Clinical negligence in the UK: throwing the baby out with the bath water?

As the total cost of clinical negligence claims has grown in the UK in recent years, calls for reform have resurfaced. The government now plans a White Paper on the subject next years. This paper assesses some of the economic arguments surrounding such reform. It suggests that the principle of negligence performs a useful economic function, that there is sum uncertainty surrounding the precise costs of the UK's clinical negligence, and that costs of alternative systems may sometimes be larger than they first appear.     

The Demand for Broad Money in the United Kingdom, 1878–1993

Using annual data from Friedman and Schwartz (1982), Hendry and Ericsson (1991a) developed an empirical model of the demand for broad money in the United Kingdom over 1878–1975. We update that model over 1976–1993, accounting for changed data definitions and clarifying the concept of constancy. With appropriate measures of opportunity cost and credit deregulation, the model's parameters are empirically constant over the extended sample, which was economically turbulent. Policy implications follow for parameter nonconstancy and predictive failure, causation between money and prices, monetary targeting, deregulation and financial innovation, and the effect of policy on economic agents' behavior.     

HMO coverage of cosmetic procedures: Response to market competition

Theory suggests that insurance policies should not cover purely cosmetic procedures. This paper attempts to explain empirical variation in coverage of a purely cosmetic procedure. Health maintenance organizations (HMOs) are modeled in a Cournot competition with two decisions—the number of policies and the limits placed on medical care utilization. Comparative statics for an individual market suggest, first, that restrictiveness is positively associated with the number of HMOs. Second, restrictiveness is positively associated with the predisposition to demand managed care products. Third, each effect is strengthened by increasing the other parameter. Restriction of tattoo ablation, a purely cosmetic procedure, is examined empirically. The first and second predictions are supported at low levels of predisposition and numbers of HMOs, while the third prediction is not supported. The data were obtained under a grant from the Office of Technology Assessment (HMO Laser Procedure Coverage) and a University of Michigan Rackham Pre-Doctoral Fellowship (InterStudy and County Business Patterns).     

Company Legitimacy in the New Millennium

The relationship between business and society changes over time, and periodically there is a ‘legitimization crisis’. The paper will briefly explore some important questions about company legitimacy: why is company legitimacy important; why do legitimacy crises occur; and finally, are we in a crisis at the moment, and if so how can it be solved? The legal institutionalization of business firms prescribes narrow accountabilities and limited responsibilities: the challenge for business in the new millennium is to open these up and to broaden our understanding of the social significance of business activity without destroying its wealth creating processes. This will require a rethinking of the relationship to the shareholder and a new definition of the relationship with stakeholders.     

Aquatic resources and recreation behavior

While substantial effort has been undertaken to understand the consequences of industrial and agricultural uses for the environment, concern has also been expressed about its other uses, including recreation. Little is known about the relationship between recreational behavior and an environmental resource base. The present paper focuses upon participation in a specific outdoor recreation activity or activity‐cluster and dominant resource base where participation occurs. Resource bases identified were river, lake, ocean, swamp/marsh, forest/mountain, range/ farm and city/town. Emphasis is placed upon aquatic environs and participation in water‐based recreation. Water activities constituted from 14–30 percent of all outdoor activities taking place at those resource bases identified. Aquatic environments provided the resource base for 38 percent of all recreation participation events, water‐ and non‐water based, occurring during one reporting period. While participation in water‐based activities requires a water resource, the array of participation patterns reported suggests that resource bases defined as recreation places provide a wide range of opportunities for non‐resource‐dependent recreation activities. One conclusion is that resource bases cannot be distinguished by the recreation activities occurring on them. Resource bases in fact facilitate a wide range of recreation activities, some holding little direct connection with the resource base, nor are the conditions of the resource sufficient to predict behavioral outcomes.     

Management training in small and medium-sized enterprises: methodological and conceptual issues

The paper examines the impact of management training and development on the organisation and performance of small and medium-sized enterprises (SMEs), via a variety of quantitative and qualitative research techniques and including both crosssectional and longitudinal approaches to analysis. The paper demonstrates the value of management training and development in SMEs and demonstrates a series of one-off and longer lasting effects on their organization and performance. The paper also highlights the conditions under which management development projects are likely to be more successful. Finally, the paper extends the schema developed by Arthur and Hendry (1990) and Hendry et al. (1991), indicating the factors influencing training within businesses, and shows the indirect and complex links between management training and firm performance.     

Managing equal opportunities for women: sorting the friends from the foes

Employees working in Hong Kong were surveyed on their attitudes towards managing equal opportunities for women. Results indicate that gender is a better predictor of attitudes than work identity. Manager/employee work identity has an add‐on moderating effect on some women‐friendly policies but not on others. Out of seven women‐friendly dimensions, women as managers are less receptive of only two: 'training and development' and 'positive equal opportunities'; men as managers, in contrast, are less resistant to 'training and development' and 'flexitime'. The findings suggest that there are three levels of gatekeeping: one, male employees; two, male managers; and three, female managers. We suggest that to help women employees break the glass ceiling, different organisational and societal change programmes are needed to target the different groups of gatekeepers.     

Customer satisfaction measurement and management: A processual analysis

Customer satisfaction (CS) measurement has been widely advocated as central to the pursuit of market orientation, total quality management, and competitive advantage by allowing management to monitor and improve performance in the terms most significant to customers. However, relatively little analytical attention has been devoted to the processual issues implicit in the adoption of CS measurement systems by organizations. This paper presents executive workshop data and new survey evidence to support the contention that both research and managerial agenda should be extended to recognize the multi‐dimensionality of organizational process, and the implications of that characteristic for the adoption and use of CS measurement systems.     

The behaviour of unemployment and unfilled vacancies in Great Britain: a search-turnover View

Previous empirical estimates of the relationship between unemployment and unfilled vacancies in Great Britain have been obtained from a mis-specified model. In particular, past studies have attempted to estimate an equilibrium relation directly from observations which have in general been generated from disequilibrium states of the labour market. This paper presents and estimates a disequilibrium, job search-labour turnover model of the labour market, using quarterly British data, from which a static equilibrium ‘UV’ relationship can be derived. The empirical results suggest that there is no statistically significant equilibrium relationship between unemployment and vacancies in Great Britain. Consquently, the recent controversy over explanations for alleged for alleged shifts in this relationship may have been ‘much ado about nothing’.