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1.
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
2.
Healthcare reforms have long been advocated as a cure to the increasing healthcare expenditures in advanced economies. Nevertheless, it has not been established whether a market solution via private financing, rather than public financing, curb aggregate healthcare expenditures. To our knowledge, this paper is the first that quantifies the impact of reforms that significantly increases (decreases) the private (public) share of healthcare financing on total healthcare expenditures relative to income in 20 OECD countries. Our reform measure is based on structural break testing of the private share of total expenditures, and verification using evidence of policy reforms. To quantify the effect of these reforms we apply Propensity Score Matching and Inverse Probability Weighted regression analysis. Over a 5-year evaluation period the reforms lead to an accumulated cost saving 0.45 percentage points of GDP. The yearly effects of the reforms are largest in the first years in the post-reform period and decreases in size as a function of time since the reform. Our findings suggest that the investigated healthcare reforms have a relatively short-lived effect on aggregate health spending relative to GDP. The findings are robust to various sensitivity tests. 相似文献
3.
本文通过分析2001至2004年上市银行年报非经常性损益的披露状况,对照监管部门法规,发现存在披露不充分的现象,对非经常性损益的确认也有理解偏颇,由此造成很多重大的可疑事项未计入非经常性损益。本文认为这对银行利润的真实性产生一定的影响,故建议政策制定者制定更详细的法规来规范披露行为,并就一些特殊事项做出释疑。 相似文献
4.
与经典资本结构理论的结论不同,我国国有企业的融资次序恰好是倒序的。这一现象有着深刻的政治经济学内涵,本质上它是由国家追求义理性的最大化,缓解财政压力的行为所内生决定的。因此,单纯从西方主流理论出发,不考虑我国转轨经济的背景对国有企业融资行为和由此而引致的治理结构所进行的分析,是不得要领的。 相似文献
5.
We examine the spillover wealth effects of the Orange County, California bankruptcy announcement in December 1994 on municipal bonds, municipal bond funds, and bank stocks. This bankruptcy is prominent because of unprecedented losses and because it was caused by a highly leveraged derivatives strategy rather than a shortage of tax revenues and excess spending. We find contagion in the bond market with significantly negative abnormal returns for municipal bond funds without direct exposure to Orange County and for non‐Orange County municipal bonds. In addition, our findings suggest the contagion spills over to the common stocks of investment and commercial banks that deal in or use derivatives; however, the equities of banks unexposed to derivatives are not affected. 相似文献
6.
Following Parsian and Farsipour (1999), we consider the problem of estimating the mean of the selected normal population, from two normal populations with unknown means and common known variance, under the LINEX loss function. Some admissibility results for a subclass of equivariant estimators are derived and a sufficient condition for the inadmissibility of an arbitrary equivariant estimator is provided. As a consequence, several of the estimators proposed by Parsian and Farsipour (1999) are shown to be inadmissible and better estimators are obtained.
Received January 2001/Revised May 2002 相似文献
7.
中国移动(香港)并购融资安排及其启示 总被引:1,自引:0,他引:1
李琛 《北京市经济管理干部学院学报》2005,20(1):50-53
并购活动需要大量资金支持,融资难已成为制约大规模战略并购的瓶颈之一.本文基于并购融资安排理论,通过对中国移动(香港)有限公司一系列并购融资安排的详细描述、统计、分析,揭示了中国移动(香港)并购融资的一些规律,从而说明企业应根据自身实际情况选择不同的并购融资安排,这对我国上市公司并购活动的融资安排具有重要的借鉴意义. 相似文献
8.
文章从目前中小企业贷款融资现状出发,对国有商业银行、地方金融机构、担保机构三方面信贷支持进行分析,从而提出构建以地方金融机构为主体、国家政策性银行为补充、信用担保机构为辅助的贷款支持体系,以期从根本上解决中小企业贷款支持问题。 相似文献
9.
融资约束与公司投资关系研究综述 总被引:3,自引:1,他引:3
公司的融资约束和投资-现金流量敏感性之间的关系成为财务管理的焦点问题。本文通过对国内外融资约束与投资关系众多文献的分析,研究了融资约束的影响因素,探讨了不同情况下融资与投资的关系,并分析了现存的投资-现金流敏感性模型的应用现状。最后,对我国进行投资-现金流敏感性问题的研究提出了建议。 相似文献
10.
助计算机用定量方法快速有效的解决长期筹资决策问题是知识经济时代对企业的必然要求。最佳资本结构模型用计算机运筹学的方法来决策不同筹资方式的最优筹资额,以帮助企业实现长期筹资目标同时也是财务管理最终目标——企业价值最大化。 相似文献