"Quicker and sicker" under Medicare's prospective payment system for hospitals: new evidence on an old issue from a national longitudinal survey

Medicare's prospective payment system for hospitals (PPS), introduced in the USA in 1983, replaced cost reimbursement with a system of fixed rates which created incentives for hospitals to control costs. Previous studies found that elderly patients were discharged from hospital "quicker and sicker" under PPS and concluded that families were coping at home. We analyse a national longitudinal survey, the first National Health and Nutrition Examination Survey and its Epidemiologic Followup Study, which includes data on more outcomes over a longer period than earlier studies. We find that the rate of admission to nursing homes from the community in the first weeks after a hospital discharge more than tripled under PPS, suggesting that families were not always able to cope. As another response to sicker patients, discharges directly to nursing homes from hospitals, which jumped initially under PPS, may have risen further when payment rates were tightened in the early 1990s. Hospital readmissions fell after the first few years. Our findings are strengthened by the fact that we control for patients' health using health information collected independently of hospital admission.     

Potential ecological and economic impacts of sea lice from farmed salmon on wild salmon fisheries

This paper examines the possible ecological and economic effects of sea lice from salmon farms on wild salmon populations and fisheries. A bioeconomic model is developed incorporating an age-structured population dynamics model of wild pink and chum salmon with mortality caused by farm-derived sea lice. Our model incorporates capture fisheries under two management policy scenarios. Results suggest that the ecological and economic effects are minor when the sea lice induced mortality rate is below 20%, while they can be severe if the mortality is greater than 30%. Sea lice have greater ecological and economic impacts on pink salmon than on chum salmon. The impact of farm lice epizootics on wild salmon is greater under a fixed exploitation rate than under a target escapement policy. As a result, a precautionary principle should be adopted, and appropriate management schemes and policy strategies should be developed to minimize these effects.     

Assessing fishers' empowerment in inland openwater fisheries in Bangladesh

The Community Based Fisheries Management (CBFM) approach has made a significant contribution towards improvement of fishers' empowerment of inland openwater fisheries in Bangladesh aiming to manage their resources efficiently. This arrangement introduced CBFM approaches named fisher-led, community-led and women-led approach. A wider range of local institutional arrangements as community based organizations (CBOs) have been established through participatory process with legal entity. Now, the CBOs as local institutions and fishers are more empowered in participation of fishery management under co-management arrangement. The study reveals that there is still lack of institutional arrangement to be achieved at optimum level. This paper presents and assesses the empowerment status of the fisher communities in inland openwater fisheries under co-management arrangement in Bangladesh through Factor analysis and regression model. This study might have policy implication to replicate the community based fishery management approach to promote empowerment for better management.     

股市暴涨暴跌的界定及比较——以中国、美国、英国、日本股市为例

本文运用经验分布函数对中、美、英、日四国股市的暴涨暴跌进行了界定,并对四国股市暴涨暴跌的表现进行了比较分析。相比其它三国,中国股市在过去15年间成长性最强,暴涨暴跌的幅度最大,表现出较强的"政策驱动型"特征。美、英、日股市的暴涨暴跌呈现出明显的"市场和事件驱动型"特征。英国和美国股市波动呈现出较强的同步性,但日本股市波动较为独特。政策建议上,各国应通力合作,以应对全球系统性风险对股市的影响;中国政府应加强股市的市场化建设,同时谨慎开放资本市场。     

医疗卫生基本公共服务的城乡差距及均等化路径

当前,我国城乡之间的医疗卫生服务不均等已成为一个重要的社会问题。本文通过医疗卫生费用和医疗卫生资源的城乡数据分析得出城乡之间的医疗卫生公共服务差距巨大,并通过2000—2008年城乡医疗保健费用的泰尔指数分析,发现城乡组间对城乡医疗卫生公共服务差距的贡献基本上在80%以上,几乎是组内差距贡献的4倍,而从两组的内部差距来看,农村内部的不均等程度要稍高于城市内部的不均等程度,根据分析结果并从财政向农村医疗卫生的投入倾斜、城乡医疗保险制度的整合、医疗体制的深化改革等方面就如何促进医疗卫生公共服务城乡均等化进行探讨。     

