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31.
《Socio》2019
The disproportionate concentration of healthcare professionals in urban areas is a concern in many countries, including Canada. A need to address this rural care gap has driven a large number of government led initiatives worldwide over the years. This paper presents a model that can be used as a tool to examine the efficacy of such policies on the workforce distribution in the long term. A small system dynamics model is employed to simulate the current and future distribution of general physicians at a jurisdictional level. The model represents the transition of general practitioners to provide insight into the dynamics of care provision over time. The movement, and competition, between rural and urban areas is modeled to enable detailed exploration of the ability for proposed measures to alleviate the care gap in the future. Among the tested policies are such commonly used initiatives as financial incentives to rural professionals, promotion of medical education in rural areas, expansion of rural education programs and the engagement of international medical graduates etc. We demonstrate how the model can be used as a tool to determine an efficient and well-chosen combination of policies which can help alleviate the rural care gap in the future, given that some policies are more effective than others alone but also combined with other initiatives. The presented small system dynamics model is tested on Canada's reality, but its simple nature lends itself to easy application to other countries that experience a similar problem. 相似文献
32.
王秀芬 《中小企业管理与科技》2021,(9)
对于城市轨道交通来讲,在运行的过程中,直流牵引供电系统是使用最为主要的部件之一。在该系统应用的过程中,接触网残压问题是较为严重的问题,也是当前所出现问题当中比较普遍的一种。对于直流牵引供电系统来讲,当出现接触网残压问题时,可能会对人的生命安全造成严重威胁,同时也会使检修施工和接触网送电保护闭锁等相关工作受到影响,严重拖慢工作进度。因此,论文通过测试、仿真分析和模拟验证等方法,对城市轨道交通直流牵引供电系统接触网残压问题进行了研究与论述。 相似文献
33.
34.
Bruce E. Kaufman Michael Barry Adrian Wilkinson Rafael Gomez 《Human Resource Management Journal》2021,31(1):65-92
This paper constructs alternative balanced scorecards based on high‐performance work system (HPWS) and employment relations system (ERS) models. The models are depicted and compared in diagrams and used as framework skeletons for building separate HPWS and ERS scorecards, intended to provide a detailed data picture of the operational health and performance of an organization's employment/HR system and its operations, processes, and inputs/outputs. The scorecards are filled in with nationally representative data from 2,000+ U.S. workplaces using more than 50 employment/HR indicators, as reported by separate panels of managers and employees. The indicators for each workplace are aggregated into an overall HR/employment system score, ranked from low‐to‐high, and graphed as frequency distributions. These distributions provide a unique snapshot picture of the mean and dispersion of the state of employment relations and HR system performance for companies across the United State. They also reveal that “models matter” since the HPWS and ERS scorecards provide distinctly different evaluation assessments. 相似文献
35.
论文从热电联产企业的特征入手,通过对精益成本管理理论的研究,总结出热电联产企业精益成本管理的评价指标,并通过对指标的分析总结出精益成本管理在热电联产企业实际应用中的管理对策。 相似文献
36.
《消防应急照明和疏散指示系统技术标准》(GB 51309—2018)的实施,结束了消防应急照明不统一的乱象,在设计工作中得到广泛应用。本文针对散粮筒仓系统中消防应急灯具的选择进行了分析。 相似文献
37.
国土空间生态修复是推进生态文明建设的重大举措,构建基于底线预警的国土空间生态修复规划实施监督体系是完善国土空间规划“一张图”信息系统的重要组成部分和政策支撑。通过对生态修复规划实施监督体系建设的研究,把握底线控制与监测预警机制,对接国土空间生态修复业务管理各项需求,搭建“五梯度四体系”的生态修复规划动态监测实施监督信息系统,构建以“七个一”为主要内容的生态修复规划底线预警监测评估机制,并与各层级国土空间规划“一张图”实施监督信息系统进行衔接,实现对生态修复规划实施的动态监测和预警。 相似文献
38.
Thiago Christiano Silva Benjamin Miranda Tabak Marcela Tetzner Laiz 《Economic Systems》2021,45(1):100762
We contribute to the finance-growth nexus literature by showing that credit origin, bank ownership, type of credit, and bank type matter in economic growth. We use a unique dataset covering 5555 cities in Brazil, with granular information on credit characteristics. We find that non-earmarked credit to the corporate sector is associated with municipal economic growth more strongly than earmarked credit, despite the increase in the relevance of the latter after the global financial crisis. We also find that the type of credit—whether the loans are general purpose or for a specific purpose—is associated with economic growth in different ways. Overall, credit provided to the corporate sector by domestic private banks is correlated with higher economic growth rates. In contrast, the relationship between credit from state-owned banks and economic growth becomes statistically significant only after the crisis. Although we follow the finance-growth literature in our empirical exercises using internal instruments in generalized method of moments (GMM) estimations, we also conduct robustness tests using two additional external instruments: the number of complaints filed against each bank and local credit accessibility. Our findings with external instruments are the same with respect to the use of traditional internal instruments in GMM estimations. 相似文献
39.
ABSTRACT In extreme circumstances such as pandemics, the presence of patients in hospital emergency departments becomes untenable. Healthcare professionals and organizations worldwide are leaning on technology as a crucial ally to deal with the COVID-19 outbreak. This article focuses on the positive impact of telemedicine for helping service provision, from enabling virtual triage to mitigating the negative psychological effects of social isolation. The authors discuss the challenges and opportunities to telemedicine practices. 相似文献
40.
王艳洁 《中小企业管理与科技》2021,(11):150-151
计算机技术的蓬勃发展,使得企业办公更加智能化、效率化。由于传统手工记账具有容量小的弊端,无法处理大、中型企业庞大的金融数据。企业运用计算机处理繁杂财务工作的突出效果,间接吸引了大批科技企业加快对企业财务应用系统的研发速度。针对会计信息系统应用中的问题,急需对系统进行改造升级,保护财务数据安全;聚焦会计信息管理,提高专业人员素质;严于监管,战略转变,突破技术壁垒。 相似文献