Öffentliches und Geheimes

In the second half of 2009, the entire media agenda in Germany was dominated by the swine flu, next to the German Federal Parliament elections. Criticism was voiced in the media against the pharmaceutical industry for lobbying the nationwide swine flu vaccination, which was widely considered nothing but a product of the industry’s lobbying power. In order to avoid the usual interviews with lobbyists, we attempted to apply a new methodological framework approach in analysing lobbying processes and key stakeholders in the public sphere—and outside. Crucial to the diversified approach, which involves quantitative content analysis of media coverage and press releases, are interviews with journalists, lobbyists’ network analysis and internet research on biographies. Although a conspiracy could not be conclusively proven, the results do indicate associations that validate the criticism of the industry’s lobbying activities.     

Determinants of moral hazard in research and development supply relations: Empirical results beyond the agency‐theory explanation

Moral hazard can hinder both the realization and the effectiveness of research and development (R&D) supply relations. However, to the best of our knowledge, there have been no empirical studies investigating the determinants of moral hazard under the specific circumstances of R&D supply relations. Based on a study on 104 cases, this article will help to fill that gap. The results not only confirm information asymmetries as determinants, as predicted by principal‐agent theory, but also reveal surprising effects of additional factors. Thus, we show that the general explanation of moral hazard needs to be adapted to the specifics of a concrete exchange situation.     

Supply chain differentiation,contract agriculture,and farmers’ marketing preferences: The case of sweet pepper in Thailand

There is an emerging body of literature analyzing how smallholder farmers in developing countries can be linked to modern supply chains. However, most of the available studies concentrate on farm and farmer characteristics, failing to capture details of institutional arrangements between farmers and traders. Moreover, farmers’ preferences have rarely been considered. Here, we address these gaps by analyzing different market channels for sweet pepper in Thailand. Using data from a survey and choice experiment with farmers, we find that there is a general preference for marketing options that do not involve a contract. Additional provision of inputs and credit can increase the attractiveness of contracts. Yet, the most important factor for farmers is to personally know the buyer they deal with, which may be related to issues of trust. Some policy implications are discussed.     

The long-term volume of East Europe's foreign trade: An estimate

The transformation process of East European (EE) countries led to the disappearance of the Council for Mutual Economic Assistance, the former Soviet-bloc economic integration scheme, as well as to other changes in the foreign trade sector of those economies. This study seeks to identify the potential long run modifications in the volume of trade of EE countries by using a well-established model employed in the foreign trade literature, the gravity equation. Quantitative results suggest that in the next decades trade between East and West European countries could double from its present level.     

Visitor Emotions and Behavioral Intentions: The Case of Concentration Camp Memorial Neuengamme

Visits to sites associated with death and suffering are considered emotionally laden. Few studies empirically investigated visitor emotions at such sites. This study examines emotional responses of 241 visitors to concentration camp memorial Neuengamme and assesses how emotions are associated with long‐term consequences of revisit intentions and positive word of mouth. Tourists experience negative emotions more intensely compared with positive emotions. Negative emotions predict long‐term behavioral intentions more than positive emotions do. Shock and sadness are of particular importance. This study suggests that certain negative emotions also have the power to broaden‐and‐build and may have long‐term behavioral consequences. Copyright © 2013 John Wiley & Sons, Ltd.     

Hospitalization due to stroke and myocardial infarction in self-employed individuals and small business owners compared with paid employees in Sweden—a 5-year study

Small Business Economics - Analysing Swedish population register data, the aim of the present study is to investigate differences in acute cardiovascular disease (CVD) in terms of stroke and...     

