More on health care paradoxes

Federal and state government efforts to improve the nation's health focus particular attention on the necessity of increasing the numbers of physicians. Yet, evidence from several studies suggest weak linkages between health and the number of physicians. The present study surveys civilian health and the number of physicians during the period of national mobilization in the U.S. in the 1940's. This period, where low physician/population ratios prevailed for several years, is unique in recent history and provides a useful reference for current health policy. Reduced numbers of physicians are shown to have had a measurable negative impact on civilian health over the period.The author would like to express gratitude to the Brookings Institution for support and to a referee for helpful suggestions.     

EDITOR'S CORNER: CHANGING THE CULTURE

It is perfectly obvious that in any decent occupation…there are only two ways…of succeeding. One is by doing very good work, the other is by cheating.     

Procedural justice, routine encounters and citizen perceptions of police: main findings from the Queensland Community Engagement Trial (QCET)

Objectives

To test, under randomized field trial conditions, the impact of police using the principles of procedural justice during routine encounters with citizens on attitudes towards drink-driving, perceptions of compliance, and their satisfaction with the police.

Methods

We conducted the first randomized field trial??the ??Queensland Community Engagement Trial?? (QCET)??to test the impact of police engaging with citizens by operationalizing the key ingredients of procedural justice (neutrality, citizen participation, respect, and trustworthy motives) in a short, high-volume police?Ccitizen encounter. We randomly allocated 60 roadside Random Breath Testing (RBT) operations to control (business-as-usual) and experimental (procedural justice) conditions. Driver surveys were used to measure the key outcomes: attitudes towards drinking and driving, satisfaction with police and perceptions of compliance.

Results

Citizen perceptions of the encounter revealed that the experimental treatment was delivered as planned. We also found significant differences between the experimental and control groups on all key outcome measures: drivers who received the experimental RBT encounter were 1.24 times more likely to report that their views on drinking and driving had changed than the control group; experimental respondents reported small but higher levels of compliance (d?=?.07) and satisfaction (d?=?.18) with police during the encounter than did their control group counterparts.

Conclusions

Our results show that the way citizens perceive the police can be influenced by the way in which police interact with citizens during routine encounters, and demonstrate the positive benefits of police using the principles of procedural justice. Our study was limited by the use of paper-only surveys and low response rate. We also recognize that the experiment setting (RBT road blocks) is limiting and non-reflective of the wider set of routine police?Ccitizen encounters. Future research should be undertaken, using experimental methods, to replicate our field operationalization of procedural justice in different types of police?Ccitizen encounters.     

Manning the Fields: Remaking Women's Work in the Tobacco South in the Twentieth Century

Today, men make up the vast majority of the workforce in the tobacco fields of the American South. This was not always the case. For more than two centuries, enslaved women worked alongside men in the tobacco fields. In the late nineteenth century, the unpaid labor of female kin made possible the household's replacement of the plantation as the center of production, and it remained critical for farm families well into the twentieth century. Following World War II, agricultural engineers developed new technologies to eliminate tasks traditionally done by women. In the 1980s, the process of defeminization accelerated as growers began to hire male guestworkers from Mexico as more women moved into the non-farm labor market to supplement their families' farm incomes. The transition from family to wage labor in the tobacco South was far from a ‘natural’ process, but one nurtured by state agricultural, labor, and immigration policy.     

Case Survey

This section of the Journal deals with recent case law. The cases are listed in alphabetical order by case name.