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Evaluation of the success of a plan requires the collection of statistics and indicators for monitoring purposes. In the health care field, outcomes are notoriously difficult to measure. To the extent that a successful program of prevention should result in providing less of a service, a conflict exists between planning and prevention: in the absence of outcome measures, success will be indistinguishable from failure, as in both cases, planned targets would not be met. To avoid this dilemma, an indicator-oriented planning system would be predicted to operationalize prevention in countable terms requiring increased inputs, or increased numbers of processes, regardless of the payoffs in health benefits. Screening, check-ups, and one-on-one contacts with health professionals would be emphasized at the expense of group-oriented activities or societal changes. Planning can thus have counter-productive policy implications. This theory is illustrated by reference to the current health care system in the U.S.S.R., including their anti-smoking and anti-alcoholism programmes.  相似文献   

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S. D. T. Spittle     
《考古杂志》2013,170(1):xvi-2
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白玉广 《世界历史》2000,2(2):31-38
以色列是在美国的支持下建立的。战后,美国通过插手巴勒斯坦事务,逐步从英国手中夺取处理该地区事务的主动权。在以色列建国伊始,美国给予这一新生国家巨大的帮助。但在战略上,美国并未将以色列视作特别重点考虑对象。在第二次中东战争结束以后,以色列开始受到特别关注,其在美中东战略中的地位和作用日渐突出。本文利用美国解密的档案材料及国内外学者的有关著述,对以建国初期(1948至1958年)美国对以色列的策略及美以关系的发展进行梳理与分析,希望有助于深刻理解美以特殊战略关系的形成及美以关系发展的现状。  相似文献   

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