医疗服务诱导需求问题的成因和解决机制分析

医疗服务诱导需求问题具有多方面的影响,深入分析问题产生的原因有助于从根本上提出解决问题的有效机制。医疗服务市场之所以存在诱导需求问题,除了由于特殊的市场结构和存在缺陷的医疗保险付费制度外,更重要的是因为医、患、保三方的委托代理关系。只有从改变委托代理关系的角度入手,才能提出有效的解决机制。     

A delay-in-payment contract for Pareto improvement of a supply chain with stochastic demand

We consider a supply chain consisting of a single supplier and a single retailer with stochastic customer demand, which is operated over an infinite horizon. We propose a delay-in-payment contract to coordinate the supply chain. With this contract, the supplier allows the retailer to pay partial order cost at the ordering epoch, and to pay the remaining portion after a permissible number of periods. The system is formulated as a stochastic dynamic programming problem. It is shown that there exists a base-stock policy to be optimal. Compared with the traditional wholesale-price contract, the delay-in-payment contract with appropriate parameters can achieve a Pareto improvement (i.e., the performances of both the supplier and the retailer using the delay-in-payment contract are better than those using the wholesale-price contract). Numerical studies are performed to investigate both the effectiveness of the Pareto improvement, and the impact of the major parameters of the delay-in-payment contract on the system performance.     

浅析高中数学有效教学的内涵、特征及实施策略

高中数学有效教学的涵义即在数学课程标准基本理念的指导下，促进学生数学学习、提高学生数学素养、促成学生终身发展．高中数学有效教学的主要特征是教学目标有效、教学过程有效、教学方式有效、教学结果有效。主要实施策略是，以引导探究为依托，实现有效的知识建构；以暴露思维作平台，实现有效的思维训练；以激发兴趣作前提，实现有效的情意驱动．     

A Theory of Macroprudential Policies in the Presence of Nominal Rigidities

We propose a theory of monetary policy and macroprudential interventions in financial markets. We focus on economies with nominal rigidities in goods and labor markets and subject to constraints on monetary policy, such as the zero lower bound or fixed exchange rates. We identify an aggregate demand externality that can be corrected by macroprudential interventions in financial markets. Ex post, the distribution of wealth across agents affects aggregate demand and output. Ex ante, however, these effects are not internalized in private financial decisions. We provide a simple formula for the required financial interventions that depends on a small number of measurable sufficient statistics. We also characterize optimal monetary policy. We extend our framework to incorporate pecuniary externalities, providing a unified approach to both externalities. Finally, we provide a number of applications which illustrate the relevance of our theory.     

Shadow Insurance

Life insurers use reinsurance to move liabilities from regulated and rated companies that sell policies to shadow reinsurers, which are less regulated and unrated off‐balance‐sheet entities within the same insurance group. U.S. life insurance and annuity liabilities ceded to shadow reinsurers grew from $11 billion in 2002 to $364 billion in 2012. Life insurers using shadow insurance, which capture half of the market share, ceded 25 cents of every dollar insured to shadow reinsurers in 2012, up from 2 cents in 2002. By relaxing capital requirements, shadow insurance could reduce the marginal cost of issuing policies and thereby improve retail market efficiency. However, shadow insurance could also reduce risk‐based capital and increase expected loss for the industry. We model and quantify these effects based on publicly available data and plausible assumptions.     

基于农村居民需求演变规律的供给侧创新研究

分析了我国农村居民生产资料和生活资料需求侧的演变特点与规律,认为当农民的收入水平和恩格尔系数达到小康水平时,满足最低农业生产所需的生产资料和基本温饱的生活资料,不会因为农民收入水平的提高而同比率提高;而满足高效率、享受型、健康型的生产资料和生活资料需求却大幅度增长,此时“供给侧”对商品种类和服务种类的供给创新与发展,成为刺激和促进农村居民消费增长的主要因素。今后应在科技、高效、享受、智能、健康等范畴和方面,提升供给侧对农村居民所需商品和服务的创新和发展能力。     

无锡市某区残疾人辅助器具需求分析

目的:探索不同状况下残疾人辅助器具的需求差异,找出原因,为制定辅助器具服务政策和合理配发辅助器具提供客观依据?方法:基于全国残疾人基本服务状况和需求专项调查,通过横断面调查获取无锡市某区9个街道(镇)残疾人及疑似残疾儿童的调查问卷6 188份?调查内容包含基本信息?残疾类别?残疾等级?教育文化程度等?采用SPSS22.0 统计软件进行Logistic回归分析?结果:残疾人的辅助器具需求受到残疾种类(P < 0.001)?残疾等级(P < 0.001)?年龄(P = 0.024)?就业情况(P = 0.002)和前一年是否获得辅具(P < 0.001)的影响,性别(P = 0.805)?婚姻状况(P = 0.459)?社保状况(P = 0.195)与教育文化状况(P =0.451)无影响作用?结论:听力?视力?肢体?多重残疾会导致辅助器具需求升高,重度残疾?儿童和老人?未就业和前一年获得辅具都能预示人群较高的辅具需求?     

公共性视角下政府购买社会服务的困境及优化

对政府购买不仅要做“规范性导向”的研究,还需进行“价值性导向”的分析.由于购买主体的特殊性、资金的财政性、服务对象的特殊性及监管评估的全民性,决定了公共性是政府购买服务的内在属性与客观要求.当前政府购买服务在各地实践中有诸多探索,发展出不同模式,如购买岗位制、购买项目制等,但普遍呈现公共性不足的特征.因而需要通过发展多种购买主体、发展公共服务组织与机构、设立公众需求表达机制、评估上加强公众参与等策略而优化并提升购买服务中的公共性.     

列宁关于报刊发展的路径探析及其当代启示——基于《党的组织和党的出版物》

在《党的组织和党的出版物》一文中,列宁从基本自由、经济保障、价值取向和党性原则的角度对俄国报刊的发展路径进行了具体、系统的理论阐释,他认为要实现报刊发展就必须彻底摆脱警察压迫、摆脱资本、摆脱名位主义以及摆脱资产阶级无政府主义的个人主义。当下,回顾与反思列宁有关报刊发展的路径探析,可以得到3点启示:首先,要坚持正确的政治方向,为中国特色社会主义报刊事业提供根本保障;其次,要遵循“以人为本”,优化中国特色社会主义报刊事业的队伍建设;再次,要恪守党性原则,增强党对中国特色社会主义报刊事业的领导能力。     

减排约束下中国天然气供需安全评价:2006-2014年

为准确把握中国天然气供需安全状态,以2006-2014年的数据为样本,在模糊隶属度函数量化指标值的基础上,运用层次分析法(AHP)和熵值法确定指标权重,基于线性加权和函数计算均方根进行综合评价。结果表明:(1)中国天然气供需安全指数呈现"N形"波动,2006-2007年天然气供需安全指数上升。2007-2013年天然气供需安全指数年均下降1.7979。2013年以来天然气供需安全指数开始回升,天然气供需安全压力有所缓解。(2)天然气供应安全指数从2006年的17.5914下降到2013年的0.1556,峰谷差17.4359。天然气需求安全指数呈现"W形"波动。天然气市场安全指数相对稳定,2013年以来略有上升,天然气市场风险逐年下降。(3)天然气供需安全很大程度上取决于天然气供应是否安全。因此,建议从确保天然气稳定供应、提高天然气使用效率和降低市场风险方面采取措施,维护天然气供需安全。