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1.
The new rural cooperative medical system (NCMS) is the primary form of social insurance in rural China. This study aims to explore how the NCMS influences the health care seeking behaviors of middle-aged and older Chinese, considering the family and community contexts. A series of multi-level (three-level) models using data from the first wave of the China Health and Retirement Longitudinal Study (CHARLS) are used. We find that the presence of NCMS coverage has a statistically significant association with seeking inpatient and outpatient care but not physical checkups among middle-aged and older rural Chinese: Rural residents insured by NCMS were more likely to seek inpatient and outpatient care than people who were not insured. Other factors at the individual level (such as self-perceived health and number of doctor-diagnosed chronic diseases), the family level (such as living arrangements and household expenditures), and the community level (such as the presence of township hospitals within the community) are also significant predictors of health care seeking behaviors.  相似文献   

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Using data from a survey in Ankang district of Shaanxi province of China in 2011, this article examines the protective effect of the New Rural Social Pension (NRSP) on quality of life of rural elders, as well the moderating effect on association between family structure and quality of life. An instrumental variable approach is used. NRSP is shown to significantly improve the quality of life of rural elders, and a robustness check shows that this effect is consistent across different sets of subgroups. Compared with the elders who have at least one son, the quality of life of those who are childless or have only one child is significantly lower. The NRSP is more likely to significantly improve the quality of life of one-child elders. In addition, the associations between the NRSP and the different facets of quality of life of the elders are significant except for the facet of sensory abilities.  相似文献   

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I examine the role of rural development strategies in a new member state (Romania) of the European Union and, in particular, analyse the case of the metropolitan area of the Bucharest-Ilfov region. The analysis concerns the selected strategies for rural development in the programming period 2007–2013. It must be noted that Romania is divided into nonadministrative development regions and that the process of land privatisation is not yet concluded. These factors could have a negative influence on the implementation of the interventions. The analysed region is situated in the Southern part of the country and in the central part of the Romanian Plan. The total surface is about 1.8 square kilometres, of which 12.5% are occupied by the town of Bucharest and 87.5% by Ilfov County; however, approximately 88% of the population is concentrated in the urban center and only 12% in Ilfov County. The case study is characterised on the one hand by a high growth rate of the gross domestic product, a relatively low unemployment rate, and increasing consumer good sales (mainly food and beverages); on the other, by some marked disparities in macroeconomic indicators among regions and between rural and urban areas and an enormous lack of infrastructures. The case study thus calls for a local approach in order to identify the strategies required to improve the quality of life of the regional inhabitants (both in rural and urban areas) and to prevent pressure from the urban centre from compromising the rich rural heritage   相似文献   

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VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - There exists a current paradox of philanthropy and the state in China: a stronger social sector accompanied with growth in...  相似文献   

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An oil boom is a complex social and economic phenomenon. The socioeconomic system presented in this article represents a novel effort to explicate boom impacts and changes, within a systems framework, at the community level to enhance community planning and development efforts. Most boomtown studies focus on longitudinal changes of a boom‐bust‐recovery cycle or social‐disruption‐based approaches. This article is an effort to demonstrate that longitudinal changes or social disruptions of a boom manifest through the interactions and interrelationships between social entities and stakeholders acting within the boom conditions and surrounding conditions. The socioeconomic system approach in this article analyzes the boom as a system, which provides a useful lens for many other rural communities currently experiencing unconventional oil and gas development in the United States. The socioeconomic system highlights five main challenges or factors that need to be addressed through community development strategies: develop affordable housing, invest in community infrastructure, expand public services, attract new businesses to the area, and develop better community integration strategies to build trust and unity within the community. This article is qualitative and exploratory in nature. As a result, it explicates the functions, structure, and relationships between system entities to provide a broader understanding of coherence, conflicts, and synergies within a system.  相似文献   

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Recent studies in the anthropology of mobility tend to privilege the cultural imaginaries in which human movements are embedded rather than the actual, physical movements of people through space. This article offers an ethnographic case study in which ‘imagined mobility’ is limited to people who are not mobile, who are immobile or sedentary and thus reflects a ‘sedentarist metaphysics’. The case comes from the island of Siberut, the largest of the Mentawai Islands off the west coast of Sumatra, Indonesia, where government modernisation programs in the second half of the twentieth century focused on relocating clans from their ancestral lands to model, multi-clan villages and on converting people from the indigenous religion to Christianity. Recent changes in the national, regional and local political contexts have led many of the Christians in the villages to reclaim the indigenous religion by invoking the figure of the shaman, whose special skill is the mobility that village dwellers do not have—a mobility that produces and reproduces a spatial, social and cosmological continuity between home and forest. Many people who live on their ancestral land and practice only the indigenous religion argue that the Christians’ hybrid religious practice is not culturally ‘authentic’ because the indigenous religion requires a mobility that is not possible in the government villages. In this view, the shaman is a surrogate, and his ‘substitute mobility’ arises from a sedentarist metaphysics.  相似文献   

