THE IMPACT OF FUNDHOLDING ON PRIMARY HEALTH CARE: ACCOUNTS FROM SCOTTISH GPS

At the inception of the internal market in health care GP fundholding was seen rather as a 'sidesho' to the main reforms. But as the reforms have worked through, GP fundholding has emerged as pivotal to the purchaserlprovider agenda and the changes now associated with GP fundholding will be major issues in directing future health care policy initiatives. Drawing on empirical data from three Scottish regions, this paper argues that fundholding is now significant because GPs perceive benefits for primary health care. The paper uses the data collected from the case studies in the regions to assess these gains on two levels: the 'micro' impact of fundholding on primary health care processes and the 'macro' issues raised for health care policy by involving GPs more closely in resource management. Some GPs wish to use resource management as a vehicle for enhancing equity within the NHS, others are more concerned to manage resources so as to expand their practices into sites which combine primary, secondary and community health care, still others envisage developing the market to include monetary rewards for 'efficient' practices.     

Rechtsnatur und Zuordnung der Alterungsrückstellungen in der PKV

Discussions about the inclusion of the previously privately insured into the statutory government health insurance abound. Specifically, questions regarding the transfer of specific rights under the private contract persist. In particular this article addresses the ageing reserve into which the insured contributed as part of their original policies. Since contractual claims are protected by fundamental property rights, it was first investigated whether the ageing reserve would allow the insured to claim a reimbursement. However, this disbursement cannot be supported as long as the ageing reserve is still being accrued and has not yet been dissolved since the monies paid into the reserve cannot be traced to their individual sources. The legal principles of trust (Treuhand) and reversion (Anwartschaftsrecht) are also not applicable to this situation as they are based on different factual premises. While the expectation of a constant premium throughout old age is not protected by German Basic Constitutional Law, the insured’s right to expect a continuance of the contract is protected; in addition, required services and remuneration in case of a claim are guaranteed by article 14.     

From protectionism to free trade fever? Recent reforms in developing countries

During the 1980s, increasing numbers of developing countries unilaterally liberalized their trade regimes. This paper presents an overview of this dramatic shift from protectionism toward freer trade. South Asia, Latin America, and East Asia have implemented extensive reforms, yet each region has shown a distinct difference in approach and in the degree of liberalization actually achieved. Latin America stands out as moving sharply toward the level of openness of the East Asian Newly Industrialized Countries (NICs). Only in Africa is there little progress toward freer trade.     

Forecasting employment : The role of forward-looking behaviour

Manufacturing output per head rose at an unprecedented rate in the UK in 1981/2, and conventional econometric relationships failed to forecast the associated falls in employment. In this paper we estimate manufacturing employment equations in which output expectations play a central role. These compare fabourably with alternative models, and are able to predict most of the large falls in employment over this period.     

Consumption norms,trickle-down and the video/microwave syndrome

A new method is presented for investigating empirically the presence or not of consumption norms in the ownership of durables amongst different socioeconomic groups (although the method is more generally applicable to any situation in which a number of characteristics, and not just durables, may be acquired in a specific sequence). In order to illustrate the method, some results are presented for the ownership of durables as sampled by the National Readership Survey for 1985 and 1990. As a further application of the method, particular attention is paid to the changing incidence of ownership of videos and microwaves. Both theoretically and empirically, the trickle-down model of consumer choice is critically assessed and found to be wanting.     

Humor and cognitive responses to advertising stimuli: A trace consolidation approach

Despite the predictions of several attitude change theories, most empirical research suggests that humorous communications are no more persuasive than their serious counterparts. The present study adopted a trace consolidation theory approach and tested the hypothesis that humorous appeals are more persuasive than serious appeals when time for trace consolidation is allowed. The trace consolidation theory hypothesis was supported most directly by shifts in cognitive responses. On some measures, sex differences were also observed. Specifically, males were found to be more susceptible than females to the humorous persuasive appeal.     

Elderly activity patterns and demand for transportation in a small city setting2

Although elderly in a small city setting leave their homes for approximately the same purposes and at the same frequency as elderly in metropolitan settings, they are much more dependent on the automobile. A higher proportion of the elderly in a small city drive, but driving status did not have a significant impact on frequency of travel or the spatial extent of travel. Health status was not an important factor when other variables were taken into account, but the older elderly did take fewer trips than the younger elderly. Income, sex and residential location had modest impacts on activity patterns, but the use of a well-established Dial-a-Ride system was minimal. Variation in activity patterns among the elderly in a small city suggested continuity of behavior, a modest decline with age and a strong preference for automobile travel or walking from conveniently located housing complexes.     

The practice of corporate social performance in minority- versus nonminority-owned small businesses

This study compares corporate social performance in terms of charitable contributions of minority-owned and nonminority-owned small businesses. In this sample, minority-owned small businesses are younger, have less full-time employees, and lower annual sales. Minority-owned small businesses donate more funds to religious organizations than nonminority-owned small businesses. When annual sales are accounted for, minority-owned businesses contribute more total dollars to all charitable organizations than nonminority-owned firms. Suggestions for future research in this area are delineated.Judith Kenner Thompson is an Assistant Professor of Business and Society at the University of New Mexico. Her work has appeared inResearch in Corporate Social Performance and Policy, Business Forum, and theJournal of Small Business Management.Jacqueline N. Hood is an Assistant Professor of Organizational Behavior at the University of New Mexico. Her current research interests include gender issues in business, small business and entrepreneurship, and corporate social performance.