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This article examines the stability of street-level bureaucrats' negative perceptions regarding a newly implemented managed care system on quality of care and service delivery in a publicly funded behavioral health care system. Overall findings indicate that the generally negative perception of managed care did not differ between staff in the two programs, indicating a weak effect on attitudes of frontline workers. More proximal variables to the caregiver, such as service type and job title, show more influence on attitudes. The conclusion discusses the implications of these findings for practicing administrators and academic researchers.  相似文献   
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Gemmell  Norman  Morrissey  Oliver  Pinar  Abuzer 《Public Choice》2002,110(3-4):199-224
Local tax reform in Britain in 1993 (reinstating a propertytax) may have reversed some intended fiscal illusion reducing,and ``accountability'' improving, features of the poll tax(itself a reform introduced in 1990 with the specific aim ofpromoting accountability). We formalize these features withina median voter model of the demand for local publicexpenditure that distinguishes between accountability andfiscal illusion effects. The model shows that a prioriaccountability effects on expenditures are ambiguous.Available data for England and Wales are used to test themodel. We find strong evidence of grant illusion (the flypapereffect), similar across tax regimes, with evidence of renterillusion and of less accountability under the property tax.The degree of local income inequality appears to affectexpenditure levels only with the property tax.  相似文献   
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To construct and validate an instrument that would measure barriers to help-seeking behavior in adolescents. Method: A 37-item questionnaire based on prior help-seeking literature was constructed to yield a total score indicating strength of barriers to help-seeking behavior. The instrument was given to a sample of 280 high school students following a pilot study of 65 students. Results: The instrument was found to have good test–retest and internal reliability and adequate validity in the tested population. It shows promise in helping to identify adolescents who may be amenable to, and opposed to, therapeutic intervention, and may aid in understanding which barriers to help seeking are most significant in any given population.  相似文献   
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The prevalence of serious mental illnesses in jail populations is significantly greater than in the general population. Identifying individuals who warrant psychiatric evaluations is important and benefits correctional staff as well as detainees. One widely used screening instrument intended for this task is the Referral Decision Scale (RDS). This paper reviews the development and validation of the RDS. Using data from a multisite study which assessed postrelease outcomes for detainees with mental illness, various types of validity are addressed. The results confirm that the RDS has some inherent characteristics that seriously limit its practical application as a screening instrument for use by correctional staff.  相似文献   
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In order to assess the efficacy of vacuum metal deposition (VMD) as a technique to develop fingermarks on ballistic metallic surfaces, a preliminary study using six donors (three male & three female) was conducted. Using a sequential metal deposition process, two metal combinations were studied—gold/zinc and silver/zinc. Results indicate the potential of this technique, by developing identifiable fingermarks on brass metal disks aged from a few days up to more than a month old. As the development of fingermarks on fired (brass) cartridge cases is an area of interest, a further study was conducted where a total of 20 fingermarks were deposited on cases. After firing, second level fingermark characteristics were successfully observed on cartridge cases highlighting its potential as a fingermark enhancement method for ballistic brass materials. Further work is required to fully evaluate the VMD process and its reliability as a fingermark enhancing method on ballistic surfaces.  相似文献   
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This article contributes to the literature on aid and economic growth. We posit that uncertainty, measured as the instability of aid receipts, will influence the relationship between aid and investment, how recipient governments respond to aid, and will capture the fact that some countries are especially vulnerable to shocks. When we account for uncertainty (which is negative and significant), we find that aid has a significant positive effect on growth, largely due to its effect on the volume of investment. The finding that uncertainty of aid receipts reduces the effectiveness of aid is robust. When the regression is estimated for the sub‐sample of African countries these findings hold, although the effectiveness of aid appears weaker than for the full sample.  相似文献   
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This article addresses three issues. First, it argues that the use of trade related investment measures (TRIMs) by LDCs can only be analysed in the context of their dealings with transnational corporations (TNCs). Second, it considers the applicability of existing GATT rules to TRIMs and shows that they are inadequate and can pose difficulties for LDCs seeking foreign direct investment by TNCs. Third, it suggests a framework for regulating TRIMs as one element of host‐TNC relations. The article concludes with proposals for enhancing the capacity of LDCs in their dealings with TNCs.  相似文献   
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Sacred rhetoric invokes nonnegotiable convictions rather than reasoned consequences. This form of rhetoric, grounded in transcendent authority and moral outrage, provides an electoral advantage by inspiring greater political engagement and valorizing candidates in the eyes of voters. A study of the language employed in contemporary presidential debates from 1976 to 2004 illustrates that while Democrats made sacred appeals in a few political domains, Republicans employed sacred rhetoric more frequently across a broad range of issues. Democrats have relied more heavily on projected numbers and plans rather than protected values and bounds, often yielding to Republicans an absolutist advantage.  相似文献   
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