Using the unbalanced panel data of 160 countries from 1970 to 2007,we employ inflation and the budget deficit as proxies for monetary policy and fiscal policy,respectively,and study whether financial globalization has...Using the unbalanced panel data of 160 countries from 1970 to 2007,we employ inflation and the budget deficit as proxies for monetary policy and fiscal policy,respectively,and study whether financial globalization has discipline effects on these macroeconomic policies.The empirical results in our study suggest a significant discipline effect of financial globalization on monetary policy during the entire sample period,which is robust both to de jure and to de facto measures of financial openness.Our sub-sample investigations demonstrate that financial globalization reduces inflation only in higher-middle-income and high-income countries,and when financial globalization is scaled by the proportion of a country’s foreign assets and liabilities to its GDP,the discipline is evident only after 1988.Nevertheless,we do not demonstrate any evidence of financial globalization’s discipline effect on fiscal policy.The empirical results indicate that financial globalization even increases the budget deficit in certain countries and periods.展开更多
This paper attempts to investigate the effects of several financial and trade policies on the total investment in Syria, over the period 1980-2010 (before the current war). The study employs Johansen co-integration ...This paper attempts to investigate the effects of several financial and trade policies on the total investment in Syria, over the period 1980-2010 (before the current war). The study employs Johansen co-integration test to check the presence of long-term relationship between explanatory and dependent variables. In addition, Vector Error Correction Model (VECM) further studies the causal relationship from dependent variable to independent variables. The Johansen co-integration test indicates a significant long-term relationship among the variables. Moreover, the Vector Error Correction Model also suggests the long run causality from the imports, exports, capital public expenditures, and subsidies to total investment. The study’s result indicates that the imports and the capital public expenditures played a significant role in supporting the total investment in the country before the war, while there was a negative role of exports in the total investment, and there was no impact of subsidies on the total investment. Before the war, foreign investment in Syria was over dominated by European Union. The paper proposes to diversify the target of investment flow to Syria, especially from China and the other BRICS countries that can take advantages from Syria and can support Syria economy after the war by the strategy of “One Road One Belt”. Theseresults may assist Syrian policy makers, after the war, to develop an economic plan that takes into account the effects of these policies to improve the total investment which will help Syria in rebuilding the economy.展开更多
China's financial policies in 2000 are being clarfied:China will continue to follow its positive financial policies.This signifies that in 2000,the Chinese economy will operateunder the gridance of positive financ...China's financial policies in 2000 are being clarfied:China will continue to follow its positive financial policies.This signifies that in 2000,the Chinese economy will operateunder the gridance of positive financial policies.展开更多
With intensifying global climate change,humanity is confronted with unparalleled environmental challenges and risks.This study employs the staggered difference-in-difference model to examine the relationship between c...With intensifying global climate change,humanity is confronted with unparalleled environmental challenges and risks.This study employs the staggered difference-in-difference model to examine the relationship between climate policy and green innovation in the corporate financialization context.Using Chinese-listed company data from 2008 to 2020,our analysis reveals a favorable correlation between China’s carbon emission trading policy(CCTP)and advancements in green innovation.Furthermore,we find that the level of corporate financialization moderates this correlation,diminishing the driving effect of CCTP on green innovation.Additionally,results of heterogeneity analysis show that this moderating consequence is more evident in non-state owned and low-digitization enterprises compared with state-owned and high-digitization ones.Our findings contribute to the existing literature by clarifying the interaction between CCTP,green innovation,and corporate financialization.Our research provides valuable insights for policymakers and stakeholders seeking to strengthen climate policies and encourages green innovation in different types of businesses.展开更多
