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Effect of the new maternity insurance scheme on medical expenditures for caesarean delivery in Wuxi,
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《医学前沿(英文)》 2016年 第10卷 第4期 页码 473-480 doi: 10.1007/s11684-016-0479-
Aiming to control rising medical expenditures and help improve China’s healthcare systems, this study examined whether a cap-based medical insurance scheme with shared financial interest between the insurance and healthcare providers is effective in containing hospitals’ C-section medical expenditures. We used 6547 caesarean delivery case records from a teaching tertiary-level general public hospital located in Wuxi, China (2004–2013), and used the Chow test to investigate the possibility of significant variation in mean medical expenditures for caesarean deliveries pre- and post-reform. We also used paired sample t-tests and linear regression models to compare the mean medical expenditures between insured and uninsured women undergoing caesarean delivery during the post-reform period. After the scheme’s implementation, medical expenditures for caesarean deliveries declined and the medical expenditures of women covered by the scheme were significantly lower than those of uninsured patients. These findings indicated the scheme’s effectiveness in minimizing caesarean delivery expenditures. The cap-based medical insurance scheme with shared financial interest between insurance and healthcare providers would likely steer healthcare providers’ behaviors in a more cost-effective direction.
关键词: maternity insurance scheme financial incentive caesarean delivery medical expenditure China
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《医学前沿(英文)》 2012年 第6卷 第1期 页码 79-84 doi: 10.1007/s11684-012-0179-5
With China’s great efforts to improve public health insurance, clear progress has been achieved toward the ambitious full health insurance coverage strategy for all. The current health insurance schemes in China fall into three categories: urban employee basic health insurance scheme, urban resident scheme, and new rural cooperative medical system. Despite their phasic success, these substantially identity-based, district-varied health insurance schemes have separate operation mechanisms, various administrative institutions, and consequently poor connections. On the other hand, the establishment and implementation of various health insurance schemes provide the preconditioning of more sophisticated social health insurance schemes, the increase in the income of urban and rural people, and the great importance attached by the government. Moreover, the reform of the “Hukou” (household register) system provides economical, official, and institutional bases. Therefore, the establishment of an urban-rural integrated, citizen-based, and nationwide-universal health insurance scheme by the government is critically important to attain equality and national connection. Accordingly, the differences between urban and rural areas should be minimized. In addition, the current schemes, administrative institutions, and networks should be integrated and interconnected. Moreover, more expenditure on health insurance might be essential for the integration despite the settings of global financial crisis. Regardless of the possible challenges in implementation, the proposed new scheme is promising and may be applied in the near future for the benefit of the Chinese people and global health.
关键词: health insurance urban employee basic health insurance scheme urban-resident scheme new rural cooperative medical system
Social insurance for occupational diseases
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《医学前沿(英文)》 2012年 第6卷 第2期 页码 221-223 doi: 10.1007/s11684-012-0187-5
陈志鼎,胡志根
《中国工程科学》 2011年 第13卷 第4期 页码 106-112
在分析导流工程风险因素、综合风险率和工程保险期限的基础上,研究导流工程失效后淹没基坑造成损失的次数及其分布规律,提出导流系统失效后的总损失服从非齐次复合Poisson过程,建立基于导流工程保险损失的聚合风险模型,给出施工导流工程保险费用的厘定方法及其数学表达,为水利水电工程保险费的厘定提供理论方法。
