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Effects of formal credit on pastoral household expense: Evidence from the Qinghai-Xizang Plateau of China
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作者 Yan Zhang Yi Huang +1 位作者 Fan Zhang Zeng Tang 《Journal of Integrative Agriculture》 SCIE CAS CSCD 2024年第5期1774-1785,共12页
Formal credit is critical in agricultural production,allowing more expenditure and productive input,thereby improving farmers'welfare.In pastoral China,formal financial institutions are gradually increasing.Howeve... Formal credit is critical in agricultural production,allowing more expenditure and productive input,thereby improving farmers'welfare.In pastoral China,formal financial institutions are gradually increasing.However,a limited understanding remains of how formal credit affects herders'household expenses.Based on a survey of 544 herders from the Qinghai-Xizang Plateau of China,this study adopted the propensity score matching approach to identify the effect of formal credit on herders'total household expenses,daily expenses,and productive expenses.The results found that average age,grassland mortgage,and other variables significantly affected herders'participation in formal credit.Formal credit could significantly improve household expenses,especially productive expenses.A heterogeneity analysis showed that formal credit had a greater impact on the household total expense for those at higher levels of wealth;however,it significantly affected the productive expense of herders at lower wealth levels.Moreover,the mediating effect indicated that formal credit could affect herders'household income,thus influencing their household expenses.Finally,this study suggests that policies should improve herders'accessibility to formal credit. 展开更多
关键词 formal credit herders expensE Qinghai-Xizang Plateau
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Analysis on Medical Expenses of Hypertensive Inpatients in Urban Areas from 2010 to 2013-Evidence from Two Provinces in South of China 被引量:1
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作者 He WANG Min SU +1 位作者 Peng-qian FANG Juan XU 《Current Medical Science》 SCIE CAS 2018年第4期741-748,共8页
Along with the development of society and the rapid economic growth in the past decades, hypertension and other chronic diseases have become important reasons for people's poverty caused by illness in China. This stu... Along with the development of society and the rapid economic growth in the past decades, hypertension and other chronic diseases have become important reasons for people's poverty caused by illness in China. This study collected a total of 5857 people from 2010 to 2013 randomly from the database of the Medical Insurance Department (MID), including 3229 people in Hubei province and 2628 people in Guangdong province. One-way ANOVA was used to compare the total medical expense, out-of-pocket (OOP) expense and hospital stay between variables. A multiple linear regression analysis was done to identify possible risk factors of total medical expense. The results showed that the average total medical expense per capita was 5709.89 yuan, and