increases in the GHE, GHE/GDP, and HRH availability. The correlation analysis showed a close, negative, and dependent association of the economic development level between the MMR and GHE per capita, the percentage of GHE to GDP, the availability of HRH, and the coverage of SBA. We observed the lowest MMRs when GHE as a percentage of GDP was close to 3% or about US$400 GHE per capita, HRH availability of 6 doctors, nurses, and midwives per 1,000 inhabitants, and skilled birth attendance levels above 90%. CONCLUSIONS: Within the framework of the Sustainable Development Goals (SDGs) agenda, health policies aimed at the effective reduction of maternal mortality should consider allocating more resources as a necessary but not sufficient condition to achieve the goals and should prioritize the implementation of new forms of care with a gender and rights approach, as well as strengthening actions focused on vulnerable groups.

Exploring the impact of green logistics practices and relevant government policy on the financial efficiency of logistics companies.

The coexistence of carbon neutrality and capitalism can be realized if environmentally friendly management is proven to enhance profitability. The focus of green logistics practices (GLPs) is on maximizing energy efficiency in logistics services, potentially leading to cost reductions for companies. Such practices can be supported through public reports, such as Environmental, Social, and Governance (ESG) reports, and government policies, including government certification. The primary objective of this study is to investigate whether the financial efficiency of logistics companies can be improved through the implementation of GLPs and a relevant government policy. To achieve this objective, a two-stage analysis was conducted using Data Envelopment Analysis - Slack-Based Measure (DEA-SBM) and Tobit regression analysis. The DEA-SBM was employed to assess whether the financial efficiency of logistics companies adopting GLPs and a relevant government policy was superior to that of companies not adopting such practices. Additionally, Tobit regression analysis was employed to analyze the effects of GLPs, ESG reports, and a government policy on the financial efficiency of logistics companies. The findings of the study indicate the necessity for collaboration between the private and public sectors to implement GLPs in a financially positive manner. In conclusion, the research demonstrated that the implementation of GLPs, coupled with public disclosure through ESG reports or equivalents and a government policy, had a positive impact on the financial efficiency of logistics companies.

Trends in hospital price transparency after implementation of the CMS Final Rule.

OBJECTIVE: To assess trends in hospital price disclosures after the Centers for Medicare & Medicaid Services (CMS) Final Rule went into effect. DATA SOURCES AND STUDY SETTING: The Turquoise Health Price Transparency Dataset was used to identify all US hospitals that publicly displayed pricing from 2021 to 2023. STUDY DESIGN: Price-disclosing versus nondisclosing hospitals were compared using Pearson's Chi-squared and Wilcoxon rank sum tests. Bayesian structural time-series modeling was used to determine if enforcement of increased penalties for nondisclosure was associated with a change in the trend of hospital disclosures. DATA COLLECTION/EXTRACTION METHODS: Not applicable. PRINCIPAL FINDINGS: As of January 2023, 5162 of 6692 (77.1%) US hospitals disclosed pricing of their services, with the majority (2794 of 5162 [54.1%]) reporting their pricing within the first 6 months of the final rule going into effect in January 2021. An increase in hospital disclosures was observed after penalties for nondisclosure were enforced in January 2022 (relative effect size 20%, p = 0.002). Compared with nondisclosing hospitals, disclosing hospitals had higher annual revenue, bed number, and were more likely to be have nonprofit ownership, academic affiliation, provide emergency services, and be in highly concentrated markets (p < 0.001). CONCLUSIONS: Hospital pricing disclosures are continuously in flux and influenced by regulatory and market factors.

The impact of public demands on local environmental governance performance: Evidence from civil environmental complaints placed on leaders at different government levels in China.

