The role of mental health and addiction among high-cost patients: a population-based study

Aims: Previous work found that, among high-cost patients, those with a majority of mental health and addiction (MHA)-related costs (>50%) incur over 30% more costs than other high-cost patients. However, this work did not examine other high-cost patients in depth or whether they had any MHA-related costs. The objective of this analysis was to examine the role of MHA-related care among other high-cost patients.

Methods: Using administrative healthcare data from Ontario, Canada, this study selected all patients in the 90th percentile of the cost distribution in 2012. It focused primarily on two groups based on the percentage of MHA-related costs relative to total costs: (1) high-cost patients with some MHA-related costs (0%?>?and <50%) and (2) high-cost patients with no MHA-related costs (0%). We examined socio-demographic and clinical characteristics, utilization and costs for both groups, and modeled patient-level costs using appropriate regression techniques. We also compared these groups with high-cost patients with a majority of MHA-related costs (>50%).

Results: High-cost patients with some MHA-related costs incurred over 40% more costs than those without ($27,883 vs $19,702). Patients with some MHA-related costs were older, lived in poorer neighborhoods, and had higher levels of comorbidity compared to those without. After controlling for relevant variables, having any type of MHA-related utilization increased costs by $2,698. Having a diagnosis of psychosis had a large impact on costs.

Limitations: This study did not examine children and adolescents. We were only able to account for 91% of all costs incurred by the public third-party payer; addiction-related costs from community-based agencies were not available.

Conclusions: High-cost patients with MHA incur higher costs compared to those without. When considering interventions aimed at high-cost patients, policy-makers should consider their complex nature, specifically both their physical and MHA-related comorbidities.     

Equilibrium migration with invested remittances: The EECA evidence

This paper analyzes international migration when migrants invest part of their income in their country of origin. We show that a non-total migratory equilibrium exists. Exogenous shocks, such as an increase in migrant income, lead to an increase in optimal invested remittances per migrant, and a higher wage in the country of origin. Yet the net effect on the equilibrium number of migrants is positive. Hence, in equilibrium, emigrants' optimal invested remittances and number of migrants are positively related. We use data from twenty five countries in Eastern Europe and Central Asia in 2000 to test for this implication of our model. OLS and bootstrap estimates reveal a positive elasticity of the number of migrants with respect to estimated invested remittances per migrant in the range of [0.3; 0.7].     

Board Composition And Corporate Use Of Interest Rate Derivatives

We provide new evidence on the motives for corporate hedging by examining the relation between the quality of the firms' monitoring mechanisms and the quantity of interest rate derivatives employed. Because the capital structure decision and hedging decision are considered to be endogenous, the firm's capital structure and level of interest rate derivative use are modeled simultaneously. We show a positive relation between the relative influence of outside directors and the quantity of derivatives used. This evidence indicates that outside directors take an active role in derivatives usage and that firms employ hedging in the shareholders' best interests.     

Insight into everyday media use with multiple screens

ABSTRACT

Multiscreening has been shown to affect consumers' brand attitudes and their memory of advertisements. However, little is known about the prevalence of using multiple screens simultaneously. The aim of this study is to provide insight into multiscreening by examining its prevalence, the composition of screens, and who is likely to multiscreen. A diary study with a representative sample of the Dutch population (n = 2,399) was conducted. First, the results showed that almost 60% of the participants multiscreened at least once. They multiscreened on average three days a week, mostly on Sundays, and on average more than 80 minutes per day. Second, the most prevalent screen combinations were TV-smartphone, TV-laptop, and TV-tablet. Third, multiscreeners were on average 41 years old, predominantly female, have a higher than average education, and own on average more than four screens. Finally, it was found that, in general, younger participants multiscreened longer than older participants.     

The question of inheritance in mid-nineteenth century French liberal thought

Abstract

In this paper, we explore a French debate in the nineteenth century Liberal School: the question of inheritance. We first present the opposition among liberal economists between the advocates of the liberty of bequest and the defenders of its limitations. We then try to show that these contrasted positions cannot be reduced to the confrontation between the doctrine of natural rights and the principle of social utility. Finally, we propose another explanation for the divergences of the Liberal School through different conceptions of the State.     

Segmenting Chinese Outbound Tourists by Perceived Constraints

This study examines travel constraints experienced by Chinese outbound tourists. Four constraint factors are identified from visitor data collected in 2006: structural constraint, cultural constraint, information constraint, and knowledge constraint. Information constraint is identified as a factor unique to outbound tourists from China. Among the four constraint factors, structural constraint is the most dominant. Four clusters of visitors are therefore identified: culturally constrained, structurally constrained, absence of sufficient information, and knowledge constrained. The four clusters are distinct in terms of their destination loyalty. The characteristics of each segment are given, and the practical implications of the findings are discussed.     

Franchising choice in retail networks: a multi-level institutional framework

Franchising is one of the most dynamic forms of organization for retail networks. Conceptualized as a hybrid form by transaction cost theory, franchising outlets are supposed, in the long run, to be bought by franchisors in order to capture residual rents. However, franchising persists a long time and still represents one of the favorite means to cover territories. This article suggests that this persistence of franchising in the organization of retail networks can be explained by institutional theory. The article also argues that institutional forces exert their influence at multiple levels. Based on this, a set of seven research propositions are developed, setting out a research agenda in this area.     

Market orientation in franchise networks: a contrast analysis of franchisors and franchisees views

Market orientation is considered as key to organizational survival and performance. In inter-firm settings, previous research indicates that it contributes to the overall performance of marketing channels. This research note investigates the perception of market orientation in franchise networks. Based on a dyadic multi-sectorial sample of 27 franchisors and 720 of their franchisees, the study examines how franchisors and franchisees perceive market orientation and to what extent their perceptions are concordant views. The underlying hypothesis is that a common view of the network orientation facilitates co-ordination and eventually performance. Results indicate that although the spirit of market orientation may be partially shared within the franchise channel, its consequences in terms of performance are not uniform.