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The Italian National Health Service: Universalism, Marketization and the Fading of Territorialization 意大利国家卫生服务:普遍主义、市场化和属地化的消退
IF 1 Q2 Social Sciences Pub Date : 2022-02-09 DOI: 10.1080/07360932.2022.2036625
L. Bifulco, S. Neri
Abstract At the time of its inception, in 1978, prevention and primary care were set as fundamental pillars of the Italian National Health Service (NHS), emphasizing the collective and social dimension of health. These principles were progressively neglected over the following four decades. Marketization, managed competition and managerialization privileged the individualized, highly specialized healthcare services mainly provided in hospitals, to the detriment of local outpatient and primary care services. After 2008–09, austerity policies exacerbated this situation determining under-financing as well as structural and staff shortages, while increasing tensions arose between the central government and Regions in the decentralized NHS. In 2020–21, the pandemic highlighted these critical issues. The need to develop a universal and strong outpatient, primary and community care system became evident in order to ensure the appropriateness and quality of foundational health services. This requires the State to play a more prominent role in the NHS governance.
1978年,预防和初级保健被确立为意大利国家卫生服务(NHS)的基本支柱,强调健康的集体和社会层面。在接下来的40年里,这些原则逐渐被忽视。市场化、有管理的竞争和管理化有利于主要在医院提供的个性化、高度专业化的保健服务,损害了地方门诊和初级保健服务。2008-09年之后,紧缩政策加剧了这种情况,导致资金不足以及结构和人员短缺,同时中央政府和分散的NHS地区之间的紧张关系日益加剧。2020-21年,大流行突出了这些关键问题。为了确保基本保健服务的适当性和质量,显然需要发展一个普遍和强有力的门诊、初级和社区保健系统。这就要求国家在国民保健服务的治理中发挥更突出的作用。
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引用次数: 1
The European Commission on Sustainable Development. A New Normative Power in Its Making? 欧洲可持续发展委员会。一种新的规范性力量正在形成?
IF 1 Q2 Social Sciences Pub Date : 2022-01-30 DOI: 10.1080/07360932.2022.2032255
Daniel Silander
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引用次数: 1
Re-Embedding and Disembedding in Post-Socialist Hungary: An Analysis of Orbanism from a Polanyian Perspective 后社会主义匈牙利的再嵌入与消解:波兰视角下的欧尔班主义分析
IF 1 Q2 Social Sciences Pub Date : 2022-01-24 DOI: 10.1080/07360932.2022.2031248
Larry Liu
Abstract The rise of populist authoritarianism is a substantial reversal of the liberal democratic path in Central and Eastern Europe, including Hungary. What explains Hungary’s authoritarian turn toward Orbánism and what are the components of Orbánism that consolidate its claim to power? This paper uses a Polányian perspective and argues that the populist authoritarian turn occurred in the context of the social dislocation of the post-socialist transition period in the 1990s and 2000s. Viktor Orbán and Fidesz’ populist authoritarianism filled a political vacuum by offering a new re-embedding strategy for the population, which included material (full employment, family policy, remittances) and ideological (ethnic nationalism, xenophobia, Christian conservatism) policies. However, Orbánism has contradictory implications, because (1) material embedding takes the form of a punitive and highly conditional workfare regime, and (2) the regime simultaneously advances “disembedding” features including pro-oligarchic, pro-foreign investor, pro-rich, anti-union and anti-welfare policies. As a result, Orbán’s power consolidation is premised on political authoritarianism to prevent any expected discontent from threatening the regime.
摘要民粹主义威权主义的兴起是对包括匈牙利在内的中欧和东欧自由民主道路的实质性逆转。是什么解释了匈牙利向奥尔班主义的威权主义转变?奥尔班主义中巩固其权力主张的组成部分是什么?本文采用了波兰主义的观点,认为民粹主义-威权主义的转变发生在20世纪90年代和21世纪初后社会主义过渡时期的社会错位背景下。Viktor Orbán和Fidesz的民粹主义威权主义填补了政治真空,为民众提供了一种新的重新嵌入战略,其中包括物质(充分就业、家庭政策、汇款)和意识形态(种族民族主义、仇外心理、基督教保守主义)政策。然而,奥尔巴主义具有矛盾的含义,因为(1)物质嵌入采取了惩罚性和高度有条件的劳动福利制度的形式,以及(2)该制度同时推进了“去嵌入”特征,包括亲寡头、亲外国投资者、亲富人、反工会和反福利政策。因此,奥尔班的权力巩固是以政治威权主义为前提的,以防止任何预期的不满威胁到政权。
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引用次数: 0
Too Much Redistribution, Too Little or Just Right? 再分配太多,太少还是刚刚好?
