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341.

Background

Reporting the outcomes for women and newborns accessing private midwives with visiting rights in Australia is important, especially since this data cannot currently be disaggregated from routinely collected perinatal data.

Aim

1) Evaluate the outcomes of women and newborns cared for by midwives with visiting access at one Queensland facility and 2) explore private midwives views about the structures and processes contributing to clinical outcomes.

Methods

Mixed methods. An audit of the ‘all risk’ 529 women receiving private midwifery care. Data were compared with national core maternity variables using Chi square statistics. Telephone interviews were conducted with six private midwives and data analysed using thematic analysis.

Findings

Compared to national data, women with a private midwife were significantly more likely to be having a first baby (49.5% vs 43.6% p = 0.007), to commence labour spontaneously (84.7% vs 52.7%, p < 0.001), experience a spontaneous vaginal birth (79% vs 54%, p < 0.001) and not require pharmacological pain relief (52.9% vs 23.1%, p < 0.001). The caesarean section rate was significantly lower than the national rate (13% vs 32.8%, p < 0.001). In addition fewer babies required admission to the Newborn Care Unit (5.1% vs 16%, p < 0.001). Midwives were proud of their achievements. Continuity of care was considered fundamental to achieving quality outcomes. Midwives valued the governance processes embedded around the model.

Conclusions

Private midwives with access to the public system is safe. Ensuring national data collection accurately captures outcomes relative to model of care in both the public and private sector should be prioritised.  相似文献   
342.
In Australia, students from Chinese and Arabic language backgrounds form the largest minority language groups in the New South Wales (NSW) public school system. Yet the mainstream academic performance of students from these two communities show marked differences in their levels of attainment. This article explores the home literacy practices of two immigrant families – one from a Chinese background and the other of Lebanese heritage – in order to obtain insights into how parents support their children in the acquisition of mainstream literacies. It documents parents’ perceptions of their interactions with school authorities in relation to their children’s educational needs. Findings indicate that despite a plethora of inclusive policies adopted by the children’s schools, the families in our study perceived school authorities as exclusionary in their practices. The article chronicles the sense of powerlessness and alienation experienced by both families when confronted with the rigidity of a school system they neither knew nor understood. Despite the similarities in their experiences, the Chinese family succeeded in the acquisition of mainstream literacies while the Lebanese family continues to struggle with the demands of the school curriculum. We present the contrasting solutions adopted by the two families to meet the educational needs of their children and indicate how their culturally derived responses go part way in explaining the different levels of school achievement experienced by the two families.  相似文献   
343.
In Western Europe, the children of Moroccan and Turkish migrants were found to be significantly disadvantaged in the labour market. This ethnic gap was found to persist after considering differences in schooling, which was argued to reflect ‘ethnic penalties’ driven by cultural, religious, or racial factors. This study uses data from the 1st Wave of the ‘Netherlands Longitudinal Life-Course Study’ (2009–2010) to revisit the analysis of ‘ethnic penalties’ for second-generation Moroccans and Turks. Unlike in previous research, empirical analyses not only consider differences in schooling, but also skills and social origins. Results show substantial ethnic inequalities in the labour market, with the exception of women from Moroccan origins. For men, these ethnic inequalities do not disappear when human capital factors are considered, but they do when accounting for the unprivileged social origins of ethnic minorities. For women, the disadvantage of second-generation Turks in achieving privileged occupations clearly disappears when human capital and social origins are considered. Yet, the chances of being unemployed among women of Turkish origins persist after controlling for education, skills, and social origins. Overall, this study has global academic and public policy implications to understand the socioeconomic integration of the Moroccan and Turkish second generation in Western Europe.  相似文献   
344.
School choice has become an increasingly prominent strategy for enhancing academic achievement. To evaluate the impact on participants, we exploit randomized lotteries that determine high school admission in the Chicago Public Schools. Compared to those students who lose lotteries, students who win attend high schools that are better in a number of dimensions, including peer achievement and attainment levels. Nonetheless, we find little evidence that winning a lottery provides any systematic benefit across a wide variety of traditional academic measures. Lottery winners do, however, experience improvements on a subset of nontraditional outcome measures, such as self‐reported disciplinary incidents and arrest rates.  相似文献   
345.
