Measuring Hospital Performance in the Presence of Quasi-Fixed Inputs: An Analysis of Québec Hospitals

This research proposes an approach to measure hospital performance based on a generalization of Banker and Morey (1986) and Førsund (1996). This approach considers quasi-fixed inputs explicitly, calculates their implicit cost, and quantifies returns to scale. The performance measure is decomposed into allocative and technical inefficiencies. Based on a very complete data set of Québec hospitals, we find that significant inefficiencies of up to 17% ($700 CAN million) could have been saved through improved performance. Postestimation analyses that include qualitative measures of care suggest that differences in performance are attributable to differences in management or unobservable quality of care rather than patient case mix.     

On estimating the mean of the selected normal population under the LINEX loss function

Following Parsian and Farsipour (1999), we consider the problem of estimating the mean of the selected normal population, from two normal populations with unknown means and common known variance, under the LINEX loss function. Some admissibility results for a subclass of equivariant estimators are derived and a sufficient condition for the inadmissibility of an arbitrary equivariant estimator is provided. As a consequence, several of the estimators proposed by Parsian and Farsipour (1999) are shown to be inadmissible and better estimators are obtained. Received January 2001/Revised May 2002     

Information Matrices for Non Full Rank Subsystems

Consider the standard linear model Y=X θ + ε. If the parameter of interest is a full rank subsystem K′θ of mean parameters, the associated information matrix can be defined via an extremal representation. For rank deficient subsystems, Pukelsheim (1993) introduced the notion of generalized information matrices that inherit many properties of the information matrices. However, this notion is not a direct extension of the full rank case in the sense that the definition of the generalized information matrix applied to full rank subsystems does not lead to the usual information matrix. In this paper, we propose a definition of the information matrix via an extremal representation that encompasses the full rank and the non-full rank cases. We also study its properties and show its links with the generalized information matrices.     

Measuring volatility with the realized range

Realized variance, being the summation of squared intra-day returns, has quickly gained popularity as a measure of daily volatility. Following Parkinson [1980. The extreme value method for estimating the variance of the rate of return. Journal of Business 53, 61–65] we replace each squared intra-day return by the high–low range for that period to create a novel and more efficient estimator called the realized range. In addition, we suggest a bias-correction procedure to account for the effects of microstructure frictions based upon scaling the realized range with the average level of the daily range. Simulation experiments demonstrate that for plausible levels of non-trading and bid–ask bounce the realized range has a lower mean-squared error than the realized variance, including variants thereof that are robust to microstructure noise. Empirical analysis of the S&P500 index-futures and the S&P100 constituents confirms the potential of the realized range.     

Rationing in open economy and dynamic macroeconomics: A survey

Summary A survey of rationing in micro theories of macroeconomics is presented. The survey starts with a closed economy with money and inventories, which consists of a representative household, a firm and government. After a discussion of the notional demands and supplies and the properties of the Walrasian equilibrium, a discussion of the effective demands and supplies leads to an analysis of the four regimes (Keynesian unemployment, classical unemployment, repressed inflation and underconsumption). A fiscal and monetary contraction decreases sales and employment when there is Keynesian unemployment, but is expansionary (neutral) when there is repressed inflation (classical unemployment). The survey continues with an analysis of the effects of rationing in a small open economy. It considers the one-sector model and a model with a traded and a nontraded sector. The latter model is used to discuss the effects of an oil discovery on the Gulf countries and on Latin American countries. The survey ends with a discussion of rationing in dynamic economies, which leads to an analysis of the effects of expectations about future constraints on current regimes and to a discussion of boot-strap equilibria.The author is Director of the Network for Quantitative Economics. This paper is a brief and eclectic survey of rationing models of closed one-period and two-period economies and of small open economies. It contains no significant new material. The author is grateful to Professor Theo van de Klundert for his constructive comments on an earlier version of this survey.     

Income distribution,economic structure and employment in South Africa

This paper discusses the impact of a redistribution of current income from the White to the Black population on the distribution of sectoral output, and total employment by means of a semi‐closed input‐output model.

The results show that a redistribution of current income towards Black households — which no doubt will have positive social and political repercussions — has a non‐negative effect on GDP and a definite positive effect on the performance of sectors with a high private consumption expenditure component, as well as on total employment.     

Debt Relief and Economic Growth in Mexico

Could external restraint and internal balance in Mexico havebeen reconciled at levels of savings and investment that allowedsatisfactory growth in output without the 1989–90 restructuringof debt? What are the likely implications of Mexico's "Bradydeal" on economic growth? What are the macroeconomic effectsof debt-equity swaps? This article develops and estimates amodel to address these issues. The analysis concludes that the1989–90 agreement in Mexico will contribute materiallyto macroeconomic stability and the restoration of economic growth.     

The Ju/'hoan Bushman Development Foundation and basic needs in eastern Bushmanland,Namibia

The Ju/'hoan Bushman Development Foundation (JBDF) is a multi‐dimensional development foundation which has as its main objective the raising of the standard of living of the indigenous Ju/'hoan Bushmen in eastern Bushmanland, Namibia. It has a basic needs approach to development.

The development activities of the Foundation started in 1981. The Nyae Nyae Farmers’ Cooperative, through which the Foundation now directs its development activities, was established in 1986. It is funded by various international development agencies, such as Christian Aid, NORAD, SIDA, Bread for the World, Oxfam Canada, and the EEC.

The basic needs approach of the Foundation addresses the following dimensions: water, food, cash, clothing, health, literacy and education, community esteem, and problems and propositions.     

The role of extension in the development of the farmer as entrepreneur

Different viewpoints were expressed at the 1990 annual national conference of the South African Society for Agricultural Extension regarding the role of extension in the development of the farmer as entrepreneur. It is expected that public funding will increasingly be limited to functions of general public interest. To achieve independence farmers should be willing to expose themselves to entrepreneur development stimuli. it is in the public interest to develop scarce human, economic and natural resources. Research findings indicate distinct behavioral differences between entrepreneurs of differing perceptions. A comprehensive interdisciplinary education is recommended for agriculturalists. Because needs change, education programmes must be re‐evaluated from time to time. It serves little purpose to educate people in extension who do not have a technical message to communicate. The state extension service seeks closer cooperation and liaison with agricultural co‐operative and private sector know‐how. Departmental policy will probably be less rigid in future.

A clear distinction should be made between information and extension services. The adoption of an ethical code for extensionists may be opportune. Relevancy is an important contributing factor to extensionist credibility.