This paper considers the asymptotic efficiency of the maximum likelihood estimator (MLE) for the Box-Cox transformation model with heteroscedastic disturbances. The MLE under the normality assumption (BC MLE) is a con...This paper considers the asymptotic efficiency of the maximum likelihood estimator (MLE) for the Box-Cox transformation model with heteroscedastic disturbances. The MLE under the normality assumption (BC MLE) is a consistent and asymptotically efficient estimator if the “small ” condition is satisfied and the number of parameters is finite. However, the BC MLE cannot be asymptotically efficient and its rate of convergence is slower than ordinal order when the number of parameters goes to infinity. Anew consistent estimator of order is proposed. One important implication of this study is that estimation methods should be carefully chosen when the model contains many parameters in actual empirical studies.展开更多
In this paper, we analyzed length of stay (LOS) in hospitals and medical expenditures for type 2 diabetes patients. LOS was analyzed by the power Box-Cox transformation model when variances differed among hospitals. W...In this paper, we analyzed length of stay (LOS) in hospitals and medical expenditures for type 2 diabetes patients. LOS was analyzed by the power Box-Cox transformation model when variances differed among hospitals. We proposed a new test and consistent estimator. We rejected the ho-moscedasticity of variances among hospitals, and then analyzed the LOS of 12,666 type 2 diabetes patients hospitalized for regular medical treatments collected from 60 general hospitals in Japan. The variables found to affect LOS were age, number of comorbidities and complications, introduced by another hospital, one-week hospitalization, 2010 revision, specific-hospitalization-period (SHP), and principal diseases E11.5, E11.6 and E11.7. There were surprisingly large differences in ALOS among hospitals even after eliminating the influence of characteristics and conditions of patients. We then analyzed daily medical expenditure (DME) by the ordinary least squares methods. The variables that affected DME were LOS, number of comorbidities and complications, acute hospitalization, hospital’s own outpatient, season, introduced by another hospital, one-week hospitalization, 2010 revision, SHP, time trend, and principal diseases E11.2, E11.4 and E117. The DME did not decrease after the SHP. After eliminating the influences of characteristics and conditions of patients, the differences among hospitals were relatively small, 12% of the overall average. LOS is the main determinant of medical expenditures, and new incentives to reduce LOS are needed to control Japanese medical expenditures. Since at least 99% of patients require medical care after leaving the hospital, systems that take proper care of patients for long periods of time after hospitalization are absolutely necessary for efficient treatment of diabetes.展开更多
The Japanese medical costs for cataract treatments reached 270 billion yen in fiscal year 2012. Since the length of stay (LOS) in hospital is much longer than other major countries, controlling the medical costs by re...The Japanese medical costs for cataract treatments reached 270 billion yen in fiscal year 2012. Since the length of stay (LOS) in hospital is much longer than other major countries, controlling the medical costs by reducing LOS becomes an important issue in Japan. In this paper, we evaluated the effects of the 2010 revision of the Japanese medical payment system (DPC/PDPS) on LOS for cataract operations. The Box-Cox transformation model, Nawata’s estimators and Hausman tests were used in the analysis. To evaluate the effects, we analyzed a dataset obtained from 34 DPC hospitals (Hp1-34) where one-eye cataract operations were performed both before (April 2008-March 2010) and after (April 2010-March 2012) the 2010 revision and there were more than 500 patients. The dataset contained information from 32,593 patients. We did not admit the effect of the 2010 revision in this study, and there were large differences LOS among hospitals, even after removing the influences of factors such as patient characteristics and types of principal diseases.展开更多
针对地图综合中建筑多边形化简方法依赖人工规则、自动化程度低且难以利用已有化简成果的问题,本文提出了一种基于Transformer机制的建筑多边形化简模型。该模型首先把建筑多边形映射至一定范围的网格空间,将建筑多边形的坐标串表达为...针对地图综合中建筑多边形化简方法依赖人工规则、自动化程度低且难以利用已有化简成果的问题,本文提出了一种基于Transformer机制的建筑多边形化简模型。该模型首先把建筑多边形映射至一定范围的网格空间,将建筑多边形的坐标串表达为网格序列,从而获取建筑多边形化简前后的Token序列,构建出建筑多边形化简样本对数据;随后采用Transformer架构建立模型,基于样本数据利用模型的掩码自注意力机制学习点序列之间的依赖关系,最终逐点生成新的简化多边形,从而实现建筑多边形的化简。在训练过程中,模型使用结构化的样本数据,设计了忽略特定索引的交叉熵损失函数以提升化简质量。试验设计包括主试验与泛化验证两部分。主试验基于洛杉矶1∶2000建筑数据集,分别采用0.2、0.3和0.5 mm 3种网格尺寸对多边形进行编码,实现了目标比例尺为1∶5000与1∶10000的化简。试验结果表明,在0.3 mm的网格尺寸下模型性能最优,验证集上的化简结果与人工标注的一致率超过92.0%,且针对北京部分区域的建筑多边形数据的泛化试验验证了模型的迁移能力;与LSTM模型的对比分析显示,在参数规模相近的条件下,LSTM模型无法形成有效收敛,并生成可用结果。本文证实了Transformer在处理空间几何序列任务中的潜力,且能够有效复用已有化简样本,为智能建筑多边形化简提供了具有工程实用价值的途径。展开更多
文摘This paper considers the asymptotic efficiency of the maximum likelihood estimator (MLE) for the Box-Cox transformation model with heteroscedastic disturbances. The MLE under the normality assumption (BC MLE) is a consistent and asymptotically efficient estimator if the “small ” condition is satisfied and the number of parameters is finite. However, the BC MLE cannot be asymptotically efficient and its rate of convergence is slower than ordinal order when the number of parameters goes to infinity. Anew consistent estimator of order is proposed. One important implication of this study is that estimation methods should be carefully chosen when the model contains many parameters in actual empirical studies.
