学校食堂后勤社会化面临的问题及对策

高职院校的后勤管理是学校师生生活和学习的重要保障,其管理质量及服务质量直接影响师生的食品安全和学校的稳定。在新形势下,后勤管理向社会化转变,本文分析了高职院校后勤管理社会化存在的问题,在此基础上探讨解决问题的对策,以保证学校食品安全,促进学生健康发展。     

NONRESIDENT POSTSECONDARY ENROLLMENT GROWTH AND THE OUTCOMES OF IN‐STATE STUDENTS

We study the effects of exposure to nonresident students on the outcomes of undergraduate in‐state students during a period of high nonresident enrollment growth at the University of Missouri‐Columbia. Our models leverage within‐major, cross‐time variation in nonresident exposure for identification. We find no evidence that increased exposure to domestic nonresidents affects in‐state student outcomes and our null results are precisely estimated. We find evidence of modest negative impacts on in‐state students when their exposure to foreign students increases using our preferred specification. However, the identifying variation in exposure to foreign students in our data is limited and this result is not robust in all of our models. (JEL I23, I28, R23)     

Perioperative inhaled corticosteroids treatment is associated with decreased length-of-stay and direct medical costs in high-respiratory-risk surgeries

Abstract

Aims: To examine the impact of perioperative inhaled corticosteroids (ICS) on length-of-stay (LOS) and costs among patients receiving high-respiratory-risk surgeries.

Methods: Adult patients who underwent high-respiratory-risk surgeries in 2015 were identified in the Tianjin Urban Employee Basic Medical Insurance database. Patients were grouped into ICS or non-ICS cohorts according to whether they received ICS during the perioperative period of the index hospitalization. Propensity Score Matching was performed to create matched pairs between two cohorts. The impact of perioperative ICS on LOS and direct medical costs was estimated by negative binomial model and generalized liner model.

Results: Eight hundred and twenty-one hospital stays with high-respiratory-risk were selected in the ICS cohort and another 821 stays in the non-ICS cohort were matched. The mean LOS was 13.0 (±0.3) days in the ICS cohort, which was significantly lower than the matched non-ICS cohort. Patients with thorax and ear-nose-throat surgeries had a significant decrease in LOS in the ICS cohort compared to the non-ICS cohort, with a mean decrease of 5.5 and 1.1?days, respectively. In adjusted analyses, perioperative ICS treatment was associated with shorter LOS, lower total, and respiratory-related costs (reductions of 10.1%, 7%, and 5.3%, respectively) after controlling for demographic, clinical, and hospital characteristics.

Limitations: Some respiratory risk factors such as living behavior and environment were unable to be captured and respiratory-related costs might be underestimated, limited by claim data. Lastly, caution should be taken when generalizing the results to other populations, as only patients with moderate-to-severe surgeries on the thorax and above were selected in this study.

Conclusions: Perioperative ICS treatment was associated with decreased LOS and lower costs for patients undergoing high-respiratory-risk surgeries in China.     

关于政府财政运行情况综合绩效评价的思考

《中共中央国务院关于全面实施预算绩效管理的意见》(中发〔2018〕34号)文件要求,在2022年前建立全过程预算绩效管理链条,对下级政府财政运行情况实施综合绩效评价,全面实施预算绩效管理。因此,本文试就政府财政运行情况综合绩效评价这一课题作一探讨,以便为各地实践操作提供参考借鉴。     

现代农村商业银行数字化转型体系建设研究

以互联网、大数据技术为标志的金融科技时代已经来临，为应对数字化发展趋势和跨界竞争，现代农村商业银行必须进行数字化转型。本 文通过调研走访若干浙江省内数字化转型后效果显著的农村商业银行，揭示其数字化转型过程中的建设关键、建设基础、建设规划和建设应用实践。 农村商业银行数字化转型是适应数字经济发展需要而展开的一项全面数字化建设工程，其中要特别关注其建设规划、建设关键、建设基础和建设应 用。建设规划要贯彻以客户为核心的顶层设计理念，具体从三个维度进行数字化全方位转型；建设关键要明确总体目标、发展思路以及实现路径；在 夯实银行大数据的建设基础上，建设应用实践中的要点是进行客户分层、渠道分流以及产品创新和营销分析，以实现现代农村商业银行集约经营、高 效管理与科学决策。     

医改背景下公立医院业财融合的实施模式

医药卫生体制改革推动公立医院精益化管理,业财融合是重要落脚点。本文首先建立以资源基础理论和价值链理论为基础的业财融合理论框架,指导公立医院业财融合实践;由理论指引,建立适应医药卫生体制改革的全领域、多层次、全过程环节闭合管理的公立医院业财融合实施模式。     

Resilience and well-being production among vulnerable consumers facing systematic constraints

This paper explores how vulnerable consumers within systematic constraints of economic inequality, institutional barriers, and social segregation in an urban environment cope with their vulnerabilities to achieve their well-being. Taking China's internal migrant workers as a research context, our study examines their vulnerable experiences and reveals the impact of systematic constraints on migrant workers' self-perception, interpretation, and actions. It discovers a staged process through which migrant workers acquire resilience to optimize life satisfaction by fulfilling a sense of control over their migration life. Through a situated approach to capture the contextual impact of systematic constraints on vulnerability experiences and the construction of resilient pathways to achieve well-being, this paper puts forward critical welfare issues such as inclusive marketplace, social capital, and community empowerment which are important to migrants' social integration and capability building. This calls for more coordinated efforts to promote effective resilience building and sustained well-being among resource-constrained consumers.     

“六经皆史”与马克思主义中国化——经史观及其方法论启示

经史关系是中国思想史的核心问题,贯穿于周秦以来历史发展的全过程。中国共产党一经成立即面临自身独有的经史关系,即马克思主义之"经"与中国实践之"史"的关系,核心命题即马克思主义中国化。值得特别注意的是,马克思主义中国化与"六经皆史"处理经史关系的方法论十分相似。而这并非巧合,有其理论渊源:一方面,中国共产党是中华民族优秀文化之继承者,建党伊始就自觉从中汲取养分;另一方面,范文澜作为关键人物,成为毛泽东与章学诚二者之间的思想榫卯。就在马克思主义中国化命题提出之际,范文澜抵达延安,其所提出的中国经学史演变之宏论深为毛泽东器重。面对类似的经史关系问题,又有关键人物为思想之榫卯,"六经皆史"论与马克思主义中国化二者之间,就产生了内生性逻辑关联,极具方法论启示之意蕴。