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Cash or e-payments
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作者 谢昱 《疯狂英语(初中天地)》 2025年第1期26-29,共4页
Money is how we pay for things that we need.People pay for things in cash,which is the main form for a long time.Nowadays,there are more ways to pay than ever,including mobile payment or e-payments.Cash comes in the f... Money is how we pay for things that we need.People pay for things in cash,which is the main form for a long time.Nowadays,there are more ways to pay than ever,including mobile payment or e-payments.Cash comes in the form of banknotes and coins;e-payments make people buy things through a phone and watch.So,which way of buying things is better? 展开更多
关键词 MOBILE THINGS payment
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Construction of a Clinical Path Discrimination Model for Stroke Patients Based on the XGBoost Integrated Learning Algorithm and Its Application Analysis in the MOP under the DIP Payment Model
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作者 Huisi Hong Yiming Yuan +4 位作者 Jianlong Huang Liqun Zheng Wentao Guo Bingteng Sun Xiaoxing Huang 《Journal of Clinical and Nursing Research》 2025年第4期291-298,共8页
Objective:Aiming at the problems of clinical pathway optimization and medical cost control for stroke patients,this study proposes a clinical pathway discrimination model based on the XGBoost integrated learning algor... Objective:Aiming at the problems of clinical pathway optimization and medical cost control for stroke patients,this study proposes a clinical pathway discrimination model based on the XGBoost integrated learning algorithm.Combined with the multi-objective programming(MOP)method,this study explores its application value under the Diagnosis-Intervention Packet(DIP)payment model.Methods:The data of stroke patients(ICD codes I60-I63)from 2018 to 2024 were obtained through the medical record statistical management system of medical institutions in Guangdong Province.Efficiency indicators(average length of hospital stay),health economics indicators(total cost),effectiveness indicators(mortality rate),and specific indicators(NIHSS score)were extracted.The XGBoost algorithm was used to construct the clinical pathway discrimination model,and the hyperparameters were optimized through grid search.Based on the DIP payment rules,the prediction results of the model were used as inputs to establish a dynamic programming model,aiming to minimize costs and maximize curative effects to obtain the optimal clinical pathway plan.Results:The goodness-of-fit(R 2)of the XGBoost model on the test set reached 0.768,which was significantly better than that of the random forest(0.691)and the BP neural network(0.343).The total cost of the clinical pathway optimized by the dynamic programming model decreased by 12.7%(95%CI:10.2-15.1%),the average length of hospital stay was shortened by 1.8 days,and the NIHSS improvement rate increased by 8.3%.Conclusion:The integrated model proposed in this study has high accuracy and robustness in clinical pathway discrimination.Combined with the MOP method,it can provide a scientific basis for the optimization of medical resources under the DIP model,helping medical institutions achieve the dual goals of precise cost control and curative effect improvement. 展开更多
关键词 XGBoost Multi-objective programming Clinical pathway DIP payment STROKE
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Promoting sustainable mangrove tourism through payments for ecosystem services:Insights from Tongke-Tongke Village,South Sulawesi,Indonesia
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作者 Abdul MALIK Muhammad Ichsan ALI +2 位作者 Abdul Rasyid JALIL Abdul MANNAN Rahma MUSYAWARAH 《Regional Sustainability》 2025年第2期67-80,共14页
