How do policy levers shape the quality of a national health system?

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.     

基于质量意识的复杂产品质量控制激励策略

激励在复杂产品供应链中对主供协同合作关系及质量控制发挥了重要作用。本文研究基于主制造商在复杂产品生产研发前按照客户要求形成的质量意识的激励策略是否可以实现复杂产品质量控制问题。考虑具有质量意识的主制造商和其系统供应商组成的两级供应链，建立以主制造商为领导者的Stackelberg博弈模型，分别讨论无激励和存在激励时的主供生产最优决策。基于激励方式的不同，将激励策略分为根据供应商产品质量水平激励以及根据主制造商质量意识水平激励两种方式。研究结果表明激励是供应商加强协同合作、改进产品质量的内在动力，主制造商根据质量意识激励供应商可以进一步促使双方协同合作，提高产品质量，使双方获得更高的利润从而实现供应链整体利润最大化。此外用灵敏度分析发现提高主制造商质量意识水平可以增加双方协同合作努力程度，有效提升产品质量水平并实现帕累托改进。     

Integrating risk and performance management in quality management systems for the development of complex bespoke systems (CBSs)

Abstract

Risk and performance management are at the core of complex bespoke systems (CBSs). CBSs are developed to customer–specified requirements in terms of structure, functionality and conformance. This article examines how risk and performance management are integrated as essential systems in the successful development of projects across multi-organizational functions in complex bespoke system (CBS) organizations. The article argues for the development of a quality management system that consists of two sub-processes: quality control and quality development. Using three case studies from engineering companies, we provide evidence and insights of the way change control, quality development and quality performance are developed in innovating business solutions.     

三级装备制造业供应链质量管理行为研究

作为我国工业化建设和国民经济发展的根本保证，供应链环境下装备制造企业的产品质量问题受到了广泛关注。本文重点考虑产品质量对供应链收益的影响，运用微分对策理论研究由单一制造商、单一部件供应商和单一零件供应商构成的三级装备制造业供应链质量管理行为的协调问题。通过对比Nash非合作博弈和Stackelberg主从博弈两种分散式决策模式及集中式决策模式下协同合作博弈的均衡结果，得到相关结论，并利用算例进行验证。研究表明，①分散式决策下，制造商的质量管理行为相同，但相比于Nash非合作博弈，Stackelberg主从博弈能够改善部件供应商和零件供应商的质量管理行为，提升供应链成员的收益水平；②集中式决策下，供应链成员的质量管理行为达到最优，系统整体收益实现最大。研究结论为装备制造业供应链成员间质量管理战略联盟的构建提供了理论依据。     

Undercover policing and the spectre of ‘domestic extremism’: the covert surveillance of environmental activism in Britain

The spectre of environmental ‘domestic extremism’ has long been postulated by police leaders and security analysts in Britain. It is a narrative that has justified the commitment of enormous amounts of government resources towards police intelligence work directed at non-violent direct action campaigns. Most controversially, this has included the long-term infiltration of environmental (and other) activist groups by undercover police. This article provides a critical analysis of the justifications put forward in support of the covert surveillance of environmental activists in Britain. The paper proceeds by way of a single case study – a high profile, environmental direct action protest in the north of England – in order to reveal the levels of abuse, manipulation and deception at the basis of undercover protest policing. Through their court case, the activists involved with this action were able to obtain rare insights into the police authorisation documents for the undercover operation that had led to their arrests. An analysis of these documents provides us with a glimpse of the contradictory justifications given by senior police officers for infiltration – now under scrutiny by a public inquiry.     

Transition probabilities and ARL performance of Six Sigma zone control charts

In this article, Six Sigma zone control charts (SSZCCs) are proposed for world class organizations. The transition probabilities are obtained using the Markov chain approach. The Average Run Length (ARL) values are then presented. The ARL performance of the proposed SSZCCs and the standard Six Sigma control chart (SSCC) without zones or run rules is studied. The ARL performance of these charts is then compared with those of the other standard zone control charts (ZCCs), the modified ZCC and the traditional Shewhart control chart (SCC) with common run rules. As expected, it is shown that the proposed SSZCC outperforms the standard SSCC without zones or run rules for process shifts of any magnitude. When compared to the other standard ZCCs and the Shewhart chart with common run rules, it is observed that the proposed SSZCCs have much higher false alarm rates for smaller shifts and hence they prevent unwanted process disturbances. The application of the proposed SSZCC is illustrated using a real time example.     

网络视频实时在线评论用户认可度的影响因素

目前，网络视频实时在线评论激增带来的信息爆炸，使实时在线评论信息管理成为重要议题。以往对实时在线评论的研究多集中于个人行为结果方面，而缺乏对实时在线评论信息管理问题的关注；同时，现有视频网站对实时在线评论信息的管理也存在诸多局限。以爱奇艺视频网站热度榜中的电影为样本，基于信息质量维度框架并采用Tobit模型对实时在线评论用户认可度的影响因素进行研究，结果发现：实时在线评论的新颖性、相似性、情感倾向性和信息丰富性，均对实时在线评论的用户认可度存在显著影响，其中新颖性和相似性影响作用最大。视频网站可以据此进一步强化实时在线评论管理，改善用户的体验，保持用户的粘性。     

地方高校推行教师学术休假制度的现实意义与实施策略

教师学术休假是促进教师专业发展的重要形式，是教师自我完善的需要，是提升教师理论水平、科研能力和教学技能的主要手段，是提高教学质量的有效途径。探讨地方高校推行学术休假制的必要性，提出地方高校推行学术休假的建议，对地方高校教师队伍建设具有重要的现实意义。在实施策略上，应注重4个方面：（1）明确参加学术休假的对象主要是教师和教学科研人员；（2）根据教师职业发展的阶段性确定学术休假的时间；（3）合理设置学术休假人员遴选条件，首先应考虑为工作满5年以上的青年教师提供学术休假，其次应考虑为高级职称教师提供学术休假；（4）明确学术休假期间的教师待遇，并加强对学术休假人员的管理。     

The New Spatial Planning Act in Taiwan: A Messy Shift from Economic Development-Oriented Planning to Environmental Conservation-Oriented Planning?

On 18 December 2015, the spatial planning bill was finally passed by the Legislative Yuan in Taiwan. That was a special moment for planning community and authority since they had anticipated this moment for more than two decades. However, this is not the end of the story. On the contrary, the battle between the economic development promoters and environmental conservation supporters just starts. The Act introduces several new changes to secure its goal of nationwide sustainable development, but the introduction also raises some tensions. This article reviews the tensions and their socio-political context, and gives some suggestions to the Taiwanese government.