Sociological gains and losses: The case of the national health care use and expenditure surveys

This article reflects on the role of sociological concepts and of sociologists in a series of national surveys that have proved important to national health policy in financing and access to health care. The development of the early surveys in a university setting and their migration to the government is discussed, as is the relative influence of sociologists and economists. The changing focus of health policy from access to care through expanded government programs, to cost containment and utilization control, provides an important context for understanding these developments. Areas are identified where sociologists can make significant contributions to health policy in financing and access to care. She received her PhD in Sociology from the University of Chicago. She spent six years as a Senior Sociologist at NCHSR working on all aspects of the NMCES, and three years as an analyst in the Office of Research at the Health Care Financing Administration. He received his PhD in Sociology from New York University. He joined NCHSR to conduct analyses of the NMCES data and has had major responsibilities in the design of NMES.     

Combining New Institutionalisms: Explaining Institutional Change in American Property Insurance

This article combines institutionalisms to explain fundamental change in American property insurance. During the 1950s, the industry shifted from associations to price-competitive markets and vertically integrated firms. I advance two new arguments to explain this shift: First, institutions endogenously generate conditions for change. Second, fundamental change or institutional replacement depends on a dynamic convergence of conditions—market failures, legitimacy crises, new models of order—and the culmination of this dynamic in politics and policies that admit alternatives into fields. Together, these arguments reduce indeterminacies in existing theories of change and shed new light on punctuated equilibria and the politics of transformation.     

Genetic Studies of Pathological Gambling: A Review of Methodology and Analyses of Data from the Vietnam Era Twin Registry

Twin studies represent an important and powerful approach to estimating the relative contributions of environmental and genetic factors to the expression of psychiatric illnesses. In this article, we first explain the rationale for using large populations of monozygotic and dizygotic twin pairs to estimate genetic and environmental contributions to a disorder and the statistical modeling associated with this approach. We then review results from studies of the Vietnam Era Twin Registry that use this methodology to examine the etiology of pathological gambling (PG) behaviors. The results provide strong evidence for genetic contributions to the development of PG in men and set the foundation for future studies aimed at identifying the manner in which specific genes and environmental factors individually and in conjunction contribute to PG.     

An Examination of the Relationship Between Absorptive Capacity and Organizational Learning,and a Proposed Integration

Since its inception, the concept of absorptive capacity has been closely linked with notions of organizational learning. Yet the precise nature of the relationship between these two concepts has never been established. This relationship is examined in a variety of ways, and it is suggested that the literature on these two concepts shares a conceptual affinity which needs to be delineated. It is suggested that absorptive capacity (a dynamic capability) is a concrete example of organizational learning that concerns an organization's relationship with new external knowledge. Using the 4I Model for organizational learning ( Crossan, M.M., Lane, H.W. and White, R.E. (1999 ). An organizational learning framework: from intuition to institution. Academy of Management Review, 24, 522–537) and Zahra and George's conceptualization of absorptive capacity ( Zahra, S.A. and George, G. (2002 ). Absorptive capacity: a review, reconceptualization, and extension. Academy of Management Review, 27, 185–203), this paper proposes an integration of the two concepts.     

Characteristics of Older Adult Problem Gamblers Calling a Gambling Helpline

Background Few investigations have characterized groups of older adults with gambling problems, and published reports are currently limited by small samples of older adult problem gamblers. Gambling helplines represent a widespread mechanism for assisting problem gamblers to move into treatment settings. Given data from older adult problem gamblers in treatment, we hypothesized that older as compared with younger adult problem gamblers calling a gambling helpline would be less likely to report gambling-related problems.Design and methods Logistic regression analyses were performed on data obtained from January 1, 2000 to December 31, 2001, inclusive, from callers with gambling problems (N = 1,084) contacting the Connecticut Council on Problem Gambling Helpline.Results Of the 1,018 phone calls used in the logistic regression analyses, 168 (16.5%) were from older adults and 850 (83.5%) from younger adults. Age-related differences were observed in demographic features, types and patterns of gambling reported as problematic, gambling-related problems and psychiatric symptoms, substance use problems, patterns of indebtedness, and family histories of addictive disorders. Older as compared with younger adult problem gamblers were more likely to report having lower incomes, longer durations of gambling, fewer types of problematic gambling, and problems with casino slot machine gambling and less likely to report gambling-related anxiety, family problems, illegal behaviors and arrests, drug problems, indebtedness to bookies or acquaintances, family histories of drug abuse, and problems with casino table gambling.Conclusions Older as compared with younger adult problem gamblers calling a gambling helpline differ on many clinically relevant features. The findings suggest the need for improved and unique prevention and treatment strategies for older adults with gambling problems.     

Complete ranking procedures with quadratic loss

Suppose that one wishes to rank k normal populations, each with common variance σ² and unknown means θ_i (i=1,2,…,k). Independent samples of size n are taken from each population, and the sample averages are used to rank the populations. In this paper, we investigate what sample sizes, n, are necessary to attain “good” rankings under various loss functions. Section discusses various loss functions and their interpretation. Section 2 gives the solution for a reasonable non-parametric loss function. Section 3 gives the solution for a reasonable parameteric loss function.     

Accent on Teaching Materials

Estimation of covariance components in the multivariate random-effect model with nested covariance structure is discussed. There are two covariance matrices to be estimated, namely, the between-group and the within-group covariance matrices. These two covariance matrices are most often estimated by forming a multivariate analysis of variance and equating mean square matrices to their expectations. Such a procedure involves taking the difference between the between-group mean square and the within-group mean square matrices, and often produces an estimated between-group covariance matrix that is not nonnegative definite. We present estimators of the two covariance matrices that are always proper covariance matrices. The estimators are the restricted maximum likelihood estimators if the random effects are normally distributed. The estimation procedure is extended to more complicated models, including the twofold nested and the mixed-effect models. A numerical example is presented to illustrate the use of the estimation procedure.