Extending health care coverage: Potential linkages between statutory social security and community-based social protection

Abstract   The extension of social health protection in developing countries is widely recognized as a priority. Various financing and institutional methods can be used in pursuing this objective, but none of them can achieve universal coverage in the short term. Based on an analysis of the respective strengths and weaknesses of social health insurance and community-based health care schemes, this article demonstrates the high potential of coverage extension strategies that use a pluralistic institutional approach to establish linkages and exploit complementarities optimally. A typology of potential linkages among different methods is presented and their value added illustrated using country examples.     

The Persistence of High Levels of Living Alone Among Adults with Disabilities in Sweden, 1993–2011

Population Research and Policy Review - This study investigates how the probability to live alone has developed among working age individuals with and without disabilities in Sweden during the...     

STENO:an expert system for medical diagnosis based on graphical models and model search

Causal probabilistic models have been suggested for representing diagnostic knowledge in expert systems. This paper describes the theoretical basis for and the implementation of an expert system based on causal probabilistic networks. The system includes model search for building the knowledge base, a shell for making the knowledge base available for users in consultation sessions, and a user interface. The system contains facilities for storing knowledge and propagating new knowledge, and mechanisms for building the knowledge base by semi-automated analysis of a large sparse contingency table. The contingency table contains data acquired for patients in the same diagnostic category as the intended application area of the expert system. The knowledge base of the expert system is created by combining expert knowledge and a statistical model search in a model conversion scheme based on a theory developed by Lauritzen & Spiegelhalter and using exact tests as suggested by Kreiner. The system is implemented on a PC and has been used to simulate the diagnostic value of additional clinical information for coronary artery disease patients under consideration for being referred to coronary arteriography.     

What is sociological about economic sociology? Uncertainty and the embeddedness of economic action

Conclusion This article argues that the problem of uncertainty represents the central limitation of efficiency-based approaches to the explanation and prediction of economic outcomes. The problem of uncertainty reintroduces the Hobbesian problem of order into economics and makes it possible to connect questions of economic decision-making with social theory. The emphasis lies not, as in the behavioral theories of the Carnegie School, in the influence of uncertainty on the actual decision process, but in those social devices that actors rely on in decision-making, i.e., that structure the situation for the agents. If agents cannot anticipate the benefits of an investment, optimizing decisions become impossible, and the question opens up how intentionally rational actors reach decisions under this condition of uncertainty. This provides a systematic starting point for economic sociology. Studies in economic sociology that argue from different theoretical perspectives point to the significance of uncertainty and goal ambiguity. This contribution reflects theoretically why economic sociology can develop a promising approach by building upon these insights. It becomes understandable why culture, power, institutions, social structures, and cognitive processes are important in modern market economies. But it should be equally emphasized that the maximizing paradigm in economics will not be dethroned without a causal theory of the relationship of intentional rationality and social rigidities.     

Pietät und Profit

Under what conditions do new markets emerge? This question is usually answered by referring to technological innovations, price changes, and political interventions. We take the historical development of the funeral market since the seventeenth century as an example to show that cultural changes are an equally important prerequisite for market formation. We distinguish three stages of market development, each coming about with far-reaching cultural, demographic, and institutional changes that created the precondition for the emergence of a market for funeral services. Market formation cannot be explained solely by technological, economic, or political changes, but relies on cultural preconditions that evolve historically.     

Aus dem Büro in den Wald

CHANGE OR DIE. The competitiveness of business companies continuously demands innovative ideas and the willingness to implement these from executive managers. Thereby their own personal needs are often neglected. The consequences range from stress and overload up to burnout symptoms. To support an appropriate handling of the imposed work load by managers, a scientifically grounded stress-tolerance-training will be designed and evaluated. For the first time, certain outdoor exercises will be used specifically among conventional elements as active experiences of challenges outside the office can deeply strengthen the constructive handling of stressful situations.     

Social Explanations of Lottery Play: New Evidence Based on National Survey Data

This study examines the social contexts of gambling and analyzes social motivations for playing the lottery. We test three sociological approaches simultaneously: network effects, consumption theory, and strain theory. The data used (SOEP-IS, N = 5868 individuals) has several advantages beyond being a large-scale representative sample of the German population. With information on households, we can analyze social network effects while avoiding the problems of egocentric network data. Another benefit of the SOEP-IS is the panel structure. We use the panel structure to improve measurements of strain theory by using the decline in income over time as a measure for it. Our results suggest that the three theories explain different aspects of lottery play. Networks seem to have an influence on lottery play. Having another person in the household playing the lottery is positively associated with both the probability of playing (regularly) and expenditures on lottery tickets. Daydreams and the belief in good luck are positively associated with lottery play as well. Strain theory is confirmed insofar as we find that a decline in income is significantly related to expenditures but not to the probability of playing the lottery. Overall, this study suggests that people play the lottery depending on their social surroundings, their desire to participate in a world normally out of their reach, and the tensions they feel from the distance between their aspirations and their actual social position.