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171.
邮政网路是强化通信事业发展、促进社会进步的必要条件。自“一五计划”后的1958年至“文革”前的1965年,随着我国邮政网路的持续建设,邮政局所在精简中不断发展,且机动运输邮路取得长足进展,邮政运输工具特别是机械化工具获得了大幅进步,进而促进邮政相关业务发展,并对国民经济恢复和建设产生重要影响。  相似文献   
172.
选取长江经济带软件与信息技术服务业相关数据,利用DEA-BCC模型测算软件与信息技术服务业技术创新效率,并借助自然断裂法和Tobit模型分析区域软件业技术创新效率时空演变特征及影响机理。从静态分析结果看,长江经济带软件业技术创新效率在研究期内呈现先升、后降、再升的螺旋上升态势。从动态分析结果看,技术进步是软件业技术创新效率提升的主要原因。软件业技术创新效率在空间分布上有明显的中间凹陷特征,各地区整体技术创新效率明显上升。科技创新水平、产业结构、对外开放水平、信息化水平、人口密度是影响长江经济带软件业技术创新效率的重要因素,且影响程度存在区域差异。  相似文献   
173.
分析了目前具有代表性的邮政普遍服务范围界定的观点,探讨了邮政普遍服务界定存在的认识误区,指出应从保护人权的完整、保护公民的通信权、扶助弱势群体和促进经济、文化与社会的发展四方面来界定邮政普遍服务范围。在总结国际经验后提出:通信服务是邮政普遍服务最基本的内容;为充分发挥邮政对经济、文化和社会的促进作用,可适当扩大邮政普遍服务范围;邮政普遍服务范围应随着环境的变化而变化;确认简便、易操作是邮政普遍服务范围界定具有可行性的基础。  相似文献   
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175.
This article will consider the current development of an emerging contract culture for the delivery of social services and its impact on disabled people in China. The discussion is based on an original qualitative study in Shanghai. The past 30 years have seen dramatic changes in China, which in parts have led to improvements in the lives of disabled people. The China Disabled Persons’ Federation (CDPF) became a key player in delivering these changes with the government. However, the CDPF is being criticized by disabled people for being too bureaucratic and not being effective enough in its delivery of services. One of its responses is to work with newly emerging not-for-profit organizations (NPOs) of and for disabled people. The CDPF has now begun to contract the delivery of some services to such NPOs. It is hoped that this may improve their effectiveness but the development of a contract culture in the delivery of services for disabled people may also be seen to pose a threat.  相似文献   
176.
Studies have mostly examined mental health service use of older Asian immigrant combining all Asian Americans into one group whereas immigration backgrounds and socioeconomic status of each Asian minority group are different. Therefore, this study aimed to identify predictors of mental health service use within specific ethnic groups among older Asian adults focusing on Chinese, Japanese, Korean, Filipino, and Vietnamese in California. The Behavioral Model for Vulnerable Populations (BMVP) is used to guide the secondary data analysis of a sample of 3,453 older Asian immigrants from the California Health Interview Survey (CHIS). Logistic and linear regression analyses are performed to examine predictors of mental health service use and the frequency of mental health service use, respectively. As results, mental health‐seeking patterns differ by ethnicity within the older Asian immigrant sample, not being married (Korean), higher levels of acculturation (Filipino), lower levels of neighborhood cohesion (Korean and Vietnamese), higher levels of perceived safety (Korean) and lower levels of perceived safety (Vietnamese), higher levels of mental distress (Korean and Filipino), and having perceived need (all) were related to more visits for mental health services. The study findings highlight the necessity of cultural competency services and programs for each Asian ethnicity.  相似文献   
177.
Despite the increasing evidence for the effectiveness of telehealth technology in screening and treating chronic diseases, and comorbid depression among older adults, they have been slowly adopted by home health care (HHC) agencies. Therefore, this study aimed to identify factors that determine telehealth technology adoption. Twenty directors from the National Association for Homecare & Hospice member agencies completed a 45-min telephone interview. Questions were asked regarding their perceptions of telehealth, the key determinants of telehealth adoption and use, and recommendations they would give on telehealth adoption. The majority of the participants perceived telehealth as effective for managing symptoms and reducing cost. Meanwhile, some participants had a mixed feeling toward telehealth for depression care as they did not recognize their agency as equipped with the necessary resources and trained staff. Moreover, significant determinants of telehealth adoption included the agency-related characteristics, the patient-home environment, reimbursement and cost-related factors, and staff telehealth perception. Findings imply that there is a need for financial support both at the state and the federal levels to encourage telehealth adoption among HHC agencies. Future studies should consider exploring strategies used by successful programs to overcome barriers.  相似文献   
178.
The sexual health problems experienced by homeless youth bring into question their use of available sexual health services. Using a qualitative typological analysis, this study aims to identify sexual health services utilization profiles for homeless youth, and to understand the role of the homeless experience on the utilization of sexual health services. Individual interviews were conducted with 33 homeless youth (17 men, 16 women) between 18 and 25?years of age. Typological analysis identified four profiles: (1) a targeted use of sexual health services to determine one’s serological status following a relational change during the homeless experience; (2) a limited use of sexual health services to manage sexual emergencies that arise during the homeless experience; (3) a regular use of sexual health services to avoid the risks associated with the homeless experience; (4) a frequent use of sexual health services to obtain support when engaging in prostitution during the homeless experience. This study shows that the precarious and unstable conditions within the homeless experience incite youth to utilize sexual health services in different ways. These findings point to the importance of rethinking sexual health services to better adapt them to the different utilization profiles of homeless youth.  相似文献   
179.
针对"互联网+大数据"优化电商配送服务质量问题,明确不同收货方的质量需求稳定性,引导电商根据收货方不同质量敏感性提供相对精准服务,提升配送服务质量。模拟投票结果的形成过程聚类得到收货方对服务质量偏好的记忆性特征:(1)"无记忆"型收货方;(2)"记忆"型收货方;(3)"不确定"型收货方;(4)收货方总体。进一步推导不同规划类型求解空间,设计得到"无记忆"型收货方动态规划精确求解方法,及其他三种类型近似求解粒子群算法。研究过程中,配送资源质量感知度被嵌入到模型约束;"无记忆"型收货方的质量需求规划问题转化为零库存策略最优解问题,进而证明存在精确解;"记忆"型收货方呈现出对质量感知的累积;"不确定"型收货方模型通过赋值即可得总体收货方表达式。结果表明:数据驱动研究框架借助大数据资源,使得电商更易通过收货方的质量偏好设计更加匹配的配送方案;不确定服务需求得到有效满足,投入成本的利用率更高;通过特征分类的方式,尽可能地抽取能够精确最优化的部分,缩小NP范围,提高整体求解的精确度。  相似文献   
180.
移动问诊服务日益成熟,但患者满意度仍有待提高。现有研究对医患交互过程关注不足,且忽略患者不满意评价的影响因素。为此,本文引入"激励-保健"理论视角,研究医生的信息-情感交互模式对移动问诊服务满意及不满的影响机制。本文筛选国内某领先移动问诊平台中的300次医患沟通记录,采用"先定性后定量"的混合研究方法对数据进行分析。其中,定性研究旨在识别医生交互模式的细分维度,定量研究则用于提出并验证不同交互模式与患者满意及不满的关系。研究发现,医生的信息交互模式是移动问诊服务满意度的保健因素,而情感交互模式是激励因素。结论丰富了移动问诊服务患者满意度的研究框架,对改善医生行为和医疗服务APP设计提供了指导。  相似文献   
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