Imagine a city that seems to hum rather than roar-a place where innovation moves at the pace of everyday life instead of like the flashy glamor of high-end tech hubs.This is Liuzhou,a city in southern China that is qu...Imagine a city that seems to hum rather than roar-a place where innovation moves at the pace of everyday life instead of like the flashy glamor of high-end tech hubs.This is Liuzhou,a city in southern China that is quietly shaping the future of electric vehicles(EVs).It has become an unlikely yet powerful engine of change in the world of clean mobility.展开更多
<div style="text-align:left;"> Rural households represent, by far, the greater percentage of dwellings globally without access to the electricity supply. For reasons of low loads, distance from the gri...<div style="text-align:left;"> Rural households represent, by far, the greater percentage of dwellings globally without access to the electricity supply. For reasons of low loads, distance from the grid and speed of deployment, distributed energy systems are now considered viable options for rural electrification. This paper presents the status of solar Photovoltaic (PV) in Nigeria and discusses the way forward for aggressive PV penetration in Nigeria’s energy mix, especially in rural communities. At present, distributed PV penetration in Nigeria is comparatively low based on the International Energy Association’s recommended PV market potential. This shows that there is a gap between the government’s <span>policy targets and reality. The solar resource potential across the six</span><span> geo-political zones in Nigeria is also presented, which ranges from 3.393 - 6.669 kWh/</span><span>m<sup></sup></span><span><sup>2</sup></span><span>/day, with the Northern zones exhibiting better potentials over the Southern zones. It is shown that the levelised cost of electricity from PV system ranges from 0.387 - 0.475 $/kWh, whereas it is 0.947 US$/kWh and 0.559 US$/kWh for the diesel generator and glass-covered kerosene lamp, respectively. While this study shows that PV for rural household lighting is more affordable as compared to glass-covered kerosene lamps and fossil-fuelled generators for lighting, fiscal and energy policies for market creation are critical if PV systems are to deliver on their promise for rural electrification and climate change mitigation.</span> </div>展开更多
Introduction: Glaucoma is a group of chronically progressive disorders of the optic nerve and a worldwide leading cause of irreversible vision loss. Eye chronic diseases including glaucoma are major public health prob...Introduction: Glaucoma is a group of chronically progressive disorders of the optic nerve and a worldwide leading cause of irreversible vision loss. Eye chronic diseases including glaucoma are major public health problems around the world, rapidly increasing with a growing and aging population. The treatment of chronic diseases lasts a lifetime. The purpose of this study is to assess the availability, prices and affordability of the medicines for glaucoma management in private pharmacies of Nampula City in Mozambique. Material and Methods: The standardized methodology designed by the World Health Organization and Health Action International was employed to conduct the study about the availability, price and affordability of glaucoma medicines in Nampula City from October to November 2021. Data were collected in 39 private pharmacies using a survey with fifteen glaucoma Medicines. Results: The Average of medicines availability was 46.6% (0.0% - 71.8%) with a mean of 8.86. The availability level demonstrated that 14 (93.3%) of all surveyed glaucoma medicines were very low and 1 (6.67%) was fairly high. Timolol was the most available medicine, found in 28 (71.8%) while apraclonidine, carteolol, levobunolol, carbachol, brinzolamide, bimatoprost, travoprost and unoprostone were not available. The medicine with the lowest price was latanoprost (2.84 USD) and the higher was acetazolamide (23.58 USD). None of the surveyed medicines were considered affordable. Conclusion: The majority of surveyed glaucoma medicines were not available and they were totally unaffordable against the defined thresholds. Policy strategy and technical options should be driven and implemented by the government to ensure the availability and affordability of glaucoma medicines at various levels of the Mozambican healthcare system.展开更多
