<?xml version='1.0' encoding='UTF-8'?><?xml-stylesheet href="http://www.blogger.com/styles/atom.css" type="text/css"?><feed xmlns='http://www.w3.org/2005/Atom' xmlns:openSearch='http://a9.com/-/spec/opensearchrss/1.0/' xmlns:blogger='http://schemas.google.com/blogger/2008' xmlns:georss='http://www.georss.org/georss' xmlns:gd="http://schemas.google.com/g/2005" xmlns:thr='http://purl.org/syndication/thread/1.0'><id>tag:blogger.com,1999:blog-8370377499693238638</id><updated>2024-10-04T18:55:47.993-07:00</updated><category term="Dr Harmeet Singh"/><category term="Knowledge Management"/><category term="Lloyd Bardell"/><category term="health"/><category term="media"/><title type='text'>Writing Village: Essays</title><subtitle type='html'>The blog brings top-quality Academic Essays on various topics, by authoratative writers.</subtitle><link rel='http://schemas.google.com/g/2005#feed' type='application/atom+xml' href='http://essay2008.blogspot.com/feeds/posts/default'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/8370377499693238638/posts/default'/><link rel='alternate' type='text/html' href='http://essay2008.blogspot.com/'/><link rel='hub' href='http://pubsubhubbub.appspot.com/'/><author><name>Unknown</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><generator version='7.00' uri='http://www.blogger.com'>Blogger</generator><openSearch:totalResults>4</openSearch:totalResults><openSearch:startIndex>1</openSearch:startIndex><openSearch:itemsPerPage>25</openSearch:itemsPerPage><entry><id>tag:blogger.com,1999:blog-8370377499693238638.post-2599375025773083370</id><published>2008-08-01T10:14:00.000-07:00</published><updated>2008-08-01T10:42:48.276-07:00</updated><category scheme="http://www.blogger.com/atom/ns#" term="Dr Harmeet Singh"/><category scheme="http://www.blogger.com/atom/ns#" term="Knowledge Management"/><title type='text'>Better knowledge management to improve performance in the public sector</title><content type='html'>&lt;strong&gt;Role of Public Sector &lt;/strong&gt;&lt;br /&gt;In this era of New Public Management, the public sector is customer driven. (Osborne, 1993) The government no longer retains a monopoly in service provision and it has to compete with private sector, international organisations and NGOs. The customer centric approach involves satisfaction of customer needs through focus on service delivery. The central resource available with the government and for this is knowledge and not goods &amp; capital. (UNPAN, 2003) Therefore, public sector can only deliver effective performance by successful management of its knowledge, which is the ‘ability of an organisation to use its collective knowledge through a process of knowledge generation, sharing and exploitation enabled by technology to achieve its objectives.’ (Davenport and Prusak, 1998)&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Framework&lt;/strong&gt;&lt;br /&gt;The essay uses the ‘Three fold Knowledge Management framework’ of Holsapple and Joshi, (2002). The framework has three components; a knowledge resources component (organization’s reservoirs of knowledge), an activities component (functions an organization performs in processing its knowledge resources) and a KM influences component (factors that affect the conduct of KM in an organization). The aforementioned role of public sector is discussed in conjunction with knowledge management components to suggest ways for improvement of public sector performance.&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;1. Acquiring knowledge&lt;/strong&gt;&lt;br /&gt;The knowledge resources component consists of two kinds of knowledge. (Holsapple and Joshi, 2002)The ‘explicit knowledge’ or the knowledge contained in computer systems, organisational codes, procedures &amp; rules, books, brochures, videos, tapes and other artifacts. This knowledge is easy to identify and collect. The second type of knowledge is the ‘institutional knowledge.’ This stored in the minds of the people. It is hidden from the public and from the parts of the organisation itself. This knowledge is difficult to share. As a result, a lot of ‘wheel reinventing’ goes on in public administration. (Metaxiotis and Psarras, 2005) However, this ‘tacit knowledge’, is required to be collected and made available when needed. (Nonaka and Takeuchi, 1995) This is difficult as in the public sector, there is culture based on lack of trust and of not sharing knowledge. (Bate &amp; Robert 2002) The people in organisation hoard knowledge as it gives them power. (Luen and Al-Hawamdeh, 2001) In public service, the premium on hoarding knowledge has to be offset with incentives like recognition and awards for knowledge sharing. The first step in knowledge management is therefore gathering and sharing the explicit and tacit components of organisational knowledge. Knowledge sharing will help the public sector organisation to have greater access to the knowledge of their employees. As Lew Platt, the former CEO of Hewlett-Packard pointed out, ‘if only HP knew what HP knows, it could be three times more productive’. Knowledge management and sharing will thus prevent ‘duplication of effort and help to make better decisions.’ (CIO Council, 2001) It will help to increase efficiency and produce better service delivery by the public sector. &lt;br /&gt;&lt;br /&gt;Further, in public sector employees over a period, either move across departments or retire. They take their ‘tacit knowledge’ with them. Knowledge management can be used to help in retention of the ‘Institutional knowledge’ and preservation of institutional memory. This will bring stability and continuity to the organisation. (Milner, 2000) The performance of public service will be thus unaffected by such organisational changes. This knowledge can be further utilised in human resource management to train the newly recruited staff and reduce organizational learning time. This in turn will increase efficiency.&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;2. Processing knowledge&lt;/strong&gt;&lt;br /&gt;The second component of effective knowledge management involves classification and retrieval of knowledge from organisational memory and making it available for the users. (Holsapple and Joshi, 2002) The commonest devices to collect, process and store knowledge are computer systems. Some people believe that knowledge management is about ‘capturing all the best practices and knowledge that people possess and storing it in a computer system in a hope that someone will use them.’ (NHS, 2003) This may lead to wastage of resources. However, if information technology is used intelligently by integrating content and technology it can provide customer oriented services. In public sector, the user has to interact with multiple agencies for similar kinds of needs. Through knowledge management and use of information technology, the information, which is routinely required, can be shared among various public services to prevent duplication of information. The public service can ‘join up all services to focus on the needs of the customer’ and thus create a ‘one stop shop’ for the customer. (Reid and Bardzki, 2004) It will help the user in not filling multiple forms and accessing different public service offices. It will help the public service staff by reducing workload and increasing efficiency. It can also help to decentralize decision making at the operational level for better delivery of services. This process has been implemented in UK under the Modernising Government Agenda, where a portal ‘UK Online’ has been set up to provide services. (Reid and Bardzki, 2004) Online knowledge based service portals can thus serve a dual purpose of firstly, in intelligent capture, storage and retrieval of knowledge on computer systems and secondly, in providing online delivery of services. In a public sector, use of information technology based knowledge management can minimise human intervention in service provision. The computer being indifferent to the user can provide information without bias or premium. This will improve ease of access and availability of service. (Xiaoming and Kaushik, 2003)&lt;br /&gt;&lt;br /&gt;The responsibility of the public sector is towards the stakeholders and not shareholders and under the new public management; this means their involvement in the process of policymaking. (UNPAN, 2003)The policy making now a days takes place outside the usual framework of bureaucracy and is mostly carried by informal arrangements called the ‘policy networks.’ (Rhodes and Marsh, 1992) The ‘policy networks’ comprise of the users &amp; stakeholders and include their knowledge and experience. They also reflect their needs and expectations from the policy makers. Effective knowledge management can help in collection of knowledge from the policy networks and process it around policy initiatives. This can help to deliver a policy, which is more participative and focused on the needs of the people. Knowledge management can thus help in knowledge sharing which can help in power sharing. Knowledge sharing also promotes transparency in society. Transparency is a key factor to improve performance, as it can expose corruption and incompetence and can allow for checks and balances and stakeholder participation. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;3. Utilising knowledge&lt;/strong&gt;&lt;br /&gt;The third component of knowledge management relates to the conduct of the knowledge. The knowledge, which has been collected and processed, can be used to deliver improved public service. (Holsapple and Joshi, 2002) One such mechanism is formation of ‘Collaboratives.’ This involves creation of horizontal knowledge networks that cut across hierarchical lines across several organisations. Collaboratives bring together wide range of professionals, who share their knowledge and learn the best practices from each other. (Bate and Robert, 2002) The collaboratives liberate individual ‘tacit’ knowledge and make it ‘explicit,’ through sharing of ideas &amp; experiences. This knowledge is utilised by the members in their respective organisations. (Sveiby and Simons, 2002) The NHS has formed collaboratives, which help clinicians and local mangers to redesign services around the needs of local patients. (Department of Health 2000) Another mechanism of effective knowledge management is creation of ‘Communities of practice’ (Lave and Wenger, 1991) which are informal groups, working across internal or external boundaries, sharing