Mangrove ecosystems support biodiversity,protect coastal areas,and provide sustainable livelihoods.However,they face significant threats from deforestation and unsustainable land use practices.This study examines the ... Mangrove ecosystems support biodiversity,protect coastal areas,and provide sustainable livelihoods.However,they face significant threats from deforestation and unsustainable land use practices.This study examines the viability of the payments for ecosystem services(PES)programs in promoting sustainable mangrove tourism in Tongke-Tongke Village,Sinjai District,South SulawesiProvince,Indonesia.We collected data through household surveys,semi-structured stakeholder interviews,and tourist questionnaires to evaluate the economic value of mangrove tourism and tourists’willingness to pay(WTP)for conservation.Analytical methods included quantitative descriptive analysis,thematic analysis,travel cost analysis,and contingent valuationmethod.The results indicatedstrong community support,with 70.00% of respondents acknowledging sustainable mangrove tourism’s economic,environmental,and cultural benefits.Economic estimates revealedthat mangrove tourism generated 943.00 USD/(hm^(2)·a),while tourists’WTP for conservation rangedfrom 0.21 to 0.56 USD/(person×month),contributing approximately 11.39 USD/(hm^(2)·a).Despite challenges such as inadequate infrastructure,socioeconomic disparities,and land privatization,this study advocates for integrating the PES programs,enhancing governance frameworks,and fostering local community engagement to ensure equitable benefit distribution and maximize the potential of mangrove tourism.These strategies aim to bolster conservation efforts,improve local livelihoods,and strengthen the resilience of mangroveecosystems. 展开更多
关键词 Mangrove tourism payments for ecosystem services(PES) Willingness to pay(WTP) Sustainable tourism South Sulawesi
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Managing Value-Based Activity Flexibility on Integrated ERP 被引量:1
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作者 WANG Manling, YANG Deli (Insutution of System Engineering, Dalian University of Technology Shandong Dalian 116024 China) 《Journal of Electronic Science and Technology of China》 2004年第3期128-133,共6页
On the background of integrated ERP development, activity-value-flexibility management (AVFM) is defined. By using economic-value-added (EVA) and corporate value creation as the objective of AVFM, custom value deviati... On the background of integrated ERP development, activity-value-flexibility management (AVFM) is defined. By using economic-value-added (EVA) and corporate value creation as the objective of AVFM, custom value deviating rate, capital cost deviating rate, cash-flow-out per purchase deviating rate and cash-flow-in per sell deviating rate are developed to be the key responding variates for AVFM, and they also decide the rational quantity range for AVFM tactics. Method for rational AVFM tactics solution could be got by means of redesigning activity information process on integrated ERP. 展开更多
关键词 integrated ERP value-based activity flexibility-management information-integration
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Value-Based Test Case Prioritization for Regression Testing Using Genetic Algorithms
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作者 Farrukh Shahzad Ahmed Awais Majeed Tamim Ahmed Khan 《Computers, Materials & Continua》 SCIE EI 2023年第1期2211-2238,共28页
Test Case Prioritization(TCP)techniques perform better than other regression test optimization techniques including Test Suite Reduction(TSR)and Test Case Selection(TCS).Many TCP techniques are available,and their per... Test Case Prioritization(TCP)techniques perform better than other regression test optimization techniques including Test Suite Reduction(TSR)and Test Case Selection(TCS).Many TCP techniques are available,and their performance is usually measured through a metric Average Percentage of Fault Detection(APFD).This metric is value-neutral because it only works well when all test cases have the same cost,and all faults have the same severity.Using APFD for performance evaluation of test case orders where test cases cost or faults severity varies is prone to produce false results.Therefore,using the right metric for performance evaluation of TCP techniques is very important to get reliable and