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.     

Formal governance,interfirm coordination,and performance in partnerships: An empirical investigation of a mediation model

This study investigates the extent to which formal governance mechanisms such as contracts and equity ownership affect interfirm coordination and partnership performance. We analysed data from a survey of 301 Korean firms to show that interfirm coordination partially mediates the relationship between contract completeness, defined as the extent to which a contract specifies task operations and contingencies, and partnership performance. Furthermore, we find that more complete contracts can attenuate the negative effects of equity ownership on coordination, and that this effect is particularly strong when partner tasks are interdependent and relational norms are weak.     

汽轮机凝汽器技术状态的故障诊断

介绍了对电站发动机组凝汽器进行状态监测和故障诊断的技术诊断自动化系统的研究和实现，实践证明，开发的系统对改善凝汽器性能、提高电站整体性能具有重要意义。     

缩小城乡差距统筹城乡发展问题研究

笔者系统总结了我国城乡差距、城乡关系失调的具体表现,并进一步分析了城乡发展差距过大对国民经济和社会发展的影响以及统筹城乡发展的现实意义,继而从改革城乡分治的管理体制,加快城镇化进程,推动城乡联动的工业化路线等方面提出了统筹城乡发展的对策建议。     

基于RSA的电子商务信息加密技术研究

21世纪是网络信息时代,电子商务的迅猛发展和普及打破了人们传统的经营和消费理念,网上消费已成为一种新的消费形式,但随之而来的便是电子商务赖以生存和发展的安全问题。文章主要通过对电子商务安全隐患的分析,论证了数据加密技术在电子商务安全中的作用,重点探讨了RSA公钥加密算法,并通过实例对其加密原理、计算复杂性等安全性问题作了详尽的分析和阐述。     

奇正相生 意趣盎然——当代西方建筑赏析

当代西方一些著名的建筑大师时常在自己的作品中运用斜向构图要素插入到方正的网络之中,并借正和斜的强烈对比而取得意想不到的效果。这种手法不仅有悖于我国传统的审美观念,而且就是在西方传统的建筑构图法则中也不多见。本文就具有代表性的作品作深入细致的分析,以期阐明这种方法的运用是如何赋予作品以生机和活力的。应放手吸取西方当代建筑师行之有效的观念与方法,以使建筑创作更富有时代性。     

中国商业银行市场结构与市场绩效分析

目前,中国商业银行寡头垄断的市场结构仍十分明显。国有商业银行虽然维系了资产规模的垄断结构,却没能取得维系垄断结构所应获取的垄断优势效应。造成这种状况的主要原因在于中国商业银行的垄断格局并非是在市场竞争的结果,而主要是由历史因素、行政手段所导致的。商业银行的市场结构再造,必须在借助政府力量重组现有商业银行结构体系的同时,降低行业进入壁垒,导入有效竞争。     

欧洲经货联盟运行以来的经济绩效分析

本文分析了欧洲经货联盟的政策框架,并总结出其特点。在此框架下,分析了自1999年欧元运行以来欧元区的总体经济运行状况。结论是:欧元区货币政策和财政政策协调框架是成功的,它保证了欧元区宏观经济的稳定,但没有将其转化为经济增长的动力,经济增长不容乐观;欧洲经货联盟加速了欧洲经济一体化,特别是金融一体化的进程。     

The Establishment and Application of a Labor Quality Index: The Case of Taiwan’s Manufacturing Industry

The labor quality index (LQI) not only serves as an important reference for monitoring the progress of the sustainable development of a country, but it can also serve as an important parameter for economic analysis. To compile such an index for Taiwan, we conducted two large-scale surveys of 1000 major enterprises and 844 union leaders, respectively, to determine the appropriate weights for each key factor. We also searched for all the relevant statistics that were used to calculate the weighted sum of the 25 sub-indexes, in order to compile a LQI for Taiwan’s manufacturing industries covering the period from 1990-2000. Our calculations show that this LQI rose from 80.2 in 1990 to 117.5 in 2000, which reflected an impressive 37.3% increase in just one decade. This rate of growth has, however, been slowing down since 1997. Our results indicate that the LQI provides a valuable indicator for monitoring the enhancement of labor quality in this society.