Navigating health care: brokerage and access for undocumented Latino immigrants under the 2010 Affordable Care Act

ABSTRACT

Brokerage is a prominent mechanism that explains access for Latino immigrants to many American institutions. However, few studies examine the dual nature of brokerage in answering questions on access to health care for undocumented Latino immigrants. The growing importance of Federally Qualified Health Centers (FQHCs) and ethnic navigators connecting immigrants to health care under the 2010 Affordable Care Act calls attention to the duality of brokers and its role in access. The study draws from 44 in-depth interviews with providers, clinic directors, navigators, and immigrant patients and two years of fieldwork in FQHCs in California’s San Francisco Bay Area (2011–2013). Results show that brokers enable access through coaching and myth-busting but they also hinder it through scrutiny and bureaucratic filtering. The widespread dependence on brokerage, I argue, leads to ersatz brokerage, such as when providers navigate the health-care system for the undocumented without the appropriate linguistic resources or coordination. Furthermore, the study shows that the duality in brokerage generates misinformation, churning, and alienation. Understanding the relational processes that both include and exclude vulnerable populations from needed services enhances theories of immigrant integration and can help design more efficient policies and address inequalities related to documentation status.     

民营银行市场准入的法律问题研究

在入世五年过渡期后,我国银行业已全面对外开放。而与之形成鲜明对比的是,对内开放却步履缓慢,如履薄冰。发展民营银行对于迎接外资银行的挑战,加速我国金融体制市场化进程具有重要的现实意义。应当在充分认识民营银行潜在风险的基础上,对民营银行的市场准入进行审慎的法律监管,以保证其健康有序地发展。     

High‐frequency family contact: a road to nowhere for infants

Understanding the practices which support the best interests of infants when placed in out‐of‐home care in the first year of life is a significant challenge. A study based in Victoria, Australia, explored the practice by the Children's Court of ordering high‐frequency contact (4–7 days a week) with the infant's mother and father when they are placed in care in the first year of life. A literature review revealed little attention to the issue of frequency of family contact for infants. An audit of case files of all infants in care in mid‐2007 showed that at 1 year follow‐up, there was no difference in the reunification rate for children with a period of high‐frequency contact and those with less contact with their mothers and fathers. Focus groups revealed deep divisions of opinion about high‐frequency family contact which are played out in the adversarial Children's Court system in Victoria. The study highlights the complexity of understanding and supporting the attachment relationships at this critical period in the infant's life.     

Predictors of college-student food security and fruit and vegetable intake differ by housing type

ABSTRACT

Objective: We assessed whether college-student characteristics associate with food security and fruit and vegetable (FV) intake and whether these associations differ in students in housing with and without food provision. Participants: 514 randomly-sampled students from a large, Midwestern, public university in 2012 and 2013 Methods: Ordered logistic regression tested how student characteristics associate with food security. Linear regression tested how student characteristics associate with FV intake. Analyses were stratified by housing type – that is, housing with food provision (dormitory, fraternity/sorority house, cooperative) vs. housing without food provision.Results: Only among those living in housing without food provision, males (p = 0.04), students without car access (p = 0.005), and those with marginal (p = 0.001) or low (p = 0.001) food security demonstrated lower FV intake. Conclusions: Housing with food provision may buffer the effects of student characteristics on food.     

学术期刊开放存取的内在逻辑与发展趋势

学术期刊开放存取已经成为目前中国学术期刊界研究的热点问题，学术期刊的属性是分析学术期刊开放存取内在逻辑的前提和基础。从学术期刊的准公共产品属性出发，分析学术期刊开放存取的内在逻辑性，进而通过将开放存取与中国目前发展已相对完善的学术期刊商业数据库传播模式的对比，分析其在中国的发展趋势。分析认为，开放存取模式将不会取代商业数据库传播模式而成为中国学术期刊网络传播模式的主流。     

Title Index

Abstract

This article describes how electronic resources have impacted the University of Nevada, Las Vegas (UNLV) Libraries' binding operation and how the libraries have responded to the resulting challenges, including the need for updated collection development and preservation/conservation policies, a comprehensive bindery contract, and a fully functional in-house binding capability. The evaluation of the binding process must continue as libraries move from a predominantly print to a predominantly electronic environment. Librarians, scholars, and binders should work together to preserve and bind library collections that will be valuable to future generations.     

Racing to a Bright Future

Abstract

Serials Review visits the National Baseball Hall of Fame and Museum Library in Cooperstown, NY, which opened in 1939 with two shelves of donated books. The museum is now home to the largest collection of baseball information in the world.     

自适应的Ad hoc MAC协议

为Adhoc网络提出了一种基于模糊逻辑的媒体接入控制层协议。该协议通过在MAC层采用模糊逻辑协调各个相互影响的数据流,为低优先级数据流选择附加退避窗口以减少其自身接入信道概率。通过这种方法,使得高优先级数据流在各种背景流量的条件下,均能够维持较高的端到端吞吐量和较低的端到端接入时延。仿真结果表明,该协议较802.11e协议更好地保护高优先级数据流的端到端时延和吞吐量。     

唐代迁谪诗文述略

唐代遭受迁徙、贬谪之苦的众多诗人所创作的“迁谪诗文” ,是唐代文学不可或缺的重要组成部分。唐代的迁谪诗文颇能体现出迁谪文学的本质特点 ,对后世的迁谪文学的发展亦产生了深远的影响。     

西部开发的历史与现实思考

以 5 0年代 15 6项工程建设为开端 ,到 90年代西部大开发战略的实施 ,国家对西部地区已进行了三次大规模的开发建设。前两次西部开发是在毛泽东区域经济均衡发展战略思想指导下进行的 ,对于促进中国工业化建设 ,加快西部地区的发展起了重要作用。目前正在实施的西部大开发是在邓小平“两个大局”思想指导下 ,第三代领导集体为实现现代化建设第三步目标而采取的重大战略步骤。由于时代主题和所处国际环境的变化 ,这次西部大开发应有新的思路和新的举措