knowledge and experience. The members put forward solutions based on their knowledge and experience as problems arise (Dougherty, 2004). An example of communities of practice exists on the Indian Administrative Services where officers of the batch, which join the service and train together, remain connected to each other throughout their service careers. The officers, who are posted in different parts of the country, interact with each other to share knowledge on solving administrative problems, handling public welfare programs and policy formulation &amp; implementation. This helps them in finding quick solutions to public service problems. The GSDRC in the University of Birmingham has formed knowledge networks based on the concept of communities of practice to bring together people from a wider variety of occupations and interests. This puts the GSDRC team into contact with experts on various fields and helps it to learn from them by drawing on their experience from different situations. This knowledge is used by DFID for policy formulation and better service delivery. The information is also available on the website for use of common public and other stakeholders. (Lucas, 2007) Thus, these networks help in management of knowledge and improve the performance of the public sector. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Conclusion&lt;/strong&gt;&lt;br /&gt;The current public sector performance paradigm seeks to orient services and policies around the user. Knowledge management, which is the mental, behavioural, and cultural shift from the old adage ‘knowledge is power’ to the new mindset ‘sharing knowledge is power’ can assist this process. Effective knowledge management can provide means to enhance the ability of public service organization to achieve its organizational objectives by addressing to the needs of its stakeholders. It can help to decentralize decision making at the operational level for better delivery of public service and facilitate participation of the stakeholders. This in turn can help to bring the government closer to citizens, by making it convenient and cost effective. Knowledge management can also increase the efficiency of public service organisation by helping it to learn from its employees. This saves on duplication of effort and finds best solutions to the problem. &lt;br /&gt;&lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Contributed by:&lt;/strong&gt; Dr Harmeet Singh, MBA(Birmingham)&lt;br /&gt;&lt;br /&gt;References&lt;br /&gt;Bate, S. P. &amp; Robert, G., (2002) Knowledge Management and Communities of Practice in the Private Sector: Lessons for Modernizing the National Health Service in England and Wales, Public Administration, 80 (4), pp. 643-663 &lt;br /&gt;&lt;br /&gt;CIO Council, (2001), “Managing Knowledge @Work, An Overview of Knowledge Management”, Knowledge Management Working Group of the Federal Chief Information Officers Council, August.(Washington: CIO)&lt;br /&gt;&lt;br /&gt;Davenport, T., and L. Prusak, (1998) Working Knowledge: How Organisations Mange What They Know, (Boston: Harvard Business School Press)&lt;br /&gt;&lt;br /&gt;Department of Health (2000) The NHS Plan: A plan for investment, a plan for reform (London: DOH)&lt;br /&gt;&lt;br /&gt;Dougherty, D. (2004) Organizing practices in services: Capturing practice-based knowledge for innovation, Strategic Organization, 2(1), pp. 35–64&lt;br /&gt;&lt;br /&gt;Lave, J. and Wenger, E. (1991), Situated Learning: Legitimate Peripheral Participation (Cambridge University Press, Cambridge)&lt;br /&gt;&lt;br /&gt;Lucas, B., (2007) Communities of Practice: MBA Course Pack, (Birmingham: IDD)&lt;br /&gt;&lt;br /&gt;Luen, T.W. and Al-Hawamdeh, S., (2001) Knowledge management in the public sector: principles and practices in police work, Journal of Information Science, 27 (5) 2001, pp. 311–318&lt;br /&gt;&lt;br /&gt;Metaxiotis, K. and Psarras, J. (2005) ‘A conceptual analysis of knowledge management in e-government’, Electronic Government, Vol. 2, No. 1, pp.77–86&lt;br /&gt;Milner, E.M., (2000) Managing Information and Knowledge in the Public Sector (London: Routledge)&lt;br /&gt;NHS (2003) KM principles and practices, NeLH Specialist Library, available online at: http://www.nelh.nhs.uk/knowledge_management/km1/principles.asp (accessed on 17 March 2007) &lt;br /&gt;&lt;br /&gt;Nonaka, I. and Takeuchi, H. (1995) The Knowledge-Creating Company, (Oxford: Oxford&lt;br /&gt;University Press)&lt;br /&gt;&lt;br /&gt;Osborne, D., (1993) Reinventing Government, Public Productivity &amp; Management Review, 16(4), pp. 349-356.