Search Results (130)

Background/Objectives: Long working hours among pediatricians negatively affect their health and patient safety. In Japan, the Ministry of Health, Labour and Welfare launched the “Work Style Reform for Physicians” in 2024. However, whether these reforms have effectively reduced pediatricians’ working hours remains unclear. We surveyed pediatricians and pediatric residents working in hospital pediatric departments to assess whether the reform has reduced their long working hours. Methods: A questionnaire was distributed to pediatricians in hospitals, collecting data on demographics, working hours, night shifts, and other working conditions. A multivariate logistic regression analysis identified factors associated with working ≥60 and ≥80 h on a weekly basis. Results: Questionnaires were sent to 835 hospitals, with valid responses from 815 pediatricians across 316 hospitals. Among them, 31.7% worked 50–60 h per week, 18.4% worked 60–70 h, 7.7% worked 70–80 h, and 4.9% worked >80 h. Factors associated with working >60 h included being <30 years old and working in a department with five or more physicians. Pediatricians working >80 h were more likely to have a cardiology subspecialty and work in a department with five or more physicians. Conclusions: Although the “Work Style Reform for Physicians” has reduced long working hours among pediatricians, many still experience excessive workloads. Full article

(1) Background: This study investigates whether older adult individuals support childcare policies not only out of altruism, but also due to extended self-interest arising from intergenerational co-residence. It challenges the conventional view that welfare attitudes are shaped solely by one’s own life-cycle needs. (2) Methods: Using the 2013 and 2016 waves of the Korean Welfare Panel Study waves of the Korean Welfare Panel Study, a difference-in-differences (DiD) approach compares attitudes toward government childcare spending between older adults living with children (Co-residing Older Adults) and those who do not (Non-co-residing Older Adults), before and after universal childcare policies were introduced in 2013. (3) Results: The Co-residing Older Adults consistently expressed stronger support for family policies than their counterparts. However, this support did not significantly increase after the 2013 reform, indicating that extended self-interest may not be sensitive to short-term policy changes. (4) Conclusions: Extended self-interest appears to be a stable orientation shaped by family context rather than a flexible, policy-reactive stance. These findings highlight the role of intergenerational household ties in shaping welfare attitudes and offer implications for fostering generational solidarity in aging societies. Full article

The rapid rise of the silver economy in the new era has become a new driving force for socio-economic development. From the perspective of Marxist political economy theory, this paper analyzes the intrinsic logic of the silver economy’s development through three dimensions: surplus value, labor market, and capital. The study finds that the silver economy in the new era faces challenges such as insufficient supply of high-quality elderly care services, simultaneous shortages in both total talent quantity and structural imbalances, and contradictions between capital’s profit-seeking nature and social welfare. By introducing the multiple streams model, the paper elucidates the coupling process of these three streams and the timing of policy window openings. It proposes targeted strategies, including strengthening technological innovation, deepening labor market reforms, and optimizing capital allocation, to promote the robust development of China’s silver economy and inject strong momentum into sustainable and high-quality economic growth. Full article

Background/Objectives: In Japan, task shifting reduces the working hours of pediatricians, who face excessive workloads. The status of task shifting under the Ministry of Health, Labor, and Welfare’s reforms remains unclear. This study aimed to evaluate the current status and barriers of task shifting in pediatric care in Japan. Methods: A questionnaire survey was conducted among pediatricians working in hospitals in Japan. The results were compared with those from 2020. Results: Questionnaires were sent to 835 hospitals, and valid responses were received from 815 pediatricians in 316 hospitals (response rate: 37.8%). The largest group (31.0%) was 40–49 years, and 34.4% of the participants were women. Among the items surveyed, most pediatricians indicated “shifted” in “Patient transfer (transporting between hospitals using an ambulance)” and “Intravenous injection of antibiotics.” Most physicians believed task shifting improved care quality; 10.3% felt it worsened. The most common estimate for daily working hour reduction due to task shifting was “1 to <2 h” (44.9%). Precisely 15.8% of pediatricians believed that task shifting had “not progressed at all,” with rural areas and non-university hospitals showing lower task-shifting implementation. National university hospitals had a higher likelihood of task shifting than public hospitals. No significant associations were observed for the total hospital bed count or the number of full-time pediatricians. Conclusions: Task shifting in pediatric care remains underdeveloped. While many pediatricians support the concept and report modest reductions in working hours, actual implementation remains limited. Future efforts must address systemic, institutional, and regulatory challenges to facilitate meaningful task redistribution and improve healthcare delivery. Full article

