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121.
122.
Donna M. Wilson 《Canadian public administration. Administration publique du Canada》2001,44(2):204-231
Abstract: Since policy‐makers and health‐care administrators across Canada are currently interested in using privatization as a method of health‐system reform, an analysis of public‐private health systems and privatization initiatives is relevant, if not critical, at this time. The widespread and long‐standing popularity and considerable successes of the Canadian health‐care system demand such an analysis. The many investigations and other evaluative reports describing the performance of health systems and privatization make this analysis possible. The author conducted an extensive review of research and other literature on health‐sector privatization and private‐ or public‐health systems. Three themes depicting various public‐private relationships were found: 1) public or private delivery, payment, and administration of health care; 2) integration or separation of public‐ and private‐health sectors; and 3) the conceptualization of health care as a commodity or a right. These themes are examined through the prism of the Canadian health‐care system and recent developments in Alberta. A discussion of their operational successes, failures, limitations and other issues follows. The literature review shows that privatization, particularly if undertaken in what has been an essentially “public” health system such as Canada's, needs to be approached ‐ if at all ‐ with caution. Increased controls such as new forms of legislation and regulation would clearly be necessary. Research to monitor the effect of privatization initiatives would also be needed. Sommaire:EAtant donné que les décideurs et administrateurs de soins de santé Canadiens s'intéressent actuellement à la privatisation comme méthode de réforme du système de santé, une analyse des systèmes de santé public et privé et des initiatives de privatisation est par conséquent pertinente sinon essentielle. La vaste popularité de longue date et le succès considérable du système de soins de santé canadien exigent une telle analyse. Cette analyse a été rendue possible grâce aux nombreuses enquêtes et autres rapports d'évaluation décrivant le rendement des systèmes de santé et la privatisation. L'auteur a mené un examen approfondi des documents de recherche et autres écrits concernant la privatisation du secteur de la santé et les systèmes de santé public et privé. Trois thèmes dépeignant diverses relations entreles systèmes public et privé sont ressortis de cet examen: 1) la prestation, le paiement et l'administration des soins de santé, publics ou privés. 2) l'intégration ou la séparation des secteurs de santé public et privé; et 3) la conceptualisation des soins de santé, en tant que produit ou droit. Ces thèmes sont examinés à travers le système canadien de soins de santé et certains faits récents survenus et Alberta. Un débat s'ensuit sur les succès opérationnels, les échecs, les limitations de ces systèmes respectifs et sur d'autres questions. L'analyse documentaire montre que la privatisation ‐ en particulier si elle est entreprise dans un systeme de santé essentiellement public °Comme c'est le cas au Canada ‐ doit être abordée avec prudence ou pas du tout. Il serait absolument nécessaire d'instaurer des contrôles accrus par le biais de nouvelles lois et de nouveaux règlements. Il serait également nécessaire de contrôler les répercussions des initiatives de privatisation. 相似文献
123.
Donna Pankhurst 《Development in Practice》2003,13(2-3):154-177
For more than a decade, resolutions from the UN and the European Commission havehighlighted women's suffering during wars, and the unfairness of their treatment upon thereturn to peace. Yet the injustices and the hypocrisy continue. Women are reified as thepeacemakers while they are excluded from peace processes. Women's suffering during war isheld up as evidence of inhumanity by the same organisations that accept, if not promote, themarginalisation of women's needs during peacetime. The author reviews the processes throughwhich these phenomena are perpetuated and outlines some ways forward which could help tobreak these cycles. 相似文献
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Donna Fossum 《Law & social inquiry》1980,5(3):501-554
In the United States, law schools provide the principal route of entry into the legal profession. Indeed, education in a law school is the only experience that virtually all members of the modern legal profession have in common. The gatekeeping function of law schools places the nation's law teachers in a most influential position. Although law professors play a vital role in selecting and molding the members of the profession, little research has been done on them. This article presents the results of the American Bar Foundation's first major study of law teachers. The author finds them to be a most highly credentialed group of lawyers, the overwhelming majority of whom are graduates of a small group of elite law schools. She also finds that possession of a degree from one of these schools appears to be not only highly determinative of who become law teachers but also of the nature of teachers' academic careers. 相似文献
126.
