《医学生物实验学》教学改革的探索与实践

通过优化重组实验教材,增加综合性和探索性实验内容,改革教学手段,开展师生座谈会及时反馈教学效果等一系列教学改革措施,最终建立由医学细胞生物学、医学遗传学、医学生物实验学组成的相互支撑、紧密联系的课程体系,提高学生跨学科知识综合运用的能力和实验操作的能力。     

交易成本与新型农村合作医疗制度可持续发展

新型农村合作医疗制度的试点极大地推进了我国农村医疗保障制度的构建过程,但是该项制度推进并不顺利。本文试从交易成本理论视角,分析当前新农合制度存在较高的交易成本导致制度创新不足。在此基础上,本文提出要使新农合制度可持续发展,政府必须从制度完善和机制创新两个方面降低交易成本,以提高新农合制度绩效。     

Characteristics of a Medical Tourism Industry: The Case of South Korea

This study investigates the process involved in developing a medical tourism industry in South Korea as a case country, one of the fastest growing countries with strong potential in the medical tourism industry. It analyzed 252 articles on medical tourism posted on the websites of the Korean Tourism Organization and the Korean International Medical Association. Both sources are highly representative portal websites for medical tourism in the country. The article aims to enhance understanding of medical tourism as a new growth industry while identifying its key developmental characteristics and makes valuable suggestions for the industry that can be reflected to other countries. The study contributes theoretically and practically by examining the unique and updated characteristics and process of positioning of this recently emerging field in the global tourism industry.     

Externalities of R&D Expenditures

Innovation is generally recognized as a major source of economic growth. R&D investments explicitly aim at generating innovations and creating knowledge. Since knowledge has certain public good properties, positive externalities are likely to exist. In this paper, we extend well-known concepts from the input-output literature (backward multipliers) to indicate at which commodities stimuli should be targeted to enhance R&D and its positive externalities in the economy as a whole. Next, we argue that there may also be negative externalities of R&D, due to increased prices. This issue can be studied by means of forward multipliers. Both concepts are applied to the United States, 1977-90.     

State competition in higher education: A race to the top,or a race to the bottom?

How does competition affect higher education? This paper explores this question for public and private universities. Theory indicates that competition can push higher education policy in one of two different directions. On the one hand, competition may increase spending. For states, this would occur if states treat higher education as developmental; for private universities this would occur if they view spending as a means to attract students and prestige. On the other hand, competition may decrease spending if states treat higher education spending as redistributive, and competition may decrease spending by private schools if lower spending enhances their ability to attract students with low tuition. To determine which of these perspectives is most valid, we examine higher education policy choices in the 1980s and 1990s. We find that states appear to act as if higher education funding is redistributive while private schools appear to compete more on the basis of tuition than spending. These results demonstrate the important effects competition and governance structure have on higher education.Received: August 2001, Accepted: May 2002, JEL Classification: I2, I22, H72, I3     

中国最佳上市家族企业50强中医药类企业财务评价

本文选取了福布斯中国最佳上市家族企业50强中8家医药类家族企业近5年的财务数据为样本。一方面,通过分析家族企业自身优势和特点来阐述家族企业的自身发展潜力;另一方面,从比率分析和业绩指标等财务视角分析我国医药类上市家族企业的成长能力。从财务角度剖析医药类上市家族企业成功的内在驱动力,并为企业内外投资者提供借鉴。     

Diffusion of technical change in medicine— a case study of oncology in a traditional society

This article reviews a new program established to provide modern modes of oncologic therapy to Arab cancer patients in the West Bank. The population of this region is distinguished by its fatalistic and traditional attitudes, and communication via word of mouth is prevalent. Therefore, the social system can be considered as one of traditional norms discouraging the adoption of new ideas. Demonstration effects and face-to-face communication proved effective in bringing about social change in health patterns.     

Hedonic adaptation and the role of decision and experience utility in public policy

Many economists are becoming supportive of ‘soft’ paternalistic interventions that help people to avoid common decision errors without curtailing individual autonomy. To identify when such interventions could be beneficial, and to assess their success, requires a welfare criterion. However, traditional preference or choice-based criteria cannot serve this function because they assume that whatever people choose makes them better off. An alternative criterion that bases welfare on happiness rather than choice avoids this problem but has several of its own drawbacks. Most notably, people often adapt to serious chronic health conditions, and exhibit high levels of happiness, even though both those with and those without the condition agree that it is much preferable to be healthy. After reviewing different lines of research that shed light on the pros and cons of these alternative welfare criteria, we argue that no simple criterion based on either concept can surmount these problems. Instead, evaluations of welfare will inevitably have to be informed by a combination of both approaches, patched together in a fashion that depends on the specific context.     

临床药师参与住院医保病史监管的情况与分析

目的分析综合性医院临床药师对住院医保患者在诊疗过程中的不合理情况,提出对策。方法抽取本院2013年1至10月住院医保患者的病史资料,对住院过程中的不合理情况及类别进行调查总结。结果不合理类别中,不合理用药居首。结论临床药师参与不合理用药监管可控制医保医疗费用的快速增长。     

非理性就医对医保费用管理的挑战及应对策略

目的分析参保患者非理性就医现象,积极探索应对策略,为控制不合理增长的医疗费用提供参考。方法结合我院医保工作中对医保基金正确合理使用的管理及参保患者的就医情况,分析近年来参保患者非理性就医的现象、原因及结果,探索应对策略,总结规范化管理的措施。结果小病大治、大病贵治、无病保养等是非理性就医的主要表现,严重影响医保费用的管理,助推了过度医疗和医疗费用的不合理增长。结论应落实国家医药卫生体制改革,完善配套的医疗保险政策,深化医院医保费用管理,科学控制基本医疗付费总额,控制医疗费用不合理增长,从而保障医保基金的安全使用。