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.     

Response strategy to environment context factors using a lean and agile approach: Implications for firm performance

Based on the environment-strategy performance perspective and dynamic capabilities framework, we develop a theoretical model and hypotheses specifying how supply chain collaboration as a response to environment context factors – competitive intensity, supply uncertainty, technological turbulence and market turbulence, using a lean and agile strategy may influence firm performance. We test the model using partial least square structural equation modelling on data collected from a field survey with responses from 152 manufacturing firms representing a variety of industries. Empirical findings generally support the relationship between collaboration and firm performance using a lean and agile strategy. Also, for firms in industries that face environments characterised by high supply uncertainty and competitive intensity with, technological turbulence, the study finds evidence of a direct relationship between these environmental factors and supply chain collaboration. The findings provide an initial strategic response framework for appropriately aligning a lean and agile supply chain strategy through collaboration with environment context factors to achieve firm performance improvements.     

知识经济时代传统会计之变革

知识经济条件下会计面临着变革。知识经济对公允价值计量、会计目标、会计处理程序与方法、会计报告内容、无形资产和人力资源成本与价值的确认、会计电算化发展等方面产生巨大影响。     

知识经济与就业革命

知识经济的到来 ,对传统的就业方式提出了重大挑战 ,引起了就业领域中就业结构、就业机会、工作制等多方面的转变 ,一场有关就业的文明革命悄然兴起。中国应通过提高劳动者素质 ,转变劳动者就业观念 ,调整国家就业政策等多方面措施 ,改善就业环境 ,刺激就业增长 ,以缓解目前所面临的巨大就业压力 ,迎接知识经济的挑战     

知识经济时代高校图书馆人力资源的管理开发

本文分析了高校图书馆人力资源管理和开发的现状,提出了加强人力资源管理开发的 措施和加大人员培养力度,建立一支高素质、专业化人才队伍的办法。     

论知识与知识性劳动

本文针对知识经济来临时代一些人对价值源泉的模糊认识,结合新的实际,在马克思主义经济学理论框架内对知识、知识性劳动进行了分析,在新的经济条件下发展了商品二因素理论和劳动二重性理论.在知识经济时代,人类劳动的主体形式从体力劳动转向智力劳动,知识成为当代经济发展的重要因素,但价值的源泉仍旧是人类劳动.本文通过区分知识和知识性劳动,澄清了模糊认识,阐明是知识性劳动创造了价值,而不是知识创造了价值.知识性劳动就是人们不断探索的劳动,从而知识经济的本质是创新,只有坚持劳动价值论,我们才能在知识经济社会中建立一个以人为本的、不断创新的经济运行机制.     

工厂供电课程教学方法探讨

工厂供电课程存在着教学任务肾、课时少的现象,按传统的讲授法进行教学,会出现教不好、学不透的两难境地。为避免此类现象的发生,提出了引导法、角色转换法、对比论证法、现代教育法等多种教学方法。经过教学实践证明,这些方法能有效地提高学生的学习效率,促进学生综合能力的提高。     

The econometrics of female labor supply and children

This is a survey of applied econometric research on the effects of children on female labor supply. Reasons for interest in the topic, and a basic model and terminology, are reviewed. Concerns are raised about the possible endogeneity of child status variables, and about the instrumental variables approach for dealing with this problem. Alternative ways of conceptualizing and estimating child status effects are considered, together with selected empirical evidence. Relevant developments from the household demand literature are summarized. Basic issues of model choice are also discussed.     

Quality strategies in supply chain alliances of disposable items

This paper studies a single-product distribution channel where a supplier manufactures items of a given type, some of which are defective, that are sold by a retailer who only detects a subset of the defective items, passing the rest along to customers. We conjecture the structure of the demand and cost functions, assuming customers to have a decreasing marginal aversion to bad quality while both the supplier and the retailer make marginally increasing efforts to avoid bad quality. This allows us to deduce several implicit parameters of a cost model based on observable data, such as the share of the channel margin. Once the parameters of the model are available, we analyze the result of vertical integration. Although we confirm the well-known fact that vertical integration improves the quality perceived by the customer, we characterize the supplier's decision of whether or not to provide a better quality in terms of the individual channel margins. As an alternative, we derive the conditions under which the supplier and the retailer may devise a mutually beneficial transfer contract that simultaneously increases their profit and improves quality.     

供应链管理中的信息流网络

本文对供应链管理中的信息流理论进行了探讨 ,指出了传统链式信息流模式的缺陷 ,分析了简单的网络式信息流模型的构造 ;阐述了信息流网络的特征与优势 ;对若干有待深入研究的问题进行了展望。