The Uruguay Round of trade negotiations took until December 1993 to be completed. Its conclusion has been heralded as a significant step on the part of countries belonging to the General Agreement on Tariffs and Trade (GATT). However, further cooperation by these countries is still required, as is the need to go further. The globalization of the world's economies is paralleled by the increasingly global nature of environmental problems. This is true in terms of the effects of these problems (e.g., climate change and ozone depletion), and also because dealing with these problems will require international cooperation. In view of the significant role it will play in the world economy, this global response will, in part, include reforming the rules of the international trading system.
Theories of western jurisprudence have traditionally been dominated by the perspective of the white western male. Feminist jurisprudence has suggested that theories of law which neglect to take into account experiences of women are inadequate; we can no longer ignore the proposition that theories of common law and property, that do not embrace Indigenous experiences are also deficient. Indigenous Australians have been beset by the dominant AngloEuropean discourses, be they legal, historical or anthropological, for over two centuries. These dominant analyses have defined, destroyed, created and modified the rights and lives of Indigenous peoples. It is fair to say that the relentless study of Indigenous people which was fundamental to the colonial construction of "The Aborigine" has been the cause of considerable resentment and pain. The resurgence of these processes of constructing Indigenous needs, aims, rights and identities has become a feature of the mid 1990s, particularly in legal and political discourses.
Invited commentary on the 2021 Journal of Management Education Lasting Impact Award for Dr. David Whetten 2007 article Principles of Effective Course Design: What I Wish I Had Known about Learning-centered Teaching 30 Years Ago.
The lack of good data about U.S. American Indian and Alaska Native populations hinders tribes' development activities, but it also highlights a space for sovereign action. In coming years, tribes will no doubt continue to advocate for better national data and at the same time increasingly implement their own "data agendas" by gathering high quality, culturally relevant information about their communities. With more meaningful data, tribal policymakers can make informed decisions about which policies and programs are right for the task at hand. Strategic data planning empowers tribes to tell their communities' stories through their own data, and not that of others.
In 2016, Minnesota implemented a new pay-for-performance reimbursement scheme for Medicaid residents in nursing homes, known as Value-Based Reimbursement (VBR). This study seeks to understand whether there is an association between VBR and quality improvement. We use data from 2013 to 2019 including Centers for Medicare and Medicaid Services, Nursing Home Compare, and Long-term care Facts in the US. Using multivariate regression with commuting zone fixed effects, we compare five long-stay and two short-stay clinical quality metrics in Minnesota nursing homes to nursing homes bordering states, before and after VBR was implemented. We find minimal significant changes in quality in Minnesota nursing homes after VBR. Minnesota should reconsider its pay-for-performance efforts.
IntroductionWhile supportive housing (SH) is an important alternate to nursing home (NH) use, these data have never been linked to administrative records in Manitoba. By conducting linkages to other administrative records, we describe a process for cleaning and validating SH data, in preparation to conduct policy-relevant research.
Objectives and ApproachSH data (N=516 units) from Winnipeg were received at the Manitoba Centre for Health Policy (MCHP) in three different files. File 1 (2004-2008; 1005 records) contained monthly client snapshots. File 2 (2008-2010; 1336 records) contained application, move-in, cancellation, and move-out dates. File 3 (2010-2011; 729 records) contained one line of text for each record showing the application, processing, and move-in/cancellation date. We used overlapping data from these files plus linkages to other data sources (Manitoba Population Registry, nursing home data, and Vital Statistics) to clean and assess the accuracy of SH data.
ResultsThe original files contained 2039 people with 3070 records. From this we excluded: i) 215 records with unusable Personal Health Identification Numbers; ii) 949 records with missing SH move-in dates; iii) 691 records that did not match to the Manitoba Health Registry; and iv) 25 records where data did not match to the NH, hospital, or Vital Statistics files. The result was 1190 people each with one record. SH move-out dates were often missing from these records. This field was imputed from other data sources (NH, Vital Statistics). Some people transferred between SH sites, and these data were retained in the same record. Aside from the first year of operation when capacity was low, most SH dwellings operated at 80-100% occupancy annually.
Conclusion/ImplicationsUsing several verification methods including linkages to other data sources, we successfully cleaned and verified the accuracy of the SH data for use at MCHP. High annual SH occupancy rates suggest that the file contains the vast majority of SH users, and can now be used in follow-up research.
This paper adds to the literature on social capital and health by testing whether an exogenous shock in the health of a family member (a new baby) affects the family's investment in social capital. It also contributes to a small but growing literature on the effects of children's health on family resources and provides information about associations between health and social capital in a socioeconomically disadvantaged population. We use data from the Fragile Families and Child Wellbeing study, a longitudinal survey of about 5,000 births to mostly unwed parents in 20 U.S. cities during the years 1998–2000. Both parents were interviewed at the time of the birth and then again one and three years later. The infants' medical records from the birth hospitalization were reviewed, and poor infant health was characterized to reflect serious and random health problems that were present at birth. Social interactions, reported at three years, include the parents' participation in church groups, service clubs, political organizations, community groups, and organizations working with children; regular religious attendance; and visiting relatives with the child. Education, employment, wages, and sociodemographic characteristics are included in the analyses. The results suggest that infant health shocks do not affect the parents' social interactions.
Data about Indigenous populations in the United States are inconsistent and irrelevant. Federal and state governments and researchers direct most collection, analysis, and use of data about U.S. Indigenous populations. Indigenous Peoples' justified mistrust further complicates the collection and use of these data. Nonetheless, tribal leaders and communities depend on these data to inform decision making. Reliance on data that do not reflect tribal needs, priorities, and self-conceptions threatens tribal self-determination. Tribal data sovereignty through governance of data on Indigenous populations is long overdue. This article provides two case studies of the Ysleta del Sur Pueblo and Cheyenne River Sioux Tribe and their demographic and socioeconomic data initiatives to create locally and culturally relevant data for decision making.
