我国落实世卫组织《增进获得辅助技术决议》 的基础与路径

第71届世界卫生大会通过的《增进获得辅助技术决议》对推动全球辅助技术发展具有积极意义。本文简述了《决议》出台的过程和核心内容,从政策、服务网络、产品供给、服务队伍、国际交流等维度分析落实决议的可行性,并从开展宣传、信息采集、完善政策、资源整合、国际交流等方面就落实决议、提升我国辅助技术服务水平的路径进行了探讨。     

Access to social services as a rite of integration: Power,rights, and identity

Access to social services is a multifaceted and multifactorial process, involving social policy lines, services organization, and professional front line practices. It appears to have a crucial role in how personal social services work: depending on the way the process is handled, access to social services could provide a bridge to an inclusive and solidarizing community or worsen discrimination and marginalization. Many underline how studying the actual encounters between citizens and practitioners can provide a privileged site to highlight the interconnections between the abovementioned factors. This is the focus of our research that explored access in a specific Italian region using a case study strategy. After a pilot study, the main points of access to social services were identified, and three units were selected as best examples of different approaches. The three units were explored using mainly qualitative methods inspired by ethnography. We were able to gain in depth understanding of three cultural approaches to access, defined as the “ethical duty,” the “good organization,” and the “professional approach” and reach an in‐depth understanding of their impact on access. There is a vast literature on the power of street‐level bureaucrats, seen as similar to gatekeepers. However, our research suggests that specific organizational cultures also play an important part: different organizational cultures may impact the implementation of local social policy, the organizational procedures, and social workers' practices.     

Client Experiences of Trauma-Informed Care in Social Service Agencies

This paper describes a qualitative study of individual client interviews (n?=?26) from four social service agencies to understand how clients experience trauma-informed care services and implementation challenges. We used the Fallot and Harris framework to explore client experiences of the five core concepts of trauma-informed care (safety, trustworthiness, choice, collaboration, and empowerment) using semi-structured interview questions with each client. The four agencies consisted of: refugees (n?=?4), substance abuse (n?=?8), older adults (n?=?12), and maternal/child health (n?=?2), and the agencies varied in size, service goals, and clientele. The results of the study suggest that clients’ experience of these concepts was shaped by the actions of other clients, and these experiences were either mitigated or hindered by actions of the agency employees. Agency policies either supported or enhanced their experiences as well. The results also suggest that it was challenging for agencies to provide for all of the trauma-informed care (TIC) concepts at the same time. We discuss the implications of these findings for social service delivery in a range of agency types. Future research should examine the effects of trauma-informed policies on client experiences of each TIC domain.     

Home Care Services for Indigenous Population in Taiwan: Cultural and Socio-Structural Implications for Long-Term Care Policy

Taiwan faces the world’s top aging rate over the next 8 years, making long-term care a priority for all populations, including the 16 indigenous groups who live primarily in the mountains and have different cultural practices than mainstream Taiwanese people. To examine how home care services are coordinated, managed, and delivered to the indigenous populations, we interviewed 10 public care managers and analyzed the interview content to assess their work experiences with home care workers and indigenous users in 2016. The research revealed four findings: (1) Home care utilization patterns and attitudes were different between the rural indigenous and non-indigenous populations; (2) home care utilization was limited by cultural, economic, and language challenges; (3) home care workers faced cultural and socio-structural challenges; and (4) policy and service provisions were rigid, without the socio-structural flexibility needed to accommodate the indigenous culture. A more efficient model will require the collaboration of public care managers, home care workers, and indigenous families to create a fair-coordinated plan. As Taiwan launches the Ten-year Long-Term Care Plan 2.0, a one-stop service delivery center to integrate care options and provide services for people of indigenous backgrounds is a must.     

Public investment in care services in Turkey: Promoting employment & gender inclusive growth

Recent policy debates on macroeconomic tools to counteract the prolonged global economic recession point to the potential of fiscal policies with appropriate sectoral targets for simultaneously boosting effective demand while alleviating inequalities through employment generation. This paper contributes to the debate by pointing to the social care services sector –in particular early childhood education and care (ECEC) — as an effective target of fiscal spending for robust employment generation and gender inclusive growth. We use a macro-micro simulation model to examine the aggregate and gender employment impact of increasing public expenditures on ECEC services, an underdeveloped sector in Turkey versus physical infrastructure and construction, a common target of stimulatory spending. Our methodological approach combines input-output analysis on aggregate employment effects with a statistical microsimulation approach to assess distributional outcomes. We find that an expansion of ECEC services creates not only significantly more jobs but also does so in a more gender-equitable and fiscally sustainable way than the a construction boom.     

Practical Implications of Preference‐Based Conference Scheduling

Conference scheduling involves organizing presentations into sessions which are assigned to time periods and rooms. This includes assuring a feasible utilization of time periods and rooms, and avoiding individual schedule conflicts. The problem increases in complexity by considering the preferences of presenters: for time periods, for rooms, etc. A greater level of complexity comes from considering the preferences of conference attendees, which we define as preference‐based conference scheduling (PBCS). This article provides a structure on which PBCS problems are founded, including empirical demonstration of solution techniques. In addition, real‐world strategic planning issues of flexibility and preference detail are explored.     

Erratum: Amplification in Service Supply Chains: An Exploratory Case Study from the Telecom Industry

This erratum contains the appendix that was omitted from the original paper by H. Akkermans and B. Vos, “Amplification in service supply chains: an exploratory study from the telecom industry”, Production and Operations Management, 12, 2, 204–223.     

海南省产业发展及结构协调效益实证分析

经济体产业结构的发展具有一定的规律性,产业结构在优化的过程中,伴随着协调效益的提高。海南省三次产业发展总体趋势与产业优化过程基本一致,但力度不够;结构调整的产出增加效益较好,但存在质量问题;产业结构调整的节约效益具有良好发展趋势,但存在劳动力资源浪费现象。第二产业的发展是薄弱环节,应采取有效措施促进产业结构良性发展。     

货币与产出的关系:理论模型与计量研究的现代进展

在对相关文献进行回顾整理的基础上,文章对现代货币经济学的一个中心问题———货币与产出的关系进行了述评,对各种观点进行了比较并给出了各种理论的适用范围。