The joint participation of multiple subjects is crucial for environmental governance. Using panel data for 273 Chinese cities during 2013-2019, this study investigates the impact and mechanism of public demands on environmental pollution. The results demonstrate that public demands measured by the number of environmental complaints placed on government leaders significantly reduce environmental pollution. Furthermore, increases in the rate and speed of government responses improve the effect of public demands on environmental governance. Public demands placed on provincial leaders reduce local environmental pollution to a greater extent than public demands placed on prefectural and county leaders. Province-level governments are more willing to consider public opinions and attach more importance to environmental governance; Prefecture-level governments prioritize province-level governments' attention to the environment when implementing environmental governance. Moreover, strong political ties between provincial and prefectural leaders and long tenures among prefectural leaders strengthen the pollution reduction effect of public demands placed on provincial leaders. The reduction effect of environmental complaints on pollution emission is more significant in cities with high level of Internet construction and environmental disclosure. Our results illustrate the role of public demands in environmental governance, offering a reference for developing effective environmental policies.

Medical Applications and Distribution of Borneol during the Joseon Period.

Borneol(yongnoe) was a fragrance and medicinal ingredient with unique efficacy. However, it could be produced only in tropical Southeast Asia and obtained only through international trade. In addition, camphor(jangnoe) with similar material properties was developed and distributed as an inexpensive replacement for borneol, although the processing method is different from that of borneol. Even in Joseon Korea, borneol and camphor were recognized as separate medicines, and efforts were made to obtain a high-quality borneol. Borneol and camphor have a unique effect of relieving inflammation, pain and heavy feeling, so it could be widely applied to symptoms in various diseases. During the Joseon period, borneol was a rare item that could only be obtained through foreign trade, and it was also used for perfumes and insect repellents, but most widely used as medicine. There are many records of actually prescribing borneol to the royal family, and many medicines containing borneol and its effective symptoms were also recorded in the medical books. Borneol was able to spread widely in Joseon society thanks to the practice of distributing 'nabyak' to court officials every year in the twelfth month of the lunar calendar. Since nabyak was used as a household medicine that was stored and used when necessary, pills containing borneol that could be applied to various symptoms were suitable for this purpose. Despite considerable medical demand, borneol was one of the important 'dangyakjae', the Chinese medicines imported to Joseon. During the Joseon period, borneol was imported through China and Japan, but genuine borneol was difficult to obtain, so it was often presented to Joseon as gifts of envoy trade. It is thought that camphor was also imported, but it is not well mentioned in official records or medical books reflecting national demand. Perhaps this is thought to be because the government prioritized securing better quality borneol rather than campher. In the early 17th century, due to the instability of the envoy's route to the Ming Dynasty, Joseon had to import borneol only through the sea. As a result, there were problems with the supply and quality of borneol, and national interest in Japanese borneol temporarily increased. However, as the relationship with the Qing Dynasty stabilized, a system was established to import national borneol demand through the annual envoy trade. Naeuiwon, the medical center for the royal family is in charge of securing and prescribing Chinese medicines, but the cost was covered by the silver paid by Hojo, the ministry of finance of Joseon Dynasty. Since the amount of Chinese medicines used in the preparation of nabyak was not small, the financial burden of importing enough medicines including borneol increased. The purveyors for government played a role in supplying Chinese medicines to the government. Their appearance shows that private merchants were actively involved in the trade of Chinese medicines including borneol. The formation of the medicinal market by private merchants' activities greatly contributed to the widespread expansion of the applications and distribution of borneol.

How can governments and fishermen collaborate to participate in a fishing ban for ecological restoration?

