数字化医疗信息安全管理机制研究

目前,我国在医疗信息安全保障建设方面严重滞后,信息安全工作的战略统筹和综合协调不够,缺乏体系化的安全策略研究以及针对数字化医疗业务特点的管理机制研究。为了实现安全可信的医疗信息发展环境,笔者针对现有医疗信息系统中各个需要实施安全保护的目标,给出了在推动医疗信息安全保障体系建设方面应涉及的各项安全问题及管理机制,旨在构建一个全面涵盖了信息技术、组织策略、法律意识的整体性治理方案。     

河南省农民消费支出地区差异的实证分析

据2011年河南省统计年鉴调查数据表明,河南省各地区农民支出差异较大,且呈现出进一步扩大的趋势。文章从河南省农民消费支出地区差异的现状着手,对河南省农民消费支出地区差异进行实证分析,找出影响河南省各地区农民消费支出的主要影响因素,并提出解决河南省农民消费支出差异较大问题方案的模型,为合理调整河南省农民消费结构,尽快消除消费支出地区差异较大并继续扩大的现象,实现各地区经济均衡发展提供一定的科学依据。     

#br# 药交所试点背景下人均医疗费用的影响因素研究

本文采用固定效应模型建立人均医疗费用影响因素的一般模型，并通过引入药交所虚拟变量和考察医生收入的中介效应进一步阐释该模型。研究结果表明，诱导需求与医院规模对人均医疗费用均有显著影响；药交所政策降低了人均医疗费用，但医生收入中介效应的存在使得部分医疗资源被浪费。本文提出了控制人均医疗费用的政策建议：增加医院与卫生院的数量；合理调整医务工作者内部结构；倡导医生自由执业并提供保障；合理增加医生收入。     

GOVERNMENT SIZE AND GROWTH: A REJOINDER

In our 2011 survey of the literature in the Journal of Economic Surveys on the effect of government size on economic growth in wealthy countries we find a relatively consistent pattern: An increase in government size by 10 percentage points is associated with a 0.5–1 percentage point lower annual growth rate. This conclusion is questioned by Colombier. In this rejoinder we present a rebuttal of Colombier's argument based on a detailed scrutiny of his own statistical evidence and regression results. Furthermore, we note that several new papers that have appeared since our original paper was published give support to our main conclusion.     

Quality,Value? – Insights into Medical Tourists’ Attitudes and Behaviors

The research investigates the factors influencing medical tourists’ attitudes and behaviors. The factors examined include hospital service and customer perceived value. The study was undertaken in a major hospital located in a South-East Asian country. The sample includes foreign patients who have received various medical treatments in the hospital. The findings indicate that medical tourists are value oriented customers as their value perception has the strongest direct effect on their behaviors, followed by their attitudes towards the hospital. Hospital service appears to have a substantial direct effect on perceived value and medical tourist satisfaction, and also exerts an indirect effect on medical tourist behaviors. The research highlights the prominent role of perceived value, and pinpoints the most effective avenues for healthcare providers in allocating resources to improve hospital performance from the perspective of medical tourists.     

The medical tourism index: Scale development and validation

Medical tourism is an estimated $100 billion dollar industry. Despite the increasing number of people, companies and countries involved in medical tourism, we know very little about the key drivers and how countries are perceived as medical tourism destinations. The purpose of this paper is to present the Medical Tourism Index, a new type of country-based performance measure to assess the attractiveness of a country as a medical tourist destination. We followed a rigorous multi-steps scale development procedure by using four empirical studies based on 4995 respondents. The MTI is a multidimensional construct with 4 dimensions (country, tourism, medical costs, medical facility and services) with 34 underlying items. Our results show the MTI allows to measure meaningful differences between countries, not only on an aggregated level but also on each sub-indexes. It provides a useful tool for the various stakeholders to measure and manage their medical tourism destination brand.     

Mediation Between Tourism Contribution and Economic Growth in the Greater Mekong Subregion

The objective of this paper is to determine the mediation between tourism contribution and economic growth in the Greater Mekong Sub-region (GMS) (i.e. Cambodia, Laos, Myanmar, Thailand and Vietnam). The sample period is semi-annual data from 1995 to 2013 and is also estimated by bootstrap panel cointegration, Panel Fully Modified Ordinary Least Squares method and the Sobel test. The results show that the variables are cointegrated as three models; economic growth is running to tourism's total contribution to GDP and international tourism expenditure for passenger transport whereas international tourism expenditure for passenger transport is running to tourism's total contribution to GDP. Therefore, this study finds that international tourism expenditure for passenger transport is a mediator and has partial mediation. The GMS needs to develop every economic sector and improve the potential of the transport sector as a regional integration project which supports the sustainable development of the region.     

GOVERNMENT SIZE AND GROWTH: A SURVEY AND INTERPRETATION OF THE EVIDENCE

Abstract The literature on the relationship between the size of government and economic growth is full of seemingly contradictory findings. This conflict is largely explained by variations in definitions and the countries studied. An alternative approach – of limiting the focus to studies of the relationship in rich countries, measuring government size as total taxes or total expenditure relative to GDP and relying on panel data estimations with variation over time – reveals a more consistent picture. The most recent studies find a significant negative correlation: an increase in government size by 10 percentage points is associated with a 0.5% to 1% lower annual growth rate. We discuss efforts to make sense of this correlation, and note several pitfalls involved in giving it a causal interpretation. Against this background, we discuss two explanations of why several countries with high taxes seem able to enjoy above average growth. One hypothesis is that countries with higher social trust levels are able to develop larger government sectors without harming the economy. Another explanation is that countries with large governments compensate for high taxes and spending by implementing market‐friendly policies in other areas. Both explanations are supported by ongoing research.     

Consumer Preferences for Coffee: Hot and Wet,or Quality and Flavor?

An econometric model is developed and estimated for all brands of coffee sold at the retail level in four supermarkets in Columbus, Ohio. These brands are segmented into 24 categories, and the four stores are classified into two groups, inner-city and suburban, based on 2010 census tract data. Using estimated measures of price-sensitivity, these 24 categories are further segmented into four groups to help guide and clarify the discussion. Estimated results show different purchasing patterns and different levels of price-sensitivity for inner-city and suburban shoppers. Further, these purchasing patterns and levels of price-sensitivity suggest alternative marketing strategies for retailers. Private-label coffee brands are shown to be quite competitive with many national brands, and indeed private-label brands command a market share among inner-city shoppers that is more than double that for the nation (21.95% vs. 9%).