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1.
The promotion of female autonomy is both intrinsically and instrumentally desirable. We document differences in the distribution of female autonomy in India (using the National Family Health Survey 2005–2006) addressing two methodological challenges: the multidimensional nature of the concept and its frequent measurement with ordinal variables (which are not amenable to direct comparisons of social averages). We tackle these challenges with three methods based on stochastic dominance techniques suited for ordinal and dichotomous variables. Whenever these dominance conditions hold for a pairwise comparison, we can conclude that the multidimensional autonomy distribution in one state is more desirable than in another one across a broad range of criteria for the individual and social welfare evaluation of autonomy. Consistently across the three methods, we find that most of the states with better autonomy distributions (in pairwise comparisons) come from the north east and the south, whereas most of the states with worse autonomy distributions come from the north.  相似文献   

2.
Society's failure to value the work of nurses, the professionals most frequently involved in the care of the dying, is attributed to a cultural definition of nursing as a second-class occupation and the public's need to deny the realities of the suffering and indignities often associated with the process of dying. Efforts within the field of nursing to improve the care of the dying, by shifting emphasis from a narrow physical focus to a more holistic patient and family focus, preceded the past decade's contributions of Elisabeth Kübler-Ross. Although her staging theory has been cited as having limitations in development and in interpretation, Kübler-Ross' influence towards increasing awareness of the needs of the dying and others experiencing major losses has been substantial as evidenced by many references to staging theory in nursing literature, by a marked increase in attention to holistic care of the dying in the basic and continuing education programs of nursing, and by specialty role development in nursing care of the dying. This decade has also witnessed the major growth of professionalism in nursing, including strides towards professional autonomy. Conflict with the traditional pattern of medical dominance and bureacratic constraints in institutions is inevitable, especially when the medical goal of cure is not attainable. Change to an interdisciplinary model of care is viewed as essential for optimal care of the dying and their families.  相似文献   

3.
The historical conflict between Tibet and China goes back almost a thousand years. Both sides use history to argue their point about the core issues in this dispute – Tibet's claim of independence and autonomy, and China's of suzerainty. This article looks at the historical roots of this conflict, particularly since 1949, when China began its gradual takeover of Tibet. Chinese policies toward Tibet, which have been driven by a desire to communize and sinicize Tibet, has been met by stiff resistance from the Tibetans, who see Han Chinese dominance as a force that will, over time, destroy Tibet's unique religion, language, culture, and history. This resistance has drawn the attention of the West, who see Chinese policies in Tibet as a symbol of the failings of Beijing's rulers to embrace a strong commitment to human rights at the same time that China is becoming a global economic power. The 14th Dalai Lama, a key figure in this conflict, and his government-in-exile have served as bridges to Western efforts to try to force Beijing to embrace more open, humane policies toward Tibetans throughout China. His retirement as political head of the exile government in 2011, coupled with China's growing economic and strategic power globally, raises serious questions about the willingness of the USA, and other democratic powers to risk their relationships with Beijing to continue to promote true human rights and autonomy throughout the Tibetan Plateau.  相似文献   

4.
Through recurrent structural reform programmes governments are on a quest to design public organizations that will stand the test of their environment. One of the approaches to uncertain or sensitive issues has been to create various forms of (semi‐)autonomous organizations with substantial strategic discretion. However, while governments repeatedly experiment with designs, one might simultaneously expect that such interference through repeated structural change may limit the degree of strategic policy autonomy perceived by senior managers. More specifically, we propose that intense structural reforms may inadvertently reduce strategic policy autonomy perceptions through two mechanisms. First, intense sequences of structural reforms may lead to perceptions of relatively controlling political principals. Second, they may reduce an organization's ability to accrue resources beneficial to autonomy, such as a strong internal culture, network embeddedness and expertise. Results indicate that strategic policy autonomy perceptions will indeed be detrimentally affected for organizations that experience intense sequences of structural reform.  相似文献   

5.
The paper explores the impact of Europeanization on bureaucratic autonomy in the new EU member states using as a case study the Agricultural Paying Agency in Slovakia. The paper shows that Europeanization had limited sustained impact on the personal autonomy of senior officials; however, it requires and sustains the personal autonomy of an extensive cadre of mid‐level and junior civil servants. At the same time, it necessitates and continues to sustain significant change in the way agricultural subsidies are distributed, with a high level of autonomy in implementation and a lower, but still significant, measure of autonomy in policy‐making. These conclusions can also generally be supported by evidence from Lithuania and Poland. In addition, the coercive elements of Europeanization interacted with the temporarily high bureaucratic autonomy in Slovakia to ‘open’ non‐coercive channels of Europeanization of agricultural subsidies and beyond.  相似文献   

