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。     

杨绛散文的独特价值

杨绛在文坛上具有一种独特的价值,她打破了17年散文的沉闷压抑,延续了五四时期幽默散文一路的发展,并具有自己的个性。杨绛对“文革”的描写与反思,采取了迥异于他人的远距离视角,带一种调侃与审视,因此显得超然而从容。文中流贯着一个侠骨柔肠的抒情主人公形象,读来令人感动。而作者采取的冷静的白描这种写法,对于17年散文的滥抒情是一种有力的反拨和纠正。正缘此,杨绛在文坛既是边缘的,又是独特的。     

成长体验的女性言说——从《乌鸦之歌》、《怀念声名狼藉的日子》看池莉性别创作立场的位移

在当代文学中 ,池莉惯以“非女性化”写作而著称 ,但她的两篇近作《乌鸦之歌》、《怀念声名狼藉的日子》却显示着作者向“女性写作”的转变。文章从这两篇小说的女性叙述立场、女性成长的叙述话语和作品的审美风格等方面阐述女作家性别创作立场的位移     

冯梦龙《山歌》的女性话语解析

以女性视角来解读晚明时期的《山歌》，其充满一种女权主义的隐喻，是在封建伦理式微前夕男权中心的退位及女权意识的崛起在民间的映证。     

论"革命文学"的流行性艺术素质

“革命文学”之所以在1920年代后期广为流行,其中一个重要原因,就在于它采用了为广大读者熟悉并喜爱的艺术手法,从而使其艺术素质隐含着一定的流行态势。“革命文学”的独特叙事方式,缩短了读者与作家及作品人物之间的距离,增加了叙事的真实性与感染力。而它在题材上呈现出的“故事类型”化特点,以及局部细节描写上的“套式”形态,都便于读者的理解与接受。此外,传统的人物描写手法以及语言的简单易懂,又进一步促进了“革命文学”的广泛流行。     

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。