The China Basic Medical Insurance Program was created in 1999 with three objectives:equal accessibility,affordability,and quality.Today,it has become the biggest medical insurance program in the world,covering 95%of C...The China Basic Medical Insurance Program was created in 1999 with three objectives:equal accessibility,affordability,and quality.Today,it has become the biggest medical insurance program in the world,covering 95%of China's population.Since 2015,China's healthcare ecosystem has been reshaped by increasing innovation,which has in turn been driven by regulatory reform,enhancement of research and development capability,and capital market development.There has also been improved regulatory efficiency to reduce lags in launching drugs.In 2022,nearly 20%of novel active substances launched globally were from China.China has also risen to become the second biggest contributor to innovation in terms of pipelines.Using a“fast-follow”strategy,many locally developed innovative drugs can compete with products from multinational companies in their quality and pricing.However,China's pharmaceutical and biotechnology industry will continue to face challenges in pricing and reimbursement,as well as a shortened product lifecycle with rapid price erosion.The government has already accelerated the timeline for updating the drug reimbursement list and is willing to create a high-quality medical insurance program.However,some obstacles are hard to overcome,including reimbursement for advanced therapies,limited funding and an increasing burden of disease due to an aging population.This article reviews the trajectory of medical innovation in China,including the challenges.Looking forward,balancing affordability and innovation will be critical for China to continue the trajectory of growth.The article also offers some suggestions for future policy reform,including optimizing reimbursement efficiency with a focus on highquality solutions,enhancing the value assessment framework,payer repositioning from“value buyer”to“strategic buyer”,and developing alternative market access pathways for innovative drugs.展开更多
Objective In 2017,China launched a new round of medical reform(NMR)to address the inaccessibility of high-priced drugs for patients with serious diseases.This study explored the impact of the NMR on the accessibility ...Objective In 2017,China launched a new round of medical reform(NMR)to address the inaccessibility of high-priced drugs for patients with serious diseases.This study explored the impact of the NMR on the accessibility and affordability of high-priced monoclonal antibodies(mAbs),and the effective promotion policies after the NMR.Methods We used a standard method developed by the World Health Organization to conduct two surveys on the availability of mAbs and their prices before and after the NMR in the public hospitals in Hubei province,China.By interviewing hospital pharmacy experts,we identified the potential value of the current NMR in improving the access to therapeutic mAbs.Results The average availability of 13 mAbs increased by 8.1%in the surveyed hospitals of Hubei province after the NMR.The median unit price of 10 mAbs dropped by 34.3%.The average affordability of a treatment cycle of 10 mAbs dropped from 680 days to 298 days of the disposable daily income for a middle-income resident(56.2%reduction).The drug price negotiation of medical insurance inclusion and the promotion of consistent evaluation of generic and original drugs could effectively promote the accessibility of mAbs.However,the zero markup of drug pricing and the limit on the proportion of drug revenues in public hospitals showed certain negative effects on the availability of mAbs.Conclusion Not all current NMR policies play a positive role in promoting the accessibility of mAbs.To further improve the accessibility of mAbs in the future in China,it is therefore critical to increase the investment in independent research and development of high-quality mAbs,establish localized guidelines for the rational use of mAbs in clinical practice,and have a cost-sharing mechanism for high-priced drugs with multiple stakeholders.展开更多
Housing affordability measurement is a recurring subject in planning literature. Research evidence suggests that in planning for affordable housing, planners typically apply the normative (ratio and residual income) m...Housing affordability measurement is a recurring subject in planning literature. Research evidence suggests that in planning for affordable housing, planners typically apply the normative (ratio and residual income) measures to all variants of affordability stress. Hence, proffering intervention strategies that often fail to address peculiar situations in their towns. This systematic review synthesizes empirical evidence in the literature relating to various applications of housing affordability measurement approaches. To ascertain the various application fields/domains, present findings, specify relevant literature gaps, and propose future research themes. The review findings demonstrate that the accurateness of conclusions reached, about the severity of the housing affordability problem is highly dependent on the measurement approach used. The study concludes that the application of appropriate methods to specific situations leads to better planning outcomes.展开更多
