What changes must economics undergo, if it is to become a moreadequate discipline, furthering of survival and flourishing?This essay argues that a break must be made from contemporarymainstream economics at the level of ontology (i.e., about thenature of reality). Drawing on neglected traditions of pragmatistphilosophy and process metaphysics, some elements of oldinstitutionalist economics, and late-twentieth century naturalscience, it demonstrates that ample argument exists for a viewof the world as open, evolving and permeated with value. Furthermore,feminist scholarship offers an explanation for why such a worldviewfaces an uphill battle for acceptance. 相似文献
Economic evaluations are increasingly utilized to inform decisions in healthcare; however, decisions remain uncertain when they are not based on adequate evidence. Value of information (VOI) analysis has been proposed as a systematic approach to measure decision uncertainty and assess whether there is sufficient evidence to support new technologies.
Scope:
The objective of this paper is to review the principles and applications of VOI analysis in healthcare. Relevant databases were systematically searched to identify VOI articles. The findings from the selected articles were summarized and narratively presented.
Findings:
Various VOI methods have been developed and applied to inform decision-making, optimally designing research studies and setting research priorities. However, the application of this approach in healthcare remains limited due to technical and policy challenges.
Conclusion:
There is a need to create more awareness about VOI analysis, simplify its current methods, and align them with the needs of decision-making organizations. 相似文献
Project Tiger has been India's premier case of conservation success. Since mid 1990s select Project Tiger Reserves in India were chosen for intensive funding by the Global Environment Facility, the International Development Agency (IDA) and the Government of India under the ‘India Eco-Development Project’. This project marked a modest shift towards debt based funding. The GEF Project has become a benchmark for tiger conservation in India both in terms of management outcomes and scale and scope of funding. However in the absence of large-scale budgetary support or self-generating income flows, it becomes difficult for the GEF type of project to be replicated in other tiger reserves of the country. Debt instruments hold promise as enablers of conservation finance. The paper proposes issue of ‘tiger bonds’ to meet the financial requirements of tiger reserves. Though attractive as a debt instrument, a ‘tiger bond’ could nevertheless entail interest rate and default risks.Bioprospecting activities form good revenue sources for tiger reserves to pay off their debts. However bioprospecting activities do not provide assured returns to tiger reserves. Pharmaceutical companies that prospect for genetic resources and practice ‘real options’ approach to R&D investment planning, adopt multi-phased investment systems and sequential searches that gives them the flexibility to abandon R&D projects. From the point of view of genetic resource providing entities like Project Tiger Reserves, the ‘postponement value’ generated by real options, enables a drug company to tap substitutes for the genetic resources that form the subject matter of bioprospecting contracts. To obviate possible repayment risks by tiger reserves, the paper advocates the institution of ‘put bonds’ as a risk management tool for Project Tiger Reserves in order to hedge themselves against loan defaults arising from possible loss in bioprospecting income. The paper also brings out the mechanics of the issue of tiger bonds in the Indian context. It is argued that a put bond not only hedges default risks but would also aid ‘value discovery’ and payment for ecosystem services as far as the Project Tiger Reserves of India are concerned. 相似文献