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This paper studies the relationship between the use of formal and informal health care in a developing country setting by examining the introduction of a social health insurance scheme in Ghana. We estimate the effects of gaining coverage on changes in care seeking behaviour and show how these effects differ by age and wealth status. District-level differences in the implementation of the insurance scheme provide exogenous variation in access to insurance and allow us to address issues with selection into coverage. Results indicate that insurance access strongly increased use of formal care and reduced out-of-pocket expenditures on health services. 相似文献
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794.
Sexual harassment is an illegal form of sexual discrimination prohibited by Title VII of the Civil Rights Act of 1964. Although the U. S. Supreme Court has recognized that sexual harassment is illegal conduct for which an employer is liable, this transgression continues to be a major workplace problem. Although some researchers have analyzed the incident level of sexual harassment in general, little work has been conducted on particular industries. The research described in this article is the summary of the results of a study of sexual harassment in the health care industry. A written survey was sent to 950 randomly selected members of the Kentucky Board of Nursing. Thirty-five percent of the 441 respondents to the survey indicated they had been sexually harassed in their capacity as nurses. More than 77 percent of those occurrences involved physicians as the harassers. When harassed, 51 percent of the respondents were aged 25 to 35; 25 percent, 25 or younger; 20 percent, 36 to 45; and 4 percent were 46 to 55. Fifty-three percent said they were harassed by supervisors; 32 percent said they were harassed by patients. The survey showed that 23 percent of those harassed felt threatened in their job status if they did not go along with harassing behavior, and 24 percent reported the incidents. Only 23 percent of the nurses indicated that their employers had policies and procedures in place to address sexual harassment. Further, of the respondents that reported being sexually harassed, only 23 percent of these victims reported the incidents. Sexual harassment complaints in the health care industry must be taken seriously. Health care institutions must adopt appropriate policies and procedures to address sexual harassment. The written policy statement on sexual harassment should show strong support from top management, specify the types of behavior perceived as sexual harassment, and be widely disseminated. Training should be provided to all staff, and effective enforcement mechanisms should be implemented. 相似文献
795.
The Chinese university system is one of the world’s largest academic research performers and technology transfer is one of the system’s central roles. Academic interest in Chinese university technology transfer in both the West and China has increased in parallel. This review aims to outline what is known and evaluate the state of research about university technology transfer in China. To be comprehensive, uniquely this review considers the relevant journal articles in both English and Chinese languages. The major themes and methodologies used by authors are identified. The evolution of the literature, particularly those in Chinese from general discussions often with minimal citations to more empirically rigorous studies is documented. It is also shown that the English and Chinese language literatures have little overlap in terms of citations, thereby indicating that the two research communities are still largely disconnected. It is found that the sources of data have remained quite limited and the quantitative research is based almost entirely upon government statistics collected for administrative purpose. The concluding discussion suggests possible avenues for future progress in terms of developing new data sources and increasing the cross-fertilization of two research communities. 相似文献
796.
The utility of the National Incident-Based Reporting System (NIBRS) forstrategic crime analysis has yet to be explored. The NIBRS represents anadvancement over existing reporting systems and possesses considerableutility to frontline law enforcement with respect to strategic crimeanalysis. This paper discusses the utility of the NIBRS for identifyinglocal and regional trends in narcotics related offenses. As an example, weselected four localities from the 1997 Virginia NIBRS data to examine trendsin the sale/distribution and possession of narcotics. Our analysis showsthat the NIBRS provides significantly more incident-related detail than hasheretofore been available for strategic crime analysis at the regional orstate level. Moreover, the NIBRS provides neighboring communities theopportunity to compare information on emerging crime patterns and criminalenterprises which extend beyond local boundaries. Finally, enhancing localreporting compliance by highlighting the strategic utility of the data tolocal law enforcement will ultimately ensure the quality of the data set,which can then be employed by larger entities as well as criminal justiceresearchers for policy development and planning. 相似文献
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美国密歇根州沃什特瑙县抽样调查显示,陪审员对于提供给他们的科学证据抱有很高的期望;在所有强奸案件和依据间接证据定案的案件中,如果把科学证据作为被告人有罪的一个条件,陪审员对这种科学证据的要求很高;观看《犯罪现场调查》的陪审员与没有观看该电视剧的陪审员在这方面没有任何差别。韦恩县的研究结果表明,陪审员对于他们使用的技术越精通,他们对于控方在其案件中使用科学证据的期望就越高。在这两个地方的研究表明,陪审员对科学证据的期望和要求是大众文化广泛变革的结果,是大众媒体和诉讼参与人相信这种效应存在而培养起来的。 相似文献