Does Nursing Home Ownership Change Affect Family Ratings on Experience with Care?

Person-centeredness may suffer in nursing homes (NHs) with recent ownership changes. This study identifies associations between ownership change and reported care experiences, important measures of person-centered care for long-term residents in Maryland NHs. Care experience measures and ownership change data were collected from Maryland Health Care Commission reports, which reported data on 220 Maryland NHs from 2011 and 2012. Facility and market covariates were obtained from 2011 NH Compare and Area Health Resource Files. Linear regression was used to examine whether ownership change in 2011 was associated with lower care experience ratings reported during April to June 2012. Dependent variables were overall care rating (scale 1–10), percentage of respondents answering that they would recommend the NH, and assessments of five care and resident life domains (scale 1–4). Care experiences reported in 2012 were high; however, after controlling for covariates, ownership change was associated with significant decreases in 6 out of 7 measures, including a 0.39-point decrease in overall care rating (p = .001). NH managers and policy makers should consider strategies to improve patient-centeredness after ownership change.     

略论商业特色街与旅游的关系

本文针对杭州是国际旅游城市的特点,介绍了杭州建设商业特色街的基本状况,从四个方面分析了商业特色街与旅游的密切关系,并提出从三方面促进旅游与商业特色街建设紧密结合,实现商业与旅游业相互促进,共同发展的比较切合实际的建议.     

当代中国宪政建设基础理念探索十步录

本文以恩格斯劳动创人创世和两种生产是历史中决定性因素的论断为指针,围绕人及人类劳动生产这个社会赖以存在和发展的根本问题,纵横阖书,坦直为言,体现穷根究底、正本清源,回溯历史、审视经验,面对现实、革新理念,理顺逻辑、官民两便的主题思想。支持这一主题的十步系列观点所依据的历史事实和思想资料,是我国民主宪政建设不可忽视的重要参照。     

中国历史文化纪录片多元叙述视角探论

经过20世纪90年代新纪录片运动的洗礼及近年来中国纪录片创作生态的变化,极具主流色彩的中国当代历史文化纪录片由于创作主体深层理念的流变与网络时代的受众市场及国际化的竞争环境的影响,普遍呈现出精英视角、主流背景和大众化表达相结合的特点。其中尤其值得关注的共性之一即在创作中采用的多元叙述视角以及每一视角呈现出的与以往不同的新特点。     

基督教在唐代传播之顿挫及其原因探析

基督教 (景教 )在中国唐代的传播历经顿挫 ,这种初传的顺利与惨遭禁绝 ,是多种因素相互作用的结果。对此问题的研究 ,有助于我们加深理解中西文化的差异和两者之间的相互关系     

后人定法:信息政策与机器世界

导言 法律是由人制定并且为人服务的,这是一个不言而喻的假设.然而这个假设遭到了挑战:信息、传播和文化这些信息法规中的主体因素,越来越倾向于在机器之间或者人机之间流动.机器价值--而不是社会价值--在决策的过程中起着空前重要的作用.人类社会的信息政策制定正在被机器决策的方式所补充、所排挤甚至取代.随着技术被植入人体--现在已经可以将计算机芯片直接植入人脑的中枢神经--人与机器之间的法律区别几乎完全消融.这是种种信息传播技术观念发展进程的逻辑步骤:     

从艾森豪威尔到卡特：美国文官“高级行政职位”的建立

文章从勾勒美国建立文官高级行政职位的过程入手 ,比较了艾森豪威尔总统建议建立的“高级文官职位”、尼克松总统提出设立的“联邦行政职位”、卡特总统建立的“高级行政职位”的区别和共同点 ,分析了三位总统在改革美国文官制度方面成功和失败的原因。作者认为 ,美国“高级行政职位”的设立 ,实际上涉及到两个非常敏感的关系 ,即 :总统与高级文官之间的关系以及在这一关系背后发挥潜在影响的政治与行政的关系。“高级行政职位”(SES)的设立 ,无论是从行政或政治的角度 ,都加强了总统对文官的控制与监督     

Performance of control charts for autoregressive conditional heteroscedastic processes

This paper examines the robustness of control schemes to data conditional heteroscedasticity. Overall, the results show that the control schemes which do not account for heteroscedasticity fail in providing reliable information on the status of the process. Consequently, incorrect conclusions will be drawn by applying these procedures in the presence of data conditional heteroscedasticity. Control charts with time-varying control limits are shown to be useful in that context.