&lt;br /&gt;&lt;br /&gt;Reid, V. and Bardzki, B., (2004) Communication and Culture: Designing a Knowledge-enabled Environment to Effect Local Government Reform, Electronic Journal of e-Government, 2(3), available online at http://www.ejeg.com/volume-2/volume2-issue3/v2-i3-art7-richter.pdf (accessed on 21 March 2007)&lt;br /&gt;&lt;br /&gt;Rhodes, R.A.W., and. D. Marsh, (1992) New directions in the study of policy networks, European Journal of Political Research, 21, pp.181-205. &lt;br /&gt;Sveiby, K.E. and Simons, (2002) Collaborative climate and effectiveness of knowledge work – an empirical study, Journal of Knowledge Management, 6(5), pp. 420-433 &lt;br /&gt;UNPAN (2005) Unlocking the Human Potential for Public Sector Performance, World Public Sector Report 2005, (New York: UNPAN) &lt;br /&gt;&lt;br /&gt;Xiaoming, C. and Kaushik, V. P.,(2003) Issues of Knowledge Management in the Public Sector, Electronic Journal of Knowledge Management, 1(2), pp. 25-33 &lt;A HREF=&quot;dreamweavewalk.blogspot.com/&quot;&gt;Part of Dream Weave Walk &lt;/A&gt;</content><link rel='replies' type='application/atom+xml' href='http://essay2008.blogspot.com/feeds/2599375025773083370/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/8370377499693238638/2599375025773083370' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/8370377499693238638/posts/default/2599375025773083370'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/8370377499693238638/posts/default/2599375025773083370'/><link rel='alternate' type='text/html' href='http://essay2008.blogspot.com/2008/08/better-knowledge-management-improve.html' title='Better knowledge management to improve performance in the public sector'/><author><name>Unknown</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-8370377499693238638.post-6132912927086066456</id><published>2008-05-29T09:33:00.000-07:00</published><updated>2008-08-01T10:19:45.399-07:00</updated><category scheme="http://www.blogger.com/atom/ns#" term="Dr Harmeet Singh"/><category scheme="http://www.blogger.com/atom/ns#" term="media"/><title type='text'>Need for an Internal Control Mechanism for the Media</title><content type='html'>&lt;strong&gt;Role of Media&lt;/strong&gt;&lt;br /&gt;&lt;br /&gt;The power of media has never been in question. &lt;br /&gt;It can influence the key policy makers by swaying the public opinion on various national and international issues. &lt;br /&gt;It has the ability to play a significant role in spreading awareness about various developmental issues. &lt;br /&gt;It also highlights the various ills plaguing our society. &lt;br /&gt;In India, barring a few brief spells, media has largely had a free run. This freedom is all the more evident today with the advent of a multitude of newspapers, Private TV channels Radio Stations and Internet. &lt;br /&gt;Too much of this freedom is now causing some serious concerns. &lt;br /&gt;&lt;br /&gt;Wh&lt;strong&gt;ere things are going wrong&lt;/strong&gt;&lt;br /&gt;&lt;br /&gt;Technology has outpaced journalism. Television has become the Raw News, because of live reporting and in an effort to be the First with the News; exaggerated, unanalyzed facts are often reported. &lt;br /&gt;No discretion is exercised in reporting of Disaster news. Graphic descriptions and photographs of hanging, suicide, accident victims etc are prominently splashed. Watching too much disaster coverage is adversely affecting the viewer. Similarly juicy photographs, videos and clippings are unleashed without restriction on unsuspecting children. &lt;br /&gt;There are two sides to any event - two ways to interpret it: one positive and the other negative. Newspapers and journalists seem to specialize in negative reporting. &lt;br /&gt;Intruding into the privacy of any citizen has become a norm. No restraint is exercised in publishing the most private details of an individual. Competition creates the need to produce something with shock value, something that will be remembered, something chat-pata (sizzling) so that people are back for more. &lt;br /&gt;In a country with tremendous inequality, indifferent or poor governance, and worrying societal trends there is a whole range of reporting that simply does not get done, because it means harder work, more news gathering expenses, and more reporters on beats. The problems run deep- digging them up and exposing them for action is a thankless task. &lt;br /&gt;In a bid to have more advertising pages, miscellaneous bits of information is served up to inform, satisfy curiosity and meet the small town hunger for both sensational and neighborhood news. Media does not connect events with processes. &lt;br /&gt;Another major issue today is ethics of what the media devotes space to, and how it allocates its manpower. There are beats for restaurants and fashion, there are no beats in most newspapers for agriculture, labor, education, infrastructure, or health and whatever little exists caters to up-market urban class. &lt;br /&gt;Media has started another new concept of Trial by Media. A person is investigated by media, found guilty and sentenced without waiting for a legal investigation or trial. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Question of accountability of the Media &lt;/strong&gt;&lt;br /&gt;&lt;br /&gt;Today the Media is all too powerful. &lt;br /&gt;Accountability is anathema to media. &lt;br /&gt;There is fierce opposition to any watchdog body. &lt;br /&gt;No dispute resolution mechanisms are operative. &lt;br /&gt;Newspapers have not appointed an ombudsman to receive complaints from the public on the newspaper&#39;s functioning. &lt;br /&gt;They do not have codes of conduct which are actively implemented. &lt;br /&gt;They do not have a firm corrections policy, to dictate fair display for the corrections that newspapers should carry after they have damaged somebody&#39;s reputation. &lt;br /&gt;There are hardly any debates in the media about the performance of media. &lt;br /&gt;An irresponsible government can be brought down through a no-confidence motion in Parliament. But the there is no mechanism for the readers to discipline an irresponsible press. &lt;br /&gt;The Media holds all rights to publish or not to publish. Readers cannot get even a denial or a rejoinder published as a matter of right. