The high demand for quality healthcare services in Portugal is generating concerns about meeting the optimum number of healthcare professionals in the private sector, such as doctors and clinicians. Critical interventions are currently in progress, aiming to provide quality healthcare that will be accessible and sustainable through actionable retention strategies such as investing and developing human capital, introducing better conditions of service to attract and retain talent in the private healthcare sector, and prioritizing the needs of patients. The objective of this study is to understand which factors promote the migration of physicians from the public to the private sector according to the theoretical assumptions of incentives. In this context, a phenomenological study was carried out, using semi-structured interviews with fifteen physicians working in the private health network. Content analysis was done using NVivo 12. The results indicate that performance evaluation in the private sector exists but has no alignment with incentives. The condition makes the private healthcare sector unattractive, however, other policies of remuneration remain promising. Current proposals that could revive the image of the sector include collective decision-making and strong labour relations advocacy for physicians in the private sector.
As urbanisation increases, questions arise about the desirability of further urban growth, as it was not accompanied by corresponding economic growth, and social and environmental problems began to grow in the largest cities in the world. The objective of the article is to substantiate the limits of urbanization growth in Kazakhstan based on the study of theoretical views on this process, analysis of the dependence of social and economic parameters of 134 countries on the urbanisation level and calculation of the urbanisation level that contributes most to economic growth and social well-being. To achieve the goal, the following tasks have been set and solved: theoretical views on the process of urbanization have been generalized; a hypothesis has been put forward about the emergence of an “urbanization trap” in which the growth of large cities is not accompanied by economic growth and improvement of social well-being; an analysis of the dependence of socio-economic indicators on the level of urbanization has been carried out on the example of 134 countries of the world; the level of urbanization that maximizes economic growth and social well-being is calculated; the necessity of the development of small towns in Kazakhstan is substantiated. To solve the problems, the methods of logical analysis, analogies and generalizations, economic statistics, index, graphical, Pearson correlation analysis, Spearman and Kendall rank regression based on models in SPSS were used. As a result, the following conclusions are made: the hypothesis of a possible deterioration of socio-economic indicators in large cities is confirmed; the best positive result is demonstrated by the level of urbanization of 50%–59%. The recommendations are justified: in Kazakhstan, it is necessary to adhere to the level of urbanization no higher than 59%; the growth of urbanization should be ensured through the development of small towns; it is necessary to improve the methods of managing the process of urbanization and develop individual city plans.
Encouraging the social empowerment of persons with disabilities—also known as “people of determination” is a crucial step toward advancing equality and inclusion in our communities. Consequently, the current study aimed to identify the mechanisms for activating social empowerment for people of determination from the deaf category. Identify the most prominent mechanisms and proposals from the point of view of the deaf. The study used a social survey approach based on a questionnaire on a sample of (30) deaf males in the Kuwaiti Sports Club for the Deaf, and it is the full sample size. The study reached several results, the most important of which are: integrating deaf people with disabilities into jobs integrated into society, raising the level of cultural awareness of sign language, in addition to spreading awareness of how to deal with deaf people. The study presented some recommendations and proposals, including media focus on the deaf group, and working to hold conferences and workshops targeting the community to spread awareness about the deaf group.
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