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。     

互联网使用与个体生育意愿——基于信息成本和家庭代际视角的分析

探究生育意愿的影响因素,助力人口转变升级成为当前研究的重要方向.文章置身中国具体情境,基于中国社会状况综合调查数据(CGSS2017),从信息成本视角和家庭代际视角两个维度考察互联网使用对个体生育意愿的影响.研究结果表明,使用互联网以及互联网使用频率越高的个体,其生育意愿越低.进一步研究发现,已育史对于互联网使用频率影响个体再育意愿存在负向调节效应,对于已育个体而言,上网频率越高对再育意愿的抑制作用越加显著;代际"数字鸿沟"对于互联网使用频率影响个体生育意愿也存在显著的负向调节效应.当子代和父辈存在较大的代际"数字鸿沟"时,对于互联网使用频繁的个体,父辈沿袭下来的传统育儿经验和子代通过网络获取的育儿知识相冲突可能会引致更多的家庭矛盾,进而抑制个体生育意愿.反之,当代际"数字鸿沟"较小时,互联网使用频率对个体生育意愿的抑制效应亦有所减弱.文章的发现对于提升个体生育意愿以及生育率的研究具有一定启示意义.     

组织遗忘、组织即兴与环境动态性视角下企业原始性创新构建路径

原始性创新是企业获得核心竞争力的关键，但当前对企业如何获得原始性创新的研究严重不足。为此，以我国环渤海经济带179家高技术企业为样本，从组织遗忘和即兴角度研究原始性创新形成问题，并进一步分析环境动态性在组织遗忘和原始性创新间的作用。结果发现：组织遗忘和组织即兴对原始性创新具有积极效应；组织即兴在组织遗忘和原始性创新间发挥着部分中介作用；环境动态性对组织遗忘和原始性创新的关系具有正向调节效应。     

Excess perks in SOEs: evidence from China

In investigating the relationship between economic directors (EDs) and excess perks in state-owned enterprises (SOEs) in China, we find a U-shaped relationship between the share of EDs on boards and excess perks, especially in SOEs controlled by local governments and with greater managerial power—as well as in regions with poor legal systems. The share of EDs on boards may have three benefits with respect to reducing the use of excess perks in SOEs: (1) replacing excess perks with monetary wages more aligned with the value of managers; (2) reducing the increase in excessive perks caused by the availability of free cash flow; and (3) reducing the use of excess employees to drive excess perks.     

Contracting and Reporting Conservatism around a Change in Fiduciary Duties*

We exploit an influential 1991 Delaware court ruling to examine simultaneously two types of conservatism that play important roles in resolving creditor–owner agency conflicts: contracting conservatism and reporting conservatism. The ruling expanded managerial fiduciary duties in favor of creditors for Delaware-incorporated firms in the vicinity of insolvency. In those firms, following the ruling, debt contracts are less likely to include conservative adjustments to accounting numbers used for covenant compliance (i.e., contracting conservatism decreases), while public financial reporting becomes more conservative (i.e., reporting conservatism increases). The decrease in contracting conservatism is concentrated in firms that exhibit a greater increase in reporting conservatism, suggesting that reporting conservatism is more cost-effective in resolving agency conflicts. In addition, the substitution effect is more pronounced in firms facing greater business uncertainty and firms with greater board independence.     

继续为多边贸易体制贡献中国力量

入世20年来,中国切实履行入世承诺,逐步从多边贸易体系的学习者、参与者成长为关键角色.中国经济的快速发展得益于多边贸易体系和经济全球化的深度发展,中国独特的经济体制与结构,为WTO以及多边贸易体系的稳定发展提供了源源不断的动力,为全球经济贸易发展注入持久动能,为发展中经济体参与多边贸易体系作出积极贡献.当前,经济全球化迈向新阶段,呈现出许多新的特征,而WTO本身也发生了结构性变化.中国作为推动WTO改革进程、权力结构调整和利益分配的关键力量,在坚定自身立场的同时,应及时顺应全球化变化,积极响应多边贸易治理新需求,为WTO改革贡献中国智慧、中国方案、中国力量,推动多边贸易体系行稳致远.     

经济带:新发展阶段的新愿景

经济带已成为承东启西、连南贯北的"经济主骨架",在国民经济整体格局中的战略地位日益凸显,对我国经济发展具有重大战略意义.经济带的形成有其深刻的理论基础和现实条件,我国"两横"——长江经济带和陇海兰新经济带,以及"三纵"——沿海经济带、京广京哈经济带、包昆经济带五条经济带,需要进一步集聚经济要素,破除要素流动壁垒,提升节点城市能级,推动区域经济合作,以经济带建设推动我国经济高质量发展.