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11.
The concept of integrated care has assumed growing importance on the policy agendas both in England and The Netherlands and elsewhere. It is characterized as health and health care-related social care needed by patients with multi-faceted needs. This article compares policy approaches to integrated care in England and The Netherlands. Differing political strategies and conditions for integrated care correspond to the dissimilarities in the institutional structure and culture of their health care systems. Health care systems are understood as specific national and historical configurations. We review the last decade's relevant policy processes, using the concepts of hierarchy, market and network. The state health care system in England relies mainly on hierarchical steering, thus creating tight network structures for integrated care on the local level. The Netherlands, with its health care system in a public-private mix, has set incentives for voluntary, loosely coupled and partly market-driven cooperation on the local level. Implications for success or failure are mixed in both configurations. Policy recommendations have to be tailored to each systems' characteristics. 相似文献
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市场化照料在满足中国家庭照料需求方面发挥着日益重要的作用。然而,由于对女性再生产劳动的忽视和对家政工进行抽样的困难,既有研究缺乏对家政工群体的全面呈现。本文基于2019年在北京、济南开展的家政工被访者驱动抽样调查数据发现,以农村进城务工女性和城市下岗女工为主体的家政工群体的工作条件、劳动过程、劳动保障与权益、工作—家庭责任平衡及身心健康状况不容乐观,尤其是住家家政工群体。本文提出加强对有偿照料劳动的社会嵌入性和价值、照料劳动进程和工作—家庭冲突对照料劳动者的影响等议题的研究,并推进倡导性别平等的照料政策的制定。 相似文献
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Samuel Andrew Hardy 《European Journal on Criminal Policy and Research》2014,20(4):459-474
The illicit trade in antiquities from conflict zones is clandestine and politicised and it very likely involves violent, organised criminals, including paramilitaries and terrorists; so reliable, detailed information is extraordinarily difficult to access. Nonetheless, open-source data may provide clues to the structure of the market. This article reviews the development of the Cypriot antiquities trade until the outbreak of the civil war in 1963, through the cultural heritage crisis that accompanied that conflict until the coup and invasion of 1974. Then, adapting an established method for studying the scale of a small, undisturbed illicit market, it gauges communities’ participation in looting during the civil war in Cyprus. It does so by analysing the find-spot and acquisition date information in collections of antiquities recovered before and during conflict, and cross-referencing them with demographic and historical information in order to identify the communities from which the looters probably came. It uses this crude categorical method in order to assess ethnically-based narratives of looting and trading in illicit antiquities. The evidence suggests that: before the conflict, there was no correlation between community and looting; during the civil war, due to economic and geopolitical factors, members of Turkish Cypriot communities were disproportionately involved in looting; at the same time, members of Greek Cypriot communities were far more involved in looting than has previously been recognised; Greek Cypriot archaeologists have misinterpreted the structure of the trade and consequently contributed to communalist policies and nationalist histories; and the antiquities policy of the Republic of Cyprus was one of the significant causes of the developments in the trade. 相似文献
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The article examines epistemic emotions as part of the emotive-cognitive processes of prosecutors’ knowledge seeking and decision making in preliminary investigation and court proceedings. Drawing on ethnographic fieldwork, interviews, and shadowing of prosecutors in Sweden, we show how emotions motivate and orient prosecutors’ inquiries and the fundamental role of the ‘certainty–doubt spiral’ for ‘doing objectivity’. In conclusion, we discuss the centrality of emotions for conscientious and well-considered decisions in legal work. The study contributes to the field of law and emotion by exploring the epistemic quality of emotions, notably the certainty–doubt spiral, in legal work. 相似文献
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A media storm is a sudden surge in news coverage of an item, producing high attention for a sustained period. Our study represents the first multi-issue, quantitative analysis of storm behavior. We build a theory of the mechanisms that drive media storms and why the “anatomy” of media storms differs from that of non-storm coverage. Specifically, media storm coverage should change less explosively over time, but be more sharply skewed across issues, compared to non-storm coverage. We offer a new method of operationalizing media storms and apply our operationalization to U.S. and Belgian news. Even in these two very different cases, we find a common empirical storm anatomy with properties that differ from those of non-storm coverage in the predicted fashion. We illustrate the effects of media storms on the public through discussion of four key examples, showing that online search behavior responds strongly to media storms. 相似文献
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Marjorie S. Hardy 《Journal of family violence》2001,16(3):255-268
Retrospective recall of physical aggression and sexual behavior among siblings was investigated. Participants described behaviors between themselves and siblings in the family, their estimation of the appropriateness of the behavior, and their current relationship with their siblings. Additionally, participants completed measures of family structure and stress. Results indicated that rates of physical aggression among siblings was high, with varying severity. Rates of sexual behavior were lower. For both physical and sexual behaviors, participants were more likely to believe that the behaviors were abusive in retrospect than when they actually occurred. No differences were found in family structure among abusive and nonabusive siblings, but siblings who reported physical or sexual behaviors also reported higher levels of intrafamilial stress. Certain types of stressors may predict particular sibling relationships. 相似文献
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