城乡居民基本医疗保险制度对居民健康公平性的影响研究--基于嘉兴市的调查分析

本文主要是研究城乡居民基本医疗保险制度下的城乡居民健康公平性,为完善医疗保障制度提供科学依据。本文主要利用集中指数测量反映和经济状况有关的健康结果的公平性。探究城乡居民医保参保人员两周患病率、慢性病患病率、自评健康不良情况各自反映的健康不公平。通过对农村和城镇居民的比较分析发现差异和出现健康不公平的原因并提出相关建议。     

基于微气候模拟的武汉居住小区植被降温通风效应研究

在快速城镇化过程中，中国城市边缘区生态安全格局出现了自然生态与人文生态双重破坏的问题，研究基于复合生态平衡、生态空间活化、共建共享共赢的发展目标，提出以自然生态要素识别与敏感度分析、人文生态发展需求分析为基础，以自然与人文生态安全格局分区建构、复合生态空间耦合下的功能化发展指引为核心的城市边缘区生态安全格局重构方法框架，并结合铜陵城市边缘区——东湖地区规划建设展开理论应用与实践探索，为重构城市边缘区生态安全格局提供有益借鉴。     

Health technology assessment in Japan: a work in progress

Abstract

Background: In Japan, pharmacoeconomic requirements for list-price adjustment were institutionalized in April 2019 following provisional implementation of a new Health Technology Assessment (HTA) program 2016–2019. Since April 2019, submission of cost-effectiveness evidence to the Central Social Insurance Medical Council (Chuikyo) as part of the Japanese Ministry of Health, Labour, and Welfare has been mandatory for selected pharmaceuticals and medical devices.

Methods: Based on a review of publications and commentaries since April 2019, together with views from a group of experts on key issues to be addressed, this report provides an update on recent HTA developments and key challenges still to be addressed.

Results and Discussion: Japan’s new HTA program is a first step toward development of a universal healthcare system that can be sustainable for many years into the future. Currently, Japan’s HTA program requires provision of incremental cost-effectiveness ratios (ICERs) as evidence, with quality-adjusted life years as the preferred outcome measure. Prices can be adjusted both upward and downward according to the degree of the ICER estimate. Japan is the first country to have adopted an algorithmic method for “ICER-based” pricing; however, HTA measures that extend beyond a single ICER estimate are needed to take full advantage of HTA in the future. In particular, generation of evidence of value should support changes to the healthcare system so that incentives for innovation are not diminished while industry and government are not overburdened by the generation or assessment of evidence. There is a need to ensure scientifically sound HTA expertise across all sectors in Japan, and therefore enhancement of HTA literacy and capability among healthcare professionals, academia, government, and industry should be a priority.     

Price Indexes for US Medical Care Spending, 1980–2006

We construct price indexes for medical care spending in the US economy for the period 1980–2006. Our indexes show slower price growth than the official deflator from 1987–2001, consistent with the fact that indexes that improve on the official statistics typically find slower price growth than the official indexes. However, the result is reversed for the 2001–2006 time period. We develop a decomposition that parses out the numerical differences in these indexes into three factors that are held constant in the official price indexes but are not in our indexes: changes in the type of provider supplying care, changes in the type of insurance plan used by the patients, and changes in the bundle of procedures used to treat patients. Our results suggest that using the official price measures may provide misleading conclusions about spending trends and productivity growth in this important sector over this time period.     

WHY do YOU care about me? The impact of retailers’ customer care activities on customer orientation perceptions and store patronage intentions

The present research conceptualizes customer care activities as the process through which retailers satisfy consumers' needs by means of a set of interconnected services and address the role of warmth and competence perceptions, as well as consumers' inferred motives, in determining the downstream effects of care management activities on consumers' perceptions and intentions. The results from two experiments show that the number and framing of customer care activities affect customer orientation perceptions (Study 1) and that their fit with the overall retailer's image and the level of professionalism required to carry them out affects store patronage intentions (Study 2).     

普惠和公平视角下的中国农村医疗保险制度改良探究

“新农合”是中国医疗保障制度的创新与历史性进步，但公平性缺失、效率不高，以及合作性不强等，其主要成因是城乡分设的医保制度安排。建议从整合城乡二元制度入手，实行医保集中、问责制管理；调整与优化卫生资源配置，构建卫生生态财政；开发与基本医保无缝对接与整合的商保产品；倡导适合健康公平需要的协同政策；科学立法，保证一体化制度普惠、公平运行。     

基于校企合作的高职物流专业学生人文素质培育

从校企合作的角度，着重分析并探讨了高职物流专业学生人文素质的培育与专业教学的融合、人文素质培育模式的转换、整合校内外教育资源促进人文素质的培育等多种人文素质培育策略。     

Client organizations and the management of professional agency work: The case of English health and social care

A growing reliance on agency workers can lead to significant risks for client organizations, especially in core organizational roles. It has been suggested while these risk can be mitigated through investments in human resource management (HRM) directed at agency workers, in reality these will be hard to implement. This article draws upon Lepak and Snell's (1999) HR architecture model and uses a comparative case study method to explore this issue, focusing on agency working in core nursing and qualified social worker roles. The findings illustrate how client organizations can become more involved in the management of agency workers than has previously been acknowledged. Our analysis also identifies the conditions that shape this client‐side involvement, including the nature of agency worker contracts, the role of temporary work agencies, competing organizational cost‐control priorities, and perceptions of the regulatory context. These conditions are brought together in a general model for understanding the largely neglected role that client organizations play in the HR management of agency workers.     

Impact of sales Promotion's benefits on perceived value: Does product category moderate the results?

The purpose behind the development of this research article is to assess the impact of sales promotions benefits on consumer perceived value and examine the moderating effect of product categories on the relation between sales promotions, their benefits, and consumer perceived value. The study used a sample of 400 consumers from India and ‘Structure Equation Modelling’ technique is applied to evaluate the research assumption. Finally, the moderating effect of the product category is evaluated by utilizing ‘Multi-Group Analysis' technique. Research findings reveal that the product category moderates the consumer's perceived value for hedonic and utilitarian benefits of sales promotion tools. It is found that utilitarian benefits of sales promotion have more impact on consumer perceived value in the context of personal care product while hedonic benefits are having more impact on consumer perceived value in the context of food products. A sales promotion plan can be made more effective when it is hedonic benefit oriented in the case of food products and utilitarian benefit oriented in the case of personal care products. The findings of this research can be useful for marketers to develop an effective sales promotion strategy considering the category wise differential impact of sales promotions benefits.     

Managing employees in aged care: live the principles

Aged care services are a large recipient of public money in many developed countries and are primarily provided by nonprofit organizations in Australia. This paper reports on an investigation into the impacts of the psychological contract for nurses in nonprofit aged care. The results highlight the importance of nonprofit organizations fulfilling their obligations and living their principles. Aged care nurses who perceive breaches to their psychological contract are likely to de-identify from the organization.