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.     

地方政府重大决策机制存在问题及优化路径

地方政府作为地方公共事务管理者，决策正确与否直接关系到公共管理活动的成败，并且在一定程度上影响地方经济发展的水平及其核心竞争力。由于我国地方政府现阶段决策主体多元性及其职能模糊性，一些重大决策失误现象屡屡发生，造成了有限资源的巨大浪费，严重影响了地方政府在人民群众中的威信和形象。对此，我国地方政府迫切需要优化重大决策机制，包括明晰体制内外决策主体的职能、第三方评估、公众参与、决策终身责任追究及倒查机制等，以推进地方政府决策的民主化、科学化和法治化。     

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。     

游于艺:徐渭的艺术精神

徐渭虽然是明代文坛的边缘人 ,但却代表着明代文学的一种新精神 ,就是以“玩文学”的方式消解“诗言志”、“文载道”的传统。他的诗文创作既非源自某种使命感或道义精神 ,也非社会的写照或干预生活的武器 ,而是一种游戏人生自得其乐的生存方式。他拒绝崇高拒绝深刻 ,化神圣为笑谈 ,化正经为滑稽 ,在明代文学特定的语境中横空出世 ,开启了晚明“独抒性灵”的诗风与文风     

美学方法论和艺术本质观--从东、西方古典美学看艺术的审美本质

本文从美学方法论的角度 ,以对东西方古典美学艺术本质观的论述为基础 ,结合当前的文艺实践 ,对艺术本质给予了现时代的规定。本文认为 ,西方古典美学和艺术思想的基本特征 ,是以纯哲学和社会学的方法研究艺术 ,把艺术规定为是一种特殊的认识活动 ,将摹拟、再现、认识看作是艺术的本质特征 ;而中国古典美学则主要是以伦理学与哲学的辩证统一、艺术哲学和艺术心理学相统一的方法观察和研究艺术 ,把情感看作艺术的特质 ,将抒情、写意规定为是艺术的基本特征。东西方古典美学各自在艺术本质问题上的合理性和片面性 ,以及当今东西方艺术发展的趋势 ,说明对艺术本质的思考和探求 ,既不能单纯执着于表现主义 ,也不能固守于理智主义 ,而是应该扬弃其各自的片面性 ,对东西方古典美学的艺术本质观 ,在现时代的规定下进行辩证的综合     

论汉皇室楚歌

浓烈的悲情色彩和歌舞乐三位一体的混融状态,是汉皇室楚歌鲜明的艺术特色,这与现实政治带来的巨大痛苦、汉代“以悲为美”的审美风尚、楚文化本身固有的悲情因素及楚辞歌乐舞的混融状态、汉代倡乐之风的盛行、充分抒情的需要密切相关。对母体文化的怀恋、残酷的政治现实、汉帝王后妃本身较高的文学素养使他们倾情于楚声歌唱。     

中小企业技术创新的主要障碍剖析

指出了我国中小企业技术创新能力低、速度慢，剖析了企业主体、企业投入、企业技术创新运作方式和企业开展技术创新的外部环境等四大障碍．