A Gendered Model of the Peasant Household: Time poverty and Farm Production in Rural Mozambique

Using insights from a case study on the allocation of labor in subsistence households in Mozambique, this study develops a conceptual framework for examining linkages between time poverty and farm production. An unexpected event such as a health crisis increases the demand for labor provided by women, thus making them more time poor. The model and numerical simulations show that a deterioration in a woman's time constraint will have an adverse effect on agricultural output of the household. This occurs because most women respond to an increase in household work by reducing their work hours on the farm and by reducing their leisure time. The latter outcome is expected to have a negative effect on women's physical and mental health, which will then cause a decline in their productivity on the farm.     

#br# 药交所试点背景下人均医疗费用的影响因素研究

本文采用固定效应模型建立人均医疗费用影响因素的一般模型，并通过引入药交所虚拟变量和考察医生收入的中介效应进一步阐释该模型。研究结果表明，诱导需求与医院规模对人均医疗费用均有显著影响；药交所政策降低了人均医疗费用，但医生收入中介效应的存在使得部分医疗资源被浪费。本文提出了控制人均医疗费用的政策建议：增加医院与卫生院的数量；合理调整医务工作者内部结构；倡导医生自由执业并提供保障；合理增加医生收入。     

Altruistic or egoistic: Which value promotes organic food consumption among young consumers? A study in the context of a developing nation

The present research attempts to understand the importance of altruistic and egoistic value in determining the young consumers’ intention to buy organic food. Environmental concern was considered as the altruistic value, whereas health concern as egoistic value. Using the convenience sampling method, a total of 304 usable responses was collected from young consumers, with the help of self administered questionnaire survey approach. Data analysis was done using two step structural equation modeling (SEM) approach, i.e. measurement model and structural model. Findings indicated that, both altruistic as well as egoistic value influences the intention to buy organic food among young Indian consumers. However, egoistic value was found to have more impact on the consumers’ organic food purchase intention. The present research is one of the initial attempts in the Indian context to understand the importance of values (altruistic and egoistic) organic food consumption among young consumers.     

The demand for medical care services: evidence from Kuwait based on households’ out-of-pocket expenses

This article used a data set containing information on 1267 households from Kuwait to investigate the determinants of demand for medical care services by examining households’ out-of-pocket expenses. To deal with the problems associated with households’ health expenditure data, a two-part model (TPM) was estimated. Given Kuwait’s demographic composition, the model was estimated for full sample, nationals only and expatriates only. Prior to estimating the model, tests were conducted to select a transformation that reduces problems associated with heteroscedasticity and non-normality of the errors. In addition, tests were performed to determine if differences in the estimated coefficients across population groups were statistically significant.     

The repeat travel market for Taiwan: A multi-stage segmentation approach

Despite the importance of market segmentation, the growth of the travel and tourism industry in Taiwan, and the repeat travel phenomenon in tourism, relatively few studies have examined the behavior of repeat travelers in the East Asia region. The present study was designed to fill this gap. This exploratory study applied multistage segmentation in the context of repeat travel behavior to Taiwan. It examined the socio-demographic profile, trip characteristics and expenditures of Taiwan inbound repeat travelers. The results indicated that nationality, income, type of travel arrangements and information search behavior significantly affected repeat travel behavior. In terms of travel expenditures, males spent significantly more than females. Those travelers between 40 and 60 years old tended to spend the most when they visited Taiwan compared to other groups. Chinese travelers were most likely to have traveled to Taiwan more than once among all nationalities compared in this study. Those from Korea and Japan spent the most money among all nationality groups. This study provided several significant implications for the marketers of tourism in Taiwan.     

纵向财政失衡、FDI竞争与医疗卫生服务供给水平——兼论标尺竞争机制下地区间的策略性行为北大核心CSSCI

关于医疗卫生服务供给不足的原因一直是社会各界高度关注的重点话题,现行的财政分权制度常被认为是最主要的原因。本文尝试将表征现行财政分权制度特征的三个要素,即纵向财政失衡、地区FDI竞争和地区间竞争模仿的策略性行为,与医疗卫生服务供给水平纳入同一分析框架,在对其理论机制分析的基础上,利用2007-2018年277个地级及以上城市面板数据,实证考察它们之间的关系特征及机制路径。研究发现,纵向财政失衡与地区FDI竞争对医疗卫生服务供给水平均存在显著的抑制作用,同时,地区FDI竞争对纵向财政失衡的负向抑制作用具有正向调节效应。进一步分析发现,地方政府间的标尺竞争使其在医疗卫生服务供给行为上表现出明显的策略模仿,医疗卫生服务供给水平呈明显的空间溢出效应。异质性分析发现,发达地区医疗卫生服务供给水平受抑制的主因是FDI竞争所致,欠发达地区则主要缘于纵向财政失衡的显著影响。机制分析发现,纵向财政失衡通过作用于财政支出结构与医疗卫生支出效率两种方式实现对医疗卫生服务供给水平的抑制,而FDI竞争则主要是通过扭曲财政支出结构的方式实现其抑制作用。本文的研究丰富了医疗卫生服务供给不足制度性成因探寻的文献,对于如何全面推进新一轮财税体制改革、深化医疗卫生体制改革、优化政绩考核指标等具有借鉴意义。     

Money Allocation to Out-of-Home Leisure Activities and the Organization of These Activities in Time and Space

Monetary budgets influence activity participation and related travel as they demarcate limits on how people organize their activities in time and space. In this paper, we are interested in money allocation to out-of-home leisure activities and how this is affected by duration, sociodemographics, and time-location variables. Analyses were carried out by applying a seemingly unrelated regression model to a leisure activity data set. The analyses revealed that expenditures for out-of-home leisure activities are influenced by the variables mentioned above. Moreover, the results indicate that there is a substitution between expenditure of each activity.     

社会医疗保险对老人临终医疗服务利用的影响

本文利用2002-2014年CLHLS死亡人口数据,借助样本选择模型、两部分模型和bootstrap中介效应检验方法,首次比较全面深入地分析了社会医疗保险对老人临终总医疗费用支出和自负医疗费用支出的影响。研究发现,我国社会医疗保险既显著提高了老人临终医疗服务利用,也显著降低了自负水平。不同类型的社会医疗保险对临终医疗服务利用影响存在差异,医疗保险类型对临终医疗服务利用具有直接效应,医疗保险水平发挥了中介作用。医疗保险覆盖率在死亡年份影响临终医疗服务利用中发挥了中介作用。我国应该通过实行健康老龄化战略、加强死亡教育、发展临终关怀和完善医保监管等措施控制临终医疗支出增长以促进医疗保险可持续发展,并提升临终老人生存和死亡质量。     

我国社会保障支出的地区差异分析

文章首先运用GE指数分解法,分析我国社会保障支出区域差异及贡献率;然后运用GINI系数分解法,分析社会保障各项支出对总体差异的贡献率。结果表明:三大区域总体、区域内及区域间的差异基本呈下降趋势,期间略有起伏,但区域内差异远远大于区域间差异;东部、中部和西部地区差异变动趋势不一致,且对总体差异的贡献率差别较大;社会保障各项支出的贡献率差异较大,其中社会保障补助支出成为总体差异的主体因素。文章最后对实际测算结果作进一步分析,并提出相应的政策建议。