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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.
“边地影像”是边疆少数民族民众纪录自身的非虚构创作。在朗西埃“可感性的分配”美学理论视野下,边地影像体现了题材选择的一视同仁和人性的解放,以平等维度的引入开拓了其艺术与政治价值。透过“自我他者化”的艺术操作,它改变边地的可感性的分配秩序。“客位视角”到“主位视角”和“参与拍摄”到“独立创作”的过渡所释放的乡野表达,成为评测其诗学力量的关键质素。同时,围绕“差异性”展开的影像再现常常导向“微小差异的自恋”,并在言语的过度中营造了某种“圣化构想”,进而使其差异政治悖论性地生成了新的可感性不平等。  相似文献   
3.
In most mid- and high-income countries, there have been significant demographic, structural, and cultural changes in the past decades. However, we know little about how these changes have shaped women's work patterns during a key life stage: the transition to motherhood. Using longitudinal data from Chile, covering over 30 years of employment histories and three periods of first births (1980–2010), I conduct sequence analysis to identify women's work-care trajectories during an eight-year period of the transition to motherhood. Over time, I find that continuous care work at home has declined, for which education plays a key role, while the chances of working continuously have not changed over time. Instead, I find an increasing trend of unsteady paths that combine paid work with either caretaking or unemployment. I discuss how these changes, as well as their association with education, have important implications for both gender and social inequality.  相似文献   
4.
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.  相似文献   
5.
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.  相似文献   
6.
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。  相似文献   
7.
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。  相似文献   
8.
社会主义建设的方法论 ,是社会主义建设和发展的一个至关重要的问题。列宁在此问题上进行了不懈的探索 ,并找到了正确的方法 ,这就是间接过渡的方法。列宁社会主义建设方法论 ,在中国得到了发展 ,毛泽东和邓小平为此都作了不懈的努力 ,并由邓小平创立了有中国特色的社会主义建设方法论  相似文献   
9.
体制转轨国家腐败与反腐败的经济学分析   总被引:7,自引:0,他引:7  
中国社会正处于体制转轨的关键时刻 ,转轨本身产生出过多的任意处置权 ,腐败的现实成本和机会成本都很低 ,造成了腐败在转轨国家滋生蔓延。转轨国家要保证反腐败的有效性 ,就必须有效降低反腐败的成本 ,增大腐败的成本 ,今后反腐败措施是 :1.要加快市场化改革进程 ,减少任意决策权 ,缩小政府规模 ;2 .要对政府官员进行有效激励 ,实行“养廉工资” ,以期加大革职的代价 ;3.要通过一系列制度建设 ,对政府官员进行有效的监督和约束 ,以增加腐败的现实成本。  相似文献   
10.
社会转型期青少年犯罪的文化思考   总被引:4,自引:0,他引:4  
青少年犯罪已成为一个严重的社会问题。社会文化转型期异质文化、社会不良文化、青少年亚文化以及代际文化冲突对青少年犯罪具有不同程度的影响,从文化的角度提出相应的预防措施特别是对青少年亚文化进行调控将是一个新的视角。  相似文献   
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