民营企业产业集群升级策略研究——以晋江市六大产业集群为例

基于企业经营特征对晋江市六大民营企业产业集群的分析表明,按照波特的产业集群发展阶段理论,晋江市的食品、陶瓷、石材和玩具产业集群的发展仍处于要素驱动阶段,运动鞋和纺织服装产业集群的发展处于投资驱动阶段。缺乏依靠创新驱动的国际知名品牌的牵引和拉动,六大产业集群的主体功能只能是从事低附加值的生产制造。然而,实施以打造国际知名品牌为核心的产业集群升级策略,可以推动产业集群步入品牌和创新驱动阶段,进入全球价值链分工体系的高附加值环节,成为国际性领导型产业集群。     

Monetary and fiscal policy interactions in the post-war U.S.

A New Keynesian model allowing for an active monetary and passive fiscal policy (AMPF) regime and a passive monetary and active fiscal policy (PMAF) regime is estimated to fit various U.S. samples from 1955 to 2007. The results show that data in the pre-Volcker periods strongly prefer an AMPF regime, even with a prior centered in the PMAF region. The estimation, however, is not very informative about whether the Federal Reserve's reaction to inflation is greater than one in the pre-Volcker period, because much lower values can still preserve determinacy under passive fiscal policy. In addition, whether a PMAF regime can generate consumption growth following a government spending increase depends on the degree of price stickiness. An income tax cut can yield an unusual negative labor response if monetary policy aggressively stabilizes output growth.     

The competition and equilibrium analysis of LCD TV and PDP TV

This study has investigated the dynamic competitive relationship between PDP TVs and LCD TVs by means of their quarterly shipments. The renowned Lotka-Volterra competition diffusion model has been adopted to conduct the empirical analysis with the Lyapunov function to carry out equilibrium and stability analysis, and estimate the domain of attraction which describes the trend and phenomenon of TV shipments. The results illustrate that there is good fitting performance while adopting this model. The competitive relationship can be viewed from the perspective that the LCD TV is the prey while the PDP TV is the predator. The possibility, nevertheless, for dropping the price of LCD TVs is an advantage of the attractiveness of the product which can be noted in higher growth rate than PDP TVs. With respect to the equilibrium stability analysis and estimated domain of attraction, 40- to 49-inch PDP TVs will not disappear from the market, but will generate a stable equilibrium with LCD TVs and sales volume presents simultaneous increase or decrease. In the supply and demand analysis, LCD TVs present a surplus of supply from 2008; therefore, how to conduct appropriate inventory management will be an emerging issue.     

成渝经济区发展的基础、潜力与方向

成渝经济区作为我国区域总体战略的重要指向区域,是我国重要的人口、城镇、产业集聚区,是引领西部地区加快发展、提升内陆开放水平、增强国家综合实力的重要支撑,在我国经济社会发展中具有重要的战略地位。基于全国战略视角,从自然禀赋、产业基础、城镇分布、交通体系、人力资源等五个方面,系统阐述了成渝经济区的发展基础;分析了成渝经济区农业、工业、服务业和经济区内部空间的发展潜力,提出了成渝经济区未来的发展方向,目的是为成渝经济区更好的贯彻国家区域总体战略、实现区域经济又好又快发展提供科学支撑。     

区域合作与科技成果转化效率——基于“泛珠三角”区域框架的实证分析

文章运用四阶段Bootstrap-DEA方法,对"泛珠三角"区域2000-2009年的科技成果转化效率进行了动态测算——平均技术效率值为39.7%,并进一步构建了面板模型对影响科技成果转化效率的宏观政策因素进行分析。研究发现,地方政府科技拨款、政府相关鼓励科技政策、R&D投入和风险投资等对"泛珠三角"地区科技成果转化效率具有显著正向效应,而企业所得税则抑制了科技成果转化效率。面板DID模型发现,2004年成立的"泛珠三角"合作框架显著改进了科技成果转化效率约6%。