Is low-priced primary care bad for quality? Evidence from Australian general practice

We examine whether patients’ perceptions of general practitioner (GP) care varies by the price paid for consultations. Australian consumer survey data from 2275 individuals were used to analyse the relationship between price and patient experience of GP care. Using both standard models for count data and a latent class model that distinguishes between patients with high- and low-quality experiences, we find no evidence that lower prices have a negative impact on patients’ perceptions of GP quality. Nevertheless, some patient characteristics such as age, gender and health status play a significant role in quality-of-care perceptions. The results show that Australian patients have not had to compromise GP quality, as expressed in terms of patient experience, when seeking low-priced care. This supports the view that there are sufficient checks and balances on the GP sector in Australia to ensure positive patient experiences even for low-cost GP consultations.     

Cost Benefit Analysis of European Air Quality Targets for Sulphur Dioxide, Nitrogen Dioxide and Fine and Suspended Particulate Matter in Cities

The European Commission has proposed air quality standards for NO₂, SO₂ and PM₁₀ to be in force by 2010. The present paper presents a study that gauged their costs and benefits. An analysis of the expected emissions for 2010 (reference emission scenario), using simplified air quality models, showed that non-compliance with these standards will occur in cities only, not in rural areas. Most compliance problems are expected for PM₁₀, least for SO₂. Central estimates of the costs to meet standards range from 21 MECU (SO₂), to 79 MECU (NO₂) to 87--225 MECU (PM₁₀). The estimated benefits are 83--3783 MECU (SO₂), 408--5900 MECU (NO₂), and 5007--51247 MECU (PM₁₀). Uncertainties are high, due to errors and incertitude in various steps of the methodology, mainly the estimation of the human health effects, in particular effects on mortality, and in the valuation of a statistical life. In the case of PM₁₀, additional uncertainty results from the small size of the air quality database. Notwithstanding the uncertainties, the indications are that the benefits exceed the costs.     

Who's Getting Caught? An Analysis of the Australian Medicare Safety Net

The Medicare Safety Net (MSN) was introduced in March 2004 to provide financial relief for those who incur high out-of-pocket costs from medical services. The policy has the potential to improve equity. This study examines: (i) how the health and income profiles of small areas influence MSN expenditure; and (ii) the distribution of expenditure by medical service type. The results indicate that MSN expenditure is positively related to income and that patients who use private obstetricians and assisted reproductive services are the greatest beneficiaries. The MSN has possibly created greater inequities in Australia's health-care financing arrangements.     

The Challenge of Setting Standards for a Worldwide Constituency: Research Implications from the IASB’s Early History

Based on Camfferman and Zeff [(2015). Aiming for global accounting standards: The International Accounting Standards Board, 2001–2011. Oxford: Oxford University Press] we reflect on possibilities for academic research on the International Accounting Standards Board (IASB) and its International Financial Reporting Standards (IFRSs). We argue that a research agenda may be formed around the notion that the IASB differs from national standard setters because its constituent base includes jurisdictions as well as the more traditional preparer, user and auditor constituency groups. We show that taking a jurisdictional angle draws attention to the variety among the IASB’s jurisdictional constituents, identifying numerous research possibilities related to their decisions to adopt, or not to adopt, IFRSs, and to the mechanisms they have developed to form their own IFRS policies and to interact with the IASB. We illustrate how the IASB’s structure, governance, processes and standards are influenced by the challenge of reconciling the needs and values of jurisdictional constituents with the objective of setting global accounting standards. We call for research on the ramifications of the diversity of jurisdictional constituents, as well as changing perceptions of standard setting within jurisdictions, for all aspects of the functioning of the IASB. Such research should make greater use of the variety of sources available to researchers today.     

21st century scandals: towards a risk approach to financial reporting scandals

Financial reporting scandals in the 21^st century have been followed by many changes in the regulatory framework of financial reporting. While it is natural to ask for research evidence on the effectiveness of these changes in preventing new scandals, we discuss some of the difficulties in conducting this type of research as well as limitations of commonly used approaches. We argue as the central point of this paper that both research and regulation should be based on an explicit acceptance of a permanent risk of financial reporting failure, rather than working on the assumption that this risk can and should be ever further reduced. Acceptance of this point of view can turn what is currently a scattering of unconnected research efforts into a coherent research agenda with potentially high relevance. Facing the existence of permanent financial reporting risk leads to a series of interconnected questions including the measurement of this risk, both actual and as perceived by various stakeholder groups, communication and education concerning these risks, and mechanisms to share or transfer these risks.     

