More with Less? Fiscal Decentralisation,Public Health Spending and Health Sector Performance

Decentralisation is considered a panacea for deficient public sector performance by many. However, recent trends of health sector recentralisation in several OECD countries suggest the opposite. Taking on a cross‐country perspective, I examine two hypotheses, namely that decentralisation leads to an increase in public health spending (H1) and to poor health sector outcomes (H2). The evidence I present suggests that decentralising spending tends to lead to larger public health sectors and to poorer health sector outcomes. However, decentralising tax authority has no effect on the size of the health sector and may actually have a positive effect on health sector performance. The broader lesson is that while general fiscal decentralisation research tends to imply that its conclusions are valid for all policy areas in a similar way, sector‐specific insights can reveal a more nuanced view on the consequences of fiscal decentralisation.     

农村人力资本投资的影响因素分析

农村人力资本投资不但受到经济发展水平与风险因素的影响,还会受到政府投资政策与投资体制的影响。总得来看,由于政府财力有限以及在投资过程中的城市化倾向、农民收入增长缓慢和人力资本流动造成的风险使得农村人力资本投资水平比较低。     

福建在押未成年犯健康状况及影响因素分析

以福建省未成年管教所14~16周岁在押未成年犯为研究对象,通过文献资料法、访谈法、问卷调查法、统计法等,对其身体健康状况进行分析,家庭教育的缺失是造成他们思想和行为"叛逆"的最主要原因,而家长与孩子之间的平等交流太少,没有给孩子倾诉自己心声的机会,一些孩子沉迷网络游戏、崇尚血腥暴力、甚至感染了"黄色病毒",网络上充斥的"暴力"、"色情"和"为朋友赴汤蹈火,为哥们两肋插刀"的心态在少年犯罪中尤为突出。因此,14~16周岁是一个人健康成长的关键期,如何使他们身体健康、心理健康还能具备良好的社会适应能力应该引起家长、学校、社会的高度重视。     

Opening up the black box: looking for a more capacious version of capacity in global health partnerships

Abstract

Some versions of capacity building construe the goal of North?South partnerships as rendering African laboratories, doctors, scientists, and universities indistinguishable from their counterparts in wealthier nations. The specificities, histories, peculiarities, or inner workings of African institutions and individuals are black-boxed ? no one needs to know about them. This article draws on research at Malawi’s College of Medicine and the work of other social scientists and historians to sketch out a more capacious model of capacity, one in which capacity building is grounded in specificity, attends to material difference, is flexible and innovative, and involves as much learning as teaching. This model of capacity building requires consideration of areas in which the Northern partners in “global health” can be brought to the level of their colleagues in Africa.     

Financial Health in Australian Local Government: The Application of a Funding Assessment Model to Brisbane and Sydney City Councils

Local government financial viability measurement in an accrual budgeting environment poses complex challenges. Financial measures frequently generate conflicting results. A rating scale to assess financial management, constructed originally for South African municipalities (Dollery & Graves, 2009), represents a useful tool to analyze financial health trends. Applying a “Likert-like” scale to financial performance measures to assess “funding compliance”, the model in this article assists municipalities to avoid financial difficulties. To demonstrate the applicability of this model, we apply the model to the Brisbane City Council and the Sydney City Councils. Results show that the model represents a valuable aid to financial management decision-making.     

The politics of HIV/AIDS in South Africa: government action and public response

A decade ago it seemed likely that African governments would be destabilised by the impact of the HIV/AIDS epidemic. This article tests some of the presumptions in such forecasting with an examination of the South African case. It begins with an assessment of the effects on the public health system of the South African government’s efforts to cope with the illness. Efforts to implement universal treatment of people who are HIV-positive appear to have strengthened government, while the costs have been affordable. The efforts have extended the embrace of the public health system and prompted the engagement of civil society in policy formation and implementation. Survey evidence suggests that the government has gained public approval and that its health service delivery has become more socially accountable. Civil protest to engender political reforms in the treatment of AIDS patients has enhanced the role of constitutional checks on executive authority.     

高职学生心理健康问题分析及教育对策

目前,高职学生心理健康问题呈现递增趋势,已成为严重阻碍大学生健康成长和顺利完成学业的重要因素.如何塑造学生健康完整的人格,使学生在德育、智育、体育、心育得到全面发展,已成为教育工作者共同关注的问题.文章主要从心理健康的内涵、高职学生心理健康问题的表现特征、高职学生心理健康问题的形成因素进行分析、总结,并针对高职学生心理健康问题的现状,提出几点解决和教育的对策.     

重型犯常见的心理问题及应对策略

重型犯是指犯罪性质恶劣、情节严重以及社会危害性很大的罪犯。用症状自评量表(SCL—90)对重型犯进行了测查,发现入监初期与入监中期服刑人员相比,入监中期服刑人员在躯体化、忧郁、偏执三项因子分方面明显高于入监初期犯人,表明服刑时间较长的罪犯存在更多的心理问题。因此,综合运用各种改造手段对罪犯进行心理和行为矫正,广泛开展心理健康教育,就可以极大地提高我国特殊预防的水平。     

美与生态健康在语境性审美体验中的整合——以伊顿的审美理论为讨论中心

借鉴生态学知识与原理来重新解释审美活动及其一系列关键词是生态美学建构的重要组成部分,针对生态危机这个时代语境来重释"美"的要点则是解释它与"生态健康"的内在关联,其理论难点是将认识性的、不可感知的"生态健康"内容有机地融合到审美体验之中,从而建构出有别于传统之"美"的"生态健康之美",进而将传统的审美体验转化为生态审美...     

从国际法角度论多边贸易自由化与国内公共健康政策的冲突和协调

WTO成员以公共健康为口号发起的贸易限制措施与各国在WTO下的贸易自由化的义务存在着冲突。GATT/WTO的有关规则和实践显示出多边贸易体制对国内公共健康政策的态度从“忽视”到“有条件肯定”的演变过程。具体来说,GATT时期的规则和争端解决实践不利于国内公共健康政策的实施,而WTO时期出现了有利于国内公共健康政策实施的变化。在WTO现行体制下,各国在实施为公共健康目标的贸易措施时,应符合特定目标的合法性、目标与手段的一致性、目标与手段的相称性等一般要求和相关的具体要求。