With the cost estimation of military aircraft as the research object, this paper aims to study the contradiction between the choice of explanatory variables in index modeling and the maintaining of model validity. It ...With the cost estimation of military aircraft as the research object, this paper aims to study the contradiction between the choice of explanatory variables in index modeling and the maintaining of model validity. It analyzes and establishes a cost estimation modeling concept based on an Effectiveness Index and studies the way to construct Effectiveness Indexes for the sake of cost estimation modeling. Based on a case study, the paper establishes and analyzes the Effectiveness Index-based cost estimation models and DAPCA （Development And Procurement Costs of Aircraft） models developed by the RAND Corparation . The comparison of these models shows that the Effective- ness Index-based cost parameter models not only comprehensively consider the obvious driving parameter indexes of the cost, but reduces the variables of regressive analysis, hence giving the model a higher reliability.展开更多
Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderso...Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderson model and revised the Maternal Pregnancy and Perinatal Health Service Questionnaire.A survey was conducted among 289 mothers aged 20–49 in Feicheng City.Results:Regarding accessibility,most respondents(133)reported that travel time to healthcare services exceeded 60 minutes,while 99 respondents indicated a travel time of 16–30 minutes.The issue of affordability was highlighted,with 86.85%of participants perceiving maternal healthcare services as costly,indicating a significant financial burden.More than 50%of respondents were satisfied with two specific dimensions(P<0.05)regarding the quality of maternal healthcare services.Conclusion:The study found that accessibility,affordability,and quality significantly affect mothers’satisfaction with maternal health services.Future research should focus on developing more suitable service pathways for rural mothers.展开更多
The main task of this paper is to examine housing affordability and housing policy application in neglected border cities in Jordan.After the Iraq war in 2003 and Syria civil war in 2011 many border cities accommodate...The main task of this paper is to examine housing affordability and housing policy application in neglected border cities in Jordan.After the Iraq war in 2003 and Syria civil war in 2011 many border cities accommodated a large number of refugees in its urban context over different periods of time.The lack of affordable housing and increase of unemployment were the main challenges for its vulnerable communities.Border cities are facing different development challenges but applying the same housing policy as metropolises.The paper studies economic attributes and social characteristics of Mafraq city to analyze housing obstacles.It concludes that houses are unaffordable in these border cities and housing policies need modifications.The paper recommended that housing affordability in border cities must include community participation and sufficient financial aid to low income families.In order to maintain houses affordable in border cities,the real estate market,community participation,urban planning and promotion for tourism are all essential.展开更多
Background:Coronavirus disease 2019(COVID-19)is now a global public threat.Given the pandemic of COVID-19,the economic impact of COVID-19 is essential to add value to the policy-making process.We retrospectively condu...Background:Coronavirus disease 2019(COVID-19)is now a global public threat.Given the pandemic of COVID-19,the economic impact of COVID-19 is essential to add value to the policy-making process.We retrospectively conducted a cost and affordability analysis to determine the medical costs of COVID-19 patients in China,and also assess the factors affecting their costs.Methods:This analysis was retrospectively conducted in Shandong Provincial Chest Hospital between 24 January and 16 March 2020.The total direct medical expenditures were analyzed by cost factors.We also assessed affordability by comparing the simulated out-of-pocket expenditure of COVID-19 cases relative to the per capita disposable income.Differences between groups were tested by student t test and Mann-Whitney test when appropriate.A multiple logistic regression model was built to determine the risk factors associated with high cost.Results:A total of 70 COVID-19 patients were included in the analysis.The overall mean cost was USD 6827 per treated episode.The highest mean cost was observed in drug acquisition,accounting for 45.1%of the overall cost.Total mean cost was significantly higher in patients with pre-existing diseases compared to those without preexisting diseases.Pre-existing diseases and the advanced disease severity were strongly associated with higher cost.Around USD 0.49 billion were expected for clinical manage of COVID-19 in China.Among rural households,the proportions of health insurance coverage should be increased to 70%for severe cases,and 80%for critically ill cases to avoid catastrophic health expenditure.Conclusions:Our data demonstrate that clinical management of COVID-19 patients incurs a great financial burden to national health insurance.The cost for drug acquisition is the major contributor to the medical cost,whereas the risk factors for higher cost are pre-existing diseases and severity of COVID-19.Improvement of insurance coverage will need to address the barriers of rural patients to avoid the occurrence of catastrophic health expenditure.展开更多
