我国农村合作医疗制度的变迁分析——从公共政策系统与过程的视角

我国农村合作医疗经历了近50年的发展,曾被世界卫生组织和世界银行称为"以最少的投入获得最大健康收益"的中国模式。文章从公共政策的系统要素和过程两方面来考量其制度变迁的进程,分析其繁荣发展和逐渐衰败的内因以及该制度在实施过程中的问题,以期得到有利于新型农村合作医疗制度的发展与完善的启示。     

沿海欠发达地区经济联动开发模式研究——以江苏沿海开发为例

区域经济联动发展作为一种区域经济合作方式,受到密切关注。沿海欠发达地区面对经济高地的压力,要紧紧抓住其发展机遇,充分挖掘自身优势,打造新的经济发展模式,才能赶超经济发达地区。本文在总结国内区域经济联动发展理论与实践的基础上,提出沿海欠发达地区要建立多角度、多层次的经济联动开发模式。首先要实现城市联动,通过不断强化中心城市的集聚、扩散作用和壮大县域经济实力,打造经济中心与腹地经济联动发展的沿海经济圈;其次要实现产业联动,通过传统特色产业与新兴高科技产业联动和陆地产业与海洋产业联动相结合,打造支柱产业与新兴产业联动发展的沿海经济带;还要实现＂港口-城镇-产业＂联动,通过港口与城镇联动和港口与产业联动,打造港口、产业和城镇三位一体的港口经济区。希望可以为沿海欠发达地区的经济发展提供理论依据和借鉴参考。     

Human resources in Sino-foreign joint ventures: selected case studies in Shanghai,compared with Beijing

This article examines HRM in joint ventures (JVs) in Shanghai compared with those in Beijing using a case-study approach. It focuses primarily on issues relating to labour contracts, rewards and benefits, social insurance, trade unions and personnel policies, and describes current developments in China in each of these areas. In order to place these JV human resource practices in context, we also draw on interviews in state-owned enterprises (SOEs) in Shanghai and Beijing. Taking as a starting point a summary of traditional SOE 'iron rice-bowl' ( tie fan wan ) practices in the management of personnel, we ask to what extent HRM in the present JV sample differs from traditional methods and to what extent 'iron rice-bowl' practices continue despite foreign ownership. The extent to which HR practices in JVs are distinct from those in contemporary SOEs is also examined. We conclude that, although, as one would expect, foreign ownership has modified traditional practice, the degree and extent to which this is true varies widely. There is strong evidence of institutional and organizational continuity in 'iron rice-bowl' practices in both JVs and SOEs. Finally we propose a framework for categorizing the companies investigated in terms of their distance from traditional 'iron rice-bowl' HR practices and proximity to 'imported' practices. This consists of two 'pure' and two hybrid categories: pure 'iron rice-bowl'; hybrid I (predominantly local); hybrid II (predominantly imported): and, finally, pure imported. In this schema, the companies examined do not however group neatly according to whether they are JVs or SOEs.     

Conditions influencing the adoption of a soda tax for public health: Analysis of the French case (2005–2012)

Although over 40 jurisdictions have adopted a tax on sugar-sweetened beverages (SSBs) for public health worldwide, it is still debated in many places. Policy processes can influence the prospect of an SSB tax, its design and its public health benefits. To get an insight into such processes, we undertook a case study of the soda tax enacted in France on the 1^st of January 2012. Newspaper articles (2003–2013) and institutional documents (2007–2012) were identified using keywords and search engines. Qualitative data extraction and analyses were performed on a thematic and chronological basis, with guidance from Kingdon’s multiple streams theory (MST). Triangulation was enhanced by using complementary sources. This study shows that in August 2011, the French government surprisingly announced a €3.58 cent/L excise tax on SSBs, excluding juices with no added sugars and non-calorically sweetened beverages (NCSBs). As part of a large budgetary plan, the proposal aimed to reduce SSB consumption and raise revenue that was earmarked for health care. Several conditions contributed to opening a policy window: The announcement occurred in the context of severe budgetary deficits; soda tax scenarios had already been discussed at a high level; and the bill was supported by convinced political leaders. Subsequently, the tax successfully passed through the legislative process due to a series of unexpected events, but its public health rationale and design were weakened. The first event was the disorganised reaction by the food industry, despite their sharp opposition to the tax. The next event was the support of the soda tax that came from a majority of Deputies, provided that the revenues would serve another purpose: relieving wage costs in the farming sector. Finally, policy entrepreneurs favoured a compromise to make the tax politically acceptable and legally viable: The tax rate doubled, the scope was extended to NCSBs and revenues were split between health care and agriculture. This study sheds light on influence factors that could be taken into account by public health actors willing to influence soda tax policy processes.     