the medical expense per capita was 7053.58 and 4555.97 yuan in Guangdong province and Hubei province, respectively. The medical expense of hypertensive inpatients decreased from 7222.32 yuan in 2012 to 4894.66 yuan in 2013. There were no significant differences in medical expenses between different genders of hypertensive patients (P〉0.05). People of different ages, provinces, medical insurances and medical institution levels showed significant differences in medical expenses. The government should increase the investment in chronic disease management and treatment in the central and western regions to narrow the gap with the eastern region. Medical insurance fund payment should be improved to ensure the fairness of the use of medical services in different medical insurances. And measures should be taken to encourage chronic patients to visit primary medical institutions to effectively reduce medical expenses. 展开更多
关键词 HYPERTENSION medical insurance medical expense economic burden
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Reducing Hospital Utilization and Related Expenses at the Community Level
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作者 Ronald Lagoe Shelly Littau 《Case Reports in Clinical Medicine》 2018年第11期541-549,共9页
The reduction of health care expenses continues to be a major challenge for the economy and society of the United States and other nations. This study focused on a major source of health care expenses, inpatient hospi... The reduction of health care expenses continues to be a major challenge for the economy and society of the United States and other nations. This study focused on a major source of health care expenses, inpatient hospitals, at the community level. It was based on the assumption that fewer inpatient hospital admissions per population contribute to lower health care costs. The study demonstrated that the hospitals of Syracuse, New York have generated fewer inpatient admissions and discharges than those of other New York State metropolitan areas per population. It suggested that the application of utilization rates for inpatient hospitalization in Syracuse to some other New York State areas could result in substantial savings. Between 2016 and 2017, the hospital discharge rates in Syracuse were 1.6 - 3.1 percentage points lower than those of Albany, 2.2 - 5.0 percentage points lower than those of Rochester, 4.1 - 4.9 lower than those of New York City, 5.4 - 8.2 percentage points lower than those of Buffalo, and 17.2 - 18.3 percentage points lower than those of Utica. The study suggested that the conservative hospitalization rates in Syracuse were developed and sustained over long periods of time through the use of ambulatory surgery, reduction of admissions through hospital emergency departments, and limitation of the inpatient bed supply. This was a lengthy process that resulted in a conservative hospital admission pattern. The study demonstrated, more recently, that specific programs such as the reduction of inpatient hospital readmissions and hospital lengths of stay have supported additional reductions of hospital and related utilization in Syracuse. 展开更多