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Control mechanisms &lt;/strong&gt;&lt;br /&gt;&lt;br /&gt;Suddenly there is significant media presence. But there are no financial or intellectual resources to monitor what the media does on an ongoing basis. In a free and democratic society everything must have reasonable controls. &lt;br /&gt;Censorship has been the most misused and regressive type of control. It defeats the very purpose of having a Media. This has never been successful in achieving any thing meaningful and does not merit any further discussion. &lt;br /&gt;Press Councils India enshrines the noble concept of having press councils to ensure that the reader is not short-changed by unscrupulous or shoddy journalistic practices. They provide a platform to ventilate grievances against biased, inaccurate or inadequate reporting on matters of legitimate public interest. &lt;br /&gt;&lt;br /&gt;&lt;br /&gt;However experience has shown that they are largely ineffective. Petitions drag on before the inquiry committee, for several years. They have little or no legal teeth to punish the guilty. At the end of the day they are not delivering enough to be effective and trusted. &lt;br /&gt;Peer reviews of what the media is doing are few and far between. Little or no mechanism exists for this kind of monitoring. &lt;br /&gt;In India we don’t have the concept of a press ombudsman. &lt;br /&gt;There are no codified media ethics in place. &lt;br /&gt;There are no statutory media audits on the reporting and coverage by a newspaper or a Television channel. &lt;br /&gt;Monitoring websites There are perhaps only a few websites like The Hoot and India Together which regularly publish articles on the aberrations in media coverage and failings of the media. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Self Regulation &lt;/strong&gt;&lt;br /&gt;&lt;br /&gt;The more developed countries are much more evolved in the area of media ethics. Our media is still young, our regulations still in the pipeline. Until then it is better to have internal mechanisms in place rather than those enforced from outside. In my considered opinion the best form of regulation is voluntary and self imposed. &lt;br /&gt;Self regulation has none of the complications of law - but still provides a system in which publications are committed to the highest possible ethical standards. &lt;br /&gt;As a part of this mechanism the Newspapers, TV channels and websites can &lt;br /&gt;Spell out guidelines for Advertorials , Government orders and advertisements, Health and medical matters Opinion polls, Photographs, use of Religious and casteist terms, Selection of newsworthy stories, privacy of individuals, Suicide reporting, Suppression of names of sources, Witness payments etc. &lt;br /&gt;Invite complaints through phone, email or mail by stating so in the media. &lt;br /&gt;Create a voluntary forum of representatives from the public, industry, government, media and judiciary but independent from the editorial and management to speedily look into the matter and deliver a verdict in 7 days. &lt;br /&gt;Publish the complaint and the decision verbatim. &lt;br /&gt;Take action against the errant journalists and in case of bogus complaints highlight the same. &lt;br /&gt;This mechanism would be effective only if it has the ability to take action. This would bring about accountability for the newspaper and ensure transparency for public &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Conclusion &lt;/strong&gt;&lt;br /&gt;&lt;br /&gt;Definitely, the media has the potential to unleash all the positive energies that are held together by &#39;we-the-people&#39;. They must create commonality of interests between themselves and the readers. They must deliver to the audience information that empowers and is not guided merely by commercial interests. &lt;br /&gt;They have also to understand their ever increasing responsibility. &lt;br /&gt;Responsibility of being honest, impartial and fair. &lt;br /&gt;Responsibility of exercising restraint and discretion. &lt;br /&gt;Responsibility of protecting privacy and innocence. &lt;br /&gt;And all this must come from within and not reach a stage when this has to be enforced externally. - &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Contributed by:&lt;/strong&gt;Dr Harmeet Singh MBA(Birmingham)&lt;br /&gt;&lt;br /&gt;&lt;A HREF=&quot;dreamweavewalk.blogspot.com/&quot;&gt;Part of Dream Weave Walk &lt;/A&gt;</content><link rel='replies' type='application/atom+xml' href='http://essay2008.blogspot.com/feeds/6132912927086066456/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/8370377499693238638/6132912927086066456' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/8370377499693238638/posts/default/6132912927086066456'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/8370377499693238638/posts/default/6132912927086066456'/><link