Página 1 dos resultados de 2176 itens digitais encontrados em 0.009 segundos

Quality management practices in telehealth programs: a stakeholder accountability framework.

Dansky, Kathryn H.; Gamm, Larry D.
Fonte: American Medical Informatics Association Publicador: American Medical Informatics Association
Tipo: Artigo de Revista Científica
Publicado em //2002 Português
Relevância na Pesquisa
46.26%
Improved technologies, distances between providers and patients, and an emphasis on cost-containment have encouraged the use of telehealth as a method of service delivery. Despite the increased use of this technology, few studies have been conducted on management of telehealth programs. Research on quality management is essential for disseminating and generalizing information on best practices in telehealth programs. This study focused on quality management practices used in telehealth programs, using a Stakeholder Accountability Framework. We propose that different indicators of quality are employed to satisfy the expectations of different internal and external stakeholders. A national survey of telehealth programs (N=93) was conducted in January, 2001. Wide variations in practices were found, with the most notable differences between not-for-profit and proprietary programs. The dimensions illustrated in the Stakeholder Accountability Framework were supported empirically. Implications of differences are examined as they relate to advancing quality in telehealth.

Capacity Constraints and Public Financial Management in Small Pacific Island Countries

Haque, Tobias A.; Knight, David S.; Jayasuriya, Dinuk S.
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Português
Relevância na Pesquisa
46.38%
Drawing on Public Expenditure and Financial Accountability assessment scores from 118 countries, this paper provides the first comparative analysis of public financial management performance in small Pacific Island Countries (PICs). It applies a Tobit regression model across the full cross-country sample of Public Expenditure and Financial Accountability scores and country variables to identify potential causes for the observed underperformance of Pacific Island countries relative to other countries of similar income. First, the analysis finds small population size to be negatively correlated with Public Expenditure and Financial Accountability scores, with the "population penalty" faced by small Pacific Island countries sufficient to explain observed underperformance. Second, through application of a new capacity index of Public Expenditure and Financial Accountability dimensions, it finds strong evidence in support of the hypothesis that small population size impacts scores through the imposition of capacity constraints: with a limited pool of human capital...

Basic Requirements for Public Participation in Kenya’s Legal Framework

Nizam, Rabya; Muriu, Abraham Rugo; International Budget Partnership
Fonte: World Bank Group, Washington, DC Publicador: World Bank Group, Washington, DC
Tipo: Trabalho em Andamento
Português
Relevância na Pesquisa
46.43%
Kenya has embarked on a highly ambitious decentralization that seeks to fundamentally change the relationship between government and citizens under the 2010 Constitution. The Constitution and new legal framework place a strong emphasis on strengthening public participation. This working paper seeks to distill key provisions in the legislative framework related to transparency, accountability and participation in county government, in particular the planning and budgeting cycle, and present them in a format that is useful for county planners, executive and assembly members. It can be used as a guide for how counties can interface with citizens based on Kenya’s legislative framework.

Afghanistan : Public Financial Management and Accountability Assessment

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Country Financial Accountability Assessment; Economic & Sector Work
Português
Relevância na Pesquisa
46.4%
This document reports on a public financial management performance assessment (PFMPA) for the Government of Afghanistan (GoA). The assessment was conducted with the particular objective of updating the PFMPA published in June 2008 to provide the GoA with an objective, indicator led assessment of the public financial management (PFM) system in a concise and standardized manner, to form an updated understanding of the overall fiduciary environment of the PFM system, and to assist in identifying those areas in need of further reform and development. The assessment provides a common information pool with establishment of new baselines against which further progress in PFM development can be assessed. The scope of the assessment is the on-budget activities of the national level budget entities. For the purposes of this report, on budget refers to all operations, including donor financed programs and project financing, and their intended use, which are under the full control of the GoA and are reported in the budget documentation. This is comprehensive of most of Afghanistan's general government sector financial operations since most general government sector revenue and expenditure is on budget and...

