2011年7月16日

EQIS1.0 for QALY

EQIS 1.0, a software allows calculating Health Related Quality of Life weights. As health economist, we often concern values for QALYs (Quality Adjusted Life Years).

USER GUIDE: www.econ.unavarra.es/~eqis/EQIS%201.0%20USER%20GUIDE.pdf

2011年7月14日

Intro to Health Outcome

I reviewed some websites and literature on health outcome and related measurements today: 

Intro:
http://www.ahrq.gov/clinic/outfact.htm  U.S. Department of Health & Human Services 下辖的 Agency for Healthcare Research and Quality (AHRQ)

List of measurement instruments (工具非常多,有个网页上说有800多种):

人体最舒适-温度-湿度-风速-设定

我国国家规定了空气调节标准,对空调温度设定做了规范性的参数:

夏季空调温度设置温度以24-28°C为宜,相对湿度40%-65%,风速在0.3米/秒以下
冬季空调温度设置 温度以18-22°C为宜,相对湿度40%-60%,风速在0—2米/秒以下


当然,这种规定是指导性的,不同场合、不同功用的房间对空调温度的设定要求也不一样,应具体分析:

青年人卧室:温度 相对湿度
夏季空调设置 25—29°C50%—65%
冬季空调设置20—25°C 50%—60%
 
病人、老人、小孩卧室: 温度相对湿度
夏季空调设置26—27°C 45%—65%
冬季空调设置 22—23°C40%—60%
 
客厅以及起居 温度相对湿度
夏季空调设置26—28°C 50%—65%
冬季空调设置 22—25°C40%—55%

source: http://www.foxiangwang.com/994.html

payment reform and a JAMA paper

麻省实施了一个a global payment system called the Alternative Quality Contract (AQC)后一年里,对费用和服务质量的影响,分析用的是individual data,采用了前后测量和DD方法。--真是漂亮啊!这是这期JAMA上宋zirui一篇文章,虽然他还没拿到PhD,但是文章级别水平那真是~~~没的说!
Last month I joined a provincial workshop which discussed how to implement payment reform by conducting a combination of "Shanzhai DRG" for inpatient care and a global payment for outpatient care, since then I was just wondering how to evaluate effects of those payment reform.

Song Z, Safran D G, Landon B E, He Y, Ellis R P, Mechanic R E, Day M P and Chernew M E 2011 Health Care Spending and Quality in Year 1 of the Alternative Quality Contract New Engl J Med  null-null