Purpose： One of the main indicators of scientific production is the number of papers published in scholarly journals. Turkey ranks 18th place in the world based on the number of scholarly publications. The objective ...Purpose： One of the main indicators of scientific production is the number of papers published in scholarly journals. Turkey ranks 18th place in the world based on the number of scholarly publications. The objective of this paper is to find out if the monetary support program initiated in 1993 by the Turkish Scientific and Technological Research Council （TUBITAK） to incentivize researchers and increase the number, impact, and quality of international publications has been effective in doing so.Design/methodology/approach： We analyzed some 390,000 publications with Turkish affiliations listed in the Web of Science （WoS） database between 1976 and 2015 along with about 157,000 supported ones between 1997 and 2015. We used the interrupted time series （ITS） analysis technique （also known as ＂quasi-experimental time series analysis＂ or ＂intervention analysis＂） to test if TOBITAK＇s support program helped increase the number of publications. We defined ARIMA （1,1,0） model for ITS data and observed the impact of TOBiTAK＇s support program in 1994, 1997, and 2003 （after one, four and 10 years of its start, respectively）. The majority of publications （93%） were full papers （articles）, which were used as the experimental group while other types of contributions functioned as the control group. We also carried out a multiple regression analysis.Findings： TUBITAK＇s support program has had negligible effect on the increase of the number of papers with Turkish affiliations. Yet, the number of other types of contributions continued to increase even though they were not well supported, suggesting that TUBITAK＇s support program is probably not the main factor causing the increase in the number of papers with Turkish affiliations. Research limitations： Interrupted time series analysis shows if the ＂intervention＂ has had any significant effect on the dependent variable but it does not explain what caused the increase in the number of papers if it was not the intervention. Moreover, except the＂intervention＂, other ＂event（s）＂ that might affect the time series data （e.g., increase in the number of research personnel over the years） should not occur during the period of analysis, a prerequisite that is beyond the control of the researcher. Practical implications： TUBITAK＇s ＂cash-for-publication＂ program did not seem to have direct impact on the increase of the number of papers published by Turkish authors, suggesting that small amounts of payments are not much of an incentive for authors to publish more. It might perhaps be a better strategy to concentrate limited resources on a few high impact projects rather than to disperse them to thousands of authors as ＂micropayments.＂ Originality/value： Based on 25 years＇ worth of payments data, this is perhaps one of the first large-scale studies showing that ＂cash-for-publication＂ policies or ＂piece rates＂ paid to researchers tend to have little or no effect on the increase of researchers＇ productivity. The main finding of this paper has some implications for countries wherein publication subsidies are used as an incentive to increase the number and quality of papers published in international journals. They should be prepared to consider reviewing their existing support programs （based usually on bibliometric measures such as journal impact factors） and revising their reward policies.展开更多
Objective To identify patterns of hand, foot and mouth disease （HFMD） incidence in China during declining incidence periods of 2008, 2009, and 2010. Methods Reported HFMD cases over a period of 25 months were extrac...Objective To identify patterns of hand, foot and mouth disease （HFMD） incidence in China during declining incidence periods of 2008, 2009, and 2010. Methods Reported HFMD cases over a period of 25 months were extracted from the National Disease Reporting System （NDRS） and analyzed. An interrupted time series （ITS） technique was used to detect changes in HFMD incidence rates in terms of level and slope between declining incidence periods of the three years. Results Over 3.58 million HFMD cases younger than 5 years were reported to the NDRS between May 1, 2008, and May 31, 2011. Males comprised 63.4% of the cases. ITS analyses demonstrated a significant increase in incidence rate level （P〈0.0001） when comparing the current period with the previous period. There were significant changes in declining slopes when comparing 2010 to 2009, and 2010 to 2008 （all P〈O.O05）, but not 2009 to 2008. Conclusion Incremental changes in incidence rate level during the declining incidence periods of 2009 and 2010 can potentially be attributed to a few factors. The more steeply declining slope in 2010 compared with previous years could be ascribed to the implementation of more effective interventions and preventive strategies in 2010. Further investigation is required to examine this possibility.展开更多
