哈佛法学院外部董事“阴暗面”

随着本世纪初一系列公司丑闻的发生,公司治理改革开始聚焦于董事会外部董事的表现。美国证券交易所上市标准明确要求董事会中外部董事应占多数。很多国家也对董事会外部董事的比例,以及提名委员会、薪酬制定委员会和审计委员会中外部董事的比例做了明文规定。     

Milieugestaltung: Unterwegs in vergangener Zeit

Zusammenfassung  Umweltanforderungen an Umweltkompetenz anpassen — Neben einer altersangepassten Architektur und Funktionalit?t sind es oft kleine Dinge, die die Atmosph?re eines Pflegeheims ausmachen. Im thüringischen Ilfeld sorgte die Neugestaltung eines Wohnbereiches für demenziell erkrankte Bewohner nicht nur für ein heimeliges Umfeld, sie tr?gt auch in hohem Ma?e dazu bei, die Umweltkompetenz der Bewohner zu verbessern.     

Partnership Dissolution in the UK – the Role of Economic Circumstances

Estimates based on couples with dependent children in the first eight years of the British Household Panel Study (1991-98) indicate that changes in a couple's economic circumstances affect the probability that a partnership dissolves. In particular, unexpected improvements in finances substantially reduce the dissolution risk, which strongly supports the importance of new information in decisions concerning partnership dissolution. Measures of a couple's own expectations concerning their financial situation over the coming year have been used in conjunction with realised changes to gauge the impact of unexpected changes. The study also finds that the risk of partnership dissolution increases with the number of children.     

Price rather than nutrition information the main influencer of consumer food purchasing behaviour in South Africa: A qualitative study

In South Africa there has been a paucity of data on food and nutrition labelling since the publication of the new food‐labelling legislation. This study aimed to explore whether the nutrition information on food products influences consumer purchasing behaviour; reasons for reading or ignoring nutrition information on labels, and to investigate expectations regarding food / nutrition labelling. Nine focus‐group discussions were held with adult consumers (N=67) in Cape Town, South Africa. Food price was sometimes the only consideration when selecting food products, irrespective of quality and nutritional value. When buying products for the first time, consumers were more inclined to read the nutrition information compared to habitual purchases or buying known brands. The list of ingredients, nutrient content claims and specific health endorsement logos were considered important. Reasons for reading nutrition information were mainly to assess the nutritional value or health properties, to avoid certain ingredients/allergens and to determine quality. Consumers struggled to understand the information on labels, specifically the nutrition information table. A lack of time or interest, price concerns and trust in labelling information also emerged as reasons why consumers ignore the nutrition information. There is a need for simpler food labelling, more graphics, and less complex terminology, information overload and quantitative information. It is recommended that a standardised front‐of‐package labelling scheme and a single health endorsement logo for South Africa be considered. More should be done to educate consumers on utilising the information on food labels correctly, in order for them to make healthier food choices.     

A budget impact analysis of budesonide/formoterol in patients with mild asthma in Egypt

Abstract

Background: The aim of this study is to estimate the budget impact of budesonide/formoterol fixed dose combination (FDC) vs salbutamol, both used as needed, in mild asthma patients, from the perspective of the Health Insurance Organization (HIO).

Methods: A static budget impact model was developed to assess the impact of budesonide/formoterol FDC entry on HIO budget over a 3-year period in Egyptian settings. Direct medical costs, including the costs of asthma medications, exacerbations, and management of side-effects, were obtained from HIO cost data. Population data were obtained from the World Bank and supplemented with local studies, and the rates of exacerbations, adverse effects, and number of sick leave days were elicited from the SYGMA 1 trial. Scenario analyses from a societal perspective and deterministic sensitivity analyses were conducted.

Results: The total costs (drug and non-drug costs) for managing mild asthma patients from the HIO perspective were estimated to be EGP8.563 billion before budesonide/formoterol entry compared to EGP5.525 billion post-entry, leading to a total budget savings of EGP3.038 billion after 3?years. This total budget saving included an increase in drug costs (EGP104 million) and a decrease in non-drug costs (EGP3.143 billion). Drug costs were higher in the budesonide/formoterol group than in the salbutamol group, but this cost was offset by reductions in non-drug costs, resulting in a reduction in the total costs of healthcare resources. At the societal level, the total budget savings after including the indirect costs was expected to be EGP5.976 billion after 3?years of budesonide/formoterol entry.

Conclusion: Budesonide/formoterol in mild asthma instead of salbutamol produces better patient outcomes and decreases total costs, with increases in drug cost offset by reductions in non-drug costs due to fewer exacerbations. Budesonide/formoterol is a budget saving option for guideline-directed treatment, from the economic perspective of the payer and the health perspective of the patient.     

The economics of standardized patient education materials with veteran patients

With an increasing number of veterans seeking care, it becomes imperative that the resources within the system are used efficiently and effectively and in a manner that maintains access, safety, and quality of care. Veterans who are able to manage their own care may utilize provider services less frequently, thereby increasing access for others who require more care. The objective of this quality improvement study was to determine the effectiveness of providing a standardized self-management textbook of health information with the intent that it would decrease demand on primary care providers' time for minor health care issues. This initial quality improvement study clearly demonstrated the potential of the return on investment and the subsequent potential for increased access for veteran patients, appropriate use of limited resources, and improved patient outcomes. It also clearly demonstrated the value of interaction with the veterans to educate them about their care and the increased satisfaction individualized attention to their needs creates. That finding alone has a greater value than just economics.     

Climate risks and U.S. stock-market tail risks: A forecasting experiment using over a century of data

We examine the predictive value of the uncertainty associated with growth in temperature for stock-market tail risk in the United States using monthly data that cover the sample period from 1895:02 to 2021:08. To this end, we measure stock-market tail risk by means of the popular Conditional Autoregressive Value at Risk (CAViaR) model. Our results show that accounting for the predictive value of the uncertainty associated with growth in temperature, as measured either by means of standard generalized autoregressive conditional heteroskedasticity (GARCH) models or a stochastic-volatility (SV) model, mainly is beneficial for a forecaster who suffers a sufficiently higher loss from an underestimation of tail risk than from a comparable overestimation.     

GOVERNING MIGRATION THROUGH SMALL TOWNS: Dispersal and the Production of Spaces of Transit

Based on qualitative long-term fieldwork conducted in a peripherally located small town in East Germany, this article compares the dispersal of repatriates from the former Soviet Union with that of recent refugee arrivals. It shows that in this small town the dispersal and local governance of refugees builds on previous approaches to dealing with repatriates. Such approaches repeatedly result in cycles of localized distribution and subsequent small-scale segregation, short-term integration activities, the detachment of both groups from the town and, finally, migrants’ subsequent outmigration and relocation to other (mostly larger) cities. To make sense of this path dependency in terms of its specific patterns and characteristics, and to explore the relationships between dispersal, local policy framings, and in- and outmigration to and from small towns, I apply a studying through dispersal approach. This approach reveals that dispersal is an important factor in making and unmaking local migration policies. It can turn small towns into productive sites for migration governance, often transforming them into mere waiting zones and transit spaces. This not only continues migrants’ experiences of displacement but also impacts on the image of the small town, where migrants themselves may not want to reside permanently.