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.     

中国古代墓志形制变迁中的设计思想内蕴

以中国历代墓志形制与文体变化为纵向轴，一是以魏晋南北朝中的“志”“碑”合一形式以及宋齐梁陈中出现的简单化的墓志形式，论述了中国古代墓志设计的“实用”思想；二是以历代墓志文体演变为研读对象，系统论述了墓志文体设计演变中的“实用”与“浮华”的转变。系统考察中国历代墓志的形制与文体设计，墓志作为随葬风俗的一部分，其形制变化基本轨迹还是以实用为美、为尚。浮华的特质在重葬、经济允许的情况下，尤其是墓志志文成为文化人施展才华的载体之际，文体适应了为死者“歌颂”的普世之需，同时也体现了设计“应需而变”的设计本质。     

Non-government organization study awards: enhancing successful completion of social work qualification

ABSTRACT

The current study used a sequential, exploratory mixed-method design to explore how a social work study scholarship implemented in Aotearoa New Zealand impacted on recipients’ qualification completion and their professional and practice competence. Phase one involved 13 individual interviews with past award recipients which described how the study award impacted on their qualification completion. Thematic analysis was used to extract themes. These themes were examined in the second phase through a quantitative battery completed by 107 past recipients to examine their professional and practice competence. The findings from interviews showed the award enabled recipients to complete their studies and improve their social work practice without causing undue stress or financial pressure on the recipient and their family. Quantitative analysis corroborated and extended these findings to demonstrate that the award contributed to lifting the level of social work knowledge, competence, and skills in the recipients. Accompanying the successful qualification completion, these qualified social workers were equipped with essential skills, promoting social work values and competence to contribute and safeguard the benefit of children, families, and communities. The awards offered a ‘wrap around’ support and was not limited by age or ethnicity but provided a support system to achieve qualification completion.     

Gender differences in labour market integration trajectories of recently arrived migrants in the Netherlands

This study investigates gender differences in recently arrived migrants’ labour market activity and occupational status both shortly after arrival and with increasing length of stay. We examine the role of education, household composition and traditional gender role values by estimating multi-group multilevel models based on three waves of the New Immigrants to the Netherlands Survey. In line with findings regarding gender gaps in labour market behaviour, recent female migrants are less active on labour market than their male counterparts, and we observe a clear motherhood penalty and fatherhood premium on the number of hours worked. Men and women show only marginal differences in their occupational statuses. Changes over time do not differ between men and women, indicating persistent gender inequality in labour market attainment. Moreover, interesting differences between the nationalities were found. Polish migrants show the highest activity levels and lowest occupational status, also when compared to Bulgarians. Spanish migrants hold the highest occupational statuses. Recent Turkish migrants seem to be better integrated and show fewer gender differences than the more established Turkish minority in the Netherlands.     

制造系统生产单元碳排放核算模型

制造业是我国国民经济的支柱产业，但也是环境污染物排放的主要来源、能源消耗主体和温室气体排放大户。制造系统高能耗、高物耗、高碳排放的加工过程是造成制造业碳排放量大的重要原因。生产单元作为制造系统的加工的主体，其碳排放量的核算是确定整个制造系统乃至制造业碳排放总量的关键。本文首先对生产单元的原材料、电能、辅助物料及废屑处理所引起的碳排放进行分析，确定生产单元的碳排放源；其次，产品合格率的不同会造成生产单元输入及输出的成品/半成品数量的差异，进而影响生产单元单位产品的碳排放量，在此基础上，综合考虑了原材料、电能、辅助物料及废屑处理的碳排放情况，构建了给定工艺流程下生产单元碳排放核算模型。最后，结合一汽车排气装置加工实例，分别核算加工过程中九个生产单元的碳排放量，验证了模型的可行性。     

Jean Valjean Bank in Korea: an innovative approach to poor defendants sentenced to pay fines

ABSTRACT

This study aims to introduce Jean Valjean Bank in South Korea which is an innovative approach supporting poor defendants who cannot pay fines and accordingly are imprisoned. In Korea, it is reported that we have more than 40,000 Jean Valjeans annually. As a civil movement against the unfair criminal justice system, a non-governmental organisation Human Rights Solidarity (Inkwon Yondae in Korean) opened Jean Valjean Bank in 2015. Jean Valjean Bank targets poor defendants who are not able to pay fines and who are confined to prison because of non-payment of fines. As of December 2017, the Bank has loaned KRW1,024 million to 545 persons with an average loan per participant of KRW1,879,700. The Bank reported that, among the receivers, 84 persons completed redemption and 277 persons are redeeming loans to the Bank. This study concludes with implications for reforms in criminal justice system in Korea.     

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.     

Learning,signaling, and convincing: The role of experimentation in the business modeling process

This study examines experimentation in the business modeling process, unpacking three different roles of experimentation: learning, signaling, and convincing. Learning is an inherent role of experimentation, as managers typically experiment to engage with the environment and to obtain knowledge. This study uncovers another set of roles, which have a symbolic nature. These roles show that experimentation is not just a learning process, but also a strategic legitimation process, aimed at enacting the environment. Experimentation serves the purpose of signaling to potential customers and other stakeholders, and of convincing them to embrace the business model. Furthermore, this study shows that experimentation takes two forms—purposeful interactions and experimental projects—and that these forms can support the different roles of experimentation.     

Applying a Treatment Effects Model to Investigate Public Amenity Effect on Physical Activity of the Elderly

The increasing elderly population puts significant health, economic, and social burdens on society. Physical activity is one of the most cost-effective ways to maintain the health of the elderly. This study adopts a treatment effects model to investigate the causal relationship between environment attributes and physical activity among the elderly, while taking endogeneity into account. The data were collected from 274 participants by face-to-face interviews in Taichung, Taiwan. Performing physical activity regularly in parks is the most important measure of the amount of physical activity by the elderly. Providing sufficient and accessible parks in metropolitan residential neighborhoods could be one of the most cost-effective ways to promote physical activity for the elderly living in midsize Asian cities.     

Surprise,surprise: the New Zealand general election of 2017

ABSTRACT

This article analyses the 2017 general election in New Zealand and draws out some of its implications. The final outcome was a surprise, and its implications momentous. Events strengthened Labour under a new leader and weakened the Green and New Zealand First parties, making it possible for Labour to become a viable coalition formateur. Comparing campaign public polling results, at least some of the polls were ‘wrong’, but all added to the excitement and uncertainty. Coupled with a new Labour Party leader, that uncertainty and excitement had mobilising effects that affected the young, but not the old. Finally, this article analyses the changes to the party system, nation-wide, and in the Māori electorates, assessing the degree of two-party dominance, and draws out implications for debates about the threshold for representation.