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Jalil Safaei Department of Economics, University of Northern British Columbia, Prince George, BC, CanadaBackground: There is a vast body of literature on deliberative, participative, or engaged democracy. In the area of health care there is a rapidly expanding literature on deliberative democracy as embodied in various notions of public engagement, shared decision-making (SDM), patient-centered care, and patient/care provider autonomy over the past few decades. It is useful to review such literature to get a sense of the challenges and prospects of introducing deliberative democracy in health care.Objective: This paper reviews the key literature on deliberative democracy and SDM in health care settings with a focus on identifying the main challenges of promoting this approach in health care, and recognizing its progress so far for mapping out its future prospects in the context of advanced countries.Method: Several databases were searched to identify the literature pertinent to the subject of this study. A total of 56 key studies in English were identified and reviewed carefully for indications and evidence of challenges and/or promising avenues of promoting deliberative democracy in health care.Results: Time pressure, lack of financial motivation, entrenched professional interests, informational imbalance, practical feasibility, cost, diversity of decisions, and contextual factors are noted as the main challenges. As for the prospects, greater clarity on conception of public engagement and policy objectives, real commitment of the authorities to public input, documenting evidence of the effectiveness of public involvement, development of patient decision supports, training of health professionals in SDM, and use of multiple and flexible methods of engagement leadership suited to specific contexts are the main findings in the reviewed literature.Conclusion: Seeking deliberative democracy in health care is both challenging and rewarding. The challenges have been more or less identified. However, its prospects are potentially significant. Such prospects are more likely to materialize if deliberative democracy is pursued more systematically in the broader sociopolitical domains.Keywords: citizen juries, patient engagement, shared decision-making, decision aids, public participation

The effective utilization of solar energy for hydrogen production requires an abundant supply of thermodynamically active photo-electrons; however, the photocatalysts are generally impeded by insufficient light absorption and fast photocarrier recombination. Here, we report a multiple-regulated strategy to capture photons and boost photocarrier dynamics by developing a broadband photocatalyst composed of defect engineered g-C3N4 (DCN) and upconversion NaYF4:Yb3+,Tm3+ (NYF) nanocrystals. Through a precise defect engineering, the S dopants and C vacancies jointly render DCN with defect states to effectively extend the visible light absorption to 590 nm and boost photocarrier separation via a moderate electron-trapping ability, thus facilitating the subsequent re-absorption and utilization of upconverted photons/electrons. Importantly, we found a promoted interfacial charge polarization between DCN and NYF has also been achieved mainly due to Y-N interaction, which further favors the upconverted excited energy transfer from NYF onto DCN as verified both theoretically and experimentally. With a 3D architecture, the NYF@DCN catalyst exhibits a superior solar H2 evolution rate among the reported upconversion-based system, which is 19.3 and 1.5 fold higher than bulk material and DCN, respectively. This work provides an innovative strategy to boost solar utilization by using defect engineering and building up interaction between hetero-materials.

Studies of health have recognized the influence of socioeconomic position on health outcomes. People with higher socioeconomic ranking, in general, tend to be healthier than those with lower socioeconomic rankings. The effect of political environment on population health has not been adequately researched, however. This study investigates the effect of democracy (or lack thereof) along with socioeconomic factors on population health. It is maintained that democracy may have an impact on health independent of the effects of socioeconomic factors. Such impact is considered as the direct effect of democracy on health. Democracy may also affect population health indirectly by affecting socioeconomic position. To investigate these theoretical links, some broad measures of population health (e.g., mortality rates and life expectancies) are empirically examined across a spectrum of countries categorized as autocratic, incoherent, and democratic polities. The regression findings support the positive influence of democracy on population health. Incoherent polities, however, do not seem to have any significant health advantage over autocratic polities as the reference category. More rigorous tests of the links between democracy and health should await data from multi-country population health surveys that include specific measures of mental and physical morbidity. [ABSTRACT FROM AUTHOR]

The idea that financial structure and output determination may be interrelated has gone through several cycles over the past half a century since its inception at the time of the Great Depression. In its latest reincarnation as the theory of financial acceleration, it considers financial factors as propagation mechanisms for the disturbances originating in the real economy. The agency costs of credit allocation by the financial intermediaries play a central role in this theory. Financial factors have rarely been studied as potential sources of variation in the economy. This article, however, investigates the origination of disturbances from bank credit and allows for the propagation of disturbances within a relatively simple macro-dynamic system that utilizes the Structural Vector Autoregression approach The findings for the Canadian economy provide support for the 'credit view' of the monetary policy transmission mechanism. They also show that bank credit to persons affects real output in the short run, whereas bank credit to businesses does not. In other words, consumers but not the business firms appear to be credit constrained. [ABSTRACT FROM AUTHOR]