How do policy levers shape the quality of a national health system?

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.     

几种数字图书馆互操作实现途径的比较研究

本文针对数字图书馆的互操作问题，从跨异构仓储的数字资源整合和服务协作这两个层面上，对几种互操作的实现途径进行了比较分析。     

Bias Correction in the Dynamic Panel Data Model with a Nonscalar Disturbance Covariance Matrix

Approximation formulae are developed for the bias of ordinary and generalized Least Squares Dummy Variable (LSDV) estimators in dynamic panel data models. Results from Kiviet [Kiviet, J. F. (1995), on bias, inconsistency, and efficiency of various estimators in dynamic panel data models, J. Econometrics68:53-78; Kiviet, J. F. (1999), Expectations of expansions for estimators in a dynamic panel data model: some results for weakly exogenous regressors, In: Hsiao, C., Lahiri, K., Lee, L-F., Pesaran, M. H., eds., Analysis of Panels and Limited Dependent Variables, Cambridge: Cambridge University Press, pp. 199-225] are extended to higher-order dynamic panel data models with general covariance structure. The focus is on estimation of both short- and long-run coefficients. The results show that proper modelling of the disturbance covariance structure is indispensable. The bias approximations are used to construct bias corrected estimators which are then applied to quarterly data from 14 European Union countries. Money demand functions for M1, M2 and M3 are estimated for the EU area as a whole for the period 1991: I-1995: IV. Significant spillovers between countries are found reflecting the dependence of domestic money demand on foreign developments. The empirical results show that in general plausible long-run effects are obtained by the bias corrected estimators. Moreover, finite sample bias, although of moderate magnitude, is present underlining the importance of more refined estimation techniques. Also the efficiency gains by exploiting the heteroscedasticity and cross-correlation patterns between countries are sometimes considerable.     

Maternal employment in Scandinavia: a comparison of the after-birth employment activity of Norwegian and Swedish women

A striking characteristic of recent Western labour market trends is the rise in employment among mothers of very young children. So far, few studies have analysed the impact of public policies on employment rates of young mothers. In this study we address this issue by comparing two similar countries, Norway and Sweden, which have the same set of policies with slight variations, using data sets with similar designs. We analyse rates of re-entry into paid work after first birth for mothers in 1968–88 by means of hazard regression. One important finding is that the right to paid maternity leave with jobsecurity greatly speeds up the return to work.We want to thank Jan Kowalski for programming assistence and the Swedish Research Council for the Social Sciences and the Swedish Council for Research in the Humanities and Social Sciences for financial support for the Swedish study. We are grateful to John F. Ermisch, Siv Gustafsson, to two anonymous referees and to colleagues at the Demography Unit for valuable comments. Responsible editors. Siv S. Gustafsson, John F. Ermisch.     

Bequests as a heir "disciple device."

This paper develops a model ofinter vivos gifts and bequests in a setting of moral hazard and adverse selection. Altruistic parents do not perfectly know how much effort their children make to earn their living, nor do they know their true level of ability.Inter vivos gifts take place prior to the realization of the children's earnings whereas at the moment of bequests, parents do observe them. We show that an optimal transfer policy generally uses a mix ofinter vivos gifts — deemed as more efficient — and bequests — deemed as more redistributive.We are thankful to Allessandro Cigno, Jacques Cremer, Claude d Aspremont and anonymous referees for their comments.Responsible editor: Alessandro Cigno     

Modeling household fertility decisions with generalized Poisson regression

This paper models household fertility decisions by using a generalized Poisson regression model. Since the fertility data used in the paper exhibit under-dispersion, the generalized Poisson regression model has statistical advantages over both standard Poisson and negative binomial regression models, and is suitable for analysis of count data that exhibit either over-dispersion or under-dispersion. The model is estimated by the method of maximum likelihood. Approximate tests for the dispersion and goodness-of-fit measures for comparing alternative models are discussed. Based on observations from the Panel Study of Income Dynamics of 1989 interviewing year, the empirical results support the fertility hypothesis of Becker and Lewis (1973). Received January 7, 1997 /Accepted April 3, 1997     

A comparison of approaches for estimating the effect of women's education on the probability of using modern contraceptive methods in Malawi

The aim of this study is to estimate the effect of education on the probability of married Malawian women using modern contraceptive methods by accounting for both observed and unobserved confounders. We conduct a sensitivity analysis and compare the results of naive models with instrumental variable models to account for the potential endogeneity of education. Our findings demonstrate conflicting results between the two modelling approaches. The naive models report smaller education effects on the probability of using modern contraceptive methods compared to instrumental variable models. We also find that by relaxing the functional form assumption on the effect of continuous covariates, using a flexible instrumental variable model, the education's effect follows a positive, nonlinear pattern. This finding is not observed with a classic instrumental variable model.     

Goal attainability and performance: Evidence from Boston marathon qualifying standards

In this paper we test if performance improves once goals become more attainable. Goal-setting literature suggests that workers respond to challenging but achievable goals with increased performance. Empirical evidence supports the notion of goals increasing performance; however the evidence on how attainability of goals affects performance is mixed. This paper tests whether efforts increase, improving performance as the goals become more attainable. We are employing a unique set of publicly available marathon data from 1970 to 2015 to directly analyze the effect of goal attainability on performance. With the probable goal of qualifying for the Boston Marathon, we test if runners increase their effort, and consequently improve their performance if they enter a new age group and as a result have a more attainable goal. We find that runners who enter a new age group perform better than the runners whose qualifying time did not change. This effect is seen with runners in younger age groups, but not found in the results of runners in more advanced years.     

把握机遇,科学谋划,全面建设高水平应用型大学

《盐城工学院“十三五”事业发展规划》将“特色鲜明的高水平应用型大学”确定为自身转型发展目标,在紧密对接地方产业链、创新链中错位发展,凝练“特色”;在全面支撑服务区域经济社会中彰显“高水平”。高水平应用型大学建设,涉及高校治理结构、专业体系、课程教学、师资结构等各个方面的变革,但其瓶颈依然是教育观念、人才资源、办学经费等问题。作为一所地方应用型本科高校,盐城工学院必须紧紧围绕“地方性、应用型、特色化”,努力突破发展瓶颈,积极探索具有自身特色的应用型大学建设与发展之路。     

试论十三世达赖喇嘛的西藏地方近代教育改革

19世纪末20世纪初,世界主要资本主义国家掀起了瓜分中国的狂潮,位于祖国西南边陲的西藏由于其战略位置的重要性,成为英、俄等帝国主义国家角逐的重要对象.西藏在1888、1904年的两次抗英斗争中均以失败告终,作为西藏地方政教领袖的十三世达赖喇嘛被迫两度出走.在两次出走内地和印度的过程中,他亲眼目睹了内地和英国在印度的近代化设施,再加之受"教育救国"思潮和张荫棠、联豫在西藏推行近代教育改革的影响,为改变西藏传统教育与现实社会发展不相适应的矛盾,巩固自己的统治,十三世达赖喇嘛在西藏地方推行近代教育改革,并取得了一定的成绩.