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91.
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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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 相似文献
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USSR. Tsentral'noe Statisticheskoe Upravlenie 《Vestnik statistiki (Moscow, Russia : 1949)》1983,(5):73-80
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. 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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Population-to-practitioner ratios have long been the primary index in the designation of health manpower shortage areas. This paper documents that application of the widely used population-to-dentist index results in understatement of the need for dental health manpower in rural areas. Through the analysis of utilization data collected from a statewide health screening program in Colorado, the practice of sole reliance on the population-to-dentist indices as an indicator of need was tested. Another measure, the area-(square miles) to-dentist ratio was formulated, examined, and found to be a more useful referent of the need for additional health manpower in rural areas. Utilization of dental services in sparsely settled rural counties of Colorado was unrelated to population-to-dentist ratios. A strong, statistically significant association of utilization with land area-to-dentist ratios was found. The findings of this analysis suggest a need for reevaluation of needs assessment methodologies used in the designation of health manpower shortage areas. Indices more sensitive to consumer circumstance than to the number of health care providers available must be considered. 相似文献
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