关键词 Hospitals HOSPITAL ADMISSIONS Health CARE expenses
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Role of Media Coverage in Keeping Lid on Government Expenses
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作者 张琦 步丹璐 郁智 《China Economist》 2016年第6期110-122,共13页
Information monopoly of bureaucrats helps them maximize discretionary budget. Public disclosure of budget can alleviate information asymmetry between government and the public and empower public supervision on governm... Information monopoly of bureaucrats helps them maximize discretionary budget. Public disclosure of budget can alleviate information asymmetry between government and the public and empower public supervision on government budget. With information intermediary function and reputational governance function, the media exert a budget intervention effect in the public disclosure of government budget, which further increases the effect of government budget disclosure. This paper investigates how media reports influence "three public expenses"(TPE) budget planning of central government departments by examining media reports on the disclosure of budget and final accounts and using TPE budget as a proxy variable for discretionary budget of bureaucrats. We have reached the following findings:(1) The higher the TPE budget implementation rate, the greater budget growth will be. But this correlation can be restrained by media attention;(2) Different stance of the media may exert different governance effects on TPE budget. Good news about TPE may motivate bureaucrats to restrain the positive impact of TPE budget implementation on budget growth. However, bad news about TPE will exert its budget intervention effect only when administrative governance mechanism intervenes. This study has broadened research on the media's governance effect from the perspective of government budget transparency and verified that under China's unique institutional background, the media may still play a positive role in public sector governance. 展开更多
关键词 media attention stance of media report public opinion environment "three public expenses" budget
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Cultural Practice in Cote d'Ivoire: An Ethnography of the Feminization of Funeral Expenses
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作者 Akissi Amandine KONAN Sylvestre Bouhi TCHAN BI Kando Amédée SOUMAHORO 《Cultural and Religious Studies》 2020年第2期92-101,共10页
The“Letagonins”:a concept socially constructed to designate the“beating”women of Ivorian society,evokes those who have as their leitmotif,a self-realization through work.The purpose lies in their ability to free t... The“Letagonins”:a concept socially constructed to designate the“beating”women of Ivorian society,evokes those who have as their leitmotif,a self-realization through work.The purpose lies in their ability to free themselves from male domination.This concept means in one of the local Ivorian languages,notably the Gouro1:female boy.These women of Gouro ethnicity show a deep passion for the marketing of food products in Abidjan.However,behind this passion for food is their commitment to funeral