The cyclicality of R&D investment revisited

In Fabrizio and Tsolmon (Review of Economics and Statistics, 2014, 96(4), 662–675) and Barlevy (American Economic Review, 2007, 97(4), 1131–1164) it was concluded that R&D investments are procyclical. Fabrizio and Tsolmon utilized a model based on Barlevy, but it differed in some respects and allowed for more heterogeneity. However, we doubt whether their implied trends are intended. Fabrizio and Tsolmon also set missing values for R&D equal to zero, leading to unrealistic jumps in investment and its first differences. We reconcile and replicate both the Fabrizio and Tsolmon and Barlevy papers by considering extensions that encompass both models. Furthermore, we treat missing values more appropriately and consider some alternative specifications to check the robustness of the results. Procyclicality is confirmed, but we find much less heterogeneity than Fabrizio and Tsolmon did. In particular, obsolescence and patent effectiveness are no longer important but external financing is.     

The Economic Value of Corporate Eco‐Efficiency

This study adds new insights to the long‐running corporate environmental‐financial performance debate by focusing on the concept of eco‐efficiency. Using a new database of eco‐efficiency scores, we analyse the relation between eco‐efficiency and financial performance from 1997 to 2004. We report that eco‐efficiency relates positively to operating performance and market value. Moreover, our results suggest that the market's valuation of environmental performance has been time variant, which may indicate that the market incorporates environmental information with a drift. Although environmental leaders initially did not sell at a premium relative to laggards, the valuation differential increased significantly over time. Our results have implications for company managers, who evidently do not have to overcome a tradeoff between eco‐efficiency and financial performance, and for investors, who can exploit environmental information for investment decisions.     

An introduction to nanotechnology policy: Opportunities and constraints for emerging and established economies

Nanotechnology has captured wide attention all over the world and excited the imagination of young and old alike. Interest in the subject has increased remarkably during the last few years because of potential technological applications, and commercial interest has skyrocketed. The promise of nanotechnology as an economic engine that can redefine the wellbeing of regions and nations is pervasive; yet the imprecise language, and overuse of the term nanotechnology, has made that term fuzzier, broader, and trendier than many imagined possible. This is especially evident in nanotechnology market projections, which rose dramatically over the past five years as more traditional “product families” were engulfed by the expanding use of the term. Government policy regarding nanotechnology has often resembled an embrace of imagination rather than a systematic use of what Sun Tzu and others have taught about strategic decision making. Further, if nanotechnology is truly the next wave of technology product paradigms, how will we provide an educated workforce to support it? Moreover, in company with these societal benefits come increased societal risks. This paper is intended to provide policy makers and strategists with observations that might limit actions such as those that led to the “over-hype” of nanotechnology and to the fear (or discounting) of societal risks. In the latter case we might learn from the experiences of policy makers connected with other emerging enabling-technology bases, such as nuclear energy and, to a lesser extent, the “dot-com” boom.     

Psychometrically and qualitatively validating a cross-national cumulative measure of fear-based xenophobia

The article reports the results of a Mokken Scale Procedure (MSP) developing a hierarchical cross-national scale to measure xenophobia, and a qualitative validation of this scale. A pool of 30 xenophobic scale items were collected from several sources and edited according to established unidimensional criteria. The survey was administered to 608 undergraduate students in the USA, 193 undergraduate students in the Netherlands, and 303 undergraduate students in Norway. Fourteen scale statements measuring perceived threat or fear and meeting the criteria of the Stereotype Content Model (e.g., Fiske et al. in Trends Cogn Sci 11:77–83, 2006) were selected for further analysis. A separate item analysis and subsequently MSP analysis yielded a cumulative scale with the same five items for each of the three samples meeting criteria for homogeneity in all samples with H >.40. The result, a cross-national 5-item scale measuring fear-based xenophobia, was tested by means of the Three-Step Test-Interview (Hak et al. in Surv Res Methods 2:143–150, 2008) with 10 students in The Netherlands and 10 students in Norway. The analysis of these qualitative interviews shows that individual respondents’ criteria for the ranking of the scale items strongly depend on the way immigrants are framed. Ranking according to different levels of fear turned out to be only one criterion out of several possible ones used by individual respondents.