预防医学在社区卫生服务中的运用探讨

目的:探讨预防医学在社区卫生服务中的运用效果。方法:将该地区的社区卫生服务工作分成两个阶段,对两个阶段居民对环境卫生、食品卫生、劳动卫生、心理卫生等相关知识的掌握、年家庭食物中毒发生例数以及对社区卫生服务工作的满意度情况进行比较。结果:第二阶段的居民相关知识掌握、年家庭食物中毒发生例数、社区卫生服务工作满意度明显优于第一阶段,均具有显著性差异,P<0.05,有统计学意义。结论:预防医学在社区卫生服务中具有重要地位,可显著提高社区居民的健康水平,应继续扩大预防医学在卫生服务中的应用范围,提高人民预防疾病发生的意识。     

Exporting and productivity in business services: Evidence from the United States

Does exporting make firms more productive, or do more productive firms choose to become exporters? This paper considers the link between exporting and productivity for a sample of firms in US business services. We find that larger, more productive firms are more likely to become exporters, but that these factors do not necessarily influence the extent of exporting. This conforms with previous literature that there is a self-selection effect into exporting. We then test for the effect of exporting on productivity levels after allowing for this selection effect. We model both the relationship between exporting and productivity, and a simultaneous relationship between export intensity and productivity after allowing for selection bias. In both cases we find an association, indicating that productivity is positively linked both to exporting and to increased exposure to international markets.     

关于船员外派法律关系的分析——兼析《船员条例》和《船员注册管理办法》

金融危机席卷全球,进一步证明了经济的全球化趋势,外派劳务市场也未幸免,船员外派作为外派劳务市场的一个重要组成部分,受到了严重的影响。而目前的《船员条例》和《船员注册管理办法》在起到规范作用的同时,也受到了法律效力过低的限制。文中旨在分析船员外派法律关系,更好地去保障船员的权益,并结合《条例》和《办法》去发现其中存在的问题。     

An empirical analysis of multiple services and choices of consumer in the Swedish telecommunications market

Received analyses state that firms can use a multiple services offering strategy to retain customers and capture new customers. Factors that determine the multiple services strategy include product discount, service provider and customer characteristics. Consequently, this study addresses the fundamental question: what are the key determining factors that explain the probability that a consumer buys multiple services? A generalized Poisson regression model is employed to examine whether the product discount, service provider, socio-economic variables and geographical location impact consumer decisions. Data from a national survey in 2009 commissioned by Post-och Telestyrelsen, the Swedish telecommunications regulator, are analyzed. The results clearly show that the discount, service provider and income of the consumer affect the consumer׳s buying decision. A consumer who receives a discount or has a high income is more likely to buy multiple services or select more services from the current service provider into his basket than a consumer who does not receive discount or has lower income. Service providers, cable TV operators and telecommunications carriers can also lock-in their consumer and expand their market position from one particular service to another using bundling service. Thus, this may be the time for the telecommunications regulator to consider the market definition.     

Collaborative approaches to public sector innovation: A scoping study

In the last 15 years, European countries have invested considerable resources to provide e-government services. Despite of its increasing availability, its level of adoption has not been satisfying. On the other hand, over the last years, coinciding with the web 2.0 trend, the e-government services co-produced by citizens start to appear, often without the support, acknowledgement and even awareness of the government. This trend stems from a well-established tradition of offline co- production of public services, i.e. services provided by the voluntary sector, but brought to an unprecedented scale thanks to the advent of web 2.0. Still, the concept remains not well-defined and its impact is not yet well studied. The paper explores on a limited sets of cases what does it mean to collaboratively deliver online public services; what are the success factors based on the cases under study and what are the incentives for service providers (other than public administration), citizens as users and public administration. The authors propose an ostensive definition of the collaborative delivery of public services: collaborative public services are created and run by government, civil society or by private sector building on the re-use of government data or citizens data. Those services are focused on public goods delivery (e.g. health, education, public transport) and are meant to change the traditional government services by engaging in an open dialogue with public administration about the best way to deliver those services. The analysis of six case studies of innovative collaborative online public services suggests that the online collaborative public service delivery increases its quality with the users׳ growth contrary to the traditional offline service delivery. The study results indicate that the current developers interest lies in delivering complementary services to the government run services rather than substitutive services. The authors propose also the initial list of success factors, enabling conditions, and benefits for all main stakeholders (users, innovators and public administration).     

吉林市中低收入群体医疗服务需求的调查分析

对吉林省吉林市315户中低收入家庭进行问卷调查的结果表明：部分中低收入群体的医疗费用负担沉重;城镇居民基本医疗保险的实效性较差;居民对医保政策缺乏了解;社区卫生服务机构没有充分发挥作用。强化政府责任,加大宣传力度,加强社区基础医疗卫生服务机构建设,提高居民医疗保障待遇,是完善我国中低收入群体医疗需求的有效途径。     

无缝隙全覆盖是实现基本公共服务均等化的第一步——宝鸡实践对西部地区完善社会保障体系的启示

陕西省宝鸡市基本建立起一整套相对完善和相互衔接的社会保障制度框架,在制度层面上实现了所有应该享受社会保障人群的无缝隙、全覆盖,有力地促进了全市经济快速发展和社会和谐进步,为西部欠发达地区建立和完善社会保障体系探索了有益的经验。     

金融中介服务产出核算方法研究

如何间接测算金融中介服务产出是目前国内外国民经济核算研究的热点问题。联合国SNA（2008）对SNA（1993）的净利息收入法做出了修订,主张采用参考利率来计算,但却面临参考利率难以确定的问题。通过对SNA（2008）的方法进行改进,创新地提出通过计算金融中介服务费率来获得参考利率,并估算了广东的金融中介服务总产出。     

Recruitment and selection services: Efficiency and competitive reasons in the outsourcing of HR practices

While human resource (HR) activities have traditionally been performed internally, the outsourcing of HR practices is a rapidly increasing phenomenon. The accelerated rate of HR outsourcing also corresponds to a sweeping change in which non-transactional activities, such as recruitment, selection and training, are among the most outsourced HR practices. This article investigates the outsourcing decisions of recruiting and selection (R&S). It develops a predictive model based on efficiency drivers, rooted in transaction cost economy (TCE), and competitive motivations, derived from the resource-based view. The model has been tested in a sample of 276 medium and large enterprises in two specific contexts: the outsourcing of administrative R&S practices (job advertisement and pre-screening) and that of the more strategic R&S practices (colloquia and selection). Findings confirm the relevance of both categories of predictors, but they reveal how efficiency motivations are more important for the decisions to outsource administrative R&S practices while competitive issues matter more for the strategic side of R&S activity. Theoretical and managerial implications are offered on the basis of such evidence.     

Redefining Local Government Roles In Public Services

County officials in the seven-county metropolitan area of the State of Minnesota's Twin Cities of Minneapolis and St Paul were seeking to redefine county roles in service delivery. This article reports on a process model that was piloted on two services. The model was commissioned by officials; was based upon and informed by literature and comparative experience; began with an examination of functions performed; involved participants in focusing the study; was context-focused; and involved local stakeholders in projecting the implications of alternative county roles. These characteristics complicated the research management process because the process took more time, involved more actors, and required more coordination than traditional research. However, having stakeholders identify alternatives and bring factual material to the process was critical to the success of the model and including the comparative and contextual research both strengthened the policy conclusions and improved the probability of their adoption and implementation. A case of a Minnesota county that followed the model in an effort to reform water governance within the county illustrated adoption of the approach. The stakeholder analysis process was previously applied in Africa, China and Southeast Asia and the model should be applicable to a wide range of settings and problems.