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Medical expenditures for colorectal cancer diagnosis and treatment: A 10-year high-level-hospital-based multicenter retrospective survey in China, 2002-2011

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Chinese Journal of Cancer Research 2019年第5期31卷 825-837页

作者： Jufang Shi Guoxiang Liu Hong Wang Ayan Mao Chengcheng Liu Lanwei Guo Huiyao Huang Jiansong Ren Xianzhen Liao Yana Bai Xiaojie Sun Xinyu Zhu Jialin Wang Bingbing Song Jinyi Zhou Lin Zhu Haike Lei Yuqin Liu Yunyong Liu Lingbin Du Yutong He Kai Zhang Ni Li Wanqing Chen Min Dai Jie He Office of Cancer Screening National Cancer Center/National Clinical Research Center for Cancer/Cancer HospitalChinese Academy of Medical Sciences and Peking Union Medical CollegeBeijing 100021China Department of Health Economics School of Health Management/Public HealthHarbin Medical UniversityHarbin 150081China Office of Public Health Strategic Information Institute of Medical InformationChinese Academy of Medical SciencesBeijing 100020China Department of Cancer Epidemiology Henan Office for Cancer Control and ResearchThe Affiliated Cancer Hospital of Zhengzhou UniversityHenan Cancer HospitalZhengzhou 450008China Hunan Office for Cancer Control and Research Hunan Provincial Cancer HospitalChangsha 410006China Institute of Epidemiology and Health Statistics Lanzhou UniversityLanzhou 730000China Center for Health Management and Policy Key Lab of Health Economics and PolicyShandong UniversityJinan 250012China Department of Public Health Shandong Cancer Hospital Affiliated to Shandong UniversityJinan 250117China Heilongjiang Office for Cancer Control and Research Affiliated Cancer Hospital of Harbin Medical UniversityHarbin 150081China Institute of Chronic Non-communicable Diseases Prevention and Control Jiangsu Provincial Center for Disease Control and PreventionNanjing 210009China Teaching and Research Department Affiliated Cancer Hospital of Xinjiang Medical UniversityUrumqi 830011China Department of Cancer Research and Control Office Chongqing University Cancer HospitalChongqing 400030China Cancer Epidemiology Research Center Gansu Provincial Cancer HospitalLanzhou 730050China Cancer Prevention and Control Office of Liaoning Province Cancer Hospital of China Medical UniversityLiaoning Cancer Hospital and InstituteShenyang 110042China Department of Cancer Prevention Cancer Hospital of the University of Chinese Academy of SciencesHangzhou 310022China Cancer Institute The Fourth Affiliated Hospital of Hebei Medical UniversityShijiazhuang 050011China Department of Thoracic Surg

Objective: Colorectal cancer(CRC) causes a substantial burden of disease in China and the evidence of economic burden triggered is fundamental for priority setting. The aim of this survey was to quantify medical expenditures and the time trends for CRC diagnosis and treatment in ***: From 2012 to 2014, a hospital-based multicenter retrospective survey was conducted in 13 provinces across China. For each eligible CRC patient diagnosed from 2002 to 2011, clinical information and expenditure data were extracted using a uniform questionnaire. All expenditure data were reported in Chinese Yuan(CNY)using 2011 ***: Of the 14,536 CRC patients included, the average age at diagnosis was 58.2 years and 15.8% were stageI cases. The average medical expenditure per patient was estimated at 37,902 CNY [95 % confidence interval(95%CI): 37,282-38,522], and the annual average increase rate was 9.2% from 2002 to 2011(P for trend expenditures for CRC diagnosis and treatment in tertiary hospitals in China were substantial and increased rapidly over the 10 years, with drugs continually being the main expense by 2011. Relatively, medical expenditures are lower for CRC in the earlier stages. These findings will facilitate the economic evaluation of CRC prevention and control in China.

关键词： Colorectal neoplasms health expenditures diagnosis therapeutics China

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Clothing expenditures of Different Aged Families

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Journal of China Textile University(English Edition) 1998年第4期15卷 45-50页

作者：张志明沈蕾

This study was undertaken to investigate clothing expen-diture patterns of families in Shanghai, and especially the relationship between age of the family and the expendi-tures . Interview data from 292 families in Shanghai were used in analysis. Families were divided into three groups, including the young, middle - aged, and old families. Descriptive analysis and regression were em-ployed. Major findings concern total expenditures of family members as well as the entire family, and expen-ditures on different categories of clothing. Factors which had impacts on clothing expenditures were also investi-gated. It was concluded that age of the families had an impact on expenditures, and the three groups of families had different patterns of clothing consumption.

关键词： age family clothing expenditures

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Failure Impact,Availability and Cost Analysis of PONs Based on a Network Geometric Model

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光子学报 2014年第S1期43卷 18-24页

作者： FERNANDEZ Alvaro STOL Norvald Department of Telematics NTNU-Trondheim

Passive Optical Networks(PONs)are considered as the preferred solution for broadband fibre-based access *** is because PONs present low cost deployment,low energy consumption and also meet high bandwidth demands from end *** addition,end users expect a high availability for access networks,while operators are more concerned about reducing the failure impact(number of clients affected by failures).Moreover,operators are also interested in reducing the cost of the access *** paper provides a deep insight into the consequences that the physical topology and design decisions cause on the availability,the failure impact and the cost of a *** order to do that,the physical layout of the PON deployment area is approximated by a network geometric model.A PON deployed according to the geometric model is then assessed in terms of failure impact,availability and *** way,the effects of different design decisions and the physical layout on these three parameters are *** addition,the tradeoffs between availability,failure impact and cost caused by planning decisions and the physical topology are identified and pinpointed.

