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111.
Michael J. Lepore Renée R. Shield Jessica Looze Denise Tyler Vincent Mor Susan C. Miller 《Journal of aging & social policy》2015,27(3):215-231
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. 相似文献
112.
Sadiman Kiykac Altinbas Yesim Bayoglu Tekin Berna Dilbaz Selim Kilic Susan S. Khalil Omer Kandemir 《Women and birth : journal of the Australian College of Midwives》2014,27(4):254-258
BackgroundTo compare the knowledge and preference of preconceptional contraception to future postpartum contraceptive method choice in high-risk pregnancies.Research questionDoes a high-risk pregnancy condition affect future postpartum contraceptive method choice?MethodWomen hospitalised at the High Risk Pregnancy unit of a tertiary research and training hospital were asked to complete a self-reported questionnaire that included demographic characteristics, presence of unintended pregnancy, contraceptive method of choice before the current pregnancy, plans for contraceptive use following delivery and requests for any contraceptive counselling in the postpartum period.FindingsA total of 655 pregnant women were recruited. The mean age, gravidity and parity of the women were 27.48 ± 6.25 years, 2.81 ± 2.15 and 1.40 ± 1.77, respectively. High-risk pregnancy indications included 207 (31.6%) maternal, 396 (60.5%) foetal and 52 (7.9%) uterine factors. All postpartum contraceptive choices except for combined oral contraceptives (COCs) usage were significantly different from preconceptional contraceptive preferences (p < 0.001). High-risk pregnancy indications, future child bearing, ideal number of children, income and education levels were the most important factors influencing postpartum contraceptive choices. While the leading contraceptive method in the postpartum period was long-acting reversible contraceptive methods (non-hormonal copper intrauterine device Cu-IUD, the levonorgestrel-releasing intrauterine system (LNG-IUS) (40%), the least preferred method was COCs use (5.2%) and preference of COCs use showed no difference between the preconceptional and postpartum periods (p = 0.202). Overall 73.7% of the women wanted to receive contraceptive counselling before their discharge.ConclusionA high-risk pregnancy condition may change the opinion and preference of contraceptive use, and also seems to affect the awareness of family planning methods. 相似文献
113.
Harrell W. Chesson Jami S. Leichliter Gregory D. Zimet Susan L. Rosenthal David I. Bernstein Kenneth H. Fife 《Journal of Risk and Uncertainty》2006,32(3):217-230
This article examines the relationship between personal discount rates and sexual behaviors in a sample of teenagers and young
adults. We find that higher discount rates (an indication of less willingness to forego current consumption for future consumption)
are significantly associated with a range of sexual behaviors, including ever having sex, having sex before age 16 years,
and past or current pregnancy. These associations are consistent with previous studies showing a link between discounting
and other, non-sexual health behaviors.
JEL Classification D80 · D90 · I10 相似文献
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Richard A. Berk Susan B. Sorenson Douglas J. Wiebe Dawn M. Upchurch 《Analyses of Social Issues and Public Policy》2003,3(1):45-64
In this article, we examine the association between the legalization of abortion with the 1973 Roe v. Wade decision and youth homicide in the 1980s and 1990s. An interrupted time series design was used to examine the deaths of all U.S. 15- to 24-year-olds that were classified as homicides according to the International Classification of Diseases (codes E960-969) from 1970 to 1998. The legalization of abortion is associated over a decade later with a gradual reduction in the homicides of White and non-White young men. The effect on the homicides of young women is minimal. We conclude that the 1990s decline in the homicide of young men is statistically associated with the legalization of abortion. Findings are not consistent with several alternative explanations, such as changes in the crack cocaine drug market. It is almost inconceivable that in the United States of today, policies affecting the choice to have children would be justified as a means to control crime. Yet, if the legalization of abortion had this unintended effect, the full range of policy implications needs to be discussed. 相似文献
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Anna Yeatman and Joanna Penglase (August 2004) provide a useful review of the literature on ‘Looking After Children’ (LAC), a guided practice system for children living in out‐of‐home care. In summarising the polarised debate, the authors point to an unresolved situation in which advocates have uncritically adopted individualised care planning, as a way of improving outcomes in child welfare while critics have not offered alternatives for systemic reform. This is an area of troubled social policy and the debate cannot rest here. This paper suggests a number of pressing research questions to be addressed. The urgency of the issues and the characteristics of local service systems mean LAC needs to be evaluated in the Australian context, taking into account the local experience and participation of children, families and their social workers. 相似文献
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