IF 1 Q2 Social Sciences Pub Date : 2021-12-06 DOI: 10.1080/07360932.2021.2011763
Jon Reiersen
Abstract How informed are individuals about the income distribution in their own country? This article presents survey data showing that Norwegians tend to overestimate the level of inequality in Norway. This contrasts with survey data from the United States (US), presented in Norton and Ariely , showing that Americans vastly underestimate inequality in their own country. These findings are interpreted by emphasizing the effect existing differences in income have on peoples’ psychological capacity to observe income differences. Norwegians are also asked how they ideally would like income to be distributed. They construct an ideal income distribution that is surprisingly close to the actual (egalitarian) distribution in Norway. Americans also construct an ideal distribution that more closely resembles the distribution of income in Norway than in the US. Respondents’ preferences for small income differences are discussed with reference to recent findings in experimental and neurobiological research.
摘要个人对本国收入分配的了解程度如何?本文提供的调查数据显示,挪威人往往高估了挪威的不平等程度。这与Norton和Ariely提供的来自美国的调查数据形成了鲜明对比,这些数据表明美国人大大低估了自己国家的不平等。这些发现是通过强调现有的收入差异对人们观察收入差异的心理能力的影响来解释的。挪威人还被问及他们理想的收入分配方式。他们构建了一个理想的收入分配,与挪威的实际(平等)分配惊人地接近。美国人还构建了一个理想的收入分配,与美国相比,更接近挪威的收入分配。参考实验和神经生物学研究的最新发现,讨论了受访者对小收入差异的偏好。
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引用次数: 0
Poverty in the Russian Arctic: The Case of the Republic of Sakha (Yakutia) 俄罗斯北极地区的贫困:以萨哈共和国(雅库特)为例
IF 1 Q2 Social Sciences Pub Date : 2021-11-13 DOI: 10.1080/07360932.2021.1999842
T. Gavrilyeva, A. Naberezhnaya, Filipp Nikiforov
Abstract The distinctive feature of absolute poverty in the Republic of Sakha (Yakutia), as a region of the North and the Arctic, is its persistence over a long time (2003–2019). The growth of industrial production resulting from the extensive development of natural resources does not affect the income of Yakutia’s population. Using a database containing measurements of social well-being and living standards in 1990–2019, linear regression models of poverty in Russia and Yakutia were built. Based on quantitative and comparative analyses, endogenous poverty factors were identified in Yakutia. These are high cost of living and demographic patterns: high birth rate and dependency ratio and a significant share of the rural population. Ineffective social policy, when a large proportion of social support is provided to people who do not need it, also contributes to the sustainability of poverty. Both the federal government and the government of Yakutia have sufficient resources to solve the problem of absolute poverty. This requires a new social model, a more equitable redistribution of income, and the alleviation of inequality not only among social groups, but also from a regional perspective.
摘要萨哈共和国(雅库特)作为北方和北极地区,其绝对贫困的显著特征是长期持续存在(2003-2019)。由于自然资源的广泛开发,工业生产的增长并不影响雅库特人口的收入。使用包含1990-2019年社会福利和生活水平测量值的数据库,建立了俄罗斯和雅库特贫困的线性回归模型。通过定量分析和比较分析,确定了雅库特的内生贫困因素。这些是高生活成本和人口结构模式:高出生率和抚养比以及农村人口的很大一部分。无效的社会政策,当很大一部分社会支持提供给不需要的人时,也有助于贫困的可持续性。联邦政府和雅库特政府都有足够的资源来解决绝对贫困问题。这需要一种新的社会模式,一种更公平的收入再分配,并不仅从社会群体的角度,而且从区域的角度缓解不平等。
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引用次数: 0
Financial Inclusion among Backward Communities: A Study of the Tea Garden Workers in Assam, India 落后社区的金融包容性:对印度阿萨姆邦茶园工人的研究
IF 1 Q2 Social Sciences Pub Date : 2021-11-05 DOI: 10.1080/07360932.2021.1999297
P. Dutta, G. Goswami, Hemanta Barman
Abstract Assam, a north-eastern state in India contributes the largest share in India’s total tea production. However, the workers in the tea gardens of the state are considered as one of the poor and marginalised sections of the population. The workers’ community has limited access to anti-poverty social security programmes and other social welfare schemes including formal financial services. Using primary data, this study examines the extent of financial inclusion among the tea garden workers in Assam. We study financial inclusion in terms of access to a bank account, credit and insurance. Our results reveal that financial inclusion among the workers has deepened considerably but not in all dimensions. We find education as an important determinant of financial inclusion among the tea garden workers in Assam. To make the process of financial inclusion among the tea garden workers more expeditious and comprehensive, specific initiatives towards delivering government-sponsored schemes are needed.
