医疗信息共享对患者转移数量和服务质量水平影响研究

当前我国医院间存在严重的"信息孤岛"，医院参与医疗信息共享意愿不高，患者的诊疗信息被静态碎片化储存而无法充分有效地利用。考虑到医院进行医疗信息共享将降低患者转移成本，本文构建一个多阶段双寡头动态博弈模型研究医疗信息共享对医院竞争过程中患者转移数量和服务质量水平决策的影响。首先，根据是否存在转移成本，将患者分为新患者和经验性患者，借助Hotelling模型刻画患者的效用函数，分析患者就诊决策。然后，在政府价格规制和不考虑医院利他性情景下，构建了医院累积期望收益目标函数，使用动态规划方法，求解实现医院累积期望收益最大化的服务质量水平，获得了实现患者相互转移且医院在市场中共存的马尔可夫完美均衡。最后，根据医院参与医疗信息共享后患者转移成本降为零，分析与比较信息共享前后患者转移数量和服务质量水平变化。研究发现：在不同医院间本身存在患者转移背景下，医院参与信息共享后，患者转移数量增加但存在一个上限，增加的转移量与患者在医院间的转移成本呈正相关，与初始感知效用的差值范围呈负相关；医院参与信息共享后，均衡状态下的医院服务质量水平高于信息共享前的服务质量水平。因此，在不改变当前医保支付方式下，要加快推进医疗信息共享，政府部门可以根据医院的患者数量和服务质量水平变化对其进行定期补贴，以激励医院积极参与医疗信息共享，本文给出了这个补贴的量化表达。     

中介机构参与下联盟企业知识转移的三方利益博弈分析

知识转移是企业保存知识、提升创新能力的重要途径，中介机构在转移过程中发挥了重要作用。本文以联盟企业间知识转移为研究对象，考虑了企业的不同心理压力，首先建立了联盟企业双方的讨价还价博弈模型；其次构建了考虑中介机构参与知识转移的博弈模型，分析和讨论三方收益变化的影响因素及策略选择。结果表明，在直接知识转移博弈中，转移主体的收益大小与自身的心理压力呈负相关，而与对方的心理压力呈正相关，同等心理压力下知识转出方占优；中介机构参与博弈情形下，中介机构作为协作角色的博弈收益仅受博弈双方心理压力影响，且与知识接收方协作可获得更大收益，而主导角色博弈情形下收益受到三方主体心理压力的综合影响，并在主导知识接收博弈时获得收益更大；中介机构的角色选择与知识转出方心理压力变化相关性不明显，主要受到知识接收方及自身心理压力影响。     

Probabilistic population projections for countries with generalized HIV/AIDS epidemics

In 2015, the United Nations (UN) issued probabilistic population projections for all countries up to 2100, by simulating future levels of total fertility and life expectancy and combining the results using a standard cohort component projection method. For the 40 countries with generalized HIV/AIDS epidemics, the mortality projections used the Spectrum/Estimation and Projection Package (EPP) model, a complex, multistate model designed for short-term projections of policy-relevant quantities for the epidemic. We propose a simpler approach that is more compatible with existing UN projection methods for other countries. Changes in life expectancy are projected probabilistically using a simple time series regression and then converted to age- and sex-specific mortality rates using model life tables designed for countries with HIV/AIDS epidemics. These are then input to the cohort component method, as for other countries. The method performed well in an out-of-sample cross-validation experiment. It gives similar short-run projections to Spectrum/EPP, while being simpler and avoiding multistate modelling.     

Value drivers of social businesses: A business model perspective

Hybrid organizational forms that combine commercial and welfare institutional logics play an increasingly important role in addressing the grand societal challenges we face today. Building on the literatures on hybrid organizations and social business models, we explore the characteristics of social businesses from a business model perspective. This study seeks to better understand the particularities and value drivers of hybrid social purpose in contrast to purely commercial business models. We follow a grounded theory approach and our findings are based on interview data from 17 social business firms. Building on social businesses' identified particularities, we propose four value drivers of social business models: 1) responsible efficiency, 2) impact complementarities, 3) shared values, and 4) integration novelties. We link our findings to the literature, contributing new insights into social businesses models and implications for practitioners.     

An Optimization‐Based Framework for the Identification of Vulnerabilities in Electric Power Grids Exposed to Natural Hazards

This article proposes a novel mathematical optimization framework for the identification of the vulnerabilities of electric power infrastructure systems (which is a paramount example of critical infrastructure) due to natural hazards. In this framework, the potential impacts of a specific natural hazard on an infrastructure are first evaluated in terms of failure and recovery probabilities of system components. Then, these are fed into a bi‐level attacker–defender interdiction model to determine the critical components whose failures lead to the largest system functionality loss. The proposed framework bridges the gap between the difficulties of accurately predicting the hazard information in classical probability‐based analyses and the over conservatism of the pure attacker–defender interdiction models. Mathematically, the proposed model configures a bi‐level max‐min mixed integer linear programming (MILP) that is challenging to solve. For its solution, the problem is casted into an equivalent one‐level MILP that can be solved by efficient global solvers. The approach is applied to a case study concerning the vulnerability identification of the georeferenced RTS24 test system under simulated wind storms. The numerical results demonstrate the effectiveness of the proposed framework for identifying critical locations under multiple hazard events and, thus, for providing a useful tool to help decisionmakers in making more‐informed prehazard preparation decisions.     

