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排序方式: 共有63条查询结果,搜索用时 10 毫秒
1.
Rana Rizk Mickaël Hiligsmann Mirey Karavetian Silvia M. A. A. Evers 《Journal of medical economics》2017,20(10):1024-1038
Aim: To assess the cost-effectiveness of nutrition education by dedicated dietitians (DD) for hyperphosphatemia management among hemodialysis patients.Materials and methods: This was a trial-based economic evaluation in 12 Lebanese hospital-based units. In total, 545 prevalent patients were cluster randomized to DD, trained hospital dietitian (THD), and existing practice (EP) groups. During Phase I (6 months), DD (n?=?116) received intensive education by DD trained on renal nutrition, THD (n?=?299) received care from trained hospital dietitians, and EP (n?=?130) received usual care from untrained hospital dietitians. Patients were followed-up during Phase II (6 months).Results: At baseline, EP had the lowest weekly hemodialysis time, and DD had the highest serum phosphorus and malnutrition-inflammation score. The additional costs of the intervention were low compared with the societal costs (DD: $76.7, $21,007.7; EP: $4.6, $18,675.4; THD: $17.4, $20,078.6, respectively). Between Phases I and II, DD showed the greatest decline in services use and societal costs (DD: –$2,364.0; EP: –$1,727.7; THD: –$1,105.7). At endline, DD experienced the highest decrease in adjusted serum phosphorus (DD: –0.32; EP: +0.16; THD: +0.04?mg/dL), no difference in quality-adjusted life-years (QALY), and the highest societal costs. DD had a cost-effectiveness ratio of $7,853.6 per 1?mg decrease in phosphorus, compared with EP; and was dominated by THD. Regarding QALY, DD was dominated by EP and THD. The results were sensitive to changes in key parameters.Limitations: The analysis depended on numerous assumptions. Interpreting the results is limited by the significant baseline differences in key parameters, suggestive of higher baseline societal costs in DD.Conclusions: DD yielded the greatest effectiveness and decrease in societal costs, but did not affect QALY. Regarding serum phosphorus, DD was likely to be cost-effective compared with EP, but had a low cost-effectiveness probability compared with THD. Regarding QALY, DD was not likely to be cost-effective. Assessing the long-term cost-effectiveness of DD, on similar groups, is recommended. 相似文献
2.
Ali A Alalwan Yogesh K Dwivedi Nripendra P Rana Banita Lal Michael D Williams 《Journal of Financial Services Marketing》2015,20(2):145-157
Despite the rapid growth of Internet banking (IB), customers in developing countries still hesitate to adopt this technology and its use in the Middle East remains low. This study aims to identify and examine the factors that predict behavioural intention and adoption of IB in Jordan. Four factors – hedonic motivation, habit, self-efficacy and trust – are proposed in a conceptual model. Data was collected by means of a survey with bank customers in Jordan. Structural equation modelling (SEM) was used to analyse the data. The results strongly supported the conceptual model. Further, hedonic motivation, habit, self-efficacy and trust were all confirmed to have a significant influence on behavioural intention. Trust was found to be strongly predicted by both hedonic motivation and self-efficacy. This study provides both academics and practitioners with an insight into the factors that can be used to encourage customer adoption of IB specifically in a Middle East context. 相似文献
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R. K. Rana 《Metrika》1970,16(1):74-84
This paper deals with a steady state behaviour of a discrete time, single channel, first come first served, finite space queueing
problem. It is assumed that the departure probabilities depend on the queue length and that the departure at two consecutive
time marks are correlated. The arrivals at two consecutive time marks are statistically independendent. However, the arrival
probabilities are assumed to depend on the queue length. A few particular cases have also been discussed. 相似文献
5.
This paper uses a comprehensive new data source to document basic facts about geographic concentration among industries in India from 1998 to 2013. Unlike previous studies, our data allow us to accurately measure industrial concentration at the district level and cover manufacturing and services, as well as the formal and informal sectors. Our most striking finding is that average levels of industrial concentration fell dramatically between 1998 and 2013, driven by steep reductions in capital‐intensive manufacturing industries. We provide suggestive evidence that this increasing dispersion may be due to improvements in interregional transportation coupled with inefficient land management policies and limited labor mobility. 相似文献
6.
Since 1992, the national business systems (NBS) approach has been increasingly used to analyse not only firm characteristics, structures and strategies within NBS, but also the nature of international business and its interactions with both national and transnational institutions. In reviewing 25 years of NBS literature, we heed calls in IB journals urging researchers to use NBS notions and findings in IB research. Our systematic review of 96 articles analyses the patterns and contributions of NBS literature, revealing four thematic junctures: (1) comparative business systems, (2) firm internationalisation and the management/organisation inside MNCs, (3) the role of internationalisation in the development of organisational capabilities and innovation and (4) the emergence of transnational communities in and across firms and societies. Themes are described in terms of (a) the research questions (RQ) they focus on, (b) how NBS approach investigates the RQ and what are the major findings, (c) how IB frames and approaches the same RQ, (d) how does the NBS approach extend the perspectives of IB and (e) what are the problems faced by NBS in terms of developing further insights into the RQ. Our review contributes to the recent endeavour of IB research to institutionalism, encouraging a productive dialogue between IB and NBS research. 相似文献
7.
An application of the generalized Poisson difference distribution to the Bayesian modelling of football scores
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The analysis of sports data, in particular football match outcomes, has always produced an immense interest among the statisticians. In this paper, we adopt the generalized Poisson difference distribution (GPDD) to model the goal difference of football matches. We discuss the advantages of the proposed model over the Poisson difference (PD) model, which was also used for the same purpose. The GPDD model, like the PD model, is based on the goal difference in each game that allows us to account for the correlation without explicitly modelling it. The main advantage of the GPDD model is its flexibility in the tails by considering shorter as well as longer tails than the PD distribution. We carry out the analysis in a Bayesian framework in order to incorporate external information, such as historical knowledge or data, through the prior distributions. We model both the mean and the variance of the goal difference and show that such a model performs considerably better than a model with a fixed variance. Finally, the proposed model is fitted to the 2012–2013 Italian Serie A football data, and various model diagnostics are carried out to evaluate the performance of the model. 相似文献
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While India is among the world's largest producers and exporters of apparel products, the sector has not performed to its potential. This study analyzes why this might be so from the perspective of the structure of production in the sector, the most striking aspect of which is a firm size distribution heavily dominated by small firms. Using nationally representative firm‐level and labor force survey data, we argue that the dominance of firms operating at scales too small to apply modern production and management technologies is one proximate reason for India's relative underperformance. Further, we note that India's labor regulations and the associated enforcement regime are important policy drivers of Indian firms' tendency to avoid placing “too many workers under one roof”. 相似文献
10.
ABSTRACTThis study aims to explore the depiction of cultural values on global websites. There exists a research gap in terms of better understanding cross-cultural differences in web communications between the Arab and Western worlds. Thus, we conducted content analysis to examine the cultural values on websites from Arab countries and the U.S. The results suggest that local websites of Arab countries and the United States tend to differ significantly from each other on cultural contents. The proposed cultural findings can serve as a guide for creating culturally congruent international websites. 相似文献