expenses;a cultural activity customary lying with agnatic parentage.The transgression of custom by the latter under the prism of their social repositioning is the symbolic manifestation of the destandardization of the traditional relationship between man and woman in the organization of funerals in Gouro country,in the central West Ivorian.Understanding this relational reconfiguration has fuelled our passion as a researcher.In fact,ethnography has been mobilized as a method of observing the funeral practices of these women.In this regard,the study traces the strategies for negotiating access to the land as well as those used to negotiate access to information. 展开更多
关键词 funeral expenses destandardization ETHNOGRAPHY negotiating strategies Cote d'Ivoire
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Minimum Expenses,Maximum Savings:How to Live in China Smartly
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《国际人才交流》 2011年第9期58-59,共2页
For more information,please click www.echinacities.com While it's at least very annoying,and at most woefully erroneous that many Chinese people judge all foreigners to be totally minted,it's not hard to see w... For more information,please click www.echinacities.com While it's at least very annoying,and at most woefully erroneous that many Chinese people judge all foreigners to be totally minted,it's not hard to see why,when many foreigners are here living decadent lifestyles,partying on weekends(and weekdays),travelling all over the country and mincing around town with Macbooks,iPods and Ray Bans.But then there are the secret 'squirrelers',who scrimp together just enough cash to 展开更多
关键词 MORE Minimum expenses Maximum Savings
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Income and Expenses for Ordinary People
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作者 HOU RUILI 《China Today》 1995年第5期10-13,共4页
IncomeandExpensesforOrdinaryPeople(Somestraighttalkonatwistysubjact:whereChinesegettheremoneyandhowyoucanget... IncomeandExpensesforOrdinaryPeople(Somestraighttalkonatwistysubjact:whereChinesegettheremoneyandhowyoucangetrichwhilestillwor... 展开更多
关键词 Income and expenses for Ordinary People
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Research on the Effect of R&D Investment Intensity and Sales Expense on the Performance of Biomedical Enterprises
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作者 Wang Lifei Jia Zheng +1 位作者 Wu Dongming Xing Hua 《Asian Journal of Social Pharmacy》 2023年第4期326-334,共9页
Objective To explore the influence of new drug R&D investment and sales expense on the performance of biomedical enterprises.Methods The financial statements of 76 listed biomedical enterprises for 5 consecutive y... Objective To explore the influence of new drug R&D investment and sales expense on the performance of biomedical enterprises.Methods The financial statements of 76 listed biomedical enterprises for 5 consecutive years were selected,and the data were modeled to study the effect of R&D investment and sales expense on the performance of biomedical enterprises by using financial indicators as tools and statistical methods of multiple linear regression.Results