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Summary Based on 14 case studies of highly effective therapies and the reasons they succeeded less frequently than they could, we
propose a variety of steps to improve the health care system of the U.S.A. Whatever proposal emerges from current national
debates until innovations are shown to be safe and effective, they should not be supported; when slightly better technologies
are much more expensive than other good ones we need to consider appropriate choices carefully; simplified billing and bookkeping
would reduce our costs; when a technology is rapidly introduced cautionnary measures may be needed; tracking immunization
and repairing their omissions requires a new system; educational programs such as seen effective in hypertension should be
applied in other areas such as vaccination; in organ transplantation the nation should consider “presumed consent”; our payment
system sometimes creates perverse incentives and therefore needs review; and the preferences of the public in allocation of
health resources need to be discovered once the public is informed about the issues.
Research supported by Andrew W. Mellon Foundation. 相似文献
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《Australian & New Zealand Journal of Statistics》1982,24(3):383-383
In recognition of his unique and distinguished contributions to statistics, Professor P. A. P. Moran, FAA, FRS, Foundation Professor of Statistics, Institute of Advanced Studies, Australian National University, has been awarded the Pitman Medal of the Statistical Society of Australia. The Medal was presented to Professor Moran on 26th August, 1982, at the Sixth Australian Statistical Conference in Melbourne. 相似文献
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Lincoln E. Moses 《统计学通讯:模拟与计算》2013,42(5):479-490
The Bonferroni t-statistic is a versatile tool in multiple comparisons problems. The need for "oddball percentage points" may lead to extensive tables or heavy computation. Charts of tp as a function of log p enable near two-decimal accuracy for any percentage point between .01 and .00001 相似文献
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The effects of data uncertainty on real-time decision-making can be reduced by predicting data revisions to U.S. GDP growth. We show that survey forecasts efficiently predict the revision implicit in the second estimate of GDP growth, but that forecasting models incorporating monthly economic indicators and daily equity returns provide superior forecasts of the data revision implied by the release of the third estimate. We use forecasting models to measure the impact of surprises in GDP announcements on equity markets, and to analyze the effects of anticipated future revisions on announcement-day returns. We show that the publication of better than expected third-release GDP figures provides a boost to equity markets, and if future upward revisions are expected, the effects are enhanced during recessions. 相似文献
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Catherine J. Morrison 《商业与经济统计学杂志》2013,31(4):312-324
Capacity utilization measures have traditionally been constructed as indexes of actual, as compared to “potential,” output. This potential or capacity output (Y*) can be represented within an economic model of the firm as the tangency between the short- and long-run average cost curves. Economic theoretical measures of capacity utilization (CU) can then be characterized as Y/Y* where Y is the realized level of output. These quantity or primal CU measures allow for economic interpretation; they provide explicit inference as to how changes in exogenous variables affect CU. Additional information for analyzing deviations from capacity production can be obtained by assessing the “dual” cost of the gap. In this article the definitions and representations of primal-output and dual-cost CU measures are formalized within a dynamic model of a monopolistic firm. As an illustration of this approach to characterizing CU measures, a model is estimated for the U.S. automobile industry, 1959–1980, and primal and dual CU indexes are constructed. Application of these indexes to adjustment-of-productivity measures for “disequilibrium” is then carried out, using the dual-cost measure. 相似文献
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Andrew T. A. Wood 《统计学通讯:模拟与计算》2013,42(4):1439-1456
A three-parameter F approximation to the distribution of a positive linear combination of central chi-squared variables is described. It is about as easy to implement as the Satterthwaite-Welsh and Hall-Buckley-Eagleson approximations. Some reassuring properties of the F approximation are derived, and numerical results are presented. The numerical results indicate that the new approximation is superior to the Satterthwaite approximation and, for some purposes, better than the Hall-Buckley-Eagleson approximation. It is not quite as good as the Gamma-Weibull approximation due to Solomon and Stephens, but is easier to implement because iterative methods are not required. 相似文献