This study employs a dynamic stochastic general equilibrium model with Bayesian estimation to rigorously evaluate China’s macroeconomic responses to cost-push, monetary policy, and foreign income shocks. This analysis leverages quarterly data from 2000 to 2024, focusing on critical variables such as the output gap, inflation, interest rates, exchange rates, consumption, investment, and employment. The results demonstrate significant social welfare losses primarily arising from persistent inflation and output volatility due to domestic structural rigidities and global market dependencies. Monetary policy interventions effectively moderate short-term volatility but induce welfare costs if overly restrictive. The findings underscore the necessity of targeted structural reforms to enhance economic flexibility, balanced monetary policy to mitigate aggressive interventions, and diversified economic strategies to reduce external vulnerability. These insights contribute novel policy perspectives for enhancing China’s macroeconomic stability and resilience. Full article

The efficacy of government subsidy programs in agriculture is frequently compromised by internal policy conflicts that arise between competing government departments. This challenge is addressed herein, with a focus on the policy environment in China, through the development of a game-theoretic model of an agricultural supply chain. This model explicitly incorporates two competing government bodies—the Agriculture and Rural Affairs Department (ARAD) and the Development and Reform Commission (DRC)—each with distinct objectives and performance indicators. Within this framework, the strategic interactions of four subsidy types are analyzed: production and cold-chain subsidies (ARAD), and platform operation and blockchain subsidies (DRC). The findings reveal that department-specific performance indicators can significantly distort the overall effectiveness of subsidies. While individual subsidies may achieve their intended departmental goals, their combined impact is shown to be complex and frequently suboptimal in the absence of higher-level coordination. Notably, a subsidy portfolio combining production and platform operation subsidies is found to consistently yield superior performance in maximizing social welfare. Ultimately, this research contributes a new framework for understanding subsidy policies and provides actionable insights for optimizing interdepartmental coordination to enhance supply chain performance. Full article

This commentary evaluates contemporary equestrian sport governance through the lens of equine welfare science. Drawing on evidence from the FEI Sport Forum 2025 debates, the IFHA Racing Integrity Handbook, media coverage of horse sport, recent scientific presentations, regulatory texts, and published research, we identify systemic shortcomings in how horse welfare is assessed, prioritised, and protected. Key issues include reliance on performance as a proxy for welfare, inadequate “fit-to-compete” protocols, neglect of horses’ mental states, coercive tack and equipment practices (e.g., double bridles, tight nosebands, ear hoods), pharmacological and surgical interventions that mask pain, euphemistic regulatory language (e.g., whip “encouragement”), and inconsistent implementation of welfare rules. Through a series of case studies, from dressage and show jumping forums to racing integrity handbooks, we illustrate euphemistic language, defensive group dynamics, dismissive rhetoric towards evidence-based criticism, and a troubling “stable blindness” that sidelines the horse’s perspective. We conclude that meaningful reform requires (1) embedding validated behavioural and physical welfare indicators into all competition and pre-competition protocols, (2) transparent, evidence-inclusive rule-making under a precautionary principle, (3) genuine engagement with independent equine welfare experts, and (4) establishment of empowered, impartial oversight bodies to ensure that stated codes of conduct translate into consistent, enforceable practice. Only by catering to the horse’s subjective experiences and applying modern ethological and bioethical standards can equestrian sport retain its social licence and ensure integrity in all areas of competition management. Full article

Progress toward achieving the Sustainable Development Goals (SDGs) has been disappointingly slow, raising fundamental questions about whether our dominant economic framework can deliver sustainable development outcomes. This research systematically evaluates six economic paradigms—Neoclassical Welfare Economics, Green Growth, Degrowth, Agrowth, Steady State Economics, and Doughnut Economics—against all 17 SDGs to determine which might better support sustainability transformations. Using a rigorous mixed-methods approach, we first characterize each paradigm according to key attributes, then assess their alignment with SDG objectives using a four-point scoring system. Our analysis reveals that the dominant Neoclassical Welfare Economics paradigm shows the weakest alignment with the SDGs, while alternative frameworks demonstrate significantly stronger alignment: Degrowth, Steady State Economics, Doughnut Economics, Green Growth, and Agrowth. No single paradigm fully addresses all dimensions of sustainable development, with most showing notable weaknesses in people-centered SDGs. Each paradigm demonstrates distinct complementary strengths: Green Growth in technological innovation, Degrowth in redistribution mechanisms, Steady State Economics in resource boundaries, Agrowth in redefining welfare, and Doughnut Economics in balancing social foundations with ecological ceilings. We conclude that selective integration of complementary elements from multiple paradigms offers the most promising pathway forward and propose four specific recommendations: (1) developing integrated assessment frameworks, (2) establishing experimental policy zones, (3) reforming economics education, and (4) creating context-specific transition pathways. This research provides the first comprehensive evaluation of how alternative economic paradigms align with the full spectrum of SDGs, offering crucial guidance for policymakers seeking more effective approaches to sustainable development. Full article

