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Nelson JA  Folbre N 《Nursing economic$》2006,24(3):127-30, 123
In an article subtitled "Why is a Badly Paid Nurse a Good Nurse?" economist Anthony Heyes argues that nursing wages should be kept low. Counter arguments are provided based on what the authors consider more adequate economic analysis.  相似文献   

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The goal of this paper is to highlight the importance of the concept of choice. To do so, a synopsis of the most important contributions to this topic—featuring an eclectic set of scholars across disciplines—is provided. As central to the argument, John von Neumann’s contributions, game theory and simulation techniques on von Neumann machines, are identified. Innovation (economic and theoretic) as the driving force behind human evolution seems to head for a new scientific paradigm based on von Neumann’s ideas.
Hardy HanappiEmail:
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Objective: One quit attempt with varenicline has been found to be a cost-effective smoking cessation intervention. The purpose of this study was to analyze varenicline’s cost-effectiveness in patients who relapse during or after the first treatment. A comparison was made between re-treatment schema with varenicline and re-treatment schema with bupropion, NRT and unaided cessation, and treatment once with varenicline in a Finnish context.

Methods: The two-quit version of BENESCO Markov model was used to follow a cohort of smokers making up to two quit attempts over a lifetime. The abstinence rates of the interventions were derived from a Cochrane review. Gender- and age-specific data on the incidence and prevalence of five smoking-related diseases were included in the model. Quality-adjusted life-years, total expected costs, and the lifetime cumulative incidence of smoking-related morbidities and mortality were the primary outcomes evaluated.

Results: The study cohort comprised 116,533 smokers who were willing to make a quit attempt. In the lifetime simulation, re-treatment with varenicline yielded 6,150–20,250 extra quitters, depending on the comparator. Among these quitters it was possible to prevent 899–2,972 additional cases of smoking-related diseases, and 395–1,307 deaths attributable to smoking. Re-treatment with varenicline resulted in cost savings of up to 54.9 million Euros. Re-treatment with varenicline dominated all the other smoking cessation interventions used in the analysis. Sensitivity analysis supported the robustness of the base case results.

Limitations: The analysis did not consider adverse events, and included only five major smoking-related diseases, which is a conservative approach, and probably leads to under-estimation of cost-effectiveness of cessation interventions. Furthermore, assumptions of constant relative risks for smoking-related diseases for each smoking status and the proxy values used as efficacy estimates of second quit attempts for other interventions than varenicline are limitations.

Conclusions: A second quitting effort with varenicline is economically justifiable.  相似文献   


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We model non-cooperative signaling by two firms that compete over a continuum of consumers, assuming each consumer has private information about the intensity of her preferences for the firms' respective products and each firm has private information about its own product's quality. We characterize a symmetric separating equilibrium in which each firm's price reveals its respective product quality. We show that the equilibrium prices, the difference between those prices, the associated outputs, and profits are all increasing functions of the ex ante probability of high safety. If horizontal product differentiation is sufficiently great then equilibrium prices and profits are higher under incomplete information about quality than if quality were commonly known. Thus, while signaling imposes a distortionary loss on a monopolist using price to signal quality, duopolists may benefit from the distortion as it can reduce competition. Finally, average quality is lower since signaling quality redistributes demand towards low-quality firms.  相似文献   

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There is a shortage of engineers and scientists, in particular, electronic engineers and computer scientists, in Sweden. This shortage is argued to be one factor behind the structural weakness of Swedish industry in the 'high tech' area. The conventional explanation of the imbalance in the supply and demand for electronic engineers and computer scientists is focused on the incentives for the individual to demand higher education. These are argued to be low due to the relatively equal income distribution in Sweden and to high taxation. We find that the evidence given in support of this specification of the institutional problem is not convincing. Instead, we specify the institutional problem as having been a lack of opportunities to study electronics and computer science. With recent institutional changes in higher education, this problem is currently being tackled. Looking ahead, we see a new institutional problem emerging with a distinct gender bias. In order to increase the number of degrees awarded in electronics and computer science further, we will need to raise the interest of women in science and technology studies. This requires major institutional changes with regard to both the form and content of the educational programmes.  相似文献   

