人力资本、公平感知与农村居民基本医疗保险参与——基于四川农村地区的实证分析

城乡居民基本医疗保险作为构成我国社会保障体系的核心内容,既是农村居民获得所需医疗服务、应对健康危机的兜底性保障,也是国家推进基本医疗卫生服务公平均等的基础性政策。然而,基于四川省农村地区的调研发现,仍然存在农村居民没有购买基本医疗保险的现象。深入剖析其影响因素,结果发现:(1)人力资本水平、对基本医疗保险政策的公平感知均会显著作用于农村居民基本医疗保险购买行为;(2)外出务工经历、缴费便捷程度、家庭收入水平等也对农村居民基本医疗保险购买行为有显著影响;(3)当前对基本医疗保险政策知识宣传不够,难以满足农村居民对政策知识的需求。基于以上研究结果,为进一步提高基本医疗保险参与率,提出了优化基本医疗保险政策宣传、提高基本医疗保险政策的认同感和加快医保管理服务系统信息化建设等对策建议。     

电商参与、技术认知对农户绿色生产技术采纳程度的影响

农户的绿色生产技术采纳不仅有利于粮食安全和生态环境保护,而且对农业的绿色生产转型具有重要意义,农产品的电商销售可成为农户进行绿色生产的可能路径。利用有序Logit模型测度电商参与对猕猴桃种植户绿色生产技术采纳程度的影响,使用结构方程模型中的均数方差调整加权最小二乘法 (WLSMV) 和 Bootstrap 法检验技术认知的中介效应,采用倾向得分匹配法对电商参与影响农户绿色生产技术采纳程度进行稳健性检验。研究发现:电商参与显著提高了猕猴桃种植户绿色生产技术的采纳程度,并且技术认知在此过程中起着积极的中介作用。政府应从加大宣传力度、提供技术和政策支持、提高农户绿色生产技术认知等方面提高农户绿色生产技术采纳程度。     

The Seveso Directive: An Italian Pilot Study in Enabling Communication

In 1982 the Council of the European Communities issued a Directive on the Major Accident Hazards of Certain Industrial Activities, commonly known as the Seveso Directive. Besides other requirements, the Directive specifies that members of the public liable to be affected by a major accident from certain industrial activities must be informed of safety measures and how they should behave in the event of an accident. The Directive was subsequently amended in an extensive way. Upon the transposition of the Seveso Directive and its amendments into national legislations, the 12 European Member States are faced with the task of "appropriately and effectively" informing the public about major accident hazards. Delays are observed throughout the community, both in transposing the Directives and implementing public information. A pilot study on "Risk Information Needs" was commissioned and carried out at two Seveso sites in Italy in order to begin to resolve some of the problems involved in the provision of public information and to suggest appropriate guidelines. One hundred subjects answered an experimental protocol designed to assess their "information needs." This article presents the theoretical background, the pragmatic aims, and the design of the study. It also summarizes its most relevant findings and suggests some recommendations for the provision of information to the public.     

改革目标和企业风险度测定─—现代企业制度建设的关键

在建立现代企业制度的探索中,原有的“承包制”在实践中已暴露它的不足,与改革的深入不相适应。企业的生机在于竞争和风险。在商品经济条件下,企业经营实际上就是经营者运用创新手段,将受损风险转化为超额收获。而企业生产经营所存在的诸多不确定因素,可以通过概率论中的中心极限定理和经验,借鉴计划评审法（ＰＥＲＴ）中概率估算法对企业的经验风险度作出有价值的测定。     

Coherent decision analysis with inseparable probabilities and utilities

This article explores the extent to which a decision maker's probabilities can be measured separately from his/her utilities by observing his/her acceptance of small monetary gambles. Only a partial separation is achieved: the acceptable gambles are partitioned into a set of belief gambles, which reveals probabilities distorted by marginal utilities for money, and a set of preference gambles, which reveals utilities reciprocally distorted by marginal utilities for money. However, the information in these gambles still enables us to solve the decision maker's problem: his/her utility-maximizing decision is the one that avoids arbitrage (i.e., incoherence or Dutch books).     

