Engaging employees in health care can contain costs and improve quality

Employers need to do much more to change some of the deep-seated employee attitudes and behaviors that are driving health care costs. This article debunks common employer misconceptions about employees' attitudes and behaviors with regard to health care. It then discusses the results employers can obtain by taking specific initiatives that provide employees with the motivation and resources they need to effectively manage health risks and make informed health care decisions.     

Professionalising British central government bureaucracy c. 1850: The accounting dimension

The Northcote-Trevelyan Report (1854) recommended fundamental changes to public policy which included the replacement of patronage by examination as the basis for recruitment to the British Civil Service and of seniority by merit as the foundation for promotion decisions. This paper examines the accounting dimension of reforms designed to achieve enhanced administrative efficiency and greater economy in the operation of government departments. A growing interest in the role of accounting within British government during the second quarter of the nineteenth century is elucidated, and prevailing ideas concerning how accounting within government departments and accountability from the executive to parliament might be performed more efficiently and effectively are uncovered. The battle between divergent pressure groups concerning who should possess jurisdiction over accounting work is explored, and the solution to this problematic is found to connect with the nature of a central government accounting system that was itself undergoing significant change. Consistency between the Northcote-Trevelyan recommendations and ongoing internal initiatives designed to ensure the competence of clerks recruited to undertake accounting work and subsequently applying for promotion to a higher grade is demonstrated.     

PROPRIETORIAL CONTROL IN FAMILY FIRMS: SOME FUNCTIONS OF 'QUASI-ORGANIC' MANAGEMENT SYSTEMS

The purpose of this paper is to investigate the strategies of managerial control which are used by the proprietors of family-owned business enterprises. Interviews with the proprietors and senior managers of businesses in the building industry illustrate the ‘quasi-organic’ nature of management structures. These grant some autonomy to senior managers without threatening proprietorial decision-making prerogatives. Although the family firm has certain distinctive features, similar control strategies designed to ensure that delegated decisions are ‘reliable’ and ‘responsible’ are evident in various types of business enterprise. There is, then, scope for further comparative research within a conceptual framework which does not entirely divorce the family firm from other business organizations.     

Multidimensional scaling of consumer preferences for a public transportation system: An application of two approaches

Consumer attitudes toward a proposed new public transportation system were assessed through the application of two multidimensional scaling models to data on preference choices for system attributes. Carroll's vector model and Kruskal and Carmone's nonmetric unfolding model were compared on theoretical and empirical levels to determine their utility for exposing the latent structure of attitudes for a public project. While the unfolding model was attractive because of a theoretical property, the vector model was able to uncover latent dimensions for the attitudes which could be related via discriminant analysis to socio-economic and demographic characteristics of the respondents. The vector model also produced an outcome which was more closely related to a unidimensional analysis of these data. Therefore, even though both the vector and unfolding models produced plausible geometric representations of the attitudes which arc expected to aid urban transportation planners in designing systems, the vector model produced the more acceptable outcome.     

MYTH AND TECHNOLOGY IN THE AMERICAN ACCOUNTING PROFESSION

The American accounting profession attempts to provide the public with efficient and effective financial reports; but to succeed, it must satisfy an environment of diverse, often conflicting, institutions. This article critically interprets the profession's development, arguing that it displays an interplay of myth and technology. This interplay generates structural flaws in the profession as well as a bias against reform.     

The Gilt-Equity Yield Ratio and the Predictability of UK and US Equity Returns

A number of financial variables have been shown to be effective in explaining the time-series of aggregate equity returns in both the UK and the US. These include, inter alia , the equity dividend yield, the spread between the yields on long and short government bonds, and the lagged equity return. Recently, however, the ratio between the long government bond yield and the equity dividend yield – the gilt-equity yield ratio – has emerged as a variable that has considerable explanatory power for UK equity returns. This paper compares the predictive ability of the gilt-equity yield ratio with these other variables for UK and US equity returns, providing evidence on both in-sample and out-of-sample performance. For UK monthly returns, it is shown that while the dividend yield has substantial in-sample explanatory power, this is not matched by out-of sample forecast accuracy. The gilt-equity yield ratio, in contrast, performs well both in-sample and out-of-sample. Although the predictability of US monthly equity returns is much lower than for the UK, a similar result emerges, with the gilt-equity yield ratio dominating the other variables in terms of both in-sample explanatory power and out-of-sample forecast performance. The gilt-equity yield ratio is also shown to have substantial predictive ability for long horizon returns.