The meaning of frailty according to Dutch older frail and non-frail persons

Frailty is a term often used by researchers and clinicians to describe a state in which older persons are at risk for adverse outcomes such as falls, disability, institutionalization and mortality. However, no study so far examined what frailty means to older persons. Therefore the aim of this study was to describe the meaning that older community-dwelling persons attach to frailty. Twenty-five semi-structured interviews were conducted. The interviews were analyzed using the grounded theory method. Frailty was described as being in poor health, having walking difficulties, feeling down, being anxious, having few social contacts and not being able to do the things one likes to do. Men described in more detail the physical dimension whereas women elaborated in more depth on the psychological and social component. Existing definitions of frailty should be adjusted to better reflect the meaning of frailty for older persons.     

面向未来的埃及教育改革

埃及实行免费教育体制,长期和持续的国家投入保证了教育在大众中间的普及,使埃及教育长期在阿拉伯国家和非洲地区处于领先地位。但随着全球化的日益深入以及埃及国内经济形势的变化,单纯依靠政府投入越来越不能满足人民群众对高质量教育服务的需求。埃及教育主管部门根据形势发展的迫切要求,一方面大力推进教育体制改革,力行非中央化的政策,在教育投入和管理上,加大社会力量参与的力度,加强了教育基础设施建设,提高了教师待遇;另一方面用先进的信息技术手段改造传统教育模式,并在教学过程中引入问责制度,保证教育质量不断提高,使其更好地服务于社会经济的发展。     

中国高龄老年人口生活质量研究

本文从《中国高龄老人健康长寿调查数据集 (1998)》所提供的资料中筛选出有关生理健康、心理健康、日常生活功能和社会完好性等四个方面的评价指标 ,将这些指标的加权值进行量化处理。发现中国高龄老年人口总体生活质量的平均等级分最高 ,生理健康的平均等级分最低 ,心理健康与日常生活功能的平均等级分居中。同时 ,还发现中国男性高龄老人生活质量的平均等级分高于女性高龄老人 ;80— 90岁组生活质量的平均等级分高于 90— 99级老人 ,更高于 10 0— 10 5岁级老人 ;城镇高龄老人生活质量的平均等级分高于农村高龄老人。     

素质教育与中华文明

素质教育是着眼于提高全体国民综合素质的教育。素质教育具有全面性、全体性、重能力性、贯通性等特点。实施素质教育既是教育改革的需要,也是经济、社会发展的客观要求。加强人文素质教育,离不开中华民族优秀传统文明成果的学习,而通过人文素质教育,能够使这些宝贵的资源在人才培养中发扬光大,并且与社会主义的现代文明完美地结合在一起。     

户籍制度改革的成本与收益估算：基于广东省的数据

户籍制度改革是中国当前的一项重大议题，制度改革的财政成本和收益迫切需要得到准确的估算。从人口迁移和福利磁力的研究视角出发，本文聚焦于制度改革的社会救助福利成本与收益，在估算公式中纳人了区域福利水平差距、劳动者定居比率和福利迁移比率等数据指标进行估算。估算结果表明：现阶段制度改革的高昂财政负担和我国相对紧张的财政状况，使制度改革只能遵循渐进的方式进行，目前仍不具备立即推行全面改革的足够空间。     

Evaluating Item Discrimination Power of WHOQOL-BREF from an Item Response Model Perspectives

Quality of life (QOL) has become an important component of health. By using the methodology of psychometric theory, we examine the item properties of the WHOQOL-BRIEF. Samejima’s graded response model with natural metrics of the logistic response function was fitted. The results showed items with negative natures were less discriminating. Items written in a specific way were more suitable to assess certain subgroups. The national items showed variation in discriminatory power. Questions measuring objective and specific issues performed worse than items assessing general aspects of the QOL.     

提高深圳出生人口素质的理论与思考

本文通过全面回顾深圳市在提高出生人口素质，预防出生缺陷方面的机构设置、工作方法，分析了深圳提高出生人口素质面临的挑战．并从政策分析的角度提出了提高出生人口素质的政策建议。     

Incorporating quality into data envelopment analysis of nursing home performance: A case study

When using data envelopment analysis (DEA) as a benchmarking technique for nursing homes, it is essential to include measures of the quality of care. We survey applications where quality has been incorporated into DEA models and consider the concerns that arise when the results show that quality measures have been effectively ignored. Three modeling techniques are identified that address these concerns. Each of these techniques requires some input from management as to the proper emphasis to be placed on the quality aspect of performance. We report the results of a case study in which we apply these techniques to a DEA model of nursing home performance. We examine in depth not only the resulting efficiency scores, but also the benchmark sets and the weights given to the input and output measures. We find that two of the techniques are effective in insuring that DEA results discriminate between high and low quality performance.     

再制造方式下引擎保证成本最小化研究

针对如何优化汽车引擎产品的保证成本这一问题,利用成本动因理论,分析并建立了引擎产品保证成本动因体系,该成本动因体系不仅包括了传统的保证成本,还考虑了失效产品再次失效的潜在成本。接着,利用数学规划方法,建立了引擎产品保证成本模型,并利用Matlab进行了数值分析。研究结论可用于指导汽车引擎制造企业在再制造方式下优化引擎产品保证成本。     

服务型政府视野中的公共服务分工

建设服务型政府要求强化政府的公共服务能力.公共服务分工是指政府在强化公共服务职能和财政责任的同时,还要充分发挥市场在配置资源和社会在整合资源方面的特有作用,发展公共服务规划者和生产者的专业优势.尽管公共服务分工有利于弥补政府直接生产的局限性,但也不可避免地存在交易成本,需要进行有效的合同治理.对于公共服务分工而言,选择能够节省交易成本和具备激励机制的制度安排至关重要.公共服务的分工还有助于防止政府、市场与社会组织之间的相互对抗,重建新的权利和责任体系,有效地促进社会和谐.