Investigating menu kilojoule labelling policy adoption from a political science perspective

Implementation of internationally recommended policy options for obesity prevention has generally been slow and inadequate globally, and, as such, it is important to understand barriers and enablers to policy action in the area. This study aimed to apply political science theories to understand influences on the adoption of Menu Kilojoule Labelling Legislation in Victoria, Australia over the period 2009–2017. Data collection included 13 in-depth semi-structured interviews with participants of the policy development and decision-making processes, analysis of 68 policy documents, and field note observations. Data were analysed using established political science theories: the Advocacy Coalition Framework (ACF) and the Multiple Streams Theory (MST). There were numerous and interrelating factors that influenced the Menu Kilojoule Labelling Legislative policy processes. Barriers to policy reform included electoral turnover, a dominance of neoliberal ideology, and policy maker concerns regarding potential food industry backlash. Key enablers to eventual policy change included the accumulation of evidence on policy effectiveness and feasibility of implementation, increased recognition of the importance of tackling the issue, as well as reductions in political risks achieved, in part, through relatively long consultation and negotiation processes. Findings highlight several tactics that can be used to secure similar policy change in future, including generation, dissemination and translation of implementation evidence, effective mobilisation of supporters, and negotiation and consultation processes that can reduce the degree of opposition to proposed policies.     

The long overhang of bad decisions in agro-industrial development: Sugar and tomato paste in Ghana

In theory, learning from past mistakes should result in adapted and improved development policy. However policy learning can be difficult to achieve, and the link between learning and policy change is neither direct nor immediate. In this study we look at learning in agro-industrial policy in Ghana, by tracing the interest in sugar production and tomato processing over six decades. Specifically we ask why four failed factories established in the early 1960s have continued to play central roles in both policy and public discourse. Using policy documents, academic material, and the popular press, we show that Ghana’s policy focus on sugar production and tomato processing has endured, despite the fact that the factories were misconceived, poorly sited, ill-equipped and poorly managed. Indeed, the political ideas that underpinned the establishment of these factories in the early days of independence can be seen in the current One District, One Factory policy. We suggest that it is their symbolic and political value, not their economic value, which keeps the discussion around these factories alive. Even when shut down, they are a physical manifestation of historic commitments by the state, and as such they guarantee the attention of politicians, and hold out hope of a next re-launch. Unfortunately as long as the factories continue to be incorporated into each new generation of agro-industrial policy, it is difficult for any alternatives to gain traction. This analysis highlights the very long overhang of bad decisions, particularly when they are associated with physical infrastructure. Learning from past mistakes will only happen if the short-term political cost of turning policy learning into policy action can be overcome.     

美联储加速退出量化宽松货币政策的影响及对我国的启示

受2013年6月美联储表态将逐步退出量化宽松货币政策的行为及其预期的影响,全球金融市场发生了剧烈地动荡,而美联储退出量化宽松货币政策的步伐却并未由此止步.这不仅会作用于美国的经济增长路径,同时也必将会使得以中国为代表的新兴市场经济体国家遭受美联储退出量化宽松货币政策的外溢性风险.文章就当前美联储退出QE预期及步伐加速的背景下,分析了美联储退出QE对全球经济的影响,以及从实体经济传导和金融市场传导层面探讨了对我国经济的影响,并认为美联储退出QE对我国而言既是一种挑战,也是一种机遇,并最终提出了以“保持稳定”为目标的防范美联储退出量化宽松货币政策溢出风险的对策建议.     

Interplay between internal investment and alliance specialization in R&D and marketing

A firm's efforts to build its technological and marketing capabilities are not limited to internal investments but can be extended to include external knowledge acquisitions. We examine the interaction between a firm's specialization in R&D or marketing through its internal investments and its alliances in two different industrial contexts. Our results, based on secondary data sources such as Compustat and SDC Platinum from 1985 to 2009, show that the interaction effects of internal specialization and alliance specialization are contingent on the types of tasks (i.e., R&D and marketing) and the industrial context (i.e., high- and low-tech industries). Our findings indicate that a firm in a high-tech industry is able to achieve greater gains by complementing its internal focus on R&D with its external focus on marketing or by focusing on R&D both internally and externally. In contrast, a firm in a low-tech industry is able to achieve greater performance when R&D and marketing complement each other, without regard for how they are aligned through internal investments and alliances. The firm is also able to improve its performance by focusing on marketing both internally and externally. These findings provide new insights into the complementarity between internal investments and alliances.     

Policy analysis and advocacy for livestock-based development: The gap between household-level analysis and higher-level models

The dichotomy in approaches to policy analysis for developing countries’ livestock sectors is presented. Substantial experience and information generated from a large number of household-level studies is not being utilised by macro- and aggregate models which fail to recognise heterogeneity, dynamics and fundamental drivers of change in livestock systems. Household-level studies are not standardised and rarely identify and characterise key drivers and mechanisms for exploiting heterogeneity in policy analysis. The paper provides an overview of a set of six papers contained in a special edition which define and address this gap in analytical approaches and identify aspects of the way forward. Evidence is presented of inconsistencies and practicalities which emphasise the gap, but all papers present evidence of integrative progress and list opportunities for accelerating it. Constraints on the subject matter are outlined and a challenge to livestock policy analysts is made.     

Integrating livestock feeds and production systems into agricultural multi-market models: The example of IMPACT

The various ways in which livestock production systems can be incorporated into economic, partial-equilibrium, multi-market models are presented, and the challenges outlined. A particular focus and illustrative case is livestock feed. Foremost among the challenges is the reconciliation of scientific understanding of livestock feed requirements and production characteristics with the available national data. Another challenge is in estimating herd structures. An economic, multi-market modeling approach is presented which has been widely used in policy analysis and advocacy, and an account is given of the necessary recent enhancements for addressing livestock.