Multiprofessional Cooperation and Accountability Pressures

Abstract

This article examines how multiprofessional healthcare teams, working as a post-New Public Management (post-NPM) reform, respond to accountability pressure resulting from the implementation of NPM reforms. The team members use three strategies to respond to this pressure: responsibility avoiding that results in conflict; responsibility ignoring that results in parallel work and responsibility sharing that results in cooperation. Depending on how the professionals respond to different contextual factors, the choice of strategies can either foster or inhibit cooperation in multiprofessional teams. Achieving holistic patient care is threatened when accountability pressure increases for teams that have not yet developed their internal routines of cooperation.     

Sealed bid auctions versus ascending bid auctions: an experimental study

This paper considers two multi-item auction formats (ascending and sealed bid) which both identify the minimum Walrasian equilibrium prices and where truthful preference revelation constitutes an equilibrium. Even though these auction formats share many theoretical properties, there are behavioral aspects that are not easily captured. To explore this issue in more detail, this paper experimentally investigates what role the design of the auction format has for its outcome. The results suggest that the sealed bid mechanism performs weakly better in all of the investigated measures (consistent reporting, efficiency etc.). In addition, we find that the performance of the ascending auction is increasing over time, whereas the sealed bid auction shows no such tendency.     

On the macroeconomic effects of establishing tradability in weak property rights

The New Economy is closely associated with computing & communications technology, notably the Internet. We discuss property rights to, and trade in, the difficult-to-define intangible assets increasingly dominating the New Economy, and the possibility of under-investment in these assets. For a realistic analysis we introduce a Schumpeterian market environment (the experimentally organized economy). Weak property rights prevail when the rights to access, use, andtrade in intangible assets cannot be fully exercised. The trade-off between the benefits of open access on the Internet, and the incentive effects of strengthened property rights, depend both on the particular strategy a firm employs to secure property rights, and the protection offered by law. Economic property rights can be strengthened if the originator can find innovative ways to charge for the intangible assets. The extreme complexity of the New Economy and the large number of possible innovative private contract arrangements make it more important to facilitate the use and enforcement of private individualized contracts to protect intellectual property than to rely only on standard patent and copyright law. Enabling law is one proposed solution. Current patent legislation in the US has led to costly litigation processes weakening the position of small firms and individuals in patent disputes. The property rights of such firms and individuals could be strengthened with insurance or arbitration procedures.JEL Classification: D21, D23, D52, D82, H54, K11, K22, K41, L11, L23, M13, O14, O33An earlier version of this paper was presented at the 9th Congress of the International Joseph A. Schumpeter Society (ISS), Gainesville, Florida, USA, March 28-30, 2002. The paper is part of the Nödfor project on Schumpeterian Creative Destruction, notably the exit and bankruptcy process, based at the Ratio Institute, Stockholm.     

On the validity and reliability of self-reported vote: validity without reliability?

Data from seven Swedish election study panels, 1973-1994, were analyzed to assess simultaneously the validity and reliability of self-reported vote. Eight categories were created, based on self-report at Time 1, an external check, and self-report at Time 2. Overall the validity and reliability of this measure were quite high. However, the cases in which the measure was valid but not reliable outnumbered those in which it was reliable but not valid. Subsequent turnout behavior was most strongly predicted by what people had done previously, but the two self-report measures were also significant predictors in the regression analysis. The eight categories were then compared on a series of demographic and political variables.     

A fundamental asymmetry of asymmetric shocks

A simple N-country specific-factor-type model with imperfectly mobile labour is developed. It is shown that the effects of country-specific productivity shocks hitting a small country have fundamentally asymmetric effects: A positive shock will be accommodated by a moderate wage increase and sizeable in-migration, whereas a negative shock will be accommodated by a significant decrease in wages and moderate out-migration. It is argued that the results of the model are consistent with the recent Irish experience. The welfare effects of small economic fluctuations are also discussed.     

芬兰明珠拉彭兰塔市

TheCityofLappeenrantahasalonghistoryasaniagnetfortourists,thegatewaytotheuniquelybeautifullakedistrictofEasternFinland.Nowadays,withnearly60,000inhabitantsLappeenrantaisamodernindustrial,administrativeandeducationalcentreoftheSouthKarelianRegion.Lappeenra…     

Learning‐by‐Exporting Revisited: The Role of Intensity and Persistence*

Two non‐mutually exclusive hypotheses can explain the empirically established export premium: self‐selection of more productive firms into export markets and learning‐by‐exporting. This paper focuses on how the temporal dimension of firms' exporting activities and the intensity of exports influence the scope of learning effects. Using a panel of Swedish firms and dynamic generalized method of moments estimation, we find a learning effect among persistent exporters with high export intensity, but not among temporary exporters or persistent exporters with low export intensity. For small firms, exports boost productivity among persistent exporters with both high and low export intensity, but the effect is stronger for persistent export‐intensive small firms.     

Herzberg's Two-Factor Theory of work motivation tested empirically on seasonal workers in hospitality and tourism

The objective of this study was to understand work motivation in a sample of seasonal workers at a tourism destination strongly steered by seasonality. Furthermore, it was investigated whether seasonal workers could be divided into worker subgroups on the basis of their work motivation. A structural equations model tested Herzberg's Two-Factor Theory of work motivation empirically. The findings of the study support the Two-Factor Theory of work motivation. Furthermore, results indicated that a migrant community of workers was significantly less concerned about wage level as well as significantly more concerned about meeting new people than resident workers. As a result of these findings, it is suggested that management of businesses in hospitality and tourism need to consider that the seasonal workforce consists of different kinds of worker subgroups, which have different needs to be satisfied.     

Business Cycles, the Exchange Rate, and Demand for Antidumping Protection in Mexico

Antidumping actions in the US and EU are known to be linked to macroeconomic conditions. In part, this is because positive injury findings may be easier to make in a downturn, increasing the chance of success for complainants. We explore the evidence for Mexico, one of the main “new” antidumping regimes. Injury determination is also critical in Mexico’s antidumping policy, as a majority of unsuccessful complaints have been rejected because of negative injury findings rather than negative findings of dumping. Working with data from 1987 to 2000, we provide evidence for a relationship between macroeconomic factors and antidumping complaints, including current account and exchange rate movements, and both local and global general macroeconomic conditions.     

Effective patent life of drugs in Sweden—a comparison with international studies

The effective patent life of all pharmaceutical New Chemical Entities registered in Sweden was investigated for the period 1965-88. Three-year moving average effective patent life was 12.3 years in the beginning of the period, while by the end of the period it had decreased to 8.3 years. If we exclude the increase in the nominal patent term which accompanied Sweden's entry into the European Patent Convention, the effective patent life decreases over the period by over 3 months per year. This coincides with the results of similar studies in other countries. If European research-oriented Pharmaceuticals companies are to maintain their international long-term competitiveness, patent term restoration measures appear to be urgently needed.