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.     

人才振兴背景下大学生志愿服务乡村缘由和影响因素分析

志愿服务乡村是社会参与人才振兴战略的重要方式,大学生在其中承担着重要角色。“乡愁文化”和“社会理性”是大学生志愿服务乡村缘由所在;性别、年级、学校类型、了解程度和志愿组织对大学生志愿服务乡村有显著影响。大学生志愿服务的着力点在于智力支持且具有文教活动倾向性,但也存在意愿与行动脱节、认知流于表面、能动性不强、缺乏思想引领以及对小微志愿组织的支持缺位等问题。乡愁文化嵌入大学文化、引入激励机制、打造志愿组织“大家庭”、牢守宣传育人“主阵地”、强化智力支持优势、补齐理论技能短板、关爱“小微组织”成长、构建“三位一体”支撑体系等可有效优化大学生志愿服务乡村。     

历史变局、国家兴衰与发展之路——三次千年变局叠加下的中国特色社会主义发展道路

每当先进的发展制度开始取代落后的发展制度时，整个世界格局就会进入重大的转换阶段。在中国五千年的发展历史中，有两次重大的历史变局完全改变了中国历史发展轨迹并深远地影响了当前中国的发展模式。新时代下的中国作为前两次历史变局影响的客体，曾经既是先进发展制度取代落后发展制度的受益者，也经历过作为落后发展制度主体而被先进发展制度冲击的过程。目前世界正处于第三次先进发展制度与落后发展制度交替的历史变局阶段，作为第三次重大历史变局的主体，在三次千年历史变局叠加的背景下，能否有效地认识、适应并改造利用前两次历史变局的经验与教训，构建系统性、科学性、可行性、领先性的中国特色社会主义制度，将决定中国在本次历史变局中能否顺利成为先进发展制度的主体从而实现民族复兴。     

浙江沿海明清卫所驻地方言的声母比较

卫所制度是明清时期重要的军政制度。以浙江沿海明清卫所驻地方言为考察对象，从北到南选取了最有代表性的16个方言点，通过共时和历时的比较，分析和总结浙江沿海明清卫所驻地方言声母在数量和古今分合上的特点。     

四川盆地中三叠世盐盆分布与演化特征研究

四川盆地卤水分布广泛，资源丰富, 早为世人所瞩目，中三叠统雷口坡组是四川盆地最早开采天然气和盐卤的层系之一。根据盆地雷口坡组大量钻井资料研究表明，盆地雷口坡组主要成盐期分别为雷三2 期和雷四2 期，在盆地东部和南部由于受到古隆起的影响，盐岩地层已被剥蚀难以保存，现今盐岩主要分布在开江古隆起和泸州古隆起的西部以及天井山古隆起的南部（华蓥山以西—龙门山以东的川西—川中地区）。印支运动对盆地雷口坡组盐岩在平面的迁移起着十分重要的作用，根据不同时期盐岩统计数据看，两期盐盆在平面上具有向西迁移、叠加的特征，其中川中的GS1 井就钻遇了这两期的盐岩。     

The relationship between lifetime health trajectories and socioeconomic attainment in middle age

A large literature demonstrates the direct and indirect influence of health on socioeconomic attainment, and reveals the ways in which health and socioeconomic background simultaneously and dynamically affect opportunities for attainment and mobility. Despite an increasing understanding of the effects of health on social processes, research to date remains limited in its conceptualization and measurement of the temporal dimensions of health, especially in the presence of socioeconomic circumstances that covary with health over time. Guided by life course theory, we use data from the British National Child Development Study, an ongoing panel study of a cohort born in 1958, to examine the association between lifetime health trajectories and socioeconomic attainment in middle age. We apply finite mixture modeling to identify distinct trajectories of health that simultaneously account for timing, duration and stability. Moreover, we employ propensity score weighting models to account for the presence of time-varying socioeconomic factors in estimating the impact of health trajectories. We find that, when poor health is limited to the childhood years, the disadvantage in socioeconomic attainment relative to being continuously healthy is either insignificant or largely explained by time-varying socioeconomic confounders. The socioeconomic impact of continuously deteriorating health over the life course is more persistent, however. Our results suggest that accounting for the timing, duration and stability of poor health throughout both childhood and adulthood is important for understanding how health works to produce social stratification. In addition, the findings highlight the importance of distinguishing between confounding and mediating effects of time-varying socioeconomic circumstances.     

川东北地区须家河组二段储层差异性分析

随着勘探程度的深入，为了扩大四川盆地天然气勘探领域、寻找新的勘探接替区，四川盆地的勘探区域由盆内逐渐向盆缘延伸。在这种背景下，川东北地区须家河组二段相继取得新的勘探成果，但在勘探开发过程中逐渐暴露了诸如区块之间气井产能差异大，储层的碎屑组分、结构及厚度、物性、孔隙结构差异明显等问题，制约了勘探开发的步伐。针对上述问题，根据岩芯观察描述、分析化验资料及测井解释成果，从沉积、成岩方面入手，对比剖析了川东北龙岗和营山地区须二段储层特征的差异性及其成因，认为远离物源区和高能水体的反复淘洗是造成储层差异性的首要因素，强烈的压实作用和多期石英加大对储层差异性起关键作用，自生绿泥石衬边胶结和长石选择性溶蚀最终决定了储层差异性。从而解释了气藏勘探开发中遇到的诸多问题，对有效指导该区的下一步勘探开发工作具有重要意义。     

论路易斯·卡罗尔《爱丽丝仙境漫游》中的戏仿

路易斯·卡罗尔著名小说《爱丽丝仙境漫游》至少包含4首模仿经典诗歌的戏仿诗歌。戏仿诗歌展现了其内嵌或隐身于其他文本的特点。这一特点与戏仿反对说教的娱乐性结合，共同行使了戏仿潜在的挽救性功能，使人们永远铭记可能落入湮没无闻状态的诗人及作品。戏仿作品以喜闻乐见的方式，与严肃文学相互作用，不失为读者熟悉、研读严肃文学的一个捷径。     

Changes in work and care trajectories during the transition to motherhood

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.     

精神回溯与意象精研的本质书写--林雪诗歌评论

林雪是当代汉语诗歌的重要诗人，她“在心为志，发言为诗”，诗风大气沉郁。她近期的诗歌，情怀与思辨相互倚重、酵化，介入生活与提炼心性同步发力，题材多样，手法多变，情感收放自如，气韵放达从容。她对现实的观照，对时空的架构，对存在的开掘，都呈现出一种新的气象。她自觉地从先期女性主义诗写中觉醒，到如今的清澈中隐显尘世的味蕾，对生活细节和感念触觉的精妙镂刻，以及对世道人心的专注和细致打量。