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901.
902.
"Community" has taken on a new significance in Australian social policy discourse. Seemingly sound and morally justifiable, in the context of neo-liberalism the language of community positions non-profit delivery of services as superior to state-provided services. As a consequence, non-profit community services are being centrally positioned to mediate the relationship between the state and citizen subjects. In the first part of this paper we trace some of the key historical developments in Australia's welfare state and patterns of governance that are propelling the non-profit sector from the margins to the centre. The second section examines the relationship between Australia's shifting political landscape and the emerging welfare regime. One key feature of this new regime is the attempt to relocate citizenship away from the domain of the state and into that of civil society. The article concludes by sketching out some research themes, focusing, for example, on the impact of devolution of governance in terms of client rights and public accountability.  相似文献   
903.
904.
This article considers the impact of the recent reform of the National Health Service (NHS) on specialist regional health services. A case study of medical genetic services is presented to highlight some problems arising from the implementation of the 1990 NHS and Community Care Act. New financial arrangements introduced by the Act have led many regional health authorities to devolve the finance and organization of specialist health services to districts. The introduction of competition and devolved budgets may pose especial problems for some specialist health services. In the case of genetic services these difficulties are exacerbated by new pricing rules. The paper explores these issues and suggests that the imposition of the market model on health care overlooks some vital, human elements which do not fit neatly into such a model.  相似文献   
905.
The success of a seasonal influenza vaccine efficacy trial depends not only upon the design but also upon the annual epidemic characteristics. In this context, simulation methods are an essential tool in evaluating the performances of study designs under various circumstances. However, traditional methods for simulating time‐to‐event data are not suitable for the simulation of influenza vaccine efficacy trials because of the seasonality and heterogeneity of influenza epidemics. Instead, we propose a mathematical model parameterized with historical surveillance data, heterogeneous frailty among the subjects, survey‐based heterogeneous number of daily contact, and a mixed vaccine protection mechanism. We illustrate our methodology by generating multiple‐trial data similar to a large phase III trial that failed to show additional relative vaccine efficacy of an experimental adjuvanted vaccine compared with the reference vaccine. We show that small departures from the designing assumptions, such as a smaller range of strain protection for the experimental vaccine or the chosen endpoint, could lead to smaller probabilities of success in showing significant relative vaccine efficacy. Copyright © 2015 John Wiley & Sons, Ltd.  相似文献   
906.
Global firms are facing great difficulties in containing new risks along their supply chains: reputation risks, contestation risks, safety risks and markets risks, as well as the risk of having to deal with new laws and more binding norms. The lack of internal control on these Global Value Chains is revealed through different social or environmental crises. Mass media are mobilised by NGOs and citizens as a means of pressure, which undermines the reputation of firms and therefore their immaterial assets. These crises show that the codes of conduct and the so-called soft law instruments fail to control the supply chain, but at the same time, these instruments begin to set new standards to face these new risks. This paper discusses this evolutionary institutional process, and stresses how CSR is not only a fiction but starts having real effects by creating new institutions to respond to risks. We will focus on reputation risks and markets risks to show that, even though CSR might not have led to a completely new system of rules, the institutional process under study has a meaningful impact on the regulatory framework.  相似文献   
907.
Few studies have focused on burnout among vocational students. This study examined the association between burnout and mental health among 56 Swiss vocational students (29 males, 27 females, = 18.1, SD = 1.2 years) and tested whether recommended levels of moderate‐to‐vigorous physical activity (MVPA) attenuate this relationship. Burnout was strongly associated with increased depressive symptoms and decreased levels of life satisfaction, mental toughness, and quality of sleep. Students above recommended levels of MVPA reported lower burnout and higher mental health. No significant moderator effects were observed. Symptoms of burnout were associated with increased mental health problems. Physical activity should be promoted to prevent burnout, because nearly half of the students did not meet MVPA recommendations.  相似文献   
908.
This article offers an integrative review of the literature on women's migration for domestic work and cross‐border marriages in East and Southeast Asia. By bringing these two bodies of literature into dialogue, we illuminate the interconnected processes that shape two key forms of women's migration that are embedded in the reproduction of women's domesticity. We highlight structural analyses of the demographic and socio‐economic shifts that propel women's migration while also attending to the affective dimension of migrant women's desires and duties and to the brokerages that mediate the migrant flow. We finally examine how migrant wives and domestic workers contest the boundary of citizenship as they claim their full personhood against divergent modes of control over their rights, bodies, and mobility. We conclude by pointing out concrete areas where the two sets of literature can enrich each other for future research on gender, labor, and migration.  相似文献   
909.
How do we communicate nuanced regulatory information to different audiences, recognizing that the consumer audience is very different from the physician audience? In particular, how do we communicate the heterogeneity of treatment effects - the potential differences in treatment effects based on sex, race, and age? That is a fundamental question at the heart of this panel discussion. Each panelist addressed a specific “challenge question” during their 5-minute presentation, and the list of questions is provided. The presentations were followed by a question and answer session with members of the audience and the panelists.  相似文献   
910.
In this paper Bayesian methods are applied to a stochastic volatility model using both the prices of the asset and the prices of options written on the asset. Posterior densities for all model parameters, latent volatilities and the market price of volatility risk are produced via a Markov Chain Monte Carlo (MCMC) sampling algorithm. Candidate draws for the unobserved volatilities are obtained in blocks by applying the Kalman filter and simulation smoother to a linearization of a nonlinear state space representation of the model. Crucially, information from both the spot and option prices affects the draws via the specification of a bivariate measurement equation, with implied Black–Scholes volatilities used to proxy observed option prices in the candidate model. Alternative models nested within the Heston (1993) framework are ranked via posterior odds ratios, as well as via fit, predictive and hedging performance. The method is illustrated using Australian News Corporation spot and option price data.  相似文献   
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