In the paper, we briefly introduce the development and present situation of earthquake insurance in China and foreign countries, and the evaluation of earthquake losses on the basis of seismic risk and structural vuln...In the paper, we briefly introduce the development and present situation of earthquake insurance in China and foreign countries, and the evaluation of earthquake losses on the basis of seismic risk and structural vulnerability analyses. The emphasis is given to the probabilistic density function of earthquake loss adjustment for a single building under the given insurance policy and the overall variance of estimated earthquake losses aggregated from various locations with keen interest in the insurance industries. The correlation coefficient for the damages among single structures in the United States is also introduced to interpret the risk of loss concentration in the earthquake insurance. The paper provides a scientific basis for adjusting earthquake loss and premium rate, and it also provides a useful reference for the application and expansion of earthquake insurance in China.展开更多
This study investigates the international spillover effects of US unconventional monetary policy(UMP)-frequently called large-scale asset purchases or quantitative easing(QE)—on advanced and emerging market economies...This study investigates the international spillover effects of US unconventional monetary policy(UMP)-frequently called large-scale asset purchases or quantitative easing(QE)—on advanced and emerging market economies,using structural vector autoregressive models with high-frequency daily data.Blinder(Federal Reserve Bank of St.Louis Rev 92(6):465–479,2010)argued that the QE measures primarily aim to reduce US interest rate spreads,such as term and risk premiums.Considering this argument and recent empirical evidence,we use two spreads as indicators of US UMP:the mortgage and term spreads.Based on data from 20 emerging and 20 advanced countries,our empirical findings reveal that US unconventional monetary policies significantly affect financial conditions in emerging and advanced countries by altering the risktaking behavior of investors.This result suggests that the risk-taking channel plays an important role in transmitting the effects of these policies to the rest of the world.The extent of these effects depends on the type of QE measures.QE measures such as purchases of private sector securities that lower the US mortgage spread exert stronger and more significant spillover effects on international financial markets than those that reduce the US term spread.Furthermore,the estimated financial spillovers vary substantially across countries and between and within the emerging and advanced countries that we examine in this study.展开更多
China's economic performance in 2013 has verified that China's economic slowdown is structural rather than cyclical.Current economic growth has been driven primarily by investment in infrastructure and real es...China's economic performance in 2013 has verified that China's economic slowdown is structural rather than cyclical.Current economic growth has been driven primarily by investment in infrastructure and real estate sector.Consumption is sluggish and exports recovery is unsustainable.Financial expansion is a major instrument in offsetting the deceleration of China's economic growth in 2013.But structural root cause of slowdown remains.According to cash flow statement,balance sheet and cross-border capital flow,risks of China's financial system are accumulating under the backdrop of financial expansion.Financial system should play its role of resource allocation and refrain from stimulating demand.Future policy choice will shift from short-term macro policy to institutional reform,including political reform,reform of supply mechanism,balancing between macro-stability policy and structural transition,and reform of financial system.展开更多
The Japanese government has established a law to Hanshin-Awaji Earthquake in 1995. This paper evaluates the incentives of the policies related to the law. The data shows achieved in 2018 if the current trends of impro...The Japanese government has established a law to Hanshin-Awaji Earthquake in 1995. This paper evaluates the incentives of the policies related to the law. The data shows achieved in 2018 if the current trends of improvement will supports the school retrofit works that are carried out by the promote seismic retrofitting of buildings immediately after the Great effectiveness, efficiency, administrative feasibility and technological that the policy target of seismic safety of existing buildings will be be continued. In the field of school buildings, national government local governments, using the guideline for school retrofit. However, there are still significant issues to make all buildings safe. One of the key challenges is how to persuade the elderly who would not invest their money to improve their old houses. Another challenge is to make owners understand the importance and have priority in improving the seismic safety of buildings. Currently many efforts are taken by the local governments, such as holding seminars for local communities, preparing financial support schemes, providing consultancy for seismic assessment and making earthquake hazard maps. This paper also provides comments on the improvement of the current policies for promoting seismic retrofit based on some international experiences in retrofit of buildings.展开更多