We hereby comment on the interesting systematic review by Grewal et al where they have provided an overall picture of the current status of available tele-health programs in the United States with emphasis on the Amaz...We hereby comment on the interesting systematic review by Grewal et al where they have provided an overall picture of the current status of available tele-health programs in the United States with emphasis on the Amazon Clinic.Their analysis is an appreciable effort in discovering the features available and features lacking in these tele-health programs.The concept of tele-health originated to curtail the need for physical attendance of patients at health clinics,and has been beneficial during the coronavirus disease 2019 pandemic.We implore that the pearls and pitfalls of these programs have to be understood by policymakers prior to forming a consensus regarding the availability,accessibility and affordability of these programs as methods of healthcare delivery.Unrestricted proliferation of tele-health programs in their current form may pose threats to patient and provider safety and medicolegal liability.However,patients and providers must work together to improve them to meet their expectations and enable them to provide the best care for the ailing public.展开更多
Do you like animals?Animals are cute.Some people like loyal dogs,some like adorable cats,and others prefer fluffy bunnies.But my favorite animals are naughty hamsters because they are full of energy.With just a little...Do you like animals?Animals are cute.Some people like loyal dogs,some like adorable cats,and others prefer fluffy bunnies.But my favorite animals are naughty hamsters because they are full of energy.With just a little food and water,they can thrive.Plus,they are really affordable,unlike cats and dogs that can cost several hundred or even over a thousand yuan.展开更多
This review examines the critical risks,barriers,and success factors in achieving sustainable affordable housing(SAH)by addressing environmental,economic,social and technical dimensions of sustainability.The aim of th...This review examines the critical risks,barriers,and success factors in achieving sustainable affordable housing(SAH)by addressing environmental,economic,social and technical dimensions of sustainability.The aim of this study is to identify different critical risks and barriers to the development of the Sustainable Affordable Housing(SAH)CSF framework.The objectives of this research are to define SAH(Sustainable Affordable Housing)and important factors for achieving SAH and to develop SAH Critical Success Factors(CSFs)frameworks.To achieve these objectives,there are two methods for reviewing and analyzing documents,i.e.,systematic review and bibliographic review.The years of publication are limited to 2014 to 2023 in the English language and restricted to open access.A total of 63 articles were retrieved and screened for relevance identified as directly relevant to our topic using the PRISMA systematic review process.The growth pattern aligns strongly with an exponential growth model,as evidenced by a high R^(2) value of 0.9133 indicating a robust correlation and demonstrating the accelerating interest in the field over the past decade.This comprehensive analysis led to the development of the sustainable affordable housing(SAH)critical success framework,providing a structured approach to understanding and implementing critical factors for sustainable and affordable housing initiatives.The findings emphasize the need for integrated policy reforms,innovative construction technologies,and collaborative stakeholder engagement to advance the SAH agenda.Future research directions include conducting longitudinal studies to assess the long-term impacts of SAH policies,comparative analyses of international best practices,and explorations into emerging construction technologies.展开更多
Under the principle of economy,ecology,function,landscape and personalization,the landscape of Ankang South Affordable Housing in Binzhou has been designed in accordance with the characteristic of affordable applicati...Under the principle of economy,ecology,function,landscape and personalization,the landscape of Ankang South Affordable Housing in Binzhou has been designed in accordance with the characteristic of affordable application apartment and the local soil and climatic conditions in Binzhou.Making the scenery by the plants primarily and selecting the trees with stronger resistance to soline-alkalic soil,cold,and drought,the whole design has been divided into 4 scenic spots and 23 gardens.展开更多
文摘Imagine a city that seems to hum rather than roar-a place where innovation moves at the pace of everyday life instead of like the flashy glamor of high-end tech hubs.This is Liuzhou,a city in southern China that is quietly shaping the future of electric vehicles(EVs).It has become an unlikely yet powerful engine of change in the world of clean mobility.
