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.     

Translating cross-lagged effects into incidence rates and risk ratios: The case of psychosocial safety climate and depression

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.     

Humor and satire in politics: Introducing cultural sociology to the field

The landscape of political humor and satire is changing rapidly, and it is becoming an increasingly relevant aspect of our culture. Although scholars have been actively trying to capture this change, majority of the existing frameworks for understanding humor and satire in politics still reduce these phenomena to mere genres or rhetoric tools. In addition, they provide insufficient accounts concerning the reception of humor and satire, and neglect to interpret and explain what they communicate. In the article, a general understanding of humor and satire outside of a political context, followed by an overview of studies discussing humor and satire in politics through their applications in social movements, as leadership tools, and through their manifestations in mass media has been presented. Lastly, a cultural sociological perspective to the field has been introduced. It has been argued that approaching humor and satire in politics through a structural hermeneutic method of the Strong Program will enable us to recognize and treat political humor and satire as autonomous and complex cultural systems which carry an internal power to move people.     

几类全微分方程问题的求解定理

利用全微分方程的条件，给出一类微分方程的积分因子及通解公式，得出一类全微分方程中未知函数所满足的二阶线性微分方程，获得未知函数及全微分方程的通解。     

语言问题的理论思索

从功能的角度考察语言的本质 ,是诸多著作理解语言性质的哲学基础。功能论固然看到了语言对于人类社会的决定性作用 ,然而却丝毫未触及语言自身的结构特征和机制。仅从功能的角度认识语言是不够的 ,还必须深入到语言结构内部 ,对语言的特征、机制及结构体系进行多角度观察 ,才能较为完整地揭示语言的本质     

Modelling daily multivariate pollutant data at multiple sites

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.     

分形理论在计算机辅助图案造型中的应用研究

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。     

Alternative boundaries for CUSUM tests

Alternative boundaries for the common Recursive (or Standard) CUSUM test and the OLS-based CUSUM test for structural change are suggested and their properties are examined by simulation of expectedp values. The poor power of the tests for early and late structural changes can be improved for the OLS-based version, whereas this weakness of the Recursive CUSUM test cannot be overcome by the new boundaries. Research supported by the Austrian Science Foundation (FWF) under grant SFB#010 (‘Adaptive Information Systems and Modeling in Economics and Management Science’).     

名词性复合词的意义建构诸理论述评

名词性复合词的意义建构是一个看似简单,实际上非常复杂的过程。传统语法把这一意义建构过程简单化,认为名词性复合词的意义等于各组成部分名词的意义总和。转换生成语言学家 意义特征理论学家也都提出了各自的理论解释,但都有很大的缺陷。概念合成语言学理论对名词性复合词的意义建构做出了比较完整的理论解释,但也有待于进一步的改进。     

论石油存续企业的结构调整与优化改革的总体思路

石油存续企业的结构调整与优化，是当前石油企业深化改革的难点和重点问题。石油存续企业改革的核心应在明确定位的基础上，合理确定企业的主营业务与辅营业务，并以此为基础对现有的业务经营单位进行重组，最终对辅业经营单位进行结构调整和整合，实现企业的长期生存和发展。