Practicing managed care in the academic medical center

The purpose of this article is to outline the contrasts between the traditional AMC and an organization oriented toward the delivery of population-based managed care. Academic medical centers differ from one another considerably in the extent to which they serve as quaternary care community resources, the degree to which they emphasize primary care in training and care delivery, and the amount of research undertaken. Nor is there a single organizational structure for managed care; successful managed care is practices in IPAs, multispecialty groups, PHOs, and staff-model HMOs. Nonetheless, the contrasts outlined here between AMCs and managed care organizations (MCOs) are valid in most cases.     

Toward Father‐friendly Parenting Interventions: A Qualitative Study

Levels of father participation in parenting interventions are often very low, yet little is known about the factors which influence father engagement. We aimed to qualitatively explore perceived barriers to, and preferences for, parenting interventions in a community sample of fathers. Forty‐one fathers across nine focus groups were interviewed using a semi‐structured interview. Data were analysed using inductive thematic analysis. Key barriers to father participation identified included: the perception that interventions are mother‐focused; beliefs about gender roles regarding parenting and help‐seeking; mothers’ role as ‘gatekeeper’; lack of knowledge and awareness of parenting interventions; and lack of relevance of interventions. Fathers reported preferences for specific content and intervention features, facilitator characteristics, practical factors, and highlighted the need for father‐targeted recruitment and advertising. Many of the barriers and preferences identified are consistent with previous research; however, fathers’ beliefs and attitudes around gender roles and help‐seeking, as well as the perception that interventions are predominantly mother‐focused, may be key barriers for community fathers. Strategies to overcome these barriers and better meet the needs of fathers in promoting and delivering parenting interventions are discussed.     

Heterosexuals' use of "fag" and "queer" to deride one another: a contributor to heterosexism and stigma

This paper is on heterosexuals' use of words such as "fag" and "queer" to refer to one another in an insulting manner. This behavior perpetuates heterosexism and the stigmatization of gays. Two hundred and fifty-seven university students (73% Euro-American) served as participants. Males exhibited more anti-gay prejudice and anti-gay behavior than females. Heterosexual males frequently used words such as "fag" and "queer" to put one another down. Anti-homosexual prejudice was predictive of anti-gay behavior. However, approximately half of those who engaged in the behavior were not strongly anti-homosexual. For these individuals, the behavior may win approval from their social group. Awareness campaigns and peer reminders that the derisive use of "fag" and "queer" harms homosexuals may be effective in changing this group. It is more difficult to reduce this behavior in individuals with strong anti-homosexual attitudes. The role of individuals and educational and work organizations in bringing about change is discussed.     

Families and donor insemination: the views of semen donors

One of the consequences of donor insemination for the semen donor is that he becomes a member of two families: his own family in which he has a genetic and social connection with his offspring; and the family of the recipient couple, in which he has a genetic connection to the offspring, but usually no social connection with either the offspring or the recipient couple. This article challenges the dominant view that donor insemination as a practice of mainly medical or legal importance by looking at the attitudes of donors to both their own family and the family to which they have contributed their genetic material. Results are presented concerning who donors have told about their donation, who they think should be told, whether they think recipient couples should tell their donor insemination offspring about their conception, and concerning their opinions about factors that are considered in matching donors with recipient fathers.     

Effects of subtle heterosexism on gays, lesbians, bisexuals

This study examined heterosexism that is not specifically targeted at LGB individuals, but may be experienced as antigay harassment, and may contribute to the stigma and stress they experience. LGB participants (N = 175, primarily Euro-American college students), read scenarios of heterosexuals saying or assuming things potentially offensive to gay men or lesbian women. For each scenario, they indicated extent to which they would be offended and less open about their sexuality, and their perceptions of the behaviors as evidence of antigay prejudice. Not only did respondents find the scenarios to be offensive and indicative of prejudice, but perceived offensiveness was associated with a decreased likelihood of coming out. In comparison to gay men, lesbian women and bisexuals found the scenarios more offensive and more indicative of prejudice. Limitations of the current study and directions for future research are outlined.     

大开眼界看朝阳

<正>来中国留学已经一段时间了,去过的地方也不少,可是给我留下最深印象的却是一个很多人都不知道的城市——辽宁的朝阳。在辽宁生活的时间里,我一直觉得辽宁是一个很普通没有什么吸引力的地方。但参加了沈阳师范大学特色班的"留学生辽宁文化考察活动"以后,我忽然发现,原来在这     

‘I study long,long time in my language,so I never forget it’: reading and first language maintenance

This article will examine first-language (L1) maintenance among adult learners attending English classes at a tertiary institution in New Zealand. The sample consisted of refugee background students enrolled in a Training Opportunities Program aimed at developing literacy and numeracy skills as well as preparation for civic involvement. The data emanated from a qualitative study which not only yielded information on students’ reading habits in English but also in other languages, including their L1. Findings from the current study address L1 fluency in L2 settings, particularly as related to the availability of L1 reading material, home environment, and digital media.     

Elephants and Ivory

Counting elephants ought to be easy. It is not. Counting elephants lost to poaching is even harder. But, without knowledge of both, how can we know whether banning the sale of ivory is helping to save elephants? Bob Burn explains the problems.