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The aim of evidence-based guidelines is primarily to improve patient outcomes without adding to the existing cost of care because both payers and policymakers want to identify health care costs that do not result in benefit to the patient. The purpose of the reported project was to generate a practice guideline for the treatment of uncomplicated acute cystitis in a female population, to determine the extent to which the guideline would be used by providers and to measure the cost and quality of outcomes from its use. A retrospective chart review was used to gather pre-guideline practice and cost data. Measurements included the type, frequency, and duration of antibiotic therapy and the use of urine cultures and both complications and routine followup visits. The implementation of an outpatient practice guideline resulted in a significant change in antibiotic prescribing and a trend toward a change in ordering cultures and clinic followup. There was also a significant decrease in treatment costs.  相似文献   
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This paper investigates the recent macroeconomic history ofUganda using time series models for the demand for the threemain monetary aggregates. A collapse of income and high inflationled to de-monetisation. The flight from currency and demanddeposits was limited by their use for transactions, but demandfor time and savings deposits was largely a function of inflation.The role of the exchange rate and the price of coffee in determiningan asset demand for money was mixed. Re-monetisation since thelate 1980s has been slower than de-monetisation.  相似文献   
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One day in the life of a very common stock   总被引:25,自引:0,他引:25  
Using the model structure of Easley and O'Hara (Journal of Finance,47, 577-604), we demonstrate how the parameters of the market-maker'sbeliefs can be estimated from trade data. We show how to extractinformation from both trade and no-trade intervals, and howintraday and interday data provide information. We derive andevaluate tests of model specification and estimate the informationcontent of differential trade sizes. Our work provides a frameworkfor testing extant microstructure models, shows how to extractthe information contained in the trading process, and demonstratesthe empirical importance of symmetric information models forasset prices.  相似文献   
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The dynamics of portfolio management contracts   总被引:9,自引:0,他引:9  
We consider the multiperiod relationship between a client anda portfolio manager and the resulting problem of motivatinga manager of unknown ability to acquire valuable information.We explore the contractual form and the optimal retention policyof the client and find that the optimal initial set of contractsfeatures a smaller performance based fee component paid to themanager than in a first-best contract, and the contract choiceelicits only partial information about the manager. As a result,ex post performance measurement is critical to future recontracting.In general, managers are retained only if the returns on theirportfolio exceed the benchmark by an appropriate amount.  相似文献   
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