Preis der Fritz Thyssen Stiftung für sozialwissenschaftliche Aufsätze des Zeitschriftenjahrgangs 2003

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New directions for an organised health care system in Germany: The concept of managed care

Against the background of continually rising public sector health costs in Germany, Michael Müller and Klaus Uedelhofen discuss the merits of ‘Managed Care’, a philosophy of organised health care, having its origins in the US in the early 1970s. Managed care is based on networking all separate groups within the healthcare system, standardising the services and performance, and distributing or sharing risks between all parties involved. Advantages, beyond cost reductions, include quality assurance, greater transparency, the establishment of therapy standards and increased responsibility by patients. The outlook for managed care in Germany looks optimistic.     

Hip protectors in the elderly: lack of effectiveness or just suboptimal implementation?

Hip protectors seemed to be the only non-pharmacological intervention to effectively prevent hip fractures in high-risk populations. In contrast, recently published trials did not find hip fracture reduction through hip protector interventions. An updated Cochrane review concluded that the device is ineffective for community-dwelling elderly and of uncertain effectiveness for institutionalised elderly. However, some primary studies used suboptimal implementation of hip protectors, which has led to low adherence and ineffectiveness of the intervention. Shortcomings in implementation techniques have not been assessed by the Cochrane review. Therefore, reviewers should explicitly assess whether the intervention was well planned and competently administered. As a checklist cannot adequately assess individual, study-specific implementation flaws, we suggest narrative expert review and feedback to the authors of the primary study.     

论湖湘教育名人的“理想社会秩序”思想

以宋明理学为正宗的湖湘学派强调将社会秩序、人伦关系的协调稳定建立在主体人格和道德尊严的基础上,认为社会稳定、群体和谐的建立和完善,关键在于社会教育能否培养出具有道德自觉和主体人格的人。这一思想对于当前培养创新型人才仍然具有借鉴意义。     

集合共有:一种新的共有形式--以集体土地所有权为研究对象

集体土地所有权的准确定性是改革和完善集体土地所有权制度的切入点。既有的定性都不具有法理和实践上的可行性。只有大胆借鉴英美法系的联合所有制度,重构大陆法系的共有形式,才能对集体土地所有权予以准确定性。新的共有形式———集合共有,与集体土地所有权性质具有内在的一致性。以集合共有规则来解释和处理集体土地所有权,既符合学理和逻辑的要求,更贴近中国的实际。     

Editorial

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Editorial