correct results.In this paper,two value-based TCP techniques have been introduced using Genetic Algorithm(GA)including Value-Cognizant Fault Detection-Based TCP(VCFDB-TCP)and Value-Cognizant Requirements Coverage-Based TCP(VCRCB-TCP).Two novel value-based performance evaluation metrics are also introduced for value-based TCP including Average Percentage of Fault Detection per value(APFDv)and Average Percentage of Requirements Coverage per value(APRCv).Two case studies are performed to validate proposed techniques and performance evaluation metrics.The proposed GA-based techniques outperformed the existing state-of-the-art TCP techniques including Original Order(OO),Reverse Order(REV-O),Random Order(RO),and Greedy algorithm. 展开更多
关键词 Average percentage of fault detection test case prioritization regression testing and value-based testing value-based test case prioritization genetic algorithms
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The Practice of Pharmacist-Driven Antimicrobial Stewardship Based on Value-Based Healthcare
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作者 Sun Yinxiang Xu Chunhua +3 位作者 Li Yong Huang Sichao Zhou Zhiling Cui Min 《Asian Journal of Social Pharmacy》 2021年第2期180-186,共7页
Objective To evaluate the effect of pharmacist-driven antimicrobial stewardship based on value-based healthcare in a tertiary hospital in China.Methods The application of plan-do-check-action(PDCA)cycle and antimicrob... Objective To evaluate the effect of pharmacist-driven antimicrobial stewardship based on value-based healthcare in a tertiary hospital in China.Methods The application of plan-do-check-action(PDCA)cycle and antimicrobial stewardship(AMS)were respectively used to improve the rational use of antimicrobial agents in prophylactic and therapeutic.Data were collected and the effect was assessed during the management period(2016-2019).Results and Conclusion From 2016(before implementation)to 2019(after implementation),the rational use of antibiotics were obviously enhanced in outpatients,inpatients,and emergency department.For instance,the utilization rate in type I incision operation was decreased from 26.42%to 14.60%(P=0.000),the daily doses of antibiotic per 100 patient-days decreased from 49.34±2.97 to 35.89±4.96(P=0.000),and the average antibiotic expenditures dropped from 948.53 yuan to 526.30 yuan(P=0.000).There was no significant change in infection rate,nosocomial mortality rate,and the length of hospital stay.After the implementation of clinical pharmacist-driven antimicrobial stewardship based on value-based healthcare,the consumption and cost of antibacterial have been greatly reduced.Therefore,the pharmacist-driven antimicrobial stewardship increases its value。 展开更多
关键词 PHARMACIST value-based healthcare antimicrobial stewardship antibiotic consumption medical quality
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Empowerment Mechanisms and Empirical Evidence of Payment Technology in Capacity Expansion and Quality Improvement of Residents’Consumption
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作者 LI Yilin GAO Changchun GAO Han 《Journal of Donghua University(English Edition)》 CAS 2024年第6期662-676,共15页
The time-varying difference-in-difference model is used to identify the impact of payment technology on residents’consumption,and the moderation effect analysis method is used to identify its mechanism.It is found th... The time-varying difference-in-difference model is used to identify the impact of payment technology on residents’consumption,and the moderation effect analysis method is used to identify its mechanism.It is found that payment technology promotes consumption capacity expansion and quality improvement(CEQI)through three pathways of alleviating liquidity constraints,reducing transaction costs and weakening the payment of pain.The parallel and serial mechanisms of the three are further explored.The effect of payment technology on the CEQI of residents’consumption shows obvious heterogeneity due to differences in urban and rural household registration and financial literacy.Based on the empirical research results and the national conditions of China,targeted policy recommendations are proposed from the demand side,the supply side and the technological side. 展开更多
