563 research outputs found
Healthcare financing in OECD countries beyond the public-private split
Background: Studies of long-term trends in the healthcare financing mix generally focus on a dichotomous concept discerning public from private funding sources. More detailed analyses of the funding mix tend to be restricted to a small number of cases or do rarely examine time trends. Aim: This paper enhances the existing body of literature by developing and applying a trichotomous concept for healthcare funding, distinguishing taxes, contributions, and private sources. This includes a new aggregated indicator for the mix of three financing sources and its graphical representation. Methods: The study mainly builds upon OECD Health Data 2011. We measure changes in the funding mix since 1972 as its distance from a funding mix that equally draws upon taxes, contributions and private sources. Results: Up to 1980, the OECD healthcare systems move toward ideal-typical financing schemes. Between 1980 and 2000, the funding mix hybridizes mainly driven by privatization processes in NHS and social insurance countries and ongoing switch-over-processes between these two healthcare system types. Since 2000, OECD countries again tend toward ideal-typical funding schemes. Discussion: We use the framework for institutional change developed by Streeck and Thelen. The quantitative approach highlights changes in terms of displacement, layering, and drift but fails to fully reveal conversion processes. Therefore, further qualitative research is needed to capture not only shifts between the funding sources but also more gradual changes within them. Conclusion: The back-and-forth development of the trichotomous funding mix challenges assumptions of a universal trend toward hybrid financing structures. -- Rahmen: Arbeiten, die langfristige Trends des Finanzierungsmix von Gesundheitsausga-ben untersuchen, basieren in der Regel auf einem dichotomen Konzept, das öffentliche und private Quellen unterscheidet. Detailliertere Studien zum disaggregierten Finanzierungsmix sind zumeist auf kleine Fallzahlen beschränkt oder betrachten keine Entwicklungen über Zeit. Ziel: Das Arbeitspapier entwickelt ein trichotomes Finanzierungskonzept, das zwischen Steuern, Beiträgen und privaten Quellen unterscheidet und wendet dieses auf OECD-Gesundheitssysteme an. Hierfür wird ein neuer Hybriditätsindex gebildet, der den Finanzierungsmix eines Landes beschreibt und graphisch verortet. Methoden: Wir messen die Veränderungen im Finanzierungsmix seit 1972 als Distanz von einem hypothetischen Finanzierungsmix, der sich jeweils zu einem Drittel auf Steuern, Beiträge und privaten Ausgaben stützt. Als Quelle dienen die OECD Health Data 2011 und ergänzende nationale Statistiken. Ergebnisse: Bis etwa 1980 steuern die OECD-Gesundheitssysteme auf unterschiedliche idealtypische Finanzierungsmodelle zu. Zwischen 1980 und 2000 beobachten wir eine Hybridisierung der Finanzierung von Gesundheitsausgaben, die vorwiegend auf Privatisierungsprozesse in den NHS- und Sozialversicherungsländern zurückgeführt werden kann. Überdies tragen einzelne Länder durch einen inkrementellen Übergang vom Sozialversicherungssystem zum NHS zunächst zur Hybridisierung bei. Seit 2000 neigen die OECD-Länder wieder idealtypischen Finanzierungsstrukturen zu. Diskussion: Wir analysieren die Befunde anhand der von Streeck und Thelen entwickelten Formen institutionellen Wandels. Der Hybridisierungsindex verdeutlicht Wandel in Form von Displacement, Layering und Drift, während Conversion-Prozesse nicht vollständig abgebildet werden können. Hierfür bedarf es qualitativer Analysen, die nicht nur Verschiebungen zwischen Finanzierungsarten sondern graduelle Veränderungen innerhalb einer Finanzierungsart erfassen. Fazit: Der Wandel zwischen Hybridisierungsphasen und Phasen der Stärkung idealtypischer Finanzierung deutet darauf hin, dass funktionale Annahmen eines langfristigen Trends zu hybriden Finanzierungsstrukturen zu kurz greifen.
