financial incentives

财政激励
  • 文章类型: Journal Article
    在中国交通运输业的背景下,它面临着不断升级的碳排放挑战,这项研究探讨了可持续金融战略与实现碳中和的必要性之间的复杂联系。跨越中国30个省份的2010-2022年,采用严格的面板模型方法,我们的研究旨在实现几个关键目标。这些措施包括评估可持续金融举措对减少运输领域碳排放的实际影响,辨别影响碳中和努力轨迹的关键驱动因素,并严格评估旨在促进可持续性的政策干预措施的有效性。我们的发现揭示了一个令人信服的叙述。首先,我们观察到可持续融资机制的实施之间存在明显的正相关关系,例如绿色债券,可持续投资组合,和创新的金融工具——以及运输部门碳排放的切实减少。其次,我们的分析强调了关键驱动因素不可或缺的作用,从技术进步和监管框架到不断发展的消费者行为和公众意识,在引导碳中和的过程中。第三,我们的研究强调了有针对性的政策干预的关键影响,强调旨在激励可持续做法的措施的有效性,促进利益相关者合作,并加强全行业问责制框架。根据这些见解,我们的研究提倡以多方面方法为特征的细致入微的政策格局。通过将财务激励与可持续发展目标相结合,促进技术创新,培育健全的监管框架,政策制定者可以促进运输部门向碳中和的范式转变。
    In the context of China\'s transportation sector, which has faced escalating challenges in carbon emissions, this study delves into the intricate nexus between sustainable finance strategies and the imperative of achieving carbon neutrality. Spanning the years 2010-2022 across 30 provinces of China and employing a rigorous Panel Model methodology, our research sets out to achieve several pivotal objectives. These include assessing the tangible impact of sustainable finance initiatives on curtailing carbon emissions within the transportation domain, discerning the pivotal drivers that influence the trajectory of carbon neutrality endeavors, and critically evaluating the efficacy of policy interventions aimed at fostering sustainability. Our findings unearth a compelling narrative. Firstly, we observe a discernible positive correlation between the implementation of sustainable finance mechanisms-such as green bonds, sustainable investment portfolios, and innovative financial instruments-and the tangible reduction of carbon emissions within the transportation sector. Secondly, our analysis underscores the indispensable role of key drivers, ranging from technological advancements and regulatory frameworks to evolving consumer behavior and public consciousness, in steering the course towards carbon neutrality. Thirdly, our research underscores the pivotal impact of targeted policy interventions, emphasizing the efficacy of measures aimed at incentivizing sustainable practices, fostering stakeholder collaborations, and bolstering industry-wide accountability frameworks. In light of these insights, our study advocates for a nuanced policy landscape characterized by a multifaceted approach. By aligning financial incentives with sustainability goals, fostering technological innovation, and fostering robust regulatory frameworks, policymakers can catalyze a paradigm shift towards carbon neutrality in the transportation sector.
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  • 文章类型: Case Reports
    这项研究考察了英国2023年5月在国际器官贩运和器官旅游案件中的判决。为切除器官而贩运人口是世界上了解最少但仍在增长的贩运形式之一。中东国家,亚洲,和美洲经常被国际移植界广泛批评为器官贩运的场所。然而,我们认为,在讨论这个问题时,不仅仅是这些领域需要解决。特别特殊的是,这个案件不仅涉及跨国人口贩运,器官贩运,和非法器官移植的利益链条还涉及国家政治官员的参与和复杂的社会人文因素。本文重点介绍了当前器官移植旅游和器官贩运中涉及的伦理和政策问题,并分析了此案对我国捐赠和移植工作的启示。
    This study examines the UK\'s May 2023 judgment in an international organ trafficking and organ tourism case. Human trafficking for organ removal is one of the least understood but growing forms of trafficking worldwide. Countries in the Middle East, Asia, and the Americas are often widely criticized by the international transplant community as sites for organ trafficking. However, we believe that when discussing this issue, it is not just these areas that need to be addressed. What is particularly special is that this case not only involves transnational human trafficking, organ trafficking, and illegal organ transplantation interest chains but also involves the participation of national political officials and complex social and humanistic factors. This article focuses on the current ethical and policy issues involved in organ transplant tourism and organ trafficking and analyzes the implications of this case for our country\'s donation and transplantation work.
