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Whilst the drive towards public sector consumerism is intensifying, it is also evident that somewhat different 'brands' of consumerism are currently being marketed. This article develops a framework to assist in the disaggregation and understanding of the range of approaches to consumerism currently being pursued in the field of health and social care. Its principal elements concern the ideological origins of consumerism in this field; their purposes; and the forms through which consumer preference are expressed. This framework is applied to the Birmingham Community Care Special Action Project, a major developmental initiative which the authors have been studying. An important area for further investigation is the extent to which users and carers seek to exercise greater collective control over services as opposed to influencing the development of services more responsive to their individual needs. 相似文献
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ILYA PRIGOGINE STEPHEN HAWKING PIET HUT JOHN POLANYI BILL JOY AMORY LOVINS FRANCIS FUKUYAMA JACQUES ATTALI PETER SLOTERDIJK LEON KASS JAMES WATSON IAN WILMUT CRAIG VENTER DANIEL COHEN WILLIAM HASELTINE GERALD EDELMAN DAVID BALTIMORE JOSHUA LEDERBERG NORMAN BOURLAG JIMMY CARTER PAUL BOYER DANIEL COHN‐BENDIT JAMES HANSEN MARIO MOLINA FARIDA FAOUZIA CHARFI AHMED ZEWAIL ALAIN TOURAINE MUNAWAR ANEES CZESLAW MILOSZ 《新观察季刊》2008,25(1):48-51
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GERALD M. CAPLAN 《犯罪学》1976,14(1):3-16
This detailed assessment reviews the nation's “war on crime” during the past ten years, examines what has heen accomplished in that period, and outlines the likely prospects for the future. Although important and tangible progress in improving criminal justice has been made. it has not produced relief from high crime rates. In fact, “things are worse than ever.” For the future, there will be both more advances and frustrations in the war on crime. It is emphasized that the progress achieved so far has been to create a more efficient and fairer rystem of justice and that we should take pride in this. If not eclipsed by the quarterly release of crime statistics, we can maintain our momentum and gain even more significant improvements in the next decade. 相似文献
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This article explores the contention that the conventions of public expenditure accounting conceal, rather than reveal, the real nature and implications of resource trends. A benchmark — a constant level of service output — is established as a basis for examining the relationship between trends in expenditure inputs and service outputs. Changes in unit costs are identified as the major source of deviation between expenditure and output trends. The impact of resource constraint on policy and policy-implementation is then examined in relation to one, essentially stable, area of policy in the personal social services: community care.
The meaning of the term'policy' is far from straightforward and community care is best understood as the interaction of relatively independent streams of policy, towards service outputs and resource inputs, extant in both central and local government. Mechanisms by which policy streams could be reconciled are of particular interest and an innovative example — joint finance — is examined in some detail. 相似文献
The meaning of the term'policy' is far from straightforward and community care is best understood as the interaction of relatively independent streams of policy, towards service outputs and resource inputs, extant in both central and local government. Mechanisms by which policy streams could be reconciled are of particular interest and an innovative example — joint finance — is examined in some detail. 相似文献
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GERALD KENT SPEAL 《Law & policy》1981,3(4):406-424
Current statutes and case decisions formally declare that fathers and mothers should be treated equally in child custody dispute awards. Outcomes of actual court awards, however, favor mothers, presumably because this is viewed by judges as being in the best interests of the child. A review of research derived from child and animal studies suggests there is no basis for favoring mothers over fathers in awarding child custody. 相似文献
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GERALD LEE 《安全研究》2013,22(2):230-272
Arguments about the importance of democracy for international behavior assume that states rely on military organizations rather than “hired guns.” With the growth of the private security market this assumption no longer holds true. Focusing on the United States, we use original data to compare the impacts of using private military/security forces and military forces on attributes identified as endemic to democracies: constitutionalism, transparency, and public consent. Our evidence indicates that forces raised via contract are harder to learn about and thus less transparent than military forces. Largely due to lowered transparency, Congress has a harder time exercising its constitutional role, which impedes constitutionalism. Finally, though the public is just as sensitive to the deaths of private forces as it is to military deaths, it is less likely to know about them. Thus the lack of transparency also circumvents meaningful public consent. We conclude with a consideration of the potential implications of these changes for U.S. foreign policy. 相似文献
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