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We introduce a new approach to hospital-acquired disease risk assessment from public health databases. In a spirit similar to actuarial risk theory, we define an adjustment coefficient that can quantify the risk associated with a hospital department, allowing comparisons of similar departments. The adjustment coefficient characterizes the tail of the distribution of the total patient length of stay in a department before the first disease event occurs. We show that this coefficient is the solution of a Lundberg-like equation, and we provide a nonparametric estimation procedure for this measure, based on a Cramér-Lundberg approximation for the tail of the distribution. Using simulations, we provide evidence of the robustness of the approximation to various individual risk models. In addition, we illustrate the relevance of this approach by evaluating the risk associated with a standard patient safety indicator in 20 hospitals of southeastern France. 相似文献
13.
François Portier 《Scandinavian Journal of Statistics》2016,43(3):827-844
A common approach taken in high‐dimensional regression analysis is sliced inverse regression, which separates the range of the response variable into non‐overlapping regions, called ‘slices’. Asymptotic results are usually shown assuming that the slices are fixed, while in practice, estimators are computed with random slices containing the same number of observations. Based on empirical process theory, we present a unified theoretical framework to study these techniques, and revisit popular inverse regression estimators. Furthermore, we introduce a bootstrap methodology that reproduces the laws of Cramér–von Mises test statistics of interest to model dimension, effects of specified covariates and whether or not a sliced inverse regression estimator is appropriate. Finally, we investigate the accuracy of different bootstrap procedures by means of simulations. 相似文献
14.
Denis?BeningerEmail author Fran?ois?Laisney Miriam?Beblo 《Journal of population economics》2007,20(4):869-893
We compare results of a tax reform analysis obtained with the collective and unitary models of household behaviour. We simulate
real world micro-data by means of a collective approach, using a compound procedure of estimation and calibration based on
the 1998 wave of the German socio-economic panel. We estimate a unitary model on this ‘collective’ data set. Investigating
a move from joint to individual taxation on the basis of both models, we obtain important discrepancies between predicted
adjustments to labour supply and distortions in the welfare analysis of the reform on the basis of unitary estimates.
相似文献
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ABSTRACT Wage policies in France were substantially renewed in the 1980s; this renewal was reflected in two phenomena: profit-sharing and merit payment. Merit payment is analysed here in relation to the emergence of new forms of organization of production. The need for higher-skilled labour, the relative decline of execution work and Taylorism have led to the setting up of systems of individual assessment and a more coherent organization of internal labour markets. Thus, merit payment should be seen as a very different practice from piece work: rather, it is the first attempt to establish a system of payment which could serve as a basis for renewing the entire wage bargaining set-up. 相似文献
17.
If voters vote strategically, is it useful to offer them the possibility of expressing nuanced opinions, or would they always overstate the intensity of their preferences? For additive voting rules, say that a ballot is extremal if it is neither abstention-like nor can be expressed as a mixture of the available ballots. We give a sufficient condition for strategic equivalence: if two rules share the same set of extremal ballots (up to an homothetic transformation), they are strategically equivalent in large elections. This condition is also necessary for the strategic equivalence of positional rules. These results do not hold for small electorates. 相似文献
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Defays A Safin S Darses F Mayeur A Rajeb SB Lecourtois C Guéna F Leclercq P 《Work (Reading, Mass.)》2012,41(Z1):3494-3503
In the areas of design, especially in architectural design, collaboration has become an important challenge. The specialization of skills increase, work teams are more and more extensive and the geographic distance between them increases too. The economic and ecological stakes related to remote collaboration are an evidence. This context involves the need to support most efficiently possible remote working meetings. We present the Distributed Collaborative Digital Studio (DSDC), a tool designed to recreate, in distant situations, the context of copresence meetings. This shared environment is created in the "invisible computer" approach [11]. The idea is that the tool should disappear from user's consciousness. Indeed, creative design activities require some fluidity in their process. Therefore, any involuntary interruption created by the system can potentially brake creativity. In this perspective, we investigate specifically the "invisibility" of our environment. To do this, we propose a framework for the operationalization of the concept and a methodology to test the system invisibility. This methodology was applied through a case study consisting of a corpus of 12 hours of remote collaborative design sessions with the DSDC. We highlight the learning effects while using our system, conclude on its effectiveness and discuss our methodology. 相似文献
20.
Justin Gross Fran?ois Elvinger Laura L. Hungerford Stanley D. Gehrt 《Urban Ecosystems》2012,15(3):667-682
The raccoon is often considered a synanthropic species; however, most urban research on this species has been restricted to urban parks or green spaces. Little is known about the persistence of synanthropic characteristics in the raccoon within the urban matrix. We examined density, den selection, home range size, habitat selection, and survival for adult raccoons (Procyon lotor) during summer (June?CAugust) and autumn (September?CNovember) in two residential neighborhoods, Linthicum located inland, and Riviera Beach on a peninsula in the Potomac river, in Southern Maryland. Den site selection varied by gender (P?=?0.0002) and study site (P?=?0.052), and study site interacted with gender (P?=?0.0063), with female raccoons denning preferentially on the ground and male raccoons in human structures in Riviera Beach while in Linthicum females denned preferentially in trees and males avoided human structures. Seasonal home range size was larger for males (P?<?0.0001) than females at both sites. Habitat selection varied at different hierarchical levels, and between gender, season and site. Intersite differences in habitat selection were apparent at the second order and third order scale. Aquatic and urban habitat was ranked high and woodland consistently lowest in second order scale at Riviera Beach while urban habitat was consistently ranked lowest at Linthicum where woodland ranked highest. Between the hierarchal scales (2nd and 3rd order) a difference in habitat selection occurred at Linthicum only where urban habitats ranked lowest at 3rd order. The differences in patterns of habitat selection we observed between two urban sites at different hierarchical scales suggest that resource selection is dependent upon the specific characteristics of the site and that raccoons exhibit variable responses to changes in landscape features. Finally, male survival tended to be lower (P?=?0.079) than female survival in both study sites. Our results reveal that raccoons can continue to exhibit synanthropic characteristics within the urban matrix even in areas with little natural habitat. This ability to adjust to different levels of development allows the raccoon to occur throughout most parts of the urban landscape, which has important management implications for human-raccoon conflicts and disease management. 相似文献