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。     

玄言诗与宫体诗物象特征之比较

玄言诗与宫体诗中的物象是从山水到美人的演变,是从追求本质真实到执着现象真实的转换,这充分表明了东晋到南朝物象地位变迁的轨迹。玄言诗中的自然山水以象征化、简约化的形态彰显自身,宫体诗中的物象具有鲜明的感官化、唯美化的新变特征。主体的不同心态促成了二者各异的审美追求。     

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。     

简朴隐情韵,天然寓奥义——朗费罗与孟浩然自然景物诗比较

本文从美学角度比较分析了美国“新英格兰诗人”亨利·朗费罗与中国唐代隐逸诗人孟浩然的几首自然景物诗 ,旨在解读他们相似的审美情趣和东西美学相通之处。文章指出两位诗人的表层景物描绘下皆隐藏了深沉的价值关怀 ,体现了本然生命与自然生命的相互渗透侵袭 ;传达了他们对人世的顿悟以及对超越时空的生命意识的终极探寻。此外 ,由于来自不同的文化背景 ,经历了不同的生活道路 ,两人对自然的表现方式亦各有特色。     

形、神、韵-汉魏唐宋山水诗画艺术自然审美走向

自然美是人化自然的结果,山水诗画艺术是主体自然美感经验的物化形态。从六朝到宋代的山水诗画艺术,大致经历了从写形、传神、达意的转变过程,同时又折射出人们对自然美的认识的嬗变轨迹     

从格式塔意象看古诗《江雪》的翻译

本文通过对<江雪>四个译文在格式塔意象的再现和重组上得与失的分析,得出在文学翻译中对原文格式塔意象的再现比对各个语言成分之忠实更重要.无论在原文理解、译文表达还是翻译评论上,我们都不可忽视文本的连贯性和整体性.     

诗谶说的文学批评价值

诗谶是鉴诗者将诗歌作品与诗人或相关人物命运相结合,以求诗歌与史实或本事互相印证的一种诗歌批评形式.它包含着兴亡谶、穷通谶(科谶与仕谶)、贫富谶、寿亡谶、祸福谶等内容,是汉儒以谶解诗、诗学与命理学结合的产物,虽然披上了宿命论外衣,却汲取并深化了古代诗论的言志言情、知人论世、诗可以观、气象观诗说等多方面的内在精神.正确评价诗谶对批评地接受传统诗学遗产是十分必要的.