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Does Institutional Quality Matter for Foreign Direct Investment and Human Development? 制度质量对外国直接投资和人类发展重要吗?
IF 3 4区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-08-01 Epub Date: 2023-08-17 DOI: 10.1177/0193841X231195798
Van Thi Cam Ha, Tinh Doan, Mark J Holmes, Tuyen Quang Tran

This study examines the relationship between foreign direct investment (FDI), institutional quality and human development) in host countries from 2002 to 2019, using the Human Development Index [HDI] as the measure of human development. This study utilized a panel dataset of 143 countries, including both developed and developing economies, over a 17-year period. Additionally, the study employed a GMM (generalized method of moments) estimator to address unobservable heterogeneity and simultaneity. This study reveals a significant positive relationship between FDI and human development, with a stronger effect observed in developing countries compared to in developed countries. Notably, the impact of FDI-HDI nexus is larger in countries with moderately high-quality institutions, irrespective of their income level. Furthermore, good governance plays a crucial role in enhancing human development, as developing economies with high governance quality experience a greater impact of FDI on HDI compared to other countries. The findings of this study suggest that attracting FDI can be beneficial for enhancing the HDI, especially in developing countries. Additionally, the study highlights governance as a moderating factor in the relationship between FDI and HDI. Improving governance quality can enhance the positive impact of FDI on human development in host countries, especially in developing countries.

本研究以人类发展指数(HDI)作为衡量人类发展的指标,探讨了 2002 年至 2019 年东道国的外国直接投资(FDI)、制度质量和人类发展之间的关系。本研究使用了一个包含 143 个国家的面板数据集,其中既有发达经济体,也有发展中经济体,时间跨度长达 17 年。此外,研究还采用了 GMM(广义矩法)估计方法来解决不可观测的异质性和同时性问题。研究显示,外国直接投资与人类发展之间存在显著的正相关关系,与发达国家相比,发展中国家的影响更大。值得注意的是,无论收入水平如何,外国直接投资与人类发展之间的关系对拥有中等质量机构的国家的影响更大。此外,善治在促进人类发展方面发挥着至关重要的作用,因为与其他国家相比,善治质量高的发展中经济体的外国直接投资对人类发展指数的影响更大。研究结果表明,吸引外国直接投资有利于提高人类发展指数,尤其是在发展中国家。此外,本研究还强调治理是外国直接投资与人类发展指数之间关系的调节因素。提高治理质量可以增强外国直接投资对东道国,特别是发展中国家人类发展的积极影响。
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引用次数: 0
The Impact of School Infrastructure and Teachers' Human Capital on Academic Performance in Brazil. 巴西学校基础设施和教师人力资本对学业成绩的影响》(The Impact of School Infrastructure and Teachers' Human Capital on Academic Performance in Brazil.
IF 3 4区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-08-01 Epub Date: 2023-08-23 DOI: 10.1177/0193841X231197741
Peter Wanke, Adriano Lauro, Otávio H Dos Santos Figueiredo, João Ricardo Faria, Franklin G Mixon

To improve one of the lowest rates of literacy and numeracy in the world, the government of Brazil has targeted public education reform, given the strong link between an educated population and economic growth. This study examines the academic performance of the Brazilian public primary school system. It addresses the empirical shortcomings of prior research to examine the dynamics of the relationship between academic performance scores and several demographic and institutional variables, such as socioeconomic characteristics, variations in school infrastructure and school complexity, and teachers' human capital. We employed quantile regression to explore the determinants of academic performance across 35,490 schools in rural and urban environments in Brazil. The dependent variable in our analysis captures the academic performance score, as measured by Brazil's education authorities, of each school in our dataset. The model includes several education-related indices used in prior research and, as explanatory factors, measures of teachers' human capital and the students' socioeconomic level, which synthesizes information on parents' education and household income. The results suggest that several institutional variables, including access to school libraries, computer facilities, projectors, and televisions, are positively and significantly related to the academic performance of primary students in Brazil's system of public education. Furthermore, students' socioeconomic level is positively associated with their academic performance.

