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1.
Poor quality of care may have a detrimental effect on access and take-up and can become a serious barrier to the universality of health services. This consideration is of particular interest in view of the fact that health systems in many countries must address a growing public-sector deficit and respond to increasing pressures due to COVID-19 and aging population, among other factors. In line with a rapidly emerging literature, we focus on patient satisfaction as a proxy for quality of health care. Drawing on rich longitudinal and cross-sectional data for Spain and multilevel estimation techniques, we show that in addition to individual level differences, policy levers (such as public health spending and the patient-doctor ratio, in particular) exert a considerable influence on the quality of a health care system. Our results suggest that policymakers seeking to enhance the quality of care should be cautious when compromising the level of health resources, and in particular, health personnel, as a response to economic downturns in a sector that traditionally had insufficient human resources in many countries, which have become even more evident in the light of the current health crisis. Additionally, we provide evidence that the increasing reliance on the private health sector may be indicative of inefficiencies in the public system and/or the existence of features of private insurance which are deemed important by patients.  相似文献   
2.
A capitalist market economy is based on several institutional elements, such as private ownership and competition. Does public support for this economic model rise if the economy prospers, and fall during a downturn? Or is public support largely independent of the ups and downs of economic cycles? We hypothesize that positive economic performance increases support and that persons profiting personally are more supportive of the economic system's constitutive institutional elements. Using multilevel regression we study the determinants of individual-level support for the economic system. We also test for differences in the perception of economic performance due to political attitudes and personal properties. The findings partly support the hypotheses, indicating that macro-economic factors matter for individual-level attitudes towards the economy. Attitudes towards different institutional elements of the economic system also differ in the degree to which they are political or economic, and influenced by economic performance. Individual features – education and personal economic stakes – affect attitudes towards the economy, but a substantial share of the individual-level variation in economic attitudes remains unexplained.  相似文献   
3.
Based on the environment-strategy performance perspective and dynamic capabilities framework, we develop a theoretical model and hypotheses specifying how supply chain collaboration as a response to environment context factors – competitive intensity, supply uncertainty, technological turbulence and market turbulence, using a lean and agile strategy may influence firm performance. We test the model using partial least square structural equation modelling on data collected from a field survey with responses from 152 manufacturing firms representing a variety of industries. Empirical findings generally support the relationship between collaboration and firm performance using a lean and agile strategy. Also, for firms in industries that face environments characterised by high supply uncertainty and competitive intensity with, technological turbulence, the study finds evidence of a direct relationship between these environmental factors and supply chain collaboration. The findings provide an initial strategic response framework for appropriately aligning a lean and agile supply chain strategy through collaboration with environment context factors to achieve firm performance improvements.  相似文献   
4.
This study investigates the extent to which formal governance mechanisms such as contracts and equity ownership affect interfirm coordination and partnership performance. We analysed data from a survey of 301 Korean firms to show that interfirm coordination partially mediates the relationship between contract completeness, defined as the extent to which a contract specifies task operations and contingencies, and partnership performance. Furthermore, we find that more complete contracts can attenuate the negative effects of equity ownership on coordination, and that this effect is particularly strong when partner tasks are interdependent and relational norms are weak.  相似文献   
5.
近年来 ,随着国家经济建设迅速发展以及市场经济的进一步深化 ,随之而来的经济案件成为不可避免 ,司法机关在处理经济案件时 ,需要案件当事人双方提供真实的依据 ,以便公正断案。证据的真伪 ,需要有关专业技术人员来鉴定 ,而中国注册会计师为此项鉴定工作起到了很重要作用 ,会计师事务所的“司法会计鉴定审计”便应运而生。  相似文献   
6.
介绍了对电站发动机组凝汽器进行状态监测和故障诊断的技术诊断自动化系统的研究和实现,实践证明,开发的系统对改善凝汽器性能、提高电站整体性能具有重要意义。  相似文献   
7.
为了实现教育资源的优化组合 ,近年来国家对许多高等院校进行了合并、划转和调整。在合并后的高校各校区之间出现大量的拨入、拨出经费 ,往来结算等财务核算工作。从而产生了一项新型的、类似于企业集团的会计工作———期末会计报表的合并及调整工作。本文拟就高校合并后的期末会计报表的合并及调整工作 ,结合笔者在相关业务工作中的实际 ,作一些探讨  相似文献   
8.
由于会计环境的巨大变化 ,现有会计体系呈现出固有的缺陷 ,会计变革已迫在眉睫。传统会计是一个经济信息系统的观点 ,已束缚了会计学科的发展。价值管理已成为当今企业管理的核心内容。从价值管理角度诠释会计新概念 ,可以克服现有会计体系的固有缺陷 ,极大地扩展了会计学科的视野。新会计体系将包括价值信息管理(财务会计、管理会计和审计等 )、价值活动管理 (财务管理、内部控制制度等 )  相似文献   
9.
论述了知识经济时代的到来对会计的影响,主要体现在对会计理论和会计实务的影响,列举了大量的事实资料进行分析论证,进而得出了知识经济又给未来的会计提出了新的课题和新的要求。  相似文献   
10.
基于快速以太局网中分布式并行服务器通信特点和对网络协议栈的分析,设计并实现了一种分布式操作系统传输协议。该协议在维持通用编程接口的同时,精简网络协议栈底层的冗余操作,减少操作系统干预和协议自维护开销。在8个节点的服务器系统上的测试结果表明,分布式操作系统传输协议获得比用户数据报协议更小的往返延迟和系统开销,应用环境下有约20%的增益,能有力地支持系统扩展和大并发访问服务。  相似文献   
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