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.     

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.     

需求率受推广努力水平影响的新能源汽车租赁系统协调契约

考虑由新能源汽车租赁企业和政府组成的二级系统，在需求率为随机且与推广努力水平相关的市场环境下，建立了新能源汽车租赁企业和政府之间的博弈模型，探讨了分散决策、集中决策、收益共享与成本共担契约下的最优车队配置和推广努力水平，并对三种情形下的最优决策进行了比较和分析。研究结果表明：在分散决策情况下无法实现系统协调，通过引入成本共担与收益共享组合契约，当契约参数满足一定条件时，该组合契约模型不仅可以实现系统协调而且可以使系统成员达到帕累托改进。最后通过算例分析，验证了模型了可靠性和有效性。     

制约学校体育实施健康教育的诸因素分析

本文主要对影响学校体育实施健康教育的因素进行了分类研究 ,为学校体育实施健康教育提供科学的参考依据。     

品牌女装消费者对价格促销的态度研究

运用问卷调查的方式，对广州市品牌女装消费者对价格促销的态度进行研究，有如下结论：不同品牌忠诚度的消费者对价格的重视度有显著的差异，价格促销对忠诚度越低的人越有影响；不同品牌忠诚度的消费者在不同的价格促销状态下的态度存在差异，偶尔的深度折扣对感知价格评价和对购买意向的影响方面皆较为积极；消费者在打折时的质量感知、购买意向、期望促销持续时间、感知知名度和感知价格的评价都较为积极；忠诚度较高的消费者有着更高的折扣区间；优惠券对刺激消费者购买意向的作用非常有限。     

孔子学院的发展现状、问题及趋势

孔子学院是以教授汉语和传播中国文化为宗旨的非营利的公益机构，是海外朋友学习汉语了解中国的窗口，也是学习借鉴不同文化、促进多元文化交流发展而构建和谐世界的平台。作为汉语国际推广的龙头产品，孔子学院的建设已经初具规模，发展的势头引人瞩目。本文谨就孔子学院的发展现状、存在问题以及未来的趋势作一概括性的阐述和分析。     

乐教与儒者的宗教情怀

乐教是理解儒家精神不可忽视的重要方面。乐教扎根于“亲亲”之情,具体体现为与“忧患意识”有别,而与“安”“乐”相协调一致的“怛”和“哀”“悲”之情。此情实质上是超越的天道内化为人的心性而落实下来的生命意义与价值得以呈现的方式。儒者虽深知人生之哀、悲,但以乐入手,解悟和转化现实的人生与宇宙,是一大特色。如此,宗教情怀转化为现实的人生关怀,成为特有的礼乐文明的核心内涵。     

贫困地区农村妇女地位的现状、成因与对策--对湖南贫困地区农村妇女地位的调查

妇女地位的高低是衡量社会文明程度的标准之一。当前 ,我国贫困地区的农村妇女地位还比较低下 ,其制约因素是多方面的 ,应采取有效措施来提高其地位 ,以适应市场经济发展的需要。     

试论心理健康教育是思想政治教育的重要组成部分

心理健康教育定位不当是思想政治教育长期效果较差的重要原因之一.文章分析了心理健康教育和思想政治教育的关系,认为现代思想政治教育应包括思想教育、政治教育、道德教育和心理教育四个方面,其中,心理教育是基础.心理健康教育是最初级、最低起点的教育,同时又是最深层次的教育.因此,心理健康教育是思想政治教育的重要组成部分.     

湖北省入境旅游客源分析与区域促销策略

文章对20年来湖北省入境旅游市场发育状况及特征作了大量的统计分析,据此对湖北入境旅游市场进行了区域定位和功能定位,并提出湖北入境旅游市场的开拓应侧重于树品牌、塑形象、推重点,着力恢复日本、台湾、港澳、东南亚等传统市场,深层次拓展欧美市场,有针对性地开发韩国、俄罗斯、东欧、中东市场的思路,指出了重点促销区域和分区开发促销的策略。