Climate change disinformation has emerged as a substantial issue in the internet age, affecting public perceptions, policy response, and climate actions. This study, grounded on the theoretical frameworks of social epistemology, Habermas’s theory of communicative action, post-truth, and Foucault’s theory of power-knowledge, examines the effect of digital infrastructures, ideological forces, and epistemic power dynamics on climate change disinformation. The meta-synthesis approach in the study reveals the mechanics of climate change disinformation on social media, the erosion of epistemic welfare influenced by post-truth dynamics, and the ideological and algorithmic amplification of disinformation, shedding light on climate change misinformation as well. The findings show that climate change disinformation represents not only a collection of false claims but also a broader epistemic issue sustained by digital environments, power structures, and fossil corporations. Right-wing populist movements, corporate interests, and algorithmic recommendation systems substantially enhance climate skepticism, intensifying political differences and public distrust in scientific authority. The study highlights the necessity of addressing climate change disinformation through improved scientific communication, algorithmic openness, and digital literacy initiatives. Resolving this conundrum requires systemic activities that go beyond fact-checking, emphasizing epistemic justice and legal reforms. Full article

Urban free-roaming cats present challenges like noise, urination, defecation, property damage, public health risks, and wildlife predation. Traditional enforcement methods, such as containment laws and impounding, are ineffective, especially in low-income areas, where many free-roaming cats live. These cats are often cared for by “semi-owners”, who feed them without formal ownership. Financial barriers to sterilization for owned and semi-owned cats in these areas result in unplanned litters, sustaining the free-roaming population and burdening local authorities and animal welfare organizations. Cats causing complaints are frequently impounded and euthanized, affecting the mental health of veterinary, shelter, and council staff. This paper critiques punitive, compliance-driven strategies and highlights the success of assistive Community Cat Programs offering free sterilization, microchipping, and registration. In Banyule, Victoria, such a program reduced cat impoundments by 66%, euthanasia by 82%, and complaints by 36% between 2013 and 2021. Two other programs in large cities and rural towns in NSW and a rural town in Queensland have now reported similar results. Based on the One Welfare framework, these programs address the interconnectedness of animal welfare, human well-being, and environmental health. By removing financial barriers, they build trust between authorities and caregivers, improving compliance and welfare for cats, communities, and wildlife. However, following the loss of key program staff and the reintroduction of financial barriers in Banyule, cat intake rose by 140% between 2022 and 2024, demonstrating the detrimental impact of financial barriers and punitive approaches. This underscores the importance of sustained, community-based solutions and legislative reforms that prioritize humane, barrier-free strategies. Understanding the critical success factors for Community Cat Programs is essential for effective cat management. Full article

This paper explores the relationship between a board’s corporate social responsibility (CSR) orientation and its company’s labor policies. Using data from 1950 non-financial firms in 21 emerging economies from 2010 to 2023, we found evidence that a more CSR-oriented board (as indicated by high percentages of women and independent directors and the existence of the audit committee’s financial expertise and CSR committee) can result in better employee treatment. In addition, our empirical results suggest that this board attribute–employee welfare relationship is influenced by the national culture. Specifically, the positive impact of the board’s CSR orientation on corporate labor practices is more prevalent in consensus-oriented and indulgent societies. These findings provide useful information that policymakers and regulators can exploit to reform corporate governance regulations to improve the working environment, especially for employees in developing countries. Full article

