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Can Recommender Systems Reduce Healthcare Costs? The Role of Time Pressure and Cost Transparency in Prescription Choice 推荐系统能降低医疗成本吗?时间压力和成本透明度在处方选择中的作用
Pub Date : 2020-12-01 DOI: 10.25300/MISQ/2020/14435/
Lina Bouayad, B. Padmanabhan, K. Chari
This paper presents and synthesizes results from three studies (two controlled experiments and one interview) on using recommender systems to reduce healthcare costs at prescription time, while taking time pressure into account. All of our subjects were real practicing physicians, nurse practitioners, or physician assistants. Across these studies, a total of 160 medical practitioners used a system that provides recommendations for medications along with associated cost information. The main finding was a general tendency among practitioners to reduce healthcare costs by prescribing lower cost medications when cost information is provided by a recommender system. The time pressure faced daily by prescribers, however, appears to impact the use of recommendations by nurse practitioners and physician assistants more than it does physicians. These results have significant implications for cost reduction in healthcare and for the design of effective real-time healthcare recommender systems.
本文介绍并综合了三个研究(两个对照实验和一个访谈)的结果,在考虑时间压力的情况下,使用推荐系统来降低处方时的医疗成本。我们所有的研究对象都是真正的执业医师、执业护士或医师助理。在这些研究中,共有160名医生使用了一个提供药物建议以及相关成本信息的系统。研究的主要发现是,当成本信息由推荐系统提供时,从业人员普遍倾向于通过开低成本药物来降低医疗成本。然而,开处方者每天面临的时间压力,似乎对执业护士和医师助理使用建议的影响大于对医生的影响。这些结果对降低医疗保健成本和设计有效的实时医疗保健推荐系统具有重要意义。
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引用次数: 5
Organizational Sensemaking in ERP Implementation: The Influence of Sensemaking Structure ERP实施中的组织语义:语义结构的影响
Pub Date : 2020-12-01 DOI: 10.25300/MISQ/2020/11872
Barney Tan, S. Pan, Wenbo Chen, Lihua Huang
Organizational sensemaking is crucial to enterprise resource planning (ERP) implementation. This is because it enables the focal organization to gain an understanding of the unique contextual issues within and surrounding the organization, and continuously monitor and reinterpret these issues so that the approach to ERP implementation can be modified or realigned accordingly. Yet, little attention has been paid to studying the nature and implications of this process. Using a case study of the ERP implementation journey of Shanghai Tobacco Corporation, a Chinese state-owned enterprise, this paper explores the different ways in which organizational sensemaking can unfold in the context of ERP implementation. Analyses of our data suggest that the process of organizational sensemaking is influenced by a sensemaking structure, which consists of a technical structure (i.e., the technical foundation for sensemaking) and a social structure (i.e., the behavioral norms and relational ties surrounding sensemaking). The sensemaking structure, in turn, is influenced by the contextual conditions surrounding ERP implementation. With its findings, this study contributes a process model of ERP implementation from a sensemaking perspective to complement the existing research, and provides indications to practice on the effective implementation of ERP systems.
