The economic burden of depression among adults with rheumatoid arthritis in the United States

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.     

军民融合协同创新驱动产业园区高质量发展研究

军民融合产业园区高质量发展对于推进军民深度融合、在全国形成可复制可推广经验具有重要意义。军民融合协同创新通过促进新知识涌现、推进新产业集聚发展，最终汇聚经济发展新动能，驱动园区高质量发展。在提出军民融合协同创新驱动园区高质量发展的机理与组织框架基础上，将发展模式归纳为以分享经济为背景的资源共享模式、以新型研发机构为核心的第三方模式、以产业联盟为核心的产业链拓展模式和以交易平台为核心的“PPP”模式，最后提出相关对策建议。     

管理层权力制衡强度、债务约束与企业创新投资

企业创新是国家经济可持续增长的关键，受到管理层意愿的影响，因而需要对内部经营者的权力进行制衡。以2010-2018年我国A股上市公司为研究样本，实证检验管理层权力制衡强度对企业创新投资的影响，以及不同债务约束情境下高商业信用配置、高负债水平的调节效应，此外，还考察了产权性质的差异化影响。研究表明，管理层权力制衡强度越大，企业创新投资水平越高；高商业信用强化了该促进作用，而高负债水平弱化了该促进作用。进一步研究发现，管理层权力制衡强度与企业创新投资的关系在民企中更显著；国企能够更好地获得和运用商业信用，使其高商业信用对该关系的强化效应更显著；民企具有更强的债务约束，其高负债水平对该关系的弱化效应更明显。     

失败学习对企业绩效的影响机制研究

已有文献认为失败学习对企业绩效具有重要作用，但失败学习通过何种途径促进企业绩效提升的研究并不完善。基于失败学习理论，引入资源拼凑和机会识别作为中介变量，构建失败学习影响企业绩效的多路径模型，探索失败学习对企业绩效的驱动路径及内在机理。实证结果表明：失败学习对企业绩效具有显著积极作用，资源拼凑和机会识别分别在失败学习与企业绩效之间起中介作用，资源拼凑和机会识别在失败学习对企业绩效驱动过程中存在链式中介作用，战略柔性能够强化资源拼凑与企业绩效之间的关系，并正向调节资源拼凑的中介作用。研究结论拓展了失败学习对企业绩效的影响路径，对企业复苏和成长具有重要启示。     

Structural estimation of behavioral heterogeneity

We develop a behavioral asset pricing model in which agents trade in a market with information friction. Profit‐maximizing agents switch between trading strategies in response to dynamic market conditions. Owing to noisy private information about the fundamental value, the agents form different evaluations about heterogeneous strategies. We exploit a thin set—a small sub‐population—to point identify this nonlinear model, and estimate the structural parameters using extended method of moments. Based on the estimated parameters, the model produces return time series that emulate the moments of the real data. These results are robust across different sample periods and estimation methods.     

Stochastic Payments per Claim Incurred

We propose a Bayesian model to quantify the uncertainty associated with the payments per claim incurred (PPCI) algorithm. Based on the PPCI algorithm, two submodels are proposed for the number of reported claims run-off triangle and the PPCI run-off triangle, respectively. The model for the claims amount is then derived from the two submodels under the assumption of independence between the number of incurred claims and the PPCI. The joint likelihood of the number of reported claims and claims amount is derived. The posterior distribution of parameters is estimated via the Hamiltonian Monte Carlo (HMC) sampling approach. The Bayesian estimator, the process variance, the estimation variance, and the predictive distribution of unpaid claims are also studied. The proposed model and the HMC inference engine are applied to to an empirical claims dataset of the WorkSafe Victoria to estimate the unpaid claims of the doctor benefit. The Bayesian modeling procedure is further refined by including a preliminary generalized linear model analysis. The results are compared with those in a PwC report. An alternative model is compared with the proposed model based on various information criteria.     

农机社会化服务采纳、禀赋差异与农村经济相对贫困缓解

进入以缓解相对贫困为重点的后扶贫时代，农村经济相对贫困问题仍不容忽视。农机社会化服务作为小农户与现代农业有机衔接的桥梁，对于推进乡村振兴战略和脱贫攻坚有序衔接具有重要作用。文章讨论的核心议题是农机社会化服务采纳如何缓解农村经济相对贫困，并尝试建立了“农机社会化服务采纳——禀赋差异缩小——农村经济相对贫困缓解”的理论分析框架。为此，文章首先对农机社会化服务采纳影响农村经济相对贫困的作用机制进行了理论分析，然后利用2750份河南省农户问卷调查数据，运用Logit模型，实证检验农机社会化服务采纳对农村经济相对贫困的影响，并通过替代核心自变量和变更样本的方法进行稳健性检验，运用PSM模型和IVProbit模型以及ERM模型进行内生性讨论，最后通过中介效应模型对其作用机制进行验证。结果表明，农机社会化服务采纳对农村经济相对贫困具有显著负向影响，缓解了农村经济相对贫困。考虑内生性后，结论仍具有稳健性。进一步的机制验证发现，农机社会化服务采纳通过缩小劳动力禀赋差异和技术禀赋差异，缓解农村经济相对贫困，劳动力禀赋差异缩小和技术禀赋差异缩小的中介效应占比分别为21.22%和7.36%。可见，应将完善农机社会化服务供需体系纳入农户相对贫困治理机制考虑范畴，引导农户从传统家庭化生产转向现代社会化生产，扩大农机社会化服务采纳范围；同时完善就业服务等相关配套体系以吸纳释放的弱劳动力，促进农户收入增长，缓解农村经济相对贫困。     

高管校友关系与业绩预测披露行为

本文考察高管对个人社会关系的依赖是否对上市公司的信息环境产生冲击;具体的,本文系统论证了高管校友关系和上市公司信息披露的重要载体—管理层业绩预测之间的关系.结果显示,当公司与其供应商的高管之间存在校友关系或校友关系更广泛时,公司发布管理层业绩预测的概率和频数均显著下降,即高管校友一定程度上取代了业绩预测,成为了供应链上的信息流通渠道.进一步分析显示,当公司的私有信息成本较高或经营环境更不确定时,校友关系对业绩预测的替代作用更强;而当供应商议价能力较强时,这种替代作用显著下降.此外,本文发现高管校友关系也显著降低了业绩预测发布的自愿性和及时性.最后,本文发现校友关系引起的业绩预测披露减少,削弱了外部信息使用者获取公司层面信息的程度,表现为股价同步性和分析师预测分歧度加大.本文结果表明,高管对个人社会关系的依赖降低了上市公司的信息环境质量,可能使中小投资者处于更弱势的地位,一定程度上损害了市场公平性.本文将个人社会关系的经济影响拓展到信息环境领域,为社会关系如何影响公开信息披露行为提供了新的经验证据.     

Go beyond tokens: Number and type both matter

Drawing upon token theory and critical mass theory, this study examines whether all female directors are equally considered as tokens. We argue that inside female directors are less likely than outside female directors to be considered as tokens because they are more powerful and influential. Using a 10-year sample of Chinese publicly listed firms on the Shanghai or Shenzhen Stock Exchanges from 2008 to 2017, we find that even one inside female director can make a significant contribution to corporate social responsibility (CSR), while outside female directors do not have a positive effect on CSR until their number reaches the critical mass (i.e., three). The results suggest that the predictions of token theory and critical mass theory vary across female director types. These findings contribute to the current literature by integrating female director typology with their numerical representation to explain their token status.