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No abstract available for this article.  相似文献   

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The paper examines the growth of private health care in India in the context of its regulatory provisions and questions the work and employment conditions of female care workers (nurses) employed there. Nurses constitute 80% of the total workers in each nursing home/hospital. In the wake of increased demand for private health care since mid‐1990s, insertion of technology and investment is inducing transformation of nursing homes into multi‐ and super‐speciality hospitals resulting in changes in work organization of nurses. This has led to demand for larger numbers of workers. Employers gain by the segmentation in the nursing labor market, paying low wages. Workers face widespread social discrimination, long working hours, and high work intensity. The deplorable situation of a significant section of workers employed in this sector indicates state failure to control the private health sector. Lack of effective standards of work impacts nature of work of the workforce employed in various levels in the healthcare system.  相似文献   

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As part of a broader program of market reform, China's local governments are progressing an agenda of purchasing child welfare and other social services from the nongovernment sector, primarily to expand capacity and address vast unmet need. This paper draws on current research evidence to explore the approaches to purchasing emerging in China, examining the rationale for purchasing and models of supply, competition, and regulation. While some approaches are modeled on direct service contracting, direct purchasing of social service “posts” is also used, aimed at achieving goals of professionalization alongside service expansion. Overall, the review shows purchasing is helping to rapidly expand service scale and capacity; however, regulatory strategies for managing and mitigating risks to quality and access appear lacking. This highlights the need for further scholarship aimed at developing the robust risk management strategies which are required to support high quality, sustainable provision of purchased services.  相似文献   

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中国快速的社会变迁从哪些方面折射出代际间在价值观上的差异?本研究将定量与定性研究方法相结合,探  相似文献   

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We study political influence in institutions where each member chooses a level of support for a collective goal. These individual choices determine the degree to which the goal is reached. Influence is assessed by newly defined binary relations, each of which ranks members on the basis of their relative performance at a corresponding level of participation. For institutions with three options (e.g., voting games in which each voter may vote “yes”, “abstain”, or vote “no”), we obtain three influence relations, and show that their strict components may be cyclic. This latter property describes a “paradox of power” which contrasts with the transitivity of the unique influence relation of binary voting games. Weak conditions of anonymity suffice for each of these relations to be transitive. We also obtain a necessary and sufficient condition for each of these relations to be complete. Further, we characterize institutions in which the rankings induced by these relations, and the Banzhaf–Coleman and Shapley–Shubik power indices coincide. We argue that extending the influence relations to firms would be useful in efficiently assigning workers to different units of production. Finally, we provide applications to various forms of political and economic organizations.  相似文献   

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Based on a research project in Toronto, Canada, this article highlights the strengths and resiliency of 12 female Aboriginal Elders and seniors as they age together. For these women, being actively involved in their families and the Aboriginal community gives them a solid grounding in who they are, what their roles are and how they contribute to the whole. Of particular significance is the support and friendship the women offer each other through their commonalities, activities, and sense of humor.  相似文献   

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How do conditions of diversity and inequality affect the sense of solidarity with each other that is manifested as social trust? This article brings together the literatures on racial heterogeneity, inter-group contact and relative deprivation to test and enrich the existing theoretical understanding of trust. It explores the effects of city and neighborhood contexts, individual experiences of inter-group relations, and their moderating effects on social trust. Findings suggest that the influence of a city's level of ethnic/racial diversity and income inequality is conditioned by inter-group social ties and experiences of discrimination. By considering the characteristics of neighborhoods, racial diversity of cities no longer has any significant association with trust in others. However, income inequality at the city level interacts with experiences of discrimination to undermine trust. Public policies aimed at improving social cohesion would benefit from considering the joint impact of economic and social policies that regulate resource distribution and hence shape inter-group relations.  相似文献   

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Differences between traditional laboratory research and Internet-based research require a review of basic issues of research methodology. These differences have implications for research ethics (e.g., absence of researcher, potential exposure of confidential data and/or identity to a third party, guaranteed debriefing) and security (e.g., confidentiality and anonymity, security of data transmission, security of data storage, and tracking participants over time). We also review basic design issues a researcher should consider before implementing an Internet study, including the problem of participant self-selection and loss of experimental control on the Internet laboratory. An additional challenge for Internet-based research is the increased opportunity for participant misbehavior, intentional or otherwise. We discuss methods to detect and minimize these threats to the validity of Internet-based research.  相似文献   

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