Jordan is a developing country which has frequently general budget deficit. Government intervene increases environment complexity. Financial experts have weakness to solve deficit problem in spite of understanding man...Jordan is a developing country which has frequently general budget deficit. Government intervene increases environment complexity. Financial experts have weakness to solve deficit problem in spite of understanding managing risk of financial and investing choices also can develop its tools. Researches found the reasons of financial experts' weakness, which are the ignorance of financial expert evaluation and role solving of negative social problems which came after losing trust in leaders. Recommendations concentrate on giving financial expert power and solving law ignorance problem by adjusting law to fight trickery. Law does not give the harmed the right to cancel contract when there is unfair price. It must collect unfair price with deceiving to get right. Rule must be confession of profit after studying assets and liabilities value in market prices. Deals in financial market should take care of financial analyses, human resources accounting, and value added of companies. Financial experts can achieve equilibrium between local producing and Jordanian international producing depending on suitable cost of producing to import and courage producing locally.展开更多
Energy union and climate stands as one of the priorities of the European commission,aiming at the provision of secure,environmentally friendly and affordable energy.European energy policy over the last two decades hav...Energy union and climate stands as one of the priorities of the European commission,aiming at the provision of secure,environmentally friendly and affordable energy.European energy policy over the last two decades have reshaped energy markets challenging the profitability and viability of energy companies.The latter must prove flexible in their management,including diversification of their portfolio,proceeding on structural unbundling and extending their operations in new markets and regions.Scope of the paper is to assess the financial and liquidity performances of key European energy companies over the period 2008-2017.The focus of the analysis concerns liquidity,profitability,operational performance and capital structure.The analysis is carried out in key energy companies,selected to have an extended geographical representation.Results indicate that gas and oil companies have less risk compared to power companies,attributed mainly to debt exposure.The renewable sector,although underrepresented in the examined sample,implies potential for high profitability.The profitability of power companies is affected by the ownership of assets with low operating costs and by diversification of operations,including regulated network operations.Eastern European power companies are favored by the derogation of EU regulation,though provision of free emission allowances.展开更多
After the breakout of COVID-19,many entity industries have to shut down.The rapid decline of money transaction caused by the shutdown of the entity industries has shocked the financial service industry while the incre...After the breakout of COVID-19,many entity industries have to shut down.The rapid decline of money transaction caused by the shutdown of the entity industries has shocked the financial service industry while the increase in digital transactions also offers them opportunities.Facing both challenges and opportunities,financial services firms should change their target and compensation policy during the pandemic to survive.After analysing three major firms in this industry by using SOAR method,we conclude four keys for financial services firms to survive in COVID-19.展开更多
Mass entrepreneurship and innovation are the key to the continued economic and social development in China For long,the nation's financial and taxation policies have been playing an active role in promoting innova...Mass entrepreneurship and innovation are the key to the continued economic and social development in China For long,the nation's financial and taxation policies have been playing an active role in promoting innovation,entrepreneurship and overall social and economic growth in China.This paper makes an analysis of the strengths and weaknesses of the current financial and taxation policies,and explores the opportunities and challenges faced by the current financial and taxation policies.To cultivate a sound environment across China for sustainable innovation and entrepreneurship,it calls for a multi-layered financial and taxation incentive mechanism featuring dynamically monitored taxation policies on hi-tech enterprisos,more favorable tax incentives for medium-and small-enterprises.展开更多
This article explores the challenges of financial sustainability faced by higher education institutions in the United States.Against a backdrop of stringent state and federal regulations coupled with a decline in fina...This article explores the challenges of financial sustainability faced by higher education institutions in the United States.Against a backdrop of stringent state and federal regulations coupled with a decline in financial support,institutions are grappling with a shifting landscape.The paper delves into the intricacies of state regulations and funding policies,highlighting their impact on educational establishments.Furthermore,strategies for financial sustainability,including student attraction and retention,are discussed.The article concludes by underscoring the duality of regulations as both challenges and essential resources,suggesting a potential shift towards greater autonomy and a reshaping of the educational landscape in response to modern challenges.展开更多
