医疗需求与中国医疗费用增长——基于城乡老年医疗支出差异的视角

在人口老龄化和老年医疗支出城乡差异凸显的背景下,中国医疗费用增长部分源于合理的健康需求。利用中国营养与健康调查1991—2011年的八轮数据,构造出生组跟踪样本,分别考察城乡居民医疗支出的年龄效应,估算城乡老年医疗需求导致的费用上涨,可以发现:城市居民的人均医疗支出随年龄显著增加,但农村居民的人均医疗支出随年龄增长的趋势并不明显。而忽略出生组效应,会低估城乡老年医疗支出的差距。城乡老年医疗支出差距缩小,将导致医疗费用在2010—2030年年均实际增长约5.2%。在控制医疗总费用上涨的同时,医疗保险制度需根据老年医疗需求,调整医疗资源配置结构。     

Testing equality of two normal covariance matrices with monotone missing data

Abstract

The problem of testing equality of two multivariate normal covariance matrices is considered. Assuming that the incomplete data are of monotone pattern, a quantity similar to the Likelihood Ratio Test Statistic is proposed. A satisfactory approximation to the distribution of the quantity is derived. Hypothesis testing based on the approximate distribution is outlined. The merits of the test are investigated using Monte Carlo simulation. Monte Carlo studies indicate that the test is very satisfactory even for moderately small samples. The proposed methods are illustrated using an example.     

基于评价理论的APEC领导人宣言分析

2005年到2014年的APEC领导人宣言中的评价资源以借言为主，正面评价突出，其中鉴赏资源丰富，语势较强，立场分明。这些既体现出对话的和谐，又表明了领导人的决心和信心。2014年的领导人宣言的特点是亚太国家成果众多且认可度更高，特别鼓励区域内，以及政府与私营企业的战略性合作。     

Reducing sample size needed for cox-proportional hazards model analysis using more efficient sampling method

Abstract

In general, survival data are time-to-event data, such as time to death, time to appearance of a tumor, or time to recurrence of a disease. Models for survival data have frequently been based on the proportional hazards model, proposed by Cox. The Cox model has intensive application in the field of social, medical, behavioral and public health sciences. In this paper we propose a more efficient sampling method of recruiting subjects for survival analysis. We propose using a Moving Extreme Ranked Set Sampling (MERSS) scheme with ranking based on an easy-to-evaluate baseline auxiliary variable known to be associated with survival time. This paper demonstrates that this approach provides a more powerful testing procedure as well as a more efficient estimate of hazard ratio than that based on simple random sampling (SRS). Theoretical derivation and simulation studies are provided. The Iowa 65+ Rural study data are used to illustrate the methods developed in this paper.     

Anmerkungen zur Publikation „Möglichkeiten und Probleme des Einsatzes postalischer Befragungen“ von Karl-Heinz Reuband in der Kzfss 2001, 2, S. 307–333

Reuband’s article purports to report empirical results that seem to contradict the widely held view of mail surveys. This assertion is made possible only by an unclear statement of hypotheses and a selective perception of the literature. The data analysis is based on techniques from the 1960s and 1970s; modern methods are not even mentioned. Although all the results reported in the article are based on local surveys conducted by a university institute, these are generalized to national surveys in general. The main points of this critique are methodological: careless literature review, lack of concrete hypotheses, inefficient data analysis and generalizations without empirical foundation.     

Determinanten regelkonformen Verhaltens am beispiel des Strassenverkehrs

The main role of traffic police enforcement can be seen as preventing road users from committing offences, which can be related to road crashes and injuries. As the operating principle underlying the impact of police enforcement a deterrence effect has been discussed repeatedly, whereas from a sociological perspective the importance of “Norm Internalisation” has been emphasised. Thus, the present paper aims at comparing the influence of “Norm Internalisation” and the variables constituting the deterrence effect on the compliance with rules in road traffic. Based on a secondary analysis of data from a project on behavioural determinants of police surveillance carried out by the “Institute of Applied Transport and Tourism Research” (IVT) on behalf of the Federal Highway Research Institute (BASt) an operationalisation of the construct “General Norm Orientation” is developed. In several subsequent steps of statistical analysis patterns of correlations with variables from Opp’s “Theory of Law Obedience” are revealed. Results show a sufficiently high internal consistency (α = 0,82) of the scale “General Norm Orientation” and significant correlations with variables from Opp’s theory. The directions of these correlations are as expected and confirmed by multivariate analyses. Results are discussed with respect to their implications for influencing road users’ behaviours.     

Beate Krais (Hg.): An der Spitze. Von Eliten und herrschenden Klassen

Ohne Zusammenfassung     

‚The Good, the Bad, and the Ugly‘

According to the most influential contribution of recent years to the comparative study of advanced welfare states, Esping-Andersen’s ’Three Worlds of Welfare Capitalism‘, the welfare state basically comes in three variants: as a social-democratic, a conservative, or as a liberal regime. Yet, at a closer look, in particular the ’conservative‘ regime-type represents a highly problematic category. The article claims that the major problems of Esping-Andersen’s typology and theory originate from his sole focus on the class conflict and his neglect of the religious cleavage. Major theoretical contradictions and empirical puzzles of his approach can be solved if we take not only the impact of the catholic social doctrine on the development of the welfare state into account, but consider also the influence of social protestantism, especially that of protestant dissent and of protestant non-conformism. The paper substantiates this claim with data for the early formative period of the welfare state (1890–1920) as well as for the high-time of the welfare state from the 1960s to the 1990s.     

Generationswechsel im Management ost- und westdeutscher Unternehmen

Currently, in the top-management of German enterprises a generational shift is taking place. The paper looks at the consequences of this change concerning the future of the ‘German model of capitalism’. Are the managers of the new generation still holding on to the traditional German management culture or are they orienting themselves more strongly towards the US-American shareholder-value model? In order to clarify this question, the existing empirical results of management research are systematically evaluated. According to the results of this analysis we are not going to face a far-reaching Americanization of the management culture. However, under the pressure of globalization a significant differentiation between management culture in large enterprises on the one hand and management culture in small and medium-sized enterprises on the other hand occurs. While managers of large enterprises adopt elements of the American management model to a great degree, German management seems to become even more accentuated in the culture of small and medium-sized enterprises. In the context of this recent development existing differences between the management in Eastern and Western German enterprises dissolve along with the alternation of generations.