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基于结构—过程分析的分级诊疗现存问题探讨 被引量:4
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作者 余昌胤 舒涛 +2 位作者 陈玲丽 魏来 刘仕方 《中国医院管理》 北大核心 2016年第4期8-10,共3页
分级诊疗作为深化医药卫生体制改革的重要举措,是实现有序就医的基础。基于结构—过程视角,从结构性约束、行为主体利益关联、社会互动、历时动态变化等方面分析我国分级诊疗中存在的医疗资源缺乏整合、医疗机构间缺乏良性互动、医保支... 分级诊疗作为深化医药卫生体制改革的重要举措,是实现有序就医的基础。基于结构—过程视角,从结构性约束、行为主体利益关联、社会互动、历时动态变化等方面分析我国分级诊疗中存在的医疗资源缺乏整合、医疗机构间缺乏良性互动、医保支付制度不完善及医患间互动运行偏差等问题,并从结构和过程两方面提出加强分级诊疗体系建设和完善运行机制的建议,在保障病人利益的前提下引导有序就医,促进分级诊疗的顺利实施。 展开更多
关键词 医疗机构 分级诊疗 结构—过程分析 资源整合
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结构—过程—文化:基层社会治理精细化刚性趋向的原因分析 被引量:5
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作者 郝宇青 王谢平 《江西师范大学学报(哲学社会科学版)》 CSSCI 北大核心 2022年第6期27-35,共9页
从全国范围内来看,基层社会治理精细化的实践已有不少探索,积累了一定的经验。但是,在一些地方的基层社会治理精细化的实践中,却出现了与柔性治理要求相背离的刚性化的趋向。从“结构—过程—文化”三个维度分析基层社会治理精细化实践... 从全国范围内来看,基层社会治理精细化的实践已有不少探索,积累了一定的经验。但是,在一些地方的基层社会治理精细化的实践中,却出现了与柔性治理要求相背离的刚性化的趋向。从“结构—过程—文化”三个维度分析基层社会治理精细化实践刚性趋向的原因,可以归结为:在基层社会治理的结构层面,条块关系结构中的属地化现象、基层社会治理结构的复杂化、基层干部队伍尤其是居/村干部中较高的流动性;在基层社会治理的过程层面,基层社会治理政策的碎片化、基层社会治理实施的运动化、基层社会治理实施的指标化;在基层社会治理的文化层面,呈现出的理性化与技术化的特征,等等。基层社会治理精细化的刚性趋向,非但背离了基层社会治理精细化的要求,而且有害于基层社会治理精细化的实践,因而必须加以检讨和纠偏。 展开更多
关键词 基层社会治理 精细化要求 刚性趋向 结构—过程—文化”分析
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Product risk reduction using consensus theory
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作者 Harry Katzan, Jr. 《Chinese Business Review》 2009年第12期36-43,共8页
Product analytics is a blend of computational methods with the express purpose of facilitating the multifaceted process of decision-making based on demographic and consumer preferences. This complex subject is derived... Product analytics is a blend of computational methods with the express purpose of facilitating the multifaceted process of decision-making based on demographic and consumer preferences. This complex subject is derived from consensus theory and includes structured analytics, categories, and the combination of evidence. The methodology is applicable to a wide range of business, economic, social, political, and strategic decisions. The paper describes a product allocation application to demonstrate the conceots. 展开更多
关键词 categorical analysis consensus theory Dempster's rule ANALYTICS Dempster-Shafer theory
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Deformation Analysis Due to Early Loading of Concrete Buildings
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作者 Romildo Alves Berenguer Fernando Artur Nogueira Silva Joao Luiz de Melo Ramos Fabio Cameiro Lourenco Pryscylla Femanda Silva Chaves Ana Cecilia Ferreira Leite 《Journal of Civil Engineering and Architecture》 2016年第6期690-695,共6页
The building industry has experienced in recent years a strong growth in demand in general and in the case of reinforced concrete buildings this increase has been more marked. This fact has also contributed to acceler... The building industry has experienced in recent years a strong growth in demand in general and in the case of reinforced concrete buildings this increase has been more marked. This fact has also contributed to accelerate all stages of the production process of these constructions with more pronounced effects on the methodologies used in the constructive steps that influence directly the structural design of the building. Structures loaded at ever earlier ages, in which the strength and deformation properties of materials are not yet sufficiently mature. It is a variable that needs to be taken into account already in the design phase so that the concrete structure behaves within acceptable level of reliability taking into account design code recommendations for service life. To understand the importance of constructive effects and to assess its magnitude in the execution of reinforced concrete buildings, this paper presents result from nonlinear analyses using finite element method adopting an approach commonly referred as staged construction applied to a typical building found in the practice. The effects of creep and shrinkage were considered and the results obtained demonstrate that the strains due to constructive effects can, in certain cases, assume representative values which, if ignored, can lead to important pathologies in the building. 展开更多
关键词 Reinforced concrete buildings constructive effects staged construction CREEP shrinkage.
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