The reasonable allocation of healthcare resources across different levels of healthcare facilities is the key to promoting the tiered diagnosis and treatment approach.The sudden outbreak of COVID−19 underscores the sh...The reasonable allocation of healthcare resources across different levels of healthcare facilities is the key to promoting the tiered diagnosis and treatment approach.The sudden outbreak of COVID−19 underscores the shortage of resources and service capability of China’s primary healthcare facilities.From the perspective of the vertical division of labor in the healthcare service system and based on the quality adjustment and quantitative correction of healthcare workers,this paper comprehensively calculates and analyzes the evenness of resources allocation between hospitals and primary healthcare facilities;and then,combining the theoretical model derivation with China’s empirical data test,this paper demonstrates how the misallocation of healthcare resources affects their utilization efficiency.The results are as below.(1)There are varying degrees of quantity and quality imbalance in various healthcare resources between hospitals and primary healthcare facilities.(2)When other conditions remain unchanged,the more misallocated healthcare resources are,the lower the“actual”utilization efficiency after quality adjustment is.(3)Compared with the absence of price regulation,government price regulation has led to a relative“overtreatment equilibrium”in the healthcare service market.Therefore,measures should be taken to optimize the structure of healthcare resources allocation and improve the efficiency of resources utilization,such as strengthening the government’s healthcare financing function,formulating policies that favor primary healthcare facilities,and encouraging social capital to invest at the community level.展开更多
With the aging of the global population, how to provide effective telemedicine for the aging population has become a very important issue, especially for the elderly with limited mobility. If there is a complete telem...With the aging of the global population, how to provide effective telemedicine for the aging population has become a very important issue, especially for the elderly with limited mobility. If there is a complete telemedicine sys<span>tem, it will not only greatly improve medical efficiency. It can reduce the ch</span>ance of contact between people and avoid the medical risks caused by severe special infectious pneumonia. This paper focuses on the development of a high-efficiency telemedicine system platform that conforms to international stan<span>dard data exchange formats. This system platform can not only solve the pr</span>oblem of shortage of medical staff but also allow patients to be free from medical outpatient time constraints. Achieve the effect of telemedicine at any time, and digitize the medical process rules to establish a complete online telemedicine system platform.展开更多
Individuals having sustained traumatic spinal cord injury(TSCI)in the United States are living longer as compared to historical trends,thanks to an ever-evolving understanding of the nature of this injury.Despite this...Individuals having sustained traumatic spinal cord injury(TSCI)in the United States are living longer as compared to historical trends,thanks to an ever-evolving understanding of the nature of this injury.Despite this,multiple barriers to care for TSCI patients remain including variations in government-issued veteran insurance,privatized insurance,and among uninsured individuals.The United States alone experiences 12,000 new TSCI cases every year,many of these are found to occur in a growing proportion of elderly individuals.It is crucial to understand both the short-term direct costs as wells as the long-term rehabilitation costs required by these TSCI patients.The lifetime financial burden for those having sustained a TSCI can be immense for patients,insurance companies,and hospital systems alike.Among those with TSCI,re-hospitalization rates are high,leading to increased healthcare resource utilization within this specific patient population.Costs can quickly balloon into hundreds of thousands of dollars and cause a profound financial burden for these patients.This review article seeks to communicate an understanding of the current financial landscape surrounding TSCI patients.The authors will also examine the costs of acute emergency room surgical care such as American spinal injury association grade,hospital length of stay,as well as the timing delay between injury and surgical decompression.Long-term costs associated with TSCI such as rehabilitation,care of secondary comorbidities,and post-injury employment prospects will be examined as well.These costs will be framed from the patient's perspective as well as from both the hospital and insurance company's perspectives.It is hoped a complete understanding as to what makes TSCI such a medically and financially burdensome injury will allow for improved healthcare resource utilization in this population.展开更多
基金part of a major project of the National Social Science Fund“Research on the Theoretical System and Application of Government Supervision with Chinese Characteristics”(18ZDA111).
文摘The reasonable allocation of healthcare resources across different levels of healthcare facilities is the key to promoting the tiered diagnosis and treatment approach.The sudden outbreak of COVID−19 underscores the shortage of resources and service capability of China’s primary healthcare facilities.From the perspective of the vertical division of labor in the healthcare service system and based on the quality adjustment and quantitative correction of healthcare workers,this paper comprehensively calculates and analyzes the evenness of resources allocation between hospitals and primary healthcare facilities;and then,combining the theoretical model derivation with China’s empirical data test,this paper demonstrates how the misallocation of healthcare resources affects their utilization efficiency.The results are as below.(1)There are varying degrees of quantity and quality imbalance in various healthcare resources between hospitals and primary healthcare facilities.(2)When other conditions remain unchanged,the more misallocated healthcare resources are,the lower the“actual”utilization efficiency after quality adjustment is.(3)Compared with the absence of price regulation,government price regulation has led to a relative“overtreatment equilibrium”in the healthcare service market.Therefore,measures should be taken to optimize the structure of healthcare resources allocation and improve the efficiency of resources utilization,such as strengthening the government’s healthcare financing function,formulating policies that favor primary healthcare facilities,and encouraging social capital to invest at the community level.
文摘With the aging of the global population, how to provide effective telemedicine for the aging population has become a very important issue, especially for the elderly with limited mobility. If there is a complete telemedicine sys<span>tem, it will not only greatly improve medical efficiency. It can reduce the ch</span>ance of contact between people and avoid the medical risks caused by severe special infectious pneumonia. This paper focuses on the development of a high-efficiency telemedicine system platform that conforms to international stan<span>dard data exchange formats. This system platform can not only solve the pr</span>oblem of shortage of medical staff but also allow patients to be free from medical outpatient time constraints. Achieve the effect of telemedicine at any time, and digitize the medical process rules to establish a complete online telemedicine system platform.
基金an investigator-initiated research grant(SCIRF-2015-I-01)from South Carolina Spinal Cord Injury Research Fund(Columbia,SC,USA),and earlier R01 grants(CA-091460NS-057811)from the National Institutes of Health(Bethesda,MD,USA).
文摘Individuals having sustained traumatic spinal cord injury(TSCI)in the United States are living longer as compared to historical trends,thanks to an ever-evolving understanding of the nature of this injury.Despite this,multiple barriers to care for TSCI patients remain including variations in government-issued veteran insurance,privatized insurance,and among uninsured individuals.The United States alone experiences 12,000 new TSCI cases every year,many of these are found to occur in a growing proportion of elderly individuals.It is crucial to understand both the short-term direct costs as wells as the long-term rehabilitation costs required by these TSCI patients.The lifetime financial burden for those having sustained a TSCI can be immense for patients,insurance companies,and hospital systems alike.Among those with TSCI,re-hospitalization rates are high,leading to increased healthcare resource utilization within this specific patient population.Costs can quickly balloon into hundreds of thousands of dollars and cause a profound financial burden for these patients.This review article seeks to communicate an understanding of the current financial landscape surrounding TSCI patients.The authors will also examine the costs of acute emergency room surgical care such as American spinal injury association grade,hospital length of stay,as well as the timing delay between injury and surgical decompression.Long-term costs associated with TSCI such as rehabilitation,care of secondary comorbidities,and post-injury employment prospects will be examined as well.These costs will be framed from the patient's perspective as well as from both the hospital and insurance company's perspectives.It is hoped a complete understanding as to what makes TSCI such a medically and financially burdensome injury will allow for improved healthcare resource utilization in this population.