De minimis and equity in risk

Indices and orderings are developed for evaluating alternative strategies in the management of risk. They reflect the goals of reducing individual and collective risks, of increasing equity, and of assigning priority to the reduction and to the equity of high risks. Individual risk is defined as the (random or non-random) level of exposure to a danger. In particular the role of a lower negligibility level is investigated. A class of indices is proposed which involves two parameters, a negligibility level and a parameter of inequality aversion, and several interpretations of the indices are discussed. We provide a set of eight axioms which are necessary and sufficient for this class of indices, and we present an approach to deal with partial information on the parameters.     

Tolerable or Acceptable: A Comparison of Risk Regulation in the United Kingdom and in the Netherlands

In managing major accident hazards in industry risk, both the United Kingdom and the Netherlands use quantitative risk analysis and quantified risk criteria. These should be understood in the historical, legal, and political context in which they were drawn up. Even when criteria are numerically the same they do not necessarily mean the same thing. The legal and historical context differs widely between the two countries. Nevertheless, it is surprising that the final results in terms of land use and levels of risk are very similar.     

Quantitative Estimates of Risk for Noncancer Endpoints

While quantitative estimates of risk have been a standard practice in cancer risk assessment for many years, no similar practice is evident in noncancer risk assessment. We use two recent examples involving methylmercury and arsenic to illustrate the negative impact of this discrepancy on risk communication and cost-benefit analysis. We argue for a more balanced treatment of cancer and noncancer risks and suggest an approach for reaching this goal.     

The 2003 Heat Wave in France: Dangerous Climate Change Here and Now

In an analysis of the French episode of heat wave in 2003, this article highlights how heat wave dangers result from the intricate association of natural and social factors. Unusually high temperatures, as well as socioeconomic vulnerability, along with social attenuation of hazards, in a general context where the anthropogenic contribution to climate change is becoming more plausible, led to an excess of 14,947 deaths in France, between August 4 and 18, 2003. The greatest increase in mortality was due to causes directly attributable to heat: dehydration, hyperthermia, heat stroke. In addition to age and gender, combinatorial factors included preexisting disease, medication, urban residence, isolation, poverty, and, probably, air pollution. Although diversely impacted or reported, many parts of Europe suffered human and other losses, such as farming and forestry through drought and fires. Summer 2003 was the hottest in Europe since 1500, very likely due in part to anthropogenic climate change. The French experience confirms research establishing that heat waves are a major mortal risk, number one among so-called natural hazards in postindustrial societies. Yet France had no policy in place, as if dangerous climate were restricted to a distant or uncertain future of climate change, or to preindustrial countries. We analyze the heat wave's profile as a strongly attenuated risk in the French context, as well as the causes and the effects of its sudden shift into amplification. Research and preparedness needs are highlighted.     

Dietary and Inhalation Intake of Lead and Estimation of Blood Lead Levels in Adults and Children in Kanpur, India

This research was initiated to study lead levels in various food items in the city of Kanpur, India, to assess the dietary intake of lead and to estimate blood lead (PbB) levels, a biomarker of lead toxicity. For this purpose, sampling of food products, laboratory analysis, and computational exercises were undertaken. Specifically, six food groups (leafy vegetables, nonleafy vegetables, fruits, pulses, cereals, and milk), drinking water, and lead air concentration were considered for estimating lead intake. Results indicated highest lead content in leafy vegetables followed by pulses. Fruits showed low lead content and drinking water lead levels were always within tolerable limits. It was estimated that average daily lead intake through diet was about 114 microg/day for adults and 50 microg/day in children; tolerable limit is 250 microg/day for adults and 90 microg/day for children. The estimated lead intakes were translated into the resultant PbB concentrations for children and adults using a physiologically-based pharmacokinetic (PBPK) model. Monte Carlo simulation of PbB level variations for adults showed that probability of exceeding the tolerable limit of PbB (i.e.,10 microg/dL) was 0.062 for the pre-unleaded and 0.000328 for the post-unleaded gasoline period. The probability of exceeding tolerable limits in PbB level was reduced by a factor of 189 in the post-unleaded scenario. The study also suggested that in spite of the introduction of unleaded gasoline, children continue to be at a high risk (probability of exceeding 10 microg/dL = 0.39) because of a high intake of lead per unit body weight.