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.     

Politics in evaluation: Politically responsive evaluation in high stakes environments

The role of politics has often been discussed in evaluation theory and practice. The political influence of the situation can have major effects on the evaluation design, approach and methods. Politics also has the potential to influence the decisions made from the evaluation findings. The current study focuses on the influence of the political context on stakeholder decision making. Utilizing a simulation scenario, this study compares stakeholder decision making in high and low stakes evaluation contexts. Findings suggest that high stakes political environments are more likely than low stakes environments to lead to reduced reliance on technically appropriate measures and increased dependence on measures better reflect the broader political environment.     

The African Evaluation Guidelines: 2002. A checklist to assist in planning evaluations, negotiating clear contracts, reviewing progress and ensuring adequate completion of an evaluation

A review of the US ‘program evaluation standards’ (PES), undertaken in a series of workshops and meetings of networks of evaluators in Africa, resulted in modifications to those standards. The result was presented to a plenary session of the Inaugural Conference of the African Evaluation Association in September 1999, attended by over 300 evaluators from 35 countries. The AfrEA Conference decided that a systematic effort should be made to produce a list of African evaluation guidelines, similar to the PES, and that this checklist should be reviewed by national evaluation associations and networks in Africa and field tested in several countries. Ten national and regional networks and associations suggested modifications to the text and endorsed the final version of the guidelines.     

高等数学教学中应用CAI尝试

本文阐明了高等数学自测信息反馈系统的理论内涵 ,介绍了基于数理统计原理制定的新的学生考试成绩评定方法与相应成绩管理软件的基本内容及其在教学实践中的应用功效     

陶渊明的诗化人格

作家的人格是其作品风格的内在因素 ,往往决定着其作品的风格。我们在研究作品风格的时候 ,不能不关注作家的人格。只有对作家的人格进行全面深入的审视 ,才能更准确地理解和把握其作品的风格。探讨陶渊明的人格魅力及其特征 ,是深入研究陶渊明作品风格的至关重要的途径。从陶渊明的作品中 ,从他的言行中 ,我们可以领悟到他的情趣和胸襟 ,领悟到一种具体的人格。陶渊明自然率真平和旷达的个性特征构筑了他的诗化人格 ,即未经世俗异化的高尚贞洁的人格。这种人格的内在思想根源是自然化迁的宇宙观和委运自然的人生观。这种人格的外在表现形式是他任真自得和固穷守节的行为方式。他的作品中常见的酒与菊、孤松、孤云与归鸟等艺术形象组成了陶渊明诗化人格的象征系列     

浅析影响因子的局限性

目前大量的机构用论文的被引用率、期刊的影响因子和被 SCI收录的情况作为评价个人、期刊和科研机构之影响力或水平高低的一个重要指标。但却忽略了不同学科的特殊性以及学科的规模、发展速度等非科学的因素对影响因子的局限 ,这就形成了对许多专业的不公平评价 ,因而必须对普通的影响因子加以修正     

晚唐诗歌否定评价的当代反思

从唐末至今 ,论者对晚唐诗大多持否定态度。反思这种带有明显历史惯性的批评现象 ,不难发现 ,不是晚唐诗缺乏思想价值和艺术魅力 ,而是其出现的异于此前诗坛的人生哲学、生活情趣、审美情趣、艺术思维和艺术风格 ,不仅使那些视文学为伦理、政治奴婢的封建文学观念批评者难以认同 ,也使那些对思想文化史发展缺乏认识和分析的批评者 ,难以理解出现在晚唐诗中的种种变化 ,因而导致千余年来的批评失误     

企业家素质量化评价方法的研究

首先概括了企业家素质的重要作用和企业家素质对企业能力的重要影响 ,在此基础上提出在评价企业家素质时企业家素质与企业能力的重要关联性 ,然后提出了一种以企业家素质对企业能力的影响为考核对象的企业家素质评价方法     

高校财务指标体系的建立及其综合评价

讨论了财务指标作为高校综合评价的可能性及高校财务管理的内涵,在此基础上建立了科学、系统、可操作的财务评价指标体系,确定了各项财务指标的权重.     

明星个人品牌开发的相关问题研究

文章从明星个人品牌含义展开,提出在明星个人品牌开发中的几个误区及相关解决方案,最后把品牌开发中的“5R”模型引入明星个人品牌开发心理评价体系研究中,从而成功解决了明星个人品牌开发中的心理评价体系问题。