巴西是世界上识字率和识数率最低的国家之一,为了提高识字率和识数率,巴西政府将公共教育改革作为目标,因为受过教育的人口与经济增长密切相关。本研究探讨了巴西公立小学系统的学业成绩。它弥补了以往研究在实证方面的不足,考察了学业成绩分数与几个人口和制度变量之间的动态关系,如社会经济特征、学校基础设施和学校复杂性的变化以及教师的人力资本。我们采用了量子回归法来探讨巴西城乡环境中 35,490 所学校学业成绩的决定因素。我们的分析中的因变量捕捉了数据集中每所学校的学业成绩分数,该分数由巴西教育当局衡量。该模型包括之前研究中使用的几个与教育相关的指数,以及作为解释因素的教师人力资本和学生社会经济水平的衡量指标,后者综合了父母的教育程度和家庭收入等信息。研究结果表明,在巴西的公立教育系统中,一些制度变量,包括学校图书馆、计算机设备、投影仪和电视机的使用情况,与小学生的学业成绩呈显著正相关。此外,学生的社会经济水平也与他们的学习成绩呈正相关。
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引用次数: 0
Building a Logic Model to Foster Engagement and Learning Using the Case of a Province-Wide Multispecies Antimicrobial Use Monitoring System. 利用全省多物种抗菌药使用监测系统案例,建立促进参与和学习的逻辑模型。
IF 3 4区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-08-01 Epub Date: 2023-09-08 DOI: 10.1177/0193841X231198706
Antoine Boudreau LeBlanc, Aude Motulsky, Marie-Pierre Moreault, Man Qing Liang, Ida Ngueng Feze, Luc Des Côteaux

Successfully designing and implementing a program is complex; it requires a reflexive balance between the available resources and the priorities of various stakeholders, both of which change over time. Logic models are theory-based evaluation approaches used to identify and address key challenges of a program. This article describes the process of building a logic model on advanced theories in complexity studies. The models aim to support a province-wide multispecies monitoring system of antimicrobial use (AMU), designed in collaboration with the animal health sector in Quebec (Canada). Based on a rigorous theoretical foundation, the logic model is built in three steps: (1) mapping, a narrative review of literature on similar programs in other jurisdictions; (2) framing, iterative consultations with project members to elaborate the logic model; (3) shaping, hypotheses based on the logic model. The model emerges from the reflexive balancing of current scientific knowledge and empirical insights to gather relevant information about stakeholders from interdisciplinary experts that led a 3-year consensus-building process within the community. Recognizing the challenge of unpacking theories for practical use, we illustrate how the process of an "open" logic model building could enable governance coordination in complex processes. Logic models are useful for evaluating public, private, and academic partnerships in One Health programs that characterize an adaptive governance process.

成功设计和实施一项计划非常复杂;它需要在可用资源和各利益相关方的优先事项之间进行反思性平衡,而这两者都会随着时间的推移而发生变化。逻辑模型是一种基于理论的评估方法,用于识别和应对计划的关键挑战。本文介绍了在复杂性研究的先进理论基础上建立逻辑模型的过程。该模型旨在支持与加拿大魁北克省动物卫生部门合作设计的全省多物种抗菌药使用监测系统(AMU)。逻辑模型建立在严谨的理论基础之上,分为三个步骤:(1) 制图,对其他辖区类似计划的文献进行叙述性审查;(2) 构架,与项目成员反复磋商,以详细阐述逻辑模型;(3) 塑造,根据逻辑模型提出假设。该模型的产生源于对当前科学知识和经验见解的反思性平衡,从跨学科专家那里收集利益相关者的相关信息,并在社区内开展了为期 3 年的建立共识进程。我们认识到为实际使用拆解理论所面临的挑战,因此说明了 "开放式 "逻辑模型的构建过程如何能够在复杂的过程中实现治理协调。逻辑模型有助于评估 "一体健康 "计划中的公共、私营和学术合作伙伴关系,这些合作伙伴关系是适应性治理过程的特征。
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引用次数: 0
Factors That Influence the Intention of Smallholder Rice Farmers to Adopt Cleaner Production Practices: An Empirical Study of Precision Agriculture Adoption. 影响小农水稻种植者采用清洁生产实践的因素:精准农业应用实证研究》。
IF 3 4区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-08-01 Epub Date: 2023-09-07 DOI: 10.1177/0193841X231200775
Long Le Hoang Nguyen, Duong Thuy Khuu, Alrence Halibas, Trung Quang Nguyen

