Consumer behaviour and the purchasing of dental services: Influences on selection and evaluation of health care services

This paper examines the process of interaction between consumers and providers of dental services in terms of the key selection and evaluation criteria employed by consumers. Focusing on the United Kingdom, it examines the impact of changes in both pricing and provision on the utilisation and evaluation of dental services. Based on a questionnaire survey of dental patients, in the context of the evolving body of literature concerned with consumer behaviour in respect of services, the paper attempts to improve the current understanding of the key factors shaping consumer choice in respect of professional services. Specifically, it argues that the highly complex nature of professional services impacts on patterns of consumer behaviour, resulting in the relationship between the individual service professional and the consumer being the focus of consumer evaluation. This in turn has significant implications for the effective marketing of such professional services.     

Household Surveys,Consumption, and the Measurement of Poverty

Household surveys are playing an increasingly important role in the measurement of poverty and well-being around the world. The Living Standards Measurement Study, which was begun in the World Bank under the guidance of Graham Pyatt in 1979, has played an important role in this movement. Its surveys are widely used within the Bank to measure consumption-based poverty, and survey data are now the exclusive basis for the global poverty counts. This paper discusses a number of unresolved issues in using consumption-based surveys for measuring well-being, including the choice of a money-metric versus welfare-ratio approach, the collection of suitable price information, the effects of measurement error on estimation, and methods for correcting per capita consumption for the demographic structure of the household.     

Estimating the Impact of Transgenic Bt Cotton on West and Central Africa: A General Equilibrium Approach

West and Central Africa (WCA)’s cotton sector is experiencing rising production costs and lower yields, reversing decades of growth. Declining input use, soil fertility and inefficient chemical pest controls are contributing factors. We evaluate the potential impact of Bt cotton on WCA using a multiregion general equilibrium model and multicountry estimates of Bt-induced productivity. We find that Bt cotton raises growers’ returns, land value and welfare. Released labor from cotton is shifted to food crops hence reducing labor shortage constraints. Overall, results indicate that potential gross benefits from Bt cotton are substantial for WCA cotton sector, and that the economic costs of nonadoption are equally significant.     

Determinants of Canadian bilateral aid allocations: humanitarian,commercial or political?

Abstract.  In this paper we examine the determinants of the allocation of Canadian bilateral aid over the period 1984–2000. We draw on models of donor behaviour that allow us to incorporate humanitarian, commercial and political considerations – the 'trinity of mixed motives'– that affect Canadian aid. We find that allocations are moderately altruistic. Recipient country human rights and membership in the Commonwealth and La Francophonie also affect aid flows. Most strikingly, our results suggest that Canadian aid flows became less altruistic over this period and commercial motives became increasingly important. JEL Classification: H50, O10     

Are Chinese nationals’ attitudes to wildlife tourist attractions different from those of other nationalities?

Many wildlife tourist attractions (WTAs) have negative impacts on animal welfare and species conservation. In the absence of regulation, raising standards requires tourists to create market pressure by choosing to attend WTAs with benefits for wildlife. We surveyed respondents from five countries – China, Australia, Canada, UK, and USA – to quantify how attitudes to captive animals, and towards WTAs’ outputs and standards, may vary with nationality. Our aim was to provide a firm basis for behaviour change interventions to alter current patterns of tourist consumption of WTAs. All respondents agreed on the importance of conservation and animal welfare, but Chinese respondents were twice as likely to believe that WTAs would not be allowed to exist if they were bad for animals, and that WTAs’ promotional materials were reliable indicators of welfare and conservation standards. These findings indicate Chinese respondents had fundamentally similar attitudes to those from the other countries, but differed in how those attitudes were likely to be applied. Chinese tourists may experience more barriers to aligning their actions with their values with respect to WTAs. Removing these barriers may require information campaigns to highlight the lack of regulation, and the unreliability of some WTAs’ promotional materials and tourists’ reviews.     

Unethical use of wildlife in tourism: what's the problem,who is responsible,and what can be done?