Fuel Efficiency Improvements: Feedback Mechanisms and Distributional Effects in the Oil Market

We study the interactions between fuel efficiency improvements in the transport sector and the oil market, where the efficiency improvements are policy-induced in certain regions of the world. We are especially interested in feedback mechanisms of fuel efficiency such as the rebound effect, carbon leakage and the “green paradox”, but also the distributional effects for oil producers. An intertemporal numerical model of the international oil market is introduced, where OPEC-Core producers have market power. We find that the rebound effect has a noticeable effect on the transport sector, with the magnitude depending on the oil demand elasticity. In the benchmark simulations, we calculate that almost half of the energy savings may be lost to a direct rebound effect and an additional 10% to oil price adjustments. In addition, there is substantial intersectoral leakage to other sectors through lower oil prices in the regions that introduce the policy. There is a small green paradox effect in the sense that oil consumption increases initially when the fuel efficiency measures are gradually implemented. Finally, international carbon leakage will be significant if policies are not implemented in all regions; we estimate leakage rates of 35% or higher when only major consuming regions implement fuel economy policies. Non-OPEC producers will to a larger degree than OPEC producers cut back on its oil supply as a response to fuel efficiency policies due to high production costs.     

The Siting of Livestock Facilities and Environmental Regulations

The significant variation in the stringency of environmental regulations across Ontario municipalities in the late 1990s created the possibility of pollution havens where expanding livestock operations would locate in those municipalities with the lowest regulatory compliance costs. Using actual building permit data rather than aggregate regional production numbers, the study examined the factors affecting spatial changes. Instead of locating to reduce environmental compliance costs as suggested by the pollution haven hypothesis, barns are being built largely where the livestock sector is concentrated suggesting the existence of agglomeration economies. The result suggests that the normalization of standards across the province through the new Nutrient Management Act will not significantly influence the location decisions of expanding or new livestock facilities which are largely determined by economic factors associated with livestock infrastructure support. L'importante variation de sévérité des règlements environnementaux dans les municipalités de l'Ontario vers la fin des années 1990 a créé la possibilité de refuges pour pollueurs: les fermes d'élevage en expansion allaient s'installer dans les municipalités où les coûts de conformité aux règlements étaient les plus faibles. À l'aide de données sur les permis de construire plutôt que de données agrégées sur la production régionale, la présente étude a examiné les facteurs qui influaient sur les changements spatiaux. Au lieu de s'installer là où les coûts de conformité aux règlements sont faibles comme le laisse supposer l'hypothèse des refuges pour pollueurs, les entreprises choisissent de s'installer là où le secteur de l'élevage est concentré, ce qui laisse supposer l'existence d'économies d'agglomération. Les résultats semblent indiquer que l'uniformisation des normes à l'échelle provinciale en vertu de la Loi sur la gestion des éléments nutritifs n'aura pas d'influence significative sur le choix des endroits où seront construits les bâtiments des exploitations en expansion ou des nouvelles exploitations puisque ce choix est en grande partie motivé par des facteurs économiques liés au soutien à l'infrastructure de l'élevage.     

Cost of operating room time for endovascular transcatheter aortic valve replacement

Abstract

Background: Procedural efficiencies can contribute to cost reductions in transcatheter aortic valve replacement procedures (TAVR). The objective of this study is to determine operating room (OR) variable cost per minute in endovascular TAVR procedures, in a real-world hospital setting.

Methods: Using Premier data from January 2015–June 2016 for patients undergoing a primary endovascular TAVR (primary ICD-9 code of 35.05, ICD-10 code of 02RF37Z, 02RF38Z, 02RF3JZ, or 02RF3KZ) procedure, the OR cost per minute was calculated for each patient by dividing the total hospital OR variable cost by the OR time (minutes).

Results: Of the 4,573 patients in the cohort, the average age was 80 years, 77% were admitted electively, and the vast majority were discharged home with (30%) or without (45%) home care. Median OR time for endovascular TAVR procedures was 180?min. The trimmed mean OR cost per minute was $43.59 (SD = $28.68). When stratified by Elixhauser Risk score and Charlson comorbidity index, OR cost per minute increased with higher risk and comorbidity (p?<?0.0001 and p?<?0.041, respectively).

Conclusions: This contemporary estimate of the real-world variable OR cost per minute provides researchers with a critical parameter to refine economic models of TAVR and aid clinical program directors in resource planning according to a priori risk and comorbidity.