Background/Objectives: This study investigates the lived experiences of Korean parents caring for children with cerebral palsy or developmental disabilities, focusing on the challenges they face. It highlights systemic and societal factors, including gaps in diagnostic processes, financial support, access to information, and inclusive education. Methods: Using a qualitative approach, semi-structured interviews were conducted with 17 parents, recruited through purposive sampling. Thematic analysis was employed to identify key patterns and challenges in their experiences. Results: Parents reported significant difficulties, including delayed and insensitive diagnostic processes, financial burdens due to inadequate welfare support, and limited access to coordinated information. Educational challenges included disabling attitudes among teachers and a lack of genuine inclusion. Societal stigma further compounded their struggles. Despite these obstacles, parents demonstrated resilience and advocated for their children’s needs. Despite these obstacles, parents demonstrated resilience and advocated for their children’s needs. Conclusions: This study provides valuable insights into the challenges faced by parents of disabled children in South Korea, emphasizing the need for systemic reforms to foster a more inclusive and supportive environment for these families. Full article

Over the past 30 years, Swedish labor market politics has swayed towards stronger workfare tendencies, emphasizing activation requirements for unemployed individuals to access welfare benefits. This process aligns with broader neoliberal reforms, fostering an individualistic view of unemployment characterized by personal responsibility for employability. In 2023, the Swedish Public Employment Service (PES) published a report addressing the needs of and solutions for long-term unemployed individuals ‘distant from the labor market’ (Sw. personer långt från arbetsmarknaden), marking the first formal use of this term as the main adhesive category in a political document. This paper examines the construction of the subject position ‘distant from the labor market’, investigating how it delineates and differentiates subgroups within the unemployed population, how this subgroup is understood in relation to other actors, and how discursive frameworks imbue this category with various meanings. Lastly, the paper discusses the categorization in relation to the current developments in the Swedish welfare system, arguing that the formalization of this category should be understood in relation to parallel political processes, such as proposals for a duty of activity for the unemployed, suggesting how this points to a way forward defined by neoliberal tendencies and welfare conditionality. Full article

Pugs are a popular brachycephalic breed that suffer from multiple chronic disorders linked to their exaggerated phenotypic traits. The contribution of these disorders to early death and euthanasia have not been described and would add urgency to addressing these issues. This study used electronic patient records (EPR) from the Australian VetCompass programme to describe the demography, common causes and risk factors for Pug mortality. The EPR from 691 Pugs which died in a population of 7909 Pugs that received veterinary care over a 10-year period were analysed to determine the cause of death. The median age at death was 10 years. Male Pugs had lower probability of surviving than females (p = 0.02) and entire Pugs died earlier than neutered dogs. The top causes of mortality were Brachycephalic Obstructive Airway Syndrome (8.2%), seizures (6.7%) and degenerative spinal cord disorder (4.7%). Neurological causes (29.6%) were the most common cause of euthanasia whilst amongst non-assisted deaths, respiratory causes were most common (25%). Death from respiratory disorders was found across all age groups. These neurological and respiratory causes of death are linked to brachycephalic conformation and provide evidence for reform of showing and breeding standards to improve Pug welfare and longevity. Full article

Due to harmful narratives within child welfare and child protection services and systems, mothers in contact with these services who aim to meet the symbolic representation of the ‘ideal mother’ frequently find themselves being portrayed as the ‘bad mother’, even when their referral is ‘non-traditional’ (i.e., not specifically due to their perceived harmful actions or inactions). Through ‘ideal mother’ symbolism and narratives, there is disenfranchisement of service-engaged mothers; they are mistreated by services, which is normalised by wider discourses around motherhood. Mothers within these child welfare systems consistently experience judgement, the problematising of their parenting practices, and disempowerment despite not being the direct cause of harm to their children. This creates a sense of shame and makes the injustice of mothers’ experiences within child welfare systems invisible. This is a conceptual paper combining data generated from previously published work and a lived experience example (work with young mothers; mothers in contact with the criminal justice system; mothers with children who cause harm; and those with children experiencing extra-familial harm) using qualitative, participatory, and action-based approaches, and through emancipatory interview processes, disenfranchised mothers described their contact with child welfare and child protection systems as a source of structural, political, and/or societal injustice. Thus, such qualitative emancipatory work provides ways to acknowledge mothers in contact with child welfare services due to non-traditional harms, as they are a disadvantaged group who are too often disempowered to action change. Thus, we argue that participatory and action-based research should be a preferred method of exploring mothers’ experiences of child welfare systems, opening routes for reforming, as well as understanding systematic potential of services as oppressive and problematising rather than supportive and empowering. Full article