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.     

Transformer in navigation: Diverse government roles for open innovation in China's high-speed rail

Based on a longitudinal case study of China's high-speed rail embedded in the emerging economy context, we focus on what role the government plays and how that matters to open innovation (OI) for competitive advantage. By linking the OI literature with the national political institutions literature to motivate our research question, we propose a statist-based OI view to differentiate diverse government roles, investigating how government adopts roles in a combined way to push OI in stages. Our findings suggest that government is an important strategic decision-maker for OI. Specifically, the government plays various roles as commander, protector, cultivator, and intermediator, reflecting state activism derived from national political institutions, to construct institutional-level OI for domestic OI activities, and inbound and outbound OI across national borders. We find government can deliberately and strategically use its diverse roles in a combined way to push OI for competitive advantage through the industrial evolutionary process over time. Our study contributes to the OI literature and integrates the strategic management literature with the study of OI to provide new insights to explain the origins of competitive advantage from the state perspective.     

绿色增长下的导向性技术创新选择研究

针对如何正确引导 GHG 排放的气候反馈经济损失下导向性技术创新，以实现长期的绿色增长这一问题，基于 DICE 模型，重构导向性技术创新不同的动力要素及其与气候变化之间的内生关系，建立了可体现绿色增长“均衡性”、“包容性”和“可持续性”的非线性最优控制模型。数值仿真结果显示: 气候反馈经济损失不容小觑; 偏于生产的绿色技术创新导向下社会生产力强劲但存在气候环境恶化风险，偏于减排的绿色技术创新导向下气候反馈经济损失小但存在增长动力匮乏风险，二者虽均可实现长期的绿色增长，但中性的绿色技术创新导向会更稳妥; 偏于生产的绿色技术创新导向下人均消费变化率在短期内会显著提升。     

Identity work in female‐led creative businesses

This study explores the identity work carried out by three female owner‐managers in creative industry businesses, identified in Government reports as a discriminatory industrial sector for women in the UK. Through the development of narratives by the owners and other participants, observation of practice and review of online and offline materials, three cases emerged. These showed overlapping, different identities developed and performed through identity work. Each presented rational and logical persona as business leaders despite observation showing extensive use of intuition and gut feeling in both creative and entrepreneurial aspects of the business. Intuition and gut feeling were seen as inappropriate at work as they belonged to the home sphere, emotionally based and therefore automatically unreliable. While occupying male stereotypes and avoiding the female realm of emotion at work, these women expressed femininity through their emphasis on the maternal, ‘being a good mother' as a desired ideal being embedded in work as well as home practice.     

Paradox of public sector capacity building: Lessons from MATT2 UK–Bangladesh co‐operation

This study focuses on the Government of Bangladesh and the UK Department for International Development (DFID) public sector capacity‐building project under collaborative public governance. It examines the efficiency and effectiveness of a foreign‐funded and multistakeholder‐led public sector capacity‐development initiative dubbed Managing at the Top Stage 2 (MATT2) project, and how it contributed to the human resource capacity development in Bangladesh. A combination of data from Government sources, in‐depth interviews, focus group discussions, participant observation and author analysis was adopted. The results showed the project to have been largely successful, despite some challenges.     

Interstitial Lung Diseases in the U.S. Mining Industry: Using MSHA Data to Examine Trends and the Prevention Effects of Compliance with Health Regulations, 1996–2015

Given the recent increase in dust‐induced lung disease among U.S. coal miners and the respiratory hazards encountered across the U.S. mining industry, it is important to enhance an understanding of lung disease trends and the organizational contexts that precede these events. In addition to exploring overall trends reported to the Mine Safety and Health Administration (MSHA), the current study uses MSHA's enforcement database to examine whether or not compliance with health regulations resulted in fewer mine‐level counts of these diseases over time. The findings suggest that interstitial lung diseases were more prevalent in coal mines compared to other mining commodities, in Appalachian coal mines compared to the rest of the United States, and in underground compared to surface coal mines. Mines that followed a relevant subset of MSHA's health regulations were less likely to report a lung disease over time. The findings are discussed from a lung disease prevention strategy perspective.     