关键词: 导流风险 工程保险 保险费 非齐次复合Poisson过程
Z-scheme CdS/WO on a carbon cloth enabling effective hydrogen evolution
《能源前沿(英文)》 2021年 第15卷 第3期 页码 678-686 doi: 10.1007/s11708-021-0768-6
关键词: photocatalysis CdS/WO3 carbon cloth Z-scheme hydrogen evolution
Emergency design framework: a satellite preliminary scheme design
TENG Hongfei, WANG Yishou, ZHANG Bao
《机械工程前沿(英文)》 2007年 第2卷 第2期 页码 184-192 doi: 10.1007/s11465-007-0031-9
关键词: significant intelligence P2P hereinafter computer cooperation
A lightweight authentication scheme with user untraceability
Kuo-Hui YEH
《信息与电子工程前沿(英文)》 2015年 第16卷 第4期 页码 259-271 doi: 10.1631/FITEE.1400232
关键词: Authentication Privacy Security Smart card Untraceability
ZnFe2O4/BiVO4 Z-scheme heterojunction for efficient visible-light photocatalytic
《化学科学与工程前沿(英文)》 2023年 第17卷 第11期 页码 1728-1740 doi: 10.1007/s11705-023-2322-z
关键词: ZnFe2O4/BiVO4 Z-scheme heterojunction photocatalytic degradation ciprofloxacin
Extended model predictive control scheme for smooth path following of autonomous vehicles
《机械工程前沿(英文)》 2022年 第17卷 第1期 页码 4-4 doi: 10.1007/s11465-021-0660-4
关键词: autonomous vehicles vehicle dynamic modeling model predictive control path following optimization algorithm
Determination of the scheme of precision grinding compensation on the radome
GUO Dongming, LIU Minjing, ZHANG Chunbo, SHENG Xianjun, SUN Yuwen
《机械工程前沿(英文)》 2007年 第2卷 第3期 页码 263-266 doi: 10.1007/s11465-007-0045-3
关键词: mathematical effective approach experimental measurement antenna electromagnetic
Iman TABAEYE IZADI, Abdolrasoul RANJBARAN
《结构与土木工程前沿(英文)》 2012年 第6卷 第4期 页码 421-430 doi: 10.1007/s11709-012-0181-7
关键词: prevent progressive collapse alternate load path reinforced concrete buildings nonlinear dynamic retrofitting cable steel hat braced frame barrel and wedge
燕山石化公司乙烯装置66×104t/a扩能改造方案的研究与决策
曹湘洪
《中国工程科学》 2003年 第5卷 第11期 页码 34-46
燕山石化公司30×104t/a乙烯装置1994年完成第一次扩能至45×104t/a的改造后,仍存在原料灵活性差、能耗高、与同期建设的乙烯装置比规模偏小等问题。以全面提高技术水平、降低能耗、增加原料灵活性、尽可能扩大生产能力为目标,充分考虑方案的可实施性、实施时的安全性、实施后的可操作性及方案的先进性和经济性,对装置技术改造的方案进行了比选研究。经改造,实现了生产能力扩大到66×104t/a的目标,实际可达71×104t/a,装置能耗明显下降,石脑油、轻柴油、重柴油、加氢裂化尾油均可作为乙烯原料。在世界上,首次在乙烯装置中采用混合冷剂制冷技术和碳三催化精馏加氢技术并获得成功,对世界乙烯工业技术进步有推动作用。
Zhaoxing HAN, Zhenyao SHEN, Yongwei GONG, Qian HONG
《环境科学与工程前沿(英文)》 2011年 第5卷 第1期 页码 119-129 doi: 10.1007/s11783-011-0272-z
关键词: emission trading water functional zone water quality control
Load shedding scheme for an interconnected hydro-thermal hybrid system with SMES
D. TYAGI, Ashwani KUMAR, Saurabh CHANANA
《能源前沿(英文)》 2012年 第6卷 第3期 页码 227-236 doi: 10.1007/s11708-012-0198-6
关键词: critical load frequency response load shedding multi-area system rate of change of frequency superconducting magnetic energy storage (SMES) device
A control scheme with performance prediction for a PV fed water pumping system
Ramesh K GOVINDARAJAN,Pankaj Raghav PARTHASARATHY,Saravana Ilango GANESAN
《能源前沿(英文)》 2014年 第8卷 第4期 页码 480-489 doi: 10.1007/s11708-014-0334-6
关键词: photovoltaic system boost converter maximum power point tracking (MPPT) DC permanent-magnet motor centrifugal pump
标题 作者 时间 类型 操作
Effect of the new maternity insurance scheme on medical expenditures for caesarean delivery in Wuxi,
null
期刊论文
Integration of current identity-based district-varied health insurance schemes in China: implications
null
期刊论文
Emergency design framework: a satellite preliminary scheme design
TENG Hongfei, WANG Yishou, ZHANG Bao
期刊论文
Determination of the scheme of precision grinding compensation on the radome
GUO Dongming, LIU Minjing, ZHANG Chunbo, SHENG Xianjun, SUN Yuwen
期刊论文
Investigation on a mitigation scheme to resist the progressive collapse of reinforced concrete buildings
Iman TABAEYE IZADI, Abdolrasoul RANJBARAN
期刊论文
Temporal dimension and water quality control in an emission trading scheme based on water environmental
Zhaoxing HAN, Zhenyao SHEN, Yongwei GONG, Qian HONG
期刊论文
Load shedding scheme for an interconnected hydro-thermal hybrid system with SMES
D. TYAGI, Ashwani KUMAR, Saurabh CHANANA
期刊论文