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  • 文章类型: Journal Article
    尽管身体活动对健康有益,大量的老年人仍然保持久坐不动的生活方式或缺乏运动。该网络荟萃分析(NMA)旨在比较基于可穿戴活动跟踪器的干预(WAT)的有效性。电子和移动健康干预(E&MH),结构化锻炼计划干预(SEP),经济激励干预(FI)促进老年人体力活动和减少久坐时间。
    基于PRISMA指南的系统审查,对PubMed进行系统的文献检索,WebofScience,谷歌学者,EMBase,科克伦图书馆,Scopus从成立到2022年12月10日进行了搜索。纳入随机对照试验(RCT)。两名评审员独立进行研究选择,数据提取,证据评估的偏倚风险和确定性。效果测量为每日步数的标准均差(SMD)和95%置信区间(CI),中等至剧烈的体力活动(MVPA)和久坐时间。
    共有69项研究,14,120名参与者被纳入NMA。在这些研究中,每日步骤的结果,55、25和15项研究报告了MVPA和久坐时间,分别。NMA一致性模型分析表明,以下干预措施的概率最高(累积排名下的表面,SUCRA)与对照组相比最佳:每日步数的FIWAT(SUCRA=96.6%;SMD=1.32,95%CI:0.77,1.86),WAT+E&MH+SEP为MVPA(SUCRA=91.2%;SMD=0.94,95%CI:0.36,1.52),WAT+E&MH+SEP为久坐时间(SUCRA=80.3%;SMD=-0.50,95%CI:-0.87,-0.14)。日常步骤证据的质量,MVPA和久坐时间被评价为很低,非常低,分别。
    在此NMA中,有低质量的证据表明,经济激励与可穿戴活动跟踪器相结合是增加老年人每日步数的最有效干预措施,可穿戴活动跟踪器结合电子和移动健康和结构化锻炼计划是帮助老年人增加MVPA和减少久坐时间的最有效干预措施。
    UNASSIGNED: Despite the well-established health benefits of physical activity, a large population of older adults still maintain sedentary life style or physical inactivity. This network meta-analysis (NMA) aimed to compare the effectiveness of wearable activity tracker-based intervention (WAT), electronic and mobile health intervention (E&MH), structured exercise program intervention (SEP), financial incentive intervention (FI) on promoting physical activity and reducing sedentary time in older adults.
    UNASSIGNED: The systematic review based on PRISMA guidelines, a systematic literature search of PubMed, Web of Science, Google Scholar, EMbase, Cochrane Library, Scopus were searched from inception to December 10th 2022. The randomized controlled trials (RCT) were included. Two reviewers independently conducted study selection, data extraction, risk of bias and certainty of evidence assessment. The effect measures were standard mean differences (SMD) and 95% confidence interval (CI) in daily steps, moderate-to-vigorous physical activity (MVPA) and sedentary time.
    UNASSIGNED: A total of 69 studies with 14,120 participants were included in the NMA. Among these included studies, the results of daily steps, MVPA and sedentary time was reported by 55, 25 and 15 studies, respectively. The NMA consistency model analysis suggested that the following interventions had the highest probability (surface under the cumulative ranking, SUCRA) of being the best when compared with control: FI + WAT for daily steps (SUCRA = 96.6%; SMD = 1.32, 95% CI:0.77, 1.86), WAT + E&MH + SEP for MVPA (SUCRA = 91.2%; SMD = 0.94, 95% CI: 0.36, 1.52) and WAT + E&MH + SEP for sedentary time (SUCRA = 80.3%; SMD = -0.50, 95% CI: -0.87, -0.14). The quality of the evidences of daily steps, MVPA and sedentary time was evaluated by very low, very low and low, respectively.
    UNASSIGNED: In this NMA, there\'s low quality evidence that financial incentive combined with wearable activity tracker is the most effective intervention for increasing daily steps of older adults, wearable activity tracker combined with electronic and mobile health and structured exercise program is the most effective intervention to help older adults to increase MVPA and reduce sedentary time.
