Given certain reactions to the ecological crisis as part of the multiple crisis of capitalism (like the so-called energy transition in Germany), a new mode of development might emerge which can be called green capit...Given certain reactions to the ecological crisis as part of the multiple crisis of capitalism (like the so-called energy transition in Germany), a new mode of development might emerge which can be called green capitalism. This would shift the terrain of social critique and emancipatory social struggles. The paper introduces the debate on "social-ecological transformation" which emerged as a radical part of a more comprehensive debate on "great" or "societal transformation" and high- lights its core issues: the issue of a necessary attractive mode of production and living for all, the role of pioneers of change and changing political and economic institutions, the acknowledgment of shifting social practices, the requirement for alternative imaginaries or "stories" of a good life as part of a contested process which is called "futuring." As an example for alternative imaginaries, the current debate on "degrowth" is outlined and evaluated. The second part of the paper focuses more concretely on issues around the formation and existence of a global green-left. After mentioning a crucial problem for any global alternative--i.e., the structural feature of economic and geopolitical competition which historically divided the global Left and pulled it into compromises at national or regional scales--four requirements or characteristics of a global green-left are highlighted: to weaken and change capitalistically driven competition and competitiveness, to push a social-ecological transformation in democratic ways and not at the back ofordinary people (like conservative and liberal proposals for transformation tend to do), to link more systematically green issues with labor issues and, finally, to transform the overall dispositive of political action from a "distributive" to a "transformative Left." One dimension of such an enhancement, it is concluded, is a broader understanding of the "economy" itself by acknowledging the demands and achievements of a "care revolution" which will be crucial for an alternative mode of production and living.展开更多
Under the background of economic globalization, the competitiveness of a country or a region depend no more on traditional basic elements,but on senior ones whose characteristic is high technology, especially on the c...Under the background of economic globalization, the competitiveness of a country or a region depend no more on traditional basic elements,but on senior ones whose characteristic is high technology, especially on the capability of technique innovation and hi - tech industrialization. Venture capital is the seedbed for hi - tech industry and is most suitable for the growth of hi - tech industry. Second - board market and investment banks are also vital factors for the commercial running of high - tech industry. Thus develop high technology and quicken its industrialization is an imprortant way to raise competitiveness of China. To obtain that goal, we must establish such a mechanism that integrated venture capital,second - board market and investment bank as one to form the institutional foundation for hi - tech industrialization.展开更多
背景浙江省嵊州市自2022年8月起开展医疗保险门诊支付方式改革,通过实施总额预算、更新人头费测算标准、改进激励约束机制等政策逐步开展按人头付费改革,激励基层医疗卫生机构提供适宜的基本医疗服务,降低基层医疗费用支出,促进医疗保...背景浙江省嵊州市自2022年8月起开展医疗保险门诊支付方式改革,通过实施总额预算、更新人头费测算标准、改进激励约束机制等政策逐步开展按人头付费改革,激励基层医疗卫生机构提供适宜的基本医疗服务,降低基层医疗费用支出,促进医疗保险基金的可持续发展。目的分析浙江省嵊州市基本医疗保险门诊按人头付费政策对基层医疗卫生机构费用的影响机制,为完善相关支付制度提供参考。方法于2022年4—7月,以“capitation”“medical costs”等为英文检索词,以“按人头付费”“医疗费用”等为中文检索词,检索2000-01-01—2022-07-31 PubMed、Web of Science、中国知网、万方数据知识服务平台等数据库中与按人头付费相关的文献,同时梳理嵊州市实行按人头付费相关的政策文件、政府报告及新闻报道等;于2022年9—12月,对嵊州市按人头付费政策制定与实施者代表进行个人访谈(n=13)。采用系统动力学方法对浙江省嵊州市门诊总额预算下按人头付费改革政策对费用的影响机制进行定性分析。结果将嵊州市本轮医疗保险支付方式改革的政策绘制成因果关系图,得到5条反馈回路。结果显示:按人头总额预算政策的实行能激励基层医疗卫生机构为居民提供规范的医疗服务,促进提高基层签约率,从而控制医疗费用支出;科学的人头费用标准能够激励基层医疗卫生机构自主控制医疗费用;提高医疗保险报销比例,可以切实减轻患者就医负担;完善绩效考核制度,有利于持续提升基层医疗卫生机构服务能力;加强信息共享机制的建设,实现数据共享互通,能整体性地提高居民的健康水平。结论实施按人头付费改革配合多项政策措施,能够提高基层签约率和就诊率,拓宽医疗保险基金来源,保证医疗保险基金的可持续性,提高基层医疗卫生机构的医疗水平和服务能力,改善居民健康状况,最终有利于改善慢性病的防治效果。展开更多
The article aims to highlight the topicality of the old controversy between Werner Sornbart and Max Weber upon the origins of Western capitalism. Is its emergence explained by an universal passion for luxury and money...The article aims to highlight the topicality of the old controversy between Werner Sornbart and Max Weber upon the origins of Western capitalism. Is its emergence explained by an universal passion for luxury and money or by the advent of new religious forms favorable toward saving and investment? The article shows that what characterizes capitalism today is the extreme variety of the life forms, and therefore the fragmentation of the forms of personality, which can favor capitalism or be absorbed in it. This observation provides the means to evaluate, with a fresh look, the conclusions of one of the most famous and constitutive discussions in the history of modern European sociology.展开更多