阿萨姆邦是印度东北部的一个邦,在印度的茶叶总产量中占有最大的份额。然而,国家茶园的工人被认为是人口中贫穷和被边缘化的部分之一。工人群体获得反贫困社会保障方案和其他社会福利计划(包括正式金融服务)的机会有限。利用原始数据,本研究考察了阿萨姆邦茶园工人的金融包容性程度。我们从获得银行账户、信贷和保险的角度研究普惠金融。我们的研究结果表明,工人之间的金融包容性已经大大加深,但不是在所有维度。我们发现教育是阿萨姆邦茶园工人金融包容性的重要决定因素。为了使茶园工人的普惠金融进程更加迅速和全面,需要采取具体措施来实施政府资助的计划。
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引用次数: 2
Pandemics, Socioeconomic Gaps, and Macroeconomic Policy: The Ugly Truth Highlighted by COVID-19 流行病、社会经济差距和宏观经济政策:2019冠状病毒病凸显的丑陋真相
IF 1 Q2 Social Sciences Pub Date : 2021-11-03 DOI: 10.1080/07360932.2021.1997781
Iris Buder, Jacob Jennings
Abstract Economic stratification lies at the heart of persistent inequities, which have been considerably amplified under COVID-19. To tackle these persistent inequities, a social economics approach and common goods focused policy for at-risk groups are required. Using this approach, this article highlights various past macroeconomic and health policy decisions that have created the conditions for the social and spatial distribution of COVID-19 infections, deaths, and other deleterious outcomes. Additionally, the linkages between health and socioeconomic status are explored, shedding light on the current and likely gaps present given the Covid19 global pandemic. One cannot look at the COVID-19 crisis in a vacuum, but rather how the crisis reflects deeply rooted institutional, structural, and systemic social stratification. This article contributes to the existing literature by analysing it through the lens of occupational prestige. The recognition of social economics and the growing stratification of Americans is necessary to enact healthier policies for all, but especially marginalized communities.
摘要经济分层是持续不平等的核心,在新冠肺炎疫情下,这种不平等现象大大加剧。为了解决这些持续存在的不平等问题,需要采取社会经济学方法,并为风险群体制定以共同利益为重点的政策。利用这种方法,本文强调了过去的各种宏观经济和卫生政策决定,这些决定为新冠肺炎感染、死亡和其他有害结果的社会和空间分布创造了条件。此外,还探讨了健康与社会经济地位之间的联系,揭示了在2019冠状病毒病全球大流行的背景下目前和可能存在的差距。人们不能在真空中看待新冠肺炎危机,而是看这场危机如何反映根深蒂固的制度、结构和系统社会分层。本文通过从职业声望的角度对现有文献进行分析,对其做出了贡献。承认社会经济和美国人日益分层,对于为所有人,尤其是边缘化社区制定更健康的政策是必要的。
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引用次数: 0
Distributional Aspects of Ghana’s Value-Added Tax 加纳增值税的分配问题
IF 1 Q2 Social Sciences Pub Date : 2021-10-15 DOI: 10.1080/07360932.2021.1977970
F. Andoh, R. Nkrumah
Abstract Much of the argument against value-added tax (VAT) is that it is regressive and therefore burdens the poor, relative to the rich. In this paper, we examine the distribution of Ghana’s VAT burden as well as benefits from VAT exemptions across different categories of households, paying attention to how these distributions vary over time and across different socioeconomic characteristics. We use data from the last four waves of the Ghana Living Standard Surveys (GLSS) to compute the VAT liability and benefits from exemptions for each household. We find that the VAT regime has evolved from being progressive to regressive, thus hurting the poor more than it does the rich. We further find a rise in the burden on females in poorer households, the least educated and the unemployed. Finally, we find the current exemption regime to benefit richer households more, relative to poorer households.