and Conclusion Under the premise that the weak related factors such as enterprise scale,life cycle and asset-liability ratio are set as unrelated variables,the R&D investment intensity of biomedical enterprises is negatively correlated with the current performance,which also shows that the R&D of biomedical enterprises has the characteristics of high risk.Besides,the influence of early R&D investment is delayed.However,the sales expense of leading biomedical enterprises with large scales have higher proportion.Meanwhile the greater sales expense of the same enterprise in different periods,the better the enterprise performance is.Biomedical enterprises should consider their own development stage to develop more patented drugs.Besides,they must formulate plans for allocating reasonable sales personnel and cost expense to ensure that enterprises can obtain better benefits. 展开更多
关键词 biomedical enterprise enterprise performance R&D expenditure sales expense
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日本个人医疗费用封顶制实践及启示
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作者 李玲 陈永法 《卫生经济研究》 北大核心 2024年第7期63-66,共4页
日本个人医疗费用封顶制以患者利益为主导,聚焦重大疾病保障;制度改革循序渐进,确保了医保基金可持续;自付限额以年龄和收入为划分维度,防止了泛福利化。这些实践经验对我国未来实施个人医疗费用封顶制具有一定的借鉴意义。我国应逐步... 日本个人医疗费用封顶制以患者利益为主导,聚焦重大疾病保障;制度改革循序渐进,确保了医保基金可持续;自付限额以年龄和收入为划分维度,防止了泛福利化。这些实践经验对我国未来实施个人医疗费用封顶制具有一定的借鉴意义。我国应逐步优化基本医疗保障资源配置,设置与家庭收入相挂钩的自付限额,明确个人医疗费用封顶制的保障范围,创新医保支付方式和医疗过程监督机制。 展开更多
关键词 医疗保障 个人医疗费用封顶制 高额疗养费制度 日本
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基于决策树模型HC25病组DRGs细分组及住院费用的影响因素研究
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作者 闫晓婷 任洁 +3 位作者 李红霞 张欣欣 朱绮霞 张文 《安徽医学》 2024年第4期505-510,共6页
目的构建基于决策树模型HC25病组患者DRGs细分组的研究及住院费用的影响因素。方法收集西安交通大学第一附属医院2020年1月至2022年6月依据CHS-DRG分组方案进入HC25(胆囊切除术,不伴并发症或合并症)病组患者的病案首页数据(n=3844),通... 目的构建基于决策树模型HC25病组患者DRGs细分组的研究及住院费用的影响因素。方法收集西安交通大学第一附属医院2020年1月至2022年6月依据CHS-DRG分组方案进入HC25(胆囊切除术,不伴并发症或合并症)病组患者的病案首页数据(n=3844),通过单因素和多因素分析了解影响住院费用的主要因素,通过建立决策树模型进行病例组合,分析分组效果及不同分组的费用标准。结果正态性检验结果显示:住院费用呈偏态分布(χ2=0.197,P<0.001);单因素方差分析结果显示:住院费用在不同年龄、性别、手术方式、患者来源、医疗付费方式、入院病情危重情况、术前时间、住院时间、是否有再住院计划之间,差异有统计学意义(P均<0.05);多重线性逐步回归分析结果显示,影响住院费用显著性差异的因素从大到小依次为:住院时间、手术方式、入院病情危重情况、性别、术前时间、患者来源、再住院计划(P均<0.05);采用CHAID共生成了7个DRGs分组,第一层分类节点变量是手术方式,第二层是术前时间、住院时间,第三层是入院时病情危重情况;不同DRGs组合的住院费用比较,差异有统计学意义(χ2=2474.595,P<0.001),组合DRGs(1)的住院费用最高,权重最高;DRGs(7)的住院费用最低,权重最小;所有DRGs病组中超标费用患者共170例(4.42%),各组超标费用比例均<10%。结论基于决策树模型对HC25病组的细分组效果合理有效,能较客观反映医疗资源消耗水平。 展开更多
关键词 胆囊切除术 决策树 疾病诊断相关分组 住院费用
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我国社会保险经办服务体系的发展成就与转型升级 被引量:1
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作者 郑秉文 毛颖珂 《行政管理改革》 北大核心 2024年第3期4-15,共12页
在对我国社会保险经办服务体系30年来的发展历程和取得的成就回顾与总结基础上,对经办服务体系存在的问题及其成因进行梳理:当前各级社会保险经办机构超编现象十分普遍;专业技术人员比例逐年下降;经办费用投入难以满足数字化转型的需求... 在对我国社会保险经办服务体系30年来的发展历程和取得的成就回顾与总结基础上,对经办服务体系存在的问题及其成因进行梳理:当前各级社会保险经办机构超编现象十分普遍;专业技术人员比例逐年下降;经办费用投入难以满足数字化转型的需求。鉴于此,提出加快社会保险经办服务体系高质量发展的改革思路:全国社会保险经办系统实行人员编制动态调整机制;全面提高人力资本水平;全面推进数字化转型;社会保险经办投入列入社会保险基金成本。 展开更多
关键词 社会保险经办服务体系 人员编制 人力资本 数字化转型 经办费用
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基于代理模型估值不确定度的昂贵多目标优化问题研究
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作者 张晶 裴东兴 +1 位作者 马瑾 沈大伟 《石河子大学学报(自然科学版)》 CAS 北大核心 2024年第1期110-116,共7页