Analysis of social innovation on social networking services

ABSTRACT

Social network services are allowing more social connectivity and making possible sharing information and knowledge of a different nature. This article analyses if social workers related to active social policies from Malaga province (Spain) are using social network services to share information and knowledge and if there is a mirror between online and offline relationships. Since it is an experimental model, through virtual ethnography and through social network analysis methodology, we observed the presence, connectivity and analysed the structure of relationships that keep 235 professionals from 52 organizations in Facebook®. Moreover, the model uses the statistical technique of modularity for detecting online communities, which are compared with distribution of professionals in their organizations. Results show how social network services applied to social intervention are massively and frequently used by professionals. On the other hand, the detected communities reflect existence of analogy between online and offline relationships. The online structure shows a high degree of cohesion and how certain professionals have higher capacity of influence and diffusion depending on position in the online structure. It argues about the opportunity to incorporate social network services towards social intervention as a manner of social innovation to improve cooperation and diffusion of information and knowledge.     

服务型制造网络的Holon协同需求评价方法

依据复杂网络理论分析服务型制造网络Holon协同需求问题，给出一种考虑以直觉正态模糊数表示且多Holon协同的服务型制造网络协同需求评价方法。首先，在区分Holon复合协同和递归协同基础上构建服务型制造网络协同需求评价指标体系；其次，考虑基于网络结构特征的Holon相似稳定性，根据服务型制造网络节点相似性测度分析Holon协同需求特征，并测算不同相似性测度修正的Holon网络结构熵；再次，建立面向服务型制造网络和Holon的有专家信息双向触动反馈机制，反馈包括评价指标和网络协同状况，反馈Holon信息包括基于服务型制造网络演化方向的Holon间协同需求建议和基于服务型制造网络现有状态的网络连通性Holon协同需求建议；最后由INFCWA（INFCWA_R）算子或INFCWG（INFCWG_R）算子分别对复合协同和递归协同评价信息集结并得出评价结论。方法设计过程通过例证分析说明根据服务型制造网络目标控制的Holon协同需求评价改进了群组评价效率。     

全媒体时代基层民主协商的传播创新与经验启示——以浙江省温岭市为例

新媒体技术的发展给国家治理现代化带来新机遇的同时，也带来了新挑战。全媒体时代，温岭民主恳谈制度在地方政治家的推动下实现了传播创新，找到了全社会意愿和要求的最大公约数，更加广泛了解民意集聚民智，更加深入化解矛盾，最大限度凝聚共识，深化了民主恳谈这一颇具地方特色的协商民主模式。温岭的创新实践表明，互联网治理同国家治理现代化具有直接的同构性，新媒体提供了新资源和新契机，传播创新使民主恳谈的协商功能进一步深化，社会整合效果明显。在全媒体时代，正向传播效应需要协同推进，执政党要架构新机制，协同推进基层民主协商的正向传播，助推社会有效整合。     

管辂易学研究——兼论术数学的思维方式

易学可以分为两部分:理论的层面和术数的层面。学界以往对易学的术数层面关注较少，一是缘于学者对“术数”的偏见，二是术数学自身缺少系统性反思的理论大师。三国时的管辂便是试图对术数学进行理论说明的人。牟宗三曾经藉由管辂来研究中国传统的一类知识系统，但尚有许多内容待发掘。管辂说“善易者不论《易》”，这是对术数易地位的辩护，同时也是对经学易和玄学易的回应。这种反对，不能从象数和义理对立的角度去理解，而应从文本和实践的区别来认识。管辂认为，术数的根本在于“神”，这个神不是玄学或思辨意义上的“玄之又玄”，而是实践意义中的通感和知几能力，它奠基于人自身的命限和气质中。但对于神的体悟又不能仅仅等同于“直觉”和“神秘主义”，因为它对于表现的通孔———象，以及工夫论基础，都有明确的要求。在这里，我们看到了不隶属于理性、直觉或神秘主义的一种独特思维方式。