Background:Musculoskeletal injury contributes significantly to the burden of disease in Tanzania and other LMICs.For hospitals to cope financially with this burden,they often mandate that patients pay their entire hos...Background:Musculoskeletal injury contributes significantly to the burden of disease in Tanzania and other LMICs.For hospitals to cope financially with this burden,they often mandate that patients pay their entire hospital bill before leaving the hospital.This creates a phenomenon of patients who remain hospitalized solely due to financial hardship.This study aims to characterize the impact of this policy on patients and hospital systems in resource-limited settings.Methods:A mixed-methods study using retrospective medical record review and semi-structured interviews was conducted at a tertiary hospital in Moshi,Tanzania.Information regarding patient demographics,injury type,days spent in the ward after medical clearance for discharge,and hospital invoices were collected and analyzed for orthopaedic patients treated from November 2016 to June 2017.Results:346 of the 867 orthopaedic patients(39.9%)treated during this time period were found to have spent additional days in the hospital due to their inability to pay their hospital bill.Of these patients,72 patient charts were analyzed.These 72 patients spent an average of 9 additional days in the hospital due to financial hardship(range:1-64 days;interquartile range:2-10.5 days).They spent an average of 112,958 Tanzanian Shillings(TSH)to pay for services received following medical clearance for discharge,representing 12.3%of the average total bill(916,840 TSH).646 hospital bed-days were spent on these 72 patients when they no longer clinically required hospitalization.7(9.7%)patients eloped from the hospital without paying and 24(33.3%)received financial assistance from the hospital’s social welfare office.Conclusions:Many patients do not have the financial capacity to pay hospital fees prior to discharge.This reality has added significantly to these patients’overall financial hardship and has taken hundreds of bed-days from other critically ill patients.This single-institution,cross-sectional study provides a deeper understanding of this phenomenon and highlights the need for changes in the healthcare payment structure in Tanzania and other comparable settings.展开更多
In Part I the author analyses the impact of the financial and economic crisis in terms of global and Sino-India cooperation,and the Challenges that the two countries are facing. In Part II the Guiding Principles on Si...In Part I the author analyses the impact of the financial and economic crisis in terms of global and Sino-India cooperation,and the Challenges that the two countries are facing. In Part II the Guiding Principles on Sino-India Economic and Trade Cooperation are being reviewed. And the author suggested some strategies and policy options for cooperation between China and India.展开更多
We construct a connected network between China and the economies that are financially linked to it,based on the network topology of variance decompositions,and measure the cross-border contagion of financial risks amo...We construct a connected network between China and the economies that are financially linked to it,based on the network topology of variance decompositions,and measure the cross-border contagion of financial risks among these economies.We then examine whether the concerted use of macroprudential policies mitigates the cross-border contagion of financial risks.The empirical results show that the tightening of macroprudential policies,especially counter-cyclical capital buffers and limits on credit growth,in economies with net spillover risk(e.g.the US and China).can reduce the cross-border spillover of domestic financial risks to other economies.The concerted use of macroprudential policies can contribute to global financial stability.However,the tightening of"capital"macroprudential policy tools will increase domestic cross-border absorption of financial risks.Hence,macroprudential regulation of cross-border capital flows must be strengthened.展开更多
文摘Using the unbalanced panel data of 160 countries from 1970 to 2007,we employ inflation and the budget deficit as proxies for monetary policy and fiscal policy,respectively,and study whether financial globalization has discipline effects on these macroeconomic policies.The empirical results in our study suggest a significant discipline effect of financial globalization on monetary policy during the entire sample period,which is robust both to de jure and to de facto measures of financial openness.Our sub-sample investigations demonstrate that financial globalization reduces inflation only in higher-middle-income and high-income countries,and when financial globalization is scaled by the proportion of a country’s foreign assets and liabilities to its GDP,the discipline is evident only after 1988.Nevertheless,we do not demonstrate any evidence of financial globalization’s discipline effect on fiscal policy.The empirical results indicate that financial globalization even increases the budget deficit in certain countries and periods.