This paper focuses on the health and well‐being of young people making the transition from care to independent adulthood. It draws on findings from a wider study of outcomes for young people leaving care in England. Notably, the study used, as its key outcome indicators, measures of general and mental well‐being. In doing so, it was able to explore the interrelationship between these areas and young people's overall progress after care. The paper explores the extent to which young people experience difficulties related to physical and mental health, disability and emotional and behavioural problems. It will show that such difficulties can impact upon and be influenced by overall well‐being and post‐care progress in more traditional outcome areas such accommodation and career, and will suggest that the transition from care itself can adversely affect health and well‐being. The paper considers these issues within the context of a changing policy framework which has given increased priority to the health and well‐being of young people in and leaving care, particularly in light of the Children (Leaving Care) Act 2000. It considers the ways that young people are supported to address health and well‐being and the implications for and impact on leaving care services.  相似文献   
346.
This article investigates the long‐term impact of early maternal employment on children's cognitive and behavioral outcomes. Non‐Hispanic White and African American children aged 3 to 4 in the 1986 National Longitudinal Survey of Youth were followed longitudinally to see whether the effects that prior studies found at age 3 to 4 persist into the school‐age years (ages 7 to 8) or whether those effects attenuate over time. The empirical results indicate that maternal employment in the 1st year of a child's life has significant negative effects on White children's cognitive outcomes. These effects persist to ages 7 or 8 for some children but not for others. We also found some negative effects of maternal employment in the 1st year on behavioral problems as assessed at age 7 or 8, but again these effects are found only for White children.  相似文献   
347.
We used data from the National Longitudinal Survey of Youth to examine the effect of various family structures on behavioral and cognitive outcomes for children aged 7 to 10. We extended previous research by using a longitudinal definition of family structure and by exploring multiple mechanisms through which family structure may affect children in 2 outcome domains. We found that family income, mother's psychological functioning, and the quality of the home environment are particularly important for children's behavior, whereas family income and mother's aptitude have notable effects on children's cognitive test scores.  相似文献   
348.
Many firms competing in the current global economy are multinational corporations (MNCs) that operate across national boundaries. Multinational corporations have the dual imperatives of maintaining internal consistency among their subsidiaries while simultaneously adapting to different local environments. Comparing personnel outcomes between subsidiaries of the same multinational corporation located in different countries would provide a specific context within which we can examine the relative importance of these two imperatives. Using personnel data from a multinational bank, we compare personnel outcomes such as turnover and hiring rates, tenure distributions, proportion of part-time workers, and gender composition of its subsidiary retail banking operations in the Federal Republic of Germany and in the United States. We further analyze differences in outcomes between comparable job levels in each country, recognizing that different levels in the hierarchical structures of MNCs may face varying pressures for internal consistency and local adaptation. Our results show that the local environment has a strong effect on personnel outcomes, although differences between countries decrease at higher job levels. The possible sources and implications of increasing similarity at higher job levels is discussed.  相似文献   
349.
It is well known that welfare states ensure a certain level of social protection affecting levels of well‐being and the extent of inequalities in society. Changes within crucial domains of social policy, such as education, health, or social protection, have, therefore, a major effect upon individuals' opportunities. In this article I compare the effects of these changes in two countries from the mid‐1980s to the financial crisis of 2008. Portugal that was a latecomer in welfare state development and Denmark was at the forefront of de‐commodification and universalization of social rights. The conclusion of this article is that income inequality has been steadily increasing in Danish society; while in Portugal, despite improvements in many social domains (healthcare, poverty alleviation, unemployment protection), problems of inequality remain deeply embedded in the country's social and institutional structures.  相似文献   
350.
This paper presents findings from a subsample of 24 young females aged 8–16 years who were referred to specialist services in England during the 1990s because of their abusive sexual behaviours. The characteristics, backgrounds and behaviours of the sample are summarized and compared both with the males in the total population studied and with findings from the limited international literature on young female sexual abusers. Key findings include the higher rates of sexual victimization amongst females, their lack of prior criminal convictions, their somewhat younger ages at referral and their fewer victims. A smaller selection of case studies is used to illustrate the range of circumstances and behaviours leading to referral. Follow‐up interviews with two female ex service users, who are now in young adulthood, indicate that their childhood sexually abusive behaviour is more a marker of vulnerability than of risk of abusive behaviour in adulthood. Their struggles now as parents, in adult relationships and their ongoing health difficulties are outlined.  相似文献   
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