半参数空间ZISF的估计、分类与蒙特卡罗模拟

零无效率随机前沿模型（ZISF）包含随机前沿模型和回归模型，两模型各有一定的发生概率，适用于技术无效生产单元和技术有效生产单元同时存在的情形。本文在ZISF的生产函数中引入空间效应和非参函数，并假设回归模型的发生概率为非参函数，构建了半参数空间ZISF。该模型可有效避免忽略空间效应导致的有偏且不一致估计量，也避免了线性模型的拟合不足。本文对非参函数采用B样条逼近，使用极大似然方法和JLMS法分别估计参数和技术效率。蒙特卡罗结果表明：①本文方法的估计精度和分类精度均较高。随着样本容量的增大，精度增加。②忽略空间效应或者非参数效应，估计精度和分类精度降低，文中模型有存在必要性。③忽略发生概率的非参数效应会严重降低估计和分类精度，远大于忽略生产函数的非参数效应的影响。     

A Bayesian Analysis of Abundance,Trend, and Population Viability for Harbor Seals in Iliamna Lake,Alaska

Harbor seals in Iliamna Lake, Alaska, are a small, isolated population, and one of only two freshwater populations of harbor seals in the world, yet little is known about their abundance or risk for extinction. Bayesian hierarchical models were used to estimate abundance and trend of this population. Observational models were developed from aerial survey and harvest data, and they included effects for time of year and time of day on survey counts. Underlying models of abundance and trend were based on a Leslie matrix model that used prior information on vital rates from the literature. We developed three scenarios for variability in the priors and used them as part of a sensitivity analysis. The models were fitted using Markov chain Monte Carlo methods. The population production rate implied by the vital rate estimates was about 5% per year, very similar to the average annual harvest rate. After a period of growth in the 1980s, the population appears to be relatively stable at around 400 individuals. A population viability analysis assessing the risk of quasi‐extinction, defined as any reduction to 50 animals or below in the next 100 years, ranged from 1% to 3%, depending on the prior scenario. Although this is moderately low risk, it does not include genetic or catastrophic environmental events, which may have occurred to the population in the past, so our results should be applied cautiously.     

A dynamic business modelling approach to design and experiment new business venture strategies

Business Modelling has evolved as a key activity to reflect new business venture strategy by framing the way a firm will operate and how it will function in achieving its goals (e.g., profitability, growth, innovation, social impact). However, scholars and practitioners have criticized the adoption of a too static perspective in the design and use of conventional Business Model representations. Such a static perspective prevents nascent entrepreneurs experimenting with their Business Models and, as a result, identifying the most effective strategies, especially in terms of business sustainability and profitability. In this paper, we argue that combining conventional Business Model schemas with System Dynamics modelling results in a strategy design tool that may overcome several limitations related to a static view of Business Model representation. Mapping the different key elements underlying value creation processes into a system of causal interdependencies – through the use of simulation – allows strategy analysts and entrepreneurs to experiment and learn how the business reacts to strategic and organizational changes in terms of performance, innovation and value creation. As such, Dynamic Business Models provide useful insights to strategy formulation and business venturing by capturing how critical Business Model elements interact to produce enduring competitive advantages over time.     

基于Hawkes因子模型的股价共同跳跃研究

本文首先比较了三种目前主流的共跳检验方法：基于LM检验的共跳检验、BLT共跳检验和FHLL共跳检验，结果表明，三种方法在识别共跳数量上差距明显，但三者结果的重合部分基本属于市场暴涨暴跌行情，说明共跳识别对市场剧烈波动的聚集性较为敏感。基于跳跃、共跳存在的聚集性问题，本文将Hawkes过程引入跳跃和共跳的研究，构建了基于Hawkes过程的因子模型，结果显示，基于Hawkes因子模型的MJ统计量、CJ统计量和实证数据的拟合程度较好，表明因子模型能够更好地描述跳跃和共跳的聚集性。     

基于SECI模型的实习教师隐性知识显性化探究

实习教师隐性知识显性化能有效促进实习教师个体教学经验的积累和理论知识的增长，增加教育实习的价值。当下，我国学者对教师隐性知识的研究对象更多集中于资深教师团体。由于实习教师隐性知识外显化缺少必要的机制与条件，所以学者们往往忽略了对实习教师隐性知识显性化的挖掘。SECI模型指知识转化的四种模式，即社会化、外部化、组合化和内部化。与之相对应的有四种场所，分别是创始场、对话场、系统化场和练习场。在此基础上，提出SECI知识转换扩展模型，并从知识创生的四个不同阶段探究实习教师对SECI模型的应用情况。据此，提出相应的教育实习策略，如建立学习共同体、引导实习教师深入反思教学实践、建立有效的学校ICT环境、形成高效且自主的实习教师授课模式等，以促进隐性知识的共享与应用。