A Focus on the Program of All-Inclusive Care for the Elderly (PACE)

For over four decades, the Program of All-Inclusive Care for the Elderly (PACE) has been operated by nonprofit organizations. Research has demonstrated that nonprofit PACE provides quality, cost-effective community-based care to older adults who would otherwise require a nursing home level of care. Recently, the U.S. Secretary of the Department of Health and Human Services has authorized for-profit entities to operate PACE, contingent on their ability to demonstrate that they can provide care that is similar to nonprofit PACE with regard to access to care, quality of care, and cost-effectiveness. In 2013, a study was conducted to evaluate how PACE operates under for-profit versus nonprofit status. The results were presented to Congress which, in turn, authorized for-profit PACE providers. This article critiques the 2013 study, offers a comparison to for-profit hospice, and argues that at best there is not enough evidence to conclude that for-profit PACE provides the same quality of care as existing nonprofit operators.     

What is the right way to protest? On the process of justification of protest,and its relationship to the propensity to participate in different types of protest

This study explores how citizens in Spain perceive different tactics employed in anti-austerity protests in 2011–2013, and tests the model of the process of justification of protest. This model combines the elements of Gamson’s collective action frames theory (effectiveness, anger and grievances, operationalized as appraisal of harm) with the concept of legitimacy. It also links justification to the intention to participate. We empirically differentiate between three protest tactics: normative demonstrations, non-normative peaceful strategies, and non-normative violent actions. We find that demonstrations are perceived to be more legitimate, but less effective than non-normative peaceful protests. Violent strategies, on the other hand, are seen to be more effective than legitimate. We postulate and find that legitimacy and effectiveness partially or fully mediate the impact of political ideology, anger, and appraisal of harm on the probability of participation in non-normative protest. Finally, we establish meaningful differences in the predictors of the likelihood of joining normative, non-normative peaceful, or non-normative violent protests. Overall, our results suggest that the study of justification of collective action and especially, the inclusion of the notion of legitimacy, enriches our understanding of the popular approval of and propensity to participate in different forms of collective protest.     

Early onset of drinking as a predictor of alcohol consumption and alcohol-related problems in college

A survey of 4,202 students enrolled in the State University System of Florida from 1986 to 1988 showed that 14 percent started drinking in elementary school, 34 percent started in middle school, 45 percent in high school, and 7 percent in college. A General Linear Models analysis of variance procedure showed that the time of first drink significantly predicted the quantity-frequency of alcohol consumption and the incidence of alcohol-related problems reported by students in college. Students who started to drink while in elementary and middle school reported significantly higher levels of consumption and problems than those who started drinking while in high school or college.     

Publication patterns of faculty in commision on accreditation for marriage and family therapy education programs

Journal articles published by faculty in Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE) programs from 1998 to 2002 were analyzed to determine patterns regarding the amount and type of research conducted by this group. Fifty-eight percent of the articles were identified as research. Slightly more than 10% of these dealt with clinical processes and outcomes. Forty percent of studies reported a specific source of funding. Twenty-nine percent of research articles used qualitative methods, with percentages rising over the course of time. Results suggest the average number of publications per faculty member was relatively low, particularly for senior faculty. Implications for these findings are discussed.     

Infant Mortality Rate as a Measure of a Country’s Health: A Robust Method to Improve Reliability and Comparability

Researchers and policymakers often rely on the infant mortality rate as an indicator of a country’s health. Despite arguments about its relevance, uniform measurement of infant mortality is necessary to guarantee its use as a valid measure of population health. Using important socioeconomic indicators, we develop a novel method to adjust country-specific reported infant mortality figures. We conclude that an augmented measure of mortality that includes both infant and late fetal deaths should be considered when assessing levels of social welfare in a country. In addition, mortality statistics that exhibit a substantially high ratio of late fetal to early neonatal deaths should be more closely scrutinized.     

Relationships with Citizens in Public Management: A Study at the Largest Spanish Town Halls

This paper provides an analysis of the relationships existing between citizen participation and satisfaction levels within the framework of Spanish local administrations, additionally paying attention to the links between organisational size and the said participation and satisfaction levels. The results of a survey questionnaire answered by 388 Human Resources (HR) managers from the largest Spanish Town Halls were examined for these purposes. A claim is made both to increase the degree of citizen participation in public decision-making and to ensure the delivery of efficient and effective public services that can really meet citizens’ needs in Spanish town Halls.     

Estimation of non-parametric regression in the analysis of the anti-inflammatory activity of diverse extracts of Sideritis foetens

SUMMARY A procedure to choose the best non-parametric estimator from among all nonparametric methods to fit regression curves is described. The methodology that is proposed prevents a lack of fit at the edges of the regression curve. The method is summed up in a few steps to facilitate its application by researchers. The procedure is applied to the determination of various curves that explain the anti-inflammatory activity of diverse extracts of Sideritis foetens and phenylbutazone against the time elapsed from the application of the agent which provokes the inflammation. Discussion shows that it is possible to obtain valid conclusions about the effects of the different products and to establish comparisons between them. Such conclusions are not possible when starting from the classical statistics methods usually employed in pharmacology.     

A Cross‐Atlantic Dialogue: The Progress of Research and Theory in the Study of International Migration

The articles included in this issue were originally presented at a conference on Conceptual and Methodological Developments in the Study of International Migration held at Princeton University in May 2003. The conference was jointly sponsored by the Committee on International Migration of the Social Science Research Council (SSRC), the Center for Migration and Development (CMD) at Princeton, and this journal. Its purpose was to review recent innovations in this field, both in theory and empirical research, across both sides of the Atlantic. The conference was deliberately organized as a sequel to a similar event convened by the SSRC on Sanibel Island in January 1996 in order to assess the state of international migration studies within the United States from an inter‐disciplinary perspective. A selection of articles from that conference was published as a special issue of International Migration Review (Vol. 31, No. 4, Winter), and the full set of articles was published as the Handbook of International Migration: The American Experience (Hirschman, Kasinitz and DeWind, 1999).     

District elections and the power of municipal employee unions

Very little prior research has been devoted to the effects of the institutional structure of local government on public sector labor markets. This study addresses the differential effects of the two main systems used to elect city council members — district versus citywide (at-large) elections. The study hypothesizes that, in district-election cities, municipal employees, especially those who are unionized, face a lower cost of influencing city council candidates and, consequently, will have greater power to influence employment conditions. To test this hypothesis, data on U.S. cities over 25,000 population are used to estimate both reduced form and structural wage and employment equations. The results are consistent with the basic hypothesis: district elections provide a more fertile ground for municipal employees, especially those organized in unions, to affect their employment conditions. The authors acknowledge the helpful comments of Tim Sass, Tom Means, and participants in a session at the 1991 Public Choice Society meetings.