In the last decade considerable research in social sciences has focused on interpersonal trust, treating it as a remedy for most maladies modern democracies suffer from. Yet, if others act dishonestly, trust is turned into gullibility, thus mechanisms linking interpersonal trust with institutional success refer implicitly to honesty and civic morality. This paper investigates the roots of civic morality. It applies hierarchical models to data from 38 countries, and tests the individual, community and structural explanatory factors. The results of the analysis point to the relevance of an institutional dimension, both in the form of individuals’ perceptions as well as the quality of governance: confidence in political institutions and their objective quality are the strongest predictors of civic morality. At the same time, the findings show that the recently popular claims about the importance of social capital for citizens’ moral standards are largely unfounded.
Abstract The Government of Ukraine has not pursued health care reforms now commonplace in the rest of Europe and Central/Eastern Europe that rely less upon centralized, state delivery of services and more on decentralized operational responsibilities and competition for services that increase patient choice. The Ukrainian health sector suffers from personnel overspecialization and facility overcapacity, resulting in high-cost, low productivity services. Budget funds are unavailable for operations and maintenance resulting in poor quality services. The state provides health care as a constitutionally-protected monopoly, relying on the traditional command and control model which ignores cost/quality competition options and responsibilities to patients. Overall, the system which produces these results is over-centralized, requiring achievement of physical service norms without providing sufficient funds. The centralized system does not monitor or evaluate services beyond narrow financial accountability and control requirements. The health care system is paradoxically over-centralized but unable to regulate or control local health care official decisions to ensure compliance with national standards. Needed are reforms in the health care policy and operational areas to produce the supply of services needed for national economic recovery. In the short-term, the budgetary framework can be improved as an operational/management guide through development of comparative information on results. Most of this information can be based on the economic classification consistent with the chart of accounts. Funding stability can be increased to improve expenditure control by implementing a new fiscal transfer formula that provides discretion (i.e., block grants) and performance criteria (i.e., outcome measures). In the medium-term, building on the technical foundation of physical norms and statistical reporting, the health care budgeting and financial management system should shift emphasis to: program planning, policy and management analysis, and public communications. The results of these reforms should lead to decentralized health care operations, service analysis, and delivery responsibilities. At the same time, the reforms should lead to proper centralization of responsibilities for strategic policy decisions, safety regulation, national standards, and program evaluation. 相似文献
This study investigates the determinants of FDI inflows in six Central and Eastern European countries (CEEC) by incorporating the traditional factors and institutional variables over the 1996–2009 period. The study identifies whether and how these determinant factors differ across four investor countries (EU-15, the US, China, and Japan). The results verify the positive and economically significant role of GDP size, trade openness, EU membership, and institutions (measured by economic freedoms, state fragility, political rights, and civil liberties indices) on FDI inflows. The results also reveal the existence of notable differences in the determinant factors across four investor countries. 相似文献
African smallholders face few opportunities that can be captured through new technologies alone. Analysis of the institutional context in which they work opens new pathways for innovation. This article synthesises nine studies that attempted such analysis. Using mixed appraisal methods, the studies identify institutional conditions that explain the, often unsatisfactory, outcomes of smallholders, as well as entry points for changing them. Instead of at the farm or community levels, Participatory Innovation System Analysis seeks at higher levels to identify actors, networks and mechanisms that maintain or can change the “pervasive bias against the small farm sector” in SSA.
Défier le « biais omniprésent » à l'encontre des petits cultivateurs africains: identifier les points d'entrée pour les changements institutionnels
Les petits cultivateurs africains ont à leur disposition peu d'opportunités qui puissent être saisies par le seul biais des nouvelles technologies. Une analyse du contexte institutionnel dans lequel ils travaillent ouvre de nouvelles voies pour l'innovation. Cet article synthétise neuf études qui ont tenté une analyse de ce type. À l'aide de méthodes d’évaluation mixtes, les études identifient les conditions institutionnelles qui expliquent les résultats, souvent insatisfaisants, obtenus par les petits cultivateurs, ainsi que les points d'entrée pour les modifier. Au lieu de le faire aux niveaux des exploitations ou des communautés, l'Analyse participative des systèmes d'innovation cherche à identifier à des niveaux supérieurs les acteurs, réseaux et mécanismes qui maintiennent ou peuvent modifier le « biais omniprésent à l'encontre du secteur des petits cultivateurs » en Afrique sub-saharienne.
Cuestionando “el prejuicio persistente” contra los pequeños productores africanos: identificando puntos de abordaje para lograr el cambio institucional
No existen muchas oportunidades de desarrollo dependientes exclusivamente del uso de tecnologías nuevas que puedan ser explotadas por los pequeños productores de África. El análisis del contexto institucional en el que éstos trabajan permite abrir nuevas vías para la innovación. El presente artículo sintetiza nueve estudios que realizaron dicho análisis. A partir del uso de distintos métodos de valoración, dichos estudios identificaron las condiciones institucionales que explican los resultados —a menudo insatisfactorios— obtenidos por los pequeños productores y señalan los puntos de abordaje para mejorar tales resultados. En vez de ser aplicado a nivel de parcela o de comunidad, el Análisis Participativo de Innovación de Sistemas procura identificar a aquellos actores, redes y mecanismos existentes a niveles superiores que pueden mantener o transformar el “perjuicio persistente contra el sector de las pequeñas parcelas” en el África Subsahariana.
Desafiando o “preconceito difundido” contra os pequenos proprietários africanos: identificando portas de entrada para mudança institucional
Os pequenos produtores africanos possuem poucas oportunidades que só podem ser aproveitadas com novas tecnologias. A análise do contexto institucional no qual eles trabalham abre novos caminhos para a inovação. Este artigo sintetiza nove estudos que visaram tal análise. Utilizando métodos de avaliação mistos, os estudos identificam condições institucionais que explicam os resultados, frequentemente insatisfatórios, de pequenos produtores, além de portas de entrada para modificá-los. Em vez dos níveis rurais ou comunitários, a Análise Participativa do Sistema de Inovação busca em níveis mais altos identificar agentes, redes e mecanismos que mantêm ou podem mudar o “preconceito difundido contra o setor dos pequenos produtores rurais” na África Subsaariana. 相似文献