Sustainable agriculture is crucial for achieving SDG2 and building a resilient climate-food system. This study provides a nuanced understanding of factors that influence the adoption of precision agriculture technology by Vietnamese smallholder rice farmers as a sustainable agricultural solution. The study's objectives are: (1) to provide a nuanced understanding of factors that influence adoption of precision agriculture technology by Vietnamese smallholder rice farmers; and (2) to identify factors associated with agricultural practice in Vietnam that may impact the adoption of precision agriculture technology. The study conducted 35 semi-structured interviews with smallholder rice farmers and agriculture experts. Data were analyzed using iterative thematic analysis. The Unified Theory of Acceptance and Use of Technology (UTAUT) model was used for empirical analysis. The UTAUT constructs of Performance expectancy, Effort expectancy, Government support, and Social influence were found to be determinants of adoption. Trialability and Observability impact Effort expectancy and Performance expectancy. We also discovered that the performance of agricultural cooperatives and support of lead firms play a crucial role in facilitating agricultural technology adoption by Vietnamese smallholder rice farmers. The results confirm the applicability of UTAUT in defining smallholders' behavioural intention and predicting agricultural technology adoption. The study also provides constructive feedback on the UTAUT model by highlighting the effect of agricultural cooperatives' performance as innovation intermediaries and of the support of lead firms.

可持续农业对于实现可持续发展目标 2 和建立有弹性的气候-粮食系统至关重要。本研究对影响越南小农水稻种植者采用精准农业技术作为可持续农业解决方案的因素进行了细致的了解。本研究的目标是(1) 深入了解影响越南小农水稻种植者采用精准农业技术的因素;(2) 识别可能影响采用精准农业技术的越南农业实践相关因素。研究对小农稻农和农业专家进行了 35 次半结构式访谈。采用迭代主题分析法对数据进行了分析。实证分析采用了技术接受和使用统一理论(UTAUT)模型。结果发现,UTAUT 的性能预期、努力预期、政府支持和社会影响是采用技术的决定因素。可试用性和可观察性会影响努力期望值和绩效期望值。我们还发现,农业合作社的绩效和龙头企业的支持在促进越南小农水稻采用农业技术方面起着至关重要的作用。研究结果证实了UTAUT 在界定小农行为意向和预测农业技术采用方面的适用性。研究还通过强调农业合作社作为创新中介的表现和龙头企业支持的影响,为UTAUT 模型提供了建设性反馈。
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引用次数: 0
Corrigendum to "Analyzing the Nexus Between Geopolitical Risk, Policy Uncertainty, and Tourist Arrivals: Evidence From the United States". 地缘政治风险、政策不确定性与游客抵达之间的关联分析:来自美国的证据"。
IF 3 4区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-08-01 Epub Date: 2024-05-09 DOI: 10.1177/0193841X241255273
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引用次数: 0
Public Debt in the Spanish Municipalities: Drivers and Policy Proposals. 西班牙市政当局的公共债务:驱动因素和政策建议》。
IF 3 4区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-08-01 Epub Date: 2023-08-04 DOI: 10.1177/0193841X231193465
Mihaela Simionescu, Javier Cifuentes-Faura

The COVID-19 pandemic has exacerbated the local debt in Spanish municipalities with negative consequences on the macroeconomic financial stability at national and eurozone level. The main objective is to identify the causes of public debt per capita in four groups of Spanish municipalities according to size. It is based on a quantitative analysis based on correlational and causal-comparative approaches. It consists in the construction of panel quantile regressions (MMQ) and mean group (ME) estimators to explain public debt per capita in Spanish municipalities. Moreover, the Juodis test for causality analysis in panel data is applied. The research is constructed around various types of potential determinants related to economic factors (GDP per capita and unemployment rate), demographic factors (population under 15 and population over 65), and political factors (political party, ideology, and political strength). The results based on MMQR for the period 2011-2020 indicate common factors that reduce local debt (short-run economic growth), but also differences between clusters in what concerns factors that increase or decrease the debt. The Juodis et al. (2021) test shows that growth and unemployment are factors that influence the level of public debt in all groups of municipalities except one (5001-20,000 inhabitants) where political party affects debt. These empirical findings support policy proposals to reduce the local debt in Spanish municipalities. The main initiatives to reduce debt should be based on the promotion of economic growth and creation of new jobs, especially for young people.

