Exploring the customer's intention to switch firms: The role of customer‐related antecedents

This study examined the customer‐related antecedents of the customer's intention to switch firms. Customer citizenship behavior was a key element in this study. Scholars have extensively studied the antecedents of customer citizenship behavior. However, the way that customer citizenship behavior relates to other attitudinal variables and the intention to switch has scarcely been analyzed. The proposed hypotheses were verified using partial least squares variance‐based structural equation modeling applied to 947 users of beauty care service firms in five countries. The results suggest that customer citizenship behavior is an antecedent of satisfaction, trust, and attitudinal loyalty. Two of these variables influence customers’ intentions to abandon relationships with the service provider. The implications of these findings enhance managers’ and scholars’ understanding of the determinants of customers’ intentions to switch firms.     

A Gendered Model of the Peasant Household: Time poverty and Farm Production in Rural Mozambique

Using insights from a case study on the allocation of labor in subsistence households in Mozambique, this study develops a conceptual framework for examining linkages between time poverty and farm production. An unexpected event such as a health crisis increases the demand for labor provided by women, thus making them more time poor. The model and numerical simulations show that a deterioration in a woman's time constraint will have an adverse effect on agricultural output of the household. This occurs because most women respond to an increase in household work by reducing their work hours on the farm and by reducing their leisure time. The latter outcome is expected to have a negative effect on women's physical and mental health, which will then cause a decline in their productivity on the farm.     

社会医疗保险对老人临终医疗服务利用的影响

本文利用2002-2014年CLHLS死亡人口数据,借助样本选择模型、两部分模型和bootstrap中介效应检验方法,首次比较全面深入地分析了社会医疗保险对老人临终总医疗费用支出和自负医疗费用支出的影响。研究发现,我国社会医疗保险既显著提高了老人临终医疗服务利用,也显著降低了自负水平。不同类型的社会医疗保险对临终医疗服务利用影响存在差异,医疗保险类型对临终医疗服务利用具有直接效应,医疗保险水平发挥了中介作用。医疗保险覆盖率在死亡年份影响临终医疗服务利用中发挥了中介作用。我国应该通过实行健康老龄化战略、加强死亡教育、发展临终关怀和完善医保监管等措施控制临终医疗支出增长以促进医疗保险可持续发展,并提升临终老人生存和死亡质量。     

基于供需平衡的社会型长期护理保险缴费水平研究——以 长 沙 市 为 例

在界定老年人失能状态的基础上,将多状态马尔可夫模型与ILO筹资模型相结合,构建了一个供需平衡下的社会型长期护理保险缴费模型。同时,对50岁及以上各年龄段人群的健康状态转移概率矩阵进行估计,结合人口数据估算和预测未来处于不同失能状态的人口数量;并对长沙市未来缴费人口和社会平均工资水平进行预测,估算了未来长沙市社会型长期护理保险缴费水平。     

美国医疗保健模式及其改革

由于倡导自由市场经济的文化和社会背景,美国是唯一没有实行全国统一的医疗保障制度的发达国家。本文对美国医疗保险制度、美国医院的管理运行机制、美国医疗保险付费方式的沿革进行了系统的介绍,并梳理了美国医疗保健管理模式的特点与问题,结合奥巴马政府医疗保健改革要点,对我国医疗保健体系改革提出了几点建议。     

Making compassion count: equal recognition and authentic involvement in mental health care

Compassionate care within mental health services is often taken for granted as something that can be made visible and authentic. However, recent government reports and policy suggest that we are far from providing compassionate care and may be more focused upon risk and surveillance. This paper will discuss the visibility of compassionate care and explore outcomes that consumers and practitioners could measure in practice. Separating the fact from fiction within compassionate care will make authentic involvement practices more visible and open to discussion around consumer collaboration. In a qualitative analysis of a small study with mental health consumers, compassion was found to be a major factor in whether consumers became more involved in their own health care. Demonstrating compassionate care may therefore also demonstrate consumer participation and engagement. This paper will argue that compassionate care can be observed in the relationships between practitioners and consumers that are collaborative and use presence and persistence as methods of practice. Emancipatory practices can be made more visible in mental health care in order to make compassion measurable and to encourage consumer participation and engagement.     

消毒供应中心护士绩效考核实施方案的探索

目的:探索消毒供应中心护士绩效考核实施的方案,以提高护理工作的效率和护理服务质量。方法:通过对消毒供应中心护士制定综合考核、专业岗位考核、护理工作量考核、加分项目考核措施,调动护士工作的积极性及主动性,提高护理工作效率及护理服务质量。结果:实施本方案后护理技术操作合格率>98%,文件书写合格率>98%,消毒隔离合格率>99%,无菌物品供应率100%,临床科室对我科满意率>98%,护理人员工作积极主动,对自身满意度较以前明显提高。结论:增强了护理人员的积极性,责任心及危机感,使消毒供应中心护理质量得到了明显提高。     

关于进一步做好“情系农民、爱心捐书”活动的思考——以东阳市图书馆为例

"情系农民、爱心捐书"是东阳市实施的文化惠农工程。迄今为止,效果并没有预期那样的显著。为了工作的进一步开展,笔者从部门联动、拓宽思路、有效管理、构建网络等方面,提出了自己的思想和建议。     

我国政府购买居家养老服务保障现状与问题思考

政府购买居家养老服务保障模式作为实现政府、市场和社会三位资源整合的新型养老方式是迎接人口老龄化到来的优势养老选择,在国外和港台地区已经获得迅速发展并建立了长效运行机制。相比而言,当前我国政府购买居家养老服务事业正处于起步阶段,虽然部分地区已进行了有益的实践探索和总结,但服务的购买方、供给方、需求方都还面临着诸多困境：服...