To solve the problems of rural revitalization performance research,a quantitative model of non-oriented range-wide EBM(Epsilon-Based Measure)-GML(Global-Malmquist)based on VRS(Variable Returns to Scale)conditions incl...To solve the problems of rural revitalization performance research,a quantitative model of non-oriented range-wide EBM(Epsilon-Based Measure)-GML(Global-Malmquist)based on VRS(Variable Returns to Scale)conditions including non-desired outputs is constructed.A comprehensive spatio-temporal heterogeneity research index system of rural revitalization performance is also constructed.Taking the typical rural in Chifeng City as an example,the panel data from 2016-2020 are selected for empirical analysis,the conclusions and countermeasures are suggested as follows:1)In general,the rural revitalization performance of Chifeng City increases significantly during the five-year period,with significant spatio-temporal heterogeneity.The overall analysis shows that the overall performance value of rural revitalization in Chifeng City is 0.683 from 2016 to 2020.The highest performance value is 1 and the lowest performance value is 0.389.The performance growth rate increases year by year,with an average annual growth rate of 4.46%.2)From 2016 to 2020,the GML index of rural revitalization performance in Chifeng City is 1.174,showing an increasing trend.Based on the range of change of GML index,Chifeng City can be classified into three types:Continuous improvement,fluctuating improvement and fluctuating decline.3)Niujiayingzi,Guandongche,Zhaidamu,and Qiangangtai rural have the highest degree of technological progress.展开更多
[目的]评估疾病诊断相关分组(Diagnosis Related Group,DRG)支付方式改革对肺癌手术患者住院费用的影响,为进一步完善DRG支付方式改革提供参考。[方法]收集某肿瘤专科医院2020年1月1日至2023年12月31日期间出院的肺癌手术患者数据,采用...[目的]评估疾病诊断相关分组(Diagnosis Related Group,DRG)支付方式改革对肺癌手术患者住院费用的影响,为进一步完善DRG支付方式改革提供参考。[方法]收集某肿瘤专科医院2020年1月1日至2023年12月31日期间出院的肺癌手术患者数据,采用熵平衡匹配控制各组患者人口学特征差异,采用双重差分模型评估DRG支付改革对肺癌手术患者住院费用及住院天数的影响。[结果]本研究共纳入7921例肺癌手术患者,经熵平衡匹配后进行双重差分模型分析。结果显示:与DRG支付改革前相比,改革后肺癌手术患者住院费用、药品费用以及诊断费用分别降低了8.2%(P<0.001)、26.2%(P<0.001)以及10.0%(P=0.002),但材料费、治疗费、医疗服务费以及住院天数变化不明显(P>0.05)。[结论]DRG支付方式改革能够降低肺癌手术患者住院费用,但仍需加强对住院费用结构的优化,进一步提高体现医务人员劳动技术价值的费用占比。展开更多
基金Research on Local Knowledge Mapping and Planning Application Strategies of Traditional Rural in Qinba Mountains(No.19YJAZH107)Humanities and Social Sciences Research Planning Fund,Ministry of Education,China.
文摘To solve the problems of rural revitalization performance research,a quantitative model of non-oriented range-wide EBM(Epsilon-Based Measure)-GML(Global-Malmquist)based on VRS(Variable Returns to Scale)conditions including non-desired outputs is constructed.A comprehensive spatio-temporal heterogeneity research index system of rural revitalization performance is also constructed.Taking the typical rural in Chifeng City as an example,the panel data from 2016-2020 are selected for empirical analysis,the conclusions and countermeasures are suggested as follows:1)In general,the rural revitalization performance of Chifeng City increases significantly during the five-year period,with significant spatio-temporal heterogeneity.The overall analysis shows that the overall performance value of rural revitalization in Chifeng City is 0.683 from 2016 to 2020.The highest performance value is 1 and the lowest performance value is 0.389.The performance growth rate increases year by year,with an average annual growth rate of 4.46%.2)From 2016 to 2020,the GML index of rural revitalization performance in Chifeng City is 1.174,showing an increasing trend.Based on the range of change of GML index,Chifeng City can be classified into three types:Continuous improvement,fluctuating improvement and fluctuating decline.3)Niujiayingzi,Guandongche,Zhaidamu,and Qiangangtai rural have the highest degree of technological progress.
文摘[目的]评估疾病诊断相关分组(Diagnosis Related Group,DRG)支付方式改革对肺癌手术患者住院费用的影响,为进一步完善DRG支付方式改革提供参考。[方法]收集某肿瘤专科医院2020年1月1日至2023年12月31日期间出院的肺癌手术患者数据,采用熵平衡匹配控制各组患者人口学特征差异,采用双重差分模型评估DRG支付改革对肺癌手术患者住院费用及住院天数的影响。[结果]本研究共纳入7921例肺癌手术患者,经熵平衡匹配后进行双重差分模型分析。结果显示:与DRG支付改革前相比,改革后肺癌手术患者住院费用、药品费用以及诊断费用分别降低了8.2%(P<0.001)、26.2%(P<0.001)以及10.0%(P=0.002),但材料费、治疗费、医疗服务费以及住院天数变化不明显(P>0.05)。[结论]DRG支付方式改革能够降低肺癌手术患者住院费用,但仍需加强对住院费用结构的优化,进一步提高体现医务人员劳动技术价值的费用占比。
