987 resultados para 614.532
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55 Briefe zwischen Otto Kirchheimer, Anne Kirchheimer und Max Horkheimer, 1937 - 1947; 1 Brief von Otto und Anne Kirchheimer an Frederick Pollock, 06.08.1939; 2 Briefe zwischen der Rockfeller Foundation (New York) und Max Horkheimer, März 1941; 1 Brief von dem Oberlaender Trust an Frederick Pollock, 10.02.1941; 1 Brief von Otto Kirchheimer an Frederick Pollock, 06.08.1939; 1 Brief von Max Horkheimer an das American College Bureau (Chicago), 07.10.1940; 1 Brief von Max Horkheimer an das College and Specialist Bureau (Memphis, T.), 23.09.1939; 2 Briefe zwischen Max Horkheimer und dem Social Science Research Council (New York), 17.12.1938; 73 Briefe zwischen Leo Löwenthal und Max Horkheimer 1933 - 1935; 1 Brief von dem Europa Verlag A. G. (Zürich) an Max Horkheimer, 30.11.1935; 1 Brief von Max Horkheimer an das United States Department of Labor (New York), 03.05.1935; 2 Briefe von Hugo Sinzheimer an Max Horkheimer, 11.06.1934; 1 Brief von Leo Löwenthal an Hugo Sinzheimer, 16.07.1934; 2 Briefe zwischen Leo Löwenthal und Fritz Schiff, 1934/1935;
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Georg Herwegh, Ferdinand Freiligrath, Ludwig Börne: Denkmal, Guido Weiß, Maximilian Reinganum, Theodor Creizenach, Leopold Sonnemann, Goldschmidt, Der Beobachter, Stuttgart, Heilbronn, Demokratischer Verein
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Friedrich Stoltze II
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Friedrich Pollock: "Über Methoden der Natur- und der Kulturwissenschaften", 14.12.1927, 2 Blatt; Vorlesung 1927/28 "Einleitung in die Philosophie" 1. "Über die Eleaten und neuere Naturphilosophen", aus dem Vorlesungsskript, Typoskript mit eigenhändigen Korrekturen, 15. Blatt; 2. "Über antike und neuere Philosophie", Entwürfe und Notizen zur Vorlesung, 10 Blatt; 3. "Über antike und neuere Philosophie", eigenhändige Notizen zur Vorlesung, 11 Blatt; Seminar SS 1928 "Probleme des historischen Materialismus"; Friedrich Pollock: Koleghefte zum Seminar von Max Horkheimer, eigenhändige Notizen in 4 Heften, 53 Blatt, davon 1 leer, und 3 zusätzliche Blätter; beiliegend ein Referat von I. Feinberg über den Begriff der Produktionsweise, 2 Blatt; Vorlesung SS "Zur Geschichte der Geschichtsphilosophe" (GS 2, S. 179-268); a) Typoskript mit eigenhändigen Korrekturen, 105 Blatt; b) Teilstück, Typoskript mit eigenhändigen Korrekturen, 26 Blatt;
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Background. Retail clinics, also called convenience care clinics, have become a rapidly growing trend since their initial development in 2000. These clinics are coupled within a larger retail operation and are generally located in "big-box" discount stores such as Wal-mart or Target, grocery stores such as Publix or H-E-B, or in retail pharmacies such as CVS or Walgreen's (Deloitte Center for Health Solutions, 2008). Care is typically provided by nurse practitioners. Research indicates that this new health care delivery system reduces cost, raises quality, and provides a means of access to the uninsured population (e.g., Deloitte Center for Health Solutions, 2008; Convenient Care Association, 2008a, 2008b, 2008c; Hansen-Turton, Miller, Nash, Ryan, Counts, 2007; Salinsky, 2009; Scott, 2006; Ahmed & Fincham, 2010). Some healthcare analysts even suggest that retail clinics offer a feasible solution to the shortage of primary care physicians facing the nation (AHRQ Health Care Innovations Exchange, 2010). ^ The development and performance of retail clinics is heavily dependent upon individual state policies regulating NPs. Texas currently has one of the most highly regulated practice environments for NPs (Stout & Elton, 2007; Hammonds, 2008). In September 2009, Texas passed Senate Bill 532 addressing the scope of practice of nurse practitioners in the convenience care model. In comparison to other states, this law still heavily regulates nurse practitioners. However, little research has been conducted to evaluate the impact of state laws regulating nurse practitioners on the development and performance of retail clinics. ^ Objectives. (1). To describe the potential impact that SB 532 has on retail clinic performance. (2). To discuss the effectiveness, efficiency, and equity of the convenience care model. (3). To describe possible alternatives to Texas' nurse practitioner scope of practice guidelines as delineated in Texas Senate Bill 532. (4). To describe the type of nurse practitioner state regulation (i.e. independent, light, moderate, or heavy) that best promotes the convenience care model. ^ Methods. State regulations governing nurse practitioners can be characterized as independent, light, moderate, and heavy. Four state NP regulatory types and retail clinic performance were compared and contrasted to that of Texas regulations using Dunn and Aday's theoretical models for conducting policy analysis and evaluating healthcare systems. Criteria for measurement included effectiveness, efficiency, and equity. Comparison states were Arizona (Independent), Minnesota (Light), Massachusetts (Moderate), and Florida (Heavy). ^ Results. A comparative states analysis of Texas SB 532 and alternative NP scope of practice guidelines among the four states: Arizona, Florida, Massachusetts, and Minnesota, indicated that SB 532 has minimal potential to affect the shortage of primary care providers in the state. Although SB 532 may increase the number of NPs a physician may supervise, NPs are still heavily restricted in their scope of practice and limited in their ability to act as primary care providers. Arizona's example of independent NP practice provided the best alternative to affect the shortage of PCPs in Texas as evidenced by a lower uninsured rate and less ED visits per 1,000 population. A survey of comparison states suggests that retail clinics thrive in states that more heavily restrict NP scope of practice as opposed to those that are more permissive, with the exception of Arizona. An analysis of effectiveness, efficiency, and equity of the convenience care model indicates that retail clinics perform well in the areas of effectiveness and efficiency; but, fall short in the area of equity. ^ Conclusion. Texas Senate 532 represents an incremental step towards addressing the problem of a shortage of PCPs in the state. A comparative policy analysis of the other four states with varying degrees of NP scope of practice indicate that a more aggressive policy allowing for independent NP practice will be needed to achieve positive changes in health outcomes. Retail clinics pose a temporary solution to the shortage of PCPs and will need to expand their locations to poorer regions and incorporate some chronic care to obtain measurable health outcomes. ^