An innovation to improve health outcomes in Amajuba district,KwaZulu-Natal,South Africa

Systems’ thinking places high value on understanding the context. This study focused on the collection of disaggregated data in order to understand the context, to facilitate improvement of health outcomes. The aim of this article was to assess the implementation of municipal ward-based health data collection (disaggregated data) and health care workers’ perceptions of this data collection process. This cross-sectional study used mixed methods in Amajuba district. The participants were professional nurses at the Primary Health Care level. Of the 131 respondents, 123 (93.9%) collected municipal ward-based health data, and found it useful. Opportunities for improving data collection were identified. Disaggregation of the data at ward level contributes to a better understanding of the target population’s health, assists planning for health needs and enables provision of targeted interventions in order to improve health outcomes, to prevent financial regression and waste of health resources.     

Health screening strategies for international air travelers during an epidemic or pandemic

Air travelers can carry an infectious disease's pathogenic microorganism in their bodies and spread the disease from one country to another in a few days. To delay the spread, health screening stations may be set up at airport terminals to screen travelers. This research tested three different health screening strategies, each with a different combination of screening stations at trip origins, destinations and connecting airports. Discrete event simulations were performed, based on the 2014 to 2016 Ebola virus epidemic, with special focus on travelers from the West African countries traveling to the United States, including travelers who transferred flights at airports in European Union member states. The effectiveness of the screening strategies was analyzed in terms of correct detection, missed detection and false alarm rate. The results showed that exit screening at trip origins brought big improvements in the performance measurements compared to no screening. However, additional screening at the destinations and connecting airports contributed marginal benefits.     

Policy induced increases in private healthcare financing provide short-term relief of total healthcare expenditure growth: Evidence from OECD countries

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.     

Development in Information and Communications Technology (ICT) Statistics at the Australian Bureau of Statistics

This paper outlines the ICT statistical developments that the ABS has undertaken over recent years. These developments have been on both the supply side (ICT industry) and the demand side (use of IT by sector). The content of ABS ICT surveys has changed significantly over the last few years and are expected to develop further in line with industry changes and emerging policy needs.
Recent developments in household collections have been the inclusion of IT use questions in the 2001 Census of Population and Housing and in various ABS social surveys such as Children's Participation in Culture and Leisure Activities. Annual business IT use surveys are now conducted and include topics such as Internet commerce and IT security. Biennial ICT industry surveys are conducted to provide data on ICT production, imports and exports, ICT industry employment, performance and structure information. An Internet activity survey is run every six months and provides regional Internet access details and infrastructure details on Internet service providers.
A major development for 2002–03 will be the compilation of an ICT satellite account. ABS intends to produce an ICT Information Development Plan to guide its future statistical development work in the ICT field.     

谈体育教学改革发展趋势

体育教学“以人为本”观念形成的社会环境是现代化发展的必然结果。我们教育改革思路提出“健康第一”的指导思想，同样验证了“以人为本”的现代体育观念的社会环境背景。学生对体育课的要求和看法将对体育教学改革提供“主体”依据，体育教学改革要“以人为本”。     

A note on “Bed allocation techniques based on census data”

Capacity planning and resource allocation are crucial to the cost-effective delivery of health care services. In this paper, we present an analytic approach based on a modified version of the Holt-Winters multiplicative seasonality forecasting model to determine the frequency distribution associated with a hospital care unit's census. This paper is a follow-up to the census frequency distribution simulation model described in Lapierre et al. (Socio Econ. Plan. Sci. 33 (1999) 25). We demonstrate that our model can provide census frequency distributions equivalent to the simulation model of Lapierre et al. [1], but without the computational effort common to simulation models.     

企业员工信息的系统组织与开发利用

网络组织是一种适应信息社会生产要求的新型组织模式 ,本文在分析科层组织存在的问题以及IT对组织变革的技术与环境支持基础上 ,提出了网络组织的基本概念、内容框架。     

信息技术与粮食企业流程重组

企业业务流程重组是IT与企业流程的创造性结合，粮食企业也只有以系统的眼光看待IT，注重IT与业务流程重组同步进行，在业务流程重组中开发IT的应用潜能，才能真正实现企业流程重组。     

医疗服务价格管制与"以药养医"

近年来，我国医疗费用持续上涨，医患关系也变得更加紧张。而针对这些问题所采取的一系列改革措施并没有产生明显的效果，这主要是因为没有充分认识到医疗服务价格管制所带来的严重的负面影响。本文提供了一个用于评价医疗服务价格管制的分析框架。本文的分析表明，医疗服务价格管制会导致“以药养医”体制的形成，而且“以药养医”这一间接定价机制，通常无法使患者的效用水平达到只存在道德风险和有限责任约束时的次优水平。因此，改革目前备受非议的医疗体制，重点在于放松对医疗服务价格的管制。     

企业信息化项目中的冲突管理研究

冲突管理作为一种现代管理方法，其应用能够极大地提高企业的管理效率，降低管理成本。本文基于对冲突管理内涵的理解，对企业信息化项目实施过程中的冲突来源进行了深入的剖析与解释，在此基础上，对解决不同冲突的方法进行了探讨。