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101.
利益主体视角下的西部新农合制度运行困境分析 总被引:1,自引:0,他引:1
孟宏斌 《中国人口.资源与环境》2011,21(8)
实现新农合制度设计的初衷目标、提升制度的惠农政策效果,是亟待解决的重大现实问题.为探寻制度实施效果与设计预期目标的偏差,科学厘清出影响西部新农合惠农政策效果的主要因素,本文基于西部10省区17县(区)的780份农户调研数据及相关统计数据,从医(医疗服务机构)、患(参合农民)、保(医疗保障机构)、管(政府)四方利益主体的视角,对西部新农合制度运行中的困境进行剖析.研究结果表明,既有的新农合制度运行框架模式,会陷入医疗服务机构行为扭曲与服务供给可及性差并存、医疗保障机构经办能力不足与保障效果欠佳并存、政府市场化导向与公共服务职能缺失并存、农民参合意愿强烈与被动参合并存的运行困境.三方强势主导形成的主体间利益失衡,必然影响到新农合的持续运行发展.因此,在新农合制度由试点普及向规范持续运行转轨的关键时期,必须以激励约束机制为突破,构建利益相关主体的协同联动改革机制,有效调动运行主体的积极性,实现新农合制度的持续运行. 相似文献
102.
通过野外实地调查发现,青藏工程走廊昆仑山口-清水河段发育的主要地质灾害隐患点有活断层儒移引起路基位错;活断裂作为导水通道,使冰丘穿刺路基;河岸坍塌导致铁路桥墩外露;铁路工程排水沟渗漏,铁路路基两侧水动力条件发生变化,导致铁路路基发生管涌;冻土冬季冻胀,夏季融沉导致路基裂缝、道路翻浆、管道变形;风力堆积作用导致青藏铁路护坡局部沙淤;风力吹蚀导致格拉输油管线外露。综合分析认为,青藏工程走廊昆仑山口-清水河段环境地质问题的产生是自然和人为因素复合作用的结果,应点、线、面结合考虑,综合治理。 相似文献
103.
从膨润土中筛选出可在含2 g/L苯酚的PDA培养基上生长的菌种,经过逐级驯化,得到1株可以在1 g/L苯酚的无机盐固体培养基上生长并降解苯酚的优势菌种HJ01,其对苯酚600 g/L降解率可达94%.该菌生长的适宜碳源和氮源分别为蔗糖和NH4Cl,温度为25 ℃,pH值范围为6-7. 相似文献
104.
Nageshwar Rao Bhaskar E. Earl Whitlatch 《Journal of the American Water Resources Association》1987,23(6):1027-1036
ABSTRACT: Mathematical optimization techniques are used to study the operation and design of a single, multi-purpose reservoir system. Optimal monthly release policies are derived for Hoover Reservoir, located in Central Ohio, using chance-constrained linear programming and dynamic programming-regression methodologies. Important characteristics of the former approach are derived, discussed, and graphically illustrated using Hoover Reservoir as a case example. Simulation procedures are used to examine and compare the overall performance of the optimal monthly reservoir release policies derived under the two approaches. Results indicate that, for the mean detention time and the corresponding safe yield target water supply release under existing design of Hoover Reservoir, the dynamic programming policies produce lower average annual losses (as defined by a two-sided quadratic loss function) while achieving at least as high reliability levels when compared to policies derived under the chance-constrained linear programming method. In making this comparison, the reservoir release policies, although not identical, are assumed to be linear. This restricted form of the release policy is necessary to make the chance-constrained programming method mathematically tractable. 相似文献
105.
Daniel H. Hoggan John C. Peters Werner Loehlein 《Journal of the American Water Resources Association》1987,23(6):1141-1147
ABSTRACT: The Pittsburgh District, U.S. Army Corps of Engineers, is responsible for operating two multipurpose reservoirs in the 7384 square mile (19198 square kilometer) Monongahela Basin. A third reservoir, presently under construction, will soon be operating. The real-time forecasting of runoff for operational purposes requires simulation of snow accumulation and snowmelt throughout the Basin during the winter season. This article describes capabilities of SNOSIM, a model being developed for performing such simulation. The application of this model as part of a comprehensive system of water control software, and some initial simulation results are presented. 相似文献
106.
Emmet M. Owens Steven W. Effler Francesco Trama 《Journal of the American Water Resources Association》1986,22(2):219-227
ABSTRACT: The thermal stratification characteristics of a flow-augmentation reservoir, Round Valley Reservoir, New Jersey, and attendant driving conditions were documented and analyzed for portions of three years. Substantial differences in the thermal stratification regime of the reservoir occurred in response to the documented changes in meteorological, operating, and light penetration conditions. The features of stratification that were affected included: the depth of the upper mixed layer, the average temperature of the epilimnion, the temperature gradient in the metalimnion, and the average temperature in the hypolimnion. 相似文献
107.
M. Hossein Sabet James Q. Coe 《Journal of the American Water Resources Association》1986,22(4):587-596
ABSTRACT: A large-scale simulation/optimization model provides schedules for operation of water and power for the California State Water Project (SWP). The SWP consists of a series of reservoirs linked by rivers, pumping plants, canals, tunnels, and generating plants and is operated by the California Department of Water Resources. The Department provides water to municipal and agricultural users, and manages its electrical loads and resources. The model, therefore, performs hydraulic and electrical computations leading to optimal operation of the entire system. It consists of hydraulic network programming components to meet the storage objectives at all the reservoirs, a linear programming component to determine the schedules at pumping and generating plants, an electrical network programming component to balance electrical loads and resources, and a number of other simulation components. It operates on yearly, weekly, and daily bases. It is primarily used for real-time operation of the SWP and can provide hourly detail schedules which are implemented by the SWP staff via a computerized system. 相似文献
108.
Quang M. Nguyen Martha W. Gilliland 《Journal of the American Water Resources Association》1988,24(1):103-111
ABSTRACT: Effects of no-flow river conditions on the quantity and quality of water in the Platte River well field of the City of Grand Island, Nebraska, were examined utilizing a finite-difference computer simulation model specifically developed for this well field. Results suggest that the effects of these no-flow periods on water quality may be most important. In particular, the no-flow periods eliminate the hydraulic barrier between the well field and an area north of the River that is contaminated with nitrate (concentrations in the 20 to 40 mg/1 NO3-N range). They also change the direction and velocity of movement of the contaminated ground water. Simulation results indicate that contaminated ground water moves toward the well field with a velocity of 0.42 ft/d after 30 days of no-flow and 1.43 ft/d after 180 days of no-flow. Limiting no-flow conditions to 10 consecutive days would protect the well field. 相似文献
109.
Thanakorn Uan-On Otto J. Helweg 《Journal of the American Water Resources Association》1988,24(2):261-268
ABSTRACT: The Nonlinear Risk-Benefit (NRB) Algorithm includes risk as one of the objectives in a multiple-objective optimization problem. The NRB Algorithm is derived by extending the Surrogate Worth Trade-Off method to quadratic programming. This category of problem is common in water resources planning and design, especially multipurpose reservoir systems. Consequently, an example is given using the algorithm for optimally operating a multipurpose reservoir. 相似文献
110.
卢文刚 《中国安全科学学报》1995,5(5):39-41
从人与自然的相互关系,讨论了在发展生产的必须重视保护人类自身和生存环境,就我国建筑安全技术的现状,论述了发展科学技术是改善建筑安全技术最根本的途径,提出了当前普遍存在的安全技术在问题和需要完善的建筑施工安全法规。 相似文献