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基于史密斯政策执行过程模型的国家医保药品目录准入谈判罕见病药品落地问题及路径研究
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作者 顾一纯 何达 +4 位作者 孙辉 王昊德 何阿妹 陈珉惺 金春林 《中国卫生资源》 CSCD 北大核心 2023年第4期363-369,共7页
目的基于史密斯政策执行过程模型的国家医保药品目录准入谈判(以下简称“国谈”)罕见病药品落地的关键和难点,探索罕见病药品在进入国家基本医疗保险和工伤保险药品目录后政策实施过程中存在的问题并提出对策建议。方法通过文献复习和... 目的基于史密斯政策执行过程模型的国家医保药品目录准入谈判(以下简称“国谈”)罕见病药品落地的关键和难点,探索罕见病药品在进入国家基本医疗保险和工伤保险药品目录后政策实施过程中存在的问题并提出对策建议。方法通过文献复习和政策梳理、专家访谈、焦点小组访谈收集资料,结合史密斯政策执行过程模型的理论框架从多角度探索国谈罕见病药品政策执行情况的现状、问题以及解决方案。结果目前我国罕见病药品行业管理尚处于初级阶段;医疗服务提供方在意识、管理等方面仍存在不足;罕见病药品保障渠道有待优化,医疗保险支付机制尚不完善。结论建议进一步加强行业管理,提升罕见病用药保障;加强医疗服务提供方能力建设,取消罕见病用药考核限制;畅通罕见病用药保障渠道,完善医疗保险支付机制。 展开更多
关键词 史密斯政策执行过程模型Smith’s policy implementation process model 罕见病rare disease 国家医保药品目录准入谈判药品national medicial insurance negotiated drug 政策执行policy implementation
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Inter-and transdisciplinary perspective on the integration of ecological processes into ecosystem services analysis in a mountain region
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作者 Robert Huber Simon Briner +5 位作者 Harald Bugmann Che Elkin Christian Hirschi Roman Seidl Rebecca Snell Andreas Rigling 《Ecological Processes》 SCIE EI 2014年第1期172-185,共14页
Introduction:Ecosystem goods and services(EGS)studies have had little impact on policy processes and real-world decision-making due to limited understanding of the interactions and feedbacks among ecological,social an... Introduction:Ecosystem goods and services(EGS)studies have had little impact on policy processes and real-world decision-making due to limited understanding of the interactions and feedbacks among ecological,social and economic processes.Here we present an inter-and transdisciplinary analysis of global change impacts on EGS provision in a European mountain region.Our aim is to evaluate the projected influence of ecological,economic and social drivers on future EGS provision and to show possible ways to address the predominant limitations of EGS studies.Methods:The integrated findings from ecological experiments,mechanistic models of landscape dynamics,socio-economic land-use models,policy analysis and transdisciplinary stakeholder interactions are presented consecutively.Four regionally downscaled global change scenarios,for a case study region near Visp,Switzerland(350 km2),were used to examine the impacts of climate and socio-economic changes on four ecosystem services,i.e.,food provision,timber production,net greenhouse gas emissions and protection from natural hazards.Results:Our simulation results reveal four key aspects that influence the future provision of mountain EGS.First,we show the high spatial and temporal heterogeneity of EGS provision even in a small case study region.Second,we find that climate change impacts are much more pronounced for forest EGS,while changes to agricultural EGS result primarily from shifts in economic conditions.Third,our modeling results reveal the complex trade-offs associated with the different scenarios.Fourth,simulations illustrate the importance of interactions between environmental shifts and economic decisions.We discuss our simulation results with respect to both existing policy networks and transdisciplinary stakeholder interactions.Conclusion:We describe a framework based on experiments and observations that effectively supports the integration of ecological processes into an integrative modeling chain of EGS provision in mountain regions,the political decision-making process and also transdisciplinary stakeholder interactions. 展开更多
关键词 Interdisciplinary research Ecosystem services MODELING Scenario analysis policy process Transdisciplinary research Mountain regions
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Automated extraction of attributes from natural language attribute-based access control(ABAC)Policies 被引量:3
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作者 Manar Alohaly Hassan Takabi Eduardo Blanco 《Cybersecurity》 CSCD 2019年第1期38-62,共25页
The National Institute of Standards and Technology(NIST)has identified natural language policies as the preferred expression of policy and implicitly called for an automated translation of ABAC natural language access... The National Institute of Standards and Technology(NIST)has identified natural language policies as the preferred expression of policy and implicitly called for an automated translation of ABAC natural language access control policy(NLACP)to a machine-readable form.To study the automation process,we consider the hierarchical ABAC model as our reference model since it better reflects the requirements of real-world organizations.Therefore,this paper focuses on the questions of:how can we automatically infer the hierarchical structure of an ABAC model given NLACPs;and,how can we extract and define the set of authorization attributes based on the resulting structure.To address these questions,we propose an approach built upon recent advancements in natural language processing and machine learning techniques.For such a solution,the lack of appropriate data often poses a bottleneck.Therefore,we decouple the primary contributions of this work into:(1)developing a practical framework to extract authorization attributes of hierarchical ABAC system from natural language artifacts,and(2)generating a set of realistic synthetic natural language access control policies(NLACPs)to evaluate the proposed framework.Our experimental results are promising as we achieved-in average-an F1-score of 0.96 when extracting attributes values of subjects,and 0.91 when extracting the values of objects’attributes from natural language access control policies. 展开更多
关键词 Attribute-based access control(ABAC)policy authoring natural language processing relation extraction clustering deep learning
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Automated extraction of attributes from natural language attribute-based access control(ABAC)Policies
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作者 Manar Alohaly Hassan Takabi Eduardo Blanco 《Cybersecurity》 2018年第1期313-337,共25页
The National Institute of Standards and Technology(NIST)has identified natural language policies as the preferred expression of policy and implicitly called for an automated translation of ABAC natural language access... The National Institute of Standards and Technology(NIST)has identified natural language policies as the preferred expression of policy and implicitly called for an automated translation of ABAC natural language access control policy(NLACP)to a machine-readable form.To study the automation process,we consider the hierarchical ABAC model as our reference model since it better reflects the requirements of real-world organizations.Therefore,this paper focuses on the questions of:how can we automatically infer the hierarchical structure of an ABAC model given NLACPs;and,how can we extract and define the set of authorization attributes based on the resulting structure.To address these questions,we propose an approach built upon recent advancements in natural language processing and machine learning techniques.For such a solution,the lack of appropriate data often poses a bottleneck.Therefore,we decouple the primary contributions of this work into:(1)developing a practical framework to extract authorization attributes of hierarchical ABAC system from natural language artifacts,and(2)generating a set of realistic synthetic natural language access control policies(NLACPs)to evaluate the proposed framework.Our experimental results are promising as we achieved-in average-an F1-score of 0.96 when extracting attributes values of subjects,and 0.91 when extracting the values of objects’attributes from natural language access control policies. 展开更多
关键词 Attribute-based access control(ABAC)policy authoring natural language processing relation extraction clustering deep learning
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