Creating consumer satisfaction in maternity care: the neglected needs of migrants,asylum seekers and refugees

An estimated 190 million people are now living outside their countries of birth or citizenship, and the rate of this migration is expected to remain high. The resulting growing cultural and ethnic diversity in societies adds specific challenges to the requirement of delivering public services such as health care to consumers. Globally, about half of the migrant population are women. Migrants’ outcomes of pregnancy are known to be poor, showing significant disparities when compared with those of native populations. Although these disparities have been noted, knowledge is limited regarding the availability and accessibility of healthcare services, as well as the acceptability of maternity care for women with experiences of free and forced migration. Healthcare research in general, and maternity care research specifically, have often neglected this population. This paper examines the existing international guidelines intended to address inequities in health outcomes, policies which have been introduced at national levels, and the widely used concepts of ‘patient‐centred’ and ‘woman‐centred’ health services. The ideals implicit in those guidelines and concepts are contrasted with the available evidence of many overseas nationals’ experiences with healthcare provisions in general, and maternity care in particular. This is followed by reflections on deficiencies in current studies and on those methodological problems which make research on maternity care for migrant women particularly challenging. The conclusion considers the appropriateness and relevance of guidelines currently promoting equity in maternity care and suggests a future agenda for priority research.     

“Engineering Economics Jeopardy!” Mobile App for University Students

This article presents the “Engineering Economics Jeopardy!” mobile app development process and college students’ satisfaction assessment of the developed app. The app includes a general tools E-book, calculator, reference tables, conceptual questions, and calculation problems in an engaging fashion. The E-book is a summary of the key concepts of engineering economics. The calculator provides functions to solve basic engineering economics problems with formulas. The tables allow the users to compute discrete compound interest factors. Through this Jeopardy! game, users can compete with two virtual opponents that have artificial intelligence to answer conceptual questions and calculation problems. Different sets of problems range from the simple questions on the time value of money to more complex concepts, such as sensitivity analysis, Monte Carlo simulation, and supply–demand equilibrium. This app is intended to give students more opportunity to learn and practice concepts of engineering economics whenever and wherever they want using their mobile devices. Accomplishments of this work include the following:

• “Engineering Economics Jeopardy!” mobile app has been developed and distributed.

• Five thousand people have downloaded the app so far.

• The effectiveness of the developed app has been researched with 116 college students who were enrolled in engineering economics courses across two semesters.

     

Patenting and the early‐stage high‐technology investor: evidence from the field

We discuss the importance of patenting to the venture capital investor in high‐technology firms. While literature suggests that patenting will have an impact on the nature and level of investment, the investors themselves are keen to suggest otherwise. We investigate this issue by the use of new primary‐source empirical data, gathered by fieldwork methods. Our results help explain a link between the existence of patenting and the level of investment made. We further support our analysis with illuminating quotes from investors currently active in the field.     

The relationship between product and international diversification: The role of experience

We establish prior diversification experience as a key determinant of the relationship between growth of product and international diversification. Prior diversification experience allows firms to overcome short‐run constraints on simultaneous diversification growth imposed by the difficulty to transfer tacit knowledge, ambiguous competencies, and limited absorptive capacity. Studying U.S. and European firms, we find a positive relationship between growth in product and international scope for firms with high and a negative one for those with little prior diversification experience. Further, we find that product diversification experience has greater impact than international diversification experience. Copyright © 2014 John Wiley & Sons, Ltd.     

WHY DO CHARTER SCHOOLS FAIL? AN ANALYSIS OF CHARTER SCHOOL SURVIVAL IN NEW JERSEY

Charter school competition can only work as a policy to improve public education if schools that do not contribute to this goal are allowed to fail. We estimate survival regressions to assess the effects of various factors on the probability of school failure. We find that students' test scores are the most important determinant of survival: a one standard deviation increase reduces the probability of failure by 76%. Higher expenditures per student and a longer wait list result in smaller, but significant, reductions. Enrollment, average performance in the host district, and student demographics do not significantly affect school survival. (JEL I21, H75)     

Pflichthaftpflichtversicherung für Hersteller von Medizinprodukten – überfällig oder überflüssig?

