共查询到20条相似文献,搜索用时 0 毫秒
1.
In spite of major coverage expansions under the Patient Protection and Affordable Care Act (ACA), a large proportion of immigrants will continue to remain outside the scope of coverage. Because various provisions of the ACA seek to enhance access, advancing knowledge about immigrant access to health care is necessary. The authors apply the well‐known Andersen model on health care access to two measures—one focusing on perceptions of unmet health care needs and the other on physician visits during the last year. Using data from the New Jersey Family Health Survey, the authors find that prior to implementation of the ACA coverage expansions, immigrants in New Jersey reported lower levels of unmet health care needs despite poorer self‐rated health compared with U.S.‐born residents. The article concludes with a discussion of the use of Andersen model for studying immigrant health care access and the broader implications of the findings. 相似文献
2.
3.
4.
Judi Walker 《Australian Journal of Public Administration》1999,58(3):72-75
It is well known that rural communities do not have access to the same range of healthcare services as urban communities and that health status is poorer in rural areas. As models of health service delivery are changing from treatment and illness prevention to wellness models, health providers are under increasing pressure to re-engineer healthcare services to rural and remote areas in a climate of shrinking resources and community skepticism. The purpose of this article is to examine a developing model of partnership in rural Tasmaniain the context of these changes to health service delivery, changes to health professional training and the application of information and telecommunications technology. The partners are the Tasmanian Department of Health and Human Services and the University of Tasmania. The establishment of the university's Rural Health Teaching Sites in conjunction with the Tasmanian Telehealth Network provides a demonstration of this partnership in action. 相似文献
5.
This article focuses on recent developments in state Medicaidprograms and the role ojSection 1115 waivers in this process.The evidence presented here demonstrates quite clearly thatthe states are using Section 1115 waivers to experiment witha broad range of innovative health-care service delivery, reimbursement,and eligibility concepts. This has allowed the states to reconfiguretheir Medicaid systems. More important, perhaps, the use ofSection 1115 waivers has also increased the role ofof the statesin the American health-care policy process. 相似文献
6.
The Limits of Regulation: Indirect Party Access to State Resources in Australia and the United Kingdom
下载免费PDF全文

The way in which political parties use state resources indirectly (e.g., parliamentary expenses) receives substantial attention in public debate, particularly when surrounded by perceptions of misuse. However, scholarly studies of resources indirectly available to parties through their functions in the state, how they are used and regulated, are rare. This article presents an analytical framework that identifies and categorizes the range of indirect resources linked to parties' institutional roles. It locates these resources within a four‐fold matrix of regulation, distinguishing regimes that vary in their detail and whether compliance is externally monitored. Undertaking comparative case studies of parliamentary resource use in the United Kingdom and Australia, we argue that the blurring of party‐political and parliamentary roles can impede the effectiveness of regulatory regimes that democracies adopt, regardless of detail and external enforcement. These findings have important implications for regulatory reforms that seek to constrain parties' behavior to depoliticize democratic governance. 相似文献
7.
There are currently more than 11 million undocumented immigrants in the United States; the majority of them are of Hispanic origin. This article shows that Hispanic immigrants in the Greater Richmond, Virginia, area rely heavily on free clinics for basic health care services. Free clinics do not receive any public funding and thus face reduced government regulation. As a result, these clinics typically present fewer barriers to undocumented immigrants seeking care. Although free clinics function outside the mainstream of government funding for health care services, the Patient Protection and Affordable Care Act (ACA) of 2010 is so broad and far‐reaching in its scope and potential application that free clinics cannot escape its grasp once the new law is fully implemented. Because the ACA does not provide insurance coverage to undocumented immigrants, free clinics will remain their primary sources of care and treatment. Consequently, those responsible for implementing the ACA should consider the impact on free clinics. 相似文献
8.
9.
武玉芳 《工会理论研究(上海工会管理干部学院学报)》2009,(3):8-10
自2008年下半年以来,国际金融危机对我国经济发展的不利影响开始逐步显现,从目前来看,这场国际金融危机还在蔓延和深化,国际金融市场仍处于动荡之中,全球实体经济受到的影响日益显现,世界经济增长明显减速。受其影响,我国经济运行也面临很多困难,未来一个时期,经济社会发展的总体环境将可能更加严峻。面对当前严峻复杂的国内外经济形势,如何处理当前的劳资关系问题,保持劳资关系的利益平衡,的确给工会带来了很大的挑战。 相似文献
10.
11.
