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.     

The relationship between lifetime health trajectories and socioeconomic attainment in middle age

A large literature demonstrates the direct and indirect influence of health on socioeconomic attainment, and reveals the ways in which health and socioeconomic background simultaneously and dynamically affect opportunities for attainment and mobility. Despite an increasing understanding of the effects of health on social processes, research to date remains limited in its conceptualization and measurement of the temporal dimensions of health, especially in the presence of socioeconomic circumstances that covary with health over time. Guided by life course theory, we use data from the British National Child Development Study, an ongoing panel study of a cohort born in 1958, to examine the association between lifetime health trajectories and socioeconomic attainment in middle age. We apply finite mixture modeling to identify distinct trajectories of health that simultaneously account for timing, duration and stability. Moreover, we employ propensity score weighting models to account for the presence of time-varying socioeconomic factors in estimating the impact of health trajectories. We find that, when poor health is limited to the childhood years, the disadvantage in socioeconomic attainment relative to being continuously healthy is either insignificant or largely explained by time-varying socioeconomic confounders. The socioeconomic impact of continuously deteriorating health over the life course is more persistent, however. Our results suggest that accounting for the timing, duration and stability of poor health throughout both childhood and adulthood is important for understanding how health works to produce social stratification. In addition, the findings highlight the importance of distinguishing between confounding and mediating effects of time-varying socioeconomic circumstances.     

论《世说新语·贤媛》之"贤"

通过分析《世说新语.贤媛》中女性的特征,指出了“贤”之一字不同于封建礼教所要求的新的内涵,并阐述了产生这种变化的原因,以及这种新的审美理想的意义。     

企业成长过程中组织结构演进规律及动因

阐述企业成长过程中组织结构的演变规律,运用管理学及经济学相关理论,揭示组织结构演变的内在动因。分析表明,随着企业的成长,组织结构呈现从直线职能制到事业部制的规律性变化,从管理学意义上,这种变化极大地降低了生产成本和流通费用,从而取得了管理协调的“速度经济”;从经济学意义上,则意味着管理分工导致企业运营效率提高;更深层次看,是一个分权的、控制权较为明晰的组织模式被逐渐使用,最终导致一个均衡权力结构模型———联邦分权式事业部制的产生。     

制约学校体育实施健康教育的诸因素分析

本文主要对影响学校体育实施健康教育的因素进行了分类研究 ,为学校体育实施健康教育提供科学的参考依据。     

阿盟发展缺失及其对上合组织的启示

阿拉伯国家联盟是当今世界成立最早的几个地区性国际组织之一。在其六十多年的发展历程中,从维护阿拉伯国家整体利益来看,其成绩并不理想。本文对阿盟的发展缺失的表现及其原因进行了分析,并探索了其对上海合作组织完善和发展过程中的启示。     

第二次世界大战对世界格局产生的影响

第二次世界大战以雅尔塔体系为基础形成了以美苏两大国为首的世界政治格局,对战后世界政治、经济和国际关系产生了深刻影响。随着两极格局的终结,世界又朝着多极化趋势发展。     

新化辛亥志士戴哲文事略

新化籍辛亥革命志士戴哲文联络新化、邵阳、武冈等地会党,开展反清革命活动;1907年与黄兴、蔡锷等在广西发动武装起义,因积劳成疾,28岁即英年早逝。     

试析一战初期英国的中东政策——基于《德邦森报告书》的考察

一战期间,英国发表了《德邦森报告书》,对中东形势和英国的对策作出了具体的分析。报告书一方面秉承英国的传统政策,主张保存土耳其,另一方面又具体划分了列强在中东的利益范围,客观上为日后列强瓜分土耳其扫除了障碍。     

Sifting the wheat from the chaff—the organization of telephone intake and the selection of social assistance inquirers in Sweden

In Sweden, the initial contact between help-seeking people and a social welfare office normally takes place over the telephone, with designated intake officers handling those aiming to apply for social assistance. Citizens seeking help are here sorted according to various eligibility criteria as well as according to different intake routines. The outcome of the sorting process is that some receive an appointment for a further assessment while others are sent away. This article describes and classifies the degree of selection at seven telephone intakes, discusses relations between the degrees of selection and reasons for selection and distinguishes several selection strategies.