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Impact of hospital type on risk-adjusted,traffic-related 30-day mortality:a population-based registry study 被引量:1
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作者 Viktor Ydenius Robert Larsen +3 位作者 Ingrid Steinvall Denise Bäckström Michelle Chew Folke Sjöberg 《Burns & Trauma》 SCIE 2021年第1期594-602,共9页
Background:Traffic incidents are still a major contributor to hospital admissions and trauma-related mortality.The aim of this nationwide study was to examine risk-adjusted traffic injury mortality to determine whethe... Background:Traffic incidents are still a major contributor to hospital admissions and trauma-related mortality.The aim of this nationwide study was to examine risk-adjusted traffic injury mortality to determine whether hospital type was an independent survival factor.Methods:Data on all patients admitted to Swedish hospitals with traffic-related injuries,based on International Classification of Diseases codes,between 2001 and 2011 were extracted from the Swedish inpatient and cause of death registries.Using the binary outcome measure of death or survival,data were analysed using logistic regression,adjusting for age,sex,comorbidity,severity of injury and hospital type.The severity of injury was established using the International Classification of Diseases Injury Severity Score(ICISS).Results:The final study population consisted of 152,693 hospital admissions.Young individuals(0–25 years of age)were overrepresented,accounting for 41%of traffic-related injuries.Men were overrepresented in all age categories.Fatalities at university hospitals had the lowest mean(SD)ICISS 0.68(0.19).Regional and county hospitals had mean ICISS 0.75(0.15)and 0.77(0.15),respectively,for fatal traffic incidents.The crude overall mortality in the study population was 1193,with a mean ICISS 0.72(0.17).Fatalities at university hospitals had the lowest mean ICISS 0.68(0.19).Regional and county hospitals had mean ICISS 0.75(0.15)and 0.77(0.15),respectively,for fatal traffic incidents.When regional and county hospitals were merged into one group and its risk-adjusted mortality compared with university hospitals,no significant difference was found.A comparison between hospital groups with the most severely injured patients(ICISS0.85)also did not show a significant difference(odds ratio,1.13;95%confidence interval,0.97–1.32).Conclusions:This study shows that,in Sweden,the type of hospital does not influence risk adjusted traffic related mortality,where the most severely injured patients are transported to the university hospitals and centralization of treatment is common. 展开更多
关键词 EPIDEMIOLOGICAL International classification of diseases injury severity score Injury risk-adjusted mortality TRAUMA
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An Approximation Algorithm for the Risk-Adjusted Two-Stage Stochastic Facility Location Problem with Penalties
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作者 Jiating Shao Dachuan Xu 《Journal of the Operations Research Society of China》 EI 2013年第3期339-346,共8页
In this paper,we consider the risk-adjusted two-stage stochastic facility location problem with penalties(RSFLPP).Using the monotonicity and positive homogeneity of the risk measure function,we present an LP-roundin... In this paper,we consider the risk-adjusted two-stage stochastic facility location problem with penalties(RSFLPP).Using the monotonicity and positive homogeneity of the risk measure function,we present an LP-rounding-based 6-approximation algorithm. 展开更多
关键词 Facility location Approximation algorithm LP-rounding risk-adjusted
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风险调整的高血压、糖尿病按人头付费标准设计:基于聚类分析法 被引量:1
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作者 经天宇 徐伟 +3 位作者 钟港棚 安琪 杜雯雯 刘萍 《中国卫生资源》 北大核心 2022年第6期717-723,共7页
目的设计某市高血压、糖尿病(以下简称“两病”)签约患者按人头付费标准测算方案,为我国门诊慢性病按人头付费标准测算提供参考。方法梳理典型地区按人头付费标准测算经验,结合某市实际情况设计按人头付费标准测算方案。基于某市医疗保... 目的设计某市高血压、糖尿病(以下简称“两病”)签约患者按人头付费标准测算方案,为我国门诊慢性病按人头付费标准测算提供参考。方法梳理典型地区按人头付费标准测算经验,结合某市实际情况设计按人头付费标准测算方案。基于某市医疗保险结算明细数据,采用聚类分析法进行模拟测算,判断方案可行性。结果根据患者健康状况、年龄及对应医疗保险报销费用,宜将某市两病签约参保人划分至4个费用组,各费用组年度按人头付费标准分别为457元、1743元、1982元和2955元。结论建议未实行按人头付费地区可从慢性病入手实行按人头付费,在条件允许的情况下应根据医疗保险基金变化情况制定按人头付费标准并对其进行风险调整。 展开更多
关键词 高血压hypertension 糖尿病diabetes 按人头付费per capita payment 聚类分析cluster analysis 风险调整risk-adjusted 医疗保险medical insuranc
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Innovation and Firm Performance: Evidence From the Capital Market
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作者 Vichet Sum 《Journal of Modern Accounting and Auditing》 2013年第2期272-277,共6页
This paper examines the role of innovation in firm performance by drawing empirical evidence from the capital market. The current study analyzes risk premiums and risk-adjusted excess returns of a portfolio of the mos... This paper examines the role of innovation in firm performance by drawing empirical evidence from the capital market. The current study analyzes risk premiums and risk-adjusted excess returns of a portfolio of the most innovative firms in the US from 2006 to 2010. The results show that average risk premiums of an equal-weighted portfolio of the most innovative finns in the US are economically larger than the CRSP2 value-weighted index risk premiums four years in a row from 2006 to 2009 and are economically greater than the standard and poor (S&P) 500 index risk premiums from 2006 to 2010. The portfolio exhibits average statistically significant and positive risk-adjusted excess returns for the 3-year and 5-year holding period intervals. The findings serve as evidence of the favorable role of innovation in firm performance. 展开更多
关键词 risk premiums risk-adjusted excess returns INNOVATION
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