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。     

琐议钢琴练习的技巧与方法

近年来,钢琴艺术在我国越来越受到关注,已成为人们开发智力,提高修养和陶冶情操的重要途径,而要熟练掌握这一中西文化融合的艺术,需要花费很多精力,掌握一定的方法技巧,是走向成功的捷径。     

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。     

欧洲经货联盟运行以来的经济绩效分析

本文分析了欧洲经货联盟的政策框架,并总结出其特点。在此框架下,分析了自1999年欧元运行以来欧元区的总体经济运行状况。结论是:欧元区货币政策和财政政策协调框架是成功的,它保证了欧元区宏观经济的稳定,但没有将其转化为经济增长的动力,经济增长不容乐观;欧洲经货联盟加速了欧洲经济一体化,特别是金融一体化的进程。     

基于移动代理的新型IDS维护更新机制设计

提出了一种基于移动代理的新型分布式入侵检测系统。该系统是针对广域网环境专门设计的,数据的处理通过各节点所设置的代理来进行分布式计算,不仅能实现全网络范围内的入侵检测功能,具有良好的可移植性;而且对网络系统和主机的资源占用较低,减少了出现网络瓶颈的可能。还建立了移动代理的新型分布式入侵检测系统的体系结构和理论分析模型,并讨论了该系统的维护更新机制。     

美国高校教师绩效评价中的问题及启示

教师绩效评价制度是高校提高教育质量的重要保障，也是了解教师工作状况、评价教师教学成果的主要手段，美国高校教师绩效评价制度中存在着教师对绩效评价的宗旨不理解、绩效评价主体遭到质疑、各绩效评价指标间存在失衡等问题。充分认识这些问题对我国建立和完善高校教师绩效评价制度具有一定的启示作用，