Discretionary technology bootlegging tensions in institutional healthcare work

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.     

城市贫困人群的医疗救助问题研究

随着城市居民最低生活保障制度的实施和不断完善,城市贫困人群的生活得到了一定程度的改善。但是,在现有体制下,贫困人群的医疗问题日益凸显出来,他们在医疗方面实际上处于一种双重缺失状态,如果不解决好这个问题,有可能会影响到整个社会保障制度的完善和社会的稳定。     

制度创新与中国农业发展——兼论农业产业化的意义

在工业化的前提下,通过农业的技术进步促进农业发展是新古典经济学传统农业改造的核心思想,但其局限性是显而易见的。以新制度经济学的理论来看,中国农业问题的症结是以农户为基本经营单位的农业生产组织形式不能适应市场经济的要求,农业产业化是中国农业现代化的必由之路。     

资源环境约束下的和谐增长与制度和谐

经济增长对自然资源消耗和环境污染是不可避免的,然而,当经济增长对自然资源与环境资源的需求超过其承载力的阈限时,就会出现由于资源枯竭与环境恶化的非和谐增长.在对和谐增长相关理论进行梳理的基础上,以我国经济增长对资源、环境的超"阈限"影响为背景,分析"三重失灵"对和谐增长的影响,并将和谐增长纳入制度和谐的框架内,试图从制度约束上探讨长期和谐增长的保障机制.     

Choice of Distribution System in the New Zealand Life Insurance Industry

Using 1988–93 panel data drawn from the New Zealand life insurance industry, this paper examines empirically the notion that the choice of distribution system is an efficient contracting solution to incentive conflicts between owners, managers and sales agents in life insurance firms. Consistent with what was hypothesised, the empirical results suggest that choice of distribution system is distinguished by organisational form, firm size, and sales commission. However, contrary to expectations, the variables representing product diversity and asset specificity were found not to be statistically significant. The empirical results thus lend mixed support for prior predictions.     

试论新制度经济学与中国体制改革的契合

中国正在经历一个制度变迁的时代。新制度经济学对中国体制改革实践有很强的解释力和指导性，它与马克思主义经济学在机理上的相通及其与中国的传统政治文化的契合促进了它在中国的进一步发展。中国正处于一个制度变迁的时代，新旧体制转轨使中国有了对新的经济制度变革理论的强烈需要。新制度经济学适应了这种需求，对中国体制改革实践有很强的解释力和指导性。新制度经济学与马克思主义政治经济学有相通之处，这有利于发展新制度经济学，也有利于中国经济理论的衔接和发展。中国的传统政治文化与新制度经济学理论的契合，既有利于新制度经济学的传播，也有利于中国体制改革的进一步发展。     

Institutional design and the closure of public facilities in transition economies

As part of the reforms of their systems for financing and delivering health care, many transition economies, particularly in central and eastern Europe, have adopted national insurance funds that are institutionally separate from ministries of health. Most of these countries have also grappled with the problem of restructuring the delivery system, especially the need to reduce hospital capacity. Although improving the performance of medical care providers through a shift from passive budgeting to explicitly incentive mechanisms is important, why this change in financial relations between the government and providers could not be implemented simply by reforming the role of health ministries is not obvious. This paper presents an explicit rationale for the separation of powers between the regulator (the ministry of health) and the financing body (the insurance fund), based on the inability of a single agency to commit to closing hospitals. JEL classification: L51, P20, P35, I18.     

公司财务控制机理:一个基于制度博弈的分析

财务控制的目标是对出资者和经营者之间形成的代理契约的冲突进行管理和协调.以出资者与经营者的制度博弈模型为分析基础,可以清楚表明财务控制机理特征:首先,财务控制本身具有的制度成本(控制成本)是制约控制成效的关键因素;其次,财务控制作为一种制度安排,应具备使经营者违背代理契约的外部成本内部化的功能;最后,财务控制本质是一种契约安排,是出资者和经营者之间多次动态博弈的结果,因此需要不断进行修正完善.     

提高我国自主创新能力的思考

本文依据当代经济发达国家经济社会发展经验的总结,并从我国当前全面建设小康社会的客观需要出发,分析了提高自主创新能力在国家经济社会发展战略中的核心地位,提出构建体制基础和科技基础以及营造生态环境,是推行自主创新战略的基本措施。     

制度环境、路径选择与经济绩效——基于中国农产品流通市场化进程中制度变迁的理论与实证分析

农产品流通市场化改革,是一个巨大而深刻的制度变迁过程,是效益更高的市场经济制度结构替代计划经济制度结构的过程.正式制度环境与非正式制度环境的协调统一、相互融合是市场经济制度结构得以确立和维持的内在本质要求.农产品流通市场制度变迁的方式只能是在政府领导下局部推进、双轨过渡,体制内与体制外相结合,逐步向市场经济过渡.