rel='alternate' type='text/html' href='http://essay2008.blogspot.com/2008/05/need-for-internal-control-mechanism-for.html' title='Need for an Internal Control Mechanism for the Media'/><author><name>Unknown</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-8370377499693238638.post-115152148811881231</id><published>2007-10-16T10:10:00.000-07:00</published><updated>2008-08-01T10:20:59.364-07:00</updated><category scheme="http://www.blogger.com/atom/ns#" term="Dr Harmeet Singh"/><category scheme="http://www.blogger.com/atom/ns#" term="health"/><title type='text'>Financing the Health Care Sector in India</title><content type='html'>India is the second most populous country in the world. It is a socialistic state where the government is committed to provide for the health care of its people. &lt;br /&gt;&lt;br /&gt;H&lt;strong&gt;EALTH CARE INFRASTRUCTURE IN INDIA &lt;/strong&gt;&lt;br /&gt;&lt;br /&gt;Indian Health Infrastructure is divided into a three-tier structure of primary, secondary and tertiary levels. Currently, the government has 117 tertiary medical colleges and hospitals,1200 ESI and PSU hospitals,4400 district hospitals, 2400 community health centers at secondary level, 23,000 primary health centers 1,37,000 sub centers and 1500 urban posts at primary level. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Health Care spending pattern &lt;/strong&gt;&lt;br /&gt;&lt;br /&gt;This massive infrastructure seems more than sufficient to meet the needs of the Indian population. The ground reality, however, is very different. According to the Economic Survey 2005, it is seen that India’s overall health spending is 5.6% of the GDP. However, health care spending is only 1.2% of the GDP against WHO norms of 5%. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Fund availability for health care&lt;/strong&gt; &lt;br /&gt;&lt;br /&gt;Thus, although the overall health sector spending is adequate, the spending on health care, which provides treatment and care for the sick, is insufficient. As per the Annual Report of the Ministry of Health of 2004, hospitalized Indians spend 58% of their total annual expenditure on health care and 40% of hospitalized Indians borrow to cover for these expenses. 25% of hospitalized individuals fall below poverty line due to hospitalization expenses. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;Resource distribution &lt;/strong&gt;&lt;br /&gt;&lt;br /&gt;According to National Commission for Applied Economic Research (NCAER) reports, 80 % of the resources are cornered by the affluent (which form only 30% of the population) and only 20% is available to the poorest (which form 70% of the population). In addition, individuals do more than 75% spending on health care from their personal resources. Only 45% of the indoor patients actually utilize the government infrastructure and the rest go to expensive private hospitals. Health care expenses are thus a major cause of impoverishment in Indian society. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;CHALLENGES IN HEALTH CARE SECTOR &lt;/strong&gt;&lt;br /&gt;&lt;br /&gt;An analysis of the above data clearly reveals that the health infrastructure is beset with problems. The main problem areas are: &lt;br /&gt;&lt;br /&gt;&lt;br /&gt;1. Inadequacy of funds &lt;br /&gt;2. Available funds not reaching targeted population &lt;br /&gt;3. Insufficient treatment facilities &lt;br /&gt;4. Non-availability of requisite manpower to man the facilities. &lt;br /&gt;5. Absence of resource co-ordination between the private and government sector. &lt;br /&gt;&lt;br /&gt;The annual per capita income of India is a minimal $ 380 (according to 2005 IMF figures). This is barely sufficient to meet daily needs and grossly inadequate to fund the cost of hospitalization. This also negates the idea of fund generation through levy of user charges. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;MECHANISMS TO MEET THESE CHALLENGES &lt;/strong&gt;&lt;br /&gt;&lt;br /&gt;This essay will attempt to suggest mechanisms whereby adequate funds can be generated to run the health care sector and there is equitable distribution between the affluent and the deprived strata of the society. &lt;br /&gt;&lt;br /&gt;1. Community based Health Insurance &lt;br /&gt;&lt;br /&gt;The concept of a community-based health insurance is a viable solution. Various studies have estimated the average annual expenditure per family at $25-30. A CBHI scheme at $2 per month per family administered through a third party administrator can be launched for a target population of 100,000 per hospital. The government can fund specialized treatments to support the scheme. &lt;br /&gt;&lt;br /&gt;2. Generating resources through cess &lt;br /&gt;&lt;br /&gt;By levying a cess on health degrading products like Tobacco, Cigarettes, Pan Masala, Alcoholic beverages etc funds can be generated. This cess could be extended to pollution causing or hazardous industries. These funds can be kept in a separate pool and disbursed for the treatment of specific diseases like Tuberculosis, Cancer, AIDS, Leprosy, Renal failure which require prolonged and expensive treatment. &lt;br /&gt;&lt;br /&gt;3. Health