组织意义制定是企业资源规划实施的关键。这是因为它使重点组织能够了解组织内部和周围的独特上下文问题,并不断监视和重新解释这些问题,以便可以相应地修改或重新调整ERP实施方法。然而,很少有人注意研究这一过程的性质和影响。本文以中国国有企业上海烟草公司的ERP实施历程为例,探讨了ERP实施背景下组织意义构建的不同展开方式。我们的数据分析表明,组织的语义构建过程受到语义构建结构的影响,该结构由技术结构(即语义构建的技术基础)和社会结构(即围绕语义构建的行为规范和关系联系)组成。语义结构反过来又受到围绕ERP实施的上下文条件的影响。本研究从意义构建的角度构建了ERP实施的过程模型,对现有研究进行了补充,并为ERP系统的有效实施提供了实践指导。
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引用次数: 10
Commitment and Replacement of Existing SaaS-Delivered Applications: A Mixed-Methods Investigation 现有saas交付应用程序的承诺和替换:混合方法研究
Pub Date : 2020-12-01 DOI: 10.25300/MISQ/2020/13216
X. Xiao, Saonee Sarker, Ryan T. Wright, Suprateek Sarker, B. J. Mariadoss
As the highest level of cloud computing delivery model, Software-as-a-Service (SaaS) has gained considerable popularity in the industry as a new way of deploying IT solutions, due to its low cost and high elasticity. However, the new business model associated with SaaS highlights the importance for SaaS vendors to understand how to retain customers in a hyper-competitive market. In particular, increasing customer retention and preventing customers from replacing the adopted SaaS applications has become a crucial task for all SaaS vendors. In this study, using a mixed-methods approach, and drawing on the cognitive–affective–conative– action (CACA) framework, we investigate the IS replacement phenomenon in the context of SaaS-delivered applications. Our qualitative study allows us to develop an IS-centric view of customer commitment by differentiating between organizations’ commitment to the SaaS application and to the cloud computing technology in general, while the subsequent quantitative study validates the difference between the two types of commitment and helps understand how they together influence organizations’ intentions to replace a SaaS application. Our results generate important theoretical implications for research on IS replacement and clarifies the concept of customer commitment. We also offer practical guidelines to SaaS vendors on how to retain customers so as to survive/thrive in this competitive market.
软件即服务(SaaS)作为云计算交付模型的最高层次,由于其低成本和高弹性,作为部署IT解决方案的新方式在业界获得了相当大的普及。然而,与SaaS相关的新业务模型强调了SaaS供应商了解如何在竞争激烈的市场中留住客户的重要性。特别是,增加客户保留率和防止客户更换已采用的SaaS应用程序已成为所有SaaS供应商的关键任务。在本研究中,我们采用混合方法,并借鉴认知-情感-协商-行动(CACA)框架,研究了saas交付应用程序背景下的IS替代现象。我们的定性研究使我们能够通过区分组织对SaaS应用程序的承诺和一般的云计算技术的承诺来形成以is为中心的客户承诺观点,而随后的定量研究验证了两种承诺之间的差异,并有助于理解它们如何共同影响组织替换SaaS应用程序的意图。我们的研究结果对IS替代的研究具有重要的理论意义,并澄清了客户承诺的概念。我们还为SaaS供应商提供了如何留住客户的实用指南,以便在这个竞争激烈的市场中生存/发展。
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引用次数: 17
Enterprise System Implementation and Employee Job Outcomes: Understanding the Role of Formal and Informal Support Structures Using the Job Strain Model 企业制度实施与员工工作成果:利用工作压力模型理解正式和非正式支持结构的作用
Pub Date : 2020-12-01 DOI: 10.25300/MISQ/2020/11672
Tracy Ann Sykes
Understanding how support structures influence job outcomes in the context of enterprise system (ES) implementations is important if we are to advance the rate of success of such implementations. This paper examines how support structures—conceptualized as formal support structures (FSS) and informal support structures (ISS)—affect job outcomes in the shakedown phase of an ES implementation by drawing on the job strain model. Prior research on the job strain model suggests job characteristics (i.e., job control and job demand) and social support together affect job outcomes. A model of these effects on three post-implementation job outcomes (i.e., job stress, job satisfaction, and job performance) is developed. Data were obtained from 152 employees in a longitudinal field study at a large multinational firm. Results show that FSS do not have a direct influence on job outcomes, but interact with job demand to influence all three job outcomes. ISS have direct and interaction effects on all three employee job outcomes. The effect of FSS and ISS on employee job outcomes is mediated by job demand and job characteristics partially mediate the effect of ISS and FSS on employee job outcomes.
