Medicare and Medicaid Reimbursement Rates for Nursing Homes Motivate Select Culture Change Practices But Not Comprehensive Culture Change

Components of nursing home (NH) culture change include resident-centeredness, empowerment, and home likeness, but practices reflective of these components may be found in both traditional and “culture change” NHs. We use mixed methods to examine the presence of culture change practices in the context of an NH’s payer sources. Qualitative data show how higher pay from Medicare versus Medicaid influences implementation of select culture change practices, and quantitative data show NHs with higher proportions of Medicare residents have significantly higher (measured) environmental culture change implementation. Findings indicate that heightened coordination of Medicare and Medicaid could influence NH implementation of reform practices.     

城乡医疗救助制度之现状､问题与对策

城乡医疗救助制度对于缓解贫困群众就医难,实现病有所医具有重要意义。作为构建多层次医疗保障和卫生服务体系的重要组成部分,医疗救助制度在取得巨大成就的同时也存在政策导向偏差、救助对象覆盖不全面、资金筹集机制单一、起付线和救助上限的设置缺乏科学性等问题。医疗救助制度应该从取消各种不合理限制,拓宽筹资渠道,实现医疗救助管理独立化和加快医疗救助法制建设等方面加以改善。     

基于对兰州市入境旅游者调查的入境旅游者行为偏好实证分析

通过抽样调查,对兰州市入境旅游者的行为偏好特征进行了分析。发现以下行为偏好特征或问题:文化旅游产品最受青睐,口碑宣传对旅游者目的地选择影响最大,旅游者购物意愿强烈但购物比重过低等,并针对以上问题提出了市场开发的对策。     

Transitions to adulthood in contexts of economic crisis and post-recession. The case of Argentina

The possibilities that are available to youth in contemporary Western societies are highly sophisticated and related mostly to the transition between secondary school and higher education, the first job placement, independent housing, lifestyle construction and the consumption of goods produced by cultural industries in a globalist world. Secondary education represents a main factor in terms of socialisation, training, access to employment, citizenship and youth identity construction, making it a key for public policies aimed at youth in Latin America. The article presents the initial results of a research project on transition processes from secondary school to employment in Argentina. The findings are based on statistical information and the empirical analysis of data gathered in two very different economic and social contexts: the first was one of the worst social and economic crisis in the country's history (1999–2003), and the second was a long period of economic growth and increased social welfare (2004–2012). The data are presented in response to the following question: How do different economic contexts influence the transitions of youth in different social class contexts? By answering this question, the significant role of public policies in generating better living conditions for youth becomes clear.     

创新理念，选准载体，探索国有企业党政合力促发展的有效途径

企业党组织如何围绕生产经营中心,发挥政治核心作用,做到"两心"合一、党政合力共谋发展,一直是改进和完善国有企业领导体制的一个重大课题.大庆油田电力集团党委遵循企业生产经营特点,搭建党政结合的平台,开展了"党建创先、文化创特、安全创福、服务创优、管理创效"的"五创"主题实践活动,解决了企业领导体制上存在的"两张皮"、"两挂车"的问题,走出了一条国有企业党政合力促发展的新路子.     

早期罗马法中的形式主义

形式主义是早期罗马法的重要特征之一。形式主义反映了罗马法在内容与形式上的相互限制与融合,它标志着早期罗马法的行为主义模式。在市民社会中,法律形式主义的作用在于约束当事人的行为。但是,当僵化、封闭的法律形式对日益活跃的法律内容的发展构成障碍时,形式主义的弊端就日趋明显。因而尊重当事人的意志,减轻形式主义的束缚就成为必然,并且随着国家公权的强大及其对私人纠纷干预的加强,罗马法律形式主义的衰退也就在所难免了。     

试论人才在高校学科建设中的关键作用

本文指出了人材是搞好高校学科建设的关键。从“跨越式”学科发展需要人才、发挥各层次人才在学科建设中的作用和人才建设中需要注意的几个问题等方面作了较充分的论述