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Gregory S. Zaric Jeffrey S. Hoch 《International Transactions in Operational Research》2006,13(6):493-513
Interest in medical savings accounts (MSAs) as a potential tool to reduce healthcare costs has been widespread. A small number of countries have either implemented or run pilot programs of MSAs, and vigorous policy debates have taken place in several other countries about the potential merits of introducing MSAs as a method of paying for health care. In this paper we develop a model to assess the cost saving potential of MSAs in a publicly funded healthcare system. We assume that the public healthcare payer may choose between reimbursing healthcare expenditures through an MSA or through a form of third‐party payer insurance. We use the model to identify the conditions under which MSAs may reduce costs. We illustrate using data on healthcare expenditures from Canada. 相似文献
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七号信令网管系统的数据库服务器采用惠普UNIX工作站及SYBASE数据库。由于采集的数据量增大,原先设计的数据库空间不能满足数据存储三个月的要求.因此采用一块外置硬盘对数据库空间进行扩展。详细地介绍了SYBASE数据库空间扩展的全过程。 相似文献
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Conceptual damage-sensitive features for structural health monitoring: Laboratory and field demonstrations 总被引:2,自引:0,他引:2
F. Necati Catbas Mustafa Gul Jason L. Burkett 《Mechanical Systems and Signal Processing》2008,22(7):1650-1669
The use of damage-sensitive features to evaluate structural condition or health is a very critical aspect of structural health monitoring. The purpose of this paper is to investigate the potential of two different damage-sensitive features for detecting damage. Different damage scenarios are simulated on a large-scale laboratory structure and a three-span highway bridge for demonstration. The features presented in this paper are the modal flexibility-based deflection and curvature both of which are obtained directly from dynamic properties. In the literature, flexibility associated with mode shapes and mode shapes curvatures have been mostly explored. In this study, multi-input–multi-output dynamic data are used to obtain modal flexibility, which is a close approximation to the actual flexibility. A main novelty is that the curvature is calculated from the deflected shapes using the modal flexibility as opposed to using modal vectors. In this paper, the theory of the methodology is explained and then experimental studies and results are presented. For the experimental studies, the laboratory specimen and the three-span bridge were gradually damaged. It is shown that both deflection and curvature are conceptual and physically meaningful features for damage detection and localization. The issues and the requirements for these features to perform successfully are also presented. 相似文献
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保健食品行业GMP的实施有利HACCP的应用推广。本文应用HACCP于传统保健食品西洋参口服液生产过程中,将生产及加工过程中危害因素降最低限度,以确保产品的质量与安全。 相似文献
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Wilcox Sara; Evenson Kelly R.; Aragaki Aaron; Wassertheil-Smoller Sylvia; Mouton Charles P.; Loevinger Barbara Lee 《Canadian Metallurgical Quarterly》2003,22(5):513
This study examined whether widowhood was associated with physical and mental health, health behaviors, and health outcomes using a cross-sectional (N=72,247) and prospective (N=55,724) design in women aged 50-79 years participating in the Women's Health Initiative observational study (85.4% White). At baseline, married women reported better physical and mental health and generally better health behaviors than widowed women. Whereas women who remained married over the 3-year period showed stability in mental health, recent widows experienced marked impairments and longer term widows showed stability or slight improvements. Both groups of widows reported more unintentional weight loss over the 3-year period. Changes in physical health and health behaviors were inconsistent, with generally small effect sizes. Findings underscore the resilience of older women and their capacity to reestablish connections, but point to the need for services that strengthen social support among women who have difficulty during this transition. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
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Home ownership has been associated with health, social and economic benefits. However, a decline in ownership has been observed over the past decade in New Zealand. Minority groups, including Pacific people, have been disadvantaged in the housing sector. This study investigated housing tenure and the relationship between tenure and health among mothers of a birth cohort of Pacific children in New Zealand. Findings showed that most families lived in state or private rental accommodation with few (15.4 per cent) owning their own homes. Homeowners were more likely to be older, partnered and have higher incomes. Better mental health was observed for homeowners compared to renters. Findings can inform housing and public health policy for Pacific families. 相似文献
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Posttraumatic stress in children and adolescents exposed to family violence: I. Overview and issues.
Exposure to child physical abuse and parents' domestic violence can subject youth to pervasive traumatic stress and can lead to posttraumatic stress disorder (PTSD). This article presents evolving conceptualizations in the burgeoning field of trauma related to family violence exposure and describes how the often repeating and ongoing nature of family violence exposure can complicate a PTSD diagnosis. In addition, recent literature indicates that children exposed to family violence may experience problems in multiple domains of functioning and may meet criteria for multiple disorders in addition to PTSD. Considerations salient to the recognition of traumatic stress in this population and that inform assessment and treatment planning are presented. (PsycINFO Database Record (c) 2010 APA, all rights reserved) 相似文献
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工程建设项目要实施健康、安全和环境管理,文章阐述了工程建设项目职业健康安全和环境管理机构设置的必要性,该机构是项目职业健康安全和环境管理体系及其管理网络的管理者,是完成项目职业健康安全和环境保护管理目标的第一责任部门。该机构的主要职责有:编制作业文件,组织培训教育,进行监测、检查和监督,审核不符合项的整改、纠正和预防工作,记录及其管理,项目职业健康安全和环境管理评审。组织精悍、职责明确的管理机构并通过严密有序的工作,是实现项目健康、安全、环境管理目标的重要保证。 相似文献