文摘In this paper, we analyzed length of stay (LOS) in hospitals and medical expenditures for type 2 diabetes patients. LOS was analyzed by the power Box-Cox transformation model when variances differed among hospitals. We proposed a new test and consistent estimator. We rejected the ho-moscedasticity of variances among hospitals, and then analyzed the LOS of 12,666 type 2 diabetes patients hospitalized for regular medical treatments collected from 60 general hospitals in Japan. The variables found to affect LOS were age, number of comorbidities and complications, introduced by another hospital, one-week hospitalization, 2010 revision, specific-hospitalization-period (SHP), and principal diseases E11.5, E11.6 and E11.7. There were surprisingly large differences in ALOS among hospitals even after eliminating the influence of characteristics and conditions of patients. We then analyzed daily medical expenditure (DME) by the ordinary least squares methods. The variables that affected DME were LOS, number of comorbidities and complications, acute hospitalization, hospital’s own outpatient, season, introduced by another hospital, one-week hospitalization, 2010 revision, SHP, time trend, and principal diseases E11.2, E11.4 and E117. The DME did not decrease after the SHP. After eliminating the influences of characteristics and conditions of patients, the differences among hospitals were relatively small, 12% of the overall average. LOS is the main determinant of medical expenditures, and new incentives to reduce LOS are needed to control Japanese medical expenditures. Since at least 99% of patients require medical care after leaving the hospital, systems that take proper care of patients for long periods of time after hospitalization are absolutely necessary for efficient treatment of diabetes.
文摘The Japanese medical costs for cataract treatments reached 270 billion yen in fiscal year 2012. Since the length of stay (LOS) in hospital is much longer than other major countries, controlling the medical costs by reducing LOS becomes an important issue in Japan. In this paper, we evaluated the effects of the 2010 revision of the Japanese medical payment system (DPC/PDPS) on LOS for cataract operations. The Box-Cox transformation model, Nawata’s estimators and Hausman tests were used in the analysis. To evaluate the effects, we analyzed a dataset obtained from 34 DPC hospitals (Hp1-34) where one-eye cataract operations were performed both before (April 2008-March 2010) and after (April 2010-March 2012) the 2010 revision and there were more than 500 patients. The dataset contained information from 32,593 patients. We did not admit the effect of the 2010 revision in this study, and there were large differences LOS among hospitals, even after removing the influences of factors such as patient characteristics and types of principal diseases.
文摘针对地图综合中建筑多边形化简方法依赖人工规则、自动化程度低且难以利用已有化简成果的问题,本文提出了一种基于Transformer机制的建筑多边形化简模型。该模型首先把建筑多边形映射至一定范围的网格空间,将建筑多边形的坐标串表达为网格序列,从而获取建筑多边形化简前后的Token序列,构建出建筑多边形化简样本对数据;随后采用Transformer架构建立模型,基于样本数据利用模型的掩码自注意力机制学习点序列之间的依赖关系,最终逐点生成新的简化多边形,从而实现建筑多边形的化简。在训练过程中,模型使用结构化的样本数据,设计了忽略特定索引的交叉熵损失函数以提升化简质量。试验设计包括主试验与泛化验证两部分。主试验基于洛杉矶1∶2000建筑数据集,分别采用0.2、0.3和0.5 mm 3种网格尺寸对多边形进行编码,实现了目标比例尺为1∶5000与1∶10000的化简。试验结果表明,在0.3 mm的网格尺寸下模型性能最优,验证集上的化简结果与人工标注的一致率超过92.0%,且针对北京部分区域的建筑多边形数据的泛化试验验证了模型的迁移能力;与LSTM模型的对比分析显示,在参数规模相近的条件下,LSTM模型无法形成有效收敛,并生成可用结果。本文证实了Transformer在处理空间几何序列任务中的潜力,且能够有效复用已有化简样本,为智能建筑多边形化简提供了具有工程实用价值的途径。
