The structural and economic implications of urbanization

"This study surveys the policy issues associated with urbanization following the abolition of the pass laws [in South Africa]. The demographic background is briefly sketched. Using neo-classical analysis as a starting point, particular attention is paid to the present inefficiencies of city form associated with segregation. It is argued that current planning procedures are in danger of perpetuating or even worsening the situation. Obstacles to employment generation are considered and transport, local government and housing issues are discussed. On every front, urbanization policy is unstable and, even in the short term, there will be pressures to change it."     

Couple's literacy level and acceptance of family planning methods: Lorenz curve analysis

The authors study the acceptance of family planning methods according to the level of couple's literacy in 14 states in India during 1986-87, using the Lorenz curve. The Gini Concentration Ratio and Index of Dissimilarity were calculated by level of couple's literacy for vasectomy, tubectomy, IUD, and all method combined. Firstly, analysis found literates to have accepted vasectomy and IUD more than tubectomy. Secondly, among the 3 methods, a high Gini Concentration Ratio was found for vasectomy when the wife was literate. Moreover, when the wife was literate, the Gini Concentration Ratio of IUD acceptance was higher than the acceptance of IUD by the wife whose husband was literate. Thirdly, the same trend was observed when the husband was illiterate. It is therefore clear that the level of a woman's literacy is a key factor in securing the acceptance of male or female methods of family planning. Planners should therefore concentrate on literacy programs for females independently of their age. Increasing the level of female literacy may ultimately help improve the understanding of family planning methods, while these women may also motivate their husbands to undergo vasectomy which will ultimately foster the success of the family planning program.     

Around-the-clock medical coverage

Marrying workers' compensation and health insurance plans to reduce administrative workloads and get a firm grip on expenses. Can it work?     

Will your Medicare claims stand up?

In the first two installments of our series, we gave you the details of reimbursement under the new Medicare fee schedule, and showed how to code evaluation-and-management services with the revised CPT system.* This issue, we'll tell what to expect from Medicare carriers as they teach and enforce the new payment rules.     

Lifecourse migration and redistribution of the elderly across U.S. regions and metropolitan areas

This analysis investigates the assertion that the baby-boom cohorts, by virtue of their large size and new lifecourse redistribution tendencies, are likely to initiate significant shifts in the distribution of the elderly population as these cohorts enter into the 65-and-older age categories. The author contends that cohorts' pre-elderly lifecourse migration patterns should be incorporated into studies of elderly population distribution shifts. 2 questions are addressed: will the new lifecourse migration patterns provide for a more deconcentrated redistribution of the baby-boom cohorts, both prior to and after their entry into the elderly age categories, than the lifecourse migration patterns followed by earlier cohorts; and will the new lifecourse distribution pattern lead, in the long run, to a significantly more deconcentrated distribution of the elderly population. The examination of these 2 questions focuses, largely, on redistribution across 9 broad regional and metropolitan area groupings defined on the basis of 3 census regions -- the North (combining the Northeast and Midwest census regions), the South, and the West -- and 3 categories of metropolitan status -- large metropolitan areas (those with 1980 populations exceeding 1 million), other metropolitan areas, and nonmetropolitan areas. The comparison of "new" versus "old" lifecourse migration patterns contrasts the census-based age-specific migration stream rates, registered over the 1975-80 period, with those registered over the 1965-70 period. Given the sharp and broad-based shift toward deconcentrated redistribution which characterized practically all segments of the population during the 1970s, it is assumed that the age-specific migration patterns observed over the 1975-80 period approximate the more deconcentrated redistribution tendencies which will be adopted by the baby-boom cohorts (and their successors) over the remainder of their lifecourse. The 1965-70 net migration rates point up the aggregate redistribution implications associated with the "old" lifecourse migration stream patterns. Among the rates for North large metropolitan areas, the only positive net migration is observed for the 25-29 age category; the greatest net outmigration rate is shown for the 65-69 age category. The rates for South nonmetropolitan areas are negative for all age categories under age 55, and most accentuated outmigration is shown during the young-adult years. The positive net migration exhibited for the older adult and post retirement ages reflects the low outmigration rates from nonmetropolitan areas during these ages and the slight peaking of immigration for these years. The results of this analysis imply that more attention should be devoted to migration, over the entirety of the lifecourse, in future studies of population redistribution.     

Integration of collective bargaining and formal worker participation processes: Boon or barrier to worker rights?

Many employers are extending workplace rights by allowing for more employee voice in decision making. Numerous unionized organizations have established formal worker participation processes to help achieve this end and to improve organizational performance. Based largely on theory, such processes are normally designed to operate independently from the bargaining process. The purpose of this study was to examine the relationship between participation and bargaining processes, and the effect of this relationship on workplace satisfaction. A total of 712 Midwest union officials were surveyed, and the results indicate that the processes tend to become integrated in the workplace. Further, union officials' workplace satisfaction was greater where formal worker participation is institutionalized within the bargaining process.     

A CROSS-NATIONAL STUDY OF LEADERSHIP: PARTICIPATION AS A FUNCTION OF PROBLEM STRUCTURE AND LEADER POWER

This study explores the effects of task structure and leader power on participative leadership across Australian, African, Papua-New Guinea and Pacific Island managers. Managers in all national groups are more participative in situations of low structure and low power than for high structure and high power, respectively. Participation in situations of low structure and low power declines in the order: Australia, Africa, Papua-New Guinea, Pacific Islands. It is argued that this effect is an instrumental effect of managerial education, rather than being culturally determined. the Vroom-Yetton leadership methodology is used to measure participation levels. Subjects are a total of 150 middle-level managers attending management education courses.