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.     

R12在水平管内流动沸腾换热实验研究

本文对R12在水平管内流动沸腾换热特性作了实验研究。实验结果表明,管内流动沸腾换热与单相对流换热一样,存在热进口效应,国外早期的实验数据由于未能考虑热进口效应而偏大。实验结果还表明,水平流动沸腾周向不均匀换热主要受流动结构影响;截面平均换热系数则与质量流速、热流密度、质量干度和蒸发压力密切相关。分析实验数据证实,流动沸腾换热是由气泡产生而引起的流动充分发展核态沸腾和双相对流蒸发两部分组成的。本文的实验数据与国外已有的换热关系式能较好吻合。     

用干簧管进行液位测量的方法探讨

本文介绍了液位测量中开发应用干簧管作浮子式液位计传感器件的工作原理和几个关键技术问题的处理方法。对于物位测量和其它领域也有参考意义和学术价值。     

恒流管的非稳系数和改进系数

引入非稳系数和改进系数分析了四种恒流管充电式扫描电路的非线性系数和电源利用系数 ,并提出了改进恒流管充电式扫描电路性能的具体方法 .     

试论19世纪60年代～70年代东疆地区封禁政策的危机--兼谈"移民实边"思想的产生

19世纪60年代～70年代东疆地区封禁政策的危机,主要表现在沙俄的军事侵略威胁、朝鲜流民问题的冲击、东北边疆防御力量的空前削弱三个方面。清廷为了摆脱这一危机而苦苦摸索,移民实边思想便是这一摸索的产物。     

中侧之辩--关于书法用笔的局部探讨

书法的发展始终是规范性约定和潦草挥运相伴而行.侧锋的运用促使旧书体的松动和解构,丰富了笔法体系,中侧兼用是笔法成熟的重要标志.     

我国制造业产能利用率测度与影响因素研究——基于十个重点行业

选取制造业的十个重点行业,使用2001-2014年的面板数据,运用数据包络分析法(DEA)对其产能利用率、技术效率和设备利用率进行了测算,结果显示:我国制造业的部分行业存在严重的产能过剩问题;非金属矿物制品业、黑色金属冶炼和压延加工业等传统行业的产能利用率较低;通信设备、计算机及其他电子设备制造业等新兴行业的产能利用率相对较高.剖析制造业产能过剩的影响因素,发现市场需求与产能利用率存在显著的正相关关系,资本密集度、就业水平、开放度、金融支持与产能利用率有显著的负相关关系.     

汽车侧围外板尾翼拉延成型工艺改善研究

为解决汽车侧围外板尾翼在拉延成型后出现起皱和开裂的问题，设计了3种造型方案.通过造型设计分析及Autoform模拟，对比3种方案，对原工艺进行整改和优化，得到了抬高造型台阶面的最优造型方案.该方案能改善进料速度、增加材料流动性，有效地消除开裂、起皱的缺陷，对同类和其他类似产品的冲压工艺设计具有参考意义.     

Where do we stand? Recent AEA member views on professionalization

The professionalization of evaluation continues to be debated at numerous conferences in the U.S. and abroad. At this time, AEA member views on the potential benefits and negative side effects of professionalization are essential as the discussion evolves. This study provides recent views on major topics in professionalization, including potential benefits, negative side effects, processes, competencies, and procedures. Results from in-depth interviews and an online survey demonstrate that AEA members view potential benefits of professionalization to be stakeholder trust, evaluator reputation and identity, while concerns about a potential negative side effect known as the “narrowing effect” (i.e., some evaluators will be alienated based on their background, competencies, etc.) were expressed by participants. These recent findings can inform the ongoing discussion of professionalization, and suggest new directions for future research on evaluation.     

售电侧改革、市场主体变化与电价红利:基于讨价还价博弈

本文通过构建“一对多”和“多对多”讨价还价博弈模型,研究了售电侧改革前后,发电商和售电公司之间关于消费者剩余分配的博弈过程。具体来说,文章从售电侧改革带来的博弈主体与博弈机制变化角度,揭示了售电侧改革对用户电价红利的影响。研究发现:售电侧放开后,电力市场交易机制由“一对多”竞价上网变为“多对多”讨价还价匹配,造成了售电侧博弈主体的议价能力下降,发电侧博弈主体相对议价能力上升。发电商群体将索取更多的消费者剩余,从而推动发电侧整体报价的上涨,挤压了售电侧的利润空间,导致售电公司被迫抬高市场电价,最终剥夺了用户的电价红利。研究揭示了售电侧改革未能带来电价下降的根本原因。