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.     

美国、日本等国教育资助体制及方式

弱势群体不仅存在于经济落后的国家,而且存在于经济发达国家,不仅存在于计划经济体制国家,而且存在于市场经济体制国家。各国政府基于公平和效率的考虑,都把经济困难群体的教育资助视为其基本职责之一。本文对美国、日本、巴西等国政府对弱势群体的教育资助制度和方式进行分析。     

浅析正在形成中的电子资金划拨法

电子资金划拨正以其高效率低成本的巨大优势,逐渐取代票据等传统的支付方式,得到广泛的应用与推广。这种新的支付方式的出现,也促成了以它为调整对象的电子资金划拨法的产生与发展。本文尝试对这一正在形成中的法律进行探讨,以期引起社会各界尤其是法学界对此的重视与研究,从而对我国在进行相关立法时有所裨益。     

促进西部少数民族经济发展的财税思考

如何促进西部少数民族经济发展是当前我国政府面临的重要课题。本文首先介绍了发达国家运用财税政策发展经济落后地区的成功经验 ,在此基础上 ,从我国国情出发 ,就运用财税政策促进西部少数民族经济发展问题提出了若干建议。     

西南科技大学岗位聘任制和岗位津贴制的改革与探索

为适应事业单位试行人员聘用的需要,更为学校适应新形势发展的需要,西南科技大学以全员聘用和岗位聘任为突破口,实行了人事分配制度改革,建立了“以岗定酬”的岗位津贴制。通过对学校人事分配制度改革的思路和具体做法的介绍,以进一步完善和推行全员聘任制。     

我国西部交通建设的公共经济学分析

从公共经济学的角度论证了交通运输设施的公共产品性及其外部效应 ,进而对西部交通运输建设进行分析 ,认为西部交通规划是西部交通建设的首要问题 ,加大政府转移支付力度是解决西部交通建设的主要途径 ,产权界定和收费制度是解决西部交通建设带来的生态环境破坏的重要方法。     

An empirical examination of cost-adjusting in outpatient clinics

This paper presents an empirical methodology for examining cost-adjusting in relation to multiple-output health care providers. The methodology is subsequently implemented using a sample of California outpatient clinics. The empirical evidence is that these clinics do cost-adjust; that is, the clinics respond to low Medicare reimbursement by using lower quality to control the marginal costs of those patient groups not insured under a government-sponsored plan. In addition, clinics do not cost-adjust with respect to Medi-Cal patients, implying that various government reimbursement systems have different effects on a provider’s cost-adjusting behavior.     

试论19世纪60年代～70年代东疆地区封禁政策的危机--兼谈"移民实边"思想的产生

19世纪60年代～70年代东疆地区封禁政策的危机,主要表现在沙俄的军事侵略威胁、朝鲜流民问题的冲击、东北边疆防御力量的空前削弱三个方面。清廷为了摆脱这一危机而苦苦摸索,移民实边思想便是这一摸索的产物。     

中侧之辩--关于书法用笔的局部探讨

书法的发展始终是规范性约定和潦草挥运相伴而行.侧锋的运用促使旧书体的松动和解构,丰富了笔法体系,中侧兼用是笔法成熟的重要标志.     

延迟支付条件下易逝品的最优订货决策研究

本文在考虑延期支付的情况下构建了二级供应链关于易逝品的最优订货决策模型,其中供应链由单个供应商和多个面临资金约束的零售商组成。在不允许缺货的情况下,供应商为零售商提供延迟支付来缓解零售商的资金压力,同时零售商对产品的定价将随易逝品的价值变质而变化。本文利用遗传算法对模型进行了算例分析,同时对模型中的相关参数进行了敏感性分析。结果表明,延迟支付能够提高供应链总利润并降低风险,从而有利于供应链整体效益的提高。在延期支付条件下,供应链各成员获得的收益增量存在较大差距,其中供应商能够获得更多收益。最后,通过敏感性分析,我们还发现产量及易逝品保质期的变动会对供应链整体利润产生不同程度的影响。