针对代理模型辅助的多目标优化算法中个体不确定度之间相互冲突的问题,本文提出个体每个目标估值不确定的填充准则,同时,为了减少训练模型消耗的计算资源,提出基于非支配排序的样本选择算法。为了验证该算法的可行性,采用DTLZ和WFG测试... 针对代理模型辅助的多目标优化算法中个体不确定度之间相互冲突的问题,本文提出个体每个目标估值不确定的填充准则,同时,为了减少训练模型消耗的计算资源,提出基于非支配排序的样本选择算法。为了验证该算法的可行性,采用DTLZ和WFG测试函数进行测试,得出结果与近些年发表5种具有代表性的同类型算法进行对比,结果说明该算法可以有效的解决昂贵高维高目标优化问题。 展开更多
关键词 进化算法 昂贵多目标优化问题 代理模型 填充准则 不确定度
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DIP改革背景下负向医疗行为成因及治理策略分析
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作者 侯慧玉 张少华 +3 位作者 田溢卿 王建斌 李景涛 王亚珍 《医学与哲学》 北大核心 2024年第14期28-31,共4页
从医保管理部门、医疗机构和参保患者三个维度对医保支付方式改革背景下负向医疗行为的成因进行分析,发现以下问题:医保管理部门的法律制度不健全、部门联动缺失、双向沟通机制不完善,医疗机构的管理精细化程度不够、绩效考核体系落后... 从医保管理部门、医疗机构和参保患者三个维度对医保支付方式改革背景下负向医疗行为的成因进行分析,发现以下问题:医保管理部门的法律制度不健全、部门联动缺失、双向沟通机制不完善,医疗机构的管理精细化程度不够、绩效考核体系落后、双向转诊落实不理想,部分参保患者存在负向就医行为。因此,避免负向医疗行为发生的治理策略包括:医保管理部门应健全法律制度体系、建立部门联动机制、拓展双向沟通渠道,医疗机构应推进管理精细化程度、调整绩效考核体系、建立分级诊疗秩序,参保患者应提高道德感使命感,共同维护医保基金安全。 展开更多
关键词 医疗保险 按病种分值付费 医疗费用控制 负向医疗行为
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2014—2023年西安市某三甲综合医院AECOPD住院患者的流行病学特征及费用结构研究
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作者 闫晓婷 任洁 +1 位作者 张文 刘玉钢 《现代医院》 2024年第6期904-909,914,共7页
目的探讨2014—2023年西安市某三甲综合医院慢性阻塞性肺疾病急性加重(AECOPD)住院患者的流行病学特征及费用结构研究。方法收集某院2014年1月—2023年12月的AECOPD住院患者的病案首页信息(n=6748),回顾性分析其人口学特征、临床特征的... 目的探讨2014—2023年西安市某三甲综合医院慢性阻塞性肺疾病急性加重(AECOPD)住院患者的流行病学特征及费用结构研究。方法收集某院2014年1月—2023年12月的AECOPD住院患者的病案首页信息(n=6748),回顾性分析其人口学特征、临床特征的分布及住院费用构成情况,并采用结构变动度分析不同年度住院费用的结构变动情况。结果2014—2023年主诊确诊为AECOPD患者占本机构所有住院患者4.81‰,10年间AECOPD住院患者的构成比呈持续下降趋势(χ2=1083.351,P<0.001);不同年度中AECOPD住院患者的性别、职业、医疗付费方式、来源的分布均有统计学差异(P<0.05);不同年度AECOPD住院患者的季节分布有统计学差异(χ2=157.328,P<0.001);不同年度AECOPD住院患者住院天数分布之间有统计学差异(χ2=83.463,P<0.001);不同年度中AECOPD患者的住院次数、入院病情、是否合并症或并发症、是否有药物过敏史以及是否有再次住院计划的构成比之间均有统计学差异(P<0.05);不同年度AECOPD住院患者的结局之间有统计学差异(χ2=153.367,P<0.001);AECOPD患者次均住院费用呈2014—2016年逐步升高,2016—2023年逐步下降的趋势(P<0.01);不同年度AECOPD患者住院费用中均以药品费用和诊断费用为主;2014—2022年AECOPD住院患者次均费用整体住院的结构变动度(DSV)为41.62%,其中2012年与2013年住院费用的DSV最大(22.69%),2017年与2018年的DSV最小(4.23%)。结论近10年AECOPD住院患者的构成比和病死率整体呈下降趋势;AECOPD住院患者中70~79岁组构成比最高,主要分布在冬季;10年间次均住院费用整体呈下降趋势,费用构成主要以药品费和诊断费用为主,药品费用成逐年下降的趋势,诊断费用呈逐年增加的趋势,说明医疗政策改革在优化住院费用结构、控制费用不合理增长中的作用显著。 展开更多
关键词 AECOPD 住院患者 临床特征 住院费用 结构变动度
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健康中国背景下的“看病贵”与政府支出——基于资源配置结构性失衡视角的分析 被引量:3
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作者 庞瑞芝 李倩楠 《西安交通大学学报(社会科学版)》 北大核心 2024年第2期104-116,共13页
“看病贵”意味着医疗卫生资源转化为医疗卫生服务的成本高,有限资源下医疗卫生服务供给的数量和质量难以满足公众健康需求,从而直接影响健康中国建设。同时,人口快速老龄化带来的医疗卫生需求爆发式增长,将形成医疗卫生体系的额外压力... “看病贵”意味着医疗卫生资源转化为医疗卫生服务的成本高,有限资源下医疗卫生服务供给的数量和质量难以满足公众健康需求,从而直接影响健康中国建设。同时,人口快速老龄化带来的医疗卫生需求爆发式增长,将形成医疗卫生体系的额外压力,加剧供求矛盾。基于医疗卫生资源配置结构性失衡视角研究“看病贵”与政府支出之间的关系发现:政府增加卫生支出会通过加剧人力资源配置的结构性失衡而加剧“看病贵”问题;只有将增加政府卫生支出与深化医疗卫生体制改革相结合,才能真正缓解全社会“看病贵”问题。因此,应深化公立医院改革,优化政府对医疗卫生资源的配置方式,加强基层医疗卫生体系建设,重塑医疗卫生服务治理模式,构建专业化治理模式,系统性重构中国医疗卫生领域人才建设。 展开更多
关键词 健康中国 政府卫生支出 “看病贵” 资源配置失衡 医疗卫生体制改革
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安徽省某三甲医院DRG付费改革效果评价
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作者 冯夕秋 华小果 +3 位作者 赵晨晨 吴雪枫 马元新 孙谦 《卫生软科学》 2024年第5期1-3,15,共4页