Republic of Lebanon : Country Financial Accountability Assessment

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Country Financial Accountability Assessment; Economic & Sector Work
Português
Relevância na Pesquisa
46.5%
This CFAA aims to propose pragmatic and feasible solutions to problem areas in the current environment. The recommendations are presented in Appendix 8 to this report, and the key recommendations that are designed to address the areas of greatest fiduciary risk for the Government are summarized in this Executive Summary. These key recommendations are designed to assist the Government in improving the Lebanese public financial management system and provide the foundation to all the donors to move towards greater use of the country system. One of the CFAA's overall themes is that the Government must continue to work to develop a unified budget framework that enables proper management of the finances of the Government, in collaboration with the Bank and the IMF. This would assist the Government to better control public sector debt, revenues and expenditures, maintain its social safety nets, and improve its financial relations with the public utilities. The current budget framework is not unified for the entire public sector; many of its financial activities are still not transparent to the Government itself, to Parliament or to the public. These include transactions of extra-budgetary funds and entities, loans to selected public autonomous agencies that are converted to expenditure at the end of the financial year and unutilized investment authority that is carried forward without additional parliamentary disclosure or for review of actual performance against the budget plans. There is also no formal audit opinion by the Court of Accounts on the fairness of the Government's annual financial report. The CFAA report makes a number of recommendations to address these practices.

Angola : Public Expenditure Management and Financial Accountability

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Integrated Fiduciary Assessment; Economic & Sector Work
Português
Relevância na Pesquisa
46.27%
One of the most salient features of Angola's public expenditure management and financial accountability framework is the coexistence of two parallel, but articulated, expenditure execution systems: the conventional system, coordinated by the National Treasury Directorate, and a non-conventional one centered around the national oil company Sonangol. A standard assessment of a country's fiscal framework would usually concentrate on the conventional system; the Public Expenditure Management and Financial Accountability Review (PEMFAR) goes one step further by assessing the workings of the non-conventional system as well as its articulation with the conventional one. The key finding is that the justification of the use of the non-conventional system is gone, and its maintenance is imposing heavy costs on the economy. The PEMFAR proposes accordingly the adoption of a two-pronged reform strategy aiming at: (i) strengthening the formal public financial management structures and tools; and (ii) phasing-out and eventually eliminating the non-conventional mechanisms.

Republic of Honduras : Country Financial Accountability Assessment

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Country Financial Accountability Assessment; Economic & Sector Work
Português
Relevância na Pesquisa
46.43%
This Country Financial Accountability Assessment (CFAA) aims to assist the Government implement effective measures to strengthen public financial management, which would result in more effective economic development, and poverty reduction programs. While the implementation of the integrated financial management system has improved the Government's ability to control, and manage expenditure, weak internal controls, and internal audit capacity in spending agencies hinder the assurance of efficiency and certification of expenditures. The report finds fiscal responsibilities are not managed by the Treasury, but rather by the Office of Public Credit, and the Central Bank, a dispersion of responsibility for the management of public funds which results in functional gaps, directly affecting the security, and control of Government funds. And, while tax administration is improving, the procedures governing tax collections are still weak, consequently, with no proper reconciliation between the funds paid by the taxpayers...

Nigeria - A Fiscal Agenda for Change : Public Expenditure Management and Financial Accountability Review, Volume 2. Executive Summary

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Integrated Fiduciary Assessment; Economic & Sector Work
Português
Relevância na Pesquisa
46.49%
This report reviews the trends in expenditure patterns in public financial management (PFM) in Nigeria since 2001, and assesses the impact thus far of the ongoing government reform efforts. The public expenditure management and financial accountability review (PEMFAR) covers areas that have been traditionally undertaken by separate Bank reports such as the public expenditure reviews (PER), the country financial accountability assessment (CFAA), and the country procurement assessment review (CPAR). This analysis covers fiscal policies and performance at both federal and state government levels. The PEMFAR is a consolidated diagnostic tool designed to enhance Bank, development partners' and member countries' knowledge of PFM arrangements and reform challenges. The core objective of the Nigeria PEMFAR is to advise the Government (federal and participating states) on how (i) to better focus and sequence its PFM, including the procurement reform agenda within a broader economic reform framework, and (ii) identify directions and instruments of restructuring its expenditure patterns on both macro and sectoral levels. The PEMFAR also aims to inform international development partners on how they could provide more efficient support for the PFM reforms in Nigeria by identifying the main bottlenecks within the existing reform process.

