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.     

中古道教仙传中的"食桃修仙"母题研究

中古道教仙传中,"食桃修仙"母题的产生有其相应的时代背景和文化背景。在探究该母题产生的基础上,从内外两方面分析了"桃"被仙化的多重原因。就外因而言,桃被仙化与神仙信仰的广泛流传有关。就内因而言,桃被仙化与桃特殊丰富的文化内涵紧密相连。进而以"食王母桃"这一母题为中心梳理"食桃修仙"母题的流变。该母题的流变与桃被赋予的神效和异形密切相关,由此导致"食桃修仙"母题呈现出神异浪漫的美学风格。     

1930年代沪上文坛独特的“新感觉”--南洋华侨作家黑婴的“乡愁”书写

史称“新感觉派”后起之秀的黑婴是唯一一位跻身于1930年代中国主流文坛的南洋华侨作家。这位生于荷印棉兰，长于广东梅县，深造于“魔都”上海的新一代南洋华侨，在“民国时态”浓郁的南洋氛围中登陆沪上文坛。在此跨文化的激烈碰撞与深度融合中，黑婴经由“乡愁”的激发与引领，讲述了新一代南洋华侨青年的苦难、迷惘以及艰难的蜕变。今天看来，这种包含着独特生命体验和丰富历史痛感的文化乡愁，正是南侨作家黑婴在“华文文学”和“海派文学”的脉络之外，贡献给中国现代文学真正而独特的“新感觉”。     

民办幼儿园教师专业素养培训方式实验研究

随着现代教育的发展，提升幼儿园教师专业素养已成为促进学前教育发展的必然要求。以探究民办幼儿园教师专业素养为视角，提出通过干预行为提升教师专业素养水平的构想。实验随机选取成都市某民办幼儿园的20名教师为实验组，再选取与其办园环境、办园背景相似的另一所民办幼儿园的20名教师为对照组，对实验园教师的专业理念与师德、专业知识、专业能力3个维度进行干预。实验结果表明：与对照园相比，实验园教师的专业能力提升显著；与实验园实验前后相比，教师在专业知识、专业能力维度及专业素养总体水平方面均有提升。对教师培训的具体建议为：（1）单一与混合相结合的培训方式对提升民办幼儿园教师专业素养总体水平有现实意义；（2）民办幼儿园教师专业知识的提升需理论培训与自主学习相结合；（3）专家"现场诊断-指导式"培训方式对提升民办幼儿园教师专业能力有显著作用。综上，建议民办幼儿园在了解本园教师专业素养水平的基础上，针对教师专业素养的不同方面，分别采取不同的有效培训方式。     

新时代大学生担当精神及其培育体系的构建

新时代培育民族复兴大任的时代新人，必须提升大学生的担当精神，以建设一支有担当、敢担当的时代新人队伍，这是应对时代诉求与历史使命的必由之路。然而，大学生的担当精神培育既面对着认知新的历史方位、奋力托举中国梦与应对新“忧患”的时代诉求；又要面对围观的看客心态、非科学的失衡心理、认知偏颇的冲击。因此，把担当精神摆在育人的重要位置，从升级育人内容、优化育人环境等几个关键教育环节着手，营造崇德向善、力争担当的社会风尚，将担当精神培育生活化、长效化，进而不断增强大学生的担当意识与担当力。     

论法院案件集体讨论机制的变迁——从审判委员会到法官会议

以审委会为代表的案件讨论机制的实践合理性正日益受到社会情境因素的影响，由此产生审委会决策机制的功能限缩问题。在审委会实际角色作用逐渐转变的过程中，法官会议讨论程序逐渐浮现并得到制度化。法官会议所具有的“正反校验”作用有助于解决疑难案件中法律适用的权威来源问题，很大程度上替代审委会规范法律适用的功能。法院内部案件集体讨论机制的流变，反映的是法院内部权力集中度的差异，即从审委会的功能限缩到法官会议的制度化呈现出从集体决策权到集体讨论权的权力变迁过程。与之相对应的是，法官群体在审判权力方面渐进的规模化、结构化、自主化，集体理性走向个体理性的过程得到强化。     

Squashed dreams and rare breeds: ableism and the arbiters of life and death

The week beginning 29 June 2015 is not just historic for the closure of the Independent Living Fund in the United Kingdom, but for me was the week they decided that my life is not worth investing in; they being NHS England, NICE and, with them, the Department of Health. They chose not to support the enzyme replacement therapy that has been not only keeping me alive, but giving me a quality of life – enabling me to return to finish my Disability Studies PhD exploring how Christian leaders explain disability, where ethics have become the main topic, and to rebuild my career – or so I thought.     

Social work students' conception on roles within the family in Greece

The present article is based on a small-scale research that took place with third-year students in the department of social work at Technological Educational Institute of Patras. During class the students, who undertake the laboratory course ‘Social Work with Families’, were asked to discuss family roles and depict them on drawings. Analysing their drawings in a qualitative approach the findings suggest that students adopt traditional views on family issues and the family roles. Various gender stereotypes and prejudices were reflected in students' drawings and this is alarming for both social work education and practice.     

试述马克思主义大众化传播应坚持的四个基本原则

马克思主义大众化传播是一个极其复杂、艰巨的社会系统工程。学术界对于马克思主义大众化传播应该坚持什么样的原则和方法也是众说纷纭。从当代世界和中国现实情况、信息传播技术飞速发展的时代背景,以及马克思主义理论创新发展的内在规律出发,马克思主义大众化传播应坚持指导思想一元和文化价值多元的统一、理论逻辑和生活逻辑的统一、科学性与通俗性的统一、传承性和开放性的统一等四个基本原则。     

论贤相伊尹的个人素质及其形成

伊尹作为中国历史上第一位贤相,其突出的个人素质表现在精于至味之理、精通耕作之道、创制治病汤液几方面,即懂得如何吃饭、种地和治病。这正是广大民众最为关心的事情,也是治理内政极其关键的因素,只有这三件事做得好,才可能完成"祀与戎"等国家大事。如此全面素质的形成,与其丰富的人生经历和勤于思索有关。