如果我们要提高企业系统(ES)实现的成功率,了解支持结构如何影响工作结果是很重要的。本文通过绘制工作压力模型,考察了支持结构(概念化为正式支持结构(FSS)和非正式支持结构(ISS))在ES实施的试运行阶段如何影响工作结果。先前对工作压力模型的研究表明,工作特征(即工作控制和工作需求)和社会支持共同影响工作结果。开发了这些对实施后三种工作结果(即工作压力、工作满意度和工作绩效)的影响的模型。数据来自一家大型跨国公司的152名员工的纵向实地研究。结果表明,金融服务对工作结果没有直接影响,但与工作需求相互作用,影响了所有三个工作结果。ISS对员工的三种工作结果都有直接和交互的影响。工作需求对员工工作结果的影响起中介作用,工作特征对员工工作结果的影响起部分中介作用。
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引用次数: 18
TheoryOn: A Design Framework and System for Unlocking Behavioral Knowledge Through Ontology Learning 理论:通过本体学习解锁行为知识的设计框架与系统
Pub Date : 2020-12-01 DOI: 10.25300/MISQ/2020/15323
Jingjing Li, Kai R. T. Larsen, A. Abbasi
The scholarly information-seeking process for behavioral research consists of three phases: searching, accessing, and processing of past research. Existing IT artifacts, such as Google Scholar, have in part addressed the searching and accessing phases, but fall short of facilitating the processing phase, creating a knowledge inaccessibility problem. We propose a behavioral ontology learning from text (BOLT) design framework that presents concrete prescriptions for developing systems capable of supporting researchers during their processing of behavioral knowledge. Based upon BOLT, we developed a search engine— TheoryOn—to allow researchers to directly search for constructs, construct relationships, antecedents, and consequents, and to easily integrate related theories. Our design framework and search engine were rigorously evaluated through a series of data mining experiments, a randomized user experiment, and an applicability check. The data mining experiment results lent credence to the design principles prescribed by BOLT. The randomized experiment compared TheoryOn with EBSCOhost and Google Scholar across four information retrieval tasks, illustrating TheoryOn’s ability to reduce false positives and false negatives during the information-seeking process. Furthermore, an in-depth applicability check with IS scholars offered qualitative support for the efficacy of an ontology-based search and the usefulness of TheoryOn during the processing phase of existing research. The evaluation results collectively underscore the significance of our proposed design artifacts for addressing the knowledge inaccessibility problem for behavioral research literature.
行为研究的学术信息寻求过程包括三个阶段:搜索、获取和处理过去的研究。现有的IT工件,如谷歌Scholar,已经部分地解决了搜索和访问阶段,但在促进处理阶段方面做得不够,从而产生了知识不可访问的问题。我们提出了一个基于文本的行为本体学习(BOLT)设计框架,该框架为开发能够支持研究人员处理行为知识的系统提供了具体的处方。在BOLT的基础上,我们开发了一个搜索引擎——theoryon -,让研究人员可以直接搜索构式、构式关系、前因和结果,并轻松整合相关理论。我们的设计框架和搜索引擎经过了一系列数据挖掘实验、随机用户实验和适用性检查的严格评估。数据挖掘实验结果验证了BOLT的设计原则。该随机实验将TheoryOn与EBSCOhost和b谷歌Scholar在四项信息检索任务中进行了比较,说明了TheoryOn在信息检索过程中减少误报和误报的能力。此外,与IS学者进行了深入的适用性检查,为基于本体的搜索的有效性和TheoryOn在现有研究处理阶段的有用性提供了定性支持。评估结果共同强调了我们提出的设计工件对于解决行为研究文献中知识不可接近问题的重要性。
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引用次数: 30
Theorizing the Multiplicity of Digital Phenomena: The Ecology of Configurations, Causal Recipes, and Guidelines for Applying QCA 理论化数字现象的多样性:配置生态、因果配方和应用QCA的指导方针
Pub Date : 2020-12-01 DOI: 10.25300/MISQ/2020/13879
Youngki Park, Peer C. Fiss, O. E. Sawy
Faced with the challenge of multifaceted digital phenomena, researchers in IS and related fields have increasingly adopted qualitative comparative analysis (QCA). However, in the absence of explicit guidelines for how to use QCA for theory development, the popularity and proliferation of QCA possibly amplifies the risk of using QCA in an atheoretical manner, hindering theoretical advancement. In this paper, we offer a conceptual framework and prescriptive guidelines for applying QCA to develop causal recipes that account for complex digital phenomena marked by theoretical and configurational multiplicity. Causal recipes are formal statements explaining how causally relevant elements combine into configurations associated with outcomes of interest. We describe these causal recipes in terms of which causes matter (i.e., factorial logic) and how these causes combine into configurations (i.e., combinatorial logic) to produce target outcomes, and propose an ecology of configurations that elucidates the explanatory power of multiple configurations as well as their explanatory overlap. Further, we offer two illustrative empirical examples to demonstrate the usefulness of our framework and step-by-step guidelines for applying QCA to deductive theory testing as well as inductive theory development on phenomena marked by multiplicity.
