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What has been largely missing in the debate is the radical shift in accountability and oversight that supports this – something that will make it easier for all of us to shape and hold local health services to account in the future.
The shift in accountability from the municipal administration to the manufacturers has ostensibly clarified responsibilities, but has simultaneously introduced new problems.
In turn, this shift in accountability involves adding the burden of treatment to the burden of symptoms, as patients experience new and growing demands to organize and co-ordinate their own care, to comply with complex treatment and self-monitoring regimens, and to meet a whole range of expectations of personal motivation, expertise and self-care [ 7, 9- 11].
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All of these efforts include shifts in accountability, goals, instructional materials, pedagogy, and sometimes space.
As with South Africa in the heady days of the early 1990s, it is not the dry economic statistics that matter most at this moment in Bolivia's history, but the incredible shift in power and accountability.
This is the biggest shift in financial powers and accountability within the UK for 300 years".
This is the biggest shift in financial powers and accountability within the UK for 300 years". Salmond said that Donald Dewar, the architect of Scottish devolution, had set a precedent when Labour's devolution referendum in 1997 asked voters to make a choice about devolution and whether or not to give Holyrood tax-altering powers.
Their sentiments might be sincere, but they play a crucial role in shifting accountability away from the alleged perpetrator and onto either the victim, or the couple as a whole.
Although a substantial influx of new funds will likely abate the sense that disabled students are receiving an unfair share of limited state and local resources, the backlash is unlikely to diminish without a major shift in our thinking about school accountability and community.
In fact, the shift of accountability to the units remained a core strategic thrust the synergy initiative was simply a tactical effort intended to save money.
As my first quarter goal, I'll set a follow up test with my doctor for three months from now (accountability and a shift in focus).
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