文摘This paper attempts to investigate the effects of several financial and trade policies on the total investment in Syria, over the period 1980-2010 (before the current war). The study employs Johansen co-integration test to check the presence of long-term relationship between explanatory and dependent variables. In addition, Vector Error Correction Model (VECM) further studies the causal relationship from dependent variable to independent variables. The Johansen co-integration test indicates a significant long-term relationship among the variables. Moreover, the Vector Error Correction Model also suggests the long run causality from the imports, exports, capital public expenditures, and subsidies to total investment. The study’s result indicates that the imports and the capital public expenditures played a significant role in supporting the total investment in the country before the war, while there was a negative role of exports in the total investment, and there was no impact of subsidies on the total investment. Before the war, foreign investment in Syria was over dominated by European Union. The paper proposes to diversify the target of investment flow to Syria, especially from China and the other BRICS countries that can take advantages from Syria and can support Syria economy after the war by the strategy of “One Road One Belt”. Theseresults may assist Syrian policy makers, after the war, to develop an economic plan that takes into account the effects of these policies to improve the total investment which will help Syria in rebuilding the economy.
文摘China's financial policies in 2000 are being clarfied:China will continue to follow its positive financial policies.This signifies that in 2000,the Chinese economy will operateunder the gridance of positive financial policies.
基金support was obtained from the Fundamental Research Funds for the Central Universities[Grant No.JBK2307090].
文摘With intensifying global climate change,humanity is confronted with unparalleled environmental challenges and risks.This study employs the staggered difference-in-difference model to examine the relationship between climate policy and green innovation in the corporate financialization context.Using Chinese-listed company data from 2008 to 2020,our analysis reveals a favorable correlation between China’s carbon emission trading policy(CCTP)and advancements in green innovation.Furthermore,we find that the level of corporate financialization moderates this correlation,diminishing the driving effect of CCTP on green innovation.Additionally,results of heterogeneity analysis show that this moderating consequence is more evident in non-state owned and low-digitization enterprises compared with state-owned and high-digitization ones.Our findings contribute to the existing literature by clarifying the interaction between CCTP,green innovation,and corporate financialization.Our research provides valuable insights for policymakers and stakeholders seeking to strengthen climate policies and encourages green innovation in different types of businesses.
基金Key research project of China Earthquake Administration (0303008).
文摘In the paper, we briefly introduce the development and present situation of earthquake insurance in China and foreign countries, and the evaluation of earthquake losses on the basis of seismic risk and structural vulnerability analyses. The emphasis is given to the probabilistic density function of earthquake loss adjustment for a single building under the given insurance policy and the overall variance of estimated earthquake losses aggregated from various locations with keen interest in the insurance industries. The correlation coefficient for the damages among single structures in the United States is also introduced to interpret the risk of loss concentration in the earthquake insurance. The paper provides a scientific basis for adjusting earthquake loss and premium rate, and it also provides a useful reference for the application and expansion of earthquake insurance in China.
基金Funding was provided by Anadolu University Scientific Research Project Commission(Grant number:1605E282).
文摘This study investigates the international spillover effects of US unconventional monetary policy(UMP)-frequently called large-scale asset purchases or quantitative easing(QE)—on advanced and emerging market economies,using structural vector autoregressive models with high-frequency daily data.Blinder(Federal Reserve Bank of St.Louis Rev 92(6):465–479,2010)argued that the QE measures primarily aim to reduce US interest rate spreads,such as term and risk premiums.Considering this argument and recent empirical evidence,we use two spreads as indicators of US UMP:the mortgage and term spreads.Based on data from 20 emerging and 20 advanced countries,our empirical findings reveal that US unconventional monetary policies significantly affect financial conditions in emerging and advanced countries by altering the risktaking behavior of investors.This result suggests that the risk-taking channel plays an important role in transmitting the effects of these policies to the rest of the world.The extent of these effects depends on the type of QE measures.QE measures such as purchases of private sector securities that lower the US mortgage spread exert stronger and more significant spillover effects on international financial markets than those that reduce the US term spread.Furthermore,the estimated financial spillovers vary substantially across countries and between and within the emerging and advanced countries that we examine in this study.