Wildlife tourism is a huge global market, the revenue from which can promote local livelihoods and tourist education, enact conservation, and improve animal welfare. Such benefits arise if wildlife tourist attractions (WTAs) prioritise ethical deliverables above financial profit, but recent work has shown that the majority of WTAs have substantial negative animal welfare and conservation impacts. In the absence of global regulatory authorities, tourist revenue has become the ultimate arbiter of what constitutes acceptable use of animals in WTAs. Tourists, however, are not adequate assessors of WTAs’ animal welfare and conservation impacts: they lack the specialist knowledge required and are subject to a number of psychological biases that obscure the ethical dimensions of decisions to attend particular WTAs. This inadequacy is evidenced, and compounded, by overwhelmingly positive reviews on TripAdvisor (the industry-leading review site), even for WTAs with objectively poor ethical standards. Our suggested solution is to empower tourists by presenting unequivocal assessments of WTAs' animal welfare and conservation impacts, hosted in the fora that tourists already use to make their travel decisions. We would thereby promote a subjective norm that tourists should consider and limit their individual negative impacts when choosing which WTAs to visit.     

The financial crisis and the well-being of Americans

The Great Recession was associated with large changes in income, wealth, and unemployment, changes that affected many lives. Since January 2008, the Gallup Organization has been collecting daily data on 1,000 Americans each day, with a range of self-reported well-being (SWB) questions. I use these data to examine how the recession affected the emotional and evaluative lives of the population, as well as of subgroups within it. In the fall of 2008, around the time of the collapse of Lehman Brothers, and lasting into the spring of 2009, at the bottom of the stock market, Americans reported sharp declines in their life evaluation, sharp increases in worry and stress, and declines in positive affect. By the end of 2010, in spite of continuing high unemployment, these measures had largely recovered, though worry remained higher and life evaluation lower than in January 2008. The SWB measures do a much better job of monitoring short-run levels of anxiety as the crisis unfolded than they do of reflecting the evolution of the economy over a year or two. Even large macroeconomic shocks to income and unemployment can be expected to produce only small and hard to detect effects on SWB measures. SWB, particularly evaluation of life as a whole, is sensitive to question order effects. Asking political questions before the life evaluation question reduces reported life evaluation by an amount that dwarfs the effects of even the worst of the crisis; these order effects persist deep into the interview, and condition the reporting of hedonic experience and of satisfaction with standard of living. Methods for controlling these effects need to be developed and tested if national measures are to be comparable over space and time.     

Does intellectual monopoly stimulate or stifle innovation?

This study develops an R&D-based growth model with vertical and horizontal innovation to shed some light on the current debate on whether patent protection stimulates or stifles innovation. We analyze the effects of patent protection in the form of blocking patents. We show that patent protection changes the direction of innovation by having asymmetric effects on vertical innovation (i.e., quality improvement) and horizontal innovation (i.e., variety expansion). Calibrating the model and simulating transition dynamics, we find that strengthening the effect of blocking patents stifles vertical innovation and decreases economic growth but increases social welfare due to an increase in horizontal innovation. In light of this finding, we argue that in order to properly analyze the growth and welfare implications of patents, it is important to consider their often neglected compositional effects on vertical and horizontal innovation.     

Genetics,Alzheimer’s Disease,and Long-Term Care Insurance

Abstract

This paper applies a model of Alzheimer’s disease (AD) developed by Macdonald and Pritchard (2000) to the question of the potential for adverse selection in long-term care (LTC) insurance introduced by the existence of DNA tests for variants of the ApoE gene, the ε4 allele of which is known to predispose one to earlier onset of AD. It computes the expected present values (EPVs) of model LTC benefits with respect to AD for each of five ApoE genotypes, weighted average EPVs with and without adverse selection, and sample underwriting ratings. The paper concludes that adverse selection could increase costs significantly in a small LTC insurance market only if current population genetic risk is not much smaller than that observed in case-based studies, and if carriers of the ε4 allele are very much more likely to buy LTC insurance. Finally, the paper considers the cost of a combined retirement package, providing both pension and LTC insurance, and shows that it can reduce adverse selection.