元宝枫油的市场开发策略

分析元宝枫油的研究进展、效益状况、市场预测和市场定位,提出将元宝枫油作为保健品进行市场开发的思路,指出元宝枫油在中、老年市场、青年女性和婴幼儿市场上具有相当大的竞争优势,提出在“融入日常生活的绿色环保保健油”的经营理念指导下,通过创意构思、应用市场营销策略的市场开发策略,达到将一个新型产品推向市场的目的。     

Hosting as social practice: Gendered insights into contemporary tourism mobilities

By giving voice to highly-skilled mobile professional women who have relocated to Switzerland from various European countries, representing different nationalities, duration of migration and family circumstances, we shed light on the experiences of hosting – an under-researched segment of Visiting Friends and Relatives (VFR) mobilities. Our findings reveal a threefold investigation to sociality, tourism and mobility, by drawing on empirical insights to three angles: that of, culture, intimacy and identity as pathways to transformative social practices among hosts and guests. Highly-skilled mobile professional women’s hosting practices reflect a laboratory of sociality whereupon relations of closeness and proximity are tested under new conditions of social and private life in the new destination country.     

Evaluation of Efficiency in Primary Health Care Centres: An Application of Data Envelopment Analysis

The aim of this paper is to analyse one of the principal problems in primary health care management: the evaluation of efficiency in primary health care centres. Given the special characteristics of measuring outcome in primary care it is necessary to evaluate the performance of centres from a quality perspective too. The methodology used, DEA (Data Envelopment Analysis), allows us to introduce quantitative and qualitative variables in a sample of primary care centres in a Spanish province. Once the efficiency of the different centres is known, we investigate the sensitivity of the methodology to changes in the definition of outputs used.     

Do non-profit hospitals provide more charity care when faced with a mandatory minimum standard? Evidence from Texas

Policymakers often question whether not-for-profit (NFP) hospitals provide enough charity care to justify tax advantages. In 1993, Texas enacted legislation requiring NFP hospitals to provide certain community benefits at levels set forth in specific criteria to retain tax-exempt status; this paper focuses on the effect of the legislation’s requirement that NFP hospitals spend a minimum of 4% of net patient revenue on charity care. We also study a modification of the law passed in 1995, which allows the deduction of bad debts expense when calculating net patient revenue. This change effectively lowers required charity care spending, and our study considers whether Texas hospitals responded by reducing charity care spending.     

Economic modeling to evaluate the impact of chronic myeloid leukemia therapy management on the oncology care model in the US

Abstract

Objective: To develop an economic model to evaluate changes in healthcare costs driven by restricting usage of branded tyrosine kinase inhibitors (TKIs) through substitution with generic imatinib among chronic myeloid leukemia (CML) patients in a typical Oncology Care Model (OCM) practice, and examine the impact on Performance-Based Payment (PBP) eligibility.

Methods: An Excel-based economic model of an OCM practice with 1,000 cancer patients during a 6-month episode of care was developed. Cancer types and proportions of patients treated in the practice were estimated from an OCM report. All-cause healthcare costs were obtained from published literature. It was assumed that if a practice restricts usage of branded TKIs for newly-diagnosed CML patients, 80% of the market share of branded imatinib and 50% of the market shares of 2^nd-gen TKIs would shift to generic imatinib. Among established TKI-treated patients, it was assumed that 80% of the market share of branded imatinib and no patients treated with 2^nd-gen TKIs would shift to the generic.

Results: Four CML patients were estimated for a 1,000-cancer patient OCM practice with a total baseline healthcare cost of $51,345,812 during a 6-month episode. If the practice restricts usage of branded TKIs, the shift from 2^nd-gen TKIs to generic imatinib would reduce costs by $12,970, while shifting from branded to generic imatinib lowers costs by $25,250 during a 6-month episode. Minimum reductions of $3,013,832 in a one-sided risk model and $2,372,010 in a two-sided risk model are required for PBP eligibility; the shift from 2^nd-gen TKIs to generic imatinib would account for 0.4% and 0.5% of the savings required for a PBP, respectively.

Conclusions: This analysis indicates that the potential cost reduction associated with restricting branded TKI usage among CML patients in an OCM setting will represent only a small proportion of the cost reduction needed for PBP eligibility.     

United we stand,divided we fall: the failure of an accounting information system in a major radiology provider

This article explores the way in which a major Australian radiology organization implemented a complex accounting information system and how workers in the 72 radiology practices that had to use it resisted the change. The study reports on the issues that led to the circumvention of the system by individuals and, after only three years, complete withdrawal of the accounting information system by the parent organization. This article has implications for firms in the health care and other sectors considering implementing new accounting information systems. Organizations need to incorporate change management techniques and provide open communication to all stakeholders to minimize disruption and potential problems.     

Doing what comes naturally? Why we need a practical ethics of teamwork

This paper challenges the belief that teamwork is a ‘natural’ form of work organization that satisfies universal human needs such as social affiliation and self-actualization. A corollary of this belief–that teamwork is a morally superior form of work organization–unnecessarily restricts debate about the desirability and usefulness of teams because any criticism comes to be seen as a denial of our essential humanity. Using an approach inspired by Michel Foucault's concept of ‘care of the self’, I will propose a practical ethics of teamwork that allows us to appreciate the moral ambiguities of teamwork.     

China's One‐Child Policy: Some Unintended Consequences

This paper gives a brief overview of China's family planning policy which, although recently relaxed, still controls a large swath of the population. Unofficially known as the ‘one‐child policy’, it resulted from the social strife of the 1970s coupled with a Malthusian pessimism concerning the capability of the still largely closed and isolated Chinese economy to care for itself. We discuss the motivations for the policy, the unfortunate demographic future that it will create, and some policy reforms that can be undertaken today.     

THE AGEING POPULATION: CRUNCH TIME FOR GOVERNMENT REFORMS

Current discussions about reforms to health and long‐term care miss the most important trends that should be influencing debate. With an ageing population that includes a higher proportion of people with manageable illnesses, health and care costs will rise. Reforms must ensure that existing government spending is used more efficiently and that it harnesses – rather than works against – private financing.