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.     

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.     

学校领导干部的自我发展素质及培养

自我发展素质是学校领导干部综合素质的重要组成部分 ,它反映了社会发展、领导职位和人的本性发展的要求。形成学校领导干部自我发展素质的主要方式是干部培训和教育实践中的探索与反思     

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。     

成人高校人才培养模式解析

成人高校目前人才培养与劳动力市场的关系模式,基本上可以归结为“对口”与“适应”两种取向。但是,无论取向何种模式,透过毕业生就业以及就业后的发展实际看,都各有利弊。因此,成人高校在人才培养的取向上,不能单纯追求或固守其中的某一种模式,而应根据社会主义市场经济发展和劳动力市场的需求,建立起多元化、多层次的人才培养模式。     

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。     

高职教育学制改革的问题及对策

高职教育两年制学制改革,是为了更好地突出高职教育灵活、快捷、适应性强的特点,进一步明确高职教育定位和方向的重要举措,它将涉及教育观念、培养质量、课程设置、运行管理等一系列问题。只有正确认识和处理这些问题,才能保证学制改革的顺利进行。     

清代蒙古族学堂教育及其语言教育

从 2 0世纪初开始 ,清朝教育制度发生了极大变化 ,出现了近代教育的萌芽。在这样一个大环境下 ,蒙古族近代学校教育的艰苦实践和探索也走上新的道路。蒙古族学堂教育是新教育思想的产物 ,虽然同旧的官学有一定的继承关系 ,但它打破封闭的传统教育 ,提倡开放的近代教育 ,由此教育种类和等级开始多样化、多层次化 ,出现普通教育、留学生教育和内地求学等形式。在学堂教育中 ,各种语言教育模式是同时并存的 ,这些模式经过分化和重组后 ,出现向汉语和蒙古语两个单语教育模式或蒙古语汉语双语教育模式集中的倾向。     

广西贫困地区村级寄宿制完全小学基本建设研究

台湾影光基金会在广西贫困地区捐助的 14所村级寄宿制完全小学的基本建设体现了“学校即社会 ,生活即教育 ,村民是学校的主人”的办学宗旨 ,与国家的《农村中小学基本建设试行标准》进行比较 ,作为“社区文化中心”的寄宿制学校的基本硬件应包括教室、师生宿舍、多功能厅和厕所浴室等基建参数的指标 ,在基本建设中应遵循校舍建设优先、满足社会需求、村校合作、村民共管等 8项原则