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.     

农村义务教育阶段培育和践行社会主义核心价值观研究

农村义务教育在我国义务教育体系中占有重要地位,特别是对于拥有9亿多农村人口的我国来说,农村义务教育关系到每一个农村家庭子女的成长和成才,关系到农村经济振兴战略,更关系到国家和民族的未来。对农村义务教育阶段培育和践行社会主义核心价值观的必要性以及在这一过程中存在的困境进行深入研究,并据此提出相关的应对策略,能够使农村义务教育在社会主义核心价值观的指引下持续、快速、全面、健康地发展。     

Identifying the priorities for midwifery education across Australia and New Zealand: A Delphi study

ProblemIn countries where education programmes are assessed as meeting international standards there is limited knowledge about the challenges facing midwifery education.Background/aimThe positive impact of quality midwifery education on maternal and newborn health is acknowledged by the World Health Organisation. However, there is limited research identifying the issues faced in providing quality midwifery education. The aim of this study was to identify the challenges and determine priority projects to strengthen midwifery education across Australia and New Zealand.MethodsA two-round Delphi study with experts in midwifery education was undertaken.FindingsIn round one, 85 participants identified an initial 366 issues for midwifery education. Through thematic content analysis these were categorised into 89 statements reflecting five major themes: In round two, 105 midwifery experts from Australia n = 86 (79%) and New Zealand n = 23 (21%) rated the 89 statements in order of priority. Across the combined data (Australia and New Zealand) a total of 19 statements gained consensus of ≥80%.DiscussionFive priority themes were identified including; (1) enabling success of First Peoples/Māori midwifery students; (2) increasing the visibility and influence of midwifery within regulation, accreditation and university governance; (3) determining how best to deliver the clinical practicum component of programmes; (4) reviewing midwifery programmes to enhance design, content and delivery; and (5) ongoing education and support for the midwifery workforce.ConclusionIn Australia and New Zealand, it is imperative that collaborative work is undertaken to design and action identified projects addressing these priorities.     

对区域高等教育战略规划的若干思考--基于《加利福尼亚州高等教育总体规划（1960-1975）》的分析

《加利福尼亚州高等教育总体规划（1960—1975）》是区域高等教育战略规划领域的成功范例，规划内容通过州宪法性效力、州法律法规性效力以及行业约定性效力三种形式发挥作用。准确把握关键问题、秉持院校自治理念、深入开展调研等做法值得借鉴。我国区域高等教育机遇与挑战并存，教育规划应当坚持治理理念、以人为本理念和系统论理念，对区域高校定位作出合理预期与安排，引导区域高等教育健康和谐发展。     

从教育理念的视角解读高等教育大众化

高等教育大众化过程中出现了一系列令人深思的问题,教育理念的陈旧是其中一个重要原因。因此,变革教育理念是适应高等教育大众化发展的迫切要求。本文论述了高等教育大众化进程中转变教育理念的初步设想及其现实意义。     

素质教育与高校图书馆的改革

作为教育改革一部分的素质教育是面向未来的教育。高校图书馆要想更好的服务于教育就必须加强图书馆的各项服务,提高内部人员素质,使图书馆成为校园文化中心。     

论美术新课程教学过程的特征

新的《全日制义务教育美术课程标准(实验稿)》,要求美术教育以发展学生的艺术素养、人文素养及促进学生的发展为主要目标。新标准要求下的美术教育与传统美术教育相比,教学过程具有学生中心性、综合性、过程性、实践性、开放性、创造性、师生互动性、美育性、兴趣性和个性性等新的特征。     

克服学生心理障碍 提高体育教学质量

结合教学实践,调查研究了体育教学中学生心理障碍的主要表现是:畏难情绪和恐惧心理。从心理学和身理学的角度分析了产生的原因,并提出了创设教学情景、营造教学氛围、创造成功机会、设置竞争机制等四种克服心理障碍的方法。     

高校教职工思想政治工作专业化：一个必须突破的理论与实践双重背逆问题

高校教职工思想政治工作的"非专业化"存在,既影响了此项工作的科学性,也使从业者的角色定位十分为难.高校教职工思想政治工作的专业化首先是思想政治工作本身在正确导向和体制下的合理存在,然后是从业者主体意识的专业化和综合素质的全面提高,并在实践中强化生命力.     

论高等教育发展的适切性--兼论高等教育对农村的适切性

适切性是高等教育发展的永恒追求。高等教育发展是对社会和个人教育需求的适应、满足以及适切性增强的过程,高等教育发展应更加切合农村社会和农村个人高等教育需求,引入农村“需求导向”,以多样化、多层次、多形式的多元高等教育结构,通过以高校为主体的“自适应”,增加高等教育在农村的有效供给。