基金the sponsorships by the Youth Program of National Natural Science Fund(Approval No.71101157)New Century Talent Support Program of the Ministry of Education,2013+2 种基金Youth Fund Program for Cultural,Social and Scientific Research under the Ministry of Education(Approval No.10YJC790220)2~(nd)Youth Research and Innovation Team of the Central University of Finance and Economicsthe Young Social Sciences Talents Support Program of Beijing Social Sciences Federation in 2012
文摘China's economic performance in 2013 has verified that China's economic slowdown is structural rather than cyclical.Current economic growth has been driven primarily by investment in infrastructure and real estate sector.Consumption is sluggish and exports recovery is unsustainable.Financial expansion is a major instrument in offsetting the deceleration of China's economic growth in 2013.But structural root cause of slowdown remains.According to cash flow statement,balance sheet and cross-border capital flow,risks of China's financial system are accumulating under the backdrop of financial expansion.Financial system should play its role of resource allocation and refrain from stimulating demand.Future policy choice will shift from short-term macro policy to institutional reform,including political reform,reform of supply mechanism,balancing between macro-stability policy and structural transition,and reform of financial system.
文摘The Japanese government has established a law to Hanshin-Awaji Earthquake in 1995. This paper evaluates the incentives of the policies related to the law. The data shows achieved in 2018 if the current trends of improvement will supports the school retrofit works that are carried out by the promote seismic retrofitting of buildings immediately after the Great effectiveness, efficiency, administrative feasibility and technological that the policy target of seismic safety of existing buildings will be be continued. In the field of school buildings, national government local governments, using the guideline for school retrofit. However, there are still significant issues to make all buildings safe. One of the key challenges is how to persuade the elderly who would not invest their money to improve their old houses. Another challenge is to make owners understand the importance and have priority in improving the seismic safety of buildings. Currently many efforts are taken by the local governments, such as holding seminars for local communities, preparing financial support schemes, providing consultancy for seismic assessment and making earthquake hazard maps. This paper also provides comments on the improvement of the current policies for promoting seismic retrofit based on some international experiences in retrofit of buildings.
文摘Jordan is a developing country which has frequently general budget deficit. Government intervene increases environment complexity. Financial experts have weakness to solve deficit problem in spite of understanding managing risk of financial and investing choices also can develop its tools. Researches found the reasons of financial experts' weakness, which are the ignorance of financial expert evaluation and role solving of negative social problems which came after losing trust in leaders. Recommendations concentrate on giving financial expert power and solving law ignorance problem by adjusting law to fight trickery. Law does not give the harmed the right to cancel contract when there is unfair price. It must collect unfair price with deceiving to get right. Rule must be confession of profit after studying assets and liabilities value in market prices. Deals in financial market should take care of financial analyses, human resources accounting, and value added of companies. Financial experts can achieve equilibrium between local producing and Jordanian international producing depending on suitable cost of producing to import and courage producing locally.
文摘Energy union and climate stands as one of the priorities of the European commission,aiming at the provision of secure,environmentally friendly and affordable energy.European energy policy over the last two decades have reshaped energy markets challenging the profitability and viability of energy companies.The latter must prove flexible in their management,including diversification of their portfolio,proceeding on structural unbundling and extending their operations in new markets and regions.Scope of the paper is to assess the financial and liquidity performances of key European energy companies over the period 2008-2017.The focus of the analysis concerns liquidity,profitability,operational performance and capital structure.The analysis is carried out in key energy companies,selected to have an extended geographical representation.Results indicate that gas and oil companies have less risk compared to power companies,attributed mainly to debt exposure.The renewable sector,although underrepresented in the examined sample,implies potential for high profitability.The profitability of power companies is affected by the ownership of assets with low operating costs and by diversification of operations,including regulated network operations.Eastern European power companies are favored by the derogation of EU regulation,though provision of free emission allowances.
文摘After the breakout of COVID-19,many entity industries have to shut down.The rapid decline of money transaction caused by the shutdown of the entity industries has shocked the financial service industry while the increase in digital transactions also offers them opportunities.Facing both challenges and opportunities,financial services firms should change their target and compensation policy during the pandemic to survive.After analysing three major firms in this industry by using SOAR method,we conclude four keys for financial services firms to survive in COVID-19.
