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21.
论传统定额计价如何向工程量清单计价转变   总被引:1,自引:0,他引:1  
本文从价格理论、计价模式、招投标效果等方面与传统定额计价的区别作了论述,以更好的促进工程量清单计价模式的推广。  相似文献   
22.
基于管理式医疗的全民社会医疗保险初探   总被引:1,自引:0,他引:1  
管理式医疗是美国占主导地位的医疗保险形式,可以看成是医疗保险公司运用期权思想管理风险的一种风险管理模式.深入剖析了我国医疗保险现存的问题,在公平与效率兼顾的基础上,借鉴美国管理式医疗的风险管理方法,提出了适合我国国情的全民社会医疗保险模式的构想,即以政府委托社会保障部门作为管理式医疗组织者,通过买入社区医疗服务网络这个买方期权,对冲其对投保人承担的卖出买方期权的风险,建立社会保障部门、社区医疗服务机构和投保人三方三位一体的风险管理模式.  相似文献   
23.
为了更好更快地实现国家规定的循环经济目标,当今企业也积极参与建设逆向物流工程。库存问题是逆向物流研究中最重要的内容之一,在采用Agent的建模思想基础上,充分考虑影响逆向物流供应链库存管理的各种复杂因素,抽象出交互、制造商、销售商、回收、信息和设计商等六大供应链逆向物流功能,由此组成供应链逆向物流库存系统的六类Agent,从而建立了基于Multi—Agent的逆向物流供应链库存控制模型。  相似文献   
24.
ABC分类库存方法是企业应用最广泛的库存分类方法之一。国内外学者在研究ABC库存分析法时通常只针对一种分类标准,然而按照多种标准进行分类的库存模型则研究的相对较少。提出了一种新型的基于多标准的ABC分类库存模型,此模型概括了线性和非线性的情况,重点研究库存物品权重在分类中的影响作用。通过对比本模型与AHP方法所得出的结果,然后进行数据整理、对比分析,得出了库存物品的权重在分类决策中占有非常重要的地位。最后,通过数据证明得到此研究方法在库存决策方面更优,能够更好地为库存管理者提供决策依据。  相似文献   
25.
在需求分布规律变化情况下,报童在进行订货决策时会因为错误判断需求分布规律而导致期望库存成本增加。为了解决这一问题,本文集成传统历史需求信息和非传统需求信息以正确地认知需求分布规律,在此基础上决策订货量。假设需求服从均值不同、方差相同的两种类型的正态分布,每一种正态分布的概率已知。利用信号检测理论构建基于历史需求信息与需求分布概率的报童最优订货策略,并与只基于需求分布概率的直觉规则订货策略进行对比。结果表明:只要排除需求分布概率很大或很小两种极端情况,最优订货策略比直觉规则订货策略在控制期望库存成本方面的作用更明显,即利用历史需求信息可以有效修正报童对实际需求分布的检测结果,从而提高实际订货决策的准确性。研究结果对传统历史需求信息和非传统需求信息的集成以及需求信息交换等有一定的管理学启示和应用价值。  相似文献   
26.
In Portugal, there is a gap regarding psychological tests validated for forensic contexts, particularly those related to child custody issues. The Parent–Child Relationship Inventory (PCRI) is one of the most used instruments in child custody contexts. This study aimed to analyze the psychometric properties of PCRI in a Portuguese forensic sample. PCRI factorial structure and psychometric properties were analyzed in a sample of 144 parents involved in child custody assessments. The questionnaire showed good internal consistency, except for the parental support, autonomy, and role orientation scales. It also showed good discriminant capacity. The confirmatory factor analysis did not replicate the 7-factor model proposed by Gerard. The results were discussed based on the use of PCRI in the context of child custody assessment.  相似文献   
27.
We consider supplier‐facilitated transshipments for achieving supply chain coordination in a single supplier, multi‐retailer distribution system with non‐cooperative retailers. The previous transshipment literature has focused on coordination through retailer‐negotiated transshipments and thus does not consider the supplier's decision‐making. In contrast, in this study, we assume the supplier is an active participant in the system and we seek to understand how the supplier can facilitate the implementation of coordinating transshipments. We study a two‐period model with wholesale orders at the start of the first period and preventive transshipments performed at the start of the second period. Inspired by a supplier‐facilitated transshipment scheme observed in practice, we assume the supplier implements transshipments through a bi‐directional adjustment contract. Under this contract, each retailer can either buy additional inventory from, or sell back excess inventory to, the supplier. We show that coordination can be achieved through carefully designed contracts with state‐dependent adjustment prices and a wholesale price menu. We demonstrate that the supplier's role in facilitating coordinating transshipments is critical. In addition, we use our understanding of the coordinating contract form to derive some simpler and easier‐to‐implement heuristic contracts. We use a numerical study to demonstrate the value, to the supplier, of using the coordinating adjustment and wholesale prices, and to evaluate the heuristics’ performance.  相似文献   
28.
Abstract

Purpose: To examine differences in site of death and costs of services by primary diagnosis for patients receiving home-based palliative care as compared to usual care at the end of life verity of illness, service use, and site of death.

Design and Methods: A nonequivalent group design was employed with 298 terminally ill patients diagnosed with cancer, CHF, or COPD enrolled. The treatment group received an interdisciplinary home-based palliative care program and the comparison group received usual Kaiser Permanente services. Data collected included patient demographics, se-

Results: Among all diseases, patients enrolled in palliative care were more likely to die at home. Enrollment in palliative care was significant associated with cost reductions for patients with cancer, COPD, and CHF. No significant difference was found between diagnostic groups in terms of magnitude of cost savings.

Implications: Provision of interdisciplinary home-based palliative care at end of life can effectively increase the likelihood of dying at home for patients with CHF, COPD, and cancer while realizing significant COSt savings.  相似文献   
29.
This paper analyses the optimal level of materials receiving capacity for a manufacturer that receives deliveries from many suppliers. Inventory levels and inventory carrying costs depend on the frequency of deliveries and thus, on the materials receiving capacity. An analytic model that captures the tradeoff between inventory costs and materials receiving costs is presented and discussed. The receiving cost is modeled as increasing in discrete jumps of varying sizes whenever materials receiving resources are added. Practical issues in implementing the model are highlighted and methods to reduce the marginal materials receiving cost are discussed. The paper also discusses connections to the JIT approach for production environments where materials receiving is heavily automated.  相似文献   
30.
血液是一种典型的易变质物品。本文以国内某大型医院的血液库存系统为对象,依照其运作流程,基于该系统运行的历史数据建立了一个离散事件系统仿真模型对这一系统进行研究,得到了该系统的最优订货点。本文的研究有助于血液库存管理措施的制定与改进,对其它易变质物品库存系统的管理也有一定的借鉴作用。  相似文献   
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