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The possible effects of a change to master's entry level in occupational therapy.

One of the most challenging debates facing the profession of occupational therapy centers on whether or not the standard for entry level into the field should be upgraded. The occupational therapy baccalaureate degree has been viewed as too limited in scope and professional training, and the master's degree has been forwarded as the standard for entry into the profession. However, upgrading the entry level standard raises several questions. This study considered 25 areas that would be affected by upgrading the entry level from the baccalaureate to the master's level in occupational therapy and in related health professions. A model was developed to provide a framework for analyzing how a change in entry level will affect the current status of occupational therapy as a profession. Although the parallel material is drawn from other health professions, the considerations are similar to the ones faced by occupational therapy. This comparison is especially important because a major change in entry level education has far-reaching repercussions that must be considered before any groundwork is laid for upgrading educational requirements.

Clinical Competence↗

Socioeconomic status and health: how education, income, and occupation contribute to risk factors for cardiovascular disease.

BACKGROUND: Socioeconomic status (SES) is usually measured by determining education, income, occupation, or a composite of these dimensions. Although education is the most commonly used measure of SES in epidemiological studies, no investigators in the United States have conducted an empirical analysis quantifying the relative impact of each separate dimension of SES on risk factors for disease. METHODS: Using data on 2380 participants from the Stanford Five-City Project (85% White, non-Hispanic), we examined the independent contribution of education, income, and occupation to a set of cardiovascular disease risk factors (cigarette smoking, systolic and diastolic blood pressure, and total and high-density lipoprotein cholesterol). RESULTS: The relationship between these SES measures and risk factors was strongest and most consistent for education, showing higher risk associated with lower levels of education. Using a forward selection model that allowed for inclusion of all three SES measures after adjustment for age and time of survey, education was the only measure that was significantly associated with the risk factors (P less than .05). CONCLUSION: If economics or time dictate that a single parameter of SES be chosen and if the research hypothesis does not dictate otherwise, higher education may be the best SES predictor of good health.

Adult↗

Did the decline continue? Comparing the labor-market quality of United States immigrants from the late 1970s and late 1980s.

"The issue addressed in this paper is whether or not the decline in immigrant labor-market quality in the U.S. observed in the late 1960s and 1970s continued in the 1980s." The data are from the Immigration and Naturalization Service and are provided for the years 1979-1980 and 1989-1990. "Given the rise in earnings inequality that has occurred in the United States over the 1980s, the returns to immigration for the more highly skilled will have increased relative to the low skilled, ceteris paribus. For this reason, it is possible that the skill decline of immigrants may have halted in the 1980s as immigrants of differing skill levels respond to the altered circumstances they would face in the United States. The empirical results show that the skill decline did indeed halt...."

Americas↗

Unskilled labor and wage determination: an empirical investigation for Germany.

"This article contributes to the ongoing debate on native wage impacts of immigration. I propose a mobile-fixed factor distinction as a framework in which to think about the differential impact of immigration on various labor market groups. Skilled workers are treated as a fixed factor of production since the strong reliance on skill certification in Germany inhibits mobility and shelters from competition. Unskilled workers, in contrast, receive competitive wages. Using data from the German Socio-Economic Panel for 1984-1989 I estimate panel wage regressions for groups of workers separated by skill certification. I find that university graduates' wages increase, and the wages of workers without postsecondary degree decrease, as the industry share of unskilled workers increases. The effect for apprentices is ambiguous."

Demography↗

From settlers to skilled transients: the changing structure of British international migration.

"This paper examines trends in British emigration using the results of the International Passenger Survey. Settlement emigration has declined in importance while in the early 1980s temporary skilled labour transfers have become dominant. Two parallel mechanisms are proposed to explain the regional patterns of skilled emigration, with particular emphasis being given to the role of international recruitment agencies in controlling which skills are sought in certain regional labour markets."

Demography↗

Utilization patterns among long-term enrollees in a prepaid group practice health maintenance organization.

Criteria used in this study established that 13% of long-term adult members of a prepaid group practice health maintenance organization (HMO) were consistently high users of outpatient medical care services. This population accounted for 31% of the total doctor office visits (DOVs), 35% of the hospital admissions, and 30% of the outpatient surgical services for long-term members. The most frequent reason for DOVs in this high user group was treatment and/or follow-up of chronic conditions. Patterns of utilization were unrelated to marital status, income, occupation, and perceived social class. Smoking and alcohol use also were not associated with utilization patterns. However, the consistently high users were more likely to perceive their health status as fair or poor and to report a higher number of physical symptoms. They were also more likely to be characterized by a higher degree of psychological distress, especially depression. Contacts with the HMO's mental health department constituted less than 1% of their total medical care contacts, and only 13% made at least one mental health contact over the study period. The findings are discussed in terms of their health and medical care implications.

Adult↗

Labour migration and the work permit system in the United Kingdom.

"The aim of this paper is to examine the effects of the work permit today [in the United Kingdom], using official data. It first reviews the operation of the [labor migration] system and describes the main schemes incorporated. Then, it uses data for 1984-88 to describe the general characteristics of labor immigration through the schemes. Finally, by means of a small random sample of applications and issues, it presents details on particular aspects of the immigration. It demonstrates that current labour immigration through the system is selective: most of those entering with long-term permits are highly skilled, well paid, and moving within the internal labor markets of large transnational corporations." (SUMMARY IN FRE AND SPA)

Demography↗

Rates of sickness absenteeism among employees of a modern hospital: the role of demographic and occupational factors.

Sickness absenteeism, of hospital employees particularly, is a problem of concern due to its negative economic and morale impacts. The aim of the first stage of the study was to identify according to some demographic (sex, age, marital status) and occupational (occupational group, duration of hospital employment) variables those groups of hospital employees who are at higher risk of sickness absenteeism. A comparison with the data of the study performed in the same hospital about 15 years ago showed a rise in the duration of absences with a simultaneous reduction in their incidence. Sickness absenteeism was higher among female, mainly unskilled, workers, presently or previously married, aged from 45 to 60, and employed in the hospital for over ten years. Continuous social and medical surveillance of these employees is suggested as a promising way of reducing sickness absenteeism.

Absenteeism↗

Foreign workers recruiting policies in Japan.

"This article presents the basic characteristics of the foreign workers recruiting policy in Japan, which consists [of] barring entry to unskilled workers, and confronts it with the actual tolerance for a large number of illegal unskilled workers. After a historical overview of the reasons for the current policy, the article examines elements which reveal that a seclusionist policy is based on mistaken assumptions and reviews policy options to deal with the issue of illegal migration."

Asia↗

[Urban aspects of labor migration: the situation in the countries of origin].

"A bibliographical review serves to analyze the role of urban growth in patterns of international labor-force migration, as well as the effect of this migration on the development of the countries of origin, especially on their cities. While the review confirms the general idea that international migrants are either peasants or highly qualified personnel, it also shows that qualified workers are increasingly involved in international labor movements and that a great part of them come from large cities. It is to be expected that in these circumstances large cities of the countries of origin will become more integrated to international migratory systems." (SUMMARY IN ENG)

Demography↗

[Spatial mobility on reaching adult age].

"Starting with longitudinal data on two cohorts of women living in the Alpes-Maritimes [France] in 1982 (a sample of 1,500 women in total) we try to establish the role of the spatial distribution of opportunities at a number of key stages in the life cycle: marriage, birth of first child, making professional use of qualifications, confrontation of a situation of professional risk and professional mobility during the years immediately following the completion of studies. The underlying hypothesis is that control of social location often depends on the control of spatial location." (SUMMARY IN ENG)

Adult↗