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.     

Collective and Elective Ethnicity: Caste Among Urban Muslims in India

This article explores how the significance of ethnic identity can vary within a stable population, using caste among Muslims in Hyderabad, India as a case study. While some Hyderabadi Muslims are still embedded in ethnic networks, most now experience ethnicity as elective and do not rely on a corporate caste group for their social connections. This reflects a decline in the value of caste identities, which no longer provide economic or political resources. Increasingly, Muslims seek status through education, profession, or income. Thus, most Muslims in Hyderabad experience caste membership, identity, and networks in a weakened or attenuated way.     

从"唐人选唐诗"看王昌龄在唐代诗坛地位的变迁

“唐人选唐诗”录王昌龄诗歌作品的情况反映出唐代不同时期人们对王昌龄诗歌接受态度及其在唐代诗坛地位的升降变迁。总体而言 ,昌龄因其五言古诗对盛唐诗风的开拓之功而受到当时选家普遍重视 ,有“诗家夫子”之称 ,中唐以后选家则独重昌龄七言绝句 ,虽以“七绝圣手”誉之 ,但其诗歌地位已非显著。文章同时指出 ,作为古代诗歌批评的一种特殊形态 ,唐诗选本所蕴含的诗学价值应受到重视 ,成为唐诗学研究的一个方向     

试论我国新闻学的学科地位及学科发展

新闻学有自己的理论内涵和科学品质,也有自己的学术积累和发展基础,其学科地位应得到 充分肯定。新闻学不仅要研究新闻事业史、新闻理论、新闻业务,也应研究媒介经济、传媒业经营与管理。为 适应新世纪新闻事业和学科发展的需要,应努力构建有中国特色社会主义新闻学理论体系。     

浅析建筑市场监理运行现状与对策

文章透析了监理单位的外部管理现状 ,内部运行机制及监理业务的竞争环境 ,并提出了相应的对策与建议     

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。     

浅谈确保会计信息的真实性

论述了我国会计制度对会计信息的质量要求 ,并分析了会计信息失真的现象 ,提出应采取相应的对策以确保会计信息的真实性。主要措施包括 :(1)规范经营者的行为 ;(2 )提高会计人员的素质及地位 ;(3 )建立健全监管机制 ;(4)运用科学技术方法保证会计数据准确     

Living Arrangements, Employment Status, and the Economic Well-Being of Mothers: Evidence from Brazil, Chile, and the U.S

Using data from Brazil, Chile, and the U.S., we estimate country specific models of household income that characterize mothers according to their marital status, living arrangement, and employment status. We assess the predicted economic well-being of each type of mother relative to a benchmark of married mothers in the same country, and at various points in the income distribution. We find dramatic cross-country differences in the distribution of mothers across categories, but few differences in each type's relative economic status. In all three countries and at all points in the income distribution, mothers who are the only adults in their households have the lowest levels of predicted income, while married mothers—followed closely by cohabitors—have the highest levels.     

职业地位取得的社会性别差异

本文从描述被调查夫妇之间职业流动的性别差异出发，分别勾画出他们的地位实现模型。首先验证了不论性别，教育地位都是决定职业地位实现的首要变量；但也正是在教育地位的实现和向上流动(再求学)中，伴随婚姻生育等生命事件的发生，无形的结构性制度因素(意识形态层面的性别制度、性别规范和性别文化)正如后现代主义试图解构的那样依然支配着性别角色的社会化和继续社会化，使扮演双重角色的妻子或无意识地或有意识地遭遇了丈夫不为之所累的两难困境，并最终阻碍了女性的教育地位、既而是职业地位的实现。本文最后提出了三点建议和几个尚待解决的问题。