Laura Katz Olson 《New Political Science》2013,35(1):37-54
Health care reform in the US is relying extensively on Medicaid for achieving universal health coverage. This article addresses the question of whether Medicaid is an appropriate foundation for reducing the ranks of the uninsured, given its dependence on economic conditions and the vulnerability of state budgets, along with the ever-changing preferences of governors and legislators. This article assesses the effects of the ebb and flow of Medicaid policy-making on at‐risk populations and what this implies for the Affordable Care Act. By establishing a nationwide income floor at 133% of the Federal Poverty Level, the legislation eliminates eligibility inequities across the states. However, it is argued that when state budgets are strained, as they undoubtedly will be when the reform bill is fully implemented, local officials will downsize benefit packages, raise co-payments, mandate more managed care, and reduce provider payments, negatively affecting the availability, scope, and quality of services. 相似文献
12.
Duggan Colleen; Bailey Claudia Paz y Paz; Guillerot Julie 《Int J Transitional Justice》2008,2(2):192-213
Sexual and reproductive violence (SRV) perpetrated against womenduring war or under authoritarian regimes is one of the mostsevere manifestations of gender-based violence. The authorsask how governments in new or reforming democracies hope torepair SRV and how state programs for reparation might be conceptualizedand delivered. By examining the cases of Guatemala and Peru,they explore the problematic of repairing damage caused by SRVand comment on prospects for redress to victims in each country. 相似文献
13.
14.
George France 《Public Budgeting & Finance》1991,11(4):63-74
Health care cost containment has become an important issue in Western countries in recent years. However, most efforts have met with only limited success and Italy is no exception. This article examines the mixed public-private system existing in Italy. It also describes and evaluates cost-containment efforts in the Italian public health care system. 相似文献
15.
KATHERINE TEGHTSOONIAN 《管理》1992,5(2):197-223
This article explores the impact of federal political arrangements and conservative ideology on provisions for regulating child care services embodied in the major proposals for child care legislation under consideration in Canada and the United States during the late 1980s. The initial contrast between the non-centralized approach taken in Bill C-144 (Canada) and the more centralized approach originally proposed in the Act for Better Child Care Services (United States) was a function of differences in the two countries' federal systems. However, conservative preferences and pressures contributed to the eventual adoption of a non-centralized approach in both countries. Federalism facilitated this expression of conservative ideology by providing supporters of a non-centralized approach with resources (constitutional and institutional) with which to pursue their policy preference, and a political rhetoric with which it could be justified. 相似文献
16.
医疗体制改革问题是现阶段我国政府公共管理中亟待解决的重要而迫切的问题之一.以陕西省神木县全民免费医疗保障体系为例,从公共管理的视角分析全民免费医疗模式的可持续性,可以为我国医疗体制改革的实践运作和理论研究提供重要的借鉴. 相似文献
17.
Political Behavior - For years, Republicans in Congress promised to “repeal and replace” the Affordable Care Act. The results of the 2016 elections put them in position to take action... 相似文献
18.
新农合向社会医疗保险发展是实现城乡居民社会医疗保险一体化的重要举措,它有利于巩固和发展新农合的成果,推动医疗保障事业的发展。目前新农合与城镇居民社会医疗保险制度框架基本统一、社会救助实现了城乡居民一体化、公共卫生投入向农村倾斜、已形成比较科学的农村医疗卫生管理制度等,为新农合向社会医疗保险发展提供了可行性。但是,新农合向社会医疗保险发展还存在着农村公共卫生建设相对滞后、地(市)级统筹难度大、农民的出资水平难以提高等难点。为此,要继续为新农合添加更多的社会医疗保险的构成要素,加快农民工医疗保障城市化进程,加强法制建设,进行新的社会医疗保险制度创新。 相似文献
19.
Lindie Clark 《Australian Journal of Public Administration》1999,58(2):94-104
Australia and the United States adopt radically different approaches to occupational health and safety regulation, even though their ultimate objectives in this policy area are effectively the same. The US regulatory style is more centralised, legalistic and adversarial, in contrast to Australia's state-based and more consensual approach. This difference in regulatory approach dates from the 1970s: for the 100 years prior to that, workplace health and safety regulation in both countries took a similar legal, institutional and administrative form. The reasons for the contemporary regulatory divergence lie in the distinct national configurations of state and societal institutions in the two countries and the different constellation of political actors involved in regulatory design and reform. 相似文献
20.
赵静 《四川行政学院学报》2010,(6):31-34
日益频发的环境事故拷问了我国环境法律实效性不足的现状,几起看似突发的环境事件,共同反映了我国地方政府环境监管失衡的现状,环境监管体制不健全、传统政绩考核观的局限、环保问责制度流于形式、环境保护基本制度没有得到根本落实以及环保部门的执法权限欠缺,对违法企业的处罚力度不够导致了我国环境监管的失衡。建议从改革地方政府环境监管体制,实行环保政绩考核、加强对政府第一责任人的问责、建立绿色GDP的国民经济核算体系以及落实环保基本法律制度等层面完善我国地方政府的环境监管。 相似文献