长期护理需求评估体系建设研究——基于地方试点与德国实践

长期护理需求评估是长期护理保险筹资与给付的联结点,直接决定了保险给付,并对长期护理保险筹资有重要影响.当前我国试点地方在长期护理需求评估制度的设计上分歧较大,虽积累了差异化的经验与案例,但地区分割不利于社会公平与社会流动.应立足于长期护理保险的社会保险属性,结合社会实际与试点效果,适当借鉴德国经验,统筹设计长期护理需求评估体系,通过"法律+行政法规+部门规章"的规范形式,精准定位评估对象,明确独立的评估主体、科学设计评估指标与评估工具、严格规范评估程序等确保评估结果的科学、客观与公正,并根据评估结果进行分级分类给付,实现长期护理保险资源流向精准.     

我国儿童动物文学及其翻译研究

中外儿童文学充满了“动物”色彩，动物文学因其独特的内涵和异质的美学魅力成为了对少年儿童大自然教育和生命教育的特殊题材。通过论述动物文学与儿童文学交错重叠的关系，回顾了儿童动物文学的兴起，并从政治、社会、科技发展等方面分析其发展动力，综述我国儿童动物文学及其翻译研究较为匮乏的现状，挖掘其研究意义，肯定其对儿童成长的积极作用与影响，旨在为我国儿童文学翻译和儿童文学事业发展提供借鉴与新动力。     

治理的发轫与嬗变：中国历史视野下的考察

国内学术界一般以西方学术发展史作为背景，把治理作为一种社会互动来进行研究。中国历史视野下的治理，发轫于中国社会生活，其内涵最初主要是为了获取生存资料，即有收成才能够形成秩序也就是治理。从“乂”这个象形文字来看，乂就是治理，其原意为“收割”。不过，围绕生存资料的生产和分配逐渐产生了更加丰富的社会权力关系，而巩固和拓展这种权力关系则使得构筑更加严格的秩序成为必然。神秘感是构筑秩序的重要依据，而赋予仪式以神秘感的则是觋、巫等知识群体，他们将天、帝、王、人通过仪式联系在一起，建构起一套以礼为基础的秩序。但是，西周末年，觋、巫的神秘感被世俗的君权摧毁以后，“君臣秩序”以及由此构筑起来的社会秩序都被颠覆，从而导致“君臣之礼既坏”和“礼坏乐崩”的情形。“以智力相雄长”不仅表现在王室内部、诸侯之间、社会层面上，而且也表现在知识分子身上。从此以后，士绝大多数以追逐爵禄而骄天下为荣，以至于两千多年来一直存在“士贱而君肆”的情形。“君士互动”的治理模式，正是随着神秘主义的礼的崩溃而崩溃的。     

局部平稳部分线性面板数据模型的统计推断

部分线性模型是一类非常重要的半参数回归模型,由于它既含有参数部分又含有非参数部分,与常规的线性模型相比具有更强的适应性和解释能力。文章研究带有局部平稳协变量的固定效应部分线性面板数据模型的统计推断。首先提出一个两阶段估计方法得到模型中未知参数和非参数函数的估计,并证明估计量的渐近性质,然后运用不变原理构造出非参数函数的一致置信带,最后通过数值模拟研究和实例分析验证了该方法的有效性。     

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.     

工业劳动力流动、资本创造与经济地理空间均衡

资本创造模型（CC模型）忽视了要素流动对产业空间分布的影响。而发展的新的资本创造模型则认为资本集聚的过程必然伴随着工业劳动力的流动过程。另外，是资本的实际收益而不是名义收益决定资本是否创造。研究结果表明，随着贸易自由度、工业品支出份额及资本贴现率的变大，替代弹性及资本折旧率的变小，将降低对称结构的稳定性，而提高中心-外围结构的稳定性；经济地理空间的产业均衡是集聚力和分散力相互作用的结果。当企业生产工业品的规模报酬递增程度足够显著，或者工业品支出份额很高时，市场拥挤效应将彻底消失，并转化成为促进产业集聚的动力；突破点与持续点的大小比较可以形成不同的关系，这意味着随着贸易自由度的变化，本文发展的资本创造模型可以体现出多样化的产业空间动态演化行为。     

翻译美学视阈下《瓦尔登湖》徐迟译本评介

《瓦尔登湖》（Walden）是亨利·大卫·梭罗（Henry David Thoreau）经典文学作品，已经成为美国文学宝库中的经典之作。中国译者徐迟首先将其译入国内，译名为《瓦尔登湖》。此后不断出现译者和译本，《瓦尔登湖》一度重译，频繁出版。进入21世纪以来，我国出现了重译《瓦尔登湖》的热潮，这也引起了学术界和翻译界对《瓦尔登湖》汉译本的关注。通过将徐迟译本作为研究对象，从翻译美学新视角切入，对《瓦尔登湖》译文之美进行解构，分析其中作为变量的美学因子，以期为研究《瓦尔登湖》做出一点贡献。     

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.     

Approximate composite marginal likelihood inference in spatial generalized linear mixed models

Non-Gaussian spatial responses are usually modeled using spatial generalized linear mixed model with spatial random effects. The likelihood function of this model cannot usually be given in a closed form, thus the maximum likelihood approach is very challenging. There are numerical ways to maximize the likelihood function, such as Monte Carlo Expectation Maximization and Quadrature Pairwise Expectation Maximization algorithms. They can be applied but may in such cases be computationally very slow or even prohibitive. Gauss–Hermite quadrature approximation only suitable for low-dimensional latent variables and its accuracy depends on the number of quadrature points. Here, we propose a new approximate pairwise maximum likelihood method to the inference of the spatial generalized linear mixed model. This approximate method is fast and deterministic, using no sampling-based strategies. The performance of the proposed method is illustrated through two simulation examples and practical aspects are investigated through a case study on a rainfall data set.     

Noninformative priors for the between-group variance in the unbalanced one-way random effects model with heterogeneous error variances

For the unbalanced one-way random effects model with heterogeneous error variances, we propose the non-informative priors for the between-group variance and develop the first- and second-order matching priors. It turns out that the second-order matching priors do not exist and the reference prior and Jeffreys prior do not satisfy a first-order matching criterion. We also show that the first-order matching prior meets the frequentist target coverage probabilities much better than the Jeffreys prior and reference prior through simulation study, and the Bayesian credible intervals based on the matching prior and reference prior give shorter intervals than the existing confidence intervals by examples.