The Neoliberalization of Municipal Land Policy in Sweden

In Sweden, local governments’ practice of the ‘municipal land instrument’—that is, the use of public land ownership as a tool for facilitating urban development—has a long tradition. In the post‐war era, public land ownership constituted an important component of state‐led housing production, which had both a productive and a redistributive purpose. Departing from a political economy perspective, this article demonstrates how the redistributive aspect of the municipal land instrument has been dissolved under neoliberalization, and discusses why the use of this instrument is problematic from both a democratic and ethical point of view. Based on a case study in Helsingborg, the article argues that, in using public land to leverage private investment in urban development, local decision makers adopt an interest in supporting rent extraction from tenants and housing owners, while subsidizing investment costs for developers. The dual role that municipalities assume as landowner‐developers and planning authorities enable them to facilitate urban development effectively, but it is also problematic because it transgresses the public–private law divide inherent to Swedish law. Assuming this dual role, municipalities place themselves in a biased position that risks undermining the legitimacy of governmental actions in general, and the planning system in particular.     

Past and present outage costs – A follow-up study of households’ willingness to pay to avoid power outages

Households’ demand for electricity continues to increase. This trend per se should indicate increased disutility from power outages. Additionally, batteries and other back-up systems have been improved, and the frequency and duration of outages have been reduced in many countries. By comparing the results from two stated preference studies on Swedish households’ willingness to pay (WTP) to avoid power outages in 2004 and 2017, we investigate whether the WTP has changed. The WTP is assessed for power outages of 1- and 4 -h durations, and whether it is planned or unplanned. We find three main differences: (i) the proportion of households stating zero WTP to avoid power outages decreased significantly from 2004 to 2017, meaning that more households are willing to pay to avoid a power outage in 2017 than in 2004; (ii) the overall WTP was considerably higher in 2017 than in 2004, but (iii) the conditional WTP, that is, WTP for those that have a positive WTP for an outage, has decreased. These results have implications for how regulators incentivize and regulate electricity suppliers, because the results suggest that a reliable supply of electricity is of greater importance now than what the literature has suggested.     

New Technology-Based Firms In Sweden - A Study Of Their Direct Impact On Industrial Renewal

The purpose of this paper is to analyse some of the ways in which new tcchnology-bascd firms (NTBFs), started after 1975, have contributed to the process of industrial renewal in Sweden. For this purpose, we have developed a novel way of operationalizing the concept of NTBFs and of identifying the population of such companies in Sweden. The method relies heavily on unique data on the educational background of the firm's staff. We found that NTBFs constitute a relatively small but growing phenomenon in Sweden. Although small in magnitude, the firms have contributed to industrial renewal by increasing the knowledge-intensity and science base of Swedish industry and industry-related services. They have also contributed somewhat to the redirection of the knowledge base in Sweden in favour of skills which are central to the innovation process in growth sectors, primarily computer science skills.     

Cost-effectiveness of natalizumab vs fingolimod for the treatment of relapsing-remitting multiple sclerosis: analyses in Sweden

Abstract

Objective:

To assess the cost-effectiveness of natalizumab vs fingolimod over 2 years in relapsing-remitting multiple sclerosis (RRMS) patients and patients with rapidly evolving severe disease in Sweden.

Methods:

A decision analytic model was developed to estimate the incremental cost per relapse avoided of natalizumab and fingolimod from the perspective of the Swedish healthcare system. Modeled 2-year costs in Swedish kronor of treating RRMS patients included drug acquisition costs, administration and monitoring costs, and costs of treating MS relapses. Effectiveness was measured in terms of MS relapses avoided using data from the AFFIRM and FREEDOMS trials for all patients with RRMS and from post-hoc sub-group analyses for patients with rapidly evolving severe disease. Probabilistic sensitivity analyses were conducted to assess uncertainty.

Results:

The analysis showed that, in all patients with MS, treatment with fingolimod costs less (440,463 Kr vs 444,324 Kr), but treatment with natalizumab results in more relapses avoided (0.74 vs 0.59), resulting in an incremental cost-effectiveness ratio (ICER) of 25,448 Kr per relapse avoided. In patients with rapidly evolving severe disease, natalizumab dominated fingolimod. Results of the sensitivity analysis demonstrate the robustness of the model results. At a willingness-to-pay (WTP) threshold of 500,000 Kr per relapse avoided, natalizumab is cost-effective in >80% of simulations in both patient populations.

Limitations:

Limitations include absence of data from direct head-to-head studies comparing natalizumab and fingolimod, use of relapse rate reduction rather than sustained disability progression as the primary model outcome, assumption of 100% adherence to MS treatment, and exclusion of adverse event costs in the model.

Conclusions:

Natalizumab remains a cost-effective treatment option for patients with MS in Sweden. In the RRMS patient population, the incremental cost per relapse avoided is well below a 500,000 Kr WTP threshold per relapse avoided. In the rapidly evolving severe disease patient population, natalizumab dominates fingolimod.     

Perceived Export Problems and Export Involvement:

A relatively limited amount of empirical research has focused on problems and issues pertaining to exporting from countries not associated with an advanced level of economic development. This paper reports on a systematic study of problems experienced by Greek exporting manufacturers in their trading activities with overseas distributors based in European Community (EC). In this context, an attempt is made, firstly, to investigate the underlying structure of exporting problems, and secondly, to examine the extent to which there are significant differences in perceptions of exporting problems based upon the degree of export involvement. A number of significant differences are found to exist in perceived export problems between different exporter categories in terms of export involvement. The implications of the study for business practitioners and public policy makers are highlighted, and future research directions are identified and discussed.     