To safeguard aquatic ecosystems and fishery resources while facilitating cooperative engagement between local governments and fishermen, an evolutionary game model featuring both stakeholders has been constructed in this study. The model examines the degree of compliance with ecological restoration policies linked to fishing bans, as well as the adaptive strategies of different types of fishermen with varied incentives while simulating the ecological restoration policy under diverse scenarios. The findings suggest that: (1) Compliance with the fishing ban policy among fishermen is determined by their economic interests, environmental preferences, and government regulations, while its enforcement by local authorities is influenced by regulatory costs, political performance, and reputation. (2) Variations in the ecological restoration policy of fishing bans result from several factors, including punitive measures and compensation. The higher the penalty, the greater the chance of compliance among fishermen, and the higher the restoration degree of the watershed ecosystem. Conversely, the higher the compensation, the more satisfied the fishermen are with the fishing ban policy, and the smoother the transformation of their livelihoods. (3) To enhance the effectiveness and sustainability of fishing bans, it is essential to consider the interests of multiple stakeholders and adopt a coordination mechanism that facilitates the design of a reasonable and effective incentive-compatible system, thereby increasing the fairness and acceptability of the policy. This study provides a new theoretical framework and methodology applicable to ecological restoration policies for fishery closures on a global scale, accompanied by robust data support and theoretical guidance for developing and implementing fishery closure policies.

An assessment of federal alcohol policies in Canada and priority recommendations: Results from the 3rd Canadian Alcohol Policy Evaluation Project.

OBJECTIVE: To systematically assess the Canadian federal government's current alcohol policies in relation to public health best practices. METHODS: The 2022 Canadian Alcohol Policy Evaluation (CAPE) Project assessed federal alcohol policies across 10 domains. Policy domains were weighted according to evidence for their relative impact, including effectiveness and scope. A detailed scoring rubric of best practices was developed and externally reviewed by international experts. Policy data were collected between June and December 2022, using official legislation, government websites, and data sources identified from previous iterations of CAPE as sources. Contacts within relevant government departments provided any additional data sources, reviewed the accuracy and completeness of the data, and provided amendments as needed. Data were scored independently by members of the research team. Final policy scores were tabulated and presented as a weighted overall average score and as unweighted domain-specific scores. RESULTS: Compared to public health best practices, the federal government of Canada scored 37% overall. The three most impactful domains-(1) pricing and taxation, (2) marketing and advertising controls, and (3) impaired driving countermeasures-received some of the lowest scores (39%, 10%, and 40%, respectively). Domain-specific scores varied considerably from 0% for minimum legal age policies to 100% for controls on physical availability of alcohol. CONCLUSION: Many evidence-informed alcohol policies have not been adopted, or been adopted only partially, by the Canadian federal government. Urgent adoption of the recommended policies is needed to prevent and reduce the enormous health, social, and economic costs of alcohol use in Canada.

RéSUMé: OBJECTIF: Évaluer de manière systématique les politiques sur l'alcool actuelles du gouvernement fédéral canadien dans le cadre de pratiques de santé publique exemplaires. MéTHODES: Le projet de l'Évaluation des politiques canadiennes sur l'alcool 2022 a évalué les politiques fédérales sur l'alcool dans dix domaines. Ces domaines de politiques ont été pondérés en fonction de preuves sur leurs répercussions relatives, notamment leur efficacité et leur portée. Une échelle d'évaluation descriptive détaillée de pratiques exemplaires a été élaborée et examinée à l'externe. Entre juin et décembre 2022, des données sur les politiques ont été recueillies dans la législation officielle, sur des sites Web du gouvernement et au moyen de sources identifiées comme telles au cours des itérations précédentes du projet de l'Évaluation des politiques canadiennes sur l'alcool. Des personnes-ressources au sein des ministères concernés ont communiqué d'autres sources de données, examiné l'exactitude et le caractère exhaustif de ces données et apporté les modifications nécessaires. Les données ont été évaluées indépendamment par des membres de l'équipe de recherche. Les scores de politiques finaux ont été inscrits dans des tableaux et présentés sous forme d'une moyenne générale pondérée et de scores non pondérés par domaine. RéSULTATS: Comparativement aux pratiques de santé publique exemplaire, le gouvernement fédéral du Canada a obtenu un score général de 37 %. Les trois domaines susceptibles d'avoir les plus grandes répercussions, à savoir 1) la fixation des prix et la taxation, 2) le contrôle du marketing et de la publicité, et 3) les mesures contre la conduite avec facultés affaiblies, se sont vu attribuer parmi les scores les plus bas (39 %, 10 %, et 40 % respectivement). Les scores par domaine variaient considérablement, allant de 0 % pour les politiques sur l'âge minimum légal à 100 % pour le contrôle de la disponibilité physique de l'alcool. CONCLUSION: De nombreuses politiques sur l'alcool reposant sur des preuves n'ont pas été adoptées, ou l'ont été seulement partiellement, par le gouvernement fédéral canadien. Il est urgent d'appliquer les politiques recommandées pour prévenir et réduire les énormes coûts sanitaires, sociaux et économiques de la consommation d'alcool au Canada.

