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Institutional imbalances occur when some health care facilities have too many staff because of prestige, working conditions, ability to generate additional income, or other situation-specific factors, while others are understaffed [ 73].
Institutional imbalances: These include the question of how to deploy staff between curative and preventive functions of the health sector, as well as their distribution at various tiers and facilities of the system [ 13].
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A careful look, however, reveals that (oil-rich) Malaysia, which has a relatively small population compared to most of its neighbors, purchased short-term growth under the stewardship of Mahathir (1981-2003) athehexpensese of long-term institutional decay, economic imbalances and political instability.
Institutional and services imbalances: These are differences in health workforce supply between health care facilities, as well as between services.
Although these innovations are important for the recognition of small-scale fisheries as compatible with conservation policies, problems such as low institutional capacity, power imbalance, limits of decentralized governance, and lack of long-term financial resources remain as challenges for the consolidation of an inclusive development model for coastal fisheries in Brazil.
Landscape-scale approaches are emerging as central to ecosystem management and biodiversity conservation globally, triggering the requirement for collaboration between multiple actors and associated risks including knowledge asymmetries; institutional fragmentation; uncertainty; power imbalances; "invisible" slow-changing variables; and entrenched socio-economic inequities.
In a relationship where there is a clear imbalance of institutional power, such as police having more power than the community, it becomes incumbent on the party with more power to do more of the listening.
34 Cultural safety involves examining institutional structures, acknowledging assumptions, addressing power imbalances between the clinician and patients, and respecting Aboriginal cultural norms.
Unlike them, she recognizes the danger in this power imbalance; while she's in institutional limbo, they're safe, and freer to make mistakes.
These huge imbalances are the symptoms of deeper institutional disease, namely, the inability of the government to collect enough taxes from the new private sector to run a working government or to perform more efficiently and reduce spending.
The show gets better, more interesting, as the case gains momentum and as the reporter-researcher partnerships are explored (they can work well as writing teams, and even in relationships, if you're OK with the power imbalance, the gross unfairness and the institutional subordination of women).
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com