The basic frameworks of sustainable livelihood, vulnerability, or social exclusion fail to effectively combine structural and individual paradigms of poverty research ; they only provide insufficient analysis of inter...The basic frameworks of sustainable livelihood, vulnerability, or social exclusion fail to effectively combine structural and individual paradigms of poverty research ; they only provide insufficient analysis of internal interaction be- tween structural and individual factors that lead to poverty. Based on the "embedded" correlation of action and struc- ture, through the study of livelihood capital conversion (exchange action) , analysis of how regional exchange system af- fects the conversion of livelihood capital and explanation of livelihood risks and the influence of state system on conver- sion will integrate the essential viewpoints the three frameworks. The significance of constructing the "action- struc- ture" analytical framework of multidimensional poverty lies in the following findings : obtaining the benefits of livelihood capital by means of converting livelihood capital is the intrinsic motivation of sustainable livelihood ; the exchange action embed into regional exchange system is constrained by the nature of exchanges ; the ability of livelihood capital conver- sion is the core ability to respond to livelihood risks; the dependence on livelihood capital conversion maintains social stratification and leads to social exclusion ; and whether state institutions are fair and just is vital to maintaining social ex- clusion or promoting social integration.展开更多
The transcultural communication that characterizes our times needs to be carried out in a few commonly shared languages and this requirement has sharpened the awareness about uneven language status. While defenders of...The transcultural communication that characterizes our times needs to be carried out in a few commonly shared languages and this requirement has sharpened the awareness about uneven language status. While defenders of minor languages frequently make use of such concepts as ecosystem, human rights, capital, power, imperialism, etc. To express alarm at the spread of the English language in the present world, researchers tend to forget that these concepts applied to languages are only metaphors which, taken at their face value, would conceal the non- exclusive nature of language as a communicative instrument. A question is raised as to whether we should go beyond an essentially nationalist perception of language inherited from the nineteenth century.展开更多
文摘Given certain reactions to the ecological crisis as part of the multiple crisis of capitalism (like the so-called energy transition in Germany), a new mode of development might emerge which can be called green capitalism. This would shift the terrain of social critique and emancipatory social struggles. The paper introduces the debate on "social-ecological transformation" which emerged as a radical part of a more comprehensive debate on "great" or "societal transformation" and high- lights its core issues: the issue of a necessary attractive mode of production and living for all, the role of pioneers of change and changing political and economic institutions, the acknowledgment of shifting social practices, the requirement for alternative imaginaries or "stories" of a good life as part of a contested process which is called "futuring." As an example for alternative imaginaries, the current debate on "degrowth" is outlined and evaluated. The second part of the paper focuses more concretely on issues around the formation and existence of a global green-left. After mentioning a crucial problem for any global alternative--i.e., the structural feature of economic and geopolitical competition which historically divided the global Left and pulled it into compromises at national or regional scales--four requirements or characteristics of a global green-left are highlighted: to weaken and change capitalistically driven competition and competitiveness, to push a social-ecological transformation in democratic ways and not at the back ofordinary people (like conservative and liberal proposals for transformation tend to do), to link more systematically green issues with labor issues and, finally, to transform the overall dispositive of political action from a "distributive" to a "transformative Left." One dimension of such an enhancement, it is concluded, is a broader understanding of the "economy" itself by acknowledging the demands and achievements of a "care revolution" which will be crucial for an alternative mode of production and living.
