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1.
《Journal of Policy Modeling》2022,44(1):203-221
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. 相似文献
2.
随着现代教育的发展,提升幼儿园教师专业素养已成为促进学前教育发展的必然要求。以探究民办幼儿园教师专业素养为视角,提出通过干预行为提升教师专业素养水平的构想。实验随机选取成都市某民办幼儿园的20名教师为实验组,再选取与其办园环境、办园背景相似的另一所民办幼儿园的20名教师为对照组,对实验园教师的专业理念与师德、专业知识、专业能力3个维度进行干预。实验结果表明:与对照园相比,实验园教师的专业能力提升显著;与实验园实验前后相比,教师在专业知识、专业能力维度及专业素养总体水平方面均有提升。对教师培训的具体建议为:(1)单一与混合相结合的培训方式对提升民办幼儿园教师专业素养总体水平有现实意义;(2)民办幼儿园教师专业知识的提升需理论培训与自主学习相结合;(3)专家"现场诊断-指导式"培训方式对提升民办幼儿园教师专业能力有显著作用。综上,建议民办幼儿园在了解本园教师专业素养水平的基础上,针对教师专业素养的不同方面,分别采取不同的有效培训方式。 相似文献
3.
Sarah Long 《Disability & Society》2015,30(7):1118-1122
The week beginning 29 June 2015 is not just historic for the closure of the Independent Living Fund in the United Kingdom, but for me was the week they decided that my life is not worth investing in; they being NHS England, NICE and, with them, the Department of Health. They chose not to support the enzyme replacement therapy that has been not only keeping me alive, but giving me a quality of life – enabling me to return to finish my Disability Studies PhD exploring how Christian leaders explain disability, where ethics have become the main topic, and to rebuild my career – or so I thought. 相似文献
4.
何婷立 《河南科技大学学报(社会科学版)》2015,(2):11-13
伊尹作为中国历史上第一位贤相,其突出的个人素质表现在精于至味之理、精通耕作之道、创制治病汤液几方面,即懂得如何吃饭、种地和治病。这正是广大民众最为关心的事情,也是治理内政极其关键的因素,只有这三件事做得好,才可能完成"祀与戎"等国家大事。如此全面素质的形成,与其丰富的人生经历和勤于思索有关。 相似文献
5.
A conformance proportion is an important and useful index to assess industrial quality improvement. Statistical confidence limits for a conformance proportion are usually required not only to perform statistical significance tests, but also to provide useful information for determining practical significance. In this article, we propose approaches for constructing statistical confidence limits for a conformance proportion of multiple quality characteristics. Under the assumption that the variables of interest are distributed with a multivariate normal distribution, we develop an approach based on the concept of a fiducial generalized pivotal quantity (FGPQ). Without any distribution assumption on the variables, we apply some confidence interval construction methods for the conformance proportion by treating it as the probability of a success in a binomial distribution. The performance of the proposed methods is evaluated through detailed simulation studies. The results reveal that the simulated coverage probability (cp) for the FGPQ-based method is generally larger than the claimed value. On the other hand, one of the binomial distribution-based methods, that is, the standard method suggested in classical textbooks, appears to have smaller simulated cps than the nominal level. Two alternatives to the standard method are found to maintain their simulated cps sufficiently close to the claimed level, and hence their performances are judged to be satisfactory. In addition, three examples are given to illustrate the application of the proposed methods. 相似文献
6.
《Women and birth : journal of the Australian College of Midwives》2020,33(1):e33-e38
BackgroundLate-preterm infants show lower breastfeeding rates when compared with term infants. Current practice is to keep them in low-risk wards where clinical guidelines to support breastfeeding are well established for term infants but can be insufficient for late-preterm.ObjectiveThe aim of this study was to evaluate an intervention supporting breastfeeding among late-preterm infants in a maternity service in the Basque Country, Spain.MethodsThe intervention was designed to promote parents’ education and involvement, provide a multidisciplinary approach and decision-making, and avoid separation of the mother-infant dyad. A quasi-experimental study was conducted with a control (n = 212) and an intervention group (n = 161). Data was collected from clinical records from November 2012 to January 2015. Feeding rate at discharge, breast-pump use, incidence of morbidities, infant weight loss and hospital stay length were compared between the two groups.ResultsInfants in the control group were 50.7% exclusive breastfeeding, 37.8% breastfeeding, and, 11.5% formula feeding at discharge, whereas in the intervention group, frequencies were 68.4%, 25.9%, and 5.7%, respectively (p = 0.002). Mothers in the intervention group were 2.66 times more likely to use the breast-pump after almost all or all feeds and 2.09 times more likely to exclusively breastfeed at discharge. There were no significant differences in morbidities and infant weight loss between groups. Hospital stay was longer for infants who required phototherapy in the intervention group (p = 0.009).ConclusionThe intervention resulted in a higher breastfeeding rate at discharge. Interventions aimed to provide specific support among late-pretem infants in maternity services are effective. 相似文献
7.
Simulation results are reported on methods that allow both within group and between group heteroscedasticity when testing the hypothesis that independent groups have identical regression parameters. The methods are based on a combination of extant techniques, but their finite-sample properties have not been studied. Included are results on the impact of removing all leverage points or just bad leverage points. The method used to identify leverage points can be important and can improve control over the Type I error probability. Results are illustrated using data from the Well Elderly II study. 相似文献
8.
以人为本的科学发展观必然要求我们在一切发展序列中首先关注人口发展,中国人口发展在中国社会发展框架中具有绝对优先的工具价值和目的意义.中国作为发展中国家与作为人口最多的国家两者之间在很大程度上具有互为因果的内在关系,充分认识中国人口发展现状具有多元化的重要意义.中国人口发展状况主要表现为人口数量多、人口质量低和人口结构不合理.中国人口现代化是中国其它现代化的强力引擎,中国人口发展的基本创新路径是城市化发展路径、市场化发展路径、民主化发展路径. 相似文献
9.
王于飞 《重庆工商大学学报(社会科学版)》2003,20(2):8-12
通过对吴伟业早期艳体诗生成背景、特色的分析,可以进一步了解梅村诗歌创作的影响及其与明末文学复古运动的关系。 相似文献
10.
蒋文昭 《华北水利水电学院学报(社会科学版)》2002,18(2):93-94
自我发展素质是学校领导干部综合素质的重要组成部分 ,它反映了社会发展、领导职位和人的本性发展的要求。形成学校领导干部自我发展素质的主要方式是干部培训和教育实践中的探索与反思 相似文献