参加医疗保险对农村居民健康的影响——基于CHARLS 2015数据的实证分析

基于CHARLS 2015数据,采用倾向得分匹配法实证分析参加医疗保险对农村居民健康的影响。研究发现:参加医疗保险对农村居民的日常活动能力和自评健康影响不显著,参加医疗保险对农村居民认知能力具有显著的正向影响。据此提出,应进一步提升社会医疗保险保障水平、扩大社会医疗保险保障范围、促进商业医疗保险有序发展、推进"三医"高效协同联动等,以充分发挥医疗保险的健康保障功能,从而进一步提升参加医疗保险对农村居民健康的正向影响。     

Developing and testing a mobile application for breastfeeding support: The Milky Way application

BackgroundSupporting women to continue breastfeeding is a global challenge. The Milky Way Program is an effective face to face intervention to increase breastfeeding rates up to six months postpartum. The sustainability and access to the Milky Way Program could be enhanced by transforming it into a mobile application allowing women to access relevant information from their own place at a convenient time.AimTo explore the process of transforming the Milky Way Program into an acceptable and usable mobile health application.MethodStakeholders including multidisciplinary researchers and end-users designed the application based on the Milky Way Program by using Persuasive System Design principles. A mixed-method approach was used in the development and evaluation process. Seven women were recruited through convenience sampling to pilot test the application. The women’s feedback was collected through an online survey six weeks after birth and individual interviews at four months postpartum.FindingsWomen in the pilot study reported that the breastfeeding application was well designed, easy to use, interactive, reassuring and evidence-based with credible sources of information.ConclusionThe Persuasive System Design model combined with end-user engagement can feasibly inform the development of an acceptable and usable mobile health application for breastfeeding based on a proven clinical intervention. Further rigorous testing is required to evaluate the effectiveness of the application on breastfeeding initiation and duration.     

基于技术多样性的专利申请人与审查员的引证行为差异

近年来，专利引文越来越多地被用于技术路径研究、技术会聚、技术扩散等技术领域间的知识活动研究，但并未有效区分申请人引用和审查员引用，现有技术领域层面对申请人和审查员引用差异的对比研究还停留在较为浅显的统计层面。将技术类别间的差异性引入到申请人引用和审查员引用的对比研究中，在技术类别分布基础上，探究专利技术类别多样性视角下申请人引用和审查员引用的知识来源差异，并对其开展相关性分析。研究结果表明:专利申请人引用涉及的技术类别范围更广，而审查员引用则更集中于本技术类别；对大部分技术类别，申请人引用的技术类别多样性要高于审查员引用，但两者呈现出显著的正相关性。     

医疗信息共享对患者转移数量和服务质量水平影响研究

当前我国医院间存在严重的"信息孤岛"，医院参与医疗信息共享意愿不高，患者的诊疗信息被静态碎片化储存而无法充分有效地利用。考虑到医院进行医疗信息共享将降低患者转移成本，本文构建一个多阶段双寡头动态博弈模型研究医疗信息共享对医院竞争过程中患者转移数量和服务质量水平决策的影响。首先，根据是否存在转移成本，将患者分为新患者和经验性患者，借助Hotelling模型刻画患者的效用函数，分析患者就诊决策。然后，在政府价格规制和不考虑医院利他性情景下，构建了医院累积期望收益目标函数，使用动态规划方法，求解实现医院累积期望收益最大化的服务质量水平，获得了实现患者相互转移且医院在市场中共存的马尔可夫完美均衡。最后，根据医院参与医疗信息共享后患者转移成本降为零，分析与比较信息共享前后患者转移数量和服务质量水平变化。研究发现：在不同医院间本身存在患者转移背景下，医院参与信息共享后，患者转移数量增加但存在一个上限，增加的转移量与患者在医院间的转移成本呈正相关，与初始感知效用的差值范围呈负相关；医院参与信息共享后，均衡状态下的医院服务质量水平高于信息共享前的服务质量水平。因此，在不改变当前医保支付方式下，要加快推进医疗信息共享，政府部门可以根据医院的患者数量和服务质量水平变化对其进行定期补贴，以激励医院积极参与医疗信息共享，本文给出了这个补贴的量化表达。     

