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1.
Aims: Depression is the most frequent comorbidity reported among patients with rheumatoid arthritis (RA). Comorbid depression negatively impacts RA patients’ health-related quality-of-life, physical function, mental function, mortality, and experience of pain and symptom severity. The objective of this study was to assess healthcare utilization, expenditures, and work productivity among patients with RA with or without depression.

Materials and methods: Data from adult patients who had at least two visits each related to RA and depression over a 1-year period were extracted from the Truven Health MarketScan research databases. Outcomes comprised healthcare resource utilization, work productivity loss, and direct healthcare costs comparing patients with RA with depression (n?=?3,478) vs patients with RA without depression (n?=?43,222).

Results: Patients with RA and depression had a significantly greater relative risk of hospitalization and number of all-cause and RA-related hospitalizations, utilization of emergency services, days spent in the hospital, physician visits, and RA-related surgeries compared with RA patients without depression. Patients with RA and depression had a higher risk of and experienced more events and days of short-term disability compared with patients without depression. The incremental adjusted annual all-cause and RA-related direct costs were $8,488 (95% CI = $6,793–$10,223) and $578 (95% CI = –$98–$1,243), respectively, when comparing patients with RA and depression vs RA only.

Limitations: The current analysis is subject to the known limitations of retrospective studies based on administrative claims data.

Conclusions: This study suggested increased healthcare utilization, work productivity loss, and economic burden among RA patients due to comorbid depression. These findings emphasize the importance of managing depression and including depression as a factor when devising treatment algorithms for patients with RA.  相似文献   
2.
In this paper, I assess the evidence for a structural break in labor productivity growth in the years before the Great Recession with the use of out-of-sample forecasting exercises for the years 2010 to 2019 and the recently developed Beveridge–Nelson filter. Models based on a Beveridge–Nelson filter with no structural breaks outperform those allowing for a structural break, and there is statistically significant evidence that they outperform the random walk, though all models were too optimistic about labor productivity growth. Recently developed statistical tests do point to the presence of a structural break before the Great Recession, but uncertainty about the data-generating process for labor productivity growth or the timing and magnitude of the break may be too great to be helpful in forecast preparation.  相似文献   
3.
We use a unique firm-level data set including 9000 companies from 26 European Union countries covering four different sectors to take a close look at the relationship between online exports and productivity. The online exporter productivity premium is estimated using different techniques (ordinary least squares, quantile regressions and robust estimation). Results consistently indicate that the estimated online exporter productivity premium is statistically different from zero, positive and significant from an economic point of view. European online exporters, according to these results, are approximately 2% more productive than non-online exporters. Productivity differences between firms could be related to variables that are not included in the empirical model. More research would be needed to address this issue in the future.  相似文献   
4.
针对现行水利建设市场主体信用评价指标体系,以施工单位为例,在比较分析已有信用评价结果的基础上,采用问卷调查统计方法,得到市场主体对现有评价指标的认同度,并分析不同指标认同度差异的原因,进而提出删除门户网站及平台信息、固定资产占总资产比例及施工年产值等认同度低的指标,提高管理层素质、人员素质及管理制度等认同度高的指标的权重。  相似文献   
5.
[目的]为了有效应对禽流感冲击、维持肉鸡产业稳定健康发展。[方法]基于互联网大数据构建了禽流感舆情指数,选取2012年1月至2017年3月周度数据,通过MS-VAR模型分析了禽流感危机下肉鸡市场状态的转换特征以及不同市场状态下产业链价格传导关系。[结果]2012年以来可将肉鸡产业市场状态划分为危机状态和正常状态,肉鸡产业市场在两个市场状态下转换频繁;肉鸡产业危机市场状态和正常市场状态平均持续期分别为4.65周和9.05周;肉鸡市场在区制转移概率上存在明显的非对称特征;肉雏鸡、活鸡和白条鸡价格之间在危机状态下相关性小于正常市场状态下相关性;不同市场状态下肉鸡产业链价格传导存在差异;肉鸡产业市场在危机状态下不稳定程度明显增加。[结论]提出了加大对禽流感疫情的监测以及疫情处理能力,密切关注公众禽流感舆情动态变动情况,做好舆情引导,加强禽流感疫情科学知识的宣传,增强公众对禽流感的认知等对策建议。  相似文献   
6.
ABSTRACT

