Animal disease control and value chain practices: Incorporating economics and...ILRI
Presented by Karl M. Rich, ILRI, at the 5th Food Safety and Zoonoses Symposium of Asia Pacific, Global Health Institute 2018, Chiang Mai, Thailand, 6-7 July 2018
The folk and the formula wider annual_lecture_2012_wedsUNU-WIDER
The 2012 WIDER Annual Lecture was given by Professor Lant Pritchett. He discussed the importance of building state capability in developing countries for tackling long-term development challenges.
Future of Mental Health - Reverse Archaeology Event ReportJosinaV
Experiment in Reverse Archaeology: Exploring the Future of Mental Health Services was a hands-on workshop co-hosted by MaRS and CAMH (Centre for Addiction and Mental Health) on May 23rd, 2013. This session was held as a part of a series of meet-ups of health innovation centres, engaging forty health system innovators, service providers, and individuals with lived experience of mental health needs from across Southern Ontario.
Barriers to, and enablers of, adoption of technology enabled care servicesInnovation Agency
Professor Alison Marshall, Health Technology & Innovation, University of Cumbria discusses the processes behind adopting technology enabled care services.
Animal disease control and value chain practices: Incorporating economics and...ILRI
Presented by Karl M. Rich, ILRI, at the 5th Food Safety and Zoonoses Symposium of Asia Pacific, Global Health Institute 2018, Chiang Mai, Thailand, 6-7 July 2018
The folk and the formula wider annual_lecture_2012_wedsUNU-WIDER
The 2012 WIDER Annual Lecture was given by Professor Lant Pritchett. He discussed the importance of building state capability in developing countries for tackling long-term development challenges.
Future of Mental Health - Reverse Archaeology Event ReportJosinaV
Experiment in Reverse Archaeology: Exploring the Future of Mental Health Services was a hands-on workshop co-hosted by MaRS and CAMH (Centre for Addiction and Mental Health) on May 23rd, 2013. This session was held as a part of a series of meet-ups of health innovation centres, engaging forty health system innovators, service providers, and individuals with lived experience of mental health needs from across Southern Ontario.
Barriers to, and enablers of, adoption of technology enabled care servicesInnovation Agency
Professor Alison Marshall, Health Technology & Innovation, University of Cumbria discusses the processes behind adopting technology enabled care services.
The patient won't see me now, or at all... if they can help itVSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Stefano A Bini, MD
Professor, Department of Orthopedic Surgery, UCSF
More info here: vsee.com/conference
Integrating consumer-centric Health 2.0 principles into brick-and-mortar caregiving practice requires a dual approach: implementing efficiency and empathy-based initiatives.
For hospitals seeking to develop such initiatives, efficiency = prioritizing the medical/clinical outcomes (clinical results).
"Real world" business case implementation includes a complementary focus on empathy initiatives, or those focused on prioritizing a patient-centric orientation that aims to improve the consumer experience and encourage patients to become partners in care.
This allows patients (willing to be proactive) to participate more fully in the care process and removes hierarchical 'gatekeeper' systems which limit patient access to content, community, and commerce options that help us define personal wellness objectives.
WHISTLEBLOWING. La dimensione soggettiva del segnalanteMassimo Di Rienzo
Due sentenze (una del T.A.R., l’altra della Cassazione) hanno stabilito che, in materia di Whistleblowing, “l’abito fa il monaco”: non conta tanto il contenuto della segnalazione, ma l’atteggiamento o l’intenzione del segnalante, in due parole la sua DIMENSIONE SOGGETTIVA. Indagare l’anima del segnalante potrebbe non essere facile e non essere nemmeno in linea con le (future) direttive europee.
@Spazioetico anticorruzione societa_in_controllo_pubblicoMassimo Di Rienzo
Slides presentate in occasione del webinar IFEL "Anticorruzione applicata alle società e agli enti di diritto privato controllati e partecipati dalle P.A."
slides presentate in occasione del webinar IFEL "ll contrasto alla corruzione. Le misure della rotazione e della tutela del whistleblower (la riforma del 2017)" del 14 dicembre 2017
“Noi non scegliamo affatto. Il nostro destino sceglie. Ed è saggezza mostrarci degni della sua scelta, qualunque essa sia” (Roland).
