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.     

促性腺激素、V_(D_3)、V_E亚硒酸钠对母兔繁殖力的影响

选择成年、健康、未孕母兔 32只 ,随机分成 8组 ,分别给予促性腺激素 (Ⅰ组 )、VD3(Ⅱ组 )、VE 亚硒酸钠 (Ⅲ组 ) ,促性腺激素 +VD3(Ⅳ组 )、VD3+VE 亚硒酸钠 (Ⅴ组 )、促性腺激素 +VE 亚硒酸钠(Ⅵ组 )、促性腺激 +VD3+VE 亚硒酸钠 (Ⅶ组 ) ,空白对照 8种处理。试验结果表明 ,母兔经药物处理后 ,其繁殖性能 (发情状况、排卵数、正常受精卵数 )都比对照组显著地提高 ,但Ⅰ、Ⅳ、Ⅵ组有畸形卵子存在 ,以处理Ⅶ组效果最好 ,其排卵数达 4 7± 2 0 .3个 ,正常受精卵 35个 ,分别比对照组多 36 .5个、30个。     

Spatial variation in soil inorganic nitrogen across an arid urban ecosystem

We explored variations in inorganic soil nitrogen (N) concentrations across metropolitan Phoenix, Arizona, and the surrounding desert using a probability-based synoptic survey. Data were examined using spatial statistics on the entire region, as well as for the desert and urban sites separately. Concentrations of both NO₃-N and NH₄-N were markedly higher and more heterogeneous amongst urban compared to desert soils. Regional variation in soil NO₃-N concentration was best explained by latitude, land use history, population density, along with percent cover of impervious surfaces and lawn, whereas soil NH₄-N concentrations were related to only latitude and population density. Within the urban area, patterns in both soil NO₃-N and NH₄-N were best predicted by elevation, population density and type of irrigation in the surrounding neighborhood. Spatial autocorrelation of soil NO₃-N concentrations explained 49% of variation among desert sites but was absent between urban sites. We suggest that inorganic soil N concentrations are controlled by a number of ‘local’ or ‘neighborhood’ human-related drivers in the city, rather than factors related to an urban-rural gradient.     

严复的能力观及其对当代公共管理创新的启示——对史华兹《寻求富强:严复与西方》的一种解读

对美国著名汉学家史华兹的代表作<寻求富强:严复与西方>进行文本解读发现:该著所反映出的严复能力观对当代公共管理的创新发展具有重要的启示意义.严复认为中西方的关键性差别在于能力,而隐含其中的是以能力为导向的主体意识和公共意识方面的差距."-3代公共管理的创新发展有必要吸收严复能力观中的思想精髓,以国家能力建构为着力点,以公民启蒙为社会基石,以突显公正为其内在灵魂.对正处于社会转型期的国家而言,努力实现国家能力与公民自由问的平衡是达致善治的关键.     

数控机床功能的扩展

本文主要分析了HEIDENHAIN TNC 310数控铣床系统中圆弧铣削指令及螺纹铣削指令,对螺纹铣削功能进行延伸,扩展到圆弧三轴联动,并对螺纹铣削指令格式进行了修改,从而具有圆弧三轴联动铣削功能。     

从人道主义向自然主义迈进的福克纳——读《我弥留之际》

美国南方流派的代表作家威廉·福克纳是一位实验性的作家,在他的文学生涯中,他做过多种尝试,他的早期长篇小说《我弥留之际》是其中非常重要的一次。这部作品的创作思想显示福克纳在上世纪30年代从人道主义向自然主义迈进。     

RuCl2[P(C6H5)3]2(NH2CH2CH2NH2)催化苯乙酮加氢反应的研究

优化了以RuCl2[P(C6H5)3]2(NH2CH2CH2NH2)作催化剂催化苯乙酮加氢制备α-苯乙醇的反应条件,考察了反应温度、反应压力、碱的用量及不同的碱对反应的影响,得出了一个较好的反应条件.     

新硼试剂3—甲氧基—甲亚胺H与硼显色反应的研究

对新硼试剂3-甲氧基-甲亚胺H与硼显色反应体系研究结果表明,在pH=5的醋酸-醋酸铵缓冲体系中,硼与3-甲氧基-甲亚胺H在常温下形成2:3的黄绿色配合物,配合物稳定24h以上,λmax=410nm,ε550=6.82×104cm·mol-1·L-1,硼含量在0～2.5μg/25mL范围符合比耳定律.     

义务教育乡镇管理体制评析

由于乡镇的财力单薄,管理水平偏低,管理心态失衡,乡镇政府难以有效管理本乡镇义务教育。改革义务教育乡镇管理体制,必须废除监护人直接支付的筹资方式,实行税收统筹分拨的筹资方式,建立省、县、乡三级义务教育管理体制,从经济上保证儿童受教育的权利。     

Block external bootstrap in partially linear models with nonstationary strong mixing error terms

The authors extend the block external bootstrap to partially linear regression models with strongly mixing, nonstationary error terms. In addition to providing an approximate distribution for the semiparametric least square estimator of the parametric component, they propose a consistent estimator of the co‐variance matrix of this estimator.