COVID-19 大流行加剧了西班牙市政当局的地方债务,对国家和欧元区的宏观经济金融稳定造成了负面影响。研究的主要目的是根据西班牙城市的规模,找出四组城市人均公共债务的成因。该研究基于相关和因果比较方法进行定量分析。它包括构建面板量化回归(MMQ)和平均组(ME)估算器,以解释西班牙城市的人均公共债务。此外,还应用了用于面板数据因果关系分析的 Juodis 检验。研究围绕与经济因素(人均 GDP 和失业率)、人口因素(15 岁以下人口和 65 岁以上人口)和政治因素(政党、意识形态和政治力量)相关的各类潜在决定因素展开。基于 2011-2020 年期间多指标量化权重的结果表明,减少地方债务的因素(短期经济增长)是共同的,但在债务增加或减少的因素方面,不同群组之间也存在差异。Juodis 等人(2021 年)的检验结果表明,增长和失业是影响所有市镇组公共债务水平的因素,只有一个市镇组(5001-20000 居民)除外,该市的政党会影响债务。这些实证研究结果支持减少西班牙市政当局地方债务的政策建议。减少债务的主要举措应基于促进经济增长和创造新的就业机会,尤其是为年轻人创造就业机会。
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引用次数: 0
Process Evaluation of an Acute-Care Nurse-Centred Hand Hygiene Intervention in US Hospitals. 对美国医院以急症护理护士为中心的手部卫生干预措施进行过程评估。
IF 3 4区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-08-01 Epub Date: 2023-08-23 DOI: 10.1177/0193841X231197253
Madeline Sands, Robert Aunger

This paper describes a process evaluation of a 'wise' intervention that took place in six acute care units in two medical-surgical teaching hospitals in the United States during 2016-2017. 'Wise' interventions are short, inexpensive interventions that depend on triggering specific psychological mechanisms to achieve behaviour change. This study sought to increase the hand hygiene compliance (HHC) rates before entering a patient's room among nurses. The intervention centred on the use of threat to professional identity to prompt improved HHC. Through questionnaires administered to intervention participants and the implementation facilitator, together with independent observation of intervention delivery, we examined whether the steps in the Theory of Change occurred as expected. We found that aspects of the implementation-including mode of delivery, use of incentives, and how nurses were recruited and complied with the intervention-affected reach and likely effectiveness. While components of the intervention's mechanisms of impact-such as the element of surprise-were successful, they ultimately did not translate into performance of the target behaviour. Performance was also not affected by use of an implementation intention as repeated performance of HHC over years of being a nurse has likely already established well-ingrained practices. Context did have an effect; the safety culture of the units, the involvement of the Nurse Managers, the level of accountability for HHC in each unit, and the hospitals themselves all influenced levels of engagement. These conclusions should have implications for those interested in the applicability of 'wise' interventions and those seeking to improve HHC in hospitals.

本文介绍了 2016-2017 年期间在美国两家内外科教学医院的六个急症护理病房开展的 "明智 "干预的过程评估。明智 "干预是一种短期、廉价的干预措施,依靠触发特定的心理机制来实现行为改变。本研究旨在提高护士进入病房前的手卫生依从率(HHC)。干预的核心是利用对职业身份的威胁来促使改善手卫生。通过对干预参与者和实施促进者进行问卷调查,以及对干预实施情况进行独立观察,我们研究了 "变革理论 "中的步骤是否如期实现。我们发现,干预实施的方方面面--包括实施方式、激励措施的使用以及护士招募和遵守干预措施的方式--都会影响干预的覆盖面和可能的效果。虽然干预的影响机制(如惊喜元素)取得了成功,但最终并未转化为目标行为的表现。实施效果也没有受到实施意图的影响,因为作为一名护士,多年来反复实施 HHC 很可能已经形成了根深蒂固的做法。环境确实会产生影响;单位的安全文化、护士长的参与、各单位对 HHC 的问责程度以及医院本身都会影响参与程度。这些结论应该对那些对 "明智 "干预措施的适用性感兴趣的人以及那些寻求改善医院健康保健的人有所启发。
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引用次数: 0
Randomized Controlled Trial Aversion among Public Sector Leadership: A Survey Experiment. 公共部门领导的随机对照试验厌恶症:调查实验。
IF 3 4区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-08-01 Epub Date: 2023-08-07 DOI: 10.1177/0193841X231193483
Emily Cardon, Leonard Lopoo

