Midwives’ views of caseload midwifery – comparing the caseload and non-caseload midwives’ opinions. A cross-sectional survey of Australian midwives.

BackgroundMidwife-led continuity of care has substantial benefits for women and infants and positive outcomes for midwives, yet access to these models remains limited. Caseload midwifery is associated with professional satisfaction and lower burnout, but also impacts on work-life boundaries. Few studies have explored caseload midwifery from the perspective of midwives working in caseload models compared to those in standard care models, understanding this is critical to sustainability and upscaling.AimTo compare views of caseload midwifery – those working in caseload models and those in standard care models in hospitals with and without caseload.MethodsA national cross-sectional survey of midwives working in Australian public hospitals providing birthing services.FindingsResponses were received from 542/3850 (14%) midwives from 111 hospitals – 20% worked in caseload, 39% worked in hospitals with caseload but did not work in the model, and 41% worked in hospitals without caseload. Regardless of exposure, midwives expressed support for caseload models, and for increased access to all women regardless of risk. Fifty percent of midwives not working in caseload expressed willingness to work in the model in the future. Flexibility, autonomy and building relationships were positive influencing factors, with on-call work the most common reason midwives did not want to work in caseload.ConclusionsThere was widespread support for and willingness to work in caseload. The findings suggest that the workforce could support increasing access to caseload models at existing and new caseload sites. Exposure to the model provides insight into understanding how the model works, which can positively or negatively influence midwives’ views.     

地区收入、食品价格与恩格尔系数

本文以2016年我国31个省级地区截面数据为样本，构建扩展模型考察恩格尔系数与收入、食品价格之间的关系。研究发现，恩格尔系数与地区收入存在显著的负相关性，纳入食品价格后收入对恩格尔系数的影响变得更为显著，二者关系满足恩格尔定律。恩格尔系数和以地区食品价格平价代表的食品价格之间显著正相关，若再考虑其他因素，则食品价格对恩格尔系数的影响会稍有减弱。进一步将食品区分为生活必需型食品与非生活必需型食品，测算得到的基本恩格尔系数、高阶恩格尔系数与收入之间仍呈负相关关系，但与基本恩格尔系数相比，高阶恩格尔系数与收入之间的负相关性更弱。恩格尔系数受生活必需型食品价格的影响强于非生活必需型食品价格的影响，基本恩格尔系数主要受生活必需型食品价格的影响，而高阶恩格尔系数同时受到两类食品价格的影响。     

面向新时代的国民经济核算研究议题及相关问题

本文结合国际国内研究动态分层次归纳、阐释当前国民经济核算的研究议题。具体包括:以国民账户体系2008版(SNA-2008)为起点的前沿研究,SNA中心框架的灵活运用研究,接驳中国国民经济核算体系(CSNA)及其实务的优化和创新研究,国民经济核算数据的综合应用研究。最后针对中国当前国民经济核算研究方法中存在的一些倾向性问题做讨论,比如是否过分关注与GDP的关联, 如何充分发挥卫星账户的作用等。     

Diagnostics of multiple group influential observations for logistic regression models

In this paper, two new multiple influential observation detection methods, GCD.GSPR and mCD*, are introduced for logistic regression. The proposed diagnostic measures are compared with the generalized difference in fits (GDFFITS) and the generalized squared difference in beta (GSDFBETA), which are multiple influential diagnostics. The simulation study is conducted with one, two and five independent variable logistic regression models. The performance of the diagnostic measures is examined for a single contaminated independent variable for each model and in the case where all the independent variables are contaminated with certain contamination rates and intensity. In addition, the performance of the diagnostic measures is compared in terms of the correct identification rate and swamping rate via a frequently referred to data set in the literature.     

