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排序方式: 共有227条查询结果,搜索用时 15 毫秒
81.
82.
Noah L 《South Carolina law review》2002,54(2):371-403
For a variety of reasons, vaccines and other critical pharmaceutical products have become increasingly scarce in the last few years, and persistent shortages involving dozens of essential drugs may imperil the public health. Pressures emanating from regulatory agencies, the courts, and insurers have conspired to make some lines of the pharmaceutical business less than attractive. Although concerns about unpredictable tort liability received most of the blame in the past, two other factors may help to account for the latest round of drug shortages: stringent federal control of manufacturing facilities and aggressive cost-containment efforts that further erode profit margins. Whatever the cause, scarce supplies necessitate efforts at rationing that pose their own difficulties for health care providers. Policymakers could avoid putting physicians to such tough choices regarding patients by focusing on ways to ensure the production of adequate quantities of these highly cost-effective medical technologies. Some commentators have called for greater public sector involvement, but this Article concludes that, in addition to bolstering its emergency stockpiles, the federal government instead needs to take steps designed to encourage private manufacturers to continue supplying critical pharmaceuticals. To this end, the government should adopt more flexible regulations governing manufacturing facilities, provide companies with greater protection from the vagaries of tort liability, and avoid pursuing excessive cost-control strategies. Otherwise, patients may continue to lose access to important therapeutic products. 相似文献
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As in many other countries, the Swedish legislation on compulsory psychiatric care has been revised several times during the last four decades. Great regional differences within the country in the use of compulsory psychiatric care have been reported. The aims of this study were to describe the development of compulsory psychiatric care in Sweden 1979-2002, and to analyse differences between two groups of counties, one group with high and one with low civil commitment rates, in terms of psychiatric care structure, resources and processes. Data on civil commitments and forensic psychiatric care in Sweden 1979-2002 were collected from public statistics. At least one responsible person in leading position (administrative manager or chief psychiatrist) in each of the included counties was interviewed. The total number of involuntarily hospitalised patients decreased about 80% between censuses in 1979 and 2002, but the rates of forensic patients were unchanged. No clear-cut differences were found in the analyses of structure, resources and processes of psychiatric services between counties with high and counties with low levels of compulsory care. The equality before the law may be questioned. The importance of leadership is emphasised for future analyses. 相似文献
86.
This work presents a procedure for the postmortem interval estimation in the presence of a rapid increase of ambient temperature occurred during the cooling phase. The resulting disturbance produced on the cooling curve is proved to obey a two-exponential law and is removed from the actually measured body temperature. This yields a theoretical/modified body temperature, which enables the estimation of the time since death by means of the standard Nomogram method. 相似文献
87.
Dismas Lyegendili Mwaseba Randi Kaarhus Fred H. Johnsen Amon Zacharia Mattee Zebedayo Samwel Kayanda Mvena Lars Olav Eik 《Development in Practice》2015,25(3):347-359
This article presents experiences with collaborative and on-farm research based on the implementation of a four-year Programme for Agricultural and Natural Resources Transformation for Improved Livelihoods (PANTIL) at Sokoine University of Agriculture (SUA) in Morogoro, Tanzania. It outlines the basic elements in the implementation of a programme aimed to be demand-based, and discusses the challenges encountered in combining collaborative research with the empowerment of farmers. Finally, the article draws out some lessons with implications for the future organisation of collaborative and on-farm agricultural research. 相似文献
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89.
Serving Clients When the Server Crashes: How Frontline Workers Cope with E‐Government Challenges 下载免费PDF全文
Implementing e‐government in the contemporary American state is challenging. E‐government places high technical demands on agencies and citizens in an environment of budget austerity and political polarization. Governments developing e‐government policies often mobilize frontline workers—also termed “street‐level bureaucrats”—to help citizens gain access to services. However, we know little about how frontline workers cope in these challenging circumstances. This article fills this gap by examining frontline workers implementing the Patient Protection and Affordable Care Act. Based on a qualitative analysis, the authors find that frontline workers “move toward clients” when coping with stress: they bend the rules, work overtime, and collaborate in order to help clients. They are less inclined to “move away” or “move against” clients, for instance, through rigid rule following and rationing. In other words, frontline workers try to serve clients, even “when the server crashes.” Frontline workers, then, can play a vital role in the successful implementation of e‐government policies. 相似文献
90.
Øystein Foros Hans Jarle Kind Lars Sørgard 《European Journal of Law and Economics》2007,23(2):117-133
Policy makers have identified the non-discrimination principle as a key instrument to regulate vertically integrated firms
in control of upstream bottlenecks. It has been argued that the non-discrimination principle may create a level playing field,
but at the expense of higher consumer prices. However, this rests on the assumption that the firms do not respond strategically
to the regulation. We show that a non-discrimination requirement makes the vertically integrated firm behave more aggressively.
Consequently, non-discrimination regulation rarely creates a level playing field. Neither does it necessarily increase end-user
prices. Indeed, we show that end-user prices may fall.
相似文献