基金the staged achievement of National Social Science Fund(2014CG07)
文摘Mass entrepreneurship and innovation are the key to the continued economic and social development in China For long,the nation's financial and taxation policies have been playing an active role in promoting innovation,entrepreneurship and overall social and economic growth in China.This paper makes an analysis of the strengths and weaknesses of the current financial and taxation policies,and explores the opportunities and challenges faced by the current financial and taxation policies.To cultivate a sound environment across China for sustainable innovation and entrepreneurship,it calls for a multi-layered financial and taxation incentive mechanism featuring dynamically monitored taxation policies on hi-tech enterprisos,more favorable tax incentives for medium-and small-enterprises.
文摘This article explores the challenges of financial sustainability faced by higher education institutions in the United States.Against a backdrop of stringent state and federal regulations coupled with a decline in financial support,institutions are grappling with a shifting landscape.The paper delves into the intricacies of state regulations and funding policies,highlighting their impact on educational establishments.Furthermore,strategies for financial sustainability,including student attraction and retention,are discussed.The article concludes by underscoring the duality of regulations as both challenges and essential resources,suggesting a potential shift towards greater autonomy and a reshaping of the educational landscape in response to modern challenges.
基金supported by the Center for Global Health at the University of Pennsylvania and The Dr.Bipinchandra Barahia Fund.
文摘Background:Musculoskeletal injury contributes significantly to the burden of disease in Tanzania and other LMICs.For hospitals to cope financially with this burden,they often mandate that patients pay their entire hospital bill before leaving the hospital.This creates a phenomenon of patients who remain hospitalized solely due to financial hardship.This study aims to characterize the impact of this policy on patients and hospital systems in resource-limited settings.Methods:A mixed-methods study using retrospective medical record review and semi-structured interviews was conducted at a tertiary hospital in Moshi,Tanzania.Information regarding patient demographics,injury type,days spent in the ward after medical clearance for discharge,and hospital invoices were collected and analyzed for orthopaedic patients treated from November 2016 to June 2017.Results:346 of the 867 orthopaedic patients(39.9%)treated during this time period were found to have spent additional days in the hospital due to their inability to pay their hospital bill.Of these patients,72 patient charts were analyzed.These 72 patients spent an average of 9 additional days in the hospital due to financial hardship(range:1-64 days;interquartile range:2-10.5 days).They spent an average of 112,958 Tanzanian Shillings(TSH)to pay for services received following medical clearance for discharge,representing 12.3%of the average total bill(916,840 TSH).646 hospital bed-days were spent on these 72 patients when they no longer clinically required hospitalization.7(9.7%)patients eloped from the hospital without paying and 24(33.3%)received financial assistance from the hospital’s social welfare office.Conclusions:Many patients do not have the financial capacity to pay hospital fees prior to discharge.This reality has added significantly to these patients’overall financial hardship and has taken hundreds of bed-days from other critically ill patients.This single-institution,cross-sectional study provides a deeper understanding of this phenomenon and highlights the need for changes in the healthcare payment structure in Tanzania and other comparable settings.
文摘In Part I the author analyses the impact of the financial and economic crisis in terms of global and Sino-India cooperation,and the Challenges that the two countries are facing. In Part II the Guiding Principles on Sino-India Economic and Trade Cooperation are being reviewed. And the author suggested some strategies and policy options for cooperation between China and India.
基金the Humanities and Social Science Fund Project of Ministry of Education of China(No.20YJA790003)the Natural Science Foundation of Shandong Province(No.ZR2020MG039)the Future Plan for Young Scholars of Shandong University(No.2016WLJH05).
文摘We construct a connected network between China and the economies that are financially linked to it,based on the network topology of variance decompositions,and measure the cross-border contagion of financial risks among these economies.We then examine whether the concerted use of macroprudential policies mitigates the cross-border contagion of financial risks.The empirical results show that the tightening of macroprudential policies,especially counter-cyclical capital buffers and limits on credit growth,in economies with net spillover risk(e.g.the US and China).can reduce the cross-border spillover of domestic financial risks to other economies.The concerted use of macroprudential policies can contribute to global financial stability.However,the tightening of"capital"macroprudential policy tools will increase domestic cross-border absorption of financial risks.Hence,macroprudential regulation of cross-border capital flows must be strengthened.