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。     

一种新型的GSM接收机的设计与实现

依据GSM协议,结合GSM数字移动通信系统信号传输的特点,给出了基于GSM系统的带软输出结构的MLSE接收机的设计方案,阐述了MLSE接收机的实现算法。实际环境的试验结果表明:工程实现的MLSE接收机具有良好的工作性能和一定的实际应用价值。     

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。     

英语写作中有效反馈信息的探讨

文章简要阐述了反馈信息,论述了作文工作研究的意义及在作文写作中有效的信息反馈形式,提出了增强写作能力的可行措施。     

浅论缩短反馈时间在中学英语写作教学中的作用

本文通过调查一所普通中学学生对教师英语作文反馈时间的偏好并进行实验研究,利用统计学的描述性统计,独立/相关样本T检验分析方法,作者发现缩短反馈时间确实能够提高学生的英语写作水平,并结合其对教学的启示进行了讨论。     

调节教学评价的研究

调节教学评价是以推进素质教育为宗旨 ,以“反馈矫正”为基本手段 ,以评价主体间的双向动态调节为主要特征 ,促进教师和学生共同发展的过程。调节教学评价的具体实施程序为 :发展定向—评价反馈—调节矫正。具体的实施要求是 :确立多元化评价指标 ,注重评价的反馈调节功能 ,质的评价和量化评价相结合 ,形成性评价与终结性评价相结合 ,他评与自评相结合     

具有反馈控制的Logistic扩散系统周期解的存在与稳定

利用上下解，Ｂｒｏｕｗｅｒ不动点原理及Ｌｙａｐｕｎｏｖ泛函方法，讨论了一类具有反馈控制的Ｌｏｇｉｓｔｉｃ扩散系统的周期解问题；获得了周期解存在且稳定的判别条件．