Tourism &lt;br /&gt;&lt;br /&gt;India has several excellent hospitals, with state-of-the-art equipment and diagnostic facilities. These hospitals also boast of the internationally acclaimed doctors. This combined with spiraling costs of treatment and long waiting periods abroad could woo foreign patients for treatment in India. This could well be combined with a holiday or a tourism package. The resources generated by these hospitals can fund the Hospital-rural neighborhood health cluster discussed in next paragraph. &lt;br /&gt;&lt;br /&gt;4. Hospital-rural neighborhood cluster concept &lt;br /&gt;&lt;br /&gt;Most rural areas lack proper medical care centers. Also as rural areas do not provide good quality of life, medical professionals do not want to settle there. The minimal health infrastructure, which exists, is thus not manned by trained personal. This vicious cycle results in non-availability of treatment facilities. Studies have established that 95% patients require prescription treatment and only 5% require hospitalization. Small rural dispensaries manned by staff of urban hospitals in the morning, can do this job. Ambulances could shift patients requiring specialized treatment to urban hospitals. This concept would provide good treatment facilities and medical manpower to patients in remote areas. &lt;br /&gt;&lt;br /&gt;5. Public-private sector resource sharing &lt;br /&gt;&lt;br /&gt;Private enterprise in health sector, private nursing homes and corporate hospitals should be encouraged. The government should tie up with the private sector for low cost insurance based treatment wherever adequate infrastructure exists in the private sector. This can be partly funded by the government. The government can then focus on hitherto neglected areas of health care where the private sector is not investing. Thus duplication of resources will be avoided and better facilities would be available for remote areas. &lt;br /&gt;&lt;br /&gt;6. Telemedicine &lt;br /&gt;&lt;br /&gt;India’s strength in the Information technology can be used for the improvement of health infrastructure. Telemedicine can provide advanced diagnostic facilities to the people in the remote areas. Through satellite links the state or district level hospitals can be linked to the peripheral hospitals. Mobile telemedicine vans can also be utilized for the same. The patients in the interior areas can be examined and diagnosis and treatment advised by consultants sitting in the urban institutes. Thus, only patients requiring special care would be moved to the nearest urban hospital. &lt;br /&gt;&lt;br /&gt;&lt;strong&gt;CONCLUSION &lt;/strong&gt;&lt;br /&gt;&lt;br /&gt;India’s health sector has some inherent strengths which need to be enhanced. Innovative strategies and ‘out-of-box’ thinking are needed to devise and implement a result-oriented action plan. These are some ideas to finance and prop up the health care delivery system. These would ensure adequate funds, efficient deployment and equitable distribution of the resources. &lt;br /&gt;&lt;br /&gt;Contributed by: Dr Harmeet Singh MBA(Birmingham)</content><link rel='replies' type='application/atom+xml' href='http://essay2008.blogspot.com/feeds/115152148811881231/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/8370377499693238638/115152148811881231' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/8370377499693238638/posts/default/115152148811881231'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/8370377499693238638/posts/default/115152148811881231'/><link rel='alternate' type='text/html' href='http://essay2008.blogspot.com/2007/10/financing-health-care-sector-in-india.html' title='Financing the Health Care Sector in India'/><author><name>Unknown</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-8370377499693238638.post-7278029919945083473</id><published>2007-10-15T09:33:00.000-07:00</published><updated>2007-10-22T10:12:10.968-07:00</updated><category scheme="http://www.blogger.com/atom/ns#" term="Lloyd Bardell"/><title type='text'>Consubstantiation: Memes and Ideas</title><content type='html'>The memetic process is one marked quintessentially by the union of disparate linguistic and epistemological substances in the evolution of an idea from a meme. In other words, there is a transitional or pubescent point at which some successful memes may take on the characteristics of an idea or an idea complex as the meme moves from an a-rationally based viral concept or pattern of thought to a rationally based idea or science. A good example of this might be the Nazi &quot;Science&quot; of Eugenics. Nazism&#39;s rich, though evil, mixture of all of the major memetic complexes - religion, language or media, politics, and pre-science marked the puerile state of genetic science among other numerous studies. &lt;br /&gt;&lt;br /&gt;In Nazi Eugenics, we have a consubstantiation of meme and idea that will eventually evolve into bioengineering in the late twentieth century. In the stage of consubstantiation, we have what equates to a viral soup of ideas - a kind of intellectual minestrone or gumbo. The two or more substances that exist in the memetic-consubstantiation share components - with one system reasoning meaning and the other declaring its own