面对数字化现象的多面性挑战,信息系统及相关领域的研究者越来越多地采用定性比较分析(QCA)。然而,在缺乏关于如何使用QCA进行理论发展的明确指导的情况下,QCA的普及和扩散可能会放大以理论方式使用QCA的风险,阻碍理论的发展。在本文中,我们提供了一个概念框架和规范性指南,用于应用QCA开发因果配方,以解释以理论和配置多样性为标志的复杂数字现象。因果配方是解释因果相关元素如何组合成与感兴趣的结果相关的配置的正式陈述。我们根据导致物质的原因(即,析因逻辑)以及这些原因如何组合成配置(即,组合逻辑)以产生目标结果来描述这些因果配方,并提出了一个配置生态,阐明了多种配置的解释能力以及它们的解释重叠。此外,我们提供了两个说明性的经验例子,以证明我们的框架和逐步指南的实用性,用于将QCA应用于演绎理论测试以及以多样性为标志的现象的归纳理论发展。
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引用次数: 82
The Evolutionary Trajectories of Peer-Produced Artifacts: Group Composition, the Trajectories' Exploration, and the Quality of Artifacts 同侪生产的人工制品的进化轨迹:群体组成、轨迹探索和人工制品的质量
Pub Date : 2020-12-01 DOI: 10.25300/MISQ/2020/15379
Ofer Arazy, Aron Lindberg, Mostafa Rezaei, Michele Samorani
Members of an online community peer-produce digital artifacts by negotiating different perspectives and personal knowledge bases. These negotiations are manifested in the temporal evolution of the peer-produced artifact. In this study, we conceptualize the evolution of a digital artifact as a trajectory in a feature space. Our theoretical frame suggests that, through negotiations, contributors’ actions “pull” the trajectory and shape its movement in the feature space. We hypothesize that the type of contributors that work on a focal article influences the extent to which that article’s trajectory explores alternative positions within that space, and that the trajectory’s exploration is, in turn, associated with the artifact’s quality. To test these hypotheses, we analyzed the trajectories of wiki articles drawn from two peer-production communities, Wikipedia and Wikia, tracking the evolution of 242 paired articles for over a decade during which the articles went through 536,745 revisions. We found that the contributors who are the most likely to increase the trajectory’s exploration are those that (1) return to work on the focal artifact and (2) are unregistered members in the broader online community. Further, our results show that the trajectory’s exploration has a curvilinear association with article quality, indicating that exploration contributes positively to quality, but that the effect is reversed when exploration exceeds a certain level. The insights derived from this study highlight the value of an artifact-centric approach to increasing our understanding of the dynamics underlying peer-production.