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  • 文章类型: Journal Article
    基于工作激情模型和领导视角的替代品,本研究通过关注员工对发明的热情的中介影响以及财务激励和创新文化的调节影响,考察了将滥用监督与员工创造力联系起来的过程。数据来自191名下属及其在中国的直接主管。我们使用分层多元回归分析检验了假设。结果表明,虐待性监督与员工创造力呈负相关,员工对发明的热情调解了滥用监督与员工创造力之间的关系。此外,财务激励削弱了滥用监督与员工发明激情之间的负相关关系,而创新文化不能改变上述关系。本研究通过引入情感机制,丰富了对虐待性监督与员工创造力相关的理解,并为减少虐待性监督的危害提供了实践启示。
    Based on work passion model and the substitutes for leadership perspectives, this study examines the process linking abusive supervision to employee creativity by focusing on the mediating influence of employees\' passion for inventing and the moderating influence of financial incentives and innovative culture. Data were obtained from 191 subordinates and their direct supervisor in China. We tested hypotheses using hierarchical multiple regression analyses. The results revealed that abusive supervision was negatively related to employee creativity, and employees\' passion for inventing mediated the relationship between abusive supervision and employee creativity. Furthermore, financial incentives weakened the negative relationship between abusive supervision and employees\' passion for inventing, while innovative culture could not change the above relationship. This study enriches the understanding of how abusive supervision is related to employee creativity by introducing the emotional mechanism and provides practical implications for reducing the harm of abusive supervision.
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  • 文章类型: Journal Article
    In October 2015, the Guangdong government of China enacted a so-called unified medical insurance payment for patients residing in Guangdong province, which fundamentally simplifies reimbursement procedures of medical insurance for the involved cross-city in-patients. Using a unique confidential dataset from 2013 to 2018 on hemorrhoid treatments at a renowned hospital in Guangzhou, the provincial capital of Guangdong, and exploiting difference-in-differences estimations based on the abovementioned policy, we document that the physicians\' incentives are a negative externality of the full medical insurance policy for cross-city in-patients and account for a 49% probability increase in improper treatments; and neither increasing the communication between physicians and patients nor enhancing the education level of patients reduces the physician-induced demand for improper treatments. A series of robustness tests indicate our findings are solid. In summary, we highlight the substantial roles of medical insurance as a driver of physician-induced demand in an emerging economy such as China.
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  • 文章类型: Journal Article
    许多吸烟者不使用现有的免费或低成本戒烟服务,需要有成本效益的干预措施来增加使用量。
    我们在香港进行了一项双臂集群随机对照试验(cRCT),中国,评估积极转诊加少量节制财政激励的有效性。主动从70个社区站点(集群)招募每天吸烟至少1支的中国成年吸烟者。在招募开始之前,随机分配一直被隐藏。干预组在3个月内使用任何戒烟服务后,在基线时接受主动转诊服务,并提供奖励(港币300元/美元38元)。对照组接受一般简短的戒烟建议。主要结果是在3个月和6个月时经过生化验证的禁欲。计算了实际实施中的运营成本。试验登记处:ClinicalTrials.govNCT03565796。
    在2018年6月至9月之间,1093名参与者被随机分配到干预组(n=563)和对照组(n=530)。通过意向治疗,干预组3个月时验证禁欲高于对照组(8.4%vs.4.5%,风险比[RR]1.88,95%CI1.01-3.51,P=0.046)和6个月(7.5%与4.5%,RR1.72,95%CI1.01-2.93,P=0.046)。干预组每次验证禁欲的平均成本(421美元)低于对照组(548美元)。
    此cRCT首先表明,brief,在社区吸烟者中,通过积极转诊加小额货币激励的低成本干预措施可有效增加戒烟和戒烟服务的使用.
    香港吸烟与健康委员会。
    BACKGROUND: Many smokers do not use existing free or low-cost smoking cessation services, cost-effective interventions to increase use are needed.
    METHODS: We did a 2-armed cluster randomised controlled trial (cRCT) in Hong Kong, China, to evaluate the effectiveness of active referral plus a small financial incentive on abstinence. Chinese adult smokers who smoked at least 1 cigarette per day were proactively recruited from 70 community sites (clusters). Random allocation was concealed until the recruitment started. The intervention group received an offer of active referral to cessation services at baseline plus an incentive (HK$300/US$38) after using any cessation services within 3 months. The control group received general brief cessation advice. The primary outcomes were biochemically validated abstinence at 3 and 6 months. Operating costs in real-world implementation was calculated. Trial Registry: ClinicalTrials.gov NCT03565796.
    RESULTS: Between June and September 2018, 1093 participants were randomly assigned to the intervention (n=563) and control (n=530) groups. By intention-to-treat, the intervention group showed higher validated abstinence than the control group at 3 months (8.4% vs. 4.5%, risk ratio [RR] 1.88, 95% CI 1.01-3.51, P=0.046) and 6 months (7.5% vs. 4.5%, RR 1.72, 95% CI 1.01-2.93, P=0.046). Average cost per validated abstinence was lower in the intervention (US$ 421) than control (US$ 548) group.
    CONCLUSIONS: This cRCT has first shown that a simple, brief, and low-cost intervention with active referral plus a small monetary incentive was effective in increasing smoking abstinence and smoking cessation service use in community smokers.