Albert Vigoleis Thelen: ecos literários de um exílio em Portugal
Com uma obra que se relaciona intimamente com a sua biografia, Albert Vigoleis Thelen foi um autor em contracorrente. Após alguns apontamentos sobre a sua vida de errância e as particularidades narrativas que mais o distinguiram, centrar-me-ei no eco literário do seu exílio em Portugal.With a work closely related to his biography, Albert Vigoleis Thelen was an author in countercurrent. After a few notes on his life of wandering and the narrative characteristics that most distinguished him, the A. will focus on literary echoes of his exile in Portugal
Synthesis, structure, and reactivity of a 2,3,4-triphosphapentadienide
Thelen V, Schmidt D, Nieger M, Niecke E, Schoeller W. Synthesis, structure, and reactivity of a 2,3,4-triphosphapentadienide. ANGEWANDTE CHEMIE-INTERNATIONAL EDITION IN ENGLISH. 1996;35(3):313-315
The structure of the lexicon: Incorporating a cognitive approach in the TCM lexicon, with applications to lexicography, terminology and translation
Martin, W.J.R. [Promotor
Thelen, Martin (Birth, 1879-08-04)
Address: 384 W. 5th St.4783/Pg 63/1879/M W/Ger./U.S./Mrs. Averbeck, Mid.Original record filed in drawer labeled 'TEHR-THICKE'
A High-Resolution Optical Measurement System for Rapid Acquisition of Radiation Flux Density Maps (Poster)
To identify the power and flux density of concentrated solar radiation the Institute of Solar Research at the
German Aerospace Center (DLR - Deutsches Zentrum für Luft- und Raumfahrt e. V.) has used the camera-based
measurement system FATMES (Flux and Temperature Measurement System) since 1995. The disadvantages of low
resolution, difficult handling and poor computing power required a revision of the existing measurement system. The
measurement system FMAS (Flux Mapping Acquisition system) is equipped with state-of-the-art-hardware, is
compatible with computers off-the-shelf and is programmed in LabView. The expenditure of time for an image
evaluation is reduced by the factor 60 compared to FATMES. The new measurement system is no longer associated with
the facilities Solar Furnace and High Flux Solar Simulator at the DLR in Cologne but is also applicable as a mobile
system. The data and the algorithms are transparent throughout the complete process. The measurement accuracy of
FMAS is determined to at most +/- 3 % until now. The error of measurement of FATMES is at least 2 % higher according
to the conducted comparison tests
Political belonging through elder care: Temporalities, representations and mutuality
In this article, we examine the ways elder care generates political belonging. Our approach builds on studies which argue that nurture and care create kinship, but takes that argument further by suggesting that care generates membership in numerous social formations, across scales. We suggest that elder care helps illuminate key aspects of political belonging, particularly the temporality of political membership, because elder care entails mutuality and reciprocity over a long period of time. In addition, elder care is an interactive process in which older persons, their caregivers, the state, and other actors negotiate modes of political belonging that entail affect as well as rights. Furthermore, elder care has been used to construct representations of ‘modern’ and ‘traditional’ families which are ideologically connected to particular political formations. These representations generate difference and ‘Othering’ of internal and external populations. Ultimately, we argue that a focus on elder care collapses domains usually kept artificially separated, like kinship and the state, and private and public, in ways that are productive for social analysis as a whole.Peer reviewe
Bernie Sanders Says Denmark Is Socialist. Forbes Magazine Says It’s the Most Business-Friendly Country. Who’s Right?: Interview
When Bernie Sanders said in his debate with Hillary Clinton that Denmark was a socialist country, which the United States ought to consider emulating, it created a big debate. Danish Prime Minister Lars Løkke Rasmussen weighed in, saying that his country had a market economy, not a planned economy. Cathie Jo Martin and Kathleen Thelen are scholars of comparative political economy who have recently written books that talk about the Danish model. Martin is a professor of political science at Boston University; her book with Duane Swank, “The Political Construction of Business Interests,” asks why businesses in countries like Denmark are willing to work with social partners to shape active policies on labor. Thelen is the Ford professor of political science at MIT. Her book “Varieties of Liberalization and the New Politics of Social Solidarity” examines how Denmark has found a way to deal with global market pressures that eludes many other European countries. The interview has been lightly edited for style
Thelen, Martin Aloysius (Death, 1903-04-13)
Address: 1008 Seton AvenueAge at death: 23233/Pg 41/1903/M W S/City/Dr. George W. Moore/Ben Meyer & Son/St. Joseph OldOriginal record filed in drawer labeled 'TEHR-THICKE'
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