India : Note on Public Financial Management and Accountability in Centrally Sponsored Schemes

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Policy Note; Economic & Sector Work
Português
Relevância na Pesquisa
46.48%
The budget outlay for Centrally Sponsored Schemes (CSS) for India in 2005-06 is significantly higher as compared to the previous year's level of Rs.395,000 million. This includes increased allocations for rural roads, rural employment, and education and nutritional support for pre-school children. At present there are over 200 such schemes in operation, of which a dozen accounts for more than two-thirds of the outlay. Given the states limited scope to significantly raise internal resources within the existing fiscal framework, coupled with a high wage bill that crowds out development expenditure, the CSS are likely to remain an important source for development funds for the states. The objective of CSS is to address issues of national priority with focus on human development, poverty alleviation and rural backwardness. The findings and the suggestions to improve financial accountability systems in CSS needs to be viewed in the light of varying quality of governance across the states and the fiscal stress faced by certain states.

"Strengthening Performance Accountability in Honduras" : Institutional Governance Review : Executive Summary

World Bank
Fonte: World Bank Publicador: World Bank
Tipo: Economic & Sector Work :: Institutional and Governance Review (IGR)
Português
Relevância na Pesquisa
56.44%
Having achieved fundamental milestones in terms of representative democracy and institutional modernization, Honduras continues to face important challenges in its bid to provide public services with coverage and quality commensurate with the resources available to the country. Honduras has come a long way in its democratic development, with seven free elections held since 1981 and the military subordinated to civilian control. Since the 1980s, the country has undertaken key public sector management reforms and has all of the formal components of a modern democracy. However, its average rate of economic growth and its degree of progress in reducing poverty over the past two decades have been low relative to most other Latin American countries, at this growth rate, Honduras will reach the current income per capita of El Salvador ($2,530) in 2050. Efficiency of public spending continues to be very low compared to regional standards, and the capacity of the public administration insufficient for ensuring the minimum goal of universal coverage of basic services. A general conclusion...

"Strengthening Performance Accountability in Honduras" : Institutional Governance Review : Background Chapters

World Bank
Fonte: World Bank Publicador: World Bank
Tipo: Economic & Sector Work :: Institutional and Governance Review (IGR)
Português
Relevância na Pesquisa
56.44%
Having achieved fundamental milestones in terms of representative democracy and institutional modernization, Honduras continues to face important challenges in its bid to provide public services with coverage and quality commensurate with the resources available to the country. Honduras has come a long way in its democratic development, with seven free elections held since 1981 and the military subordinated to civilian control. Since the 1980s, the country has undertaken key public sector management reforms and has all of the formal components of a modern democracy. However, its average rate of economic growth and its degree of progress in reducing poverty over the past two decades have been low relative to most other Latin American countries, at this growth rate, Honduras will reach the current income per capita of El Salvador ($2,530) in 2050. Efficiency of public spending continues to be very low compared to regional standards, and the capacity of the public administration insufficient for ensuring the minimum goal of universal coverage of basic services. A general conclusion...

Malawi : Country Financial Accountability Assessment

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Country Financial Accountability Assessment; Economic & Sector Work
Português
Relevância na Pesquisa
46.53%
In recent times, the Government of Malawi has undertaken various initiatives to strengthen the country's financial accountability framework. These include the following: A Medium-Term Expenditure Framework (MTEF) introduced progressively since 1995 to develop a strategic approach to budgeting over the medium-term, to improve resource allocations in accordance with emerging poverty reduction priorities, and to integrate the investment and recurrent sides of the dual budget; A cash budget system introduced in 1996 as a temporary measure to increase fiscal discipline and which remains in place as the central tool for budget implementation. An Integrated Financial Management Information System (IFMIS) project initiated in 1996 with the objectives of providing timely and accurate financial information; providing a standardized integrated financial management reporting system for the Government of Malawi at various operational levels; providing the Accountant General with a Government-wide upgraded computerized accounting system; and improving and strengthening financial control; A review of the Finance and Audit Act...