关键词 payment technology capacity expansion and quality improvement residents’consumption new quality productive force time-varying difference-in-difference moderating effect
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Valuation and Payment for Socio-Environmental Services in the Chico Mendes Extractive Reserve, Amazon, Brazil
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作者 Raimundo Cláudio Gomes Maciel João Alfredo Carvalho Mangabeira +5 位作者 Lucas Ferreira Lima Ademar Ribeiro Romeiro Oleides Francisca de Oliveira Viviane Farias Silva Fernando Nauffal Filho Guilherme Thomazi 《Journal of Environmental Protection》 2024年第12期1087-1106,共20页
In the contemporary world, there are three interconnected global environmental crises (climate change, biodiversity loss, and pollution). The common thread is the unsustainable pattern of production and consumption, w... In the contemporary world, there are three interconnected global environmental crises (climate change, biodiversity loss, and pollution). The common thread is the unsustainable pattern of production and consumption, which leads to international and local socio-environmental injustices. Seeking environmental justice in Brazil, the success of the rubber tapper social movement stands out, culminating in the Chico Mendes Extractive Reserve (RESEX) implementation in the Brazilian Amazon. However, the residents have struggled to generate income to help their families’ social reproduction. Conventional payment instruments for environmental services have failed to remunerate the socio-environmental attributes of sustainable products adequately. This paper aims to carry out a socio-environmental economic-ecological valuation of the main extractive products of the RESEX in 2021/2022. To this end, a methodology calculates the cost of social reproduction of rural family production, being a non-market price index reference for monetary valuation. The results indicate the acceptability of the socio-environmental valuation of native rubber and Brazil nuts, as they can guarantee environmental conservation, improve the families’ well-being with adequate income for their social reproduction, as well as value attributes outside the market, which helps in the fight against further expropriation or enclosure of rural families in the Amazon. 展开更多
关键词 Rural Family Production Social Reproduction Socio-Environmental Valuation Chico Mendes RESEX payment for Socio-Environmental Services (PSES)
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A Note on a One-Parameter Weibull Distributed Deteriorating Item EOQ Inventory Model with Varying Quadratic Demand and Delay in Payments
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作者 Trailokyanath Singh Itishree Rout Ameeya Kumar Nayak 《American Journal of Operations Research》 2024年第5期151-167,共17页
In this paper, an EOQ inventory model is developed for deteriorating items with variable rates of deterioration and conditions of grace periods when demand is a quadratic function of time. The deterioration rate consi... In this paper, an EOQ inventory model is developed for deteriorating items with variable rates of deterioration and conditions of grace periods when demand is a quadratic function of time. The deterioration rate considered here is a special type of Weibull distribution deterioration rate, i.e., a one-parameter Weibull distribution deterioration rate and it increases with respect to time. The quadratic demand precisely depicts of the demand of seasonal items, fashion apparels, cosmetics, and newly launched essential commodities like android mobiles, laptops, automobiles etc., coming to the market. The model is divided into three policies according to the occurrence of the grace periods. Shortages, backlogging and complete backlogging cases are not allowed to occur in the model. The proposed model is well-explained with the help of a simple solution procedure. The three numerical examples are taken to illustrate the effectiveness of the EOQ inventory model along with sensitivity analysis. 展开更多