中介机构参与下联盟企业知识转移的三方利益博弈分析

知识转移是企业保存知识、提升创新能力的重要途径，中介机构在转移过程中发挥了重要作用。本文以联盟企业间知识转移为研究对象，考虑了企业的不同心理压力，首先建立了联盟企业双方的讨价还价博弈模型；其次构建了考虑中介机构参与知识转移的博弈模型，分析和讨论三方收益变化的影响因素及策略选择。结果表明，在直接知识转移博弈中，转移主体的收益大小与自身的心理压力呈负相关，而与对方的心理压力呈正相关，同等心理压力下知识转出方占优；中介机构参与博弈情形下，中介机构作为协作角色的博弈收益仅受博弈双方心理压力影响，且与知识接收方协作可获得更大收益，而主导角色博弈情形下收益受到三方主体心理压力的综合影响，并在主导知识接收博弈时获得收益更大；中介机构的角色选择与知识转出方心理压力变化相关性不明显，主要受到知识接收方及自身心理压力影响。     

External knowledge search,absorptive capacity and radical innovation in high-technology firms

Open innovation and absorptive capacity are two concepts based on the idea that companies can leverage the knowledge generated externally to improve their innovation performance. The aim of this paper is to analyse the joint effect of open innovation and absorptive capacity on a firm's radical innovation. Open innovation is expressed in terms of external search breadth and depth strategies and absorptive capacity is described by distinguishing between potential and realized absorptive capacity. In order to test our hypotheses, we carried out empirical research in firms operating in high-technology industries. The results indicate that internal routines and processes for absorbing external knowledge help explain radical innovation as they show a significant effect of potential and realized absorptive capacity. Also, there is a moderating effect of absorptive capacity on open innovation. Specifically, potential absorptive capacity exerts a positive effect on the relationship between external search breadth and depth and radical innovation. Realized absorptive capacity moderates the influence of external search breadth. These findings confirm the complementary nature of absorptive capacity and open innovation search strategies on radical innovation.     

A Leadership Training Group for at Risk Fifth & Seventh Graders: Results from A Brief Strength-Based Group Program

ABSTRACT

An increasing number of youth are exhibiting social, emotional, and behavioral problems that hinder their ability to function at grade level. Subsequently, school mental health services have not been able to address the need for services particularly among students who are minority and poor. A mixed methodology study was conducted to determine the treatment outcomes from a brief strength-based leadership training group for primarily students who are African American and poor. Pre–post scores on three scales and focus group data revealed significant positive changes in regard to internal areas of functioning and social skills, anger management skills, and school attitude. Gender and age significantly impacted outcomes.     

知识分布、衰减程度与产业集群创新模式的内在机制研究

以知识流动为研究视角，将集群创新过程中的知识溢出、吸收能力内生化，构建包含三种创新模式下的产业集群演化模型，重点分析集群知识分布和知识衰减程度与集群创新模式的内在机制及其对创新产出的影响，并进行仿真实验。研究表明：不同知识分布下，混合创新模式的创新产出表现最好，外部吸收创新模式与内部自主创新模式呈现出不同的创新产出演化路径；在外部吸收创新和混合创新模式下，均匀分布型产业集群的创新产出表现最好，集中分布型表现次之，异质分布型表现最差，而在内部自主创新模式下，集中分布型则表现最好；不同创新模式对知识衰减的敏感程度呈现阶段性差异特征。这些结论对产业集群创新和可持续发展具有很好的理论和实践指导意义。     

Best practices for online Canadian prenatal health promotion: A public health approach

Background

Prenatal health promotion provides information regarding pregnancy risks, protective behaviours and clinical and community resources. Typically, women obtain prenatal health information from health care providers, prenatal classes, peers/family, media and increasingly, Internet sites and mobile apps. Barriers to prenatal health promotion and related services include language, rural/remote location, citizenship and disability. Online public health platforms represent the capacity to reach underserved women and can be customised to address the needs of a heterogeneous population of pregnant women.