文摘<div style="text-align:left;"> Rural households represent, by far, the greater percentage of dwellings globally without access to the electricity supply. For reasons of low loads, distance from the grid and speed of deployment, distributed energy systems are now considered viable options for rural electrification. This paper presents the status of solar Photovoltaic (PV) in Nigeria and discusses the way forward for aggressive PV penetration in Nigeria’s energy mix, especially in rural communities. At present, distributed PV penetration in Nigeria is comparatively low based on the International Energy Association’s recommended PV market potential. This shows that there is a gap between the government’s <span>policy targets and reality. The solar resource potential across the six</span><span> geo-political zones in Nigeria is also presented, which ranges from 3.393 - 6.669 kWh/</span><span>m<sup></sup></span><span><sup>2</sup></span><span>/day, with the Northern zones exhibiting better potentials over the Southern zones. It is shown that the levelised cost of electricity from PV system ranges from 0.387 - 0.475 $/kWh, whereas it is 0.947 US$/kWh and 0.559 US$/kWh for the diesel generator and glass-covered kerosene lamp, respectively. While this study shows that PV for rural household lighting is more affordable as compared to glass-covered kerosene lamps and fossil-fuelled generators for lighting, fiscal and energy policies for market creation are critical if PV systems are to deliver on their promise for rural electrification and climate change mitigation.</span> </div>
文摘Introduction: Glaucoma is a group of chronically progressive disorders of the optic nerve and a worldwide leading cause of irreversible vision loss. Eye chronic diseases including glaucoma are major public health problems around the world, rapidly increasing with a growing and aging population. The treatment of chronic diseases lasts a lifetime. The purpose of this study is to assess the availability, prices and affordability of the medicines for glaucoma management in private pharmacies of Nampula City in Mozambique. Material and Methods: The standardized methodology designed by the World Health Organization and Health Action International was employed to conduct the study about the availability, price and affordability of glaucoma medicines in Nampula City from October to November 2021. Data were collected in 39 private pharmacies using a survey with fifteen glaucoma Medicines. Results: The Average of medicines availability was 46.6% (0.0% - 71.8%) with a mean of 8.86. The availability level demonstrated that 14 (93.3%) of all surveyed glaucoma medicines were very low and 1 (6.67%) was fairly high. Timolol was the most available medicine, found in 28 (71.8%) while apraclonidine, carteolol, levobunolol, carbachol, brinzolamide, bimatoprost, travoprost and unoprostone were not available. The medicine with the lowest price was latanoprost (2.84 USD) and the higher was acetazolamide (23.58 USD). None of the surveyed medicines were considered affordable. Conclusion: The majority of surveyed glaucoma medicines were not available and they were totally unaffordable against the defined thresholds. Policy strategy and technical options should be driven and implemented by the government to ensure the availability and affordability of glaucoma medicines at various levels of the Mozambican healthcare system.
文摘The China Basic Medical Insurance Program was created in 1999 with three objectives:equal accessibility,affordability,and quality.Today,it has become the biggest medical insurance program in the world,covering 95%of China's population.Since 2015,China's healthcare ecosystem has been reshaped by increasing innovation,which has in turn been driven by regulatory reform,enhancement of research and development capability,and capital market development.There has also been improved regulatory efficiency to reduce lags in launching drugs.In 2022,nearly 20%of novel active substances launched globally were from China.China has also risen to become the second biggest contributor to innovation in terms of pipelines.Using a“fast-follow”strategy,many locally developed innovative drugs can compete with products from multinational companies in their quality and pricing.However,China's pharmaceutical and biotechnology industry will continue to face challenges in pricing and reimbursement,as well as a shortened product lifecycle with rapid price erosion.The government has already accelerated the timeline for updating the drug reimbursement list and is willing to create a high-quality medical insurance program.However,some obstacles are hard to overcome,including reimbursement for advanced therapies,limited funding and an increasing burden of disease due to an aging population.This article reviews the trajectory of medical innovation in China,including the challenges.Looking forward,balancing affordability and innovation will be critical for China to continue the trajectory of growth.The article also offers some suggestions for future policy reform,including optimizing reimbursement efficiency with a focus on highquality solutions,enhancing the value assessment framework,payer repositioning from“value buyer”to“strategic buyer”,and developing alternative market access pathways for innovative drugs.
基金supported by the grants from the National Natural Science Foundation of China(No.70903025,No.71373089).