关键词 Economic Order Quantity (EOQ) One-Parameter Weibull Distribution Deterioration Permissible Delay in payments Time-Dependent Quadratic Demand
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公立医院职能部门MDT驱动临床科室运营管理实践研究 被引量:3
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作者 柴冬丽 李思雯 耿桂凤 《中国医院》 北大核心 2025年第5期21-25,共5页
在DRG支付方式改革大背景下,医院运营管理面临新的挑战。如何有效调动临床科室运营管理的积极性,已成为医院管理者面临的难题。职能部门MDT运营管理是一种创新性的服务机制,通过运营数据分析能够精准把握科室发展的关键问题,从医院全局... 在DRG支付方式改革大背景下,医院运营管理面临新的挑战。如何有效调动临床科室运营管理的积极性,已成为医院管理者面临的难题。职能部门MDT运营管理是一种创新性的服务机制,通过运营数据分析能够精准把握科室发展的关键问题,从医院全局出发,对人力资源、设备配置、床位等关键资源进行科学规划和合理配置,确保资源利用达到最佳效果,实现效率和效益最大化。以问题为导向进一步分析临床科室的收入结构、业务量、运营效率等指标,有针对性地开展运营管理工作,为科室提出建议和改进方案,促进临床科室改善服务行为,提高服务质量,提升服务效率。 展开更多
关键词 公立医院 DRG支付 职能部门 MDT 运营管理
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医疗服务价格分类形成与医保按DRG/DIP付费的冲突及其协同 被引量:2
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作者 郑大喜 李星 刘静 《中国卫生经济》 北大核心 2025年第3期47-53,共7页
医疗保险在医疗服务项目价格管制基础上,通过支付方式改革,实现对医疗服务总费用管制。文章分析了医疗服务价格形成与按DRG/DIP付费的冲突:按历史例均费用而非诊疗成本测算医保支付标准,延续了项目不合理比价关系;新技术、特需医疗服务... 医疗保险在医疗服务项目价格管制基础上,通过支付方式改革,实现对医疗服务总费用管制。文章分析了医疗服务价格形成与按DRG/DIP付费的冲突:按历史例均费用而非诊疗成本测算医保支付标准,延续了项目不合理比价关系;新技术、特需医疗服务病例与DRG/DIP付费衔接不畅,阻碍优质优价需求。梳理了各地新增医疗服务项目、实行市场调节价非基本医疗服务项目价格形成与医保支付的衔接做法,获得其他地区对促进医疗服务价格分类形成与医保DRG/DIP付费协同的启示:将成本信息充分应用于医疗服务价格合理形成和病组(病种)支付标准制定;结合真实世界数据和卫生技术评估,辅助创新医疗技术定价和支付准入决策;完善DRG/DIP新技术特例单议纳入标准、申报程序、审核流程、结算办法;将符合条件的特需医疗服务病例费用不纳入DRG/DIP付费标准和费用清算。 展开更多
关键词 医疗服务项目价格 分类形成 DRG/DIP付费 创新医疗技术 除外支付 成本
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Examining user behavior with machine learning for effective mobile peer-to-peer payment adoption
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作者 Blanco-Oliver Antonio Lara-Rubio Juan +1 位作者 Irimia-Diéguez Ana Liébana-Cabanillas Francisco 《Financial Innovation》 2024年第1期2109-2138,共30页
Disruptive innovations caused by FinTech(i.e.,technology-assisted customized financial services)have brought digital peer-to-peer(P2P)payments to the fore.In this challenging environment and based on theories about cu... Disruptive innovations caused by FinTech(i.e.,technology-assisted customized financial services)have brought digital peer-to-peer(P2P)payments to the fore.In this challenging environment and based on theories about customer behavior in response to technological innovations,this paper identifies the drivers of consumer adoption of mobile P2P payments and develops a machine learning model to predict the use of this thriving payment option.To do so,we use a unique data set with information from 701 participants(observations)who completed a questionnaire about the adoption of Bizum,a leading mobile P2P platform worldwide.The respondent profile was the average Spanish citizen within the framework of European culture and lifestyle.We document(in this order of priority)the usefulness of mobile P2P payments,influence of peers and other social groups such as friends,family,and colleagues on individual behavior(that is,subjective norms),perceived trust,and enjoyment of the user experience within the digital context and how those attributes better classify(potential)users of mobile P2P payments.We also find that nonparametric approaches based on machine learning algorithms outperform traditional parametric methods.Finally,our results show that feature selection based on random forest,such as the Boruta procedure,as a preprocessing technique substantially increases prediction performance while reducing noise,redundancy of the resulting model,and computational costs.The main limitation of this research is that it only has a place within the sociocultural and institutional framework of the Spanish population.It is therefore desirable to replicate this study by surveying people from other countries to analyze the effects of the institutional environment on the adoption of mobile P2P payments. 展开更多
关键词 Boruta Feature selection Mobile P2P payment Random forest
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DRG/DIP支付方式改革下三级公立医院内部协同治理的实现路径 被引量:7
