Differences in white-nonwhite community mental health center service utilization patterns

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.     

Setting health priorities: a review of concepts and approaches

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.     

新的产业革命

微电子工业方面的非凡进展触发了一场"第二次产业革命".在这场革命中,新技术将使原来由人力操作的工种自动化.这种自动化看来会提高生产率,但将威胁大量的就业机会.当国家科学院的一个委员会声称,"现代的电子工业已经宣告了一场第二次的产业革命……它对社会的影响甚至比原来的产业革命更大",这时候就该引起我们迫切重视了.因为科学院的各个委员会向来是不夸大事实的.并不是唯独科学院指出了电子工业技术的最新进展是势不可挡的社会变革的先驱.在过     

当代意大利经济学流派评介

当今,经济学家是十分走红的人物,有人甚至称他们为"当代皇室的智囊".近几年来,经济学家充斥宣传机构、各级政府和议会.在各个领域内,经济学家们都在进行着激烈的斗争.甚至两伊战争也不是将军们的意见,而是经济学家们对关闭霍尔木兹海峡所造成的后果的预测占了压倒的地位.他们似乎扮演了这场战争的主要角色.但是,如果我们注意观察一下世界经济的发展情况就会发现:经济学家们当前在经济问题面前却是一筹莫展.在如何使经济重新繁荣起来这个问题面前,市场经济的调节者们从来没有象今天这样显得无能."新经济主义者"们则表现得更加"本分",他们主张"让市场自己     

当代世界的异化

今天大量的技术力量集中在资本主义国家,增殖资本的动力促使资本主义国家给技术发展规定了明确的方向,即把它纳入剥削劳动和剥削"无产者"国家的总实践里.因此分析技术世界的异化,应首先考虑资本必然带来的不平等和不合理.由于与资本的存在相联系的现象在阶级关系和民族关系中很重要,因而要消灭某些异化形式,就必须准备进行深刻的改革,实现社会对财富的控制.但是,某些畸变的根源应该到资本以外更深的地方去寻找.当马克思研究价值的生产和积累过程中的资本运动时,资本主义生产体系还处于尚未发展成熟的初级阶段,因此不论是对价值的生产和占有的分析,还是对由此产生的异化现象的分析,都     

Statistical materials: the family in the USSR

Statistical data are presented on the family in the USSR. Data from the 1979 census are included on number of families and their distribution by size; distribution of families by size and type, social class, and nationality; number of families including members of different nationalities, 1959-1979; number of marriages and divorces, 1960-1981; changes in age at marriage, 1960-1981; and distribution of births by age of mother, 1969-1970, 1974-1975, and 1980-1981.