Structural and operational factors affecting quality of patient care in nursing homes

This article inquires into structural and operational characteristics of nursing homes that have predictive power for the quality of direct patient care provided to their residents. Data are from nursing homes in the Phoenix, Arizona, metropolitan area. The data were analyzed using multivariate linear regression. Findings of policy interest are that, other things equal: (1) for-profit facilities provide lower levels of care than do nonprofit facilities; and (2) distantly headquartered chain operations provide lower care levels than locally owned facilities. These factors should be considered in long-term care planning and regulation.     

1902 and the Origins of Preferential Electoral Systems in Australia*

Australia is the birthplace of the two main forms of preferential electoral voting — the Alternative Vote (AV) and the Single Transferable Vote (STV) methods. Accident and force of circumstances largely explain their introduction. The Hughes Government introduced the AV system in 1918 in an attempt to prevent the right‐of‐centre parties from splitting their support to the benefit of the ALP. In 1948 the Chifley Government moved to replace the Senate's preferential block system with the STV method in an attempt to electorally contain Menzies. Yet credit also needs be given to the deliberate efforts and clear intentions of their designers. The electoral systems proposed in 1902 were ahead of their time. Indeed, 1902 marked an important step in the design of Australia's electoral system. Once the debate had crystallized around the relative merits of preferential methods, it was only a matter of time before the Commonwealth would see their adoption.     

A political economic analysis of congressional voting patterns on NAFTA

This paper delves into the question of the determinants of Congressional voting on NAFTA. It uses a logit model to examine both House and Senate votes and is able to use district specific estimates in the former. It finds only very limited support for the thesis that narrowly defined employment gainers and losers were important determinants of Congressional voting patterns, though some substantial support that districts that were highly agricultural or already possessed a substantial Hispanic population and skilled labor force and had the most to gain from the general effects of NAFTA lead to a positive effect on the probability that a member of the House would vote affirmatively. Contributions from labor unions lowered the likelihood of affirmative votes. Political partisanship and ideological positions apparently had little effect on the votes. A Representative's political capital had a marginally significant effect on the probability on an affirmative vote, but it performed positively in the Senate and negatively in the House.     

Future-time perspective in adolescence: The present of things future revisited

Several theorists have suggested that the observed changes in adolescent future-time perspective are due to the emergence of formal-operations reasoning [e. g., T. J. Cottle and S. Klineberg (1974),The Present of Things Future, Free Press-Macmillan, New York; P. Fraisse (1963),The Psychology of Time, Harper & Row, New York; H. Hartmann (1958),Ego Psychology and the Problem of Adaptation, International Universities Press, New York; J. Piaget (1968),Six Psychological Studies, Vintage Book, New York]. Using a cross-sectional sample of 60 Caucasian adolescents, the present study was designed to examine this hypostatized interrelation. Data obtained through individual interviews provide only limited support for a cognitive hypothesis. As predicted, older students showed greater future extension and the more cognitively advanced students proved better able to project a set of events into the distant future. However, neither the older, nor the more cognitively advanced, students projected a greater number or a more consistent set of future events than did their respective counterparts. Moreover, analysis of the types of events projected obtained significance only for grade level. The findings are discussed from a contextualist perspective, within which consideration is given to the influence of experiential and life-span status factors.This paper is an expanded version of one presented as part of the symposium entitled, The Timing of Life Events in Adolescence, at the annual meeting of the Educational Research Association, Montreal, Canada, April 11–15, 1983. This work was completed while the author was a Clinical Research Training Fellow in Adolescence (funded by T32 MH 14668) at the Institute for Psychosomatic and Psychiatric Research and Training, Michael Reese Hospital and Medical Center, in a program also sponsored by the Department of Behavioral Science (Human Development) and Psychiatry, University of Chicago, and the Adolescent Program of the Illinois State Psychiatric Institute.Received a Ph.D. from Boston University. Research interests include cognition, self-concept, and adolescence.     

Canadian aid for the training of public servants in Ghana and Zimbabwe

The Canadian International Development Agency has co-sponsored a number of training programmes for public servants. In this article two of the larger programmes are examined, one with the Government of Ghana, the other with Zimbabwe. The main work with Ghana was undertaken in that country: much of the work with Zimbabwe was undertaken in Canada—for different reasons and with somewhat different results. Over 400 officials have completed the basic courses (generally of 3 months duration). Others have attended shorter courses, training-of-trainers projects, and a workshop for cabinet ministers. In this paper questions are explored about the relevance of such training, the nature of the content and ways to evaluate such activities. Practical issues of aid planning and implementation are raised and, finally, questions of aid targets are examined in the light of the experiences of these programmes.     

Different Seeds in the Same Plot? Competing Models of Capitalism and the Incomplete Contracts of Partnership Design

This article explains the differing nature of UK government and European Commission approaches to partnership, drawing on the 'competing models of capitalism' debate. Comparative studies have typically considered the impact of the same institutional arrangements across different territories – the 'study of identical seeds sown in different plots'(Putnam 1993, p. 7). However, this article is concerned with the study of different seeds sown in the same small plot: an area within the city of Sheffield. The different approaches to partnership enshrined in UK and EU regeneration programme documents structure different prospective outcomes. However, regeneration programme requirements must be understood as 'incomplete contracts' and as such, policy implementers play a key role in shaping policy outcomes.     

Consultation, Constraints and Norms: The Case of Nuclear Waste

The objectives of public consultation can clash with other policy objectives, partly because the norms underpinning public consultation clash with other institutional norms within the policy process. This phenomenon is evident in the case of selecting a site for a low-level nuclear waste disposal facility in Australia. This case shows how the results of consultation processes are moulded by the process design, which in turn is constrained by a range of policy process norms to which governments adhere. The case confirms some recent critiques of participatory practices. It also suggests that reconciling potentially competing policy process norms will be an important exercise in institutional design if elected representatives wish to mitigate citizens' alienation from their governments.