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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. 相似文献
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《The British Accounting Review》2019,51(5):100834
In prior studies, accounting and decentralization corruption solutions have so far been analysed in isolation. In this article, we connect these two strands of literature on corruption. Understanding this connection is important because weak financial accounting and reporting systems can inhibit monitoring incentives and thus reduce decentralization benefits in countering corruption. We argue that the effectiveness of decentralization as an anti-corruption barrier is complemented by the quality of the accounting practice in a country. Using multiple sources of data, we find that decentralization has a positive and increasing effect on reducing corruption among countries with a high-quality accounting practice. In contrast, decentralization has a negative and decreasing effect on reducing corruption among countries with weak-quality accounting practices. These findings are robust to alternative measures of accounting, decentralization and corruption and to endogeneity tests. Our findings demonstrate the crucial information role of accounting in enhancing decentralization monitoring mechanisms and in thereby reducing corruption. 相似文献
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Athanasia Daskalopoulou Mark Palmer Kathy Keeling Rowan Pritchard Jones 《New Technology, Work and Employment》2019,34(1):73-89
We explore individuals who take some of their technology use ‘underground’, described as ‘bootlegging’, to enhance healthcare work. We find that healthcare professionals’ informal use of mobile applications in healthcare work sometimes ‘sticks out’ and this produces professional identity tensions: (1) conflict with perceptions of professional behaviour, and (2) defilement of expert judgment. Our analysis, moreover, reveals that identity work (i.e. ‘accepting’ and ‘sensemaking’) provides a coping mechanism to deal with these unresolved professional identity tensions. This paper contributes to a better understanding of the constitutive entanglements and two‐way interactions of discretionary technology bootlegging, professional identity and autonomy in institutional healthcare work. 相似文献
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We survey the methodological advances in DEA over the last 25 years and discuss the necessary conditions for a sound empirical application. We hope this survey will contribute to the further dissemination of DEA, the knowledge of its relative strengths and weaknesses, and the tools currently available for exploiting its full potential. Our main points are illustrated by the case of the DEA study used by the regulatory office of the Dutch electricity sector (Dienst Toezicht Elektriciteitswet; Dte) for setting price caps. 相似文献
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孙前梅 《安徽工业大学学报(社会科学版)》2002,19(3):37-39
新中国建立以来,非公有制经济政策经历了曲折的发展过程.党的思想路线对非公有制经济政策的制订起着关键的作用,非公有制经济观以及国际环境是促进党的非公有制经济政策变迁的重要诱因. 相似文献
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本文通过经济增长弹性与就业弹性两个指标,对上海"十一五"规划中提出将优先发展的现代服务业及其主要子行业在上海经济增长中的作用进行了研究。分析认为目前上海第二产业与第三产业对经济的拉动力相当。而现代服务业的拉动力大于传统服务业。近年来,现代服务业的就业弹性均值较大,同时弹性的波动变化很大,这是上海GDP就业弹性近几年波动增大的主要原因。同时,通过对现代服务业中主要子行业的分析,发现现代服务业子行业间就业弹性的变动有着高度的正相关,这将增加现代服务业就业弹性波动对于上海GDP就业弹性波动的影响。 相似文献
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民营经济发展中的深层阻滞因素辨析 总被引:9,自引:0,他引:9
民营经济的快速发展已经像其成为中国经济增长的重要引擎。但从运行层面看,民营经济仍然面对各种体制与非体制、人为和非人为的制约因素。目前民营企业普遍反映影响其可能持续发展的主要因素集中在政府政策、融资及资金、人才、创新与技术进步以及管理问题等方面。 相似文献