我国城乡居民健康公平性研究

本文采用历史的、比较的分析方法,运用基尼系数、洛伦茨曲线等分析工具,分别从筹资公平、服务提供公平和健康公平三个方面对我国城乡居民健康公平问题进行了定性与定量分析,得出了新型农村合作医疗制度的开展显著降低了城乡卫生服务筹资的基尼系数等一系列结果.根据研究结果,对城乡健康公平性与二元社会结构,与政府干预、市场调节之间的关系作了分析,并对提高城乡健康公平性提出了相关政策建议.     

Comprehensive assessment of patients with irritable bowel syndrome with constipation and chronic idiopathic constipation using deterministically linked administrative claims and patient-reported data: the Chronic Constipation and IBS-C Treatment and Outcomes Real-World Research Platform (CONTOR)

Abstract

Aims

To characterize a US population of patients with irritable bowel syndrome with constipation (IBS-C) or chronic idiopathic constipation (CIC) using CONTOR, a real-world longitudinal research platform that deterministically linked administrative claims data with patient-reported outcomes data among patients with these conditions.     

关于高校创造性教育的思考

创造性教育是高等教育的重要任务和目标。高校创造性教育的基础是心理健康教育。创造性教育与心理健康教育是相互作用、相互促进的互动关系；高校创造性教育的关键是个性教育。个性教育的最终目标是发展学生的创造力，使之成为创造型的人才；高校创造性教育的途径是教学活动。创造性人才的培养，有赖于学校创造性的教育，而学校实施教育的途径是教学。     

加强大学生心理健康指导的实践

大学生出现的心理问题日趋凸显,应充分认识加强心理健康指导的重要性,建立预警制度,加强心理指导和危机干预,发挥多方面作用,引导学生健康成长。     

疫情危机与商业银行数字化对策研究

疫情危机的发生导致社会经济链条断裂,供应链流通受阻,并不断向上下游和其他节点传导,引爆诸多潜在的风险点,对社会经济产生巨大负面影响。本文以商业银行为例,研究疫情危机对商业银行的影响和管理危机的对策。研究表明,疫情危机的发生既是对社会经济秩序的一种破坏,同时也会在应对危机过程中催生出一些新的行业、产业或经营模式的变化。面对疫情危机,数字化不仅仅是商业银行应对危机的有效手段,更是商业银行转型升级的新方向。全面推进数字化对于其他行业应对疫情危机同样具有示范和借鉴意义。     

The Attitudes of British National Health Service Managers and Clinicians Towards the Introduction of Benchmarking

This paper describes an empirical study, conducted in three acute hospitals, of the attitudes of central managers, medical managers and clinicians towards the adoption of benchmarking. Benchmarking was portrayed in The New NHS White Paper (1997) as an important means of improving efficiency over the next decade. The present paper examines the context of change and nature of benchmarking. Findings are presented in seven sections including: the understanding which respondents had of benchmarking; their willingness to be involved in benchmarking; the existence of strategies and policies for implementing benchmarking; the relevance of existing costing information; and the role of networks in facilitating benchmarking. The study concludes that the process of change adopted contradicted most of the factors associated with creating receptivity to change. Also, that the publication of the National Reference Costs seemed to have more relevance to resource planning at central National Health Service Management Executive level, than to effecting improvements at operational level in acute hospitals.     

Flypaper Effect and Sluggishness: Evidence from Regional Health Expenditure in Italy

In Italy, public expenditure reduction is achieved through a revision of social security and health care programs. In particular, public health expenditure control has been implemented through a reform that imposes more stringent budget rules to local governments and a considerable reduction in grants-in-aid from the central government. This paper investigates empirically whether the response to this decrease in categorical lump-sum grants from the central to local governments results in an asymmetric response to intergovernmental grants. Hard budget and soft budget constraint hypotheses are estimated by using a sample of cross-sectional and time observations covering the 20 Italian regions over the period 1989–1993. The main finding is the existence of a standard and a super flypaper effect in both models. The introduction of the soft-budget constraint hypothesis results in a stronger effect of grants and a lower response of own resources which shows that local governments prefer to incur some deficit instead of reducing health care expenditure.     

技术服务企业实施QHSE管理体系的探讨

QHSE管理体系是质量、健康、安全、环境为一体的管理模式。该管理体系的建立使企业内的职责和权限更明确、清晰．为企业节省了大量的审核时间及审核经费，为企业带来了经济效益。结合企业管理现状，通过对管理体系的具体分析．提出企业实施QHSE管理体系的几点建议。     

评价石油装备安全可靠性的一种新方法

为了能较全面、准确、高效地评价石油装备的安全可靠性，开展石油装备的运行可靠性研究和状态监测、故障诊断的研究工作，并将这两项研究工作有机地结合起来是十分必要的。方法的要点是：利用设备运行和大修的历史记录，研究设备的运行可靠性；选择合适的监测与诊断参数，建立数据库进行积累，了解故障的发生、发展趋势，进行定性和定量分析，用可靠性理论和方法研究故障发展的规律，探讨故障产生的原因，故障发展的速率，进而预测设备工作寿命。最后结合钻井泵研究的实际，探讨了此项方法的可行性。     

Owning and testing smoke alarms: findings from a qualitative study

Reducing injury and death in house fires is an important public health intervention activity with the presence of an operating smoke alarm widely considered an important way of reducing harm from fire. Yet despite a number of initiatives and fire-safety campaigns, a number of households at greater risk of domestic fire fail to have a functioning alarm. This paper provides empirical insight into everyday experiences of owning, maintaining and testing smoke alarms among a purposive sample of individuals identified as being less likely to own a functioning smoke alarm. Analysis from focus group data identifies a number of reasons why individuals may not own or test an alarm, and provides new insight into how fire risk is understood in the context of a range of competing, and potentially more prominent, individual and household risks. We suggest that while initiatives that aim to reduce fire injury and death should be continued, their success, and indeed future research on fire risk, should pay attention to the mundane and everyday contexts within which individuals currently rarely reflect on their risk of experiencing a domestic fire.