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.     

陶渊明的诗化人格

作家的人格是其作品风格的内在因素 ,往往决定着其作品的风格。我们在研究作品风格的时候 ,不能不关注作家的人格。只有对作家的人格进行全面深入的审视 ,才能更准确地理解和把握其作品的风格。探讨陶渊明的人格魅力及其特征 ,是深入研究陶渊明作品风格的至关重要的途径。从陶渊明的作品中 ,从他的言行中 ,我们可以领悟到他的情趣和胸襟 ,领悟到一种具体的人格。陶渊明自然率真平和旷达的个性特征构筑了他的诗化人格 ,即未经世俗异化的高尚贞洁的人格。这种人格的内在思想根源是自然化迁的宇宙观和委运自然的人生观。这种人格的外在表现形式是他任真自得和固穷守节的行为方式。他的作品中常见的酒与菊、孤松、孤云与归鸟等艺术形象组成了陶渊明诗化人格的象征系列     

纪昀的西域谪戍生涯及《阅微草堂笔记》反映西域风土人情的特点

乾隆三十三年 ,纪昀因为“漏言”被谪贬至西域乌鲁木齐。与古代其他谪贬文人所不同的是 ,他并未完全沉浸于穷愁怨艾的情绪中 ,而是以积极乐观的人生态度面对现实。他的《乌鲁木齐杂诗》及《阅微草堂笔记》多方面地展示了西域的风土人情。但两者在内容及视角上有所不同 ,《乌鲁木齐杂诗》以丰富见长 ,但多粉饰之意 ;《阅微草堂笔记》以深刻取胜 ,真实而颇见其洞察力     

关于图书馆员的职业生涯与职业回报问题的探讨

探讨图书馆员的职业生涯与职业回报之间的关系，并提出图书馆员职业生涯中容易出现的一些问题的解决办法。     

Determinants of housing quality: A comparison of white,African-American,and Hispanic single-parent women

This study examines housing quality among three groups of single-parent women: white, African-American, and Hispanic. Three indicators of housing quality—crowding, affordability, and satisfaction—are used to discover the extent to which these groups experience housing problems. This study also explores differences and similarities in the factors that precipitate problems in housing quality for these three groups of single parents. Findings suggest important differences and similarities in the nature of housing quality problems among white, African-American, and Hispanic single-parent women. The specified variables explained about 20% of the variance in crowding, housing affordability, and housing satisfaction. On measures of objective and subjective housing quality, white single mothers are better housed than their African-American or Hispanic counterparts. Hispanic single mothers have the largest housing cost burden and average more persons per household than the other groups. African-Americans are twice as likely as either group to live in low-quality housing and reported the lowest average satisfaction with their housing. Her research interests include housing and neighborhood assessment and women and public policy issues. She has recently published articles inUrban Affairs Quarterly andHousing and Society on housing and neighborhood assessment criteria among black urban households and the housing cost burden of various groups of female-headed households. She received her Ph.D. from Ohio State University. Her research interests include the housing adjustment behavior of women and public policy. She has recently completed her thesis on the role of noncustodial parents in determining the quality of life of their children. She is also the recipient of the Tessie Agan Award for research excellence from the American Association of Housing Educators for a paper titled “Unterstanding Constraints and Residential Satisfaction among Low-Income Single-Parent Families.”     

一个中国知识分子的仕士适——《顾准文集》读后

通过顾准的人生境遇分析中国知识分子为官、为儒的命运 ,提出 :官有官道 ,文有文道 ;当代中国知识分子有追求 ,更有窘迫 ;思想大师来自于苦难和冷清 ;思想让人成为人     

民营企业不同发展阶段的人力资源管理策略分析

人力资源管理实践是影响员工行为的关键性变量之一 ,为使员工的行为符合组织的期望 ,民营企业可考虑在其不同发展阶段采取不同的人力资源管理策略。     

论沈约的山水诗

沈约是齐梁之际的著名诗人。他的山水诗集中创作于东阳外任期间。其山水诗作景物描写细致生动,而诗中的情与景却呈现为不相交融的割裂状态,并带有较多的述行意味。沈约山水诗的这种特征与当时的文学风气虽然相左,却与前代的谢灵运有类似之处。而导致这种相左与相似的主要原因便在于个人的遭遇与心态。     

Compatibility,Leisure, and Satisfaction in Marital Relationships

This study challenges the prevailing view that marital companionship promotes marital satisfaction. By following a cohort of married couples for over a decade and by incorporating several methodological improvements—such as refining the measurement of marital satisfaction, determining how much spouses enjoy doing the leisure activities they pursue together and apart, and using diary data to portray marital leisure patterns—we found that the association between companionship and satisfaction is less robust than previously believed, and that it depends on how often spouses pursue activities that reflect their own and their partner's leisure preferences. Over time, involvement in leisure liked by husbands but disliked by wives, whether as a couple or by husbands alone, is both a cause and a consequence of wives' dissatisfaction.     

武汉大学女性教职工婚姻生活调查分析

从武汉大学女教职工关于婚姻生活的满意度、夫妻关系、家庭地位以及家务劳动等方面可以窥见到目前我国高校女教职工婚姻生活质量。