Efficiency outcomes of market concentration and managed care

The paper examines how hospital cost efficiency has reacted to extensive horizontal integrations of hospitals and rapid growth of managed care in the US health care industry. Cost efficiency is estimated by using panel data approaches to relax the assumptions for the hospital effects imposed in earlier studies. The paper shows that higher managed care penetration over time is associated with greater hospital efficiency, and higher market concentration is positively associated with efficiency when markets are highly competitive or highly concentrated.     

THE TECHNICAL INEFFICIENCY EFFECTS OF TURKISH BANKS AFTER FINANCIAL LIBERALIZATION

The banking sector in Turkey has grown significantly over the last two decades of financial liberalization. One of the aims of the financial liberalization was to improve efficiency through restructuring programs including the privatization of state banks and the encouragement of mergers. In this paper we identify key factors determining the technical efficiency differentials among Turkish commercial banks in the pre‐ and post‐liberalization periods, using the technical inefficiency effects model. We found that loan quality, size, ownership of the banks, and profitability have a positive and significant impact on the technical efficiencies of banks. The results warrant implementation of effective regulatory measures to improve the quality of the earning assets of commercial banks. Furthermore, steps by the government to encourage acquisitions or mergers for private banks and the privatization of state‐owned banks seem to be consistent in improving the overall efficiency of commercial banking in Turkey.     

An exploratory study of resident perceptions toward the tourism industry in Cappadocia: a Social Exchange Theory approach

This paper evaluates the perceptions of Cappadocia residents on the impacts of tourism development and resident attitudes toward tourism. Social Exchange Theory underpinned this study of the perceptions of Cappadocia’s residents and their attitudes toward tourism. Primary data were collected from tourism industry professionals, officials of non-profit organizations and handicraftsmen. Twenty-three in-depth interviews were conducted with Cappadocia residents, and the data were analyzed with content analysis. Results highlight that “Economic,” “Socio-Cultural” and “Environmental” aspects can be inferred to encompass resident perceptions toward the impacts of tourism development in Cappadocia. Residents tend to recognize the economic benefits as well as socio-cultural and environmental costs. Results indicate that Social Exchange Theory can be used in explaining the perceptions of Cappadocia residents and reactions to tourism phenomena. This study is expected to provide practical ways for concerned authorities to make future policies and strategies to eradicate problems that create unpleasant feelings amongst residents.     

A Test for a Functioning Market Economy: Seton'S Eigenprices of Turkey

We use Seton's eigenprices to see if some evidence can be found in support of the European Commission's official statement that the Turkish economy can be considered as a functioning market economy. Given an input–output flows matrix, there is a unique set of prices for outputs and production factors compatible with final demand, generating demand for factors. The findings based on Turkey's most recent I–O table and comparable I–O matrices for Romania and Poland (two EU members) in 2005 show that price distortions were on average five times larger in Turkey. Hence, based on price distortions alone, there was no solid evidence in support of the statement that Turkey had a functioning market economy.     

Public Investment and Economic Growth in Latin America: an Empirical Test

The paper analyzes the impact on economic growth of public investment spending and other relevant variables (such as human capital) for nine major Latin American nations over the 1983–93 period. The results suggest that both public and private investment spending contribute to economic growth. Overall central government consumption expenditures, on the other hand, are found to have a negative effect on private investment and growth. Finally, public expenditures on education and healthcare are found to have a positive and statistically significant effect on private capital formation and long–term economic growth. From a policy standpoint, the results suggest that indiscriminate cuts in public and private investment spending are likely to be counterproductive in the long run, and more importantly, scarce public expenditures should be channeled to the promotion of new human capital (via primary and secondary education) and the maintenance of existing human capital (through healthcare expenditures).     

Agro-Climatic Conditions and Regional Technical Inefficiencies in Agriculture

A survey of applications of the Technical Inefficiency Effects (TIE) model suggests that agro‐climatic and other environment variables are customarily omitted in the model specifications. The justification for such an omission is the assumption that these variables are beyond the control of the farmers and therefore should be treated as random variables. In this paper, we argue that in applications dealing with regional agricultural data, agro‐climatic variables should not be treated as pure random terms. Historical differences in agro‐climatic conditions are known with a reasonable degree of certainty across a larger region. Therefore, omission of such variables from the analysis may lead to inaccurate interregional technical inefficiency comparisons. In order to demonstrate the importance of agro‐climatic variables in such analyses, we estimate the TIE model for Turkey. A translog stochastic frontier production function with agro‐climatic variables such as rainfall and land quality is estimated, and it is shown not only that the agro‐climatic variables are statistically significant but also that their omission substantially affects mean output elasticities and relative technical efficiencies. Une étude sur les applications du modèle de l'effet d'inefficacité technique (EIT) laisse à supposer que les variables agro‐climatiques et les autres variables environnementales sont comme d'habitude omises dans les spécifications du modèle. Une telle omission est justifiée par l'hypothèse selon laquelle ces variables sont en dehors du contrôle des fermiers et devraient être considérées comme des variables aléatoires. Dans ce communiqué, nous affirmons que dans les applications concernant les données agricoles régionales, ces variables agro‐climatiques ne doivent pas être traitées comme de simples termes aléatoires. Les différences historiques dans les conditions agro‐climatiques sont connues avec un degré raisonnable de certitudes pour une grande région. Aussi l'omission de telles variables dans l'analyse peut‐elle donner lieu à de fausses comparaisons interrégionales d'inefficacité technique. Afin de démontrer l'importance des variables agro‐climatiques dans de telles analyses, nous considérons le modèle de l'effet d'inefficacité techniques de la Turquie. II s'agit d'une fonction de production frontalière translogue et stochastique avec des variables agro‐climatiques telles que la pluviosité, la qualité de sol et d'autres variables. Nous démontrons que les variables agro‐climatiques sont non seulement importantes statistiquement, mais que leur omission influence essentiellement les élasticités moyennes de production ainsi que les efficacités techniques relatives.