Evolution of the Infant Health Production Function

Michael Grossman's seminal publication on the demand for health and health production (Grossman 1972) has spawned a substantial body of research focusing on the production of infant health. This article provides a systematic review of the published literature to date on infant health production and how it has evolved over the past 3–4 decades as data have become more available, computing has improved, and econometric methods have become more sophisticated. While empirical research in most fields has expanded in corresponding ways, the infant health production research has become an important part of the broader and inherently multidisciplinary literature on intergenerational health. The strongest and most robust findings are that policies matter for infant health, particularly those affecting access to health care, and that prenatal smoking and other chemical exposures substantially compromise infant health. Promising directions for future research include elucidating relevant pathways, reconciling the largely inconsistent estimated effects of nutrition and education, and exploring the roles of preconceptional and lifetime health care, paternal factors, social support, housing, complementarity and substitutability of inputs, factors that modify effects of inputs, and evolving medical technologies.     

Quality indicators for academic nursing primary care centers

ANCs, by definition, deliver more than clinical services to patients and communities. The unique identifier that separates ANCs from other primary care/ambulatory care centers is the educational service they offer to students and other faculty in the school of nursing to which they belong. Therefore, measuring the quality of an ANC must include a measurement of the educational properties that it possesses in addition to the usual quality measurements by such organizations as AAAHC, JCAHO, CHAP, and AAACN. Unless these properties are included and measured by an ANC, it becomes difficult to justify the existence of such a clinic within a school of nursing. ANCs are encouraged to develop quality evaluation programs aimed at evaluating the educational aspects as well as the administrative and clinical aspects of their operations.     

Curriculum assessment through a capstone course: a case study in hospitality and tourism programs

The purpose of this study was to develop a systematic process that other educational institutions and programs could follow to establish a consistent and accurate evaluation method for a capstone course. Hospitality industry professionals and hospitality management faculty were interviewed through focus-group discussions, and a post-focus-group survey was conducted to determine a weighted percentage for each of the nine determined content domains. A test blueprint for a hospitality management capstone course was developed to measure programmatic student learning outcomes based on the weighted domains determined through this study. The results provide a usable instrument for hospitality and tourism management programs to enhance their current assessment methodology.     

Oppression, emancipation, and volunteer tourism: Research Propositions

This paper develops research propositions for volunteer tourism using a combination of critical theory and social movement theory as a foundation. As is often the case with emerging areas of research, a theoretical foundation has been difficult to establish in volunteer tourism. The inherent contradictions of volunteer tourism, particularly concerning the interplay of oppression/emancipation, dependency/resistance and dominant hegemony/agency beg to be deconstructed with a critical theory lens. Social movement theory then in turn offers a tool through which researchers can look to break the hermeneutic circle by examining good practices in volunteer tourism, particularly concerning potential improvements for all stakeholders in self-efficacy, resource networks, and consciousness-raising experiences. The paper culminates with a proposition model based on these theoretical perspectives.     

Procyclicality of the comovement between dividend growth and consumption growth

Duffee (2005) shows that the amount of consumption risk (i.e., the conditional covariance between market returns and consumption growth) is procyclical. In light of this “Duffee Puzzle,” I empirically demonstrate that the conditional covariance between dividend growth (i.e., the immediate cash flow part of market returns) and consumption growth is (1) procyclical and (2) a consistent source of procyclicality in the puzzle. Moreover, I solve an external habit formation model that incorporates realistic joint dynamics of dividend growth and consumption growth. The procyclical dividend-consumption comovement entails two new procyclical terms in the amount of consumption risk via cash flow and valuation channels, respectively. These two procyclical terms play an important role in generating a realistic magnitude of consumption risk. In contrast to extant habit formation models, the conditional equity premium no longer increases monotonically when a negative consumption shock arrives because it might lower the amount of risk while increasing the price of risk.     

Getting Shut Out of the International Capital Markets: It Doesn't Take Much*

We use a simple model of international lending to show that an emerging market borrower who might default can be shut out of international capital markets without warning. A modest haircut on obligations, for example, can shut down lending.     

Strategic and Business Planning Practices of Fast Growth Family Firms

Fast-growth family firms were surveyed about their business and strategic planning practices. Of the 65 fast-growth family firms surveyed, the majority prepare written formal plans. The business plans are in sufficient detail to enable the business to tie planning to actual performance and to adjust management compensation accordingly. The majority of the firms regularly share information with employees regarding comparisons between actual company performance results and goals or planned performance. Further, the majority of the firms describe their business strategy as a high quality producer strategy rather than as a low-cost or time-based strategy. Further, when bringing new products to market, these fast-growth family firms adopt a first mover or early follower strategy. Implications of these findings for growth-oriented family firms are presented.     

Performance analysis of a focused hospital unit: The case of an integrated trauma center

The concept of focus [Skinner, W., 1974. The focused factory. Harvard Business Review 52 (3), 113–121], notably operationalized in manufacturing entities like cells and focused factories, has also been adopted by the health care industry. Examples include patient-focused care systems and product/service lines. Despite its longevity, there is a paucity of studies analyzing the focus concept and its link to performance, especially in health care. This research is aimed at enhancing our understanding of how a focus-based approach to organization redesign in health care affects processes and practices, and what operational, clinical, and financial outcomes result from such a change. The research setting is a single case site within a large medical center for which costs for trauma care used to exceed income. Using a structured framework, we document the design and operation of this physically and organizationally integrated Level I trauma care center and compare it to its preceding operation. Its pre- and post-conversion performance is analyzed using symmetric event windows covering three-year periods before and after the focused hospital unit (FHU) was established. Under a sizable increase in workload, we find no change in mortality, moderate improvement in length of stay, and a large improvement in net operating margins. Surprisingly, the latter stem not from reductions in cost but in sharply increased hospital reimbursements. Previous studies of hospital restructuring involving focused patient populations have not conclusively supported a positive link between focus and outcomes. However, this investigation of a specific FHU suggests, conceptually as well as quantitatively, that focus can be an attractive element in health care system design.     

Tourism Policy Making:: The Policymakers’ Perspectives

This research explores tourism policy making, from the perspectives of policy makers using grounded theory. It focuses on Leeds, a city in the North of England, which is characterized by its turbulent environment. The paper identifies themes around policy making, including low status, lack of clarity, uncertainty, lack of consensus and congruence and complexity. Its findings indicate policy making is essentially a social process, involving communication and negotiation between people in the context of wider change. It suggests a social conceptualization, and further research to investigate the communications involved in producing policy rather than the focus on the tangible outputs of the process such as a plan or a physical development.