This thesis offers an analysis of the reporting on unemployment, social welfare and the environment in the quality press in Australia, Belgium, France and the United Kingdom. The findings of this research are based on news about these issues provided in a sample of two constructed weeks in 1998. The quality papers chosen for analysis are: The Age and The Australian (Australia), De Standaard and Le Soir (Belgium), Le Figaro and Le Monde (France), The Guardian and The Times (England). This thesis starts by examining the history and the principles governing the press in the countries analysed, underlining the differences between the Anglo-Saxon and the Continental press, mainly in terms of relations between the press and the State. It questions the importance attributed to freedom of expression in a climate where the concept is still analysed in terms of freedom from government intervention, while the role played by business is generally accepted as unavoidable. This research found that quality newspapers overall present social issues as primarily economic issues, often neglecting their more social aspects. The world promoted is one which is best run by business, while the role of governments as possible managers of the environment and unemployment, and to some extent social welfare, is largely dismissed. The press analysed does this with varying degrees, depending on general attitudes held within countries and on the 'culture' of each newspaper. This research clearly shows the existence of particular newspaper 'cultures'. Each newspaper has its own priorities and news is generally framed according to those priorities. Generally speaking, the emphasis placed by journalists on certain aspects of news is in line with the 'culture' of the newspaper they are working for. The choice of sources of information used to provide news also fits within existing newspapers' 'cultures'. The dominant economic emphasis put on information is systematically endorsed by Le Figaro, The Australian, The Times and De Standaard. Only Le Monde and The Guardian, Le Soir and The Age at times offer alternative views, while endorsing the dominant economic frame. Le Monde and The Guardian, which are also the only two newspapers of the sample that are not part of a big media consortium, regularly stress the social aspect of unemployment and social welfare. These are also the only two newspapers which consider the environment as a long-term quality of life issue, reflecting that it is more than just an economic issue. Le Soir and The Age, which are the two newspapers in our sample with a more local emphasis, also defend the local environment against larger economic interests, and explore local social problems related to unemployment and poverty. In the case of The Age, this fits into a frame very common in the Australian press: that of an uncaring government. Australian papers are very critical and even cynical towards government and politicians. This cynicism is not found in the European papers. The findings of this research are based upon an analysis of the sources of information used by the newspapers, as well as upon an analysis of the frames adopted. This research has put a particular emphasis on sources of information, seen here as the promoters of news frames. General professional practices, together with the 'cultures' held by particular newspapers, account for the lack of representation of private citizens and lobby groups challenging economic interests. In turn their lack of representation can be held responsible for the small amount of information conflicting with dominant framing and dominant themes provided in the news.

This paper examines fertility and family policies in 15 Central and East European (CEE) countries to establish firstly, likely directions of cohort fertility trends for the coming decade; and secondly, to provide an overview and analysis of family policies in CEE countries, and to assess their impact on cohort fertility trends. Demographic analysis suggests that the cohort fertility decline of the 1960s cohorts is likely to continue at least among the 1970s birth cohorts; stagnation cannot be ruled out. Births that were postponed by women born in the 1970s were not being replaced in sufficient numbers for cohort fertility to increase in the foreseeable future, and shares of low parity women (childless and one child) were larger than shares of high parity women among the late 1960s cohorts than in older cohorts. Also, childbearing postponement which started in the 1990s is reflected in dramatic changes of childbearing age patterns. As period fertility rates have been increasing in the late 2000s throughout the region an impression of a fertility recovery has been created, however the findings of this project indicate that no such widespread childbearing recovery is underway. For the first time ever an overview and analysis of CEE family policies is conceptualized in this paper. It demonstrates that fertility trends and family policies are a matter of serious concern throughout the region. The following family policy types have been identified: comprehensive family policy model; pro-natalist policies model; temporary male bread-winner model; and conventional family policies model. The majority of family policies in CEE countries suffer from a variety of shortcomings that impede them from generating enhanced family welfare and from providing conditions for cohort fertility to increase. The likely further decline of cohort fertility, or its stagnation, may entail long-term demographic as well as other societal consequences, such as continuous declines in total population numbers, changes in age structures, as well as implications for health and social security costs.

This thesis research contributes to national health Information Management/Information Technology (IM/IT) planning and therefore strategy development and implementation research, as well as to health information science. An examination into the national health IM/IT plans of several countries provides knowledge into identifying the typical IM/IT priorities that selected countries are focusing upon for healthcare improvement. Second, a systematic literature review of the current challenges, barriers and/or issues (referred to as ‘challenges’ hereafter) facing IM/IT priority implementation in healthcare settings provides insight on where nations should perhaps be focusing their attention, in order to enable more successful healthcare IM/IT implementations. Lastly, a study on national health IM/IT priorities contributes to the body of evidence that national level IM/IT direction is necessary for better patient care and health system reform across the world. In this investigation, the national health IM/IT priorities, which are reflected in the national health IM/IT strategic plans of five countries were assessed. To this end, the study: 1) Developed a set of measures to select four countries to study in addition to Canada; 2) Described the national health IM/IT priorities of Canada and four other countries; 3) Performed a systematic literature review of the challenges to overcome for successful implementation of IM/IT into healthcare settings; 4) Developed and administered a questionnaire where participants were asked to give their opinions on the progress their country has achieved in dealing with such challenges; and 5) Performed an analysis of the questionnaire results with respect to the countries’ national health IM/IT priorities. The systematic literature review uncovered a large number of challenges that the health informatics and healthcare community face when attempting to implement IM/IT into healthcare settings. iii The priority comparison highlighted that there is no right or wrong answer for what countries should focus their national health IM/IT energies upon. The findings indicate that nations focus their resources (time, money, personnel etc.) on the priorities they feel they should, whether those stem from needs analyses or politics. However, by learning about what other nations are prioritizing, a country can use that knowledge to help focus their own national health IM/IT priorities. The questionnaire results drew attention to the most frequently encountered challenges the five countries face in moving their national health IM/IT agendas forward. The feedback from the respondents provided individual reflections on how IM/IT implementations are actually progressing in their country, where problems are being encountered, including the nature of those problems, and in some cases, respondents offered insight on how to better deal with the challenges they face. The findings indicate that nations encounter similar problems in implementing IM/IT into healthcare settings. Currently, the world is facing many of the same healthcare system issues: shortages of healthcare processionals, long surgical and diagnostic imaging waitlists, ‘skyrocketing’ pharmaceutical drug pricing, healthcare funding practices, and challenges with implementing healthcare IM/IT priorities to name a few. If countries are facing similar health system problems, then it would be logical to assume that solutions to deal with such problems would be similar across nations. Thus, it is recommended that international fora and conferences be held to further discuss the types of health system IM/IT priorities that countries are implementing at a nation scale, the kinds of challenges they face and the solutions or conclusions that they have formulated in response to these challenges.