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作者 肖红军 万红慧 +2 位作者 肖海燕 沈晓 毛宗福 《中国医院管理》 北大核心 2025年第3期11-14,共4页
随着医保支付方式改革的持续推进,三级公立医院面临着医疗服务提供方式及经济运行模式的挑战。DRG/DIP支付方式改革是一项复杂的系统性工程,传统由医院单一职能部门主导的管理模式难以有效应对DRG/DIP支付方式改革带来的复杂性事务,必... 随着医保支付方式改革的持续推进,三级公立医院面临着医疗服务提供方式及经济运行模式的挑战。DRG/DIP支付方式改革是一项复杂的系统性工程,传统由医院单一职能部门主导的管理模式难以有效应对DRG/DIP支付方式改革带来的复杂性事务,必须创新管理机制,引入协同治理新模式,通过内部多元治理主体的文化协同、组织协同、流程协同、激励协同,促进医院治理体系和治理能力现代化。 展开更多
关键词 医保支付 公立医院 协同治理 疾病诊断相关分组 按病种分值付费
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Exploring the determinants of the user experience in P2P payment systems in Spain:a text mining approach
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作者 David Perea-Khalifi Ana I.Irimia-Diéguez Pedro Palos-Sánchez 《Financial Innovation》 2024年第1期4158-4189,共32页
Purpose This study aims to identify which determinants are responsible for impacting the user experience of three peer-to-peer(P2P)payment services in the Spanish market.Design/methodology/approach A sample of all onl... Purpose This study aims to identify which determinants are responsible for impacting the user experience of three peer-to-peer(P2P)payment services in the Spanish market.Design/methodology/approach A sample of all online reviews(n=16,048)published in Google Play of three paytech apps—Bizum,Twyp,and Verse—was analyzed using text mining and sentiment analysis.Findings A holistic interpretation of the seed terms included in each aspect allowed to label them based on the preferences expressed by paytech app users in their reviews.Six latent aspects were identified:ease of use,usefulness,perceived value,performance expectancy,perceived quality,and user experience.In addition,the results of the analysis suggest a positivity bias in the online reviews of fintech P2P app users.Our results also show that online reviews of apps associated with banks or financial institutions,such as Bizum(to a greater extent)or Twyp,show more negative emotions,whereas independent apps(Verse)show more positive emotions.Moreover,the most critical users are those of unidentified gender,while women remain in a more neutral position,and men tend to express their opinions more positively regarding P2P payment apps.Practical implications Paytech providers should analyze the problems faced by users immediately after an encounter.By applying text mining analysis,service providers can gain efficiency in understanding user sentiments and emotions without tedious and time-consuming reviews.Originality/value This is a pioneering study on peer-to-peer(P2P)mobile payment systems from the user’s perspective because it investigates the emotions and sentiments that users convey through bank reviews. 展开更多
关键词 Bizum VERSE Twyp Mobile apps Paytech P2P payment Sentiment analysis Userexperience
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Digital Payment Systems in Urban Media Landscapes:The Evolution and Impact of Apple Pay on Urban Life and Consumer Behavior
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作者 Xiaoxiao Dong 《Journalism and Mass Communication》 2024年第6期325-329,共5页
This study examines the transformative impact of Apple Pay on urban landscapes and socioeconomic frameworks,with a particular focus on spending patterns and retail dynamics in metropolitan areas.By evaluating the adop... This study examines the transformative impact of Apple Pay on urban landscapes and socioeconomic frameworks,with a particular focus on spending patterns and retail dynamics in metropolitan areas.By evaluating the adoption levels,the technological support,and the social impact of Apple Pay,the study shows that the service is both a catalyst for the development of digital payment and a sign of an increasing social gap.Although it has rapidly transformed Retail Enterprises and supported the construction of smart cities,especially in major world cities such as New York,London,and Tokyo,the work has brought out notable digital divides.Although Apple Pay,with more than 75%of iPhone users and 9,000 banks in 60 world areas and regions,has impacts that are not the same