Hospital Numerical Flexibility and Nurse Economic Security in China and India

This article contrasts the flexibility of Chinese and Indian urban hospitals and the security of nurses. The study draws on a survey of 55 urban hospitals, and finds that national context generates different flexibility–security outcomes even when workers with similar skills are considered. Our findings support claims that China is constructing a flexibility–security regime that aims to promote both security and flexibility, and that India remains attached to employer‐based social protection, but challenges the claim that economic growth is higher in China because India's employers have relatively less capacity to utilize labour‐time as they wish.     

Knowledge exchange in networked organizations: does place matter?

While many studies of knowledge exchange have been undertaken in private and service organizations, government and R&D enterprises, few have studied scientific inter‐organizational collaborations. Furthermore, in the literature on international networks there has been a tendency to assume that knowledge exchange will be inevitably enhanced by global dispersion. Two linked dynamics deserving further study are the role of geographic proximity and the role of information and communication technologies in facilitating knowledge flow across international networks. Studies of intra‐ and inter‐firm knowledge transfer, managerial work values and cultural norms all point to China as being a fascinating counterpoint for the way knowledge exchange might occur in Europe. So in this study of the ATLAS collaboration, a ‘big science’ global network of 3,500 physicists, we explore the perceptions of two subgroups: UK physicists working in Europe and Chinese scientists based in Beijing and HeFei. Findings from 24 interviews and non‐participant observation reveal that face‐to‐face working at European Organization for Nuclear Research (Geneva) is not without its difficulties, but for a variety of sociocultural reasons, it is primarily the Chinese scientists who perceive themselves to be inhibited from full participation in effective knowledge exchange.     

Carving and tourism: A maori perspective

Maori retained high levels of self determination under the Treaty of Waitangi in 1840, although much of the subsequent history of the 19th century involved attempts both formal and informal by the colonial powers to subvert the Act. Therefore, while tourism has brought significant economic advantages for some tribes (iwi), and promises economic returns for others, Maori are insistent that they retain control over the process. The paper describes some of the significant impacts of tourism on Maori culture, but it is concluded that the truths of tourist impacts are plural, and can only be understood within an understanding of Maori cosmology. As such, Maori are adept at distinguishing between the signs and symbols of tourist artifacts.     

Healthcare costs for Crohn’s disease patients treated with infliximab: a propensity weighted comparison of the effects of treatment adherence

Objective:

The objective for the research was to evaluate the direct healthcare costs for Crohn’s disease (CD) patients categorized by adherence status.

Methods:

Adult patients with ≥1 claim for infliximab and ≥2 claims for CD who were continuously insured for 12 months before and after their first infliximab infusion (index date) were identified in a 2006–2009 US managed care database. Patients were excluded if they had rheumatoid arthritis claims, received infliximab billed as a pharmacy benefit, or received another biologic drug. Patients were categorized as being either adherent or intermittently adherent to infliximab using a pre-defined algorithm. Total and component direct costs, CD-related costs, rates of surgery, and days of hospitalization were estimated for the 360-day post-index period. Propensity weighted generalized linear models were used to adjust the cost estimates for potential confounding variables.

Results:

The total propensity weighted cost for infliximab adherent patients was $40,425 (95% CI?=?[$38,686, $42,242]), compared to $41,082 (95% CI?=?[$38,163, $44,223]) for the intermittently adherent (p?=?0.71). However, adherent patients had lower total direct medical costs, exclusive of infliximab, that were $13,097 (95% CI?=?[$12,141, $14,127]) compared with $20,068 (95% CI?=?[$17,676, $22,784]) for intermittently adherent patients as a result of substantially lower hospital and outpatient costs (p?Conclusions:

Greater drug-related costs for infliximab adherent patients were offset by lower costs from hospitalization and outpatient visits. These findings indicate that adherent patients have improved clinical outcomes, at a similar aggregate cost, than patients who are only intermittently adherent to therapy.     

A Long-run Analysis of Cooperative Housing Societies and Housing Construction in Victoria, Australia

Housing construction is an important component of economic development. The use of cooperative housing societies is one means of channelling scarce financial resources to housing construction. The aim of this paper is to explore the causes of the rapid growth and subsequent decline of the cooperative housing societies as a source of housing finance in the State of Victoria in Australia during the years 1947 to 1992. Significant evidence is established of a strong relationship between the availability of funding for the societies and the growth of their assets. Mixed results are presented for the impact on the general level of housing construction.     

Industrial restructuring and regional policy

The paper examines the changing regional specialisation of UKemployment over the period 1971-94, analysing the extent towhich UK regional policy has altered the industrial structureof the Assisted Area regions, making them less vulnerable toeconomic change. All regional economies are found to have becomemore specialised, but industry has become less geographicallyconcentrated leading to a convergence of regional industrialstructures towards the national pattern of employment. Thesetrends are stronger in the Assisted Areas, and have been promotedby the operation of regional policy, but the major policy effectoccurs through the large-scale capital grants which have acceleratedthe employment decline of the traditional manufacturing industriesin which the Assisted Areas were relatively over-represented.     

Political uncertainty and investments by private and state-owned enterprises

We study corporate investments around national elections in India. Investment rates drop by a nonsignificant 2.2% for state-owned enterprises (SOEs) in election years. The decrease is significantly larger for private firms, which record an investment drop of 7.4%. The decrease in investment for private firms is likely attributable to political uncertainty. SOEs balance political uncertainty with the desire to woo voters who want government investments. Investments in election years are perceived positively for both private firms and for SOEs. Increased investment by SOEs and reduction in investment by private firms during election years are associated with improved investment efficiency.     

Beyond ‘Euroland’: British trade unions,the single currency and European integration

British trade unions have differing perspectives as to the desirability of UK membership of the eurozone. This paper provides a critical review of the spectrum of union views and highlights key points of disagreement and areas of common ground. An agenda for further reflection upon the euro by the unions is also offered. Finally, the paper considers union positions on the implications of the wider process of European integration for industrial relations.     

Book review

Built by Japan: Competitive Straegies of the Japanese Construction Industry, Fumio Hasegawa & Shimizu Group FS New York, John Wiley & amp; Sons, 1988, 204 pp., US$25.00.

Technological Change at Work Ian McLouglin & Jon Clark Milton Keynes, Open University Press, 1988, 202 pp., Pb £9.00, Hb £25.00.

Enterprising Innovation: An Alternative Approach Veronica Mole & Dave Elliott London, Frances Pinter, 1987, pp. 180.

Flexible Automation: The Global Diffusion of New Technology in the Engineering Industry Charles Edquist Jacobsson Oxford, Basil Blackwell, 1988, Hb £35.00.

Expert Systems: Strategic Implications and Applications A. Beerel Chichester, Ellis Horwood Ltd, 1988, 173 pp., £22.50.