Emergency department: improving patient satisfaction

A process improvement initiative aimed at decreasing emergency department (ED) length of stay (LOS) and thereby improving patient satisfaction was implemented. Any attempt to improve ED LOS requires intense focus on the goal and involvement of many departments of the hospital. While the LOS targets were not met, decreasing the LOS to the achieved levels resulted in the highest levels of patient satisfaction ever achieved and sustained in the ED.     

The impact of climate on life satisfaction

We analyse the influence of climate on average life satisfaction in 79 countries using data from the World Values Survey. Climate is described in terms of ‘degree-months’ calculated as the cumulated monthly deviations from a base temperature of 65 °F (18.3 °C). Our results suggest that countries with climates characterised by a large number of degree-months enjoy significantly lower levels of life satisfaction. This finding is robust to a wide variety of model specifications. Using our results to analyse a particular climate change scenario associated with the IPCC A2 emissions scenario points to major losses for African countries, but modest gains for Northern Europe.     

The importance of higher-order beliefs to successful coordination

Beliefs about other players’ strategies are crucial in determining outcomes for coordination games. If players are to coordinate on an efficient equilibrium, they must believe that others will coordinate with them. In many settings there is uncertainty about beliefs as well as strategies. Do people consider these “higher-order” beliefs (beliefs about beliefs) when making coordination decisions? I design a modified stag hunt experiment that allows me to identify how these higher-order beliefs and uncertainty about higher-order beliefs matter for coordination. Players prefer to invest especially when they believe that others are “optimistic” that they will invest; but knowledge that others think them unlikely to invest does not cause players to behave differently than when they do not know what their partners think about them. Thus resolving uncertainty about beliefs can result in marked efficiency gains.     

The effects of attributes and buyer regret on overall satisfaction

The current study represents an attempt at exploring product attribute, service attribute evaluation, and buyer regret influence overall satisfaction in the buyer decision context. The data used in the project were collected as part of a large study of buyer regret. The sampling frame consisted of automobile purchases in Taiwan We have collected yield 600 questionnaires, by screening out 44 questionnaires, including those missing value or incomplete answer, and finally a usable sample of 556 questionnaires were utilized in this study. The results reinforce the finding form early research that the concept of buyer regret plays an important role for automobile purchases in the buyer decision. Results show that higher evaluations of service and product attributes lead to less buyer regret, and lower buyer regret will likely to increase overall satisfaction. Specifically, the finding indicates that buyer regret mediates the effects of the attributes on overall satisfactions. Implications for marketing theory and practitioners are discussed, and possible directions for future research are sketched.     

Intermediate macroeconomics: The importance of being post Keynesian

Post Keynesians should not be afraid to teach what they believe represents the best explanation of macroeconomic fluctuations. Our colleagues in the mainstream certainly are not and, realistically speaking, it is hard to imagine that any student would be handicapped by not having had a full dose of IS-LM, the accelerationist hypothesis, Phillips Curves, and so on. Furthermore, there may not be a more opportune time to introduce post Keynesianism to undergraduate students with Neoclassicals still recovering from their inability to explain the financial crisis. This article argues for a post Keynesian-focused intermediate macroeconomics and offers a sample plan. It reviews the state of post-financial crisis mainstream macro teaching and references pedagogical literature in showing how a post Keynesian transformation and reorganization can be made most effective.     

The importance of a common understanding in emergency management

An emergency situation brings together individuals belonging to many different organizations, representing different organizational cultures including different usage of language. In this paper we propose that a common understanding is vital in managing emergency situations. Firstly, a simple emergency situation is presented where one of the causes for increased damage was simply due to a misunderstanding of language. Secondly, we propose a theoretical framework of how different organization cultures with their different uses of language can be integrated on the terminological level where the communication takes place. Thirdly, the presented example is reviewed. We show how situations such as the one in our example can be analyzed by means of the theoretical framework. Finally, we present the findings from a Delphi study conducted in Finland, which support the central thesis, i.e. the importance of a common understanding in emergency situations, and we propose using the Delphi method to find the critical domains in the flow of information between the different actors involved in disaster management.     

The role of interviewer encounters in panel responses on life satisfaction

This note examines a common explanation why participants of panel surveys may report declining life satisfaction over time. In line with the argument of developing trust relationships between interviewers and interviewees, the analysis reveals positive effects in reported life satisfaction when the person conducting the interview changes to an unfamiliar individual. Yet, the evidence also shows that the overall decline is determined by years in the panel, rather than by number of encounters with one specific interviewer.     

