Clinical program renovation management

The day-to-day management of medical practice is so heavily influenced by tactical imperatives that few physicians have the time to think strategically. Traditionally, the difference between tactics and strategy is not a major concern of most physician executives. The realm of tactics is the short run, when managers must make do with the fixed resources at hand. Strategy addresses the long run, when all resources and markets are variable. A tactical focus is understandable, maybe even acceptable, in industries where nothing challenges traditional approaches to production of an established product or service. However, medical care in the 1990s is changing so fast that a physician executive must devote an incredible amount of time and effort just to stay confused about what is going on.     

Immigrant fertility: an examination of social characteristics and assimilation

"This study compares the fertility patterns of foreign-born and native-born women in Canada and examines whether [the] same set of social characteristics accounts for differential fertility among both the groups. The study also assesses the importance of social characteristics and assimilation on immigrant fertility behavior. Two generations of currently married/cohabiting women with spouse present are analyzed using multiple regressions. The results reveal similar effects on fertility of social characteristics for foreign-born and native-born, while in the case of younger generations the effects are stronger."     

"The responsibility to inform, the power to act": a conference for New England college newspaper editors on the role of the campus press in addressing substance use issues.

College newspapers are a powerful but underutilized medium for educating students on health issues, including those related to drug and alcohol use on campus. Editors of these publications are in a position to wield significant influence among their readers. In addition to communicating factual information about the prevalence and impact of substance use among college students, editors can use the press to advocate changes in students' attitudes and behaviors and in college or community policies that affect substance use. A pilot conference was held to help New England college newspaper editors perceive the importance of their role in educating their peers about substance use and other health-related issues, and to offer concrete suggestions as to how they can incorporate these topics into an "activist" campus press.     

Conference on international manpower flows and foreign investment in the Asian region

This is a report from a conference held in Tokyo, Japan, in 1991 on the economic aspects of labor mobility in Asia. The authors briefly describe selected papers given at the conference and outline conference topics. A list of participants is included. (SUMMARY IN FRE AND SPA)     

The future of refugee flows and policies

"The number of forced migrants...is estimated today to exceed 40 million [worldwide]. The changed international climate of the 1990s...has shifted the focus from the asylum and resettlement countries to the countries of origin: there is today a greater willingness to intervene in other countries' affairs either to avert the creation of new flows of focused migrants or to assist internally displaced populations, and there is the expectation of large-scale voluntary returns of refugees in asylum. This article discusses these and other policy issues concerning forced migration in this new international environment."     

Refugees in Papua New Guinea: government response and assistance, 1984-1988

The refugee situation after the 1984 movement from Indonesia is examined in terms of policy implications and assistance as well as the welfare and education of refugees. Information was collected from government sources and documents and from households in camps and communities over a 3-month period and was published in a government report in February, 1988. This article provides a review of the border issues, resistance and exodus, reactions within Papua New Guinea, 1984-85 border crossings, social and demographic refugee profiles, government response, UN involvement, border refugee camp conditions, repatriation and relocation, reasons for the exodus, and relocation to and conditions in East Awin and the implications. This exodus from West Papua New Guinea (a region now called Irian Jaya) after Indonesia's take over in 1962 represents a unique situation, which also has lessons for other asylum seekers looking for refuge status in friendly neighboring countries. International agreements, such as the Geneva Convention and Protocol, can disrupt social networks and households when the relocation they permit is implemented. Full economic and social participation is hampered by a low quality provision of education and social services. The gain is in removing "destabilizing threats to the host state and society," at the expense of the economic and residential security of the migrants. Humanitarianism hides inequalities; internationalism, in this case, confirmed Indonesian sovereignty and large scale economic exploitation. An estimated 300,000 Melanesians have died since the take over, which amounts to 30% of the total population in 1970. Persecution was the reason for migration to Papua New Guinea; migration numbers are not accurate and range from the official 2000-3000 to 12,000 in 1984. Reactions to the migration have been mixed, and fear of the military might of Indonesia is real. The government was not prepared to cope with the scale of migration and had no plans for food relief, shelter, or medical assistance; the consequence for the refugees was death by starvation. Refugee camps were located along the border; the populations varied by camp. Some were 56% male or female, and 43% of the entire population were 15 years of age. 75% were dependent on subsistence crop production before leaving. Development assistance was dependent on refugee movement away from border areas, in this case to East Awin.     

European Community legislation and intergovernmental cooperation on migration

Recent trends in migration policy in the European Community are outlined. The focus is on the need to increase cooperation between the member states and to increase the power of the Community's Court of Justice in decision-making about migration and refugee policy.     

The spatial and socio-occupational mobility of the population

The author describes topics included in a study of spatial, social, and occupational mobility in Poland. These include rural migration, the effect of the family life cycle on migration, the social impact of migration, the effect of migration on spatial distribution, and migration prospects until the end of this century.