摘要反对增值税的大部分论点是,相对于富人,它是累退的,因此给穷人带来负担。在本文中,我们研究了加纳增值税负担的分布以及不同类别家庭从增值税豁免中获得的好处,并注意到这些分布如何随时间和不同的社会经济特征而变化。我们使用加纳生活水平调查(GLSS)最后四波的数据来计算每个家庭的增值税负债和免税福利。我们发现,增值税制度已经从进步演变为倒退,因此对穷人的伤害大于对富人的伤害。我们进一步发现,贫困家庭、受教育程度最低的女性和失业者的负担有所增加。最后,我们发现,与贫困家庭相比,目前的豁免制度使富裕家庭受益更多。
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引用次数: 0
Cash Holding and Financial Stability during a Crisis: A Case Study of Vietnamese Firms in Covid-19 Pandemic 危机期间的现金持有与金融稳定——新冠肺炎疫情中越南企业的案例研究
IF 1 Q2 Social Sciences Pub Date : 2021-09-20 DOI: 10.1080/07360932.2021.1944260
Chi Khanh Nguyen, Anh Quang Nguyen, Nhu Quynh Nguyen, T. Nguyen, Anh Chu, L. T. M. Nguyen
Abstract This paper aims to examine whether cash holding can enhance the financial stability of firms under the impact of the Covid-19 pandemic. We utilize quarterly data of 285 Vietnamese listed firms from quarter 1-2011 to quarter 3-2020 for our analyses. The results reveal that cash holding has a positive effect on financial stability during the pandemic crisis. Additionally, cash holdings of two quarters ahead also have significant impact on firms' financial stability. We also find that cash holding is particularly crucial for firms that are more vulnerable to the pandemic, for examples firms headquartered in big cities, firms from Consumer Discretionary, Material, Energy industry, large firms, and firms with a history of high sale growth. Altogether, our study highlights the importance of holding cash and early planning for cash holding as an effective risk management method for firms, especially for those that are more vulnerable to an economic shock.
摘要本文旨在研究在新冠肺炎疫情的影响下,现金持有是否能提高企业的财务稳定性。我们利用2011年第1季度至2020年第3季度285家越南上市公司的季度数据进行分析。研究结果表明,在疫情危机期间,现金持有对金融稳定有积极影响。此外,未来两个季度的现金持有量也对公司的财务稳定性产生了重大影响。我们还发现,现金持有对更容易受到疫情影响的公司尤其重要,例如总部位于大城市的公司、消费者自由裁量权、材料、能源行业的公司、大公司以及有高销售增长历史的公司。总之,我们的研究强调了持有现金和早期计划现金持有作为企业有效风险管理方法的重要性,尤其是对于那些更容易受到经济冲击的企业。
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引用次数: 2
The European Health Systems Facing the Covid-19 Outbreak: A Macro-Regional Approach 面对Covid-19爆发的欧洲卫生系统:宏观区域方法
IF 1 Q2 Social Sciences Pub Date : 2021-08-28 DOI: 10.1080/07360932.2021.1968468
G. Giarelli
Abstract The article proposes the concept of ‘health macro-region’ as a comprehensive contextual framework for comparative analysis of European health systems beyond the conventional ‘methodological nationalism’ in comparative research based on national analyses. The impact of the Covid-19 pandemic in five European health macro-regions is then examined by an analysis of the epidemiological data to assess whether there have been significant differences in the incidence of the pandemic, assuming some structural connections with the responses given by the different health care systems. The significant inter-regional variations detected confirm the heuristic validity of the concept of ‘health macro-region’ but, at the same time, reveal equally significant intra-regional variations highlighted by the coefficients of variation.
摘要:本文提出了“卫生宏观区域”的概念,作为欧洲卫生系统比较分析的综合语境框架,超越了传统的基于国家分析的比较研究中的“方法论民族主义”。然后通过对流行病学数据的分析来检查Covid-19大流行对五个欧洲卫生宏观区域的影响,以评估大流行发病率是否存在显着差异,假设不同卫生保健系统给出的反应存在一些结构性联系。检测到的显著区域间差异证实了“健康宏观区域”概念的启发式有效性,但与此同时,变异系数突出显示了同样显著的区域内差异。
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引用次数: 1
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Forum for Social Economics
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