Finding a lasting cure for U.S. health care

In "Making Competition in Health Care Work" (July-August 1994), Elizabeth Olmsted Teisberg, Michael E. Porter, and Gregory B. Brown ask a question that has been absent from the national debate on health care reform: How can the United States achieve sustained cost reductions while at the same time maintaining quality of care? The authors argue that innovation driven by rigorous competition is the key to successful reform. A lasting cure for health care in the United States should include four basic elements: corrected incentives to spur productive competition, universal insurance to secure economic efficiency, relevant information to ensure meaningful choice, and innovation to guarantee dynamic improvement. In this issue's Perspectives section, eleven experts examine the current state of the health care system and offer their views on the shape that reform should take. Some excerpts: "On the road to innovation, let us not forget to develop the tools that allow physicians, payers, and patients to make better decisions." I. Steven Udvarhelyi; "Health care is not a product or service that can be standardized, packaged, marketed, or adequately judged by consumers according to quality and price." Arnold S. Relman; "Just as antitrust laws are the wise restraints that make competition free in other sectors of the economy, so the right kind of managed competition can work well in health care." Edward M. Kennedy "Biomedical research should be considered primarily an investment in the national economic well-being with additional humanitarian benefits." Elizabeth Marincola.     

Calibration and hedging under jump diffusion

A jump diffusion model coupled with a local volatility function has been suggested by Andersen and Andreasen (2000). By generating a set of option prices assuming a jump diffusion with known parameters, we investigate two crucial challenges intrinsic to this type of model: calibration of parameters and hedging of jump risk. Even though the estimation problem is ill-posed, our results suggest that the model can be calibrated with sufficient accuracy. Two different strategies are explored for hedging jump risk: a semi-static approach and a dynamic technique. Simulation experiments indicate that each of these methods can sharply reduce risk exposure. JEL Classification G12 · G13     

Customer mind-set of employees throughout the organization

Previous research has provided strong evidence for the benefits of embracing a market orientation, an organizational focus highlighting the needs of customers, and the creation of customer value. This study extends this focus on the customer to the individual worker level. A construct, customer mind-set (CMS), is developed that reflects the extent to which an individual employee believes that understanding and satisfying customers, whether internal or external to the organization, is central to the proper execution of his or her job. In this exploratory study, the authors develop a parsimonious scale for measuring CMS. Relationships between CMS and significant organizational variables are examined to establish CMS's validity and provide some tentative insights into its value to researchers and practitioners. The authors believe the CMS construct will allow for operational-level analysis of the extent to which a customer orientation is embraced throughout an organization, permitting managers to implement targeted improvement strategies. Karen Norman Kennedy is an assistant professor of marketing at the University of Alabama at Birmingham. She earned her Ph.D. from the University of South Florida. Her research interests include customer orientation and cultural change in organizations, as well as the evolving role of customers and employees in today's marketplace. Her work has been published in theJournal of Personal Selling and Sales Management, theJournal of Services Marketing, Industrial Marketing Management, and theJournal of Marketing Education. Felicia G. Lassk is an assistant professor in the Marketing Group of Northeastern University. She received her Ph.D. from the University of South Florida. Her research interests include customer orientation, salesperson job involvement, and measurement issues. Her articles have appeared in the theJournal of Personal Selling and Sales Management, Industrial Marketing Management, and theJournal of Marketing Education, among others. Jerry R. Goolsby is the Hilton/Baldridge Eminent Chair of Music Industry Studies at Loyola University New Orleans. He received his Ph.D. from Texas Tech University. His research interests include issues related to market orientation and its implementation, customer and employee relationships, and sales interactions. His work has been published in theJournal of Marketing, theJournal of Marketing Research, theJournal of the Academy of Marketing Science, and other marketing journals.     