Questo non significa che viviamo nel caos e che siamo per forza di cose privi del “libero arbitrio”.
Semplicemente, le persone non sono tutte uguali e non pensano alle implicazioni delle loro scelte, se non sono abituate a farlo o se ci sono condizioni non idonee alla riflessione.
L’etica, pertanto, è un esercizio di ricostruzione a posteriori delle implicazioni delle scelte che ogni giorno operiamo,
convinti come siamo, che l’errore e la costruzione di una conoscenza collettiva basata su di esso, sia il sistema migliore che l’essere umano abbia inventato per guidare le nostre azioni verso il bene comune.
Per questo nella formazione valoriale utilizziamo la discussione in gruppo di “casi concreti” (real-life scenario).
@Spazioetico accesso civico_generalizzato_bilanciamento_interessiMassimo Di Rienzo
Slides presentate in occasione del webinar IFEL: "La trasparenza e l’istituto dell’accesso civico generalizzato. La gestione delle istanze di accesso civico generalizzato: il «test di interesse pubblico» ed il «bilanciamento tra interessi»", del 20 novembre 2017
Si tratta di un aggiornamento parziale di "Trasparenza e Trasparentismi", una presentazione che ha avuto fortuna...
Per ulteriori informazioni su questi temi, si prega di consultare il blog https://spazioetico.com/
The patient won't see me now, or at all... if they can help itVSee
Telehealth Failures & Secrets to Success Conference 2017 by VSee
Speaker: Stefano A Bini, MD
Professor, Department of Orthopedic Surgery, UCSF
More info here: vsee.com/conference
Integrating consumer-centric Health 2.0 principles into brick-and-mortar caregiving practice requires a dual approach: implementing efficiency and empathy-based initiatives.
For hospitals seeking to develop such initiatives, efficiency = prioritizing the medical/clinical outcomes (clinical results).
"Real world" business case implementation includes a complementary focus on empathy initiatives, or those focused on prioritizing a patient-centric orientation that aims to improve the consumer experience and encourage patients to become partners in care.
This allows patients (willing to be proactive) to participate more fully in the care process and removes hierarchical 'gatekeeper' systems which limit patient access to content, community, and commerce options that help us define personal wellness objectives.
WHISTLEBLOWING. La dimensione soggettiva del segnalanteMassimo Di Rienzo
Due sentenze (una del T.A.R., l’altra della Cassazione) hanno stabilito che, in materia di Whistleblowing, “l’abito fa il monaco”: non conta tanto il contenuto della segnalazione, ma l’atteggiamento o l’intenzione del segnalante, in due parole la sua DIMENSIONE SOGGETTIVA. Indagare l’anima del segnalante potrebbe non essere facile e non essere nemmeno in linea con le (future) direttive europee.
@Spazioetico anticorruzione societa_in_controllo_pubblicoMassimo Di Rienzo
Slides presentate in occasione del webinar IFEL "Anticorruzione applicata alle società e agli enti di diritto privato controllati e partecipati dalle P.A."
slides presentate in occasione del webinar IFEL "ll contrasto alla corruzione. Le misure della rotazione e della tutela del whistleblower (la riforma del 2017)" del 14 dicembre 2017
“Noi non scegliamo affatto. Il nostro destino sceglie. Ed è saggezza mostrarci degni della sua scelta, qualunque essa sia” (Roland).
Questo non significa che viviamo nel caos e che siamo per forza di cose privi del “libero arbitrio”.
Semplicemente, le persone non sono tutte uguali e non pensano alle implicazioni delle loro scelte, se non sono abituate a farlo o se ci sono condizioni non idonee alla riflessione.
L’etica, pertanto, è un esercizio di ricostruzione a posteriori delle implicazioni delle scelte che ogni giorno operiamo,
convinti come siamo, che l’errore e la costruzione di una conoscenza collettiva basata su di esso, sia il sistema migliore che l’essere umano abbia inventato per guidare le nostre azioni verso il bene comune.
Per questo nella formazione valoriale utilizziamo la discussione in gruppo di “casi concreti” (real-life scenario).
