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1.
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.  相似文献   
2.
文章的特色和理论意义在于,尝试量化"一带一路"沿线18个省份"一带一路"相关政策文件,以设计政策效力、政策措施与政策保障的评判要点为基础,确定政策措施强度和政策保障强度.细致讨论"一带一路"文件的政策强度与经济开放度提升之间的关系,并讨论该关系在东西部地区的差异以及政策保障强度在政策措施强度与经济开放度关系之中的调节效应.研究发现:政策措施强度能够正向促进省域经济开放度的提升;在经济开放度高于10%的省份中,政策保障强度正向调节政策措施强度与经济开放度提升之间的关系,政策措施强度和政策保障强度之间存在互补关系;政策措施强度中资金融通强度对于沿线省域经济开放度的提升有着最显著的正向影响,政策沟通强度对于沿线省域经济开放度的提升影响不显著;政策措施强度对省域经济开放度的提升存在地区差别,西部地区更注重"一带一路"倡议所带来的机会.建议:"一带一路"沿线省份在政策设计上,不仅要对政策沟通、设施联通、贸易畅通、资金融通和民心相通等内容作出合理规划和布局,还应对保障机制作出可操作性的安排.  相似文献   
3.
针对决策信息为毕达哥拉斯模糊集的多属性决策问题,提出了一种基于混合加权测度的TOPSIS决策方法。在分析了现有距离测度方法不足的基础上,首先给出了一种新的毕达哥拉斯模糊距离测度——毕达哥拉斯模糊有序加权距离(PFOWD),并研究了该测度权重的确定方法;在PFOWD基础上,进一步提出了毕达哥拉斯模糊混合加权距离(PFHWD),同时探讨了其特征和与现有毕达哥拉斯模糊测度的关系;最后提出了一种基于PFHWD测度的毕达哥拉斯模糊TOPSIS多属性方法,并用实例验证了方法的有效性和可行性。  相似文献   
4.
The socio-economic literature has focused much on how overall inequality in income distribution (frequently measured by the Gini coefficient) undermines the “trickle down” effect. In other words, the higher the inequality in the income distribution, the lower is the growth elasticity of poverty. However, with the publication of Piketty’s magnum opus (2014), and a subsequent study by Chancel and Piketty (2017) of evolution of income inequality in India since 1922, the focus has shifted to the income disparity between the richest 1% (or 0.01%) and the bottom 50%. Their central argument is that the rapid growth of income at the top end of millionaires and billionaires is a by-product of growth. The present study extends this argument by linking it to poverty indices in India. Based on the India Human Development Survey 2005–12 – a nationwide panel survey-we examine the links between poverty and income inequality, especially in the upper tail relative to the bottom 50%, state affluence (measured in per capita income) and their interaction or their joint effect. Another feature of our research is that we analyse their effects on the FGT class of poverty indices. The results are similar in as much as direction of association is concerned but the elasticities vary with the poverty index. The growth elasticities are negative and significant for all poverty indices. In all three cases, the disparity between the income share of the top 1% and share of the bottom 50% is associated with greater poverty. These elasticities are much higher than the (absolute) income elasticities except in the case of the poverty gap. The largest increase occurs in the poverty gap squared – a 1% greater income disparity is associated with a 1.24% higher value of this index. Thus the consequences of even a small increase in the income disparity are alarming for the poorest.  相似文献   
5.
给出了马尔可夫测度定义,讨论了马尔可夫测度的一部分性质  相似文献   
6.
The authors use an ecological framework and grounded theoretical analysis to explore the circumstances in which working‐class and low‐income custodial African American fathers gain custody of their children, their transition from part‐time to full‐time parents, and the role of support networks in enhancing or inhibiting these men's parenting. Twenty‐four men from an impoverished Midwestern urban area participated in the study. The findings suggest that these men, and perhaps others sharing their demographic profiles, generally become parents by default and are often reluctant to take on a full‐time, single parenting role. Adaptation to the role seems to be enhanced by these men's use of extended kin support networks and shared living arrangements. However, low wages, a lack of sufficient assistance from public assistance programs, and informal custody arrangements often inhibit their fathering.  相似文献   
7.
介绍了高性能定点可重构DSP处理器的数据通路设计。该数据通路以功能强大的16位定点计算单元为基础,搭建起高速16位数据处理平台;并能以单指令流多数据流的方式灵活支持多维向量运算;通过重构的方法有效地支持了32位数据处理。  相似文献   
8.
文章运用关联理论交际观,以汉语散文名篇中特有的形式量词短语及其英译为研究对象,介绍了汉语特有的形式量词短语,并根据关联理论交际观,从翻译是传递信息意图和交际意图双重目的的认知交际活动的角度来解析散文中形式量词短语及其英译技巧。试图证明关联理论交际观能够指导译者过滤汉语中有文化特异性的语言形式,从而顺利传达出原文作者的交际意图。  相似文献   
9.
In this paper, we study the estimation of the minimum and maximum location parameters, respectively, representing the minimum guaranteed lifetime of series and parallel systems of components, within a general class of scale mixtures. The conditional or underlying distribution has only the primary restriction of being a location-scale family with positive support. The mixing distribution is also quite general in that we only assume that it has positive support and finite second moment. For demonstrative purposes several special cases are highlighted such as the gamma, inverse-Gaussian, and discrete mixture. Various estimators, including bootstrap bias corrected estimators, are compared with respect to both mean-squared-error and Pitman's measure of closeness.  相似文献   
10.
对我国高校思想道德教育现状与发展的分析   总被引:1,自引:0,他引:1  
我国高等学校思想道德教育的理论体系比较完备,但具体实践中还存在一些问题,面对这一现状,我们可以采取有效措施,提高高等学校思想道德教育的水平。  相似文献   
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