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291.
Balancing regulatory controls and incentives: toward smarter and more transparent oversight in long-term care 总被引:1,自引:0,他引:1
Government oversight of long-term care involves inspections of patients' records, limited observations of patients and care practices, reviews of policies and procedures, and distribution of publicly available information. Although many providers bemoan the stifling consequences of excessive regulation, oversight in this area remains a highly legitimate endeavor for the public, though the public has limited trust in the existing regulatory regime. This distrust stems from many sources, not least of which includes considerable variation, both within and across states, in the way government oversight occurs. Reforming the current regulatory structure requires that we regulate "smarter" and more consistently. This means improving and maximizing use of the data already being collected, but it also means explicitly rationalizing the regulator's responsibility to review performance and apply sanctions when necessary. Oversight should more closely resemble consultancy, with regulators sharing information with providers about how to improve quality. Ideally, there needs to be an iterative process in which state inspectors identify performance problems and the nation's quality improvement organizations then help providers design quality improvement interventions to ameliorate the problems identified. The benefits of a revised regulatory approach are especially apparent in the aftermath of Hurricane Katrina, where more effective oversight would have identified nursing home residents at risk for low-quality care before the disaster occurred while better identifying those in need of evacuation or assistance afterward. 相似文献
292.
This paper examines the relevance to delinquency of social capital that is directly embedded in the relationships that teenagers have with peers, parents, and those in positions of authority and those indirect social capital that teenagers may benefit due their parents' relations with their school or friends. The analysis employs data from the Canadian National Survey of Children. The study shows that personality traits are the most important predictors of property offences. Nevertheless, we also show the importance of social relationships embedded directly in individuals themselves and these are more important than those embedded indirectly through their family. Well connected youth with good friends and quality teachers commit significantly less property offences when controlling for personality traits and parents' social capital. 相似文献
293.
This article presents and tests a knowledge and technology transfer framework in a quadruple helix environment, from an actor perspective. The Canadian forest products industry provides a unique opportunity for data collection through case studies as it is an industry built on a triple bottom line, which is managed for sustainable progress. By confronting the new framework to 31 professionals, we highlight the role and challenges faced by each helix. Several factors such as culture, time horizon management and the adaption of theory to practice appear to be determinant to improve technology transfer. We see in our work an important contribution to the generalization of knowledge and technology transfer processes in a quadruple helix environment. 相似文献
294.
Providing cash transfers to vulnerable groups reduces vulnerability and chronic poverty; but delivering cash to remote, rural locations can be expensive and insecure. Alternative delivery systems using technology are thus being piloted. This article uses examples from southern Africa to highlight the opportunities and risks involved in using technology to deliver social protection, with particular focus on two schemes in Malawi. It concludes that there is great potential for the use of technology in delivering social protection, especially if employed at a national scale and taking advantage of the full spectrum of uses to ensure cost-efficiency. 相似文献
295.
Kristan Cockerill Lacy Daniel Leonard Malczynski Vincent Tidwell 《Policy Sciences》2009,42(3):211-225
Collaborative modeling offers a novel methodology that integrates core ideals in the policy sciences. The principles behind
collaborative modeling enable policy researchers and decision makers to address interdisciplinarity, complex systems, and
public input in the policy process. This approach ideally utilizes system dynamics to enable a multidisciplinary group to
explore the relationships in a complex system. We propose that there is a spectrum of possibilities for applying collaborative
modeling in the policy arena, ranging from the purely academic through full collaboration among subject matter experts, the
general public, and decision makers. Likewise, there is a spectrum of options for invoking collaboration within the policy
process. Results from our experiences suggest that participants in a collaborative modeling project develop a deeper level
of understanding about the complexity in the policy issue being addressed; increase their agreement about root problems; and
gain an appreciation for the uncertainty inherent in data and methods in studying complex systems. We conclude that these
attributes of collaborative modeling make it an attractive option for improving the decision-making process as well as on-the-ground
decisions. 相似文献
296.
Since the end of the Cold War, much has been made about the crises that recurrently characterize the transatlantic relationship. Since the attacks of September 11th and the war in Iraq, such a crisis, according to many, has developed into a fully-fledged rift, which is beyond repair. The different views and policies of the US and EU in the Middle East are usually held as a paradigmatic example of the differences that exist between the two actors. The paper challenges this assumption and argues that the transatlantic rift, once the rhetoric is set aside, is not as deep as many suggest. In fact, through an in-depth analysis of how the democracy-promotion policies on the EU and the US are implemented, the paper shows that they are attempting to achieve similar objectives, under similar constraints and suffer from similar contradictions and shortcomings. The paper investigates such policies in the context of Tunisia, a country which, at least theoretically, should be moving forward towards democracy given the pro-democracy environment in which it operates. 相似文献
297.
David Blazar Blake Heller Thomas J. Kane Morgan Polikoff Douglas O. Staiger Scott Carrell Dan Goldhaber Douglas N. Harris Rachel Hitch Kristian L. Holden Michal Kurlaender 《Journal of policy analysis and management》2020,39(4):966-1019
Can a school or district improve student achievement simply by switching to a higher-quality textbook or curriculum? We conducted the first multi-textbook, multi-state effort to estimate textbook efficacy following widespread adoption of the Common Core State Standards (CCSS) and associated changes in the textbook market. Pooling textbook adoption and student test score data across six geographically and demographically diverse U.S. states, we found little evidence of differences in average achievement gains for schools using different math textbooks. We found some evidence of greater variation in achievement gains among schools using pre-CCSS editions, which may have been more varied in their content than post-CCSS editions because they were written for a broader set of standards. We also found greater variation among schools that had more exposure to a given text. However, these differences were small. Despite considerable interest and attention to textbooks as a low-cost, “silver bullet” intervention for improving student outcomes, we conclude that the adoption of a new textbook or set of curriculum materials, on its own, is unlikely to achieve this goal. 相似文献
298.
Vincent Hopkins 《管理》2020,33(3):693-710
In majoritarian parliaments, the executive branch typically enjoys an informational advantage over the legislature. In theory, legislators can reduce this asymmetry with information from interest groups. In practice, the government is almost always better informed than the legislature. This article develops a model whereby a politician's access to outside information depends not just on her parliamentary power but on the diffusion of legislative agenda control among political parties—for example, during minority government. Using a new panel data set of 41,619 lobbying communications, it finds interest groups are more likely to communicate with government frontbenchers than with opposition or backbench members. This gap diminishes as agenda control diffuses to opposition parties. It also finds evidence of partisan clustering in lobbying networks during majority government. Strong legislative parties weaken accountability by restricting access to outside information, but this is conditional on the governing party's control over the agenda. 相似文献
299.
300.
Alison Vincent 《Journal of Australian Studies》2017,41(4):503-517
In Australia in the 1970s, restaurant dining became a popular middle-class pastime, and restaurant criticism began to play an important role in the shaping of Australian tastes. Richard Beckett was one of the most prolific Australian food writers of the 1970s and 1980s and one of the first to write a regular column devoted to restaurant reviews. Writing as Sam Orr, a satirical character invented to suit the ethos of the irreverent Nation Review, Beckett produced highly original reports of his dining experiences. He aimed to both educate and entertain his readers and to subvert the perception of restaurant dining as an elitist pastime. Beckett’s contribution as a tastemaker was disparaged at the time and has been largely neglected since. Through a consideration of the role of Nation Review, Beckett’s reviews, published responses to Sam Orr by both his critics and his fans and unpublished correspondence from readers, this article offers a reassessment of Richard Beckett’s role in the shaping of Australia’s tastes in restaurant dining through his endorsement of the distaste of taste. 相似文献