文摘Objective In 2017,China launched a new round of medical reform(NMR)to address the inaccessibility of high-priced drugs for patients with serious diseases.This study explored the impact of the NMR on the accessibility and affordability of high-priced monoclonal antibodies(mAbs),and the effective promotion policies after the NMR.Methods We used a standard method developed by the World Health Organization to conduct two surveys on the availability of mAbs and their prices before and after the NMR in the public hospitals in Hubei province,China.By interviewing hospital pharmacy experts,we identified the potential value of the current NMR in improving the access to therapeutic mAbs.Results The average availability of 13 mAbs increased by 8.1%in the surveyed hospitals of Hubei province after the NMR.The median unit price of 10 mAbs dropped by 34.3%.The average affordability of a treatment cycle of 10 mAbs dropped from 680 days to 298 days of the disposable daily income for a middle-income resident(56.2%reduction).The drug price negotiation of medical insurance inclusion and the promotion of consistent evaluation of generic and original drugs could effectively promote the accessibility of mAbs.However,the zero markup of drug pricing and the limit on the proportion of drug revenues in public hospitals showed certain negative effects on the availability of mAbs.Conclusion Not all current NMR policies play a positive role in promoting the accessibility of mAbs.To further improve the accessibility of mAbs in the future in China,it is therefore critical to increase the investment in independent research and development of high-quality mAbs,establish localized guidelines for the rational use of mAbs in clinical practice,and have a cost-sharing mechanism for high-priced drugs with multiple stakeholders.
文摘Housing affordability measurement is a recurring subject in planning literature. Research evidence suggests that in planning for affordable housing, planners typically apply the normative (ratio and residual income) measures to all variants of affordability stress. Hence, proffering intervention strategies that often fail to address peculiar situations in their towns. This systematic review synthesizes empirical evidence in the literature relating to various applications of housing affordability measurement approaches. To ascertain the various application fields/domains, present findings, specify relevant literature gaps, and propose future research themes. The review findings demonstrate that the accurateness of conclusions reached, about the severity of the housing affordability problem is highly dependent on the measurement approach used. The study concludes that the application of appropriate methods to specific situations leads to better planning outcomes.
文摘With the cost estimation of military aircraft as the research object, this paper aims to study the contradiction between the choice of explanatory variables in index modeling and the maintaining of model validity. It analyzes and establishes a cost estimation modeling concept based on an Effectiveness Index and studies the way to construct Effectiveness Indexes for the sake of cost estimation modeling. Based on a case study, the paper establishes and analyzes the Effectiveness Index-based cost estimation models and DAPCA （Development And Procurement Costs of Aircraft） models developed by the RAND Corparation . The comparison of these models shows that the Effective- ness Index-based cost parameter models not only comprehensively consider the obvious driving parameter indexes of the cost, but reduces the variables of regressive analysis, hence giving the model a higher reliability.
文摘Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderson model and revised the Maternal Pregnancy and Perinatal Health Service Questionnaire.A survey was conducted among 289 mothers aged 20–49 in Feicheng City.Results:Regarding accessibility,most respondents(133)reported that travel time to healthcare services exceeded 60 minutes,while 99 respondents indicated a travel time of 16–30 minutes.The issue of affordability was highlighted,with 86.85%of participants perceiving maternal healthcare services as costly,indicating a significant financial burden.More than 50%of respondents were satisfied with two specific dimensions(P<0.05)regarding the quality of maternal healthcare services.Conclusion:The study found that accessibility,affordability,and quality significantly affect mothers’satisfaction with maternal health services.Future research should focus on developing more suitable service pathways for rural mothers.
文摘The main task of this paper is to examine housing affordability and housing policy application in neglected border cities in Jordan.After the Iraq war in 2003 and Syria civil war in 2011 many border cities accommodated a large number of refugees in its urban context over different periods of time.The lack of affordable housing and increase of unemployment were the main challenges for its vulnerable communities.Border cities are facing different development challenges but applying the same housing policy as metropolises.The paper studies economic attributes and social characteristics of Mafraq city to analyze housing obstacles.It concludes that houses are unaffordable in these border cities and housing policies need modifications.The paper recommended that housing affordability in border cities must include community participation and sufficient financial aid to low income families.In order to maintain houses affordable in border cities,the real estate market,community participation,urban planning and promotion for tourism are all essential.
基金The study was supported by the Shandong Taishan Scholar Program(TS201712099)the National Key Research Program of China(2018ZX10103–001)the Beijing Hospitals Authority’Ascent Plan(DFL20191601).