@Spazioetico accesso civico_generalizzato_bilanciamento_interessiMassimo Di Rienzo
Slides presentate in occasione del webinar IFEL: "La trasparenza e l’istituto dell’accesso civico generalizzato. La gestione delle istanze di accesso civico generalizzato: il «test di interesse pubblico» ed il «bilanciamento tra interessi»", del 20 novembre 2017
Si tratta di un aggiornamento parziale di "Trasparenza e Trasparentismi", una presentazione che ha avuto fortuna...
Per ulteriori informazioni su questi temi, si prega di consultare il blog https://spazioetico.com/
Questionario di valutazione del "clima etico" di un'organizzazione pubblica secondo il modello @spazioetico
Presentato il 14 giugno 2017, in occasione del webinar IFEL: "Il clima etico. Soggetti e strumenti per misurare il contesto interno"
Il processo invisibile. Massimo Di Rienzo @spazioeticoMassimo Di Rienzo
Il processo invisibile è un caso presentato nel corso del webinar " Il Piano Nazionale Anticorruzione 2016 e il governo del territorio" del 20 aprile 2017 per la Fondazione IFEL
Accesso civico generalizzato. Il punto di vista del dottor RossiMassimo Di Rienzo
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slides presentate in occasione dell'incontro del 24 febbraio 2017 presso la Scuola Marcelli di Velletri, per la sperimentazione del programma FUORICLASSE di Save the Children Onlus e in applicazione del Programma Triennale di Prevenzione della Corruzione del Comune di Velletri (RM)
MASSIMO DI RIENZO
https://spazioetico.com
slides presentate nell'ambito del corso di formazione "ANTICORRUZIONE E TRASPARENZA: RUOLO; OBBLIGHI; DOVERI E RESPONSABILITÀ DEI DIPENDENTI DELLA ASL CUNEO 1" dal 23 al 26 maggio 2016 presso Savigliano, Mondovì e Cuneo
slides presentate nell'incontro "Partecipazione ed etica pubblica", tenutosi il 22 marzo 2016 a Palermo.
Progetto “Etica 2013-2015: azioni di supporto al miglioramento della performance e all’accrescimento della trasparenza attraverso le nuove tecnologie”, che costituisce l'Ambito 2 Linea 2 del Programma Operativo di Assistenza Tecnica 2012-2015 (POAT) - Ob.II. 4 PON GAT (FESR) 2007-2013 (secondo triennio).
Model Attribute Check Company Auto PropertyCeline George
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Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
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The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
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This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
How libraries can support authors with open access requirements for UKRI fund...
Massimo di rienzo_17_06_2017
1. @spazioetico
EHFCN Open House 2017
Rome, June 15th 2017
Massimo Di Rienzo
Scientific Director @ISPE Sanità
Founder @spazioetico
AN ETHICS EDUCATION MODEL
The experience of «ethical dilemma training» in promoting integrity for italian public healthcare
2. @spazioetico
STRENGHTS
• Mandatory training
• National Plan
focuses on «real-
life scenario»
training
WEAKNESSES
• Low involvement
of healthcare
professionals
• Compliance-
oriented training
OPPORTUNITIES
• Healthcare professionals
are used to work with
«scenarios» or «case
history»
• Healthcare professionals
ask for challanging
training
THREATS
• Too many rules reduce
people’s sense of
responsibility (Katz-
Navon 2005)
• Too many rules
compress the “ethical
space” (@spazioetico
(2014))
TRAINING INTEGRITY IN ITALIAN PUBLIC
HEALTHCARE SYSTEM
3. @spazioetico
INTEGRITY BUREAU
• Integrity management team
• Prevention of corruption manager
• Focal-points
INTEGRITY PILLS
• Leaders
• Healthcare Department Chiefs
• Administrative managers
DISSEMINATE ETHICS
• Healthcare professionals
• Administrative personnel
DESIGN OF ISPE ETHICAL DILEMMA TRAINING
5. @spazioetico
• Marta is a public healthcare professional
who recently started working at the
Department of General Surgery.
• She’s responsible for the Department
agenda.
• Her work is in contact with users, who are,
mostly, people in the unpleasant situation
of having to undergo surgery
Marta Francesca
• Francesca is preparing for surgery.
• Her surgeon has required a number of medical
examinations to be done quickly and, in any
case, before the surgery takes place.
• One of such exam is particularly hard to carry
out and Francesca, who is already used to this
kind of analysis, confesses to Marta that she
will probably not be able to find space in the
public hospital.