    BACKGROUND: Hong Kong Council on Smoking and Health.
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  • 文章类型: Journal Article
    废物管理是一个典型的问题,需要多种政策措施共同发挥作用。然而,废物管理政策之间的兼容性被大大低估了。在本文中,我们使用纵向准实验方法来确定安吉激励家庭回收计划的效果,中国对其他废物管理政策的公共支持。该计划在实施后六个月和十五个月进行了评估,分别。我们发现,尽管它对居民自我报告的回收行为有积极影响,该计划减少了对有关废物预防和无害化处置的政策措施的支持。与理论命题一致,这种挤出是由于个人对环保目标的承诺减少所致,感知到的环境可持续性问题的重要性,以及个人对环境产品的贡献的重要性。进一步的证据表明,从长远来看,排挤效应减弱但并未消失。这些发现有助于更全面地了解废物管理政策之间的整体关系,这表明,基于激励的回收政策可以通过减少公众对其他废物政策的支持来与其他废物政策产生负面影响。
    Waste management is a prototypical issue that requires multiple policy measures to function together. Yet, the compatibility between waste management policies is vastly understudied. In this paper, we used a longitudinal quasi-experimental methodology to identify the effect of an incentivized household recycling program in Anji, China on public support for other waste management policies. The program was evaluated six and fifteen months after it was implemented, respectively. We found that, despite its positive influence on residents\' self-reported recycling behavior, the program reduced support for policy measures concerning waste prevention and harmless disposal. Consistent with the theoretical propositions, such crowding-out was driven by the decrease in personal commitment to pro-environmental goals, perceived issue importance of environmental sustainability, and perceived importance of individual contribution to environmental goods. Further evidence suggests that the crowding-out effect attenuated but did not disappear in the long run. These findings contribute to a more comprehensive understanding of the holistic relationships between waste management policies, indicating that incentive-based recycling policies can interact negatively with other waste policies by reducing public support for them.
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  • 文章类型: Journal Article
    Despite the widespread use of financial incentives to encourage public participation in household waste separation, recent studies have revealed the mixed success of this strategy. The present study seeks to advance our understanding of the social-contextual conditions in which financial incentives are more or less effective. Based on theories of social influence, it has investigated how program advocates, neighbor networks, and community norms affect public participation in incentivized waste-separation programs. Generalized linear mixed model analyses of more than 150,000 daily participation records for residents in 347 housing estates in Hangzhou, China have been conducted to examine the theoretical propositions. The results show that substituting ingroup members (block leaders) for outgroup agents (company staff) as program advocates increased the total number of participants. However, block leaders contributed little or even negatively to mobilizing people who had never participated previously. Levels of participation were higher among residents with stronger social networks, but lower in communities with more salient volunteerism norms. These findings illuminate the substantial interaction between financial incentives and social influences, suggesting ways to use social forces to improve incentive programs of household waste separation.
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  • 文章类型: Journal Article
    Many strategies have been either used or recommended to promote physician compliance with clinical practice guidelines and clinical pathways (CPs). This study examines the relationship between hospitals\' use of financial incentives to encourage physician compliance with CPs and physician adherence to CPs.
    A retrospectively cross-sectional study of the relationship between the extent to which patient care was consistent with CPs and hospital\'s use of financial incentives to influence CP compliance.
    Eighteen public hospitals in three provinces in China.
    Stratified sample of 2521 patients discharged between 3 January 2013 and 31 December 2014.
    The proportion of key performance indicators (KPIs) met for patients with (1) community-acquired pneumonia (pneumonia), (2) acute myocardial infarction (AMI), (3) acute left ventricular failure (heart failure), (4) planned caesarean section (C-section) and (5) gallstones associated with acute cholecystitis and associated cholecystectomy (cholecystectomy).
    The average implementation rate of CPs for five conditions (pneumonia, AMI, heart failure, C-section and cholecystectomy) based on 2521 cases in 18 surveyed hospitals was 57% (ranging from 44% to 67%), and the overall average compliance rate for the KPIs for the five conditions was 69.48% (ranging from 65.07% to 77.36%). Implementation of CPs was associated with greater compliance within hospitals only when hospitals adopted financial incentives directed at physicians to promote compliance.
    CPs are viewed as important strategies to improve medical care in China, but they have not been widely implemented or adhered to in Chinese public hospitals. In addition to supportive resources, education/training and better administration in general, hospitals should provide financial incentives to encourage physicians to adhere to CPs.
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