Background: While randomized controlled trials (RCTs) are typically considered the gold standard of program evaluation, they are infrequently chosen by public sector leaders, defined as government and nonprofit decision-makers, when an impact evaluation is required. Objectives: This study provides descriptive evidence on RCT aversion among public sector leaders and attempts to understand what factors affect their likelihood of choosing RCTs for impact evaluations. Research Design: The authors ask if public sector leaders follow similar preference patterns found among non-public sector leaders when choosing either an RCT or a quasi-experimental design and use a survey experiment to determine which factors affect the RCT choice. Subjects: The study sample includes 2050 public sector leaders and a comparison group of 2060 respondents who do not lead public sector organizations. Measures: The primary outcome measure is selecting an RCT as the preferred evaluation option. Results: When asked to make a decision about an impact evaluation, the majority of people do not choose an RCT. While also averse to RCTs, public sector leaders are about 13% more likely to prefer a RCT to a quasi-experimental evaluation compared to the general population. Public sector leaders are less likely to use RCTs for evaluations of more intense interventions, potentially because they are perceived to be superior to the options available for the control group. Conclusion: Funders should be aware that when given a choice, public sector leaders prefer other options to RCTs. Greater awareness of the benefits of RCTs could increase their use in the public sector.

背景:虽然随机对照试验(RCT)通常被认为是项目评估的黄金标准,但在需要进行影响评估时,公共部门的领导者(指政府和非营利组织的决策者)却很少选择随机对照试验。研究目的本研究提供了公共部门领导者厌恶 RCT 的描述性证据,并试图了解哪些因素会影响他们选择 RCT 进行影响评估的可能性。研究设计:作者询问公共部门领导人在选择 RCT 或准实验设计时是否遵循非公共部门领导人的类似偏好模式,并使用调查实验来确定哪些因素会影响 RCT 的选择。研究对象:研究样本包括 2050 名公共部门领导和 2060 名非公共部门组织领导的对比组受访者。衡量标准:主要结果指标是选择 RCT 作为首选评估方案。结果:当被要求就影响评估做出决定时,大多数人不会选择 RCT。公共部门的领导者虽然也不喜欢 RCT,但与普通人相比,他们更倾向于 RCT,而不是准实验评估。公共部门的领导者不太可能使用 RCT 来评估强度较大的干预措施,这可能是因为他们认为 RCT 比对照组的可选方案更优越。结论:资助者应该意识到,在有选择的情况下,公共部门领导人更倾向于其他方案而不是 RCT。提高对 RCT 优点的认识可以增加 RCT 在公共部门的使用。
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引用次数: 0
Funding Innovation and Risk: A Grey-Based Startup Investment Decision. 资助创新与风险:基于灰色的初创企业投资决策。
IF 3 4区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-07-24 DOI: 10.1177/0193841X241262887
Manoj Kumar Srivastava, Ashutosh Dash, Imlak Shaikh

As found in behavioral decision theory, venture capitalists (VCs) rely on heuristics and bias, owing to their bounded rationality, either by limited alternatives or information and resources. India's booming startup scene challenges VCs in decision-making owing to information overload from numerous evolving ventures, which hinders informed judgment. VC investment behavior, due diligence, and cognitive factors related to decision-making have always drawn the attention of researchers. We provide an alternative approach for an optimal decision by VCs by identifying the attributes that influence investment or funding decisions at an early stage of a venture in tech-based industries. Through a literature review, we identify eight attributes, both on internal and external criteria, that venture investors consider when making investment decisions. Based on interviews with 20 experts, we further identify eight key tech-based sectors. Using grey system theory, we then determine the rankings of eight tech startups for investors' early-stage investment decisions. This study presents a linguistic variable-based approach of grey numbers to decide weights and ratings, the grey possibility degree to compare and rank different tech startups, and based on the results, suggests the ideal tech startup. We find that agritech ranks first; thus, investors should prefer venturing into such startups for early-stage investment. E-commerce and edutech ranked second and third, respectively, followed by electric vehicle infrastructure, insurtech, fintech, space tech, and software as a service.