[目的]评价安徽省某三甲医院DRG付费改革的实施效果。[方法]收集2020-2022年某三甲医院DRG病例资料,比较住院费用、住院天数、内外科病例构成、正常倍率组占比及各项住院费用指标在3个年度之间的差异。[结果]与2020年相比,该院2021年、2... [目的]评价安徽省某三甲医院DRG付费改革的实施效果。[方法]收集2020-2022年某三甲医院DRG病例资料,比较住院费用、住院天数、内外科病例构成、正常倍率组占比及各项住院费用指标在3个年度之间的差异。[结果]与2020年相比,该院2021年、2022年的总费用、材料费、检查费、药品费、住院天数的中位数明显下降,差异均有统计学意义(P<0.05);与2021年相比,2022年内科病例占比及正常倍率组占比提高,差异均有统计学意义(P<0.05)。[结论] DRG付费改革倒逼医疗机构控制医疗费用不合理增长,优化费用结构,提升医疗服务效率,有利于推进分级诊疗。 展开更多
关键词 按疾病诊断相关分组 运营管理 医疗费用
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激励制度在公民逝世后器官捐献中的伦理分析
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作者 冯龙飞 翟晓梅 《器官移植》 CSCD 北大核心 2024年第1期118-124,共7页
器官移植在重建健康、挽救生命的卓越成效表明了其重大价值所在,其中器官捐献是促进我国器官移植事业发展的重要组成部分。近年来,我国器官移植取得了重大进展,器官捐献率也逐年上升。尽管如此,我国依然面临捐献器官数量不足的严峻事实... 器官移植在重建健康、挽救生命的卓越成效表明了其重大价值所在,其中器官捐献是促进我国器官移植事业发展的重要组成部分。近年来,我国器官移植取得了重大进展,器官捐献率也逐年上升。尽管如此,我国依然面临捐献器官数量不足的严峻事实,破解这个难题需要医学科学技术和公共卫生政策进一步完善。根据国际经验,实施一定的激励制度可以有效地提高捐献率,但是激励制度本身隐藏的伦理特性似乎与器官捐献事业中的利他精神有着根本性的冲突。因此,本文从激励的性质、器官捐献与激励制度以及激励制度的伦理论证进行综述,以期为我国官捐献和移植事业的进一步发展提供参考。 展开更多
关键词 器官捐献 器官移植 激励制度 伦理论证 经济激励 非经济激励 利他精神 丧葬费
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基于疾病诊断相关分组付费对天津市天津医院本地患者住院费用情况及影响因素分析
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作者 武杰 《中国医药导报》 CAS 2024年第10期125-128,133,共5页
目的分析疾病诊断相关分组(DRG)付费对天津市天津医院本地住院患者住院费用情况及影响因素。方法选择天津市天津医院2021年1月至12月DRG实施前(对照组)和2022年1月至12月DRG实施后(改革组)的本地住院患者费用结算信息和病案基本信息。... 目的分析疾病诊断相关分组(DRG)付费对天津市天津医院本地住院患者住院费用情况及影响因素。方法选择天津市天津医院2021年1月至12月DRG实施前(对照组)和2022年1月至12月DRG实施后(改革组)的本地住院患者费用结算信息和病案基本信息。比较两组一般资料、人均住院总费用、人均每日住院费用、相对权重(RW);分析人均每日住院费用的影响因素。结果本研究对照组纳入病例24140例;改革组纳入19181例。两组性别、年龄比较,差异有统计学意义(P<0.05);两组住院时间比较,差异无统计学意义(P>0.05)。两组人均住院总费用、人均每日住院费用、RW比较,差异有统计学意义(P<0.05);两组材料费用、药品费用、手术费用中人均住院总费用、人均每日住院费用比较,差异有统计学意义(P<0.05)。不同DRG分类、性别、年龄、RW人均每日住院费用比较,差异有统计学意义(P<0.05)。DRG、DRG分类、性别、年龄、RW为人均每日住院费用的影响因素(P<0.05);多元回归方程为:人均每日住院费用=10408-428.097×DRG改革组-242.224×DRG材料组+1239.124×DRG药品组-576.581×男+1283.163×年龄(60~<80岁)+1732.570×年龄(80~<90岁)+844.677×年龄(≥90岁)-5665.426×RW(<0.5)-5154.877×RW(0.5~<0.8)-1999.976×RW(0.8~<1.2)。结论推行DRG付费后住院患者就医费用降低,而影响人均每日住院费用的主要是DRG、DRG分类、性别、年龄、RW。 展开更多
关键词 天津 三甲医院 疾病诊断相关分组 住院费用
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带隐藏约束昂贵黑箱问题的自适应代理优化方法
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作者 白富生 兰秘 《运筹学学报(中英文)》 CSCD 北大核心 2024年第1期89-100,共12页
针对带隐藏约束的昂贵黑箱全局优化问题,提出采用自适应转换搜索策略的代理优化方法。在转换搜索子步中采用与已估值点个数相关的标准差在当前最优点附近通过随机扰动生成候选点,以更好地平衡局部搜索和全局搜索。为更好地近似真实黑箱... 针对带隐藏约束的昂贵黑箱全局优化问题,提出采用自适应转换搜索策略的代理优化方法。在转换搜索子步中采用与已估值点个数相关的标准差在当前最优点附近通过随机扰动生成候选点,以更好地平衡局部搜索和全局搜索。为更好地近似真实黑箱目标函数,采用了自适应组合目标代理模型。在50个测试问题上进行了数值实验,计算结果说明了所提算法的有效性。 展开更多
关键词 昂贵黑箱问题 全局优化 隐藏约束 代理优化
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净额所得视域下个税费用扣除规则的再审视
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作者 侯卓 《宁夏社会科学》 北大核心 2024年第3期154-162,共9页
净额所得始能课税是量能课税原则在个税法上的具体要求,费用扣除则是把握净额所得的关键。2018年《个人所得税法》修订时提高了综合所得的一般性扣除额,同时增设六类专项附加扣除项目,契合净额所得课税的要求。净额所得有客观的净额所... 净额所得始能课税是量能课税原则在个税法上的具体要求,费用扣除则是把握净额所得的关键。2018年《个人所得税法》修订时提高了综合所得的一般性扣除额,同时增设六类专项附加扣除项目,契合净额所得课税的要求。净额所得有客观的净额所得与主观的净额所得之分,既有一般性扣除额实为个人生活费用的表彰,现行《个人所得税法》存在误将其作为取得工资薪金之成本费用的逻辑谬误,进而使法律在把握客观净额所得时存在罅隙,亟待补足。同时,现行法把握主观净额所得也有不足,应构建涵盖“个人基本生活需要—家庭基本生活需要—普通型支出增加—特殊型支出增加”的四层次扣除体系。下一步完善《个人所得税法》时应以净额所得课税为出发点建章立制,遵循客观净额所得和主观净额所得二元进路,塑造完整的费用扣除规则。 展开更多
关键词 个人所得税法 量能负担 净额所得课税 费用扣除
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