关键词： Availability failure impact Capital expenditures Passive Optical Networks network geometric model

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Healthcare delivery cost and anesthesiologists: Time to have a greater role and responsibility

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World Journal of Anesthesiology 2019年第3期8卷 19-24页

作者： Habib Md Reazaul Karim Department of Anaesthesiology and Critical Care All India Institute of Medical Sciences

With the advancement of technology and health sciences,health care delivery costs are steadily *** affects both households and ***,the present truth is that health has become an essential but unaffordable *** is very ***,up-to-date,costeffective health care delivery is one of the prime objectives,and focuses on administration and health care *** the per capita spent on health from public/government funds is very poor in developing countries,the responsibility of cost-effective health care delivery falls primarily on the shoulder of the treating *** are becoming an indispensable part of health care delivery,having a diverse role in the emergency,critical care,pain,and perioperative care of *** the population ages,the need for surgical care is also ***,the anesthesiologist can also play a more significant role in delivering cost-effective health care,and minimize the cost without affecting the *** brief narrative review analyzes the current practice of anesthesiologists in two prime areas in the context of cost-savings:Preoperative investigation and low/minimal flow anesthesia.

关键词： Health expenditures Cost control Anesthesiologists Anesthesia

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The Essence of Optimism of The Economists and Investors with Regard to the Economy of Russia

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Journal of Economic Science Research 2019年第4期2卷 1-9页

作者： Tenkovskaya Lyudmila Igorevna Individual investor candidate of economic sciencesPermPerm KraiRussia

The gross domestic product of Russia,expressed in US dollars,indicates problems in the Russian economy associated with the decline in oil prices on the world energy market and the consequences of the sanctions of the United States and the European Union against *** crisis situation of the Russian economy has a negative impact on the income of the population of country,represented mainly by ***,an economist or investor may be optimistic about Russian economic development in the medium *** optimism is related to the economic policy of the United *** expansion of the United States economy within the global space,based on economic growth,requires maintaining inflation within the target level and weakening the US *** tasks are solved with the help of soft monetary policy of the US Federal Reserve *** reduction of interest rates by the US Federal Reserve System against the background of inflation of the target level and the devaluation of the US dollar will contribute to economic growth in the United States,because it will lead to the depreciation of public debt,lower consumption of imports,increase in exports and trade balance,growth of production,income,*** economic policy of the United States,which contributes to the devaluation of the US dollar,will also reduce the US dollar against the *** optimistic view of investors-economists on the Russian economy is due to a significant strengthening of the ruble against the US ***,in the medium term,the gross domestic product and wages of citizens of Russia,expressed in US dollars,will significantly increase,and the purchasing power of the national currency of the country will also *** growth may continue until the next election of a new President of the United States in november *** the election of the new President of the United States,there is a high probability of sanctions against Russia and of decline in oil prices in the worl

关键词： Russia United States US Federal Reserve System Gross domestic product Average monthly nominal wages Core price index of personal consumption expenditures Monetary policy Devaluation of the US dollar USD/RUB currency pair Oil prices World oil market United States sanctions against Russia

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Comparison of price, volume and composition of services provided to inpatients for two procedures between a US and a Japanese academic hospital

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Health 2013年第4期5卷 703-711页

作者： Tsuyoshi Inokuchi Naoki Ikegami Vikash Gupta Sandesh Rao Gerard F. Anderson Department of Health Policy and Management and Department of International Health Johns Hopkins Bloomberg School of Public Health Baltimore USA Department of Health Policy and Management School of Medicine Keio University Tokyo Japan School of Medicine Johns Hopkins University Baltimore USA

Background: To drill down into why per capita health expenditures vary between the US and Japan, this exploratory study compares the price, volume and composition of services provided to inpatients for two procedures in an academic hospital in the US, and one in Japan. Methods: Detailed analysis of the amount reimbursed and services delivered was made from claims data for 449 acute myocardial infarction treated with coronary stents placed by percutaneous coronary intervention (PCI) and 115 heart valve dysfunction with heart valve replacement (HVR) cases in Johns Hopkins Hospital (JHH) Baltimore, Maryland, and 34 PCI and 21 HVR cases in Keio University Hospital (KUH), Tokyo. Results: After making appropriate adjustments, the reimbursed amount per discharge at JHH was significantly higher (Wilcoxon ranksum test, p < 0.01) for both medical conditions. This was due to more use of higher priced technology and higher prices for the same technology at JHH compared with KUH. However, medical imaging was performed more frequently at KUH and the reimbursed amounts per unit for the devices were higher at KUH. Analysis of room and board costs showed that the higher staffing level and wages of nurses at JHH was compensated by its shorter average length of stay for PCI, but not for HVR. Conclusion: Detailed analysis of the reimbursed amount and the utilization of services are needed to understand international variations in healthcare spending.

关键词： Health expenditures United States Japan Percutaneous Coronary Intervention Heart Valve Replacement

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