Since 2000,China has undergone a“golden age”of livelihood security construction similar to that of the Western industrialized countries in the 1960s to 1980s.Nowadays,China has built up the world's largest socia...Since 2000,China has undergone a“golden age”of livelihood security construction similar to that of the Western industrialized countries in the 1960s to 1980s.Nowadays,China has built up the world's largest social security and housing support systems;the coverage of compulsory education has reached the average level of high-income countries;and the main health indicators are generally better than the average of middle-and highincome countries.Obviously,China is nolongera“low-welfare”country.Livelihood expenditure,with a share of GDP close to the level of developed countries around 1980,has become the principal part of public expenditure,and the central government is also playing an increasingly prominent role in ensuring people's livelihoods.China is building a new livelihood security system with responsibility shared among multiple levels of government.展开更多
Japanese medical expenditures have increased rapidly in recent years and are predicted to continue rising. Indeed, it remains uncertain whether the current Japanese medical system can be sustained. In this paper, we a...Japanese medical expenditures have increased rapidly in recent years and are predicted to continue rising. Indeed, it remains uncertain whether the current Japanese medical system can be sustained. In this paper, we analyzed the medical expenditures for educational hospitalization of patients with type 2 diabetes. A dataset of 6173 patients from 36 hospitals was used in the analysis. The sample period was from July 2008 to March 2012. We analyzed the medical expenditures in two ways. First, we analyzed the length of hospital stay (LOS). Next, we analyzed the daily expenditure per patient. The Box-Cox transformation model was used in the first analysis and the ordinary least squares method in the second. Comorbidities and complications prolonged LOS and increased daily expenditures. The LOS was significantly different among hospitals. On the other hand, the differences in daily expenditures among hospitals were relatively small, such that LOS was the main determinant of medical expenditures. Previous studies suggested that LOS could be shortened without degradation of medical quality. Moreover, LOS could be controlled by introducing proper critical paths and improving and standardizing educational programs. Hence, it would be possible to control the medical expenditures for this disease.展开更多
基金an interim outcome of a key project sponsored by the Social Science Fund of Beijing,“An Interpretive Research on General Secretary Xi Jinping’s Important Thoughts on Common Prosperity”(21SRA028)
文摘Since 2000,China has undergone a“golden age”of livelihood security construction similar to that of the Western industrialized countries in the 1960s to 1980s.Nowadays,China has built up the world's largest social security and housing support systems;the coverage of compulsory education has reached the average level of high-income countries;and the main health indicators are generally better than the average of middle-and highincome countries.Obviously,China is nolongera“low-welfare”country.Livelihood expenditure,with a share of GDP close to the level of developed countries around 1980,has become the principal part of public expenditure,and the central government is also playing an increasingly prominent role in ensuring people's livelihoods.China is building a new livelihood security system with responsibility shared among multiple levels of government.
文摘Japanese medical expenditures have increased rapidly in recent years and are predicted to continue rising. Indeed, it remains uncertain whether the current Japanese medical system can be sustained. In this paper, we analyzed the medical expenditures for educational hospitalization of patients with type 2 diabetes. A dataset of 6173 patients from 36 hospitals was used in the analysis. The sample period was from July 2008 to March 2012. We analyzed the medical expenditures in two ways. First, we analyzed the length of hospital stay (LOS). Next, we analyzed the daily expenditure per patient. The Box-Cox transformation model was used in the first analysis and the ordinary least squares method in the second. Comorbidities and complications prolonged LOS and increased daily expenditures. The LOS was significantly different among hospitals. On the other hand, the differences in daily expenditures among hospitals were relatively small, such that LOS was the main determinant of medical expenditures. Previous studies suggested that LOS could be shortened without degradation of medical quality. Moreover, LOS could be controlled by introducing proper critical paths and improving and standardizing educational programs. Hence, it would be possible to control the medical expenditures for this disease.