The paper presents a new combined annual cost of living and consumer price index for Norway covering 1492–2018, indicating that Norwegian price history has to be revised. The new historical price index is constructed on a significantly richer data material, which also makes it cover a longer period of price history than the existing one. This is made possible by the compilation of quantitative data from numerous sources, mostly originating from the eighteenth, nineteenth and early twentieth centuries, with grain prices stretching back to 1492. The new combined cost of living and consumer price index is constructed by a Laspeyres approach with shifting baskets for commodities and expenditure groups.

The index makes it possible to follow annual inflation and deflation in Norway for a period of 526 years. When comparing to existing indices, the new series reveals that revisions are needed in Norwegian price history. These make the historical price development more in line with those of the neighbouring countries and more in line with the pattern of wholesale prices.  相似文献   
7.
基于2000—2016年中国省际面板数据,利用DEA-Malmquist指数法对中国林业生产效率的区域差异和时序变化进行研究,运用面板Tobit模型检验财政扶持对林业生产效率的影响并验证林权改革对二者关系的调节作用。研究发现:在生态文明建设背景下,林业生产效率存在显著的区域差异;技术进步对于全要素生产率的提升起到重要推进作用;财政扶持与林权改革均对林业生产效率产生了正向影响,但林权改革并没有对财政扶持与林业生产效率的关系产生积极调节作用。因此,各省份应当通过加大政府扶持力度、优化投资方式、深化集体林权制度改革等措施促进林业生产效率提升。  相似文献   
8.
In recent decades, agricultural production in the U.S. has continued to shift to large-scale operations, raising concerns about the economic viability of small and midsized farms. To understand whether economies of size provided an incentive for the consolidation of production, the study estimates the total factor productivity (TFP) of five size classes of grain-producing farms in the U.S. Heartland (Corn Belt) region. Using quinquennial Agricultural Census data from 1982 to 2012 the study also compares TFP growth rates across farm sizes to gain insight into whether observed productivity differences are likely to persist. The finding of a strong positive relationship between farm size and TFP suggests that consolidation of production has contributed to recent aggregate productivity growth in the crop sector. The study estimates the extent to which sectoral productivity growth can be attributed to structural change versus other factors including technological change. The study also explores some tradeoffs associated with policies that raise the productivity of small versus large farms.  相似文献   
9.
The “industry nurturing agriculture” reforms and World Trade Organization accession led to dramatic growth in public expenditure and international trade in China’s agricultural sector. This article aims to estimate the effects of public expenditure and trade on agricultural productivity in China for 2004–2015. A semi-parametric production function with shape constraints is introduced to derive more accurate productivity before the productivity determinants are analyzed with an emphasis on public expenditure and trade. The empirical result shows that public expenditure and exports can effectively improve agricultural productivity, while imports have no significant effects. Policy implications are discussed in the context of supply-side reforms.  相似文献   
10.
采用Malmquist-Luenberger指数法对华东地区森林公园生态效率值进行测定的结果表明:从时序范围看,2011—2016年华东地区森林公园生态效率的均值为1. 006,但从2015年起进入下滑态势,说明华东地区森林公园的生态效率已经达到有效水平,但在扩大森林公园规模的同时忽视了对环境的有效保护以及资源的合理配置;从空间差异角度看,只有浙江与安徽两省的森林公园生态效率值未达到有效水平(分别为0. 851和0. 871),其余各省(市)的森林公园生态效率值均大于1,说明区域内存在一定的差异性;技术进步指数下降是制约MalmquistLuenberger指数提升的主要原因。由此可见,加大技术投入,促成交流合作机制,形成特有的竞争优势等,对提高区域森林公园生态效率是十分重要的。  相似文献   
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