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。     

类型化视域下自然保护地立法的制度建构

自然保护地在维持生态平衡,实现生态系统服务功能中可以发挥重要作用,但不同类型自然保护地的主导生态系统服务功能供给存在一定差异.《自然保护地法》立法工作须依赖理论上对自然保护地的类型化,并在此基础上建构对应型的规划建设、运营管理等方面的具体制度.因此,基于生态系统服务功能供给的空间差异,可以将当前相互重叠、缺乏体系的自然保护地划分为国家公园、自然保护区、自然公园、自然保护小区等四种类型,搭建"1部基础法律+4部类型化条例(或法律)"的自然保护地法律体系,并可以通过体系化公法、私法制度工具强化自然保护地的有效治理.     

高校哲学社会科学研究评价的本质要求及其制度建设

建设具有中国特色、中国风格、中国气派的哲学社会科学,一直是我国哲学社会科学繁荣发展的根本目的.提升高校哲学社会科学繁荣发展水平,离不开科学有效的哲学社会科学研究评价.坚持党的领导、"二为"方向和"双百"方针是哲学社会科学繁荣发展的根本保障,坚持"质量为本"和"创新至上"是哲学社会科学繁荣发展的必然要求,坚持科学权威和公开透明是哲学社会科学研究评价的现实需要.结合当前高校哲学社会科学研究评价中"量化评价下数量与质量的关系论辩","学术评价与科研管理评价的边界异化"和"学术权力和行政权力的制度规制"三大问题聚讼,文章建议通过强化学术成果质量保障机制、优化学术共同体工作机制、构建学术争鸣长效机制和完善学术成果转化应用机制等制度建设,推动构建科学权威、公开透明的哲学社会科学研究评价体系,以期进一步改善新时代高校哲学社会科学研究评价工作.     

劳动力转移对城乡居民收入差距的非线性影响研究

借鉴已有相关研究成果,将劳动力转移、农业技术水平与城乡居民收入差距联系起来思考,可以具体地考察劳动力转移对城乡居民收入差距的影响.文章以农业技术水平作为门槛变量,选取2009—2019年中国31个省份的面板数据,利用泰尔指数测定城乡收入差距,以劳动力转移作为核心解释变量构建面板门槛模型,实证得出劳动力转移对城乡居民收入差距的非线性影响.研究发现:劳动力转移可以缩小城乡居民收入差距,且该影响具有单一门槛效应.在农业技术水平较低时,劳动力转移对城乡居民收入差距收敛效应较小;当农业技术水平越过门槛值达到较高水平后,劳动力转移对缩小城乡居民收入差距的效果几乎增加了一倍.此后,通过替换解释变量泰尔指数为城乡人均可支配收入比、替换核心解释变量农业技术水平为农业生产效率重新建立面板门槛模型,发现上述结论仍然成立,其检验结果具有较强的稳健性.文章将农业技术进步、劳动力转移、城乡居民收入差距这三个重要变量纳入同一模型框架中,在加深劳动力流动影响城乡居民收入差距这一视角的研究的同时,对缩小城乡居民收入差距政策的制定提供了重要的参考意义.     

Latin American convergence and divergence towards the mortality profiles of developed countries

It is uncertain whether Latin America and Caribbean (LAC) countries are approaching a single mortality regime. Over the last three decades, LAC has experienced major public health interventions and the highest number of homicides in the world. However, these interventions and homicide rates are not evenly shared across countries. This study documents trends in life expectancy and lifespan variability for 20 LAC countries, 2000–14. By extending a previous method, we decompose differences in lifespan variability between LAC and a developed world benchmark into cause-specific effects. For both sexes, dispersion of amenable diseases through the age span makes the largest contribution to the gap between LAC and the benchmark. Additionally, for males, the concentration of homicides, accidents, and suicides in mid-life further impedes mortality convergence. Great disparity exists in the region: while some countries are rapidly approaching the developed regime, others remain far behind and suffer a clear disadvantage in population health.     

随机需求环境下联产品系统价格与产量决策研究

基于固定比例生产技术和多产品随机需求的情形,研究了联产品制造商的两阶段产量和价格联合优化模型。通过反向倒推的优化求解,得到了联产品制造商的最优产量和价格决策以及变化规律。同时研究了需求服从均匀分布时,需求波动对均衡的影响。研究结果表明,在订货成本较低和一种产品的需求波动性较大时,当另外一种产品的波动增大,则该产品的最优订货量增大,同时价格下降。借助数值仿真,分析了价格敏感度和产出比例对最优决策和利润的影响。结果表明,在给定一种产品的价格敏感度时,另外一种的价格敏感度越大,那么该产品的价格就越低,制造商的订货量就下降。当一种产品的产出比例固定时,另一种产品的产出比例上升时,则该产品的价格下降,制造商的订货量下降,总利润上升。     

论我国刑事诉讼中“非法证据”的界定标准

在刑事非法证据排除规则的具体运用中,"非法证据"的界定是当然前提。非法证据并非是任一证据合法性要件欠缺的广义非法证据,而专指取证主体通过严重非法的手段或者侵犯公民基本权利的方式所获取的证据材料。我国刑事非法证据包括非法言词证据和非法实物证据两类,两类非法证据在实际判断中虽存在差异,但都应围绕取证手段的非法性展开,分别考察取证手段是否违反法律规定以及违法的严重程度,以准确界定刑事非法证据的范围。     

农户地权诉求视角下农地制度的创新

目前我国农户的地权诉求已经发生了很大的变化，即由地权稳定、自主经营向农地资源的优化配置和高效利用转化。这一变化的内在动力是农户急切希望改变承包地过于细碎化以及改善农业生产经营基本条件。考察我国农地制度的发展史可以发现，我国农地制度变迁的基本逻辑就是农户的地权诉求决定农地制度的发展方向，这一点在当下一些地方的农地制度创新试验和经验中再次得到证明。今后我国农地制度创新必须遵循这一逻辑，根据我国农户地权诉求的变化，实施农户自愿前提下的承包地连片重划,争取国家对承包地重划制度的支持,强化农民集体民主决策制度,地方政府也要给予必要的支持。     

Determinants of social assistance caseloads for employable single adults without dependants in Canada

Government officials like the idea of just a small number of households in their respective jurisdiction receiving social assistance. A large number is seen as costly to the public treasury, and declining caseloads are generally viewed as a mark of success for both the economy and the government of the day. But what factors account for the size of a Canadian province's social assistance caseload? This article aims to shed light on this question, with a focus on single adults without dependants (and without serious disabilities) during the 1989–2017 period. One important finding is that when the value of social assistance benefit levels for this group increases by 1% in a province, the social assistance caseload for this demographic rises by 0.457%. Put differently, there is indeed an important behavior response associated with higher benefit levels. In response, we propose that provincial officials budget for higher take up levels when they increase benefit levels for this household group.