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。     

谈大学英语四级考试与学生英语能力的提高

大学英语四级考试有着很强的权威性与可信度,但其负面影响越来越突出,尤其是学生英语能力并没有根本上得到提高。本文从学生、教师、大学英语管理考核层三个方面来论述如何提高我国学生的外语能力,以便适应新世纪大学英语教与学的需求。     

试论扩招后高校社会治安综合治理

通过对学校社会治安状况的调研,弄清校园及周边社会治安综合治理的重点、难点;分析其普遍性和特殊性;弄清校园及周边人、财、物的动态平衡关系,着力提高防范能力,以便对校园及周边实施科学管理,降低治理成本。运用辩证唯物主义的立场、观点和方法掌握其规律性,有针对性地解决高校扩招后学校社会治安综合治理工作的问题,有力保证学校教学、科研工作,从而促进高校改革的顺利进行,为当地政府和学校领导提供高校扩招后学校社会治安综合治理工作的决策依据。     

“以人为本”与我国民事诉讼程序的完善

以“以人为本”为研究视点，从立法和司法两方面对其便民的内涵进行分析的基础上，对我国传统民事诉讼制度及其观念进行了理性分析，认为我国民事证明制度和诉讼模式在选择上与我国司法实际不相适应。并从保障当事人的程序主体地位、构建人性化的诉讼程序及建立案件分流制度全新视角探讨我国民事诉讼程序制度完善的思路。     

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。     

教育心理学研究方法体系的发展历程与新取向

教育心理学在其独立成为一门学科时,就借鉴自然学科的研究方法初步建立起了包括研究方法论、研究方式、具体方法和技术三层次的研究方法体系。经过学科建立20世纪到50年代的发展和60年代后的完善,逐渐形成了较为完善的教育心理学研究方法体系。在新的历史条件下,其研究方法论、方式和方法表现出综合化、生态化、科学化、本土化等发展取向。