• She will have to go to a private clinic.
REAL-LIFE SCENARIO
6. @spazioetico
Marta Francesca
• DO YOU KNOW ANY PRIVATE
CLINIC WHERE I CAN GO?
• I DON’T KNOW ANY … YOU
SHOULD KNOW BETTER…
• MMMMMMHHHHH….
REAL-LIFE SCENARIO
…here you can see «information asymmetries» in action…
…healthcare professionals are supposed to know more and better than the patients,
…and, in general, it is a good thing…
8. @spazioetico
Marta FrancescaDoctor Wolf
• Doctor Wolf, who is a General Surgery’s specialized doctor, approaches Marta…
• “I’ve got a clinic just right for your patient”, says to Marta.
• “The owner has assured me that operators are able to provide low cost service in a
very short time”.
• “Just give her this business card”.
• Marta starts thinking that she could give Francesca a very good advice, delivering one
of those business cards.
DO YOU THINK SHE’LL DO THE RIGHT THING?
BRINGING COMPLEXITY TO THE SCENARIO
9. @spazioetico
• «No, no, no, this can’t be done. It’s not an appropriate conduct by a public officer…»
• «I don’t think there’s any problem with this conduct….»
Marta FrancescaDoctor Wolf
BRINGING COMPLEXITY TO THE SCENARIO
…suppose we were in a training session…
10. @spazioetico
GUIDING QUESTIONS
• How do information asymmetries work in this case?
• How do power asymmetries work in this case
• How do conflict of interests work in this case?
and
• How do «competing principles or values» of public ethics
struggle to determine what is right and what is wrong?
BRINGING COMPLEXITY TO THE SCENARIO
12. @spazioetico
• On one side, «giving good advice»
adheres to a public officer’s mandate,
which is, taking charge of users.
(art. 12, comma 1, National Public Officers’
Code of Conduct)
Marta is facing an ethical dilemma…
COMPETING VALUES OF PUBLIC ETHICS STRUGGLE…
13. @spazioetico
• On one side, «giving good advice»
adheres to a public officer’s mandate,
which is, taking charge of users.
(art. 12, comma 1, National Public Officers’
Code of Conduct)
Marta is facing an ethical dilemma…
COMPETING VALUES OF PUBLIC ETHICS STRUGGLE…
• On the other side, she can just inform users with
different services available. Otherwise she might
modify competitiveness conditions of private
clinic market and set off an «adverse selection».
(art. 12, comma 3, National Public Officers’ Code of
Conduct)
14. @spazioetico
• On one side, «giving good advice»
adheres to a public officer’s mandate,
which is, taking charge of users.
(art. 12, comma 1, National Public Officers’
Code of Conduct)
Marta is facing an ethical dilemma…
• On the other side, she can just inform users with
different services available. Otherwise she might
modify competitiveness conditions of private
clinic market and set off an «adverse selection».
(art. 12, comma 3, National Public Officers’ Code of
Conduct)
EFFECTIVE ACTION IMPARTIALITY
COMPETING VALUES OF PUBLIC ETHICS STRUGGLE…
15. @spazioetico
ADVERSE SELECTION
• Adverse selection is a concept in
economics, insurance, and risk
management, which describes a
situation where market participation
is affected by asymmetric
information.
...what does «adverse selection» mean?
16. @spazioetico
A PUBLIC AGENT
• …a public healthcare
professional working at
the Department of General
Surgery…
MODIFIES
COMPETITIVENESS OF
PART OF THE PRIVATE
LOCAL SECTOR
• …to determine an advantage of
a competitor or group of
competitors (to whom she may
herself belong or not)…
CAUSING A
SELECTION OF
COMPETITORS
• …some of which will
be in a position of
advantage over
others…
UNFAVORABLE FOR
THE PUBLIC
• …as only competitors
who are willing to violate
the rules will stand
…what does «adverse selection» mean?
17. @spazioetico
An ethical dilemma can be
described as a decision that
requires a choice among
competing sets of principles,
often in complex and value
laden contexts.
Kidder (1995)
18. @spazioetico
“Organizations often have
‘‘competing value systems’’
from which dilemmas arise.
Such dilemmas cause an ethics
struggle when it is unclear as to
what the ethical thing is to do.
