Medical examination is the use of modern physical and chemical methods, laboratory technology, medical equipment for clinical diagnosis and treatment, provide a reference. In vitro diagnostic medical devices (IVD) known as the medical testing equipment in addition to early and accurate diagnosis, as well as effective monitoring of patient treatment. "Medical Technology" is a very professional industry knowledge and application of the medical laboratory is through the manufacturers to develop transferred to the medical practitioners, industrial and information technology improved rapidly in recent years, resulting in the medical inspection of product innovation; as knowledge economy era, the diversification of customer needs, business risk increases, more intense market competition, companies want to stand out in a competitive environment, it is necessary to construct their own core competence in order to create competitive advantage. Operators to think about how to find, identify the core competitiveness of the way, helping the enterprise training, consolidation, application and conversion of the core competitiveness in order to obtain sustainable competitive advantage. In this study, on the one hand through literature, to understand the definition of the core competence, type and resolution; the other hand, the AHP method, defined in accordance with the core competence of literature, characteristics, and characteristics of the industry of medical testing equipment industry made the questionnaire,expert questionnaire, and a successful visit to the case of high-end decision-making management of mid-level management and senior grassroots cadres of 20 experts, to discuss the company's core competence of medical testing equipment. According to the results: the core competence of the medical testing equipment industry in order (1) after-sales service, (2) professional and executive power, (3) high-end quality of decision making, (4) Product Marketing, (5) Management capabilities, (6) network capacity, (7) human Resource Management, (8) product competence, (9) organizational culture, (10) logistics Management, (11) Brand / goodwill (12) market coverage.

This dissertation consists of three quantitative papers addressing contemporary issues in health policy. The first paper draws on a survey of 2,678 adults from the United States and four European countries to assess demand for a hypothetical early medical test for Alzheimer's disease (AD). Overall, 67% of respondents reported that they would be "very" or "somewhat" likely to get the test if it were available. Through logistic regression analysis, we find that interest was higher among those worried about developing AD, with an immediate blood relative with AD, and who have provided care for AD patients. Knowing that AD is fatal did not influence demand, except among those with an affected blood relative. We expect that a test becoming available could precipitate the creation of a large constituency of asymptomatic, diagnosed adults, affecting a range of health policy decisions. The second paper utilizes Current Population Survey data to explore state-level Medicaid enrollment rates among eligible parents between 2003 and 2010, focusing on the interaction of race and ethnicity and political ideology. Using logistic regression analysis, we find that average take-up for Hispanics in conservative states was 23%, whereas take-up was 38% for both whites and blacks in those states, adjusting for state and individual demographics. These differences abated in liberal and moderate states. Among eligible Hispanics, enrollment rates were less than half as high in conservative states than in liberal states (23% versus 61%). Adjusting for differences in state Medicaid policies narrowed these disparities significantly, highlighting the importance of new provisions aimed at streamlining enrollment procedures across all states. The last paper draws on public and private data from 2007 to 2010 to analyze how administrative spending by health insurers and providers varied across states with different levels of insurance and hospital market concentration. Using regression analysis, we find that in provider offices, high levels of insurance concentration were associated with lower administrative costs. If all states were as concentrated as the most concentrated state in our sample, we would expect nationwide savings of $3.6 billion in administrative expenses. However, market concentration did not reduce administrative spending by insurers or hospitals.

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