Ethnic divisions and public goods provision,revisited

A considerable amount of recent work in political science and economics builds from the hypothesis that ethnic heterogeneity leads to poor provision of public goods, a key component of poor governance. Much of this work cites Alesina, Baqir and Easterly as providing empirical proof. This paper argues that the findings of this article have been significantly overstated. Through a simple re-analysis of the data, it shows that ethnic diversity does not straightforwardly undermine public goods provision. Rather, at least in these data, the relationship is mixed for different public goods: ethnic diversity is related to lower provision of some public goods and to higher provision of others. In some cases, there is no clear relationship. The differences between the findings presented here and those of the original article are arguably subtle, but are worth noting because of Alesina, et al.'s important contribution to the literature.     

The Silence of the Unblown Whistle: The Nevada Hepatitis C Public Health Crisis

In 2008, one of the worst public health crises occurred in the state of Nevada, where authorities discovered up to 63,000 patients were potentially exposed to hepatitis C infection, largely due to substandard infection control and other negligent practices at two endoscopy clinics in Las Vegas. In the subsequent grand jury proceedings that followed, it was discovered that several clinic employees not only participated in these egregious practices, but doctors, nurses, and other health care professionals witnessed yet failed to report these incidents, largely due to fears of whistleblower retaliation. In response, the Nevada state legislature attempted to strengthen whistleblower protection laws, but it remains unclear if such laws actually protect employees who attempt to report patient safety concerns. As the push for quality patient outcomes becomes more prominent with health care reform, whistleblower concerns must be effectively addressed to ensure that health care professionals can report patient safety concerns without fear of retaliation.     

Global mapping of infectious disease

The primary aim of this review was to evaluate the state of knowledge of the geographical distribution of all infectious diseases of clinical significance to humans. A systematic review was conducted to enumerate cartographic progress, with respect to the data available for mapping and the methods currently applied. The results helped define the minimum information requirements for mapping infectious disease occurrence, and a quantitative framework for assessing the mapping opportunities for all infectious diseases. This revealed that of 355 infectious diseases identified, 174 (49%) have a strong rationale for mapping and of these only 7 (4%) had been comprehensively mapped. A variety of ambitions, such as the quantification of the global burden of infectious disease, international biosurveillance, assessing the likelihood of infectious disease outbreaks and exploring the propensity for infectious disease evolution and emergence, are limited by these omissions. An overview of the factors hindering progress in disease cartography is provided. It is argued that rapid improvement in the landscape of infectious diseases mapping can be made by embracing non-conventional data sources, automation of geo-positioning and mapping procedures enabled by machine learning and information technology, respectively, in addition to harnessing labour of the volunteer ‘cognitive surplus’ through crowdsourcing.     

我国公立医院财政补偿机制与方法研究

财政补偿机制改革关系到公立医院改革目标的实现。在深入理解医院公益性内涵的基础上,针对财政补偿对医院公益性的影响,结合当前补偿思路存在的问题,以解决“看病难、看病贵”问题为目标,提出了基于时序比较的财政补偿机制,给出了相应的财政补偿方法。     

湖北省县级公立医院改革试点医院人力资源配置分析

??????? 目的 了解县级公立医院改革试点医院人力资源配置现状,为合理配置县级公立医院人力资源提供依据。方法 采用现场问卷调查的方法对湖北省12家县级公立医院的960名医护人员进行调查,并对结果进行描述性统计和Spearman秩相关分析 。结果 (1)县级公立医院人力资源数量低于全国平均水平; (2)县级公立医院规模扩张,但是人力资源补给不足;(3)医务人员素质偏低。结论 宏观调控县级公立医院人力资源、促进县级医院的人才引进和培养、增强人力资源质量建设,以提高县级公立医院医疗服务水平。     

Societal views and animal welfare science: understanding why the modified cage may fail and other stories

The innovations developed by scientists working on animal welfare are often not adopted in practice. In this paper, we argue that one important reason for this failure is that the solutions proposed do not adequately address the societal concerns that motivated the original research. Some solutions also fail because they do not adequately address perceived constraints within the industry. Using examples from our own recent work, we show how research methods from the social sciences can address both of these limitations. For example, those who persist in tail-docking cattle (despite an abundance of evidence showing that the practice has no benefits) often justify their position by citing concern for cow cleanliness. This result informs the nature of new extension efforts directed at farmers that continue to tail dock, suggesting that these efforts will be more effective if they focus on providing producers with methods (of proven efficacy) for keeping cows clean. Work on pain mitigation for dehorning shows that some participants reluctant to provide pain relief believe that the pain from this procedure is short lasting and has little impact on the calf. This result informs the direction of new biological research efforts to understand both the magnitude and duration of any suffering that result from this type of procedure. These, and other examples, illustrate how social science methodologies can document the shared and divergent values of different stakeholders (to ensure that proposed solutions align with mainstream values), beliefs regarding the available evidence (to help target new scientific research that meets the perceived gaps), and barriers in implementing changes (to ease adoption of ideas by addressing these barriers).     

Public perceptions of a white‐tailed sea eagle (Haliaeetus albicilla L.) restoration program

The historic persecution and decline of European raptor populations precipitated the use of reintroduction as a species restoration tool in the late twentieth century. One of the key requirements of the World Conservation Union reintroduction guidelines concerns the need for social feasibility studies to explore the attitudes of local human populations toward restoration and reintroduction proposals. Ahead of any formal proposals to reintroduce white‐tailed sea eagles to Cumbria, United Kingdom, we conducted a baseline public attitudinal survey (n = 300). We identified broad public support for this reintroduction, which transcended differences in the demographic, geographic, and employment profiles of the study cohort. There was public recognition that white‐tailed sea eagles could deliver a broad range of socioeconomic and environmental benefits with few detrimental impacts. Although the value of attitudinal surveys of this nature has been questioned, we would argue that they provide a useful baseline “snapshot” ahead of a more structured and focused reintroduction consultation. These results reinforce the emergence of public interest in the restoration of European raptors in the late twentieth and early twenty‐first century.     

非人类物种的城市化:动物也是地球上的一员

提出在日益城市化进程中人类与非人类物种之间关系的4种推测。由于非人类物种也在快速城市化,它们的空间条件大部分都是由人类为自己所构建,这可以集中并强化拉图尔的生物共生理念。风景园林师应该理清自己工作的政治影响,而其中的一种方法是处理物种之间微妙而脆弱的相互关系。当然,采用未经验证的新自由主义设计在大多数情况下对非人类物种都会带来特殊的破坏性后果。本文使用“基础设施”模型探讨不同的生物群体之间如何相互影响彼此的命运。