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The major trends in the growth of prospective payment and the corporatization of medical practice in the United States are examined. In particular, the ethical implications of these changes in the context of the multiple system goals of access, cost containment, and quality are considered. Considerable concern is being expressed that with the dominant emphasis on cost containment, the principles of access and quality might be compromised. This paper formulates a research agenda to address this question, based on a review and synthesis of empirical evidence and hypotheses about the probable or actual impact of these changes on the multiple health system goals. A basic premise is that ethical judgments should be grounded in empirical evidence about what actually is or will be.  相似文献   
985.
This paper examines issues in LISREL models involving latent, or unobserved, variables. We discuss estimating parameters in multiple-indicator models, various approaches to assessing goodness of fit, different types of linear measurement models, using LISREL to correct for attenuation in models involving single indicators with known reliabilities, and estimating parameters in structural equation models involving latent exogenous and endogenous variables. Finally, we present a generalization of the standard LISREL model which explicitly identifies implicit constraints on parameters in the standard LISREL model. We argue that the generalization can accommodate a wider range of models and provide additional diagnostic information on some assumptions in the standard LISREL model. By example, we show how the more general model can be estimated using Joreskog's LISREL program.  相似文献   
986.
Journal of Experimental Criminology - This study examined how defendants’ immigrant status and ethnicity interact with evidence strength and mock jurors’ cognitive processing traits to...  相似文献   
987.
Liverpool Law Review - The recent judgment in Casamitjana Costa v The League Against Cruel Sports in England and Wales held that ethical veganism was a protected philosophical belief under...  相似文献   
988.
The Journal of Technology Transfer - Higher education institutions (HEIs) represent an enormous density of investment and resources, concentrating infrastructure spending and creating high human...  相似文献   
989.
Despite much public speculation, there is little scholarly research on whether or how ideology shapes American consumer behavior. Borrowing from previous studies, we theorize that ideology is associated with different forms of taste and conspicuous consumption: liberals are more drawn to indicators of “cultural capital” while conservatives favor more explicit signs of “economic capital”. These ideas are tested using birth certificate, U.S. Census, and voting records from California in 2004. We find strong differences in birth naming practices related to race, economic status, and ideology. Although higher status mothers of all races favor more popular birth names, higher status, white liberal mothers more often choose uncommon, culturally obscure birth names. White liberals also favor birth names with “softer, feminine” sounds while conservatives favor names with “harder, masculine” phonemes. These findings have significant implications for both studies of consumption and debates about ideology and political fragmentation in the United States.  相似文献   
990.
Anthropologists studying the Andean community politics have increasingly emphasised the role of pragmatic, informal ‘vernacular’ political strategies in achieving material and political empowerment of the poor. However, while the concept of vernacular politics marks an advancement over binary and often polarised discussions of the role of local communities in development processes, studies have not fully explored the full range of implications of vernacular strategies on development processes. While researchers have demonstrated the substantial agency that local community actors have to influence development processes, the extent to which this influence effectively resists or reinforces the logic of public policy implementation has not been studied. This article explores the techniques used by rural communities in their interactions with public institutions in rural Bolivia. It shows that community organisations' vernacular political strategies have mixed outcomes: on the one hand, they allow the rural poor to assert their own agendas vis‐à‐vis the state so that they can benefit from public spending, while on the other hand, their tactics have the potential to entrench the influence of local power brokers and perpetuate inefficient uses of public funds. Copyright © 2016 John Wiley & Sons, Ltd.  相似文献   
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