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We examine the determinants of occupational earnings of UK 1993 graduates and focus on the influence of the type of school the graduate attended prior to university entrance. For data reasons, we restrict attention to graduates who attended school in England. We estimate that, on average, a male (female) graduate who attended an Independent school receives an earnings premium of 3.1 per cent (3.4 per cent) over and above the earnings of a graduate who attended an LEA school, ceteris paribus . We also find considerable variation across different Independent schools in the size of the graduate earnings premium, especially for males, and show that in the case of males the premium increases with the level of school fees, but is not statistically related to measures of school–level average academic performance.  相似文献   

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The predictive ability of technical trading rules and the presence of calendar anomalies are well known, but theoretically anomalous, features of equity markets. We show that while some rules exploit calendar effects they are primarily being driven by other factors.  相似文献   

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Income Inequality is not Harmful for Growth: Theory and Evidence   总被引:25,自引:0,他引:25  
The paper shows that income inequality may theoretically lead to higher economic growth if public consumption enters the utility function. Empirically, baseline estimations and a sensitivity analysis show that income inequality is positively, and most of the time significantly, associated with economic growth. These findings stand in sharp contrast to the negative association between inequality and growth propounded by Alesina and Rodrik and by Persson and Tabellini.  相似文献   

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A payments for ecosystem services (PES) system came about in South Africa with the establishment of the government-funded Working for Water (WfW) programme that clears mountain catchments and riparian zones of invasive alien plants to restore natural fire regimes, the productive potential of land, biodiversity, and hydrological functioning. The success of the programme is largely attributed to it being mainly funded as a poverty-relief initiative, although water users also contribute through their water fees. Nevertheless, as the hydrological benefits have become apparent, water utilities and municipalities have begun to contract WfW to restore catchments that affect their water supplies. This emerging PES system differs from others in that the service providers are previously unemployed individuals that tender for contracts to restore public or private lands, rather than the landowners themselves. The model has since expanded into other types of ecosystem restoration and these have the potential to merge into a general programme of ecosystem service provision within a broader public works programme. There is a strong case for concentrating on the most valuable services provided by ecosystems, such as water supply, carbon sequestration, and fire protection, and using these as ‘umbrella services’ to achieve a range of conservation goals. The future prospects for expansion of PES for hydrological services are further strengthened by the legal requirement that Catchment Management Agencies be established. These authorities will have an incentive to purchase hydrological services through organisations such as WfW so as to be able to supply more water to their users.  相似文献   

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We empirically analyze how other aid agencies, within and outside the United States, reacted to the Millennium Challenge Corporation (MCC). We find that positive signaling effects dominate possible substitution effects. Striving for MCC eligibility thus pays.  相似文献   

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ABSTRACT

Digital technologies have become an increasingly prominent feature of children’s lives both within and outside educational environments (McCoy, Quail, and Smyth 2012. Influences on 9-Year-Olds’ Learning: Home, School and Community. Dublin: Department of Children and Youth Affairs). Despite considerable media debate, we have little robust evidence on the impact of technology use on children’s development, both academically and socially. Much of the literature in this area relies on small-scale cross-sectional studies. Using longitudinal data on 8500 9-year-old children in Ireland, we examine the influence of early mobile phone ownership on children’s performance in reading and maths between 9 and 13 years of age. Across both reading and maths domains, children who already report owning a phone by the age of nine fare less well in terms of their academic development as they move into adolescence. The measured effects are sizeable, implying about 4 percentile lower ranking on standardised tests for an average student. Our results are consistent with the idea that there may be significant educational costs arising from early mobile phone use by children. Parents and policymakers should consider whether the benefits of phone availability for children are sufficiently large to justify such costs. We suggest a range of direct and indirect cognitive effects that could help explain these results.  相似文献   

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This article reports on the results of a survey undertaken to estimate the extent of use of Technological Forecasting (TF) in U.S. industry. The results demonstrate that more firms use TF than eight years ago, and the perception of its importance has increased greatly. The emphasis on TF, the range of time horizons for the forecasts and the use to which TF is put differ according to the nature of the industry and the organizational level within the firm. Based on these results, the characteristics of firms that find TF crucial to their business, and those that find TF unimportant, are developed.  相似文献   

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