目的探讨取消耗材加成对患者住院费用的影响,为建立灵敏有序的价格动态调整机制,进一步减轻患者就医负担提供依据。方法收集某三级甲等医院2018年1月—2022年7月有效出院患者的住院费用,采用单组中断时间序列分析(interrupted time seri...目的探讨取消耗材加成对患者住院费用的影响,为建立灵敏有序的价格动态调整机制,进一步减轻患者就医负担提供依据。方法收集某三级甲等医院2018年1月—2022年7月有效出院患者的住院费用,采用单组中断时间序列分析(interrupted time series analysis,ITSA)法描述数据变化趋势,分析政策对住院费用的影响。结果取消耗材加成之后,患者例均住院费用每月减少约114.46元,例均药费呈下降趋势,例均耗材费用和医疗技术费用无明显变化,例均检验检查费用上升趋势减缓。结论取消耗材加成有助于减轻患者整体就医负担,医院应坚持患者安全为核心的耗材管理,通过价格调整等手段优化医疗收入结构,同时政府加强政策引导,建立多渠道医疗服务补偿机制,满足医院和患者需要。展开更多
文摘Purpose： One of the main indicators of scientific production is the number of papers published in scholarly journals. Turkey ranks 18th place in the world based on the number of scholarly publications. The objective of this paper is to find out if the monetary support program initiated in 1993 by the Turkish Scientific and Technological Research Council （TUBITAK） to incentivize researchers and increase the number, impact, and quality of international publications has been effective in doing so.Design/methodology/approach： We analyzed some 390,000 publications with Turkish affiliations listed in the Web of Science （WoS） database between 1976 and 2015 along with about 157,000 supported ones between 1997 and 2015. We used the interrupted time series （ITS） analysis technique （also known as ＂quasi-experimental time series analysis＂ or ＂intervention analysis＂） to test if TOBITAK＇s support program helped increase the number of publications. We defined ARIMA （1,1,0） model for ITS data and observed the impact of TOBiTAK＇s support program in 1994, 1997, and 2003 （after one, four and 10 years of its start, respectively）. The majority of publications （93%） were full papers （articles）, which were used as the experimental group while other types of contributions functioned as the control group. We also carried out a multiple regression analysis.Findings： TUBITAK＇s support program has had negligible effect on the increase of the number of papers with Turkish affiliations. Yet, the number of other types of contributions continued to increase even though they were not well supported, suggesting that TUBITAK＇s support program is probably not the main factor causing the increase in the number of papers with Turkish affiliations. Research limitations： Interrupted time series analysis shows if the ＂intervention＂ has had any significant effect on the dependent variable but it does not explain what caused the increase in the number of papers if it was not the intervention. Moreover, except the＂intervention＂, other ＂event（s）＂ that might affect the time series data （e.g., increase in the number of research personnel over the years） should not occur during the period of analysis, a prerequisite that is beyond the control of the researcher. Practical implications： TUBITAK＇s ＂cash-for-publication＂ program did not seem to have direct impact on the increase of the number of papers published by Turkish authors, suggesting that small amounts of payments are not much of an incentive for authors to publish more. It might perhaps be a better strategy to concentrate limited resources on a few high impact projects rather than to disperse them to thousands of authors as ＂micropayments.＂ Originality/value： Based on 25 years＇ worth of payments data, this is perhaps one of the first large-scale studies showing that ＂cash-for-publication＂ policies or ＂piece rates＂ paid to researchers tend to have little or no effect on the increase of researchers＇ productivity. The main finding of this paper has some implications for countries wherein publication subsidies are used as an incentive to increase the number and quality of papers published in international journals. They should be prepared to consider reviewing their existing support programs （based usually on bibliometric measures such as journal impact factors） and revising their reward policies.
文摘Objective To identify patterns of hand, foot and mouth disease （HFMD） incidence in China during declining incidence periods of 2008, 2009, and 2010. Methods Reported HFMD cases over a period of 25 months were extracted from the National Disease Reporting System （NDRS） and analyzed. An interrupted time series （ITS） technique was used to detect changes in HFMD incidence rates in terms of level and slope between declining incidence periods of the three years. Results Over 3.58 million HFMD cases younger than 5 years were reported to the NDRS between May 1, 2008, and May 31, 2011. Males comprised 63.4% of the cases. ITS analyses demonstrated a significant increase in incidence rate level （P〈0.0001） when comparing the current period with the previous period. There were significant changes in declining slopes when comparing 2010 to 2009, and 2010 to 2008 （all P〈O.O05）, but not 2009 to 2008. Conclusion Incremental changes in incidence rate level during the declining incidence periods of 2009 and 2010 can potentially be attributed to a few factors. The more steeply declining slope in 2010 compared with previous years could be ascribed to the implementation of more effective interventions and preventive strategies in 2010. Further investigation is required to examine this possibility.
文摘目的探讨取消耗材加成对患者住院费用的影响,为建立灵敏有序的价格动态调整机制,进一步减轻患者就医负担提供依据。方法收集某三级甲等医院2018年1月—2022年7月有效出院患者的住院费用,采用单组中断时间序列分析(interrupted time series analysis,ITSA)法描述数据变化趋势,分析政策对住院费用的影响。结果取消耗材加成之后,患者例均住院费用每月减少约114.46元,例均药费呈下降趋势,例均耗材费用和医疗技术费用无明显变化,例均检验检查费用上升趋势减缓。结论取消耗材加成有助于减轻患者整体就医负担,医院应坚持患者安全为核心的耗材管理,通过价格调整等手段优化医疗收入结构,同时政府加强政策引导,建立多渠道医疗服务补偿机制,满足医院和患者需要。