Legislative Organization Under Separate Powers

Existing theories of legislative organization attribute thestrong committee system in the U.S. Congress to members' distributive,informational, or partisan needs. But legislators elsewhereshare these same motivations, yet not all have chosen to organizethemselves in a similar fashion. Therefore the strong committeesystem must derive to some extent from the larger constitutionalcontext, including plurality winner elections, bicameralism,and our focus, the system of separate powers. In particularwe argue that committees established in part to oversee executiveagencies will have preferences biased against those of the executive.Thus committees serve as contrary outliers, acting as a counterweightto executive branch policy making. We find support for thisprediction with data drawn from all standing committees fromthe 80th to 102nd Congresses. We also find that each of theseemingly incompatible theories of legislative organizationpredicts well patterns of committee composition in differentissue areas.     

Shaping of Strategic Behavior: How Macro-Environmental Effects Pattern the Country-Level Participation of Non-US Firms in US Equity Markets

This paper examines the effects of macro-environmental variables on country-level patterns of participation by firms on the US NASDAQ stock exchange. NASDAQ’s popularity can be linked to the strength of its technological system, as well as the high frequency of listings of technology-oriented firms. Using concepts from organization theory, strategy and international business, we consider the impact of political, legal, cultural, and colonial heritage status on the strategic capital-seeking behavior of non-US companies in US markets. We empirically demonstrate that similarity in legal systems and a shared colonial heritage will influence the probability of a non-US country having firm participation on the NASDAQ. The results also indicate that the effects of institutional forces are not static processes     

London bus tendering: the impact on costs

Bids for cost contracts in London Regional Transport bus routes between 1986 and 1993 are analysed for three purposes: to estimate costs for different types of bus operation; to test hypotheses about bidding under competition; to estimate cost savings attributable to tendering. There is no statistically significant difference in costs of operation between public and private sector operators on the tendered network. Bidding behaviour conforms to some features predicted by theoretical models. The estimated cost saving from tendering is 20%.     

Sources and uses of equity extracted from homes

In this paper, we present estimates of the disposition of thefree cash generated by home equity extraction to finance consumerspending, outlays for home improvements, debt repayment, acquisitionof assets, and other uses. We estimate free cash as cash availablenet of closing costs and repayment of other mortgage debt. Wehave also extended the quarterly data series for gross equityextraction, presented in our earlier paper (Greenspan and Kennedy,2005), back to 1968.     

Tourism product development and the changing consumer demand: A case study of Kenya

Kenya is an important tourist destination in Africa accounting for over 6% of the total international tourist arrivals to the continent. However, in recent years Kenya's tourism industry has been experiencing problems of poor performance and continuing decline in the number of international tourist arrivals. This study examines the main characteristics of the country's tourism product vis‐a‐vis the changing trends in global tourism market demands. It is argued that the underlying cause of the recent poor performance of the tourism industry relates to the nature of the country's tourism product. Over the years, Kenya has been offering a limited tourism product that is based on beach and wildlife tourism. Also, the marketing of Kenya mainly depends on overseas tour operators who mainly sell inclusive tour packages. Thus, the form of tourism product that is offered by Kenya has not responded to the recent changes and trends in international tourism market demands. Post‐modern tourists, particularly tourists from developed countries, are increasing becoming aware of the negative impacts of mass tourism and are increasingly looking for alternative tourism products that provide a deeper and more meaningful experience. Thus, if Kenya is to rejuvenate its tourism industry there is need for the country to provide a diverse alternative tourism product which is more appealing to the post‐modern tourists.     

Social marketing theory development goals: an agenda to drive change

ABSTRACT

Environmental, health, and social change is complex and frequently is framed as a problem(s) to be solved. This framing focuses effort on delivery of solutions designed to change systemic environmental, health, and social problems. Theory, an organising framework for effort, remains under-utilised in behavioural and social sciences. An individual psychological lens dominates and emphasis is placed on explaining and predicting individual behaviour and not behavioural change. It is time to break free and deliver frameworks that extend focus beyond individuals to all citizens, and apply new evaluation approaches that assess individual and structural changes. Ten Social Marketing Theory Development Goals (goals) categorised in three groups: (i) research design; (ii) building social marketing theory; and (iii) methodological innovation are outlined to assist social marketers to develop new ways of thinking that will deliver the theory and evidence base needed to outline what practitioners and policy makers should do to effect change.