Practical conditions for Home and Consumer Studies in Swedish compulsory education: a survey study

The aim of the study was to map the field of internal and external conditions that Swedish Home and Consumer Studies teachers and pupils have contend with. A questionnaire was constructed and delivered online in November 2010. It contained 27 question covering teacher qualification, quality of premises and equipment, lesson time and collaboration, and the use of national syllabi. A total of 385 persons across the country answered the questionnaire; about 21% of those teaching Home and Consumer Studies in Swedish compulsory school during the school year 2009–2010. These respondents taught in a total of 392 compulsory schools, which equalled about 22% of the schools teaching grades 7–9 in Sweden. Almost a quarter (23%) of the teachers lacked formal training for Home and Consumer Studies. Respondents without an appropriate degree qualification included those trained as nursery school teachers, dietitians and civil engineers. As regards classrooms, while 88% of respondents reported access to fully equipped kitchens with stoves, sinks and work surfaces, 5% used regular classrooms and the remainder were obliged to come up with alternative solutions, such as using portable kitchens in regular classrooms or conducting their lessons in the school restaurant. This study raises many questions about the quality of Home and Consumer Studies provision in a number of schools. The local deficiencies in the nationally decided frame factors for Home and Consumer Studies found by the present study gives us reason to doubt that all pupils achieve the overall learning goals of ‘knowing in practice’ and making informed choices utilizing environmental, economic and health perspectives. This might affect the health and economy of the individuals in the long run, with implications for the national economy and public health. On the basis of these findings, we therefore recommend that current conditions for Home and Consumer Studies and how the subject should operate in schools become a focus for national debate.     

Swedish Harvests, 1665–1820: Early Modern Growth in the Periphery of European Economy

Abstract

Today, one of the greatest challenges facing macroeconomic history is to quantify economic growth in the early modern period. This article presents and discusses a series of total and per capita harvest production in Sweden within present borders for the period 1665–1820. The series is based on three main indices: grain prices, subjective harvest assessments and tithes. Various sources of harvests are more reliable as indicators of relative changes than of absolute levels. For example, tithes probably only taxed between 15 and 60 per cent of the actual harvests, but seem to capture annual harvest fluctuations reasonably well. To estimate the absolute level of per capita harvests, the index of the per capita harvest production is linked to data for the early nineteenth century, which are more reliable. The article argues that harvests stagnated during the studied period, which is in line with several other studies for various European countries. The annual fluctuations were substantial.     

Testing the demand approach to reconstruct pre-industrial agricultural output

A common method to reconstruct historical national accounts is the demand approach, which calculates agricultural consumption from the development of wages and prices of agricultural and non-agricultural products assuming constant income, own price and cross price elasticities of demand. This study uses agricultural data for Sweden 1802–1950, which is more reliable than for other countries, to put the approach to test. Time series analysis shows that the demand approach could be modelled as a cointegrating relationship between per capita demand and the deflated wage. Income elasticity is estimated to +0.4. Using the estimated parameters to extrapolate Swedish agricultural consumption back to the Middle Ages accords quite well with other indicators. However, out-of-sampling shows that the 90% confidence interval is as large as ±0.15–0.25 natural logarithms.     

Standing in the shadow of the corporation: women’s contribution to Swedish family business in the early twentieth century

This article investigates the role of wives in the Swedish business elite in the early 1900s, through letters and diaries. The Swedish case is particularly interesting, since the country has a long tradition of successful corporate families. The corporate wife was expected to perform duties linked to the family business. To get more directly involved in the firm, the husband had to give his permission. By offering support the wife could gain tacit knowledge of her husband’s work. Her emotional efforts influenced the achievements of the family business, sometimes even its survival.     

Cost-minimization analysis of fingolimod compared with natalizumab for the treatment of relapsing–remitting multiple sclerosis in Sweden

Abstract

Background:

Fingolimod and natalizumab have the same European Union licence for the treatment of relapsing multiple sclerosis, and are considered by the Committee for Medicinal Products for Human Use (CHMP) to have broadly similar efficacy.

Objective:

A cost-minimization analysis was performed to compare differences in treatment costs between fingolimod and natalizumab from a societal perspective in Sweden.

Methods:

This analysis included costs associated with initiating and following treatment (physician visits and monitoring), continuing therapy (drugs and administration), and lost patient productivity and leisure time. Unit costs (in Swedish krona [SEK]) were based on regional data (median prices for physician visits and monitoring sessions). Natalizumab infusion costs were obtained from the national cost-per-patient database. Drug costs for both therapies were 15,651 SEK/28 days.

Results:

After 3 years, fingolimod use was associated with savings of 124,823?SEK/patient compared with natalizumab (total cost/patient: 566,718 SEK vs 691,542 SEK). Cost savings with fingolimod were 40,402 SEK/patient after 1 year and 301,730 SEK/patient after 10 years. Treatment with natalizumab was 18% more expensive than fingolimod therapy after 1 year and 23% more expensive after 10 years.

Limitations:

Based on the CHMP assessment, it was assumed that fingolimod and natalizumab have similar efficacy. The analysis was conducted for Sweden, and caution is needed in extrapolating the results to other countries.

Conclusion:

Fingolimod is cost-saving compared with natalizumab for the treatment of relapsing–remitting multiple sclerosis in Sweden.