Given actual legislative initiatives in the German Bundestag the question arises as to whether in the interest of patient safety-compulsory liability insurance for producers of medical devices should be implemented. At present, these proposals for reform are incompatible with the constitutionally-guaranteed principles of professional freedom and freedom of contract. Furthermore, it is questionable whether compulsory liability insurance would in fact improve the situation of patients taking into consideration the insurer’s status and possible release from obligation. Should compulsory liability insurance pass constitutional review due to new factual findings in the future, a direct claim against the liability insurer is not advisable. A possible victim compensation fund is not to be financed by the producers or their liability insurers.     

Potenziale von Telematik-Tarifen in der Kfz-Versicherung in Deutschland

The potential of telematics contracts in motor insurance in Germany is sometimes considered to be limited. In this article we present some theoretical thoughts and empirical results to this. Certain aspects of the acceptance of telematics tariffs will be looked at in an interdisciplinary way (legally, psychologically and economically) and they will be used in considering the assessment of potentials of telematics contracts. This article includes a legal analysis of the effects of the legally prescribed introduction of the emergency call system eCall coming into force in 2018. Additionally, it presents the results of a survey with regard to direct and indirect factors affecting the acceptance of telematics tariffs (regarding, among other things, their willingness to change their individual driving behaviour as well as their interest in telematics services). The empirical results provide evidence of potentials of telematics tariffs in Germany. Furthermore competitive strategies for market penetration will be reconsidered regarding the German insurance market and telematics. Thus this article is supposed to contrast media reports, which are rather negative, and to complete existing literature about telematics, which is still mostly technically and actuarially orientated. An extension of the previous understanding is realised by the selective presentation of interdisciplinary points of view. The overall picture of potentials regarding telematics tariffs in Germany is much more diverse than the picture drawn in most relating discussions.     

European Monetary Integration and Aggregate Relative Deprivation: The Dull Side of the Shiny Euro

Drawing on the premise that the integration of economies revises people's social space and their comparators, we quantify social stress by aggregate relative deprivation, ARD; we calculate the effect of monetary mergers on ARD; and we document the validity of the superadditivity property of ARD for successive adoptions of a common currency by European countries. One feature of monetary unification, which replaces diverse currencies with a common currency, is that it brings about a change in the comparison environment, expanding the reference space of individuals in a given country to encompass individuals from the joining countries. Overall, calculations regarding six enlargements of the Economic and Monetary Union between 1999 and 2011 reveal an increase of ARD on six occasions when we hold incomes constant, and on five when we take into consideration changes in incomes. In addition, we observe an uneven distribution of the costs and benefits from monetary integration among the participating countries when these costs and benefits are measured in terms of ARD.     

Trade Logistics in Developing Countries: The Case of the Middle East and North Africa

This paper presents an analysis of obstacles facing exporting firms in developing countries by diagnosing the efficiency of trade logistics in the Middle East and North Africa region (MNA). Using logistics chain analysis for six export commodities, it presents evidence that transport and non‐transport logistics costs for export commodities from the MNA region are quite substantial, ranging from 7–25 per cent of landed product prices. Underlying these costs are key bottlenecks identified as: inefficient trucking and transport services, low export volume leading to long shipping times and the need for costly inventory accumulation, aggressive, obstructive customs authorities and procedures, low and inconsistent product quality, an underdeveloped transport intermediary sector, inefficient cross‐border transit procedures and others. Recommended actions to address developing a national transport policy, overhauling the regulatory regime for the trucking sector, export promotion measures, increasing competition in port and air freight services, reorienting customs authorities towards trade facilitation and developing cross‐border transit procedures similar to the TIR Carnets model.