家庭医生签约服务下社区居民就医选择的相关因素研究

为了解南京市浦口区居民就医选择现状,分析影响就医选择的相关因素,以浦口区11个社区卫生服务中心为调查地点,普查与等容抽样相结合方式纳入调查对象2 301人。问卷调查收集其人口学特征、就医选择以及医疗相关行为等信息;多因素Logistic回归分析浦口区居民就医选择的相关影响因素。结果显示,调查对象中1 883人（81.9%）表示可以接受以家庭医生为核心的基层首诊,1 525人（66.3%）选择首先去基层医疗机构就诊。Logistic回归分析结果显示,到最近医疗机构所需时间、年龄、慢性病、是否签约家庭医生是居民接受以家庭医生为核心的基层首诊的相关因素;影响居民就医选择的相关因素则包括到最近医疗机构所需时间、年龄、文化程度、家庭人均月收入、是否签约家庭医生。浦口区居民选择基层医疗机构首诊的构成比相对较高;签约家庭医生有助于促进社区居民对基层首诊的选择与接受度;60岁及以上老年人与慢病患者对基层首诊的需求度更高,提示签约家庭医生的推广工作应重点关注这两类人群。     

Testing Symmetry of the Error Distribution in Nonlinear Heteroscedastic Models

Using the empirical characteristic function, we derive a Cramér-von Mises test for symmetry of the error distribution in a class of nonlinear parametric heteroscedastic models. We study the convergence of the residual-based empirical distribution function. We establish a functional limit theorem for an empirical process of residuals, and investigate the asymptotic null distribution function of our test statistic. A simulation experiment is conducted to evaluate small-sample performances of our test.     

A Generalization of Geometric Brownian Motion with Applications

Although geometric Brownian motion has a great variety of applications, it can not cover all the random phenomena. The purpose of this article is to propose a model that generalizes geometric Brownian motion. We present some interesting applications of this model in financial engineering and statistical inferences for the unknown parameters.     

Superiority of the r-k class estimator over some estimators in a misspecified linear model

ABSTRACT

In this article, we discuss the superiority of r-k class estimator over some estimators in a misspecified linear model. We derive the necessary and sufficient conditions for the superiority of the r-k class estimator over each of these estimators under the Mahalanobis loss function by the average loss criterion in the misspecified linear model.     

A detection algorithm for the first jump time in sample trajectories of jump-diffusions driven by α-stable white noise

Abstract

The purpose of this paper is to develop a detection algorithm for the first jump point in sampling trajectories of jump-diffusions which are described as solutions of stochastic differential equations driven by α-stable white noise. This is done by a multivariate Lagrange interpolation approach. To this end, we utilize computer simulation algorithm in MATLAB to visualize the sampling trajectories of the jump-diffusions for various combinations of parameters arising in the modeling structure of stochastic differential equations.     

Age-period-cohort analysis: an illustration of the problems in assessing interaction in one observation per cell data

This paper discusses the specific problems of age-period-cohort (A-P-C) analysis within the general framework of interaction assessment for two-way cross-classified data with one observation per cell. The A-P-C multiple classification model containing the effects of age groups (rows), periods of observation (columns), and birth cohorts (diagonals of the two-way table) is characterized as one of a special class of models involving interaction terms assumed to have very specific forms. The so-called A-P-C identification problem, which results from the use of a particular interaction structure for detecting cohort effects, is shown to manifest itself in the form of an exact linear dependency among the columns of the design matrix. The precise relationship holding among these columns is derived, as is an explicit formula for the bias in the parameter estimates resulting from an incorrect specification of an assumed restriction on the parameters required to solve the normal equations. Current methods for modeling A-P-C data are critically reviewed, an illustrative numerical example is presented, and one potentially promising analysis strategy is discussed. However, gien the large number of possible sources for error in A-P-C analyses, it is strongly recommended that the results of such analyses be interpreted with a great deal of caution.     

A Survey of the Teaching of Statistics in M.B.A. Programs

A survey of business schools was conducted to obtain information about the current state of the teaching of business statistics to students enrolled in M.B.A. degree programs. The survey was undertaken for and presented at a June 1986 conference on “Making Statistics More Effective in Schools of Business,” held at the University of Chicago's Graduate School of Business. Information was elicited concerning both the required statistics sequence and elective statistics courses for M.B.A. students, as well as computer usage in these courses. This article summarizes the information obtained from the survey.     

Parametric Nonlinear Regression with Endogenous Switching

Based on the insightful work of Olsen (1980 Olsen , R. J. ( 1980 ). A least squares correction for selectivity bias . Econometrica 48 : 1815 – 1820 .[Crossref], [Web of Science ®] , [Google Scholar]) for the linear context, a generic and unifying framework is developed that affords a simple extension of the classical method of Heckman (1974 Heckman , J. ( 1974 ). Shadow prices, market wages, and labor supply . Econometrica 42 : 679 – 694 .[Crossref], [Web of Science ®] , [Google Scholar], 1976 Heckman , J. ( 1976 ). The common structure of statistical models of truncation sample selection and limited dependent variables and a simple estimator for such models . Annals of Economic and Social Measurement 5 : 475 – 492 . [Google Scholar], 1978 Heckman , J. ( 1978 ). Dummy endogenous variables in a simultaneous equation system . Econometrica 46 : 931 – 959 .[Crossref], [Web of Science ®] , [Google Scholar], 1979 Heckman , J. ( 1979 ). Sample selection bias as a specification error . Econometrica 47 : 153 – 161 .[Crossref], [Web of Science ®] , [Google Scholar]) to a broad class of nonlinear regression models involving endogenous switching and its two most common incarnations, endogenous sample selection and endogenous treatment effects. The approach should be appealing to applied researchers for three reasons. First, econometric applications involving endogenous switching abound. Secondly, the approach requires neither linearity of the regression function nor full parametric specification of the model. It can, in fact, be applied under the minimal parametric assumptions—i.e., specification of only the conditional means of the outcome and switching variables. Finally, it is amenable to relatively straightforward estimation methods. Examples of applications of the method are discussed.     

Robust Likelihood Cross-Validation for Kernel Density Estimation

Likelihood cross-validation for kernel density estimation is known to be sensitive to extreme observations and heavy-tailed distributions. We propose a robust likelihood-based cross-validation method to select bandwidths in multivariate density estimations. We derive this bandwidth selector within the framework of robust maximum likelihood estimation. This method establishes a smooth transition from likelihood cross-validation for nonextreme observations to least squares cross-validation for extreme observations, thereby combining the efficiency of likelihood cross-validation and the robustness of least-squares cross-validation. We also suggest a simple rule to select the transition threshold. We demonstrate the finite sample performance and practical usefulness of the proposed method via Monte Carlo simulations and a real data application on Chinese air pollution.