The tragedy of the commons revisited: The importance of group decision-making

We use a laboratory experiment to compare the way groups and individuals behave in an inter-temporal common pool dilemma. The experimental design distinguishes between a non-strategic problem where players (individuals or groups of three) make decisions without interaction and a strategic part where players harvest from a common pool. This allows us to correct for differences between individuals and groups in the quality of decisions when testing for differences in competitiveness. Group decisions are either made by majority rule or unanimity. The results show that groups are less myopic than individuals (i.e., they make qualitatively better decisions) but that they are more competitive than individuals when placed in a strategic setting. The net result for groups deciding by majority rule is that they make less efficient decisions in the strategic game than individuals do. We are able to show that this is caused by the median voter departing from her original preference in early periods with a shrinking pool. When groups have to make unanimous decisions they start playing the strategic game more efficiently then individuals do, but they rapidly become more competitive with repetition of the game.     

实证经济学方法论的意义与限度

讨论了合理的实证经济学方法的假设、程序与步骤,及其在解释与认识经济社会现象、提供知识方面的重大意义.在肯定实证经济学方法的适用性的同时,本文强调,经济学毕竟不同于自然科学,由于经济研究的对象是人,而不是客观的物,实证经济方法有其局限性,将自然科学的思维方法不加反思地引入经济学会造成实证经济学方法的滥用.     

患者满意度调查对医院管理的作用

目的通过住院患者对医护人员服务态度、医疗护理质量、住院环境、是否存在滥收费现象及心理指导的满意度调查,研究患者满意度调查对医院管理的作用。方法对2009年1～2月与11～12月接受满意度调查的住院患者进行回顾性分析。结果患者满意度调查开展前后,实验组医护人员操作、医护人员服务态度、病区环境、是否存在滥收费及心理指导等方面内容评分均高于对照组,两组比较差异有统计学意义(P<0.05);且实验组投诉率较低。结论患者满意度调查可以提高患者对医院的满意度,降低投诉率,及时发现工作中存在的问题。医院应注意提高医护人员的操作及服务态度,杜绝滥收费现象,并定期对患者进行心理指导,加强患者对医院的信任,利于医院的管理。     

Estimating worldwide life satisfaction

Whilst studies of life satisfaction are becoming more common-place, their global coverage is far from complete. This paper develops a new database of life satisfaction scores for 178 countries, bringing together subjective well-being data from four surveys and using stepwise regression to estimate scores for nations where no subjective data are available. In doing so, we explore various factors that predict between-nation variation in subjective life satisfaction, building on Vemuri and Costanza's (Vemuri, A.W., & Costanza, R., 2006. The role of human, social, built, and natural capital in explaining life satisfaction at the country level: toward a National Well-Being Index (NWI). Ecological Economics, 58:119-133.) four capitals model. The main regression model explains 76% of variation in existing subjective scores; importantly, this includes poorer nations that had proven problematic in Vemuri and Costanza's (Vemuri, A.W., & Costanza, R., 2006. The role of human, social, built, and natural capital in explaining life satisfaction at the country level: toward a National Well-Being Index (NWI). Ecological Economics, 58:119-133.) study. Natural, human and socio-political capitals are all found to be strong predictors of life satisfaction. Built capital, operationalised as GDP, did not enter our regression model, being overshadowed by the human capital and socio-political capital factors that it inter-correlates with. The final database presents a stop-gap resource that, until robust surveys are carried out worldwide, allows comparisons of subjective life satisfaction between nations to be made with reasonable confidence.     

The value of wetlands: importance of scale and landscape setting

Wetlands have value because their functions have proved to be useful to humans. The unit value for some wetlands also increases with human development (agriculture and urban) because of increased use and/or increased scarcity. Yet, paradoxically, its functions can easily be overwhelmed in areas of heavy human development, thus lessening those values. Thus wetlands appear to work best in the landscape as spatially distributed systems. Also, the value is partially dependent on where they are found in the landscape, e.g., the degree to which a wetland is open to hydrologic and biological fluxes with other systems, including urban and agricultural landscapes. A paradox of assigning values to wetlands and other ecosystems is that it can argue for the replacement of one system with another if a landscape view is not taken. Estimates of percent of landscape for various functions, e.g. water quality or flood control, are presented. It is suggested that a range of 3–7% of temperate-zone watersheds should be in wetlands to provide adequate flood control and water quality values for the landscape.