Demographic changes in East European countries and Russia

The authors outline demographic trends in Eastern Europe and Russia since 1970. Aspects considered include population size, birth rate and number of births, marriage and divorce, death rate, infant mortality, natural increase, sex ratio, and life expectancy.     

The household structure of second-generation children: an exploratory study of extended family arrangements

"Using data from the Children of Immigrants Survey, the antecedents of extended family arrangements among [U.S.] immigrant households with children are examined. The incidence and form of such arrangements, especially the presence of grandparents, are analyzed in relation to single parenthood, national origin, cultural assimilation, and socioeconomic variables. The findings serve to underscore the complexity of the correlates of extended family arrangements. While there is a relationship with single parenthood, more research is needed on the economic basis for the presence of relatives in the household. The analysis uncovered the need to also treat presence of grandparents as an independent variable, especially in the cultural assimilation of children of immigrants."     

Today's second generation: evidence from the 1990 U.S. census

"The prospects for today's second generation will be considerably shaped by their current social, economic and demographic status. This article provides a statistical portrait of children of immigrants by analyzing data from the 1990 U.S. Census of Population and Housing. With the second generation defined as children under age 18 with at least one foreign-born parent, the study describes place of residence; household demographic, social and economic circumstances; household head's socioeconomic status; and characteristics of children themselves. Data on second-generation children are broken down by year of immigration of parents and child's nativity. Data for children with native-born parents are provided for comparison."     

《新西兰文化与认同感·序言》

《新西兰文化与认同感·序言》大卫·诺维茨比尔·威尔莫特著涂开益徐永安译编选本书的初衷,源出编者在讨论新西兰民族认同感与文化的基本命题时,对于人们所持方式的关注。我们俩人一致认为,当时的争论有两点失之偏颇：一是如何准确理解被称之为文化的这种奇特现象,二...     

South-East Asia

This article reviews the literature on migration and HIV infections in the Mekong Region countries of Cambodia, China, Laos, Myanmar, Thailand, and Viet Nam. The HIV/AIDS situation is profiled in each country. The populations at risk include legal and undocumented cross-border migrants, internal migrants, sex workers, and mobile occupational persons, such as truck drivers, fishermen, seafarers, and cross-border traders. Currently, there is little regional cooperation on the issue of HIV among migrants. Prevalence is high in most of the region. Programs range from being very developed in Thailand to minimal in China. Recently, nongovernmental organizations have created innovative models. AIDSCAP studies have focused on river trade routes along the Thai-Lao border and fishing ports in Thailand and Cambodia. The Asian Research Center for Migration has researched fishermen in 6 countries; Burmese women in Thailand; migrants along the Thai-Myanmar borders; and the impact of transportation routes on the spread of HIV/AIDS along six main inter-country routes. Coordination of Action Research has engaged in research and action projects in 8 southeast Asian countries. The region would benefit from information exchanges about lessons learned and best practices. Field researchers could use better technical support. Regional strategies are useful for providing support from origin to destination.     

A tobacco and alcohol use profile of San Francisco's Chinese community

Relatively little is known about Asian American tobacco and alcohol use patterns. This is particularly true of Chinese living in the United States--either U.S.-born or non-U.S.-born Chinese. This article presents data from a research project studying tobacco and alcohol use patterns in San Francisco's Chinese community. Data were secured both from focus groups and a self-report telephone survey of a random sample of 1,808 Chinese residents in San Francisco. This results indicate that the prevalence of both tobacco and alcohol use is lower for San Francisco's Chinese population than for the general population. Moreover, those persons who report smoking tend to be different from those who report consuming alcohol. The study concludes that specific, culturally relevant tobacco and alcohol prevention programs should be designed to better reach this target population.     

Learning how to learn: the key to CQI

All CQI/TQM efforts share a common purpose: to learn something that can correct past mistakes and/or to create better futures. Because learning is a dynamic circular process, the information about a problem or an opportunity will be limited unless four perceptions of the truth--each valid, and each incomplete--are accepted. These four types of learning styles or ways of perceiving are: abstract conceptualizers, active experimenters, concrete experiencers, and reflective observers. Unless all the stages of the learning process have been fully completed, unless all the strokes work in harmony, we cannot be confident that a CQI effort has added its full value. A CQI team's interpersonal process, the tools by which individually limited truths are forged into a consensual holistic truth, must ensure that the group's effort goes "around in circles."     

Making the journey into the networked enterprise, Part 2

In the May issue of Physician Executive, the authors described the difficulties other industries have had with vertical integration and why so many corporations have abandoned it for other organizational structures. In this second part of the series, they explore the ways health care organizations can make the shift into integrated delivery systems, avoiding the trap of the hierarchical, vertically integrated monolithic structures that will become the dinosaurs of the future.     

Physician career development: toward building a model

Virtually no managed care organization provides a comprehensive and integrated program for physician career development. That's the principal finding of a survey we carried out in Spring 1994 in which we interviewed several individuals who have proven instrumental in the creation of career development programs at their managed care organizations. We started our research with the hypothesis that career development programs for physicians--frequently the most highly paid category of employees and the ones often most directly involved in the delivery of health care--should parallel the mission of the organization. In many of the organizations we surveyed, the mission included clinical excellence, managerial competence, research, teaching, community service, and building shareholder equity. While each organization offered some component of career development--usually clinical improvement and management development--very few offered programs that fostered the continued professional development of physicians in other aspects of their missions. In most cases, even in organizations with stronger career development agendas, the programs were passive and were rarely linked to the overall "corporate" goal of the managed care institution. This critical disconnect makes it extremely difficult for health care organizations to develop a workable system of accountability for their career development programs.