Azerbaijan : Country Financial Accountability Assessment

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Country Financial Accountability Assessment; Economic & Sector Work
Português
Relevância na Pesquisa
46.46%
In the area of the country's financial accountability framework, Azerbaijan has already received and continues to receive a considerable amount of analysis, advice, and assistance, particularly in the areas of public financial management from the International Monetary Fund, the World Bank, USAID, and lately, the European Union.. This CFAA summarizes the analysis performed to-date as well as any associated advice and development assistance and also identifies areas hitherto un-addressed and provides a framework to address issues arising. This report comprises a matrix summarizing ongoing financial management initiatives and CFAA recommendations. In respect of private sector enterprise accounting, the CFAA recommends re-establishing the Council of Accountants with responsibility for preparing and determining accounting standards; developing a plan to harmonize the various sources of accounting guidance; relying more on auditor's conclusions to determine compliance with relevant accounting standards; and developing training and capacity building programs. Regarding private sector enterprise auditing...

Moldova : Country Financial Accountability Assessment

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Country Financial Accountability Assessment; Economic & Sector Work
Português
Relevância na Pesquisa
46.42%
The overall conclusion of this report is that despite some progress in improving public financial management, the financial accountability framework in Moldova is weak and requires substantial strengthening. This has important implications for both the Government and the Bank: the Government will need to make a significant effort over a long period of time to attend the issues identified within this report; and the Bank cannot rely on the Moldovan financial accountability framework to ensure that funds are spent for intended purposes, but rather the Bank will need to review and assess each operation's financial management risks and arrangements on its own merit. It would be unrealistic and impractical for the authorities to try to simultaneously address the many recommendations in this report. The Development Action Plan (DAP) lists and prioritizes the main recommendations of this CFAA. The overall responsibility for the implementation of the DAP rests with the Ministry of Finance however the Ministry of Economy...

Demanding to be Served : Holding Governments to Account for Improved Access

Shah, Anwar
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Policy Research Working Paper; Publications & Research
Português
Relevância na Pesquisa
46.54%
This paper presents an overview of the constitutional-legal provisions on access to services in developing countries and shows that rights to public services are not justice-able. It further documents the performance record to show that governments' response to such a weak accountability framework has been predictable - poor performance in service delivery with little accountability. The paper also shows that while there has not been a shortage of ideas on how to deal with this problem, most approaches have failed because they could not diagnose and deal with the underlying causes of government dysfunction. The paper presents an analytical perspective on understanding the causes of dysfunctional governance and the incentives and accountability regimes that have the potential to overcome this dysfunction. The paper also documents practices that have shown some promise in improving access. The paper then integrates ideas from successful practices with conceptual underpinnings for good governance and presents a citizen-centric (rights based) governance approach to access. It further explores how such a citizen empowerment and government accountability framework can be implemented in practice...

United Republic of Tanzania : Country Financial Accountability Assessment

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Country Financial Accountability Assessment; Economic & Sector Work
Português
Relevância na Pesquisa
46.45%
This Country Financial Accountability Assessment (CFAA) considers the strength of the financial accountability framework in Tanzania's public and private sectors. It is intended to assist the Government's own ongoing efforts to strengthen the financial accountability framework and build capacity to carry out financial accountability functions. The report assesses whether the design and implementation of the framework are adequate to ensure the proper use of Government and donor resources. It also measures the degree of compliance with rules and procedures; identifies areas of risk, especially where the country's formal rules, systems, and procedures fall below international benchmarks, and suggests remedial actions and mitigating measures. In addition, the assessment focuses on progress made in building capacity to perform the duties necessary to ensure financial accountability, with special concern for governance issues and the public interest. The CFAA has two key objectives, firstly to facilitate a common understanding by the Government and development partners of the country's financial management arrangements in both the public and private sectors...