行为决策理论认为,风险投资家(VCs)由于其理性受限,或因选择有限,或因信息和资源有限,而依赖启发式方法和偏见。印度初创企业的蓬勃发展给风险投资人的决策带来了挑战,因为众多不断发展的企业带来了超负荷的信息,阻碍了他们做出明智的判断。与决策相关的风险投资行为、尽职调查和认知因素一直吸引着研究人员的关注。我们通过识别在科技产业风险投资早期阶段影响投资或融资决策的属性,为风险投资公司做出最优决策提供了另一种方法。通过文献综述,我们确定了风险投资者在做出投资决策时会考虑的八个属性,包括内部和外部标准。根据对 20 位专家的访谈,我们进一步确定了八个关键的科技行业。利用灰色系统理论,我们确定了八家初创科技企业在投资者早期投资决策中的排名。本研究提出了一种基于语言变量的灰色数字方法来决定权重和评级,用灰色可能性程度对不同的初创科技公司进行比较和排序,并根据结果提出理想的初创科技公司。我们发现,农业科技排名第一;因此,投资者应首选此类初创企业进行早期投资。电子商务和教育科技分别排名第二和第三,其后依次是电动汽车基础设施、保险科技、金融科技、空间科技和软件即服务。
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引用次数: 0
Evaluating the Effectiveness of Maternal, Neonatal, and Child Healthcare in Moroccan Hospitals and SDG 3: Using Two-Stage Data Envelopment Analysis and Tobit Regression. 评估摩洛哥医院中孕产妇、新生儿和儿童保健的有效性与可持续发展目标 3:使用两阶段数据包络分析和托比特回归。
IF 3 4区 社会学 Q1 SOCIAL SCIENCES, INTERDISCIPLINARY Pub Date : 2024-07-20 DOI: 10.1177/0193841X241264863
Youssef Er-Rays, Meriem M'dioud

Maternal, neonatal, and child health play crucial roles in achieving the objectives of Sustainable Development Goal (SDG) 2030, particularly in promoting health and wellbeing. However, maternal, neonatal, and child services in Moroccan public hospitals face challenges, particularly concerning mortality rates and inefficient resource allocation, which hinder optimal outcomes. This study aimed to evaluate the operational effectiveness of 76 neonatal and child health services networks (MNCSN) within Moroccan public hospitals. Using Data Envelopment Analysis (DEA), we assessed technical efficiency (TE) employing both Variable Returns to Scale for inputs (VRS-I) and outputs (VRS-O) orientation. Additionally, the Tobit method (TM) was utilized to explore factors influencing inefficiency, with hospital, doctor, and paramedical staff considered as inputs, and admissions, cesarean interventions, functional capacity, and hospitalization days as outputs. Our findings revealed that VRS-I exhibited a higher average TE score of 0.76 compared to VRS-O (0.23). Notably, the Casablanca-Anfa MNCSN received the highest referrals (30) under VRS-I, followed by the Khemisset MNCSN (24). In contrast, under VRS-O, Ben Msick, Rabat, and Mediouna MNCSN each had three peers, with 71, 22, and 17 references, respectively. Moreover, the average Malmquist Index under VRS-I indicated a 7.7% increase in productivity over the 9-year study period, while under VRS-O, the average Malmquist Index decreased by 8.7%. Furthermore, doctors and functional bed capacity received the highest Tobit model score of 0.01, followed by hospitalization days and cesarean sections. This study underscores the imperative for policymakers to strategically prioritize input factors to enhance efficiency and ensure optimal maternal, neonatal, and child healthcare outcomes.

孕产妇、新生儿和儿童健康在实现 2030 年可持续发展目标(SDG)方面发挥着至关重要的作用,尤其是在促进健康和福祉方面。然而,摩洛哥公立医院的孕产妇、新生儿和儿童服务面临着各种挑战,尤其是在死亡率和资源分配效率低下方面,这阻碍了最佳结果的实现。本研究旨在评估摩洛哥公立医院内 76 个新生儿和儿童保健服务网络(MNCSN)的运行效果。我们采用数据包络分析法(DEA),以投入(VRS-I)和产出(VRS-O)的规模回报率(Variable Returns to Scale)为导向,评估技术效率(TE)。此外,我们还利用 Tobit 法(TM)探讨了影响低效率的因素,将医院、医生和医务辅助人员视为投入,将入院率、剖宫产率、功能能力和住院天数视为产出。我们的研究结果表明,VRS-I 的平均 TE 得分为 0.76,高于 VRS-O 的 0.23。值得注意的是,在 VRS-I 下,卡萨布兰卡-安法多学科监护网络收到的转诊次数最多(30 次),其次是凯米塞特多学科监护网络(24 次)。相比之下,在 VRS-O 条件下,Ben Msick、Rabat 和 Mediouna MNCSN 各有三个同行,分别有 71、22 和 17 个转介。此外,在为期 9 年的研究期间,VRS-I 条件下的平均 Malmquist 指数表明生产率提高了 7.7%,而在 VRS-O 条件下,平均 Malmquist 指数下降了 8.7%。此外,医生和功能床位的 Tobit 模型得分最高,为 0.01,其次是住院天数和剖腹产。这项研究强调,政策制定者必须从战略上优先考虑投入因素,以提高效率并确保最佳的孕产妇、新生儿和儿童医疗保健结果。
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