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1.
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.  相似文献   
2.
资本创造模型(CC模型)忽视了要素流动对产业空间分布的影响。而发展的新的资本创造模型则认为资本集聚的过程必然伴随着工业劳动力的流动过程。另外,是资本的实际收益而不是名义收益决定资本是否创造。研究结果表明,随着贸易自由度、工业品支出份额及资本贴现率的变大,替代弹性及资本折旧率的变小,将降低对称结构的稳定性,而提高中心-外围结构的稳定性;经济地理空间的产业均衡是集聚力和分散力相互作用的结果。当企业生产工业品的规模报酬递增程度足够显著,或者工业品支出份额很高时,市场拥挤效应将彻底消失,并转化成为促进产业集聚的动力;突破点与持续点的大小比较可以形成不同的关系,这意味着随着贸易自由度的变化,本文发展的资本创造模型可以体现出多样化的产业空间动态演化行为。  相似文献   
3.
Longitudinal studies are the gold standard of empirical work and stress research whenever experiments are not plausible. Frequently, scales are used to assess risk factors and their consequences, and cross-lagged effects are estimated to determine possible risks. Methods to translate cross-lagged effects into risk ratios to facilitate risk assessment do not yet exist, which creates a divide between psychological and epidemiological work stress research. The aim of the present paper is to demonstrate how cross-lagged effects can be used to assess the risk ratio of different levels of psychosocial safety climate (PSC) in organisations, an important psychosocial risk for the development of depression. We used available longitudinal evidence from the Australian Workplace Barometer (N?=?1905) to estimate cross-lagged effects of PSC on depression. We applied continuous time modelling to obtain time-scalable cross effects. These were further investigated in a 4-year Monte Carlo simulation, which translated them into 4-year incident rates. Incident rates were determined by relying on clinically relevant 2-year periods of depression. We suggest a critical value of PSC?=?26 (corresponding to ?1.4 SD), which is indicative of more than 100% increased incidents of persistent depressive disorder in 4-year periods compared to average levels of PSC across 4 years.  相似文献   
4.
巴渝古崖居的分布与地理、地质、交通等诸多因素有关,以成渝交通要道、长江干流和支流为线,串起沿途各个点,由线成面,呈现出渝西、渝东北两头集中、整体北多南少的分布特征。巴渝古崖居大多开凿于明清晚期,这一时期巴渝许多地区战乱频繁、匪患猖獗。古崖居的集中分布与这些地区相吻合,从侧面印证了巴渝古崖居的空间分布特征。巴渝古崖居的广泛开凿体现了古人高超的建筑艺术以及社会历史文化的变迁。  相似文献   
5.
基于认知隐喻理论,选择德语中14个表征空间性状的形容词,探究其时间映射特质。研究发现:长/短、大/小、远/近、高、深可表征时间,其余则无法表征时间。具体特质如下:存在“一维>二维>三维”映射维度等级;存在“长短>远近>高深/大小”映射宽幅等级;正向形容词比负向更易表征时间。这种映射特质主要与时空相似性、认知思维及隐喻操作有关。  相似文献   
6.
成都市民旅游感应空间研究   总被引:1,自引:0,他引:1  
旅游感应强度是研究旅游感应空间的一个角度。通过对《成都晚报》“旅游”专刊最近 6年的统计 ,得到全国 34个省级行政区及四川省内分地区作为旅游目的地的出现频次 ,以此频次来表征成都市民对国内及省内旅游目的地的感应强度。利用感应强度从省际和省内不同尺度揭示了成都市民旅游感应空间的特点 ,并发现旅游感应空间的一些新特征  相似文献   
7.
Spatial variation in soil inorganic nitrogen across an arid urban ecosystem   总被引:4,自引:1,他引:3  
We explored variations in inorganic soil nitrogen (N) concentrations across metropolitan Phoenix, Arizona, and the surrounding desert using a probability-based synoptic survey. Data were examined using spatial statistics on the entire region, as well as for the desert and urban sites separately. Concentrations of both NO3-N and NH4-N were markedly higher and more heterogeneous amongst urban compared to desert soils. Regional variation in soil NO3-N concentration was best explained by latitude, land use history, population density, along with percent cover of impervious surfaces and lawn, whereas soil NH4-N concentrations were related to only latitude and population density. Within the urban area, patterns in both soil NO3-N and NH4-N were best predicted by elevation, population density and type of irrigation in the surrounding neighborhood. Spatial autocorrelation of soil NO3-N concentrations explained 49% of variation among desert sites but was absent between urban sites. We suggest that inorganic soil N concentrations are controlled by a number of ‘local’ or ‘neighborhood’ human-related drivers in the city, rather than factors related to an urban-rural gradient.  相似文献   
8.
Modelling daily multivariate pollutant data at multiple sites   总被引:7,自引:1,他引:6  
Summary. This paper considers the spatiotemporal modelling of four pollutants measured daily at eight monitoring sites in London over a 4-year period. Such multiple-pollutant data sets measured over time at multiple sites within a region of interest are typical. Here, the modelling was carried out to provide the exposure for a study investigating the health effects of air pollution. Alternative objectives include the design problem of the positioning of a new monitoring site, or for regulatory purposes to determine whether environmental standards are being met. In general, analyses are hampered by missing data due, for example, to a particular pollutant not being measured at a site, a monitor being inactive by design (e.g. a 6-day monitoring schedule) or because of an unreliable or faulty monitor. Data of this type are modelled here within a dynamic linear modelling framework, in which the dependences across time, space and pollutants are exploited. Throughout the approach is Bayesian, with implementation via Markov chain Monte Carlo sampling.  相似文献   
9.
本文简单介绍了分形理论的概念和特征,着重阐述了分形理论在图案艺术设计方面的应用和方法。研究设计了计算机辅助图案艺术设计系统的功能和构成。  相似文献   
10.
研究中国古代城市文学的文学史意义在于,从空间视角重新认识和研究古代文学,充分发掘和利用长期以来被忽略的城市文学资源。有助于建构起时空并置、更加完整和系统的中国古代文学史。此外,研究中国古代城市文学还可以为当代文学史研究提供一个广阔的历史视野与意蕴深厚的历史文本。  相似文献   
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