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Focusing on the era of the Haitian Revolution, this article analyses recent historiographical developments in both French and English. Though the field has made great strides in recent decades, it occasionally remains hampered by insufficient archival research, a parochial approach by US and French scholars, and linguistic fragmentation. The article also includes a survey of the main archival resources that are available to scholars in Europe, the Caribbean, and the USA.  相似文献   

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Recently researchers have made efforts to reconceptualize digital inequality into discrete levels. These levels reflect access to and diffusion of technologies, proficiency in Internet usage, and propensity to take advantage of the opportunities afforded by information and communication technologies for assistance in daily life. We assess the utility of this approach for studying digital inequality across rural, suburban, and urban counties. Based on data from a 2005 nationally representative random sample telephone survey of 2,185 adults, the results provide mixed support for using this approach to studying digital inequality. In particular, we find that rural residents use Internet technologies less for assistance in helping with economics and other daily activities when compared with individuals from suburban and urban areas; however, our results suggest that this relationship is the product of the slow diffusion of advanced technologies to rural areas. The implications of these findings for understanding this under‐theorized form of inequality are discussed, and we make contributions to this literature through empirically addressing issues of digital capital.  相似文献   

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Abstract By undertaking a census of all agricultural, outdoor recreational, and environmental groups (land‐based groups) in two adjacent counties in Vermont, we demonstrate the dramatic increase of local environmental groups in the last 15 years. Building on the methodologies of Kempton et al. (2001), we first show that official lists of nonprofit groups‐from the Vermont Secretary of State, the Internal Revenue Service, and local grassroots directories—significantly undercount local environmental groups. Second, we show that since the mid‐1980s, the number and membership roles of local autonomous environmental groups have grown rapidly relative to all other types of local and nonlocal land‐based groups in these counties. This article provides preliminary evidence of the recent “greening of social capital.”  相似文献   

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Abstract Into the conventional framework of the state civil-society relationship, which usually includes the state's autonomy and the state's strength, this paper adds a dimension - the identity of the collectivity. The collective identity is from one side the common 'symbolic space’ for both the state and the actors of the civil society, and from the other side the ‘battlefield’ between the state, the society and the different components of the civil society. These tensions stem in a great measure from the emphasis of some aspects over others (for example the primordial vs. civic ingredients) of the collective identity. These interpretations have far reaching implications on the rules-of-the-game in the state and on the state-society relationship. Its identity is central to the determination of the various societal boundaries of the collectivity. This approach is exemplified through analysis of the building of the Israeli state and its transformation from a community to a nation-state, and again from a nation-state to a community state, in a perspective of about 75 years. The article fundamentally challenges the conventional presentation and analysis of the social and political history of Israel.  相似文献   

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VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - Civic engagement has long been understood as a transformative activity, conducive to the reformation of individual...  相似文献   

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Abstract This article argues that the first two decades of Mozambican independence witnessed a proliferation of rural claims to access to, and control over, labor, land and tribute and that this trend contributed to the delegitimization of the Frelimo state. Taking Namapa District, Nampula Province as a case study, it shows the ways in which the reinstatement of chiefs as agents of the local administration in 1992 only served to widen the cascade of claims and counterclaims in many localities and, hence, to further undermine the legitimacy of official authority. Under the circumstances, the achievement of a “decentralized despotism” remained an elusive proposition. Processes of local socio-political change are interpreted within the context of Mozambique's structural adjustment program and its transition to multiparty rule.  相似文献   

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Abstract  This paper is concerned with the role of property ownership and the importance of male patriarchy on family farms. I critique here the role of property and family and its role in State formation. I am interested in local and regional sites where I argue that identity and conduct was determined. This approach indicates how the cultural values of farming were reflected in the culture of the State through its administrative apparatuses of power. Through an explanation of the role of 'family' and 'property', I show how different discourse and techniques involved with rural life received endorsement and support, within legal and non-legal forms of power. I outline the direction my argument will take. Firstly, I show the importance of the family in State policy and how the family was imbedded in ideas of property. Secondly, I show the role of economics as a form of governance. Economics, I argue formed a discipline of productivity through which the family governed the individual and the State governed the family. Thirdly, I show how property, the family and economics were linked within other administrative agencies involved in the 'governmentalisation of society'.  相似文献   

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Public health and healthcare issues in China have historically attracted individuals and organizations to engage the health sector. The growth of health philanthropy in post-Mao China raises questions regarding the role of the state in the development of China’s health philanthropy. Through a historical overview of health philanthropy in China as well as an examination of the functions and effectiveness of health-related philanthropic actors in the contemporary era, this study has identified the state as a major factor in the development of China’s health philanthropy. Indeed, even though the post-Mao reform dynamics have expanded space for health-related charity organizations, the state continues to have commanding height in health philanthropy in terms of status, funding, services, and influence. The state dominance in turn negatively affects the registration, financing, and capacity building of private foundations and NGOs in this area. Whether the state will dominate health philanthropy in the future to a large extent hinges upon how much extra space it is willing to concede in order to accommodate the dynamics in China’s philanthropic sector.

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