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A rationale for including analyses of outcome in evaluation of the impact and equity of changes in health care policy for the poor is presented. We first discuss problems in defining equity in and access to health care. Equity in access to health care requires equality of access only to those services that are believed to be efficacious. Three cost-containment strategies (restrictions in eligibility, coinsurance, and capitation) are then examined, and their limitations are discussed. Finally, directions for future research focusing on outcomes are suggested. Rather than using access to care to assess outcome, outcome is viewed as the framework for assessing access and equity. 相似文献
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The Federal Sentencing Guidelines were developed to provide uniform and standardized punishments for eliminating sentence disparities based on legally irrelevant factors. While research at the individual level showed that extralegal factors continued to affect sentence outcomes, no such research determined if these factors influenced sentencing of organizational offenders. This article extends the unit of analysis beyond the individual and toward organizational offenders to determine if total fine amounts are affected by extralegal organizational characteristics. Relying on post-1991 organizational defendant's data, the findings indicated both legal and extralegal factors significantly affected fine outcomes for organizational offenders. As expected, several legal factors significantly affected fine outcomes. At least two extralegal variables, economically solvent and closely held organizations, however, exerted significant effects in predicting the total fine amount imposed. Similar to research at the individual level, this study indicated that extralegal or legally irrelevant factors had some level of impact upon sentencing under the guidelines. 相似文献
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The article deals with the development of International Relations in Germany. Following a brief history of German IR, the authors focus on its development since the 1990s. For this period, German IR has been a success story with respect to professionalisation, institutionalisation and internationalisation. Furthermore, with the Global Governance concept, German IR has even established a thematic umbrella to further its integration and identity. Still, the authors caution against complacency as the success story of German IR has the in-built potential to eradicate its very own foundations. 相似文献
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Nicole Sy 《北京周报(英文版)》2012,55(14):48
正Hazardous That’s what @BeijingAir, the U.S. Embassy’s close to hourly Twitter reports said about the state of Beijing’s air pollution the other day, and the worst rating it can give. By now, I’m not all that surprised. It used to be that I would look at the haze outside and deem it fog, primarily due to my 相似文献
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This paper tests the Demirjian and international Demirjian dental aging methods for forensic use when ancestry and ethnicity are unknown. A radiographic sample of 187 boys and girls was collected from the Department of Pediatric Dentistry at the University of Detroit Mercy and aged using both methods. The total sample and the sample by age categories (young, middle, and old) were analyzed using t-tests. The Demirjian method was found to better estimate age to a statistically significant degree for the total sample, as well as the middle and old age categories. The young category was aged better using the international Demirjian method. The results indicate that while the Demirjian method accurately estimates age, caution must be used with the method. Further research is needed to determine whether the international Demirjian method can be used for forensics in the U.S. 相似文献
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Much of the mental health, substance use, and educational programming within a particular women's prison in the southwestern United States promotes individual choice and agency. Incarcerated women from rural areas are told that their ability to succeed outside of prison is primarily dependent upon their personal choices. Comparably little attention is given to preparing women for their upcoming release or to overcoming structural barriers that could undermine successful reentry within rural communities. As a result, these returning citizens, many of whom grapple with mental illness and alcohol or drug dependence, blame themselves for their inability to surmount these barriers. In this qualitative research, we draw upon the perspectives of 99 incarcerated women to clarify how ideologies of individual choice promulgated in reentry pedagogy clash with contextual factors within rural communities to derail the reentry process. We also consider community reentry from Amartya Sen's capabilities framework and discuss how this model could inform needed interventions. 相似文献
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