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Chung-Ping A. Loh Kristopher P. Croome C. Burcin Taner Andrew P. Keaveny 《Journal of medical economics》2019,22(7):684-690
Background: Fast-tracking is an approach adopted by Mayo Clinic in Florida’s (MCF) liver transplant (LT) program, which consists of early tracheal extubation and transfer of patients to surgical ward, eliminating a stay in the intensive care unit in select patients. Since adopting this approach in 2002, MCF has successfully fast-tracked 54.3% of patients undergoing LT.Objectives: This study evaluated the reduction in post-operative length of stay (LOS) that resulted from the fast-tracking protocol and assessed the potential cost saving in the case of nationwide implementation.Methods: A propensity score for fast-tracking was generated based on MCF liver transplant databases during 2011–2013. Various propensity score matching algorithms were used to form control groups from the United Network of Organ Sharing Standard Analysis and Research (STAR) file that had comparable demographic characteristics and health status to the treatment group identified in MCF. Multiple regression and matching estimators were employed for evaluation of the post-surgery LOS. The algorithm generated from the analysis was also applied to the STAR data to determine the proportion of patients in the US who could potentially be candidates for fast-tracking, and the potential savings.Results: The effect of the fast-tracking on the post-transplant LOS was estimated at approximately from 2.5 (p-value?=?0.001) to 3.2 (p-value?0.001) days based on various matching algorithms. The cost saving from a nationwide implementation of fast-tracking of liver transplant patients was estimated to be at least $78 million during the 2-year period.Conclusion: The fast-track program was found to be effective in reducing post-transplant LOS, although the reduction appeared to be less than previously reported. Nationwide implementation of fast-tracking could result in substantial cost savings without compromising the patient outcome. 相似文献
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根据Ramberg-Osgood关系式对X65管材的实验应力-应变曲线进行了研究及修正,得到了能准确描述X65管材应力应变的关系式,以便更准确地对管材的属性进行设置。给出了基于应变失效的关系式,通过Abaqus软件分别计算了以内压和壁厚为变量时,不同悬空长度下的管道模型,找出了悬空管道的安全失效长度和极限悬空长度。 相似文献
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通过对带式输送机安装中心轴线标定方法进行理论分析,推导出边长和角度实测的精度相关公式,同时输送机的施工安装工艺对测量标定中心轴线提出了较高的要求,为我们提出了在实际工作中的具体做法和应注意的几个问题。 相似文献
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针对一些不规则布置的综放工作面,介绍了当工作面长度变长时,采取不同的布置及加架方式的优缺点。这对于一些储量较少,地质条件复杂的矿井具有很好的借鉴意义。 相似文献
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Supply chain management (SCM) has been recognised as key to automobile manufacturers’ (‘buyers’) competitive advantage. However, the performance implication of two different approaches towards SCM, obligational contracting (OCR) vs. arm’s length contracting (ACR), remains inconclusive in the current literature. By focusing on examining how multiple global automobile manufacturers’ SCM practices result in different performance outcomes in the one-country setting of Australia, we are able to ascertain the direct impact of SCM approaches on buyers’ performance. We also provide detailed analysis on the specific influence of each distinguishing feature of the OCR/ACR approaches on different aspects of performance. Through a more nuanced investigation of the links between SCM approaches and automobile manufacturers’ performance at the firm level, this research contributes to a better understanding of the topic with managerially applicable insights. 相似文献
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《Journal of Forest Economics》2014,20(2):192-210
The paper presents an adjusted Faustmann Rule for optimal harvest of a forest when there is a social cost of carbon emissions. The theoretical framework takes account of the dynamics and interactions of forests’ multiple carbon pools and assumes an infinite time horizon. Our paper provides a theoretical foundation for numerical model studies that have found that a social cost of carbon implies longer optimal rotation periods and that if the social cost of carbon exceeds a certain threshold value the forest should not be harvested. At the same time we show that it could be a net social benefit from harvesting even if the commercial profit from harvest is negative. If that is the case, the optimal harvest age is decreasing in the social cost of carbon. 相似文献
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通过问卷调查对中国130家物流外包企业进行数据收集,本研究利用结构方程模型,实证分析了物流整合与信息共享通过关系满意对运营绩效的影响,以及关系长度对关系满意与运营绩效间关系的调节效应.研究表明物流整合促进企业绩效,同时与信息共享通过关系满意促进运营绩效,而关系满意对运营绩效有显著影响,且这种作用会受到合作关系的历史长度的影响. 相似文献
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为了能够对露天煤矿中深孔爆破进行定量分析,本文通过层次分析法(AHP),将对中深孔爆破划分为三个层次:目标层,准则层和指标层;同时结合数十位爆破专家实践经验,根据相应数据构造出判断矩阵,通过一系列计算后,确定中深孔爆破各危险因素的权重值,最后进行层次的总排序,能够客观合理的反应各因素对中深孔爆破的影像程度大小,对爆破评价体系奠定基础。 相似文献