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91.
Summary Based on 14 case studies of highly effective therapies and the reasons they succeeded less frequently than they could, we
propose a variety of steps to improve the health care system of the U.S.A. Whatever proposal emerges from current national
debates until innovations are shown to be safe and effective, they should not be supported; when slightly better technologies
are much more expensive than other good ones we need to consider appropriate choices carefully; simplified billing and bookkeping
would reduce our costs; when a technology is rapidly introduced cautionnary measures may be needed; tracking immunization
and repairing their omissions requires a new system; educational programs such as seen effective in hypertension should be
applied in other areas such as vaccination; in organ transplantation the nation should consider “presumed consent”; our payment
system sometimes creates perverse incentives and therefore needs review; and the preferences of the public in allocation of
health resources need to be discovered once the public is informed about the issues.
Research supported by Andrew W. Mellon Foundation. 相似文献
92.
喻典 《湖北师范学院学报(哲学社会科学版)》1992,(6)
本文研究了原子价层轨道能与共价型分子氢化物中A-H键的振动频率v_(A-H)的关系,结果表明二者间有良好的线性关系,其计算式为: v_(A-H)=-a∑n_1E_1/∑n_1(A)+b (1) V_(A-H)=-c∑n_1E_1/∑n~(B)+d (2)利用上式计算的振动频率V_(A-H)值接近于文献值。从而验证了用韩长日方法计算电负性的合理性。 相似文献
93.
Lee Friedman Edwin A. Fleishman Jennifer Mikulka Fletcher 《Journal of Engineering and Technology Management》1992,9(3-4)
This study attempted to identify the primary activities performed by R&D managers at different supervisory levels, and the cognitive and interpersonal ability requirements that underlie these activities. A task inventory containing 244 managerial tasks was completed by 117 R&D managers in nine organizations. The 48 tasks which managers rated as having spent the most time were factor analyzed, resulting in the identification of three primary activities: project management, personnel supervision, and strategic planning. Furthermore, these activities varied with supervisory level, with R&D managers performing a wider range of these activities with the progression from first-line to upper-level management.Thirty R&D managers later rated the degree to which 19 cognitive and interpersonal abilities were required for performing these primary activities. Strategic planning was rated as requiring significantly higher levels of oral expression, logical reasoning, originality, fluency of ideas, oral defense, and resistance to premature judgement than was required for the other two primary activities. Personnel supervision required a higher level of social sensitivity than was required for the other two activities. Project management required high levels of information ordering, oral fact- finding ability, problem sensitivity, and oral and written comprehension. Implications of the findings for understanding R&D managerial performance and personnel staffing functions are discussed. 相似文献
94.
巴勒斯坦建国问题是巴以冲突中悬而未决的棘手问题,在当前巴以和平进程受挫情况下,它渐渐成为巴以和谈的重要议题,且有可能成为和谈的突破口.本文从国际法角度,结合历史,分析了巴建国问题在法理上具备了哪些条件,缺哪些条件,据此对巴建国前景作个预测. 相似文献
95.
David L. Burton 《Child and Adolescent Social Work Journal》2003,20(4):277-296
Veneziano, Veneziano and LeGrand (2000) found support for the victim to victimizer hypothesis of sexual aggression with 74 sexually abusive youth. This project, a further step in examining this theory (Burton, 2000, Burton, Miller, & Shill, 2002) builds on their ideas with data from 179 adolescent sexual abusers, and supports their findings. In an examination of relationships, gender, modus operandi, and acts, the sexually abused youth were likely to repeat what was done to them. This project also offers a further analysis of how victimization accounts for a significant portion of the variance in perpetration by these youth. Implications for research and practice are offered. 相似文献
96.
Renate Minas 《European Journal of Social Work》2005,8(2):145-164
In Sweden, the initial contact between help-seeking people and a social welfare office normally takes place over the telephone, with designated intake officers handling those aiming to apply for social assistance. Citizens seeking help are here sorted according to various eligibility criteria as well as according to different intake routines. The outcome of the sorting process is that some receive an appointment for a further assessment while others are sent away. This article describes and classifies the degree of selection at seven telephone intakes, discusses relations between the degrees of selection and reasons for selection and distinguishes several selection strategies. 相似文献
97.
乐教是理解儒家精神不可忽视的重要方面。乐教扎根于“亲亲”之情,具体体现为与“忧患意识”有别,而与“安”“乐”相协调一致的“怛”和“哀”“悲”之情。此情实质上是超越的天道内化为人的心性而落实下来的生命意义与价值得以呈现的方式。儒者虽深知人生之哀、悲,但以乐入手,解悟和转化现实的人生与宇宙,是一大特色。如此,宗教情怀转化为现实的人生关怀,成为特有的礼乐文明的核心内涵。 相似文献
98.
99.
Abstract: This article explores the relationship between social stratification and the division of household labor by examining how the contribution to housework by husbands in dual-earner families varies across the Japanese social stratification structure. First, I review previous studies concerning the determinants of husbands' participation in housework and construct four hypotheses regarding the relative resources explanation, the time constraints explanation, the ideology/sex role explanation, and the alternative manpower explanation. Second, I examine the empirical support for these hypotheses in dual-earner couples and the effect of social stratification on husband's participation in housework, which has not been studied thus far. Third, I investigate the effect of social stratification in more detail. According to the results of TOBIT regressions and other supplementary analyses, the principal findings are as follows:
- 1)
the relative resources explanation is not supported;
100.