388 research outputs found
The Eckhaus and the Benjamin-Feir instability near a weakly inverted bifurcation
We investigate how the criteria for two prototype instabilities in one dimensional pattern forming systems, namely for the Eckhaus instability and for the Benjamin-Feir instability, change as one goes from a continuous bifurcation, to a spatially periodic or spatially and/or time periodic state, to the corresponding weakly inverted, i.e., hysteretic, cases. We also give the generalization to two dimensional patterns in systems with anisotropy as they arise from hydrodynamic instabilities in nematic liquid crystals
Europeanisation of health systems : a qualitative study of domestic actors in a small state
Background: Health systems are not considered to be significantly influenced by European Union (EU) policies
given the subsidiarity principle. Yet, recent developments including the patients’ rights and cross-border directive
(2011/24 EU), as well as measures taken following the financial crisis, appear to be increasing the EU’s influence on
health systems. The aim of this study is to explore how health system Europeanisation is perceived by domestic
stakeholders within a small state.
Methods: A qualitative study was conducted in the Maltese health system using 33 semi-structured interviews.
Inductive analysis was carried out with codes and themes being generated from the data.
Results: EU membership brought significant public health reforms, transformation in the regulation of medicines
and development of specialised training for doctors. Health services financing and delivery were primarily unaffected.
Stakeholders positively perceived improvements to the policy-making process, networking opportunities and capacity
building as important benefits. However, the administrative burden and the EU’s tendency to adopt a ‘one size fits all’
approach posed considerable challenges. The lack of power and visibility for health policy at the EU level is a major
disappointment. A strong desire exists for the EU to exercise a more effective role in ensuring access to affordable
medicines and preventing non-communicable diseases. However, the EU’s interference with core health system values
is strongly resisted.
Conclusions: Overall domestic stakeholders have a positive outlook regarding their health system Europeanisation
experience. Whilst welcoming further policy developments at the EU level, they believe that improved consideration
must be given to the specificities of small health systems.peer-reviewe
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