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Twelve frameworks (legal, regulatory and governance) applicable to the linkage of healthcare data were identified.
The objective of this review is to synthesise the existing published literature and to identify predominant reoccurring themes noted in citations, to form a framework for integrated primary/secondary health care governance, applicable to an international community, which allow optimal linkage between meso-level organisations [ 13, 14].
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Both are core tenets of public expenditure management and governance; equally applicable to domestic and international expenditures (see Figure 1).
Like community fisheries or irrigation systems in previous applications, the multi-level governance framework is also applicable to PHC in a community.
Thus, stakeholder theorists see normative political philosophy as a natural source of theoretical constructs and normative principles applicable to the governance of firms (Freeman and Evan 1990; McMahon 1994; Moriarty 2005).
This is even more applicable to governing.
These study results may be applicable to similar settings where governing bodies or committees governing provincial or district health systems wish to adopt people-centred health systems governance approaches.
However, the underlying principles of promoting southern governance and increasing research capacity in LMICs are broadly applicable to projects in the developing world, and can be adopted even where formal structural organization or business models are lacking.
The key word in Mr. Gerson's analysis is "movement," a term more applicable to moral or spiritual crusades than to the practical matters of governance, particularly governance in a two-party system, where success almost invariably requires compromise, consensus and a mind open to all manner of workable solutions.
It could be asked whether in considering the longevity of large international datasets, including samples, separate governance models should be developed as distinct from local institutional mechanisms or those applicable to the oversight of clinical trials.
To a large extent the criticism is justifiable and applicable to both the internationals that rely on Western donor funding to implement civil society/good governance programs and the indigenous organizations they work with.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com