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新大国协调继承了传统大国协调通过外交会议、协商来决策的方式,治理领域由传统的军事安全扩展到经济、政治、社会和环境等多个领域。从新大国协调的起源看,美国作为西方世界最强大的国家开始起领导作用。本文通过考察"七国集团"的治理结构,发现美国领导下的多国合作是新大国协调最有意义的制度创新。这种一国领导、多国合作的特点不同于历史上的传统大国协调的治理体制,是一种新型的国际多边安全治理机制。由于这种领导的存在,新大国协调产生了明显的治理效果,主要包括:形成美国意志主导下的大国共同立场、应对国际危机的大国集体反应、其他大国对美国身份的认可以及美国对其他大国分配治理任务。 相似文献
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This article is based on the findings of a study conducted by Sama-Resource Group for Women and Health to understand the implications of Assisted Reproductive Technologies (ARTs) on the lives of women in the Indian context; to gauge the responses of the various social movements in the country on issues being raised by ARTs and to examine the state of regulation of ARTs in India.The article concludes that ARTs reinforce traditional patriarchal norms rather than challenge or subvert them. We suggest that the application of these technologies has in fact furthered the subjugation of women by firmly casting them in the role of ‘child bearers’. Our review of the national regulatory guidelines identifies the gaps in the regulation of ART clinics and exposes the limited understanding of the authorities with regard to the social and ethical implications of these technologies for individual women and Indian society at large. 相似文献
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广州亚运会的志愿服务,在借鉴深圳义工联首创“五星义工”,北京奥运会首创“微笑圈”等经验的基础上,创立了“志愿时”的组织激励与生活时尚理念。“亚运志愿时”是指志愿者通过参与亚运会服务的时间计量获得的心理认同与荣誉标示。具体解释涉及时间计量、心理认同、荣誉标识3个概念。“红豆”志愿时、“绿叶”志愿时、“广彩志愿时”、“帆船”志愿时、“五羊”志愿时是具体的象征物,将广州文化历史,广州人友善热情的特色充分体现,在亚洲乃至世界人民心目中留下美好印象。 相似文献
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This final rule will implement section 2702 of the Patient Protection and Affordable Care Act which directs the Secretary of Health and Human Services to issue Medicaid regulations effective as of July 1, 2011 prohibiting Federal payments to States under section 1903 of the Social Security Act for any amounts expended for providing medical assistance for health care-acquired conditions specified in the regulation. It will also authorize States to identify other provider-preventable conditions for which Medicaid payment will be prohibited. 相似文献
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Centers for Medicare & Medicaid Services 《Federal register》2011,76(88):26490-26547
This final rule implements a Hospital Inpatient Value-Based Purchasing program (Hospital VBP program or the program) under section 1886(o) of the Social Security Act (the Act), under which value-based incentive payments will be made in a fiscal year to hospitals that meet performance standards with respect to a performance period for the fiscal year involved. The program will apply to payments for discharges occurring on or after October 1, 2012, in accordance with section 1886(o) (as added by section 3001(a) of the Patient Protection and Affordable Care Act, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively known as the Affordable Care Act)). Scoring in the Hospital VBP program will be based on whether a hospital meets or exceeds the performance standards established with respect to the measures. By adopting this program, we will reward hospitals based on actual quality performance on measures, rather than simply reporting data for those measures. 相似文献
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Centers for Medicare & Medicaid Services 《Federal register》2011,76(3):627-646
This final rule will implement a quality incentive program (QIP) for Medicare outpatient end-stage renal disease (ESRD) dialysis providers and facilities with payment consequences beginning January 1, 2012, in accordance with section 1881(h) of the Act (added on July 15, 2008 by section 153(c) of the Medicare Improvements for Patients and Providers Act (MIPPA)). Under the ESRD QIP, ESRD payments made to dialysis providers and facilities under section 1881(b)(14) of the Social Security Act will be reduced by up to two percent if the providers/facilities fail to meet or exceed a total performance score with respect to performance standards established with respect to certain specified measures. 相似文献