An empirical examination of cost-adjusting in outpatient clinics

This paper presents an empirical methodology for examining cost-adjusting in relation to multiple-output health care providers. The methodology is subsequently implemented using a sample of California outpatient clinics. The empirical evidence is that these clinics do cost-adjust; that is, the clinics respond to low Medicare reimbursement by using lower quality to control the marginal costs of those patient groups not insured under a government-sponsored plan. In addition, clinics do not cost-adjust with respect to Medi-Cal patients, implying that various government reimbursement systems have different effects on a provider’s cost-adjusting behavior.     

激活沉淀资源 加快贵州发展

目前我国社会中存在生产要素闲置状况 ,而且这种状况有加剧的趋势。党的十六大提出全新的价值理论 ,并在这一理论指导下解决该类问题 :提出激活闲置资源 ,加快经济社会稳定发展的建议和措施     

The City of Saskatoon’s Local Area Planning Program: A Case Study

The City of Saskatoon’s Local Area Planning (LAP) Program is a community-based approach to developing comprehensive neighbourhood plans. In order to achieve sustainable and implementable Local Area Plans (LAPs), the City of Saskatoon has been using innovative methods of collaborative decision-making to engage citizens. The program has been recognized nationally by the Federation of Canadian Municipalities for demonstrating innovative approaches to citizen engagement in Sustainable Community Planning. A total of eight LAPs have been adopted by City Council and 212 recommendations have been approved, with 101 of these recommendations being completed, 71 currently in progress and 40 to be determined. Great strides have been made to implement the LAPs by allocating resources for coordinating implementation, working with communities, and for implementing the various recommendations. In addition, over 1,000 people representing various interests have participated in one or more LAP Committee or implementation meetings. Through this participation, partnerships have been formed, program and service delivery has been improved, and most importantly, communities have taken ownership of their plans. After completing eight LAPs, the LAP communities, City Council and city planners have felt the need to measure ongoing changes and progress in the LAP communities. In recognition of this, the City of Saskatoon’s City Planning Branch will be working with LAP communities, the Community-University Institute for Social Research (CUISR) and other stakeholders to develop a framework for statistically measuring changes in LAP communities and to monitor “Neighbourhood Success Factors”. The Neighbourhood Success Factors will work to detect serious socio-economic conditions before they reach a point of crisis. This paper will first describe the LAP Program before reviewing the proposed framework for statistically measuring changes in Saskatoon’s neighbourhoods.

A Non-parametric Frailty Model for Temporally Clustered Multivariate Failure Times

Abstract A model is introduced here for multivariate failure time data arising from heterogenous populations. In particular, we consider a situation in which the failure times of individual subjects are often temporally clustered, so that many failures occur during a relatively short age interval. The clustering is modelled by assuming that the subjects can be divided into ‘internally homogenous’ latent classes, each such class being then described by a time‐dependent frailty profile function. As an example, we reanalysed the dental caries data presented earlier in Härkänen et al. [Scand. J. Statist. 27 (2000) 577], as it turned out that our earlier model could not adequately describe the observed clustering.     

企业目标与员工目标协同性影响因素调查方法研究

文章系统设计了企业目标与员工目标协同性影响因素的调查方案，从抽样方法、统计分析技术等方面对调查方案进行了可行性分析。通过问卷调查、现场观察、面谈等社会调查方法，归纳整理出企业目标与员工目标协同性影响因素的4个维度24个指标，为研究企业目标及员工目标互动关系以及协同性动态演化规律提供数据基础。     

创新与核心能力体系研究

创新是企业经营要素的新组合。企业核心能力是企业发展能力中最重要的能力,它源于企业创新。企业创新点,实质在企业价值的“链环”上,企业核心能力的形成,关键在于建立价值链某个环节上的竞争优势,企业应当通过创新培育核心能力体系。而创新必须要有卓越的创意设计、科学的策划和有效的策略。     

谈二胡教学及演奏中音乐力度感的审美体验

文章从力度感角度论述了音乐表达中应关注的基本问题,结合二胡教学及演奏实践,从特殊到一般,阐述了力度之于音乐表达的意义,提出了在音乐表达中体现力度美学蕴意的途径。     

论英语专业教学中学生非智力因素的培养

非智力因素是保证成功进行各种活动的必要心理条件。在英语专业课程学习中,学生的非智力因素能够直接转化为学习动机,把学习当作自觉行为。教师应注重学生兴趣、情感、意志、性格等非智力因素的培养,讲究教学艺术,建立宽松互动的学习环境,使学生的非智力因素在学习中起到重要作用。     

基于整合过程的企业并购绩效影响因素探析 ——以广东企业参与的并购事件为例

该文提出了基于整合过程的并购绩效影响因素的分析框架,通过理论研究并结合中国的特定环境因素,作者提出了相关假设,设计出量表,并依据问卷回收的数据对研究假设进行验证。研究发现,并购绩效受到协同潜力、业务整合程度与员工态度3个因素的影响。     

俄语学习过程中的干扰问题研究

干扰是俄语学习及进一步提高俄语水平的重要制约因素。俄语学习者已获得的知识、技能、学习方法和态度会对学习俄语产生消极影响。干扰产生的原因主要有语间干扰、语内干扰和文化干扰,学习者要区别对待,有针对性地采取有效措施消除干扰。