Patient Satisfaction with Private Community Pharmacies versus Pharmacies in Primary Health Care Centers in Saudi Arabia.

Introduction: Saudi Arabia has begun reforming its government-run health care system to increase efficiency and reduce costs. One effort is the adoption of an electronic prescribing system (Wasfaty) and outsourcing pharmaceutical services from government-run clinics to community pharmacies (CP). This study aims to compare satisfaction with pharmaceutical services offered in the two systems. Materials and methods: This cross-sectional observational study used existing survey data collected from patients (≥15 years of age) visiting government primary health care centers from January 2022 to June 2022. Satisfaction with three pharmaceutical services (availability of medications, pharmacist's explanation of the prescription, and waiting time to get medications) were the main outcomes. Results: The study comprised 91,317 participants, 74.06 % of them were CP/Wasfaty users. CP/Wasfaty patients had lower odds of satisfaction with the three pharmaceutical services: availability of medications (OR = 0.49, 95 % CI = 0.47-0.51), pharmacists' explanation of prescription (OR = 0.55, 95 % CI = 0.53-0.58), and waiting time to get medications (OR = 0.81, 95 % CI = 0.75-0.88). Additional findings showed variations in satisfaction levels based on demographic factors and clinic types. Conclusions: The significant differences observed in satisfaction levels based on demographic characteristics and type of clinics visited emphasize the importance of tailoring pharmaceutical services to meet the specific needs and expectations of different patient populations.

Experiences of male irregular migrants during their migration process and reception in Spain: lessons learned from the COVID-19 pandemic.

Background: The causes behind migration movements are complex. The COVID-19 pandemic highlighted how several countries failed to respond to the virus adequately, while simultaneously infringing on people's rights. Male irregular migrants fled their countries of origin and embarked on a perilous migration journey to Spain. The highly restrictive COVID-19 measures and border closures affected the mobility of male irregular migrants, whose reception in the host country posed a challenge. It led to the establishment of emergency facilities to accommodate male irregular migrants affected by COVID-19, which had repercussions on their mental health. The aim of this study was to describe and understand the experiences of male irregular migrants throughout their migration process and reception in Spain during the COVID-19 pandemic. Methods: Qualitative descriptive study. Sixteen male irregular migrants participated in this study. Data were collected between January and March 2023 through 16 one-on-one in-depth interviews. Thematic analysis was used to analyze the qualitative data using ATLAS.ti computer software. Results: Three main themes emerged: (1) How the COVID-19 pandemic drove male irregular migrants to leave their countries of origin, (2) How COVID-19 lockdown policies affected the migration journey, and (3) Receiving male irregular migrants in a pandemic: a housing labyrinth marked by isolation and loneliness. Conclusion: The COVID-19 pandemic increased the social, employment and health inequalities experienced by male irregular migrants. Border closures exacerbated the migration journey and the social stigmatization of this group, who were seen as carriers of the virus in both transit and host countries. Strict control measures in emergency and reception facilities had a significant psychological impact on the male irregular migrants due to the social isolation they experienced. Health institutions should develop programs to guarantee the care needs of irregular migrants.