A case study of the labour market status of recent mainland Chinese immigrants,metropolitan Toronto

"This article focuses on an analysis of the labour market status of recent MCIs [mainland Chinese immigrants to Canada], taking into account such factors as gender, educational attainment, language proficiency and period of arrival (or length of residence in Canada), and uses Metropolitan Toronto as a case study. The effect of each factor on MCIs' labour market status will be analysed separately, followed by two logit models examining the simultaneous effects of the factors and their relative importance." (SUMMARY IN FRE AND SPA)     

IDENTITY POLITICS, PARTISANSHIP, AND VOTING FOR WOMEN CANDIDATES

In 1992 a record 14 women sought statewide office by running"as women" and as representatives of women. In this articlewe examine whether their appeals led to widespread vot ing onthe basis of gender identity. We find evidence that the sexof the voter is significantly related to voting for female candidatesin eight of 13 states, and among partisans of both parties aswell as Independents. Further, we find that these effects areamplified by Democratic female candidates who are rated as mostfeminist, and that this is especially the case for those withno partisan attachments.     

Bequests as a heir "disciple device."

This paper develops a model ofinter vivos gifts and bequests in a setting of moral hazard and adverse selection. Altruistic parents do not perfectly know how much effort their children make to earn their living, nor do they know their true level of ability.Inter vivos gifts take place prior to the realization of the children's earnings whereas at the moment of bequests, parents do observe them. We show that an optimal transfer policy generally uses a mix ofinter vivos gifts — deemed as more efficient — and bequests — deemed as more redistributive.We are thankful to Allessandro Cigno, Jacques Cremer, Claude d Aspremont and anonymous referees for their comments.Responsible editor: Alessandro Cigno     

Batch sampling to improve power in a community trial. Experience from the Pawtucket Heart Health Program

Experiments involving large social units, such as schools, work sites, or whole cities, are commonly limited in statistical power because the number of randomized units is small, leaving few degrees of freedom for residual (between-unit) error. The authors describe a method for increasing residual degrees of freedom in a community experiment without substantially increasing cost or difficulty. In brief, they propose that the experimental units should be divided into random subsamples (batches). Batch sampling can improve statistical power if the community endpoint means are stable over time or if their temporal variation is comparable in period to the batch-sampling schedule. The authors demonstrate the theoretical advantages of the batch system and illustrate its use with data from the Pawtucket Heart Health Program, in which such a design was implemented.     

The health status of elderly people and the new direction of health services

The projected increase of people in Japan aged 75 years and older in the years to come implies the increase of the disabled elderly. Thus, the core of societal preparation for the aging of the population is generally considered to be the expansion of services for the disabled elderly. However, gerontological studies on the health status of the elderly conducted in Japan show that the prevalence of disability is quite low and even decreasing. Relative to the services for the disabled elderly, preventive services for the healthy elderly have long been overlooked. In 1994, the Metropolitan Tokyo Government organized a task force to develop a new health education program as the preventive health service for the healthy urban elderly. A preliminary plan outlining the health education program--consisting of propagation with a booklet, on-the-job training of practitioners, and development of new curricula and teaching materials--was proposed by the authors for discussion within the task force. Although the inquiry has just begun and the plan is still nascent, it seems adequate to fit the needs for preventive health services in the near future.     

Population growth and the changing ecosystem in Mindanao

Mindanao is the second largest island in the Philippines. Once considered the greenest spot on earth, it has since been highly exploited. This paper discusses the changing ecosystem of the island as a result of rapid population growth since the early 1900s. Not much is known about Mindanao before 1900. From 1913, however, population grew on Mindanao as the American colonial government established agricultural colonies to open up the south for trade and development. Colonial settlement together with migration and natural population increase led to environmental resource degradation and the displacement of indigenous communities such as the Moros and Lumads. Legal and illegal logging and rampant kaingin agriculture have also stressed the environment. The opening of the Mindanao frontier, Philippine development, the Great Migration, incursion of the Mindanao upland, deforestation, the displacement of indigenous communities, and the possible maintenance and rehabilitation of the ecosystem are discussed.     

Health care futures. Part 2: The future of physician executives? Panel discussion

What is the future of health care in America? This is Part 2 of The Physician Executive panel discussion that explores the future of health care in America. To narrow this ambitious focus somewhat, the future is defined as five to 10 years hence. In Part 1, which was published in the May/June issue, Russell C. Coile, Jr., Barbara LeTourneau, MD, MBA, FACPE, James Reinertsen, MD, Uwe Reinhardt, PhD, Marshall Ruffin, MD, MPH, MBA, FACPE, and David Vogel, MS, shared their opinions about what the future holds in managed care, information technology, and biotechnology. In Part 2, Susan Cejka, Barbara LeTourneau, MD, MBA, FACPE, John Henry Pfifferling, PhD, Uwe Reinhardt, PhD, and James Todd, MD, share their views on the future of medical education and physician executives.