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.     

基于质量意识的复杂产品质量控制激励策略

激励在复杂产品供应链中对主供协同合作关系及质量控制发挥了重要作用。本文研究基于主制造商在复杂产品生产研发前按照客户要求形成的质量意识的激励策略是否可以实现复杂产品质量控制问题。考虑具有质量意识的主制造商和其系统供应商组成的两级供应链，建立以主制造商为领导者的Stackelberg博弈模型，分别讨论无激励和存在激励时的主供生产最优决策。基于激励方式的不同，将激励策略分为根据供应商产品质量水平激励以及根据主制造商质量意识水平激励两种方式。研究结果表明激励是供应商加强协同合作、改进产品质量的内在动力，主制造商根据质量意识激励供应商可以进一步促使双方协同合作，提高产品质量，使双方获得更高的利润从而实现供应链整体利润最大化。此外用灵敏度分析发现提高主制造商质量意识水平可以增加双方协同合作努力程度，有效提升产品质量水平并实现帕累托改进。     

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。     

Performance management practices in lean manufacturing organizations: a systematic review of research evidence

This paper provides the first systematic look into the existing research on performance management (PM) practices employed in lean manufacturing organisations (LMOs). It adopts a systematic review method to examine the evidence generated in the period 2004 – 2015 and uses a comprehensive PM framework to synthesise the findings. The results suggest that PM practices that have the most prominent role in LMOs are those that, firstly, are located closest to front-line actions and, secondly, explicitly address operational realities. This calls into question the primacy of accounting-driven controls in LMOs, suggesting that operational controls may be more effective than top-down accounting-based PM practices. The results also confirm the bias towards operational-level issues but suggest that LMOs may integrate the operational and the strategic levels by using PM practices that drive organisational learning through employee involvement and engagement.     

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.     

三级装备制造业供应链质量管理行为研究

作为我国工业化建设和国民经济发展的根本保证，供应链环境下装备制造企业的产品质量问题受到了广泛关注。本文重点考虑产品质量对供应链收益的影响，运用微分对策理论研究由单一制造商、单一部件供应商和单一零件供应商构成的三级装备制造业供应链质量管理行为的协调问题。通过对比Nash非合作博弈和Stackelberg主从博弈两种分散式决策模式及集中式决策模式下协同合作博弈的均衡结果，得到相关结论，并利用算例进行验证。研究表明，①分散式决策下，制造商的质量管理行为相同，但相比于Nash非合作博弈，Stackelberg主从博弈能够改善部件供应商和零件供应商的质量管理行为，提升供应链成员的收益水平；②集中式决策下，供应链成员的质量管理行为达到最优，系统整体收益实现最大。研究结论为装备制造业供应链成员间质量管理战略联盟的构建提供了理论依据。     

When implicit prejudice does not predict explicit prejudice: Spanish version of the Concern with Acting Prejudiced scale / Cuando el prejuicio implícito no predice el explícito: versión española de la escala Concern with Acting Prejudiced

The aim of this research was to adapt and validate the Concern with Acting Prejudiced (CAP) scale for a Spanish sample. This measure evaluates concern about appearing prejudiced to others or oneself and the motivation not to deviate from personal egalitarian standards. First, we completed the translation and an item content validity analysis. Then, in Study 1 (N = 198), we conducted an exploratory factor analysis. In Study 2 (N = 383), we conducted a confirmatory analysis of the unifactorial structure of the Spanish version of the scale and examined its validity. In Study 3 (N = 89), we explored the moderating role of participants’ concern with acting prejudiced in the relation between implicit prejudice and explicit prejudice. The results confirmed the unifactorial structure of the scale, its appropriate psychometric properties and its predictive validity. Moreover, we confirmed that the CAP moderated the relation between implicit and explicit prejudice. In participants with a low concern with acting prejudiced, implicit prejudice was positively related with modern prejudice; in participants with a high concern with acting prejudiced, these variables were not related.     

In search of family-friendly careers? Professional strategies,work conditions and gender differences in work–family conflict

The aim of this paper is to investigate whether women in a dual-earner context acquire family-friendly jobs as a strategy to keep work–family conflict down. The analysis is based on a survey of newly graduated highly educated men and women in five occupations in Sweden (n?≈?2400). The sample was stratified by occupation and gender to minimize the influence of factors other than gender. The results show that women are more family-oriented, but also more career-oriented than men in their professional strategies. In their jobs, women have less control over work and schedules than men but a similar level of work demands. However, women face lower requirements for employer flexibility (e.g. frequent over time) and this is related to their professional strategies. Finally, women report a higher level of work–family conflict than men in the same occupation, but this gender difference becomes non-significant when accounting for women’s lower level of control. In sum, women in this sample clearly aim for both family and career and do not acquire family-friendly jobs, but aim to avoid ‘family-unfriendly’ requirements for constant availability. To some extent, this enables them to limit their work–family conflict but due to their lower control over work, women still experience more conflict than men in the same occupation.     

Transition probabilities and ARL performance of Six Sigma zone control charts

In this article, Six Sigma zone control charts (SSZCCs) are proposed for world class organizations. The transition probabilities are obtained using the Markov chain approach. The Average Run Length (ARL) values are then presented. The ARL performance of the proposed SSZCCs and the standard Six Sigma control chart (SSCC) without zones or run rules is studied. The ARL performance of these charts is then compared with those of the other standard zone control charts (ZCCs), the modified ZCC and the traditional Shewhart control chart (SCC) with common run rules. As expected, it is shown that the proposed SSZCC outperforms the standard SSCC without zones or run rules for process shifts of any magnitude. When compared to the other standard ZCCs and the Shewhart chart with common run rules, it is observed that the proposed SSZCCs have much higher false alarm rates for smaller shifts and hence they prevent unwanted process disturbances. The application of the proposed SSZCC is illustrated using a real time example.