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21.
Healthcare reforms have long been advocated as a cure to the increasing healthcare expenditures in advanced economies. Nevertheless, it has not been established whether a market solution via private financing, rather than public financing, curb aggregate healthcare expenditures. To our knowledge, this paper is the first that quantifies the impact of reforms that significantly increases (decreases) the private (public) share of healthcare financing on total healthcare expenditures relative to income in 20 OECD countries. Our reform measure is based on structural break testing of the private share of total expenditures, and verification using evidence of policy reforms. To quantify the effect of these reforms we apply Propensity Score Matching and Inverse Probability Weighted regression analysis. Over a 5-year evaluation period the reforms lead to an accumulated cost saving 0.45 percentage points of GDP. The yearly effects of the reforms are largest in the first years in the post-reform period and decreases in size as a function of time since the reform. Our findings suggest that the investigated healthcare reforms have a relatively short-lived effect on aggregate health spending relative to GDP. The findings are robust to various sensitivity tests.  相似文献   
22.
We explore individuals who take some of their technology use ‘underground’, described as ‘bootlegging’, to enhance healthcare work. We find that healthcare professionals’ informal use of mobile applications in healthcare work sometimes ‘sticks out’ and this produces professional identity tensions: (1) conflict with perceptions of professional behaviour, and (2) defilement of expert judgment. Our analysis, moreover, reveals that identity work (i.e. ‘accepting’ and ‘sensemaking’) provides a coping mechanism to deal with these unresolved professional identity tensions. This paper contributes to a better understanding of the constitutive entanglements and two‐way interactions of discretionary technology bootlegging, professional identity and autonomy in institutional healthcare work.  相似文献   
23.
研究目的:治理绩效评价本应与空心村规划、实施过程成为空心村治理前、中、后的有机环节,遗憾的是在实践和学术中均对这一重要环节没有足够的重视,部分影响了空心村的治理绩效。本文立足于空心村治理的实际过程和关键因素,借鉴帕特南制度绩效理论,探索构建空心村治理评价的理论框架和初步指标体系。研究方法:演绎归纳法、实地调查法和比较研究法。研究结果:(1)本文围绕空心村治理绩效的测量视角、测量维度、统计学解释和理论蕴意4个方面,构建了全面、整体、可靠、一致的空心村治理评价的理论框架;(2)紧扣空间结构优化和治理结构优化两个核心维度构建了三级指标体系,涵盖了评价空心村治理的16项指标;(3)4个空心村的实证对比研究,客观反映了治理的实际绩效,弥补了空心村治理后期评估的过程缺失,体现空心村治理的价值、目标和未来导向。研究结论:基于帕特南理论的空心村治理绩效评价框架和指标评价体系反映了空心村整治的本质属性和治理过程,为绩效评价提供了一个新的理论视角。  相似文献   
24.
根据供给侧结构性改革的背景和基本内涵,对水资源供给侧结构性改革的内涵进行研究,提出了狭义和广义的水资源供给侧结构性改革的内容。在分析水资源需求新形势的基础上,提出了水资源供给侧结构性改革的要求。根据水循环理论提出了水资源管理是推动水资源供给侧结构性改革的重要抓手,并在最严格水资源管理制度的基础上,提出了符合水资源供给侧结构性改革要求的水资源管理制度。  相似文献   
25.
Will China's WTO accession worsen farm household incomes?   总被引:3,自引:0,他引:3  
Many fear China's accession to the World Trade Organization (WTO) will impoverish its farmers via greater import competition in its agricultural markets. We explore that possibility bearing in mind that, even if producer prices of some (land-intensive) farm products fall, prices of other (labor-intensive) farm and nonfarm products could rise. New estimates, from the global, economy-wide numerical simulation model known as Global Trade Analysis Project (GTAP), of the likely changes in agricultural and other product prices as a result of WTO accession, are drawn on to examine empirically the real income implications of China's WTO accession. The results suggest farm–nonfarm income inequality may well rise within China but rural–urban income inequality need not. The article concludes with some policy suggestions for alleviating any pockets of farm household poverty that may emerge as a result of WTO accession.  相似文献   
26.
According to everyone average welfare value of land resources; this paper constitutes the base line of glebe usufruct deal value by analyzing the factors, which are affecting glebe usufruct deal value. Having adopted share's quotient of ownership and contracting power, the paper erects assigning mechanism to the income of glebe deal. Because of the share dynarnicity being adopted which shows the flexible strong points, the shares of ownership and contracting power avoid many unnecessary otiose disputes on income of glebe deal, adding the stability to the glebe usufruct deal. It is beneficial to the freedom flow and validity manufacture factor installment and also to the nonagricultural changing course.  相似文献   
27.
2003年7月以后,中央政府三令五申,不准滥征耕地,大肆圈地的势头得到遏制。但违规征地没有止息,耕地仍在减少,形势不容乐观,仍须从严控制。  相似文献   
28.
State-owned enterprises going public The case of China   总被引:7,自引:0,他引:7  
Public listing is a key reform measure for large state‐owned enterprises (SOEs) in China. We find evidence that public listing lowers state ownership significantly, lessens firms’ reliance on debt finance, and allows firms to increase capital expenditure, at least temporarily. We also find that ownership structure affects post‐listing performance. However, we find no statistical evidence of a positive effect of public listing on firms’ profitability. We suggest alternative interpretations of the last finding.  相似文献   
29.
重庆市城市土地经济效益评价   总被引:5,自引:0,他引:5  
从产出和投入两方面构建城市土地经济效益评价的指标体系,采用层次分析法对重庆城市土地的经济效益进行评价,可知:重庆城市土地的经济效益总体水平较低、波动较大,重庆城市近年来投入偏高影响了土地经济效益,而且重庆城市土地利用的集约化水平不高.  相似文献   
30.
该文在深入分析基础力学各相关课程相互关系的基础上,认为基础力学课程的改革,应该优化组合备相关课程内容,减少重复内容,形成新的教学体系;应该在教学手段上注意现代化教学手段与传统教学手段的结合,激发学生的学习兴趣,提高课堂的效率;也强调实验环节的重要性,要注重学生动手能力的培养。  相似文献   
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