论适应性表征及其方法论意义

适应性是主体适应其环境的特性,是物理演化系统和生物演化系统的本质属性,反映在认知上就是适应性表征。适应性表征也因此成为知识显现的方式和创造的核心,具有协调性、匹配性、互补性、模拟性和类比性,其表现方式有直接具象表征、间接具象表征、直接抽象表征和间接抽象表征,分别对应于经验主义、建构经验主义、理性主义和科学实在论。适应性表征的实现是通过科学理论核心概念的变化、定律的凝练、理论的更替、模型推理和世界观的改变展开的,具有经验上的适当性。这种经验适当性不仅是感知层次的体验,更是一种认知模式。在认知意义上,经验也是基于心理模型的,心理建模的路径有思想语言、心理表象、心理命题、思想实验和心理模拟推理。这种基于心理建模的适应性表征为科学认知和科学发现提供了有益的方法论。     

双循环新发展格局下中国双向直接投资研究

构建以国内大循环为主体、国内国际双循环相互促进的新发展格局,是对未来中国经济发展路径做出的重大战略部署,作为连接国内国际双循环的纽带,双向直接投资的发展战略和路径面临重塑和调整。研究认为,应当以推动新时代科技创新和产业升级为目标,提高双向直接投资的质量,畅通供应链和产业链; 以“一带一路”倡议为依托,通过更高水平的双向投资带动中国与沿线国家贸易水平的提高; 建设高水平自贸区和自贸港,提高对外开放标准,更高质量吸引外资,提升参与国际大循环的技术含量和自主性; 在畅通要素流动领域,建立更加完善的现代化物流体系,建设更高标准的要素流通市场体系,降低制度性交易费用,提高生产率和对高质量外资的吸引能力。     

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。     

Migrant women’s economic success in Russia: objective reality and subjective assessment

This study contributes to the growing body of literature on the outcomes of labour migration by focusing on the effects of migrant legal status on the economic and perceptual measures of migration success. To study the effects of legal status, we use a sample of Central Asian migrant women who work in Russia and of their native counterparts who occupy the same positions on the labour market. Similar to the studies in the developed settings, we find that a temporary legal status is associated with an earnings penalty and that permanent legal status corrects this earning disparity. We also find that both temporary and permanent migrant status is positively associated with perceptions of pay inequality but that, irrespective of these perceptions, both types of migrants are more likely to be satisfied with their jobs than natives. We interpret these findings within the legal and social context of migrant economic incorporation in Russia and relate them to the findings from other migrant-receiving settings.     

Incumbent capability enhancement in response to radical innovations

Schumpeterian market disequilibrium marked by entrepreneurial entry and incumbent exit has long held an important place in management literature. The extant literature has overwhelmingly championed the newcomer, despite incumbents' obvious advantages in resources, experience and market knowledge. The current research provides evidence for the effectiveness of the incumbent's strategy of capability enhancement (along an established technological trajectory) while responding to radical technological innovations. We develop a cognitive process model that integrates managerial cognition with capability development and deployment views, depicting the dynamics of the incumbent's capability enhancement process. We analyze the cognitive drivers of organizational actions in all stages (rigidity, triggering event, and capability renewal) and elucidate the role of top management cognition in the processes of detecting and correcting errors in a strategic course of action. We ground our model in the case of a cork-stopper industry veteran's decline as corks ceded ground to screw tops and other stoppers in the wine industry. How a major company fought back in response to the emergence of these, in the industry context, radical technological innovations, provides the basis for our narrative. The proposed theoretical model contributes to literature on technology management (with regard to incumbent strategies in response to radical innovation threats) as well as the role of cognition in strategy (providing an explanation of the cognitive underpinnings of capability development).     

二语情感抽象概念加工的具身认知研究

基于具身认知框架下的概念隐喻理论，对中国英语学习者抽象情感词加工的具身认知进行了实证研究。结果发现:（1）二语情感抽象概念存在“积极在上，消极在下”的垂直空间隐喻映射；（2）不同水平组对二语抽象情感词的加工成本存在不对称性；（3）中国英语学习者对不同效价的抽象情感词加工成本趋异。实验结果证明了情感抽象概念能够通过隐喻的方式建立与感知运动信息的联系，情感模拟对二语抽象情感词的加工具有促进作用。