文摘Under the background of economic globalization, the competitiveness of a country or a region depend no more on traditional basic elements,but on senior ones whose characteristic is high technology, especially on the capability of technique innovation and hi - tech industrialization. Venture capital is the seedbed for hi - tech industry and is most suitable for the growth of hi - tech industry. Second - board market and investment banks are also vital factors for the commercial running of high - tech industry. Thus develop high technology and quicken its industrialization is an imprortant way to raise competitiveness of China. To obtain that goal, we must establish such a mechanism that integrated venture capital,second - board market and investment bank as one to form the institutional foundation for hi - tech industrialization.
文摘背景浙江省嵊州市自2022年8月起开展医疗保险门诊支付方式改革,通过实施总额预算、更新人头费测算标准、改进激励约束机制等政策逐步开展按人头付费改革,激励基层医疗卫生机构提供适宜的基本医疗服务,降低基层医疗费用支出,促进医疗保险基金的可持续发展。目的分析浙江省嵊州市基本医疗保险门诊按人头付费政策对基层医疗卫生机构费用的影响机制,为完善相关支付制度提供参考。方法于2022年4—7月,以“capitation”“medical costs”等为英文检索词,以“按人头付费”“医疗费用”等为中文检索词,检索2000-01-01—2022-07-31 PubMed、Web of Science、中国知网、万方数据知识服务平台等数据库中与按人头付费相关的文献,同时梳理嵊州市实行按人头付费相关的政策文件、政府报告及新闻报道等;于2022年9—12月,对嵊州市按人头付费政策制定与实施者代表进行个人访谈(n=13)。采用系统动力学方法对浙江省嵊州市门诊总额预算下按人头付费改革政策对费用的影响机制进行定性分析。结果将嵊州市本轮医疗保险支付方式改革的政策绘制成因果关系图,得到5条反馈回路。结果显示:按人头总额预算政策的实行能激励基层医疗卫生机构为居民提供规范的医疗服务,促进提高基层签约率,从而控制医疗费用支出;科学的人头费用标准能够激励基层医疗卫生机构自主控制医疗费用;提高医疗保险报销比例,可以切实减轻患者就医负担;完善绩效考核制度,有利于持续提升基层医疗卫生机构服务能力;加强信息共享机制的建设,实现数据共享互通,能整体性地提高居民的健康水平。结论实施按人头付费改革配合多项政策措施,能够提高基层签约率和就诊率,拓宽医疗保险基金来源,保证医疗保险基金的可持续性,提高基层医疗卫生机构的医疗水平和服务能力,改善居民健康状况,最终有利于改善慢性病的防治效果。
文摘The article aims to highlight the topicality of the old controversy between Werner Sornbart and Max Weber upon the origins of Western capitalism. Is its emergence explained by an universal passion for luxury and money or by the advent of new religious forms favorable toward saving and investment? The article shows that what characterizes capitalism today is the extreme variety of the life forms, and therefore the fragmentation of the forms of personality, which can favor capitalism or be absorbed in it. This observation provides the means to evaluate, with a fresh look, the conclusions of one of the most famous and constitutive discussions in the history of modern European sociology.
文摘The basic frameworks of sustainable livelihood, vulnerability, or social exclusion fail to effectively combine structural and individual paradigms of poverty research ; they only provide insufficient analysis of internal interaction be- tween structural and individual factors that lead to poverty. Based on the "embedded" correlation of action and struc- ture, through the study of livelihood capital conversion (exchange action) , analysis of how regional exchange system af- fects the conversion of livelihood capital and explanation of livelihood risks and the influence of state system on conver- sion will integrate the essential viewpoints the three frameworks. The significance of constructing the "action- struc- ture" analytical framework of multidimensional poverty lies in the following findings : obtaining the benefits of livelihood capital by means of converting livelihood capital is the intrinsic motivation of sustainable livelihood ; the exchange action embed into regional exchange system is constrained by the nature of exchanges ; the ability of livelihood capital conver- sion is the core ability to respond to livelihood risks; the dependence on livelihood capital conversion maintains social stratification and leads to social exclusion ; and whether state institutions are fair and just is vital to maintaining social ex- clusion or promoting social integration.
文摘The transcultural communication that characterizes our times needs to be carried out in a few commonly shared languages and this requirement has sharpened the awareness about uneven language status. While defenders of minor languages frequently make use of such concepts as ecosystem, human rights, capital, power, imperialism, etc. To express alarm at the spread of the English language in the present world, researchers tend to forget that these concepts applied to languages are only metaphors which, taken at their face value, would conceal the non- exclusive nature of language as a communicative instrument. A question is raised as to whether we should go beyond an essentially nationalist perception of language inherited from the nineteenth century.