GETTING PRIMARY CARE ON THE NATIONAL HEALTH SERVICE

As a result of a request from the Royal Commission on the NHS, the Welsh Consumer Council carried out a sample survey of two groups of people: parents of children under 10 and the elderly (aged 60 or over). The purpose of the study was to find out how accessible GPs, chemists, dentists, opticians and chiropodists were, and the two sampled groups were thought to consist of those likely to make the heaviest demands on these services. A higher proportion of the parents, compared with the elderly, experienced difficulties in getting to see the GP and obtaining treatment. The attitude and manner of doctors, the rushed nature of consultations, long waits for appointments and the response to requests for home visits were all criticized, albeit by a minority. Nearly half the parents asked the chemist for advice about minor ailments. Concerning dental and ophthalmic treatment, the main problem was cost. Some elderly people had long and painful waits between chiropody appointments and the chiropody service appears to be understaffed.     

Uniform Versus Discretionary Regimes in Reporting Information with Unverifiable Precision and a Coordination Role

We examine uniform and discretionary regimes for reporting information about firm performance from the perspective of a standard setter, in a setting where the precision of reported information is difficult to verify and the reported information can help coordinate decisions by users of the information. The standard setter's task is to choose a reporting regime to maximize the expected decision value of reported information for all users at all firms. The uniform regime requires all firms to report using the same set of reporting methods regardless of the precision of their information, and the discretionary regime allows firms to freely condition their sets of reporting methods on the precision of their information. We show that when unverifiable information precision varies across firms and users' decisions based on reported information have strong strategic complementarities, a uniform regime can have a beneficial social effect as compared to a discretionary reporting regime. Our analysis generates both normative and positive implications for evaluating the necessity and effectiveness of reporting under standards.     

CEO Compensation and Board Structure Revisited

Chhaochharia and Grinstein estimate that CEO pay decreases 17% more in firms that were not compliant with the recent NYSE/Nasdaq board independence requirement than in firms that were compliant. We document that 74% of this magnitude is attributable to two outliers of 865 sample firms. In addition, we find that the compensation committee independence requirement increases CEO total pay, particularly in the presence of effective shareholder monitoring. Our evidence casts doubt on the effectiveness of independent directors in constraining CEO pay as suggested by the managerial power hypothesis.     

Physicians' perceptions of consumers' attitudes: satisfaction,quality and selection criteria

A mail survey of physicians from Sacramento, California, elicited information on perceptions of consumer satisfaction, service quality for 10 types of service providers including physicians and the importance ratings of 12 choice criteria for the selection of a physician by consumers. The two most important selection criteria for physicians as perceived for consumers by physicians were ‘consumer's previous experience with provider’ and ‘reputation/recommendation’. The results are compared with an earlier consumer survey.     

The Effect of Providing Peer Information on Retirement Savings Decisions

Using a field experiment in a 401(k) plan, we measure the effect of disseminating information about peer behavior on savings. Low‐saving employees received simplified plan enrollment or contribution increase forms. A randomized subset of forms stated the fraction of age‐matched coworkers participating in the plan or age‐matched participants contributing at least 6% of pay to the plan. We document an oppositional reaction: the presence of peer information decreased the savings of nonparticipants who were ineligible for 401(k) automatic enrollment, and higher observed peer savings rates also decreased savings. Discouragement from upward social comparisons seems to drive this reaction.     

Food patterns of two-parent,two-child households of urban South Louisiana

Food patterns of 105 two-parent, two-child households in South Louisiana were studied. A survey questionnaire was used for data collection. Age of youngest child was a highly significant factor in determining nutritional adequacy of family dietaries as measured by servings from the basic four food groups. Families with young children prepared more fruit and vegetables. Educational level of the spouse was an important factor in breakfast patterns; those with partial college educations served more meat. Part-time employed homemakers served more breakfast meals and used more convience feeds.