Objective: Inter-regional comparison of health-reform outcomes in south-eastern Europe (SEE).
Methods: Macro-indicators were obtained from the WHO Health for All Database. Inter-regional comparison among post-Semashko, former Yugoslavia, and prior-1989-free-market SEE economies was conducted.
Results: United Nations Development Program Human Development Index growth was strongest among prior-free-market SEE, followed by former Yugoslavia and post-Semashko. Policy cuts to hospital beds and nursing-staff capacities were highest in post-Semashko. Physician density increased the most in prior-free-market SEE. Length of hospital stay was reduced in most countries; frequency of outpatient visits and inpatient discharges doubled in prior-free-market SEE. Fertility rates fell for one third in Post-Semashko and prior-free-market SEE. Crude death rates slightly decreased in prior-free-market-SEE and post-Semashko, while growing in the former Yugoslavia region. Life expectancy increased by 4 years on average in all regions; prior-free-market SEE achieving the highest longevity. Childhood and maternal mortality rates decreased throughout SEE, while post-Semashko countries recorded the most progress.
Conclusions: Significant differences in healthcare resources and outcomes were observed among three historical health-policy legacies in south-eastern Europe. These different routes towards common goals created a golden opportunity for these economies to learn from each other. 相似文献
All Trend Impact Analysis (TIA) algorithms in literature conduct the analysis based on direct estimates provided by experts for the probability of occurrence of an unprecedented event as an input to the algorithm. In this paper, we propose an advanced mechanism to generate more justifiable estimates to the probability of occurrence of an unprecedented event as a function of time with different degrees of severity using Fuzzy Logic. We postulate that in some cases it is better not to estimate the probability of occurrence of an unprecedented event directly; but rather estimate it indirectly via its attributes, using Fuzzy Logic. The core idea of the paper is to customize the generic process of reasoning with Fuzzy Logic by adding the additional step of attributes simulation, as unprecedented events do not occur all of a sudden but rather their occurrence is affected by change in the values of a set of attributes, especially when they reach certain threshold values. 相似文献
This paper revisits the use of trend forecasting to determine ordering policy in supply chains by viewing it as a part of the control process for making the supply responsive to demand. Trend forecasting is often used to assess demand — a tracked variable in the control context, which drives supply — a tracking variable. Used in this way, it is often observed to increase instability creating the so-called bullwhip effect. Trend is used on the other hand with reliability to increase stability in controller control, but with the difference that a trend of a tracking variable is used to drive correction. While both processes involve use of trend to determine policies for achieving reliable performance, the outcomes of the former are variable while those of the later can create improvement in control with certainty. The similarities and differences between the two processes are discussed and guidelines developed for applying trend forecasting to enhance stability in supply chains. 相似文献
We estimate “finance-adjusted” trend growth and natural rates of Japan and South Korea by extending a semi-structural model of (Laubach and Williams, 2003). Consistent with international evidence of the advanced economies, both trend growth and natural rates of interest of Japan and South Korea have been declining over the past, suggesting the important role of global factors. However, the declining patterns of Japan and South Korea are far steeper during the past 25 years. When considering domestic and global financial factors, trend growth and natural rate of South Korea are more affected by foreign financial factor while the role of domestic financial factor is more pronounced for Japanese economy. 相似文献