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41.
We examine the institutions that comprise the U.S. health system and their relationship to a surging immigrant population. The clash between the system and this human flow originates in the large number of immigrants who are unauthorized, poor, and uninsured and, hence, unable to access a system largely based on ability to pay. Basic concepts from sociological theory are brought to bear on the analysis of this clash and its consequences. Data from a recently completed study of health institutions in three areas of the United States are used as an empirical basis to illustrate various aspects of this complex relation. Implications of our results for theory and future health policy are discussed.  相似文献   
42.
Effective collaborative working between the different professions and agencies working to safeguard children is essential. Lack of knowledge of others' roles, perceived differences in status and expertise, and negative stereotypes are examples of why this can be difficult to achieve. A facilitated interprofessional learning (IPL) programme was implemented to assess if such an intervention could overcome some of the barriers to effective interprofessional and inter‐agency team working. Six teams based in primary and secondary care trusts took part with participants from health, education, police and social services. Quantitative and qualitative data were collected from individual participants using a pre‐validated team climate inventory and reflective statements. Findings from this study demonstrate statistically significant changes in five out of six categories in the inventory. Reflective statements suggested that overall the programme offered a positive learning experience at both an individual and team level. The importance of outside facilitation to maintain the team's momentum was acknowledged, as was the difficulty of maintaining a good level of activity once the programme had ended. Nevertheless, the IPL programme provided a timely opportunity to reflect upon the interprofessional and inter‐agency team working needed within Children's Trusts and the implications for staff involved with regard to skills development. Copyright © 2009 John Wiley & Sons, Ltd.  相似文献   
43.
Our experiment, which tested support for a hypothetical social welfare program, found that the civically engaged as a whole were resistant to social justice framing employing universalistic versus particularistic standards. We suggest the lack of a framing effect was due to the use of a preexisting, shared “symbolic racism” frame. Social justice framing did succeed for those whose attitudes toward symbolic racism were ambivalent or neutral. Other factors including sex, income level, political participation, and ideology significantly influenced choice. These results provide some indications of limits to experimental framing of policy preferences of the civically engaged in their institutional settings.  相似文献   
44.
This article advocates the following perspective: When confronting a scientific problem, the field of statistics enters by viewing the problem as one where the scientific answer could be calculated if some missing data, hypothetical or real, were available. Thus, statistical effort should be devoted to three steps:
  1. formulate the missing data that would allow this calculation,
  2. stochastically fill in these missing data, and
  3. do the calculations as if the filled-in data were available.
This presentation discusses: conceptual benefits, such as for causal inference using potential outcomes; computational benefits, such as afforded by using the EM algorithm and related data augmentation methods based on MCMC; and inferential benefits, such as valid interval estimation and assessment of assumptions based on multiple imputation.  相似文献   
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In this paper, the authors critically examine the plight of single parent families with young children. Next, they lay out in detail the contributions of the behavioral perspective to practice model development research with single-parent families of children under the age of 12. The authors discuss implications for future theory driven practice model development research with cultural specific single parent families. They believe that future model development research efforts with culturally diverse single parent families will aid in advancing the state of cultural competence research in social work while assisting single parents relieve suffering and enhance child and family well-being.  相似文献   
49.
The organizational behavior management literature has yielded few stimulus preference assessment methodologies for use with employees. The current investigation compared three preference assessments (ranking, survey, and multiple stimulus without replacement procedures) found in the organizational behavior management literature for their ability to predict reinforcers for direct care staff members’ behavior. In the first experiment all assessments were effective for predicting reinforcers, but the results were limited by a lack of control items in the assessment. In the second experiment the survey and ranking assessments both proved to be effective for identifying reinforcers and neutral or ineffective stimuli. Implications of these results and directions for future research are discussed.  相似文献   
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