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"Langsam vermisse ich die Schule .". Schule während und nach der Corona-Pandemie
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In: Münster ; New York : Waxmann 2020, 229 S. - (Die Deutsche Schule, Beiheft; 16) (2020)
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Efficient reallocation under additive and responsive preferences
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Spectrum access in cognitive radio networks based on prediction and estimation
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Devanarayana, Chamara. - : EURASIP Journal on Wireless Communications and Networking, 2016. : IEEE Proceedings, 2016
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Student interview for Place-Based WAC/WID writing instruction in Upper Divison English, clip 13 of 14
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Cooperative Relaying and Resource Allocation in Future-Generation Cellular Networks
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The National Intelligence Strategy of the United States of America
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In: DTIC (2014)
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English Language Learner (ELL) Accountability and Resource Allocation: A Critical Analysis of ELL Educational Outcomes
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Affordability as a discursive accomplishment in a changing National Health Service.
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In: Symplectic Elements at Oxford ; Europe PubMed Central ; PubMed (http://www.ncbi.nlm.nih.gov/pubmed/) ; Scopus (http://www.scopus.com/home.url) ; CrossRef ; ORA review team (2012)
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Abstract:
Health systems worldwide face the challenges of rationing. The English National Health Service (NHS) was founded on three core principles: universality, comprehensiveness, and free at the point of delivery. Yet patients are increasingly hearing that some treatments are unaffordable on the NHS. We considered affordability as a social accomplishment and sought to explore how those charged with allocating NHS resources achieved this in practice. We undertook a linguistic ethnography to examine the work practices of resource allocation committees in three Primary Care Trusts (PCTs) in England between 2005 and 2012, specifically deliberations over 'individual funding requests' (IFRs)--requests by patients and their doctors for the PCT to support a treatment not routinely funded. We collected and analysed a diverse dataset comprising policy documents, legal judgements, audio recordings, ethnographic field notes and emails from PCT committee meetings, interviews and a focus group with committee members. We found that the fundamental values of universality and comprehensiveness strongly influenced the culture of these NHS organisations, and that in this context, accomplishing affordability was not easy. Four discursive practices served to confer legitimacy on affordability as a guiding value of NHS health care: (1) categorising certain treatments as only eligible for NHS funding if patients could prove 'exceptional' circumstances; (2) representing resource allocation decisions as being not (primarily) about money; (3) indexical labelling of affordability as an ethical principle, and (4) recontextualising legal judgements supporting refusal of NHS treatment on affordability grounds as 'rational'. The overall effect of these discursive practices was that denying treatment to patients became reasonable and rational for an organisation even while it continued to espouse traditional NHS values. We conclude that deliberations about the funding of treatments at the margins of NHS care have powerful consequences both for patients and for redrawing the ideological landscape of NHS care.
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Keyword:
Delivery of Health Care; Eligibility Determination; England; Financing; Government; Hospitals; Humans; Public; Qualitative Research; Refusal to Treat; Resource Allocation; State Medicine
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URL: https://doi.org/10.1016/j.socscimed.2012.09.026
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Augmented input: The effect of visuographic supports on the auditory comprehension of people with chronic aphasia
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In: Special Education and Communication Disorders Faculty Publications (2012)
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Constrained consumable resource allocation in alternative stochastic networks via multi-objective decision making 2
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Report of the Defense Science Board Task Force on Defense Intelligence - Counterinsurgency (COIN) Intelligence, Surveillance, and Reconnaissance (ISR) Operations
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In: DTIC (2011)
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Evidence-based policymaking: a critique.
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In: Symplectic Elements at Oxford ; Europe PubMed Central ; PubMed (http://www.ncbi.nlm.nih.gov/pubmed/) ; Scopus (http://www.scopus.com/home.url) (2009)
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Logistics and transplant coordination activity in the GRAGIL Swiss-French multicenter network of islet transplantation.
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In: ISSN: 0041-1337 ; Transplantation ; https://hal.archives-ouvertes.fr/hal-00358799 ; Transplantation, Lippincott, Williams & Wilkins, 2005, 79 (9), pp.1200-5 (2005)
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Lexicographic QoS Scheduling for Parallel I/O
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In: http://www-ece.rice.edu/~pjv/spaa05.pdf (2005)
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| 15 |
Focus - pocus? : thinking critically about whether aid organizations should do fewer things in fewer countries
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Adaptive routing algorithm for lambda switching networks
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In: http://genesis.ee.auth.gr/georgiadis/english/Publications/JournalPapers/p28.pdf (2002)
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Axiomatic resource allocation for heterogeneous agents
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In: http://www.ecore.be/DPs/dp_1207816810.pdf
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Power-aware Regions-of-Interest Computational Resource Allocation for Mobile Sign Language Video Encoding
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In: http://www.sersc.org/journals/IJSIP/vol6_no6/1.pdf
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