6.
Over the last two decades, management, rather than administration, has become the dominant category through which both academics and practitioners talk, write and argue the organization of public services. More recently, the discourses of leadership have also been increasingly deployed in this context. Based on interviews with UK National Health Service trust chief executives, the article examines these particular discursive changes, exploring what the distinctions do rather than what the categories might represent. It reminds us of some of the things we do (in reality and to reality) when we deploy such words, especially in the debate about control. It also suggests possibilities for disturbing the dominance of the terms that are generally axiomatic in constructing arguments about the public sector; a dominance that has come to favour the interests of some as it denies the interests of others.  相似文献   

7.
The Griffiths report of 1983 resulted in radical changes (to which the label 'general management' has been applied) to the formalities of organization and management in the national health service. We report the findings of a major study (involving more than 300 interviews) of the impact of these changes up to 1988. Although general management has been widely accepted in the service, and seems to have resulted in some improvements to management processes, there has been no substantial change in organizational culture. We conclude that the impact of the Griffiths model of management has been limited in comparison with the continued influence of medical autonomy and financial limitations.  相似文献   

8.
This article argues that the South Korean economic 'miracle' was based on the ability of the state to implement a strongly developmental policy. The state was able to do so because, for a time, it was highly insulated from demands from social classes which might have diverted it from the objective of industrialisation. This insulation, or 'relative state autonomy', derived from an historical trajectory which left the state in an unusually dominant position in relation to these classes. Domestic dominance was one factor enabling the state to insert the South Korean economy into world markets in a more advantageous position than would otherwise have been possible. However, its very success in industrialising the country strengthened various class forces, whose demands and intrusion into politics undermined the autonomy of the state. With industrialisation, the state's freedom of manoeuvre was lessened. International influence only reinforced those class pressures inside South Korea. The overall effect was to force a retreat of the state and an end to a developmental policy.  相似文献   

9.
This article examines the claim that, by the late 1980s, the Welsh Office possessed sufficient autonomy to implement policies that diverged from those of the functional Whitehall ministries. Two case studies, housing and education, are examined as these are areas where institutional autonomy and distinctive needs might be expected to be most apparent in Wales. The conclusion of this article is that the claims of Welsh exceptionalism (certainly in terms of policies) have been much exaggerated and that the 'centre', Westminster and Whitehall, was able to impose its preferred policies in Wales, whatever appearances to the contrary.  相似文献   

10.
This article introduces the concept of structural competitiveness to explain the rapid development of South Korean steel industry. Three elements of structural competitiveness are: state autonomy, sound economic policy and indigenous technological capability. These elements have a significant bearing on the bargaining capacity of the state, autonomous investment decisions, labour control, the acquisition and absorption of modern technology, and ultimately international competitiveness. Global competitiveness of South Korea does not refute the technological dependence of developing countries. Rather it suggests the kind of socio‐institutional and economic policy contexts that are often necessary to foster competitive industries.  相似文献   

11.
This article analyses how the intensification of centralized monitoring within public organization may impact incentives for efficiency in those divisions of the organization that have different levels of financial autonomy. The efficiency of divisions’ activities was estimated through their procurement effectiveness. All the divisions were classified as non-commercial units (NCU) funded by the government or as income earning units (IEU) operating in the market and having broader financial autonomy. The results show that under standard monitoring, the IEU had more efficient procurements compared to the NCU. After intensification of centralized monitoring, the differences in performance became insignificant. These findings show that stricter monitoring is efficient for organizations with soft budget constraints, while for organizations with hard budget constraints it is preferable to use more flexible regulations.  相似文献   

12.
This article examines the claim that, by the late 1980s, the Welsh Office possessed sufficient autonomy to implement policies that diverged from those of the functional Whitehall ministries. Two case studies, housing and education, are examined as these are areas where institutional autonomy and distinctive needs might be expected to be most apparent in Wales. The conclusion of this article is that the claims of Welsh exceptionalism (certainly in terms of policies) have been much exaggerated and that the ‘centre’, Westminster and Whitehall, was able to impose its preferred policies in Wales, whatever appearances to the contrary.  相似文献   

13.
This is an article on Bolshevik nationalities policy and ethnic engineering, asking who, in fact, decided which populations belonged together as ethnic groups (narodnost') and thus had the right of national self-determination, and how the level of autonomy was determined for each ethnic unit. Scholars have dealt with Russian and Soviet nationalities issues for decades already, but they have turned their attention mainly to the larger nationalities (at the level of SSR, and to a lesser degree the levels of ASSR and autonomous oblast). I argue that the lower levels of national territorial autonomy in the Soviet Union (national okrug, raion, volost', and selsovet) are worthy of greater academic attention, at least from the ethnological point of view. Having this kind of low-level territorial autonomy has often been a question of to be or not to be for the small ethnic groups concerned, and hence the subject is connected with the question of preservation of cultural and linguistic diversity in Russia.  相似文献   