文摘Background:Coronavirus disease 2019(COVID-19)is now a global public threat.Given the pandemic of COVID-19,the economic impact of COVID-19 is essential to add value to the policy-making process.We retrospectively conducted a cost and affordability analysis to determine the medical costs of COVID-19 patients in China,and also assess the factors affecting their costs.Methods:This analysis was retrospectively conducted in Shandong Provincial Chest Hospital between 24 January and 16 March 2020.The total direct medical expenditures were analyzed by cost factors.We also assessed affordability by comparing the simulated out-of-pocket expenditure of COVID-19 cases relative to the per capita disposable income.Differences between groups were tested by student t test and Mann-Whitney test when appropriate.A multiple logistic regression model was built to determine the risk factors associated with high cost.Results:A total of 70 COVID-19 patients were included in the analysis.The overall mean cost was USD 6827 per treated episode.The highest mean cost was observed in drug acquisition,accounting for 45.1%of the overall cost.Total mean cost was significantly higher in patients with pre-existing diseases compared to those without preexisting diseases.Pre-existing diseases and the advanced disease severity were strongly associated with higher cost.Around USD 0.49 billion were expected for clinical manage of COVID-19 in China.Among rural households,the proportions of health insurance coverage should be increased to 70%for severe cases,and 80%for critically ill cases to avoid catastrophic health expenditure.Conclusions:Our data demonstrate that clinical management of COVID-19 patients incurs a great financial burden to national health insurance.The cost for drug acquisition is the major contributor to the medical cost,whereas the risk factors for higher cost are pre-existing diseases and severity of COVID-19.Improvement of insurance coverage will need to address the barriers of rural patients to avoid the occurrence of catastrophic health expenditure.
文摘We hereby comment on the interesting systematic review by Grewal et al where they have provided an overall picture of the current status of available tele-health programs in the United States with emphasis on the Amazon Clinic.Their analysis is an appreciable effort in discovering the features available and features lacking in these tele-health programs.The concept of tele-health originated to curtail the need for physical attendance of patients at health clinics,and has been beneficial during the coronavirus disease 2019 pandemic.We implore that the pearls and pitfalls of these programs have to be understood by policymakers prior to forming a consensus regarding the availability,accessibility and affordability of these programs as methods of healthcare delivery.Unrestricted proliferation of tele-health programs in their current form may pose threats to patient and provider safety and medicolegal liability.However,patients and providers must work together to improve them to meet their expectations and enable them to provide the best care for the ailing public.
文摘Do you like animals?Animals are cute.Some people like loyal dogs,some like adorable cats,and others prefer fluffy bunnies.But my favorite animals are naughty hamsters because they are full of energy.With just a little food and water,they can thrive.Plus,they are really affordable,unlike cats and dogs that can cost several hundred or even over a thousand yuan.
文摘This review examines the critical risks,barriers,and success factors in achieving sustainable affordable housing(SAH)by addressing environmental,economic,social and technical dimensions of sustainability.The aim of this study is to identify different critical risks and barriers to the development of the Sustainable Affordable Housing(SAH)CSF framework.The objectives of this research are to define SAH(Sustainable Affordable Housing)and important factors for achieving SAH and to develop SAH Critical Success Factors(CSFs)frameworks.To achieve these objectives,there are two methods for reviewing and analyzing documents,i.e.,systematic review and bibliographic review.The years of publication are limited to 2014 to 2023 in the English language and restricted to open access.A total of 63 articles were retrieved and screened for relevance identified as directly relevant to our topic using the PRISMA systematic review process.The growth pattern aligns strongly with an exponential growth model,as evidenced by a high R^(2) value of 0.9133 indicating a robust correlation and demonstrating the accelerating interest in the field over the past decade.This comprehensive analysis led to the development of the sustainable affordable housing(SAH)critical success framework,providing a structured approach to understanding and implementing critical factors for sustainable and affordable housing initiatives.The findings emphasize the need for integrated policy reforms,innovative construction technologies,and collaborative stakeholder engagement to advance the SAH agenda.Future research directions include conducting longitudinal studies to assess the long-term impacts of SAH policies,comparative analyses of international best practices,and explorations into emerging construction technologies.
文摘Under the principle of economy,ecology,function,landscape and personalization,the landscape of Ankang South Affordable Housing in Binzhou has been designed in accordance with the characteristic of affordable application apartment and the local soil and climatic conditions in Binzhou.Making the scenery by the plants primarily and selecting the trees with stronger resistance to soline-alkalic soil,cold,and drought,the whole design has been divided into 4 scenic spots and 23 gardens.
