安徽省县级公立医院医生薪酬满意度现状研究

To understand the status of doctors’ salary satisfaction in county?level public hospitals of Anhui Province, we investigated a total of 1 605 clinicians from 11 county level public hospitals by questionnaire survey ,and the survey data were analyzed by factor analysis and influence factor analysis using SPSS software, exploring the major influencing factors of doctors salary satisfaction. It showed that the overall salary satisfaction score of doctors was 1.94±0.49. Salary satisfaction was summarized into three factors, which are salary level, welfare, salary structure and management according to the influence degree. The score of these factors in order was salary structure and management（2.76±0.83）, welfare（1.59±0.88）, salary level（1.48±0.83）. The influences of gender, age, education attainment, working years, and employment type on salary satisfaction and overall salary satisfaction were different. The overall salary satisfaction of doctors in county?level public hospitals was low. It is suggested to raise the salary level of doctors, enrich the welfare subsidies, adjust and improve the salary structure, establish a reasonable performance appraisal system and attach importance to the influence of education attainment, working years and employment type on salary satisfaction.     

312经络锻炼法治疗农村中老年原发性高血压病的疗效和相关机理研究

目的探讨"312"经络锻炼法(简称"312")在农村,对高血压病的近、中期疗效追踪及相关机理的研究。方法对66例农村原发性高血压病志愿者,进行教、学、练、督导312。自身对照分组,312前为对照组,312后为试验组。于312前及后第2,5,9,12个月分别追踪其症状、体征、血压、用药、疗效等指标的变化,观察数据比较,分析总结。结果①血压:66例高血压病患者,其血压于312后2,5,9,12个月与312前比较,各均有显著差异,P<0.01(表1,图1)。②临床疗效:症状、其他指标、用药等亦相应地有所好转。312后2,5,9,12个月的显效率逐渐递增,各分别为31%,56%,61%,75%;总有效率各为:67%,80%,88%,95%;无效率:各分别33%,20%,12%,5%,呈逐步递减趁势(表2,图2)。结论①312的特点:自治、全治、根治,长期坚持312,对高血压病及其它病症均具有显著效果。②形势和任务:适合目前国情,奉献这一简单、有效、无副作用、经济实惠的医疗保健法给全国9亿农民,为国争光,为民造福。     

基于法益保护的计算机犯罪体系之重构

中国的纯正计算机犯罪以行为犯和结果犯为基本架构,在行为预防阶段和法益保护程度上分别存在不同的价值取向,这决定了中国当前计算机犯罪的立法模式。随着计算机网络技术的发展,计算机犯罪也呈现出新的发展趋势,国际上也越来越重视个人的网络权利。在这样的情形下,中国应该重新审视传统刑法理论,完善计算机犯罪的结构,构建涵盖行为犯、危险犯和结果犯的罪刑体系,凸显对个人法益的保护,适时降低起刑点。     

基于米特—霍恩模型的紧密型县域医共体运行困境研究

目前我国紧密型县域医共体政策运行面临困境,为深度剖析紧密型县域医共体政策运行中存在的困境,以米特—霍恩模型的六大因素：政策目标与标准、政策资源、组织沟通与运行活动、运行机构特征、运行环境以及运行者价值取向为框架进行分析,得出政策运行的困境包括：政策目标涉及范围较广,政策标准落实时间较长,卫生资源配置效率较低,医保支付指挥棒作用弱,分级诊疗上下转诊不畅,信息化建设契合度不高,基层医疗机构能力不足,“三医”联动协调程度低等。为解决紧密型县域医共体政策运行困境,提出建议：制定具体可行政策,优化配置医疗资源,实现信息互通共享,提高基层医疗能力,加强医保改革力度,从而推进紧密型县域医共体稳固建设与长效发展。     

实践智慧:辅导员专业化发展的新向度

实践智慧是高校辅导员专业化发展的重要向度。实践智慧由知(信念)、情(情感)和行(实践)三部分构成,具有缄默性、个体性、动态性等特点。高校辅导员应以良好的教育信念为前提,丰厚的知识积累为基础,深刻的实践反思为关键,开展团队学习,构建学习共同体,不断丰富和生成实践智慧,促进自身的专业化发展。     

人口老龄化与经济发展相对速度的国际比较

通过与我国经济发展水平接近的国家人口老龄化程度的比较,发现"未富先老"并非我国所特有,而是在发展中国家带有一定的普遍性,我国的老龄化程度在同等经济水平的国家中处于中等水平.在世界人口大国中,老龄化程度与人均GDP存在相关性,我国的老龄化程度符合人口大国的演变规律.我国不仅要依靠发展经济来缓解养老压力,更要依靠加强养老制度建设来从根本上解决人口老龄化问题.     

区域经济发展视角:地方政府行为悖论研究

区域经济的发展离不开地方政府的大力推动,但地方政府因追求自身收益最大化和社会产出最大化的双重目标,而产生计划与市场、区域间合作与竞争、可持续发展与短期收益等政府行为上的一些悖论。本文主要从地方政府的双重身份、有限理性、激励约束机制、囚徒困境等方面来分析地方政府在区域发展中的行为悖论产生的根源,提出了转变政府职能、重塑地方政府绩效考核机制等措施以规范地方政府行为,促进区域经济协调发展。     

马尔库塞:技术资本主义批判

马尔库塞对技术资本主义的批判是对技术异化意识形态的斥责,揭露了发达工业社会在把人引向畸形幸福的同时塑造了单向度的人。从劳动异化批判到技术异化批判是马克思社会批判理论的一个进展,然而技术决定论和无产阶级融合论的断言,使技术异化批判理论最终陷入解放主体错失的困境和美学救赎论的虚空。在资本全球化的今天,科学社会主义对于引领当代世界的发展具有根本性的指导意义,只有把技术异化批判与劳动异化批判相统一,才能使技术资本主义批判从解释的政治哲学走向实践的政治哲学。     

Background risk and nonprofit endowment portfolio volatility

This article focuses on endowed operating public charities that receive income not only from sources such as donations, grants, and service fees but also from endowment portfolios. Using the Form 990 data between 2009 and 2016, this study examines if the risk from nonendowment income sources, namely background risk, is relevant to endowment portfolio volatility, and if there are any differences across four types of nonprofits where endowment assets are the most concentrated, including museums, universities and colleges, K‐12 schools, and hospitals. The results show that the association between background risk and endowment portfolio volatility is significant and negative for universities; however, it is either nonsignificant or significantly positive for other types of organizations. This study extends research on university endowments to other types of endowed nonprofits. The findings imply different endowment objectives and reflect different asset allocation strategies across types of organizations.     

Research on the Accumulation Effect of Pension Income and Payments Caused by Progressive Retirement Age Postponement Policy in China

A retirement age postponement policy will not only increase pension income but also reduce pension payments, which will cause an accumulation effect on the size of the pension fund and relieve the intensifying pressure on pension payments. Based on the analysis of historical data in order to predict the population and pension scale in China, this research shows that the working-age population will gradually decrease, the supply of labor will decrease, and the demographic dividend will gradually disappear between 2018 and 2055 if the current retirement policy remains unrevised. According to three different retirement age postponement policy options, we establish that there are significant accumulation effects that can alleviate the pressure on pension funds. Among these policies, the postpone retirement policy option, which is based on the working period, is more conducive to a smoother policy implementation effect in the long term.