14.
This paper documents and analyses 46 proposals made between 1947 and 2008 for resolving the India–Pakistan dispute over Jammu and Kashmir. We conduct a content analysis to recognise the patterns that emerge from these formulations and identify the key elements that recur over time. Our analysis suggests that the dispute may be more ‘ripe’ for resolution today than it has ever been in the past. For the first time in the dispute's history, there is growing convergence over a core element of the solution, ie granting autonomy to Kashmiris. This is matched by a virtual consensus on the ‘catalysts’, namely soft borders to allow relatively free human and economic exchange within Jammu and Kashmir, the notion of Kashmiri involvement in any negotiations on the issue and demilitarisation of the state. Ripeness alone, however, does not lead to resolution. Over the years various dynamic proposals have been made, which means that this particular convergence could also dissipate, as some of the prior ones have. There is a potential window of opportunity today, but it will not last indefinitely.  相似文献   

15.
In drawing on adaptive theory, this article discusses the relationship between delegation and formalization in the public sector. While traditional and contemporary views suggest that these concepts are either negatively or positively correlated, or that they should be balanced, this study hypothesized that they are dynamically related to each other, and therefore the relationship would be best described as curvilinear (inverted U-shaped). This hypothesis was supported through hierarchical regression analyses of data collected from a police organization that has traditionally pursued formalization, but lately has been urged to pursue a strategy of delegation. Practical and theoretical implications are provided.  相似文献   

16.
The current policy emphasis on data-driven decision-making is creating the right incentives for government agencies around the world that have not traditionally disseminated their administrative data to do so. The literature on statistical disclosure control focuses on the technical aspects of a variety of methods designed to protect data confidentiality. There is, however, a void in the literature in regard to what other elements are necessary to create and sustain a successful initiative. This paper examines six case studies of individual-level datasets. It reviews current practice in several domains and summarizes recommendations from expert practitioners including challenges for future initiatives.  相似文献   

17.
This paper proposes a structural equation model to measure and explain female empowerment in Cambodia. Empowerment is defined as the decision-making ability of a woman regarding her strategic and non-strategic life choices. Grounded in the Capability Approach and in the gender economics literature this conceptualisation accounts for three key elements: resources, values/traditions, and decision-outcomes. These elements interact into a system of structural equations where a latent variable is specified to measure empowerment; decision-outcomes enter as partial metrics of empowerment; and resources, and values/traditions are modelled as exogenous factors. Stochastic dominance analysis is used to compare the empowerment status of women across life choices.  相似文献   

18.
Autonomous subnational governments pose a serious challenge to national stabilization strategies. As illustrated by the case of Argentina, fiscal reforms that have been successfuly implemented at the national level have proved to be much harder to induce among subnational governments. Provincial reform is still largely pending and provincial governments continue to generate large public deficits, posing a threat to the success of Argentina's overall reform program in the medium and long term.

This paper provides a retrospective on Argentina's reform program with a focus on subnational governments. It identifies elements within the reform program itself, such as windfall increases of guaranteed central transfers, that systematically undermined early efforts to induce provincial reform. It also examines the government's strategy to neutralize their effects through the decentralization of services and the negotiation of two fiscal pacts, as well as its success in introducing major reforms by capitalizing on the financial pressure that resulted from the Mexican crisis. Finally, it draws lessons of experience that may be useful for policy makers faced with the similar challenge of inducing fiscal reform within autonomous subnational goverments.  相似文献   

19.
Hospitals and universities in British Columbia (BC), and indeed in Canada generally, face a serious loss of faith in the self-regulatory model of funding and external governance whereby, essentially, they are given resources and the autonomy to use them as they see fit. Generally, the last two decades in Canada have been a period of scarce resources, loss of external confidence, general funding limitations, some additional pressures in the form of increased controls and accountability requirements, but little evidence that hospitals and universities are willing to respond positively to these new pressures. The argument of the paper is that responding to pressures for improved accountability reporting may be the price of preserving autonomy and relative funding levels. An active, cooperative response to external concerns about information will enable hospitals and universities to shape the information agenda to their advantage--at the very least, having it reflect reasonably accurately their circumstances and performance. The paper argues further that hospitals should begin by addressing patient care measures and universities should begin by dealing with measures of teaching performance.  相似文献   

20.
Efforts to measure decentralization have focused on political or fiscal autonomy, but not on administrative autonomy. Focusing on the education sector, we measured de facto subnational administrative autonomy across 64 countries/economies, via the domains of human resource management, salary management, budget management, and service content design. The findings reveal that subnational autonomy can differ substantially across those domains and within countries, and that the use of a single country-level indicator for administrative decentralization is inadequate. Furthermore, we show that administrative decentralization is as significant a factor as federal status in evaluating the degree to which a country/economy is decentralized or centralized.  相似文献   

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