Institutional design and the closure of public facilities in transition economies

As part of the reforms of their systems for financing and delivering health care, many transition economies, particularly in central and eastern Europe, have adopted national insurance funds that are institutionally separate from ministries of health. Most of these countries have also grappled with the problem of restructuring the delivery system, especially the need to reduce hospital capacity. Although improving the performance of medical care providers through a shift from passive budgeting to explicitly incentive mechanisms is important, why this change in financial relations between the government and providers could not be implemented simply by reforming the role of health ministries is not obvious. This paper presents an explicit rationale for the separation of powers between the regulator (the ministry of health) and the financing body (the insurance fund), based on the inability of a single agency to commit to closing hospitals. JEL classification: L51, P20, P35, I18.     

开架借阅在中小型图书馆中的应用与分析

本文分析了开架供阅的利弊,例举了在高校中、小型图书馆中开架的实际表现,指出以开架为主,开架与闭架相结合的体制将为大多数图书馆所接受。     

The Challenge of Humanistic Economics

The Center for Medicare and Medicaid Services (CMS) created the Hospital Compare Program in 2003 to increase transparency between healthcare providers and consumers. Implemented in 2005, this transparency consists of hospitals' collecting and making publicly available a set of hospital quality score measures. The CMS induced participation by financially penalizing hospitals that did not publicly report a specific subset of these measures (called “starter” measures). Three years into the program, the penalty for non-reporting both the starter measures and other (“non-starter”) measures was increased. I use a difference-in-differences methodology to analyze the effect of the increased CMS penalty on the likelihood that a hospital publicly reported its starter and non-starter measure scores. I find that the penalty had an economically and statistically insignificant effect on the probability that a hospital publicly reported its starter scores, but a statistically significant 8.0 percent effect (p-value<0.01) on whether it reported its non-starter scores. These findings are robust to a series of alternative empirical specifications.     

浅析网络环境下的高校图书馆服务工作

图书馆怎样利用现代化高速发达信息环境发展图书馆服务工作？     

高校图书馆网络环境下馆藏特色化建设的策略

网络环境下，高校图书馆应继续重视馆藏建设，并从特色化入手，加强收藏职能，做到可持续发展。     

新建应用型本科院校图书馆的文献资源建设

图书馆文献信息资源要符合新建应用型本科院校的定位,应用型本科院校的办学定位应该立足自身特色,培养高素质应用型人才。新建应用型本科院校图书馆的文献要有自身特色,要把最能代表本校特色的文献作为资源建设重点,本校特色专业的文献要尽量全面收集,形成独特的馆藏优势。同时应广泛收集能提高学生素质的文献。     

高校图书馆流通部创新建设探析

文章从高校图书馆流通部创新建设的重要性出发,论述了图书馆流通部存在的问题和面临的挑战,进而提出了流通部创新建设需要从领导管理观念到位、加强团队建设,提升竞争力、健全制度,提升馆员工作动力、人力资源建设,培养学术骨干,树立学术形象、下功夫提高服务质量这五个方面来实施,使得流通部门进一步做好本职工作,更好的为广大读者服务。进而,提升图书馆流通部的核心竞争力。     

高职院校如何深入拓展图书馆特色资源数字化建设

高职高专院校利用学校自身的办学特色、结合行业特点,有针对性地对特色资源进行数字化建设,是图书馆打造差异化的核心竞争力,避免特色资源数字化建设同质化的重要途径。建设过程除了要注意特色资源数据库的整合,网上资源特色化馆藏开发,建立标准化数据库;还要全面统筹规划,注意知识产权等问题。     

农民工城镇医疗保险与新型农村合作医疗的衔接

现阶段我国正加强社会保障的制度建设.在城镇,今后社会保障的一个重要内容是将农民工纳入社会保险,首先保障其大病(住院)医疗和工伤;在农村,正试点新型农村合作医疗,主要通过大病统筹的方式解决农民的医疗风险.农民工是一特殊群体,他们多数流动于城市和农村之间.他们是只参加城镇的社会医疗保险体系或新型农村合作医疗?抑或可以两者同时参加?本文作者根据大量的调查和我国社会保障制度的设计,提出了自己的观点:鉴于两者的保障程度有限,近期不宜作出硬性规定,两者的结合可以提高农民工医疗保障的程度.