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1.
In most mid- and high-income countries, there have been significant demographic, structural, and cultural changes in the past decades. However, we know little about how these changes have shaped women's work patterns during a key life stage: the transition to motherhood. Using longitudinal data from Chile, covering over 30 years of employment histories and three periods of first births (1980–2010), I conduct sequence analysis to identify women's work-care trajectories during an eight-year period of the transition to motherhood. Over time, I find that continuous care work at home has declined, for which education plays a key role, while the chances of working continuously have not changed over time. Instead, I find an increasing trend of unsteady paths that combine paid work with either caretaking or unemployment. I discuss how these changes, as well as their association with education, have important implications for both gender and social inequality. 相似文献
2.
Cambridge Paul; Forrester-Jones Rachel; Carpenter John; Tate Alison; Knapp Martin; Beecham Jennifer; Hallam Angela 《British Journal of Social Work》2005,35(7):1039-1062
This paper reports on the organization of care management froma longitudinal study of community care for people resettledfrom long-stay learning disability and psychiatric hospitals.The findings from a 12-year follow-up of care management arrangementsin 12 learning disability and eight mental health study siteservices are described. The diversity of care management arrangementsfound at earlier points in the evaluation remained evident.Also, many of the former care in the communityservice users were excluded from mainstream care managementarrangements in their localities. The difficulty of developingperson-centred arrangements in learning disability and the lackof integration of the Care Programme Approach and care managementwere evident. The findings and observations are placed in thewider policy and practice context, with suggestions for takingcare management forward nationally and locally. 相似文献
3.
Allison Zippay Ph.D. Anu Rangarajan Ph.D. 《Child and Adolescent Social Work Journal》2007,24(2):153-172
This article reports the results of a study that examined the ways in which current and recent TANF recipients assembled or
“packaged” their child care arrangements among formal and informal providers. The findings are drawn from in-person, in-depth
interviews with current and former welfare recipients. The study found that most of the respondents used multiple providers
within the category of informal child care for reasons including availability, the use of a network of social acquaintances as a
problem-solving resource, the need to accommodate irregular work hours, and personal trauma that contributed to a distrust
of strangers in formal settings. The findings can affect the efficacy of practice with TANF recipients by contributing to
social workers’ understanding of the context of decision-making regarding child care. 相似文献
4.
建构适合我国国情的新型医疗救助体制 总被引:5,自引:0,他引:5
吴任慰 《南京医科大学学报(社会科学版)》2004,4(3):202-205
医疗救助是社会救助体制的重要组成部分,它是政府和社会对贫困人口中因病而无经济能力进行治疗的人实施专项帮助和支持的行为。文章对我国实施医疗救助的迫切性与重要性加以论述,并提出建构适合我国国情的新型医疗救助体制的构想。 相似文献
5.
Susan J. Kelley 《Child Abuse Review》1994,3(1):15-25
While day care sexual abuse cases share features in common with sexual abuse in other settings, many characteristics of abuse in day care settings merit special attention. These factors include the young age of the child victims, the involvement of multiple victims and multiple perpetrators, females as perpetrators, use of extreme threats, severity of the abuse, and in some instances ritualistic activities. Research findings support clinical impressions that children are negatively impacted by sexual abuse in day care. Consequences of abuse in day care include anxiety, excessive fearfulness, behavioural disturbances, sexual acting out and sleep disorders. Parents whose children are abused in day care centres also experience psychological distress with symptom profiles consistent with post-traumatic stress disorder. Abuse of children in day care settings warrants a specialized treatment approach. A major goal of treatment is to decrease symptomatology among all family members. 相似文献
6.
王宗忠 《上海理工大学学报(社会科学版)》2022,44(4):346-351
对近十年来国内医学用途英语教学研究进展进行了整体回顾和概要总结。利用中国知网CNKI文献分析工具,对2011至2020年发表的医学用途英语学术论文进行检索统计,从发文量、文献来源、作者及机构分布、研究主题、研究视角等维度进行进展分析。研究发现,知网共发表相关主题论文342篇,其中核心期刊论文26篇,主要从医学用途英语所面临的挑战、需求分析、教学模式、教学改革、教材编写以及医学用途英语教师转型发展等视角展开讨论。研究认为未来的医学用途英语教学研究需要走“外语+医学”跨学科特色发展路径,以培养更多面向新时代的复合型医学人才。 相似文献
7.
The effects of psychiatric symptoms on quality of life assessments among the chronic mentally ill 总被引:3,自引:0,他引:3
Lehman AF 《Evaluation and program planning》1983,6(2):143-151
This study of chronically mentally disabled persons in community residences examined the discriminant validity of subjective quality of life indicators and self-report mental health indices to determine the potential confounding effects of psychopathology on the assessment of quality of life (QOL). Factor analyses and difference-score reliabilities identified a general QOL construct and a general mental health construct with 27% common variance. However, psychiatric symptoms did not significantly (p less than .05) alter the bivariate and multivariate relationships among the QOL ratings, except in the health domain in which the correlations of health-related QOL indicators with global QOL were significantly (p less than .05) attenuated after removing the effects of psychopathology. The results suggest that psychopathology does not introduce bias into the overall structure of QOL data, but they also indicate the importance of controlling for mental health effects in the assessment of patients' self-rated health and satisfaction with health care. 相似文献
8.
Charles F. Manski 《The American statistician》2019,73(1):296-304
AbstractA central objective of empirical research on treatment response is to inform treatment choice. Unfortunately, researchers commonly use concepts of statistical inference whose foundations are distant from the problem of treatment choice. It has been particularly common to use hypothesis tests to compare treatments. Wald’s development of statistical decision theory provides a coherent frequentist framework for use of sample data on treatment response to make treatment decisions. A body of recent research applies statistical decision theory to characterize uniformly satisfactory treatment choices, in the sense of maximum loss relative to optimal decisions (also known as maximum regret). This article describes the basic ideas and findings, which provide an appealing practical alternative to use of hypothesis tests. For simplicity, the article focuses on medical treatment with evidence from classical randomized clinical trials. The ideas apply generally, encompassing use of observational data and treatment choice in nonmedical contexts. 相似文献
9.
Group concept mapping (GCM) has been successfully employed in program planning and evaluation for over 25 years. The broader set of systems thinking methodologies (of which GCM is one), have only recently found their way into the field. We present an overview of systems thinking emerging from a system dynamics (SD) perspective, and illustrate the potential synergy between GCM and SD. As with GCM, participatory processes are frequently employed when building SD models; however, it can be challenging to engage a large and diverse group of stakeholders in the iterative cycles of divergent thinking and consensus building required, while maintaining a broad perspective on the issue being studied. GCM provides a compelling resource for overcoming this challenge, by richly engaging a diverse set of stakeholders in broad exploration, structuring, and prioritization. SD provides an opportunity to extend GCM findings by embedding constructs in a testable hypothesis (SD model) describing how system structure and changes in constructs affect outcomes over time. SD can be used to simulate the hypothesized dynamics inherent in GCM concept maps. We illustrate the potential of the marriage of these methodologies in a case study of BECOMING, a federally-funded program aimed at strengthening the cross-sector system of care for youth with severe emotional disturbances. 相似文献
10.
近代天津是一个瘟疫多发的城市,尤其是在水旱灾害频发的年份。瘟疫流行期间,天津市各慈善团体均致力于疫病的防治、控制和治疗。他们的善举有效地控制了疫情,拯救了许多人的生命,尤其是士绅倡导的"防疫"理念为近代公共卫生体制的确立提供了市民基础。 相似文献