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101.
Finocchiaro C 《Physician executive》1997,23(7):30-32
Public health policy is shaped by many factors. A brief historical reflection is given on policy development in Australia to illustrate the various influences on health policy. Medical technology; ethical trade-offs; environmental, social, and political imperatives; popular movements; and changing patterns of disease; as well as market forces have helped to shape Australian contemporary public health policy. These multiple and often competing forces, however, can work against individual consumer choice in health care decisions. This article demonstrates through the eyes of history the factors that shape public health policy. As Australia has a short history compared to most industrialized democratic societies and can be viewed as a microcosm, it is used as the exemplar. 相似文献
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Routinely collected computerized data were used to study the process of service delivery in terms of admission patterns, type and quantity of services rendered, and status at termination for whites and nonwhites in two community mental health centers. Social area analysis techniques were employed to control for socio-economic status, ethnicity and life style variables, and an epidemiologic model was used to analyze admission and service delivery rate differences. It was found that nonwhite admission rates were at least twice as great as white rates. Service delivery rates to the population at large were considerably greater for nonwhites than for whites. Delivery of direct services within the centers differed for whites and nonwhites, but no consistent trends emerged when types and amounts of services rendered were analyzed, controlling for sex, ethnicity, age, diagnosis and social area. Disruption of care indices were greater for nonwhites than for whites. Highlighted were some of the complexities involved in interpreting results of utilization studies. 相似文献
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The setting of health priorities is primarily concerned with the equitable distribution of resources and is now more than ever an important part of strategic planning within the National Health Service (NHS). The basic information which can be used to assist in such decision-making and the process by which different agencies become involved are important aspects of priority-setting; this article is based on a major review of the research literature on these aspects and provides a discussion and an analysis of experience within health and other fields. From this material a number of possible approaches to priority-setting are identified and discussed. The article concludes that, before it can be decided how priorities should be set in the future, outstanding questions about how far rational approaches are feasible, about who is to be involved and what role they should play, and about how far such decisions are to be taken nationally or locally will need further consideration. 相似文献
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1971年12月27日,英国经济学家琼·罗宾逊在美国经济学协会第八十四届年会的理查德·艾黎讲座上作了一篇题为《经济理论的第二次危机》的讲演.罗宾逊夫人在讲演中提出了资产阶级经济理论正在经受第二次危机,并对美国凯恩斯派经济理论展开了猛烈的抨击.我国学术界对此讲演曾作过介绍.鉴于这场论争有助于我们了解垄断资产阶级经济理论的发展和演变,现将罗宾逊夫人的《经济理论的第二次危机》和美国凯恩斯派代表人物詹姆斯·托宾的《英国剑桥与美国剑桥之间的论战》两篇文章的摘要一并刊出;同时,我们请中国社会科学院经济研究所黄范章同志写了一篇文章:《从"两个剑桥之争"谈起》,对这场论争的背景和意义,作了扼要的评论. 相似文献
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Clark C Watkins SC Wilson C Banks JA Walsh B Bone M Palloni A Alderson M Crook NR 《Population studies》1983,37(1):137-149
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