across urban populations,the study shows that while large format retailers have effectively adopted Apple Pay for value-added services to consumers and enhanced payment efficiency,small businesses encounter significant barriers in implementation.Additionally,the technology leverages smartphone usage and banking relationships,which does not address considerable urban population demographics and deeper issues of technology exclusion and inequality in the contemporary city.Such results call for attaining a just society’s technological advancement for efficiencies while still catering to all groups of urban dwellers. 展开更多
关键词 digital payments urban development Apple Pay smart cities digital divide retail transformation financial technology social inclusion mobile commerce urban economics
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岗位数字化会加剧过度劳动吗?——来自中国劳动力动态调查的证据 被引量:2
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作者 陈思 吕康银 梁孝成 《经济与管理研究》 北大核心 2025年第2期76-95,共20页
岗位数字化是当前中国劳动力市场转型的重要特征,同时也引发了社会对相关从业者劳动过程和劳动权益的广泛关注。本文选取2016—2018年中国劳动力动态调查(CLDS)与职业信息网络(O*NET)数据,构建涵盖工作时间长度和强度的过度劳动指标,实... 岗位数字化是当前中国劳动力市场转型的重要特征,同时也引发了社会对相关从业者劳动过程和劳动权益的广泛关注。本文选取2016—2018年中国劳动力动态调查(CLDS)与职业信息网络(O*NET)数据,构建涵盖工作时间长度和强度的过度劳动指标,实证检验岗位数字化对雇员过度劳动的影响及劳动控制的作用机制。研究结果表明,岗位数字化使雇员面临着高时长、高强度的过度劳动困境。机制分析发现,岗位数字化通过在劳动过程中强化对雇员的劳动控制导致过度劳动,而以绩效为导向的计酬机制是最重要的传导渠道。异质性分析结果表明,青年和高技能群体普遍存在数字化过度劳动现象,而大型企业和高内卷行业却呈现出低强度过度劳动的趋势。进一步研究发现,岗位数字化提升了雇员的加班概率,甚至形成了过度劳动的准制度化模式。本文的研究为构建和谐劳动关系、平衡数字技术进步与劳动权益保障提供了政策启示。 展开更多
关键词 岗位数字化 过度劳动 劳动控制 劳动过程 工作时间 计酬机制
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医保支付方式改革对医疗服务及费用的影响分析——以金华市为例 被引量:2
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作者 于淼 李泽耀 +4 位作者 妥宏武 杨燕绥 吴冠频 金华强 江小州 《中国卫生政策研究》 北大核心 2025年第1期43-50,共8页
目的:实证分析医保支付方式改革冲击下门诊与住院服务之间的关系,验证改革效果。方法:利用金华市8个区县2020—2022年医疗服务与医保支付数据,构建门诊住院固定效应模型,分析医保支付方式改革对医疗服务及费用的影响。结果:DRG支付对住... 目的:实证分析医保支付方式改革冲击下门诊与住院服务之间的关系,验证改革效果。方法:利用金华市8个区县2020—2022年医疗服务与医保支付数据,构建门诊住院固定效应模型,分析医保支付方式改革对医疗服务及费用的影响。结果:DRG支付对住院人次有显著的正向影响,对职工医保住院费用有显著的负向影响;“人头打包+门诊病例分组付费”对住院人次有显著的负向影响,对城乡居民医保住院费用有显著的负向影响;门诊支付与门诊人次的交互项对职工医保住院人次有显著的负向影响,门诊支付与门诊费用的交互项对整体和职工医保住院费用有显著的负向影响。结论:DRG支付改革带来了住院人次的上升,降低了职工医保住院费用;门诊“人头打包+门诊病例分组付费”支付改革起到了降低住院人次的作用,并降低了城乡居民医保住院费用,减缓了门诊与住院之间的互补效应。 展开更多
关键词 门诊统筹 门诊病例分组付费 按人头付费
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DRG付费改革背景下我国除外支付政策的演化博弈与仿真分析
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作者 陈烨 李佳明 +1 位作者 阳丰鸿 李伟 《中国药房》 北大核心 2025年第22期2753-2759,共7页
目的为我国建立并优化除外支付政策提供参考。方法构建医保、医疗机构的两方演化博弈模型,并进行仿真模拟,分析按疾病诊断相关分组(DRG)付费改革背景下医保部门建立除外支付政策与否、补偿比例、新技术的成本和增量效用等因素对医疗机... 目的为我国建立并优化除外支付政策提供参考。方法构建医保、医疗机构的两方演化博弈模型,并进行仿真模拟,分析按疾病诊断相关分组(DRG)付费改革背景下医保部门建立除外支付政策与否、补偿比例、新技术的成本和增量效用等因素对医疗机构创新技术使用的影响。结果与结论除外支付政策可有效激励新技术的使用,但同时会带来新技术滥用的风险。除外支付政策的补偿比例、新技术单价、新技术效用改善带来的成本节约以及新技术治疗的增量效用均会对演化博弈的均衡状态产生影响,甚至翻转均衡状态。建议优化除外支付范围的遴选标准,激励创新技术使用的同时控制其滥用风险,并基于统筹地区医保基金结余水平合理采用单独支付或补充支付的模式,同时建立定期调整机制,做好除外支付与DRG支付体系的衔接。 展开更多
关键词 除外支付 DRG付费 创新技术 演化博弈 医保支付 影响因素
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社会保险缴费负担、现金持有量与企业创新 被引量:2
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作者 李彬 刘小梅 曹一凡 《工程管理科技前沿》 北大核心 2025年第1期62-68,共7页
本文以2011—2020年我国A股上市公司为研究样本,深入考察了社会保险缴费负担对企业创新的影响。研究发现:社会保险缴费负担与企业创新之间具有显著的负向关系;现金持有量是社会保险缴费负担影响企业创新的重要渠道;在金融背景高管占比... 本文以2011—2020年我国A股上市公司为研究样本,深入考察了社会保险缴费负担对企业创新的影响。研究发现:社会保险缴费负担与企业创新之间具有显著的负向关系;现金持有量是社会保险缴费负担影响企业创新的重要渠道;在金融背景高管占比较高、有政治关联、非理性投资程度低的企业中,社会保险缴费负担对企业创新的负向影响较弱。本文的研究结论为厘清社会保险缴费负担与企业创新之间的关系和影响机理,验证“减税降费”政策成效,发挥中国社保制度优势,助推企业高质量发展提供了参考和启示。 展开更多
关键词 社会保险缴费负担 企业创新 现金持有量 中介效应 调节效应
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大学生在线知识持续付费意愿影响因素模型构建与实证研究 被引量:2
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作者 罗雪英 郑佳琪 《图书馆工作与研究》 北大核心 2025年第4期24-36,共13页
文章以期望确认模型、计划行为理论和感知价值理论为依据,构建大学生在线知识持续付费意愿影响因素模型并进行实证检验。检验结果显示,主观规范、知觉行为控制和行为态度显著正向影响大学生初次付费体验;初次付费体验和知识需求显著正... 文章以期望确认模型、计划行为理论和感知价值理论为依据,构建大学生在线知识持续付费意愿影响因素模型并进行实证检验。检验结果显示,主观规范、知觉行为控制和行为态度显著正向影响大学生初次付费体验;初次付费体验和知识需求显著正向影响大学生对在线知识付费的满意度;满意度、主观规范和知觉行为控制显著正向影响大学生在线知识持续付费意愿;免费意识则对大学生初次付费体验、满意度和持续付费意愿具有显著负向影响。基于此,提出在线知识付费平台优化建议。 展开更多
关键词 知识付费 持续付费意愿 影响因素 大学生 知识付费平台
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