Republic of Kenya : Country Financial Accountability Assessment

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Country Financial Accountability Assessment; Economic & Sector Work
Português
Relevância na Pesquisa
46.5%
The CFAA had two key objectives, firstly to facilitate a common understanding by the Government of Kenya and development partners of the country's financial management arrangements in both the public and private sectors, identifying areas for improvement and reaching agreement amongst key stakeholders on how to take this forward. Secondly, to identify areas where accountability arrangements need to be strengthened and the risks that these may pose in relation to the use of public funds. Kenya's system of financial management in the public sector has some strengths, notably a sound code of financial regulations, the existence of a core of skilled top level managers, an updated budget framework, the computerization of a number of financial accountability functions as well as the powers and autonomy of the Controller and Auditor General (C&AG) rooted in the Constitution. In the private sector, the accountancy profession is well established and the Government has created an enabling environment for financial accountability through a solid legal framework. Nevertheless...

Jordan : Country Financial Accountability Assessment

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Country Financial Accountability Assessment; Economic & Sector Work
Português
Relevância na Pesquisa
46.36%
This Country Financial Accountability Assessment (CFAA) for Jordan is a diagnosis of the country's public and private financial accountability framework, financial management systems and practices. The main objective is to: a) assess whether the existing accountability, as designed and practiced, is sufficient to ensure effective and efficient use of public funds; and b) support the country in the design and implementation of financial management capacity building programs in order to promote transparency and strengthen investor confidence in the management of public and private funds. This CFAA is being undertaken as part of the government program for public sector reform. It is based on discussions with Jordanians government officials, private sector representatives and the desk review of related studies and papers undertaken by the government and the Bank regarding: public sector management; private sector accounting and auditing; and education and training in financial management, and accounting. A key element of the CFAA's recommendation targets the auditing profession...

Global Stock-Take of Social Accountability Initiatives for Budget Transparency and Monitoring : Key Challenges and Lessons Learned

World Bank
Fonte: Washington, DC Publicador: Washington, DC
Tipo: Economic & Sector Work :: Knowledge Economy Study; Economic & Sector Work
Português
Relevância na Pesquisa
46.39%
Budgets are key documents that lay out a government's economic priorities in terms of policies and programs. Budget transparency refers to the extent and ease with which citizens can access information about and provide feedback on government revenues, allocations, and expenditures. Budget monitoring entails using such information to analyze, critique, and track government finances in order to provide this feedback. Budget transparency is a prerequisite for public participation and accountability, which are instrumental for a democratic and legitimate budget process. Both budget transparency and monitoring efforts also help remove institutional bottlenecks that result in delayed budget allocations, thereby jeopardizing the delivery of vital services to people. Even though they have a far-reaching impact on the lives of people, opening up budgets beyond the exclusive domain of policy makers and administrators is a relatively recent phenomenon that has gained momentum in the last two decades. The stock taking exercise illustrates the range of mechanisms involved in Budget Transparency and Monitoring (BT&M) in different contexts and demonstrates significant promise of influencing governance processes and outcomes. Finally...

Los medios de comunicación (Cambio y Semana) como mecanismo de accountability social. Un análisis del escándalo de Agro Ingreso Seguro. Período 2009 - 2011.

Velásquez Bernal, Lina Marcela
Fonte: Facultad de Ciencia Política y Gobierno Publicador: Facultad de Ciencia Política y Gobierno
Tipo: info:eu-repo/semantics/bachelorThesis; info:eu-repo/semantics/acceptedVersion Formato: application/pdf
Publicado em 13/07/2012 Português
Relevância na Pesquisa
46.27%
Dentro del marco de la Rendición de Cuentas, los medios de comunicación han logrado convertirse en destacados mecanismos de accountability social, puesto que para ello se requiera visibilidad y los medios son la herramienta más útil para lograr este objetivo. Un ejemplo de estos procesos de visibilidad y accountability es el escándalo generado alrededor del programa gubernamental Agro Ingreso Seguro, principal tema de análisis de la presente monografía.; In the accountability framework, the mass media have become an effective and efficient mechanism for social accountability, since they give visibility to social and political problems. In fact, the controversial policy Agro Ingreso Seguro is an example of visibility and accountability. A matter widely analysed in this monography.