Muel Kaptein
The Battle for Business
Ethics: A Struggle Theory
(2015)
19. @spazioetico
National
Public
Officers’
Code of
Conduct
Public employee
Codes of conduct
of the medical
professions.
Doctors
Veterinaries
Nurses
…
Codes of
Conduct of
providers’
system
Pharmaceutical
Devices
Research
…
...this is particularly true in the public healthcare system, where we have a
GALAXY of different value systems
…often competing…
• QUALITY
• GAIN
• IMPARTIALITY
• EFFECTIVENESS
• BEST
POSSIBLE
TREATMENT/
CARE
20. @spazioetico
• Here’s Mr. Rossi, an accountant who works in
the procurement office of a public hospital.
• While preparing technical specifications for a
call for tender, he accidentally bumps into
some anomalies.
COMPETING VALUE SYSTEMS IN PUBLIC HEALTHCARE AND
HOW ETHICAL DILEMMAS ARISE
2. «SPEAK-OUT DILEMMA»
REAL-LIFE SCENARIO
21. @spazioetico
• He notices that there are three different purchases.
• In the first, the hospital has already bought a
"medical device", that is, the basic machinery,
without any other element which is necessary to
make it work, such as an appropriate software or
maintenance service.
• Normally, you do not buy a device without software,
because it means that you will need to prepare new
documents for new purchases. A great waste of time.
• That is the first anomaly.
purchase #1
medical device
22. @spazioetico
• A few days later, Mr. Rossi notes that there are,
actually, two more purchases.
• In this case, the hospital intends to buy a software
and the maintenance service of a generic medical
device.
• Both the software and maintenance service, after a
quick analysis, result compatible with the medical
device previously purchased by the hospital.
• This is the second anomaly.
purchase #2
software
purchase #3
maintenance
23. @spazioetico
• Suspicion grows after Mr. Rossi notes that the
procurement procedure is, for all three purchases,
the “direct award”.
• That means no public tendering for the three
purchases.
• And this is the third anomaly.
• There is something wrong here.
• What to do?
DIRECT
AWARD
instead of
PUBLIC
TENDERING
24. @spazioetico
POTENTIAL FRAUD
Artificial division of one supply into a number of
lots, in order to divide costs, go subthreshold, thus,
avoid public tendering and circumvent legislation on
public procurement
POTENTIAL CORRUPTION
The public official in charge of the purchases, may
have requested undue advantage for himself or for a
third person, in order to refrain from acting in the
exercise of his official functions
26. @spazioetico
...sometimes that conduct has nothing to do with FRAUD…
..IN PUBLIC HEALTH-CARE OFTEN DYNAMIC IS SOMETHING LIKE…
…health-care professionals are those who «HAVE TO DO THE
RIGHT THING», because they work in the front line.
They have to be EFFECTIVE, fast, they have to provide best
care to demanding patients…
…administration officers are those who «DO THE THINGS
RIGHT», as they have to be compliant to procedures.
They have to be IMPARTIAL, and it takes time, a lot of
time…
27. @spazioetico
A NEW DILEMMA ARISES
I need to buy a new device. The one
I’ve got is out of date
Ok. How much does it cost?
Don’t know exactly, but lot more than
the old one
I’m afraid we can’t just buy it. We’ve to
go through public tendering
How soon do you need it?
Yesterday . No, seriously, as soon as
we can
And how much time for that?
Six months, maybe?
You must be kidding me? For that time
my patients will all be dead!
…so, what to do?
28. @spazioetico
Recommendation of the Council on Public Integrity
(2017)
8. Provide sufficient information, training, guidance and timely
advice for public officials to apply public integrity standards in
the workplace, in particular through:
…
b) offering induction and on-the-job integrity training to public
officials throughout their careers in order to raise awareness
and develop essential skills for the analysis of ethical
dilemmas, and to make public integrity standards applicable
and meaningful in their own personal contexts;
29. @spazioetico
Recommendation of the Council on Public Integrity
(2017)
Support an open organisational culture within the public sector
responsive to integrity concerns, in particular through:
a) encouraging an open culture where ethical dilemmas, public
integrity concerns, and errors can be discussed freely, and,
where appropriate, with employee representatives, and where
leadership is responsive and committed to providing timely
advice and resolving relevant issues;