在线社区的成员通过协商不同的观点和个人知识库来对等地生产数字文物。这些协商在同侪产生的工件的时间演化中表现出来。在本研究中,我们将数字工件的演化概念化为特征空间中的轨迹。我们的理论框架表明,通过协商,贡献者的行为“拉动”轨迹并塑造其在特征空间中的运动。我们假设在焦点文章上工作的贡献者的类型影响了该文章的轨迹在该空间内探索可选位置的程度,并且轨迹的探索反过来与工件的质量相关联。为了验证这些假设,我们分析了维基文章的轨迹,这些文章来自两个对等生产社区,Wikipedia和Wikia,跟踪了242篇配对文章的演变,这些文章在十多年的时间里经历了536,745次修改。我们发现最有可能增加轨迹探索的贡献者是那些(1)回到焦点工件上工作的人,以及(2)在更广泛的在线社区中未注册的成员。此外,我们的研究结果表明,轨迹的探索与文章质量呈曲线关系,表明探索对文章质量有积极的贡献,但当探索超过一定水平时,效果会相反。从这项研究中获得的见解强调了以工件为中心的方法的价值,这种方法可以增加我们对对等生产背后的动态的理解。
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引用次数: 16
Corporate Strategy Changes and Information Technology Control Effectiveness in Multibusiness Firms 企业战略变化与信息技术控制的有效性
Pub Date : 2020-12-01 DOI: 10.25300/MISQ/2020/14223
Hüseyin Tanriverdi, Kui Du
We develop a theory to explain why, how, and under what conditions corporate strategy changes negatively affect a multibusiness firm’s ability to design and effectively operate IT controls, and lead to the emergence of IT control material weaknesses (IT MW). Corporate strategy changes such as diversification, mergers and acquisitions (M&A), and divestitures alter a firm’s complicatedness by adding or removing business units. These changes can also affect the firm’s complexity by altering the degree of interrelatedness among the firm’s businesses. We hypothesize that corporate strategy changes that affect the firm’s complexity are more likely to increase IT MW than those that only affect the firm’s complicatedness. Complexity-altering corporate strategy changes are likely to disrupt all three types of IT controls: IT controls over technology, IT controls over business processes, and IT controls over people’s behaviors. We hypothesize that the changes are likely to disrupt the IT controls over people much more than IT controls over technology or business processes. Complexity-altering corporate strategy changes are also likely to affect the design effectiveness of the IT controls much more than the operating effectiveness of the IT controls. We find support for these ideas in a longitudinal study of 2,477 publicly traded U.S. firms. Results also indicate that the internal control material weaknesses (IC MW) that emerge following corporate strategy changes are primarily due to IT MW rather than non-IT MW. The proposed theory and the findings have important implications for research and practice.
我们发展了一个理论来解释企业战略变化为什么、如何以及在什么条件下对多业务公司设计和有效操作IT控制的能力产生负面影响,并导致IT控制实质性弱点(IT MW)的出现。公司战略的变化,如多元化、兼并和收购(M&A)以及资产剥离,通过增加或减少业务部门来改变公司的复杂性。这些变化还可以通过改变公司业务之间的相互关联程度来影响公司的复杂性。我们假设,影响公司复杂性的公司战略变化比仅影响公司复杂性的公司战略变化更有可能增加IT MW。改变复杂性的公司战略变更可能会破坏所有三种类型的IT控制:IT对技术的控制,IT对业务流程的控制,以及IT对人们行为的控制。我们假设,这些变化更可能破坏IT对人员的控制,而不是IT对技术或业务流程的控制。改变复杂性的公司战略变更也可能影响IT控制的设计有效性,而不是IT控制的操作有效性。我们在对2477家美国上市公司的纵向研究中发现了对这些观点的支持。结果还表明,公司战略变化后出现的内部控制实质性弱点(IC MW)主要是由于IT MW而不是非IT MW。所提出的理论和研究结果对研究和实践具有重要意义。
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引用次数: 8
The Effects of Business-IT Strategic Alignment and IT Governance on Firm Performance: A Moderated Polynomial Regression Analysis 企业与IT战略结盟与IT治理对企业绩效的影响:一个有调节的多项式回归分析
Pub Date : 2020-12-01 DOI: 10.25300/MISQ/2020/12165
D. Chau, E. Ngai, Jennifer E. Gerow, J. Thatcher
Organizations use IT to navigate uncertain, rapidly changing, and competitive environments. To achieve this, understanding the implications of the interplay among firm strategy, information technology (IT), and IT governance is critical to understanding firm success. In this work, we investigate the synergistic effects of business–IT strategic alignment (hereafter “alignment”), misalignment, and effectiveness of IT governance on firm performance among organizations with proactive/first-mover strategic orientations (hereafter “proactive organizations”). Using data from 87 organizations, we tested a moderated polynomial model that predicts alignment and misalignment’s effect on firm performance. The results indicated that effective IT governance in proactive organizations positively moderated the curvilinear relationship between alignment, misalignment, and firm performance. This paper contributes to research by offering a curvilinear and three-dimensional representation of the relationship between alignment, misalignment, and firm performance and by illustrating the moderating facets of IT governance. Moreover, for practice, it sheds light on the effects of misalignment, suggesting that proactive organizations with more effective IT governance are not likely to struggle with mild misalignment but may suffer more deleterious effects from severe misalignment. Our research sheds light on the conditions under which IT governance and alignment influence firm performance.
