We describe a performance budget planning model developed for a research university, comprised of a set of 88 key variables and 38 non-linear structural equations that describe interactions among them. These equations, based on the knowledge of research university's financial working and theoretical considerations, relate expenditures and revenues to teaching and research operations. We demonstrate the value of this model for developing insight into the financial structure of the university. In particular, we show how the model aids in (1) comparing the effect of various policy alternatives on the performance of the university, (2) performing comparative statics analysis of any subset of variables of interest, (3) choice of policy variables and policy alternatives, and (4) gaining insight into the structure of the interactions for a given policy alternative in terms of the causal chain between policy variables and outcome variables. We also describe a computer implementation of the model and discuss a class of mathematical tools for policy planning analysis that facilitate the use and manipulation of models based on sets of nonlinear constraints.
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http://dx.doi.org/10.1007/s10614-018-9799-4 | DOI Listing |
BMJ Public Health
July 2024
Health Economics Research Unit, KEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Introduction: There is a growing emphasis on improving primary health care services and granting frontline service providers more decision-making autonomy. In October 2023, Kenya enacted legislation mandating nationwide facility autonomy. There is limited understanding of the effects of health facility autonomy on primary health care (PHC) facilities performance.
View Article and Find Full Text PDFCurr Hypertens Rep
January 2025
Department of Endocrinology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, 576104, India.
Purpose Of Review: Hypertension remains a major chronic disease morbidity across the world, even in the twenty-first century, affecting ≈40% of the global population, adversely impacting the healthcare budgets in managing the high incidence of cardiovascular disease (CVD) complications and mortality because of elevated blood pressure (BP). However, evaluation and management of endocrine hypertension are not optimal in clinical practice. With three unique clinical case scenarios, we update the evidence base for diagnostic evaluation and management of endocrine hypertension in this review to inform appropriate day-to-day clinical practice decisions.
View Article and Find Full Text PDFSubstance abuse research depends on precise and sensitive assessments of reinforcer efficacy in animal models. However, conventional methods often lack theoretical rigor and specificity to support these assessments. To address these gaps, the Modular Maximization Theory (MMT) is introduced as a comprehensive framework for understanding instrumental behavior.
View Article and Find Full Text PDFJ Occup Environ Hyg
January 2025
Metrology Research Centre, National Research Council Canada, Ottawa, Ontario, Canada.
Particle filtration efficiency (PFE) is a critical property of face masks, with the most common test methods using sodium chloride as a challenge aerosol. In the absence of bottom-up uncertainty budgets for PFE, interlaboratory comparisons provide an alternative route to robustly quantify the precision and bias of the method. This work presents the results of several interlaboratory comparisons of particle filtration efficiency performed across a network of laboratories.
View Article and Find Full Text PDFJAMA Netw Open
January 2025
Division of General Internal Medicine and Primary Care, Brigham and Women's Hospital, Boston, Massachusetts.
Importance: Nearly all Medicare Advantage (MA) plans offer dental, vision, and hearing benefits not covered by traditional Medicare (TM). However, little is known about MA enrollees' use of those benefits or how much they cost MA insurers or enrollees.
Objective: To estimate use, out-of-pocket (OOP) spending, and insurer payments for dental, hearing, and vision services among Medicare beneficiaries.
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