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.     

气候的历史与历史气候研究

寨堡是我国古代重要的军事防御性聚落，其修筑的时间、空间皆与区域的战争形势有着较大关系。清代四川省由于多次大规模战乱，迫使乡民修筑了数以千计的寨堡。寨堡的命名主要可分为因自然地理条件和因人文社会因素两大类，前者包括地形、水文、土石、植物等，后者包括姓氏、寺观、神祇、嘉名、人物、神话、形象、纪事等。寨名包含了丰富的文化内涵，体现出了寨堡的选址、用材、作用、历史、精神等内容。     

Response strategy to environment context factors using a lean and agile approach: Implications for firm performance

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.     

Formal governance,interfirm coordination,and performance in partnerships: An empirical investigation of a mediation model

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.     

汽轮机凝汽器技术状态的故障诊断

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。     

缩小城乡差距统筹城乡发展问题研究

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。     

论知识经济与高校体育创新

从知识经济的角度，论述了高校体育创新的必要性；从历史发展的角度，论述了体育观念创新的前瞻性；从体育科学的交叉角度，论述了体育创新的兼容性。提出了在创新的思维形式上应将跨越式思维、跳跃式思维与渐近式思维相结合；在创新的方式上应将模仿、引进创新与合作或自主创新相结合；在创新的内容上应将观念创新、制度创新、技术创新、管理创新与教学方法创新相结合。     

身体素质与跳远技术教学模型建立初探

用数学量化的方法 ,分析处理有关数据 ,建构模型。利用模型指导教师在跳远教学中如何处理素质与技术的关系 ,从而使跳远教学具有较科学、量化的评价体系和理论依据。     

物理化学授课体系改革与研究

培养高素质、综合型人才的关键是教育.针对物理化学课程的特点,对授课体系进行了改革、研究,对课程内容进行重组,设计,构筑了有利于高素质人才培养的课堂教学模式.     

关于完善特殊防卫权之立法构想

文章通过《刑法》第20条第3款关于防卫权的称谓、文字表述、针对的对象范围、整体价值和实质效果的分析,认为该条款无论是在立法上还是在司法实践中均存在重大缺陷,由此提出对该款的修改意见。