Impact of behavioral health problems on access to care and health services utilization

Access to specialists for treatment of behavioral health problems has become restricted in this era of capped budgets and reductions in Medicare and Medicaid reimbursement. Patients with multiple mental health problems may face additional barriers to obtaining needed health care services. The study's aim was to measure the impact of behavioral health problems on access to care and health services utilization for veterans and non-veterans and to determine the contribution of health system characteristics in the prediction of self-reported health services utilization. The study sample consisted of Vietnam veterans who participated in both the Vietnam Drug User Study (September 1971 Army discharges) and the Vietnam Era Study (25-year follow-up) (N=642), as well as a non-veteran cohort (N=197).     

Memberships Levels in U. S. Private Clubs During the 2008–2010 Economic Downturn

This study measured membership changes in private clubs in the United States during the economic downturn from 2008 to 2010. Specifically examined were the changes clubs experienced with their number of members, waiting lists, and attrition rates. A letter was sent via e-mail to the same 1,000 private clubs that were sent a survey in a similar study conducted by Ferreira and Gustafson (2006 Ferreira, R. R. and Gustafson, C. M. 2006. Declining memberships during an economic downturn in U.S. private clubs. International Journal of Hospitality & Tourism Administration, 7(2/3): 3–18. [Taylor & Francis Online] , [Google Scholar]) The managers of these clubs were members of the Club Managers Association of America. The majority of respondents managed country clubs and member-owned clubs, representing different areas of the United States. An overall response rate of 53% was achieved. Most clubs experienced a decrease in the overall number of members and an increase in annual attrition rate. Fewer clubs reported having a waiting list of members wanting to join. The clubs without waiting lists reported a larger number of membership openings in their clubs. The results of this study suggest the levels of memberships in many private clubs are heavily influenced by economic conditions. An implication from this study is that clubs need to implement membership development strategies during economic downturns because of the decline in the number of members, candidates proposed, and waiting lists during these periods.     

美日韩居民用电阶梯电价及其对我国的启示

20世纪70年代石油危机爆发后,美国、日本、韩国等开始对居民用电实行阶梯电价.尽管美日韩居民用电阶梯电价的用电量档次及其价格不同,但都遵循多用电者多付费的定价原则,在促进节约用电的同时,保障了低收入居民生活.我国应借鉴美日韩实行居民用电阶梯电价的做法,发挥居民用电阶梯电价引导居民家庭节约用电、促进社会公平、保障低收入居民生活的作用.     

Are Farmers' Market Shoppers Different From Cross-Shoppers? The Case of Hawaiian Avocado Purchasers

Small- and medium-size growers use direct marketing and farmers’ markets to access customers and avoid supply chain intermediaries that increase costs of getting products to consumers. This study examined consumers’ use of agricultural product information sources and their shopping outlet patronage preferences for one type of locally grown produce: avocados.

Two farmers’ market segments were identified: 1) shops only farmers’ markets and 2) cross-shops grocery stores. Product information came from a variety of sources: media, retailers, and organizations. “Buy Local” or “product origin” were considered in produce shopping decisions. One dimension, “Buy Local,” was significant in differentiating farmers’ market segments.     

Fairtrade Facts and Fancies: What Kenyan Fairtrade Tea Tells us About Business’ Role as Development Agent

Various promising claims have been made that business can help alleviate poverty, and can do so in ways that add value to the bottom line. This article begins by highlighting that the evidence for such claims is not especially strong, particularly if business is thought of as a development agent, i.e. an organization that consciously and accountably contributes towards pro-poor outcomes. It goes on to ask whether, if we did know more about either the business case or the poverty alleviation case, would this give cause for greater optimism that business could make a significant contribution to development. By exploring the experiences of producers of Fairtrade tea in Kenya, we reveal the complex nature of what constitutes a beneficial outcome for the poor and marginalized, and the gap that can exist between ethical intentions and the experience of their intended beneficiaries. The lessons of these experiences are relevant for Fairtrade and any commercial initiative that seeks to achieve outcomes beneficial and recognizable to the poor, and raise questions about the integration of social and instrumental outcomes that a future generation of ethical entrepreneurship will need to address.