Injury-related hospitalizations in 2002 and 2012 in a Mexican rural hospital: differences between indigenous and non-indigenous inpatients

Data are lacking on the extent and distribution of injuries in rural areas. This study aimed at comparing injury-related hospitalizations between 2002 and 2012 at a rural hospital of northern Mexico focusing on differences between indigenous (IP) and non-indigenous patients (NIP). A retrospective design based on the review of records of patients hospitalized with injury diagnoses was used. Information extracted included ethnicity, sex, age, hospital duration, surgical procedures, complications and discharge outcome. Injury data comprised of main diagnosis, mechanism and body part affected. Patterns were stratified by year and ethnicity. Logistic regression was used to determine the probability of being hospitalized for >1 day. Injury-related mortality increased from 0.4% in 2002 to 3.1% in 2012. The proportion of non-indigenous patients hospitalized also increased by 4.5%. Men accounted for two-thirds of all inpatients. Weapon involvement doubled from 16.6% to 33.6%. Almost half of the patients in 2012 were victims of interpersonal violence. Indigenous patients had a 2.7 higher adjusted odds ratios of being hospitalized for >1 day in 2002 (95% CI 1.2–5.7), though the gap was reduced to 1.9 (1.1–3.5) in 2012. While indigenous patients continue to be more disadvantaged than the non-indigenous, the gaps closed in 2012; the reasons behind these disparities need to be further investigated.     

“Effective competition” in telecommunications,rail and energy markets

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“Effective competition” in telecommunications, rail and energy markets     

Eco-Efficiency and Convergence in OECD Countries

This paper assesses the convergence in eco-efficiency of a group of 22 OECD countries over the period 1980–2008. In doing so, three air pollutants representing the impact on the environment of economic activities are considered, namely, carbon dioxide ( ${\text{ CO}}_{2}$ ), nitrogen oxides ( ${\text{ NO}}_\mathrm{X}$ ) and sulphur oxides ( ${\text{ SO}}_\mathrm{X}$ ); furthermore, eco-efficiency scores at both country and air-pollutant-specific level are computed using Data Envelopment Analysis techniques. Then, convergence is evaluated using the recent approach by Phillips and Sul Econometrica 75:1771–1855 (2007), which tests for the existence of convergence groups. First, we find that eco-efficiency has improved over the period, with the exception of ${\text{ NO}}_\mathrm{X}$ emissions. Second, Switzerland is the most eco-efficient country, followed by some Scandinavian economies, such as Sweden, Iceland, Norway and Denmark. In contrast, Southern European countries such as Portugal, Spain and Greece, in addition to Hungary, Turkey, Canada and the United States, are among the worst performers. Finally, we find that both the most eco-efficient countries and the worst tend to form clubs of convergence.     

Multi-stakeholder platforms for linking small farmers to value chains: evidence from the Andes

Value chains linked to urban markets and agro-industry present new opportunities for adding value and raising rural incomes. Small farmers, who produce small volumes, struggle to enter these markets. A lack of trust among value chain actors increases transaction costs and short-circuits innovation. This paper explores how multi-stakeholder platforms have been used to address these problems in potato-based value chains in Bolivia, Peru and Ecuador. It uses the Institutional Analysis and Development (IAD) framework to understand how platforms work. Differences in characteristics of the value chains, the participating actors and institutional arrangements have led to the emergence of two types of platforms. The first type brings traders, processors, supermarkets and others together with farmer associations and research and development (R&D) organizations to foster the development of new market opportunities through commercial, institutional and technological innovation. The second type is structured around geographically delimited supply areas, meshing farmers and service providers to address market governance issues in assuring volumes, meeting quality and timeliness constraints and empowering farmers. Evidence from these cases indicates that platforms that bring stakeholders together around value chains can result in new products, processes, norms and behaviours that benefit poor farmers, which could not have been achieved otherwise.     

Auf dem Wege zum Bundesfinanzrat!

Das Bundesverfassungsgericht hat am 19.10.2006 sein Urteil in der Normenkontrollklage des Landes Berlin wegen Haushaltsnotlage verkündet, nach dem Berlin leer ausgeht. Das Urteil l?st jedoch nicht die grundlegenden Probleme des bundesdeutschen Finanzf?deralismus. Deshalb tut konzeptionelles Nachdenken über die Neuordnung der Finanzbeziehungen zwischen Bund und L?ndern not. Dies hat unter Federführung von Prof. Charles B. Blankart der wissenschaftliche Beirat des Bundeswirtschaftsministeriums in einem Gutachten getan.¹ Prof. Markus C. Kerber untersucht den darin enthaltenen Vorschlag eines „F?deralismus mit beschr?nkter Haftung“.