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Understanding the factors that affect physicians' job satisfaction is important not only to physicians themselves, but also to patients, health system managers, and policy makers. Physicians represent the crucial resource in health-care delivery. In order to enhance efficiency and quality in health care, it is indispensable to analyse and consider the motivators of physicians. Physician job satisfaction has significant effects on productivity, the quality of care, and the supply of physicians.

The purpose of our study was to assess the associations between work-related monetary and non-monetary factors and physicians' work satisfaction as perceived by similar groups of physicians practicing at academic medical centres in Germany and the U.S.A., two countries that, in spite of differing health-care systems, simultaneously experience problems in maintaining their physician workforce. We used descriptive statistics, factor and correlation analyses to evaluate physicians' responses to a self-administered questionnaire.

Our study revealed that overall German physicians were less satisfied than U.S. physicians. With respect to particular work-related predictors of job satisfaction we found that similar factors contributed to job satisfaction in both countries. To improve physicians' satisfaction with working conditions, our results call for the implementation of policies that reduce the time burden on physicians to allow more time for interaction with patients and colleagues, increase monetary incentives, and enhance physicians' participation in the development of care management processes and in managerial decisions that affect patient care.

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Laurence C. Baker
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Seymour Martin Lipset famously claimed that the more well-to-do a nation is, the greater the chance that it will sustain democracy.  This "law" fits the experience of several countries in Northeast and Southeast Asia.  Formerly authoritarian South Korea and Taiwan grew rich and became stable democracies with active civil societies, as Lipset would have expected.  His "law" fits the Philippines and Thailand as well- -poor countries with tenuous holds on democracy where uncivil societies have mobilized to defend elite hegemony against mass-based electoral challenges.

The case of Indonesia, in contrast, limits Lipset's Law.  Poor yet stably democratic, Indonesia is free of regime-threatening social conflicts.  Arguably, despite its poverty, its democracy is already consolidated.  India's record of sustaining democracy is another case in point.  These poor yet successfully democratic polities amount to large stakes in the heart of modernization theory.

Prof. Thompson will contend that Indonesia's democracy is neither middle-class-based nor dominated by big business, but is instead still characterized by traditional cross-cutting ethno-religious cleavages that limit the impact of money politics, reduce the risk of populism, foster elite consensus, and thereby encourage democratic stability. He will link his argument not only to Lipset's Law but to the intellectual legacies of Alexis de Tocqueville, Antonio Gramsci, and Barrington Moore among other students of democracy and modernity.

Mark R. Thompson is a professor of political science at the University of Erlangen-Nuremberg in Germany.  A Chicago native, he took his first degree in religious studies at Brown University followed by postgraduate work at Cambridge University and the University of the Philippines.  Fascinated by Philippine people power, he wrote his dissertation at Yale University on the anti-Marcos struggle (Yale University Press, 1996).  After moving to Germany, he witnessed popular uprisings in East Germany and Eastern Europe, inspiring him to conceptualize democratic revolutions in essays later published as a book (Routledge, 2004).  He is in residence at Stanford from February through April 2009.

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Professor Thompson builds on Barrington Moore's insight that there are different "paths to the modern" world. Thompson's manuscript explores alternatives to the familiar South Korean-and Taiwan-based model of "late democratization." According to that model, political pluralism follows a formative period of economic growth during which labor is demobilized and big business, religious leaders, and professionals depend upon and are co-opted by the state.

Thompson argues that even when these preconditions are in place, democratization need not follow. Singapore is an illuminating case in point. The autocratic growth model pays insufficient attention to politics, including the sometimes crucial role of student activists in challenging developmental authoritarianism and triggering a democratic transition, as in Indonesia. As political actors, students (rather than a progressive bourgeoisie) may fill the oppositional vacuum created by the preconditions that characterized predemocratic South Korean and Taiwan.

In his critique of Northeast Asian-style, post-authoritarian "late democratization" and its emphasis on economic growth as the driver of political change, Professor Thompson uses evidence drawn from paired comparisons of Vietnam with China, Hong Kong with Singapore, and between South Korea and Taiwan on the one hand and other major Southeast Asian cases on the other.

Mark R. Thompson is a professor of political science at the University of Erlangen-Nuremberg in Germany.  A Chicago native, he took his first degree in religious studies at Brown University followed by postgraduate work at Cambridge University and the University of the Philippines.  Fascinated by Philippine people power, he wrote his dissertation at Yale University on the anti-Marcos struggle (Yale University Press, 1996). After moving to Germany, he witnessed popular uprisings in East Germany and Eastern Europe, inspiring him to conceptualize democratic revolutions in essays later published as a book (Routledge, 2004).  He is in residence at Stanford as Lee Kong Chian Distinguished Fellow in Southeast Asian Studies from February through April 2009.

Lee Kong Chian NUS-Stanford Distinguished Fellow on Southeast Asia
Mark Thompson 2008-09 Lee Kong Chian Distinguished Fellow in Southeast Asian Studies Speaker Stanford University
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Currently teaching at the Peter Szondi Institute for Comparative Literature at the Freie Universität Berlin, Swedish writer and scholar Aris Fioretos is editing a three-volume edition of the works of Nelly Sachs for Suhrkamp Verlag, scheduled to appear simultaneously with the opening of an exhibition about Sachs's life and work at the Jewish Museum in Berlin in May 2010.

Aris Fioretos studied at Stockholm, Paris, and Yale universities. Since 1991, he has published over a dozen books - novels, prose poetry, and essays. He has also edited several academic volumes and translated the works of Paul Auster, Friedrich Hölderlin, and Vladimir Nabokov into Swedish. A past counsellor of culture at the Swedish Embassy in Berlin, he is the recipient of several prizes and awards, most recently from the Swedish Academy, the American Academy in Berlin, and All Souls College, Oxford. His most recent publication is the essay collection Das Maß eines Fußes (Hanser Verlag, 2008). In the fall, a new novel will appear.

Jointly sponsored by the Forum on Contemporay Europe, Taube Center for Jewish Studies, Department of German Studies, and Stanford Humanities Center.

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