truth. Frequently, the successful emergence of a meme from the unreasoned state into a reason-based state is dependent upon the structure of the language in which it finds itself. Both the success of meme and success of an idea are frequently conditional to the linguistic structure of its hosts. It has been stated that language itself is a meme complex or memeplex - this is true only from the standpoint that it can be both. Whether language is meme or idea is dependent upon how the language is being used at any given time and perhaps upon who it is that is using the language. &lt;br /&gt;&lt;br /&gt;Language would more accurately be described as building material for both the meme and idea. And, in as much as both the meme and idea are made from the same substance, the word or communication is the basis for both. What we have here is a process that is similar to the workings of an atom in terms of its component parts - at the final reduction, there is no real difference in the materials that compose the different entities formed by those materials. The significant factor is the process of evolutionary differentiation and not primeval reduction - unless that reduction is being used to force another stage forward in the evolutionary process. Cloning or atomic power would be examples of evolutionary leaps forward with the potential of progressing mankind to a higher level of existence. It should be remembered however that devolution is just as real a possibility as is evolution in a possible scenario. This devolution or transference could be from idea to meme, meme to idea, or species to species in the concept of that which is fittest for a changed environment - Neanderthal to Homo Sapiens, for instance. &lt;br /&gt;&lt;br /&gt;It should be clear now the memes rely upon epistemological opacity - were there a kind of checksum attached to a memetic frame - it would be obvious that the meme is not an idea of self-sustaining merit. Memetic frames are however successful broadcasters and do replicate and undergo mutation processes - making them difficult to pin down or to eradicate once they are rooted in an appropriate class of hosts. The opacity is a successful defense mechanism that relies upon obfuscation of thought for its defense. &lt;br /&gt;&lt;br /&gt;Idea versus meme evokes the differentiation of Intuition-based Logic versus Classical Logic. &lt;br /&gt;&lt;br /&gt;Intuitionistic logic substitutes justification for truth in its logical calculus. Instead of a deterministic, bivalent truth assignment scheme, it allows for a third, indeterminate truth value. A proposition may be provably justified, or provably not justified, or undetermined. The logical calculus preserves justification, rather than truth, across transformations yielding derived propositions. &lt;br /&gt;&lt;br /&gt;It is possible for an idea to retrograde back into a state of consubstantiation or to once again become a meme. An excellent example of this process is the &quot;Intelligent Design&quot; movement, which offers itself up as an alternative scientific approach to &quot;Natural Selection.&quot; In this movement we also have a theft of language of meaning - that is, the Intelligent Design movement seeks to cloak itself in scientific language and thereby gain acceptance and replicate as another scientific theory. With ID, either we have an apparent mutation of the old &quot;Creationism&quot; meme or a regression of the &quot;Theory of Evolution&quot; - there are probably actually of few flavors of each of these processes going on in the movement. The dialectic certainly resides in the conflict of meme with idea - the synthesis is the transitory wedding of idealism and materialism or a short-lived Weberian-Marxian activation of the ideal in history. This transitory state does not survive in the &quot;real world&quot; of continuous social mutation nor does its language remain fixed by its very proponents, Marx begat Lenin and Trotsky and Stalin and so on. &lt;br /&gt;&lt;br /&gt;Constant flux or the ephemeral state of the social dynamic is reminiscent of evolutionary adaptation like that of the finches in Darwin&#39;s studies. Any particular ideology is most likely the regression of an idea into a state of consubstantiation or the evolutionary mutation of a meme into a memeplex. Not hoping to read too much into Montesquieu&#39;s Spirit of the Laws, the environment of a meme or an idea certainly affects its mutation process and outcome. &lt;br /&gt;&lt;br /&gt;Contributed by: Lloyd Bardell</content><link rel='replies' type='application/atom+xml' href='http://essay2008.blogspot.com/feeds/7278029919945083473/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://www.blogger.com/comment/fullpage/post/8370377499693238638/7278029919945083473' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/8370377499693238638/posts/default/7278029919945083473'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/8370377499693238638/posts/default/7278029919945083473'/><link rel='alternate' type='text/html' href='http://essay2008.blogspot.com/2007/10/consubstantiation-memes-and-ideas.html' title='Consubstantiation: Memes and Ideas'/><author><name>Unknown</name><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry></feed>