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.     

腔内电光调制激光系统的混沌模拟

采用数值模拟的方法讨论了带反馈的腔內电光调制激光系统功率输出的分叉和混沌行为,得到了输出功率随控制参数变化的分叉图,和一些定量结果。     

中国早期共产主义者对党建思想的探索

早期共产主义者学习和利用马列主义政党学说的基本原理来解决在中国建立政党的过程中遇到的具体问题,提出为什么要建立政党、如何建立和建设政党等党建根本问题。     

冷战后中国多边首脑外交的特点与动因

冷战后，中国以亚太地区和联合国为中心，开展了积极的多边首脑外交。其具有力度不断加大、内容逐渐多元、外在制度完备、内在缺乏约束等特点。经济全球化、集团化和全球性问题的日益突出，则是中国开展多边首脑外交的重要推动力量。     

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。     

20世纪上半叶制约中国社会发展的决定性因素

20世纪上半叶在以战争与革命为主题的时代背景下 ,外国帝国主义的侵略和俄国十月革命对中国社会发展产生了重大影响。半殖民地半封建的社会形态、错综复杂的阶级结构和阶级关系、2 0世纪中国的两大历史主题等也是制约中国社会发展的重要因素。正是由于对这四个因素的正确认识和准确把握 ,中华民族实现了 2 0世纪上半叶中国社会的巨大变革     

语言问题的理论思索

从功能的角度考察语言的本质 ,是诸多著作理解语言性质的哲学基础。功能论固然看到了语言对于人类社会的决定性作用 ,然而却丝毫未触及语言自身的结构特征和机制。仅从功能的角度认识语言是不够的 ,还必须深入到语言结构内部 ,对语言的特征、机制及结构体系进行多角度观察 ,才能较为完整地揭示语言的本质