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1.
This article presents the findings of a qualitative research project about the difficulties in accessing advocacy faced by adults labelled as having autism and Asperger's Syndrome in the Northwest of England. It is also an example of partnership working between three organisations. The article examines both the process of team-led (emancipatory) research and the project findings. Seven main themes emerged throughout the research: late diagnosis and lack of service support; bad experiences with systems of care; feelings of 'not belonging' (identity issues); barriers around communication and sensitivity towards individuals; lack of awareness and access to advocacy and rights; difficulties of 'fitting into' what is already available; and interest in developing knowledge around advocacy. Examination of the main themes pointed to a disturbing link between poor service response, episodes of crisis and mental ill health. The Carlisle People First Research Team is made up of 6 researchers who are labelled as having 'learning difficulties' who work in partnership with one other researcher.  相似文献   
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The setting of health priorities is primarily concerned with the equitable distribution of resources and is now more than ever an important part of strategic planning within the National Health Service (NHS). The basic information which can be used to assist in such decision-making and the process by which different agencies become involved are important aspects of priority-setting; this article is based on a major review of the research literature on these aspects and provides a discussion and an analysis of experience within health and other fields. From this material a number of possible approaches to priority-setting are identified and discussed. The article concludes that, before it can be decided how priorities should be set in the future, outstanding questions about how far rational approaches are feasible, about who is to be involved and what role they should play, and about how far such decisions are to be taken nationally or locally will need further consideration.  相似文献   
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Codes of Ethics: What Are They Really and What Should They Be?   总被引:4,自引:0,他引:4  
Codes of ethics are prevalent in major corporations around the world. They are seen as the first tangible commitment to being ethical. This paper examines codes of ethics and tries to establish what they are, how they are developed and their net utility. We then proffer the idea of codes as the first part of a five-stage process that leads to an overall corporate commitment to being ethical in one's business dealings.  相似文献   
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This article makes an initial analysis of the implications of income diversification for technical change and agricultural research policy in Africa, leading to two insights. First, that the dilution effect of income diversification means that, as the proportion of non‐farm income increases, so must the expected gains from adopting a new agricultural technology. Second, that diversified producers will face disproportionately large transactions costs associated with information acquisition to inform technology choice decisions. Two hypotheses about how diversified producers are likely to react are then explored. Both point to the conclusion that income diversification among the poor is likely to constrain significantly the direct poverty impacts of agricultural research. The policy implications of these findings are then considered.  相似文献   
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People living with disabilities (PWD) face unique problems in dealing with conventional healthcare facilities. We investigate the experiences of PWD as they access healthcare facilities in rural Namibia. More specifically, we investigate structural–environmental and process barriers to accessing health facilities. The study relied on semi-structured interviews and purposive sampling. The results showed PWD find it difficult to walk to health centers for treatment due to lack of transport, money to pay for treatment and toilet facilities and the distance is too far for people with lower-limb disabilities. There is a need to consider the unique issues affecting access to healthcare for people living with disabilities to achieve equitable access to healthcare services.  相似文献   
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I propose a noncooperative marriage model that explicitly accommodates the possibility of endogenous exit and remarriage, and where marriages are of variable quality. The fundamental innovation is that the remarriage decision is infinitely repeated and the problem is fully stationary, reflecting the contemporary reality in marriage markets. I show that cooperative behavior within marriage is possible in subgame perfect equilibrium both in a setting where marriage quality is independently drawn and in a setting with persistent spouse-specific characteristics and an evolving marriage market quality. I show that spouses engage in cooperative behavior most easily when they have intermediate patience levels, which is a non-standard but intuitive game theoretic result in this setting. This model also contributes to the game theory literature by proposing another avenue for sustained cooperation in a repeated prisoner’s dilemma with endogenous exit: randomness in payoff streams.  相似文献   
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Recent advances in statistical estimation theory have resulted in the development of new procedures, called robust methods, that can be used to estimate the coefficients of a regression model. Because such methods take into account the impact of discrepant data points during the initial estimation process, they offer a number of advantages over ordinary least squares and other analytical procedures (such as the analysis of outliers or regression diagnostics). This paper describes the robust method of analysis and illustrates its potential usefulness by applying the technique to two data sets. The first application uses artificial data; the second uses a data set analyzed previously by Tufte [15] and, more recently, by Chatterjee and Wiseman [6].  相似文献   
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