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.     

乡镇企业与小城镇良性互动的对策思考

发展乡镇企业和小城镇,是中国解决农业、农村、农民问题的两个重大战略和根本方针,而二者又是互相影响、相互制约的。它们的协调发展对发展农业、富裕农民、繁荣农村、实现国民经济的快速健康发展具有重要意义。应坚持保护农业和农民利益、市场化、法制化等原则,从宏观和微观方面采取得力措施,实现二者的良性互动。     

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”。     

充分利用上市公司资源 促进国有企业改革

控股母公司对上市公司的不断注资扩股，在壮大上市公司实力的同时，实现自身整体股份化的过程，这为有母公司背景的上市公司的发展和控股母公司股份制改革提供了一种全新的发展模式。对这种模式探讨具有一定的代表性，对于这类公司来说，通过这种模式实现资本扩张，将是一条低成本、高效益、规范化、确实值得探索的国企改革之路。     

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.     

日本循环经济的运作方式及启示

日本是世界上最早探索循环经济发展模式的国家之一,也是循环经济立法最全、资源循环利用率最高的国家。日本发展循环经济是客观资源条件、经济快速增长和实现可持续发展的要求,多年来,在循环经济的实践中取得了很大的成绩,积累了丰富的经验。目前我国已充分认识到发展循环经济的重要性,日本在建立循环型社会方面的运作方式给我们提供了经验和启示。     

人力资源管理与农村信用社可持续发展的关系

实现可持续健康发展是农村信用社摆脱困境、赢得主动的第一要务,而实现可持续发展与人力资源战略密切相关。文章通过分析人力资源管理与农村信用社可持续发展的关系,和相互协调作用。阐明了人力资源管理推动农村信用社发展的积极方面和效应,提出现代农村信用社可持续发展对现代人力资源管理的要求。     

中国矿产资源开发及社会影响

我国矿业已得到了很大发展，但在矿产资源的开发利用及管理中仍存在许多问题。本文深刻分析其成因，认为观念陈旧，矿法宣传不够，矿法的实施没能落到实处，管理体制改革滞后，技术落后，采、选、冶回收率低，运行机制不合理等是主要原因。应该采取积极、配套的措施，切实解决实际存在问题：即进一步加大矿法宣传力度，理顺矿业管理体制；实行持证开采、经营；强化执法手段；加强地质勘查工作；采用先进的开采技术，保护矿产资源，保护我们的环境，促进经济的发展。