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Since the 1960s, ombudsmanship has become increasingly popular. Although there is a great deal of literature on ombudsmen, existing research rarely focuses on the people who actually use the ombudsman's services. This article examines those who seek the help of ombudsmen in Belgium, and asks whether ombudsmen's intervention has a noticeable effect on citizens' confidence in government and public administration. Based on three surveys of 626 complainants, our analysis suggests that we should not see the ombudsman in Belgium as merely an instrument to help citizens but that they can also function as "change agents" and provide early warnings of problems in public administration. The role of ombudsmen in directly strengthening trust in government is limited at best. Furthermore, it seems that the profile of ombudsman complainants is skewed; our findings indicate that the socially disadvantaged are less likely to use the institution. 相似文献
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Jay Schulkin 《The Journal of law, medicine & ethics》2008,36(1):73-88
The decision for women to go on hormone therapy (HT) remains controversial. An historical oscillation of beliefs exists related in part to expectations of the medicinal value of HT over longer-term use beyond the initial peri-menonpausal period. Studies thought to resolve issues surrounding the efficacy of HT were perhaps overstated as confusion still permeates the decision making with regard to HT. Overzealous advertising and exaggerated understanding of the results (negative or positive) undermine patient and physician decision making. There remains no magic bullet with regard to HT. What remains is still the possibility of HT longer-term efficacy on diverse end organ systems with pockets of clinical and scientific ambiguity while working to engender reasonable expectations. 相似文献
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When we wrote our 2008 editorial, Britain was in a period ofpolitical flux, namely the wavering popularity of Gordon Brown,the newly installed Prime Minister. Inspired by Brown's dramaticfall from grace during the autumn of 2007, we reflected on thefraught relationship between politicians and the media, onefrom which the former rarely comes out well. As this first issueof 2009 goes to press, the Western world is in the tighteninggrip of a profound economic crisis, one that threatens to developinto a slump on a scale unprecedented since the 1930s. This,at least, is how journalists on both sides of the Atlantic areexcitedly reporting the credit crunch and itsaftermath. Most who seek to explain this crisis cite as its root the irresponsible 相似文献
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The death penalty debate in the United States has recently undergone a fundamental shift. The possibility of executing the innocent has emerged as some abolitionists' most salient argument, displacing debates over such issues as fairness, deterrence, and cost. Innocence has managed to move to the fore of the debate in part because of the success of death penalty opponents in attaching epistemological certainty to one particular category of postconviction exonerations, those vouched for by the authority of DNA evidence. We suggest that such moves are primarily rhetorical because, while DNA evidence may be more accurate and reliable than other forensic science, it still fundamentally probabilistic in nature and is prone to uncertainties at all stages of its production. Yet, because of the certainty attached to DNA evidence in public discourse, it can be used as a lever with which to challenge law's claims to truth-making authority, and to undermine public trust in the death penalty. A few abolitionists and other scholars have expressed misgivings about the abolitionist embrace of the innocence argument. We push this concern further, suggesting that both abolitionists and death penalty reformers, who seek to promote a "scientific" death penalty centered on DNA evidence, draw upon a mythologized notion of "science" as a producer of epistemic certainty. 相似文献
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