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.     

The Complexity of Families Involved in High-Conflict Disputes: A Postseparation Ecological Transactional Framework

The use of the term ‘high conflict’ to describe a wide range of family dynamics after separation and divorce has increased significantly over the years. At the moment, no consensus on the definition of high conflict exists. Lack of definitional clarity hinders the ability for legal and mental health professionals to assess, identify, and effectively intervene with this population. Based on a rapid evidence assessment of 65 empirically based social science studies relevant to high conflict, this article positions high-conflict separation and divorce using an ecological transactional model to better understand risk factors and indicators associated with these families. Authors propose a more comprehensive definition that captures the complexity and interactions of various risk factors and indicators on multiple levels. Positioning high-conflict families using an ecological model identifies several points of intervention professionals can use and the fundamental need for collaboration among stakeholders for effective intervention.     

川东北地区须家河组二段储层差异性分析

随着勘探程度的深入，为了扩大四川盆地天然气勘探领域、寻找新的勘探接替区，四川盆地的勘探区域由盆内逐渐向盆缘延伸。在这种背景下，川东北地区须家河组二段相继取得新的勘探成果，但在勘探开发过程中逐渐暴露了诸如区块之间气井产能差异大，储层的碎屑组分、结构及厚度、物性、孔隙结构差异明显等问题，制约了勘探开发的步伐。针对上述问题，根据岩芯观察描述、分析化验资料及测井解释成果，从沉积、成岩方面入手，对比剖析了川东北龙岗和营山地区须二段储层特征的差异性及其成因，认为远离物源区和高能水体的反复淘洗是造成储层差异性的首要因素，强烈的压实作用和多期石英加大对储层差异性起关键作用，自生绿泥石衬边胶结和长石选择性溶蚀最终决定了储层差异性。从而解释了气藏勘探开发中遇到的诸多问题，对有效指导该区的下一步勘探开发工作具有重要意义。     

培养高素质人才要坚持科技教育与人文教育相结合

结合 2 1世纪“知识经济”的特点及我国国情 ,分析指出我国必须重视科技教育 ,培养大批科技人才。并且通过论述人文素质对科技人才的重要性 ,阐明了培养高素质人才要坚持科技教育与人文教育相结合的观点     

弯曲液面的附加压强

本文主要从球形液面内、外的压强差和任意弯曲液面内、外的压强差两个方面推导 了弯曲液面的附加压强公式。     

绿色供应链管理动力/压力影响模型实证研究

文章借鉴国外文献及国内环保专家的意见设计问卷进行调研,通过因子分析识别出中国制造企业绿色供应链管理的压力/动力和实践的主要因子.对因子进行相关分析和回归分析,根据数据结合国内外相关情况探讨动力/压力是如何影响绿色供应链管理实践,提出中国制造企业绿色供应链管理的动力/压力影响模型.     

试论高职院校图书馆的特色化建设

网络环境下,高职院校图书馆的特色化建设应针对发展状况,分析自身优势和需求,建立以服务于特定读者群为目标的特色馆藏,建立"以人为本"的特色化服务模式,建立促进图书馆自身发展的人力资源开发特色体系,建立优良的现代图书馆网络体系。     

应用型本科机械设计制造及自动化专业人才培养方案研究

本文针对应用型本科机械设计制造及其自动化专业如何培养当今社会急缺的高技能复合型人才问题作了探索与研究,提出了新的课程体系与培养方案。     

Household debt and financial assets: evidence from Germany, Great Britain and the USA

Summary.  We explore the determinants of debt, financial assets and net worth at the household level by using survey data for Germany, Great Britain and the USA. To identify which households are potentially vulnerable to adverse changes in the economic environment, we also explore the determinants of a range of measures of financial pressure: the probability that a household has negative net worth; the debt-to-income ratio; mortgage income gearing; the saving-to-income ratio. Our empirical findings suggest that the poorest and the youngest households are the most vulnerable to adverse changes in their financial circumstances.     

科技创新是现代化高校发展的重要标志

近年来,高校作为国家科技创新体系的重要组成部分,大力加强科学研究。北京大学让本科生提前介入科研,培养科研创新能力。高校创办的具有特色的大学科技园、高科技产业群,逐步发展成为普遍趋势,高校已经成为中国基础研究的主力军。高校现有的人才资源有效结合起来,就形成一批充满活力的科技创新集体。