This article challenges the traditional approach to alienation and other high-conflict cases in which many different generalist judges deal with the case. The objectives of the judicial process, dealing with cases in a just, timely, and affordable way that instils confidence in the public and litigants, cannot be met unless high-conflict cases are actively managed by one specialist family law judge. Allowing parents in high-conflict cases to decide when and how often their case should come before the court exacerbates the negative effects of the litigation on children. This article concludes that, unless the litigation is properly managed by specialist judges, the justice system unintentionally causes harm to children. 相似文献
127.
Abstract: This study incorporated Axis-II and Axis-IV factors in DSM-IV to test the relationship between predicted risk for violence assessed in the psychiatric emergency room and actual violence during hospitalization. Psychiatric nurses lack an objective instrument to use during the acute psychiatric assessment. The retrospective study comprised consecutive psychiatric admissions ( n = 161) in one tertiary veterans' hospital. Statistical testing for the predictive power of risk factors, relationships between variables, and violent events included nonparametric tests, factor analysis, and logistic regression. Of the 32 patients who committed violence during hospitalization, 12 had committed violence in the psychiatric emergency room. Statistical significance was shown for violent incidents and dementia, court-ordered admission, mood disorder, and for three or more risk factors. The 13-item Risk of Violence Assessment (ROVA) scale suggests validity and sensitivity for rating DSM-IV factors and psychosocial stressors to predict risk for violence during hospitalization. Replication studies are recommended to strengthen validity of the ROVA scale. 相似文献
128.
Jeff R. Temple Ryan C. Shorey Paula Fite Gregory L. Stuart Vi Donna Le 《Journal of youth and adolescence》2013,42(4):596-606
The prevention of teen dating violence is a major public health priority. However, the dearth of longitudinal studies makes it difficult to develop programs that effectively target salient risk factors. Using a school-based sample of ethnically diverse adolescents, this longitudinal study examined whether substance use (alcohol, marijuana, and hard drugs) and exposure to parental violence predicted the perpetration of physical dating violence over time. 1,042 9th and 10th grade high schools students were recruited and assessed in the spring of 2010, and 93 % of the original sample completed the 1-year follow-up in the spring of 2011. Participants who had begun dating at the initial assessment and who self-identified as African American (n = 263; 32 %), Caucasian (n = 272; 33 %), or Hispanic (n = 293; 35 %) were included in the current analyses (n = 828; 55 % female). Slightly more than half of the adolescents who perpetrated dating violence at baseline reported past year dating violence at follow-up, relative to only 11 % of adolescents who did not report perpetrating dating violence at baseline. Structural equation modeling revealed that the use of alcohol and hard drugs at baseline predicted the future perpetration of physical dating violence, even after accounting for the effects of baseline dating violence and exposure to interparental violence. Despite differences in the prevalence of key variables between males and females, the longitudinal associations did not vary by gender. With respect to race, exposure to mother-to-father violence predicted the perpetration of dating violence among Caucasian adolescents. Findings from the current study indicate that targeting substance use, and potentially youth from violent households, may be viable approaches to preventing the perpetration of teen dating violence. 相似文献
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This article assesses the performance of Canada's employment policy governance regime post‐1996 by explicitly comparing Canadian approaches to those used in the European Union (EU) through the open method of coordination (OMC). It concludes that Canada has moved so far along the decentralization continuum — with 13 provincial systems as well as a federal‐only system in place — that coordination, coherence, mutual learning and information sharing on a pan‐Canadian basis have been lost. While EU OMC approaches hold promise, to be realized stakeholders would need to become more engaged in the policy domain and provinces, rather than the federal government, must take the initiative for enhanced coordination. 相似文献