Designing a guideline-based utilization management program

Many public and private organizations are developing and publishing clinical guidelines to assist health care providers and patients in making appropriate medical decisions. Unless clinical guidelines are part of a well-designed managed care program, they have little effect on physician practice styles. This article explores integral components of an effective guideline-based utilization management program. Initial evaluation of this program suggests that, as part of a well-designed utilization management program, clinical guidelines can inform patients and physicians, and create appropriate incentives for effective health care delivery.     

Growth and equity effects of changing demographic structures in the Netherlands: simulations within a social accounting matrix

"This paper deals with the economic consequences of a changing demography in an industrialized country, namely the Netherlands. The analytical framework chosen is that of general equilibrium as statistically given by the social accounting matrix (SAM) in which we introduce households by size for the present economic demographic situation (1981) and for a future simulated situation (2010) featuring in particular a relative increase in one-person households (individualization). The income (output) multipliers of both SAMs show a positive growth bias towards three and more person households and towards mining, public utilities, trade and banking."     

Information processing and innovative choice

In this paper we examine how the information processing of subjects who make an innovative choice (innovators) differs from that of subjects who make a noninnovative choice (noninnovators). The task involves selection of an alternative within a range of prerated product category innovativeness. We propose that subjects who seek 1) impersonal/uncontrollable sources, 2) higher levels of information, 3) more detailed (versus summary) data, and 4) noncomparative (versus comparative) data are more likely to make innovative choices. The research method is a computerized process tracing experiment utilizing Search Monitor (Brucks 1988).The authors wish to express their gratitude to Merrie Brucks for the use of and help with Search Monitor and to Eric Johnson, Dave Schmittlein, and Mita Sujan for helpful comments on an earlier version of this paper.     

Justice in preferential hiring

This paper reports studies designed to examine perceptions of preferential selection. Subjects evaluated the fairness of hypothetical cases of selection decisions based on either candidate sex or ethnic origin. A within-subjects design and a between-subjects design yielded convergent results showing that (1) preferential selection was perceived as unfair, irrespective of respondent sex or the basis for the preferential treatment (i.e., candidate sex or ethnic origin), (2) the level of perceived injustice was directly related to the discrepancy in merits between the successful minority candidate and the more qualified yet unsuccessful majority candidate, and (3) the provision of either an ethical or legislative justification for the selection decisions further exacerbated feelings of injustice. Possible interpretations for the findings and practical implications of the study were then discussed. M. S. Singer is a senior lecturer in psychology at Canterbury University. Her published work includes papers in Personnel Psychology, Journal of Applied Psychology, Current Psychology: Research and Reviews,and Applied Psychology: An International Review. A. E. Singer is a senior lecturer in strategic management and business ethics at Canterbury University. He has published various papers in academic journals including Omega: The International Journal of Management Science, Decision Sciences, International Journal of Forecasting, International Journal of Research in Marketing,and Journal of Business Ethics.     

Half the power,half the income and half the glory,the use of microeconomic theory in women's emancipation research

Summary Major fields of economic research to understand the development of women's integration into the economy and women's economic independence can be categorized into three main groups. First, theories that attempt to explain wage and earnings differences according to gender; second, theories that attempt to explain the division of work within the family, and third, theories that attempt to explain the determination of fertility and the combination of work and motherhood. This paper offers a review of these three areas of neo-classical theory as well as an evaluation as to what extent the theories are adequate to answer the questions of women's emancipation research.This article is a revised version of my inaugural speech held on May 30th, 1990, at the official assumption of the chair of Labour market issues with special attention to women's emancipation, at the University of Amsterdam. Comments on earlier drafts have been received by Marga Bruyn-Hundt, Joop Hartog, Jan Hoem, Henriëtte Maassen van den Brink, Notburga Ott, Hettie Pott-Buter, Jolande Sap, Kea Tijdens, the participants of the demographic colloquium at Stockholm University, and the editor ofDe Economist.