组织使用IT来应对不确定的、快速变化的和竞争激烈的环境。为了实现这一点,理解企业战略、信息技术(IT)和IT治理之间相互作用的含义对于理解企业成功至关重要。在这项工作中,我们研究了业务- IT战略一致性(以下简称“一致性”)、不一致性和IT治理有效性对具有前瞻性/先发战略导向的组织(以下简称“前瞻性组织”)企业绩效的协同效应。使用来自87个组织的数据,我们测试了一个调节多项式模型来预测对齐和不对齐对公司绩效的影响。结果表明,在积极主动的组织中,有效的IT治理正调节了对齐、不对齐和企业绩效之间的曲线关系。本文通过提供对齐、不对齐和公司绩效之间关系的曲线和三维表示,以及通过说明IT治理的调节方面,为研究做出了贡献。此外,对于实践,它揭示了不协调的影响,表明具有更有效的it治理的前瞻性组织不太可能与轻微的不协调作斗争,但可能遭受严重的不协调带来的更有害的影响。我们的研究揭示了IT治理和一致性影响公司绩效的条件。
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引用次数: 27
Understanding Echo Chambers and Filter Bubbles: The Impact of Social Media on Diversification and Partisan Shifts in News Consumption 理解回音室和过滤气泡:社交媒体对新闻消费多元化和党派转变的影响
Pub Date : 2020-12-01 DOI: 10.25300/MISQ/2020/16371
Brent Kitchens, Steven L. Johnson, Peter Gray
Echo chambers and filter bubbles are potent metaphors that encapsulate widespread public fear that the use of social media may limit the information that users encounter or consume online. Specifically, the concern is that social media algorithms combined with tendencies to interact with like-minded others both limits users’ exposure to diverse viewpoints and encourages the adoption of more extreme ideological positions. Yet empirical evidence about how social media shapes information consumption is inconclusive. We articulate how characteristics of platform algorithms and users’ online social networks may combine to shape user behavior. We bring greater conceptual clarity to this phenomenon by expanding beyond discussion of a binary presence or absence of echo chambers and filter bubbles to a richer set of outcomes incorporating changes in both diversity and slant of users’ information sources. Using a data set with over four years of web browsing history for a representative panel of nearly 200,000 U.S. adults, we analyzed how individuals’ social media usage was associated with changes in the information sources they chose to consume. We find differentiated impacts on news consumption by platform. Increased use of Facebook was associated with increased information source diversity and a shift toward more partisan sites in news consumption; increased use of Reddit with increased diversity and a shift toward more moderate sites; and increased use of Twitter with little to no change in either. Our results demonstrate the value of adopting a nuanced multidimensional view of how social media use may shape information consumption.
回音室和过滤气泡是有力的隐喻,概括了公众普遍的担忧,即使用社交媒体可能会限制用户在网上接触或消费的信息。具体来说,令人担忧的是,社交媒体算法加上与志同道合者互动的倾向,既限制了用户接触不同观点的机会,又鼓励了用户采取更极端的意识形态立场。然而,关于社交媒体如何影响信息消费的经验证据尚无定论。我们阐明了平台算法和用户在线社交网络的特征如何结合起来塑造用户行为。我们通过扩展讨论回声室和过滤气泡的二元存在与否,将这一现象的概念变得更加清晰,并将其扩展到包含用户信息源多样性和倾向性变化的更丰富的结果集。我们使用近20万美国成年人的代表性小组的四年多网络浏览历史数据集,分析了个人的社交媒体使用与他们选择消费的信息来源的变化之间的关系。我们发现不同平台对新闻消费的影响是不同的。Facebook使用量的增加与信息源多样性的增加以及新闻消费向更偏向党派的网站的转变有关;增加对Reddit的使用,增加多样性,并转向更温和的网站;以及增加Twitter的使用,但两者几乎没有变化。我们的研究结果表明,采用细致入微的多维视角来看待社交媒体的使用如何影响信息消费是有价值的。
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引用次数: 84
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