The IMF’s adjustment concept

Both creditor and debtor countries ascribe an important medium-term role to the International Monetary Fund in tackling the debt problem. What possibilities are there for the IMF to exert influence and what use does it make of them?     

Strength of preference and cardinal utility

Summary. This paper provides simpler and more general preference foundations for difference representations than known before and shows how to obtain cardinal utility from those difference representations. In addition, this paper unifies all earlier derivations of cardinal utility by showing that they are implied as direct corollaries.Received: 9 November 2002, Revised: 27 December 2004, JEL Classification Numbers: C6.The author particularly thanks Peter P. Wakker and an anonymous referee for many helpful comments and suggestions. The author also thanks Han Bleichrodt and Horst Zank. The paper was partly written during a visit at the Kellogg School of Management, Northwestern University. The author thanks the Dutch Science Foundation NWO for financial support under grant 425-11-003.     

CEO succession research: methodological bridges over troubled waters

Disappointed by the lack of consistent and robust findings, scholars suspect that the problems may be related to our research methods and have frequently called for longitudinal, clinical, and psychometric studies of succession. This article compares the findings from one such study with representative studies in the literature. Examining the operationalization of key variables used to study succession antecedents, processes, and organizational consequences, it reveals possible reasons for the disappointing results and suggests ways of strengthening those operationalizations. In addition to suggesting refinements in the measurement of performance, the comparative exercise demonstrates why current proxies for personality and power may create difficulty. It concludes that both field and large‐sample research stand to benefit from a closer collaboration. Copyright © 2000 John Wiley & Sons, Ltd.     

Selling shares to retail investors: auction vs. fixed price

We analyze the problem of selling shares of a divisible good to a large number of buyers when demand is uncertain. We characterize equilibria of two popular mechanisms, a fixed price mechanism and a uniform price auction, and compare the revenues. While in the auction truthful bidding is a dominant strategy, we find that bidders have an incentive to overstate their demand in the fixed price mechanism. For some parameter values we find that the fixed price mechanism outperforms the auction.     

How much could be saved in Chinese hospitals in procurement of anti-hypertensives and anti-diabetics?

Background: Efficient use of government funding has been increasingly relevant for the success and sustainability of ongoing health-system reform in China; however, as there is no generic substitution policy, patients and basic health-insurance programs pay more for public-preferred brand originators. Such phenomenon is especially typical in public hospitals. The objective of this study is to estimate the potential cost savings in procurement by Chinese public hospitals when switching from brand originators of anti-hypertensive and anti-diabetic medications to their generic equivalents between 2012–2014.

Method: IMS Health volume and value consumption data (IMS China Hospitals Audit system 2012–2014) were used, which covered all Chinese hospitals with 100 beds and above. The top 60% IMS volume consumption of respective anti-hypertensive and anti-diabetic medication with unique dosage form and strength were included. The potential cost savings were calculated from a switch of brand originators with their generic equivalents on the Chinese and international market. An independent sample t-test was conducted to compare the difference of proportion of cost savings in value between the Chinese and international market.

Results: An average of 44% (US$44 million) and 87% (US$90 million) and a total of US$1.4 and 2.8 billion (2014?US$) could be saved from a switch from originator brand anti-hypertensives and anti-diabetics to domestically and internationally available generic equivalents, respectively. The differences of cost savings (in proportion) between domestic and international market were statistically significant (α?=?0.005, p?=?0.003, p?=?0.002, p?=?0.000).

Conclusion: Expensive brand originators dominated the anti-hypertensive and anti-diabetic market in Chinese hospitals between 2012–2014. Preference of brand originators wastes a huge amount of health resources in China and these limited resources could have been used more efficiently. As one of the world’s key generic suppliers, if China wants to use its health resource more efficiently on medicines, comprehensive measures are needed to address both demand-side (consumers’ low trust in the quality of local generics) and supply-side barriers (health professionals’ preference of brand originators).     

Die Folgen eines russischen Erdgasembargos

Wirtschaftsdienst - Sanctions and their effectiveness are at the centre of the discussion about an appropriate response to Russia’s war of aggression against Ukraine. At the latest since the...     

Kohleausstieg 2030 unter neuen Vorzeichen

Wirtschaftsdienst - Der russische Angriff auf die Ukraine und die Abhängigkeit der deutschen Energiewirtschaft von russischem Gas führen aktuell zu einer sehr angespannten...     

Sustainability-oriented future EU funding: a financial transaction tax

Although responsibility for realizing the Europe 2020 strategy is shared between the EU and its 28 member states, the main criticism of the current EU budget relates to the lack of a link between the budget and the Europe 2020 strategy. Therefore the paper focuses on a new budget design as well as alternative revenue sources. One of the possible candidates is a financial transaction tax (FTT). To research FTT revenue potential, a model based on a remittance system was designed. We analyse full or partial replacement of VAT- and GNI-based own resources by the transfer of tax revenues from a FTT raised on the national level to the EU budget. The research reveals that FTT-based own resource would be able to fully replace GNI-based own resource only for some EU member states; however, VAT-based own resource can be fully replaced by a FTT-based own resource for the entire EU. Further, results also show that from the EU11 (28) perspective, the tax is sufficient to fully replace VAT- or GNI-contributions if levied on the EU11 (28) level (not on the national level) as a direct payment to the EU budget without tracking the source member State.