Do sectoral training funds stimulate training?

Sectoral levelling funds are an arrangement aimed at alleviating a well‐known theoretical problem of underinvestment in worker training because of free‐rider behaviour of firms. In the Netherlands, collective agreements require firms to participate in such funds in a number of sectors. Using a comprehensive dataset of Dutch firms, we attempt to determine the extent to which these levelling funds have a stimulating effect on the level of training investments of firms. Surprisingly, no indications are found for the existence of such an effect. Training levels are not higher in sectors with a fund than in sectors without a fund. Several explanations are discussed to account for these findings.     

‘Time-out’ with the family: the shaping of family leisure in the new urban consumption spaces of cafes,bars and restaurants

In many north-western European countries, the family practices of drinking and eating used to be largely located in the private domain of the home. This situation has recently begun to change, particularly in gentrified urban areas where middle-class families are growing in number and family outings in bars and restaurants are becoming more widespread. This paper examines the new practices of family consumption from two perspectives: the providers and the consumers. Entrepreneurs shape family-friendly spaces by reducing boundaries between eating, drinking and playing and by offering out-of-home pleasures in home-like environments for both parents and children. They balance between accommodating the families and retaining their childless clients. Families that consume in the food and drink spaces are primarily local middle-class families, and fathers and mothers equally participate. This study further reveals that leisure time spent with the family cannot always be classified as leisure time as a family. Parental involvement with the children differs. We distinguish leisured caring time with high parental involvement, own leisure time mainly directed at parents’ personal activities and social leisure time mainly directed at maintaining social relationships beyond the family. We discuss earlier research on the complicated character of family leisure related to the caring duties of parents. Empirical evidence comes from an exploratory study of ten consumption spaces in the inner city of Amsterdam, The Netherlands.     

Let’s Get Real (Time)! The potential of real-time marketing to catalyze the sharing of brand messages

Abstract

Social media are increasingly populated with brand messages that are linked to timely events, a practice that is also known as real-time marketing (RTM). In this study, we examine whether RTM is an effective strategy to boost sharing behaviour, and if so, what moment- and content-related characteristics contribute to its effectiveness. A content analysis of brand tweets from Nielsen’s top-100 advertisers (n?=?1500) shows that RTM positively affects word of mouth. RTM is especially a more effective strategy when brand messages are linked with unpredictable events (vs. predictable). This can be explained by the meaningfulness dimension of creativity; brands make a more meaningful connection to timely moments in unpredictable RTM than in predictable RTM. Furthermore, we found support for the beneficial effects of moment-driven visuals; RTM messages are shared more when public events are visually integrated with those messages. No such effect was found for moment-driven hashtags.     

The impact of anti-vascular endothelial growth factor agents on visual impairment/blindness prevention in patients with diabetic macular edema and on associated patient and caregiver burden in Japan

Aims: To estimate the impact of anti-vascular endothelial growth factor (VEGF) agents on visual impairment and blindness avoided in patients with diabetic macular edema (DME) and on associated patient and caregiver productivity loss in Japan.

Methods: This study compared the impact of current care (estimated at 53.8% utilization of anti-VEGF agents using current data) with that of hypothetical care (characterized by a higher utilization of anti-VEGF agents [80.0%], as estimated by an expert panel) of DME patients. A population-based Markov model (two-eye approach) simulated visual acuity (Early Treatment Diabetic Retinopathy Study [ETDRS] letters) transitions over 5 years with DME treatments (intravitreal aflibercept, ranibizumab, and triamcinolone acetonide, and grid/focal laser) in patients with DME. Patient and caregiver productivity loss was determined using the human capital method.

Results: In total, 570,000 DME patients were included in the model over 5 years. Increased utilization of anti-VEGF agents resulted in 6,659 fewer cases of severe visual impairment (SVI; 26–35 ETDRS letters) or blindness (0–25 ETDRS letters) compared with the current care approach (26,023 vs 32,682 cases; 20.38% reduction) over this period. Increased utilization of anti-VEGF agents also contributed to productivity loss savings of ¥12.58 billion (US $115.64 million) (i.e., 17.01%) at the end of year 5. The total overall saving over 5 years was ¥45.83 billion (US $421.27 million) (13.45%).

Limitations: Few Japanese data were available, and assumptions were made for some inputs. Vision changes dependent on the function of both eyes were not studied. Only intravitreal (not sub-Tenon’s) injections of triamcinolone were considered in this model. Direct costs were not considered.

Conclusions: Increased utilization of anti-VEGF agents can reduce SVI and legal blindness in patients with DME in Japan. This would also be associated with substantial savings in patient and caregiver productivity loss.