An Examination of the Woodwork Effect Using National Medicaid Long-Term Services and Supports Data

A common concern in long-term services and supports (LTSS) policy is the “woodwork effect,” which has two components: (1) more people will use publicly funded services if access to home- and community-based services (HCBS) is expanded; and (2) the additional beneficiaries will increase the growth rate of LTSS expenditures. Medicaid LTSS beneficiary and utilization data starting in 1999 indicate modest growth in beneficiaries and expenditures, after adjusting for inflation and the number of people with functional impairments. The data do not provide strong evidence that the shift in Medicaid funding toward HCBS significantly increased or decreased overall Medicaid LTSS spending.     

Transition from Home Care to Nursing Home: Unmet Needs in a Home- and Community-Based Program for Older Adults

A major effort is under way nationally to shift long-term care services from institutional to home- and community-based settings. This article employs quantitative and qualitative methods to identify unmet needs of consumers who transition from a statewide home- and community-based service program for older adults to long-term nursing home residence. Administrative data, care manager notes, and focus group discussions identified program service gaps that inadequately accommodated acute health problems, mental health issues, and stressed family caregivers; additional unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options. National and state-level policy implications are considered.     

Intersectionality,Multiple Messages,and Complex Causality: Commentary on Black Sexual Politics by Patricia Hill Collins

In this article I approach gender, sexuality, and race as analytical concepts and intersectionality as an analytical framework for examining the relations between these concepts and the context within which they operate. Issues of complex causality make the disentangling of messages communicated by symbolic and everyday acts susceptible to oversimplification and paralysis of political action. Intersectionality addresses many of the pitfalls featured among intractable political problems such as racism. Patricia Hill Collins's provocative book Black Sexual Politics (2005) Collins, P. H. 2005. Black Sexual Politics, New York: Routledge.  [Google Scholar] proposes an alternative lens, that of the “new racism,” and I interrogate the utility of both frames for the analysis of African American popular culture and sexuality in the 21st century.     

历史文化资源开发与河北省文化强省建设探研

河北省历史文化资源种类繁多、内容丰富,具有建设文化强省的先天优势。然而,在河北省众多的历史文化资源中,具有较高知名度的品牌却并不多见,除了少数传承已久的精品资源妇孺皆知外,多数仍处于少人问津的状态,这与河北文化强省建设是格格不入的,并已成为文化强省建设中的重要瓶颈,因此急需开发。在具体开发中,无论是社会科学工作者、新闻媒体,还是各级党委和政府,都应该勇于挑起宣传与弘扬历史文化的重任,为建设文化强省贡献一己之力。     

劳动力成本与制造业创新效率——基于首轮“民工荒”后省级层面的经验分析

运用随机前沿分析模型,基于首轮"民工荒"后省级层面的制造业面板数据,在考虑创新投入产出时滞的情况下,测算了中国30个省份首轮"民工荒"后制造业的创新效率,并分析了劳动力成本对创新效率的影响.结果显示:1.2004年首轮"民工荒"后,中国各省份劳动力成本迅速攀升,这在客观上对制造业创新效率提升构成了积极的影响,但这种影响存在明显的时滞,时滞大约为3年.2.总体上,中国制造业创新效率整体均值为0.4987,存在50%左右的效率损失,地区创新效率存在显著差异,区域发展不平衡的矛盾仍然客观存在.3.劳动力成本与人力资本、国有化比重的交互项对创新效率存在一定的间接影响,这种影响存在显著的区域差异,劳动力成本与企业规模对创新效率的影响并不显著;此外,外商投资比重、市场竞争度对创新效率的影响也存在显著的区域差异.     

Incorporating self‐determination into substance abuse prevention programming for youth transitioning from foster care to adulthood

Youth transitioning from foster care to adulthood are at higher risk for alcohol and substance abuse disorders than general population youth. At the same time, these youths are often recipients of strong clinical intervention, often at levels considered unnecessary, for other mental health or behavioural challenges. Because of this, there is sometimes resistance from providers to offer services such as substance abuse prevention programming as it may be seen as contributing to youths' overclinicalization, stigmatization, or retraumatization. Using thematic content analysis, this qualitative study analysed focus groups with community stakeholders providing recommendations on support services for youth transitioning from foster care to adulthood to derive strategies for delivering substance abuse prevention programming in a way that enhances youth self‐determination. Findings were organized by self‐determination theory's 3 key psychological needs: autonomy, competence, and relatedness. All three needs were represented in stakeholder recommendations, which were translated into strategies for bolstering youths' achievement of each need. Strategies include a mix of those already present in motivational interviewing‐based brief substance abuse prevention interventions as well as more unique strategies that are much less frequently employed but that may better meet the needs of youth with foster care experience.     

境外上市改善公司治理的机制分析

境外上市不仅是联结不同公司治理模式的纽带,也是传递公司治理全球化的重要途径.研究表明境外上市不仅可以提升公司的绩效而且可以显著改善以完善投资者权利保护为重要标志的公司治理水平.这种改善公司治理的机制主要表现在境外证券市场良好的法律环境及市场竞争等法律外因素的约束、规范和引导以及境外上市行为本身对公司内部治理结构的良性改造,这一研究成果对于我国大量的境外上市公司具有较好的启示意义.     

Elder mistreatment in underserved populations: Opportunities and challenges to developing a contemporary program of research

ABSTRACT

This article provides an overview of the status of research on elder mistreatment among underserved populations in the United States, including gaps in our current knowledge base and scientific and structural barriers to growing research on the exploitation, neglect, and abuse of older people from diverse and disadvantaged ethnic/racial, geographic, sexual identity, and socioeconomic groups. High-priority areas in need of new elder mistreatment research with underserved populations are identified, and suggestions are given for how this research can be facilitated by researchers, university institutional review boards, and funding agencies.     

Computerized Behavioral Interventions: Current Products and Recommendations for Substance Use Disorder Treatment

Unlike traditional methods of delivering substance use disorder (SUD) and mental health treatment, computerized behavioral interventions deliver services via computers, smartphones, and other electronic devices. In recent years, there has been a proliferation of Web-based treatment programs designed for certain target populations. Studies have shown that many of these programs are evidence-based, and some are just as effective as traditional in-person interventions. This article reviews current computerized behavioral interventions and makes recommendations for how these tools can be incorporated into SUD treatment services.     

从上层包办到简政放权:抗战时期中共干部作风建设之进路

干部作风好坏关系到党和政府在人民群众中的形象与人心向背,故中共自成立之日起就极为注重干部作风建设,并将之作为立身之本和执政之基。抗战时期,中共干部作风上存在着一种严重倾向:即上层领导包办代替一切。这有悖于党的群众路线,还阻滞了中共政策的全面有效贯彻。为了疏通上述滞碍,中共采取了加强干部作风建设、贯彻群众路线简政放权的改进之策。尤其是中共在贯彻群众路线时对于至关重要的调查研究环节的把握,更成为其能够掌握真实情况并得以改进干部作风的关键所在。