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471.
There are large and persistent disparities between the health status of Blacks and Whites in the United States. On average, the mental and physical health of Blacks is much poorer than Whites. In this article, we discuss several potential direct causes of Black–White disparities in health status, which include biological or genetic factors, prejudice and related processes, and socioeconomic factors. We also consider how the system-level, patient-level, and provider-level components of healthcare contribute to disparities in health status. We examine in detail the psychological processes associated with patient- and provider-level factors that may produce healthcare disparities. Of particular interest is the potential impact of racial attitudes and stereotypes on provider–patient interactions. Finally, we propose possible directions for future research on health disparities and discuss policy changes that might reduce disparities in health status and healthcare between social groups.  相似文献   
472.
L'économie informelle fournit l'essentiel de l'emploi dans nombre de pays émergents. Selon la théorie de la régulation, l'activité économique est régie par un ensemble complexe de règles formelles et informelles. Les auteurs examinent, à partir du cas du Mozambique, les éléments qui favorisent ou entravent la transition vers l'économie formelle, ainsi que les diverses formes de régulation, en s'appuyant sur une enquěte qualitative conjuguant observation directe et entretiens avec des personnalités locales. Les données recueillies font apparaître un rôle ambivalent de l'Etat, qui se montre parfois volontariste et soucieux de réformer la réglementation et les institutions et parfois partisan du statu quo.  相似文献   
473.
ABSTRACT

Improving social service in local communities is a complex undertaking. Over the past few decades, the performance and sustainability of community initiatives have been questioned, while such factors as a lack of funding, insufficient community involvement, unsatisfactory community service, and lack of awareness of the impact of community initiatives have restricted community development. From a case study of community operations in Scotland, this article provides insights into how social service delivery is organized in the absence of public capital. This study utilized data from semi-structured in-depth interviews with a sample of 76 participants from a deprived area in Scotland, including community management team members (n = 6), local residents (n = 52) and community partners (n = 18). The findings illustrated how participants of all ages, local organizations, policy makers, funders and media came together to create a cohesive and responsive community environment. Residents' needs and funders' demands were identified. Results further revealed that a Community Partnership Mechanism helped strengthen the social service network and create flexible social services. Service benefits included improved resident wellbeing in the context of less government intervention. Future implications include suggestions for government and other stakeholders involved in community reform to focus on service recipient skill building and tracking changes between the indicators and service provision.  相似文献   
474.
In light of growing scholarly works on business failure, across the social science domains, it is surprising that past studies have largely overlooked how extreme environmental shocks and ‘black swan’ events such as those caused by the coronavirus (COVID-19) pandemic and other global crises, can precipitate business failures. Drawing insights from the current literature on business failure and the unfolding event of COVID-19, we highlight the paradoxes posed by novel exogenous shocks (that is, shocks that transcend past experiences) and the implications for SMEs. The pandemic has accelerated the reconfiguration of the relationship between states and markets, increasing the divide between those with political connections and those without, and it may pose new legitimacy challenges for some players even as others seem less concerned by such matters, whilst experiential knowledge resources may be both an advantage and a burden.  相似文献   
475.
This paper addresses two related problems: what are the appropriate measures for comparing effects of blocks or compounds of variables (each block conceived as having a single effect) when the causal ordering is assumed to be known, and how can single measures be created for each such block or compound, so that the comparisons can be made? Several different kinds of measures are shown to be possibly appropriate, through the use of hypothetical experiments.  相似文献   
476.
477.
The purpose of this study was to examine whether adults moderated the relations between youths' community violence exposure and subsequent physical aggression. Participants were 2575 middle school students (Mage = 12.3, SD = 1.00; 52% female) in the southeastern U.S. who completed surveys collected in the fall, winter, spring, and summer. The sample was predominantly African American (72%). High adult support was associated with weaker relations between exposure to violence in the fall and aggression in the winter among male adolescents. High adult support was related to weaker relations between victimization in the fall and aggression in the winter among female adolescents. Strategies promoting supportive adult relationships may benefit male adolescents by buffering the adverse impact of community violence exposure.  相似文献   
478.
There have been many models for portfolio selection, but most do not explicitly include uncertainty and multiple objectives. This paper presents an approach that includes these aspects using a form of stochastic integer programming with recourse. The method involves the use of a time-based decision tree structure called a “project tree.” Using this basic format, an illustrative six-project example is presented and analyzed. Various forms of objectives are discussed, ranging from the maximization of expected portfolio value to the maximization of the minimum weighted portfolio deviation from two goals. In each case, formulated numerical problems are given, and the solutions derived are presented. The approach is shown to be very flexible and capable of handling a variety of situations and objectives.  相似文献   
479.
This paper presents a simple methodology to enable a firm to incorporate consumers' subjective evaluations early into the concept screening stage of a new product introduction process. The methodology involves eliciting ranked preference judgments toward a set of alternative product concepts, each described as a profile of attributes and derived from an interval-scaled utility score using Thurstone's comparative judgment model. The derived utility scores are then decomposed into simple effects attributable to each of the attributes, thus yielding functional representations of consumer preferences. Mathematical models are developed to utilize the functions to determine the best concept. Empirical illustrations are provided for application of the methodology.  相似文献   
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