Outsourcing in the German Hospital Sector

Being under pressure both from demographic changes in most industrialised countries and increasingly scarce financial resources in social security, in the last decade the German hospital sector tried to find some relief in outsourcing of services not belonging to its core competences like IT services, catering and cleaning. However, not all the hopes connected with this strategy have been fulfilled. This paper takes stock of the current situation of outsourcing in the German hospital sector mainly by the size of the institution. It describes the patterns of outsourcing in the sector, looks at the reasons for outsourcing, and describes the experiences with it of the hospitals on the one hand and the service providers on the other. We conclude by expressing our expectations concerning the foreseeable future of outsourcing in the German hospital sector.     

An interest rate peg might be better than you think

Active interest rate policy is frequently recommended based on its merits in reducing macroeconomic volatility and being a simple device. Yet, it might be outperformed by an even simpler policy. A peg can be welfare-enhancing and can uniquely be implemented.     

Tensions in local government employment relationships

Abstract

A wide variety of initiatives characterized under the umbrella term of new public management have been introduced over the past two decades to improve efficiency and cost-effectiveness in the public sector. The implications of these initiatives for public sector employment relationships have been the subject of on-going debate. This article contributes to this debate through examining how employees within local authorities are managed in a time of personal crisis with a particular focus on long-term sickness absence in the context of increased management drives for efficiency under the NPM agenda. The findings reveal that for managers in two local authorities that form the focus of this study there is a tension in struggling to achieve a workable balance between the needs of employees and wider operational requirements, resulting in role ambiguity for line managers and detrimental effects for vulnerable public service workers.     

Coming attraction

Francesca Cornelli, Richard D'Aveni, Andrew Kakabadse, Rosabeth Moss Kanter, Markus Reitzig, Fons Trompenaars and Kim Warren share their latest research.     

The effect of IMF lending on the probability of sovereign debt crises

This paper explores empirically how the adoption of IMF programs affects sovereign risk over the medium term. We find that IMF programs significantly increase the probability of subsequent sovereign defaults by approximately 1.5–2 percentage points. These results cannot be attributed to endogeneity bias as they are supported by specifications that explain sovereign defaults and program participation simultaneously. Furthermore, IMF programs turn out to be especially detrimental to fiscal solvency when the Fund distributes its resources to countries whose economic fundamentals are already weak. Our evidence is therefore consistent with the hypothesis that debtor moral hazard is most likely to occur in these circumstances. Other explanations that point to the effects of debt dilution and the possibility of IMF triggered debt runs, however, are also possible.