Sucker bet or sure thing: A critical analysis of sports lotteries

A paradox currently exists regarding legal sports gambling in North America: various forms are flourishing in Nevada, Oregon, and several Canadian provinces, while at the same time the United States Congress is conducting hearings on two bills that would prohibit any new state-sponsored sports gambling initiatives. This study examines the issue of why some jurisdictions are enthusiastic about legal sports gambling while others strongly resist the concept. In reviewing these divergent viewpoints, a case study of the newfledged Canadian Sport Select gambling format is presented. This example is used to highly the perils and payoffs of a typical state-sponsored sports gambling scheme, with a view toward broadening our understanding of how they work and how they might be fairer to the public.     

Age difference asymmetry and a two-sex perspective

The paper shows that (a) the age difference between spouses can be and has been different for men and women; (b) male and female age differences can exhibit different trends; (c) the discrepancy is due to remarriage; (d) the age difference fluctuates substantially through time; (e) trends in the age difference are not readily interpretable as reflecting change in the relative status of the sexes; and (f) that trends in the age difference may be linked to marriage market conditions. The paper argues that marriage and fertility data for both men and women are increasingly necessary because of rises in marital breakdown and the associated divergence of the experience of men and women.Cet article montre que (a) les différences d'âge entre époux peuvent être et ont été dissemblables pour les hommes et les femmes; (b) les différences d'âge masculines et féminines peuvent présenter des tendances différentes; (c) la divergence est due aux remariages; (d) les différences d'âge varient de façon importante au cours du temps; (e) les tendances dans les différences d'âge ne sont pas simplement interprétables en termes de changements dans le statut relatif des sexes; et (f) les tendances dans les différences d'âge peuvent être reliées aux conditions du marché matrimonial. L'article montre que les données sur le mariage et la fécondité à la fois des hommes et des femmes, sont de plus en plus nécessaires du fait de l'accroissement des ruptures d'unions et de la divergence des expériences masculines et féminines, qui lui est associée.

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An earlier version of this paper, His and her age gap: asymmetry in the age difference between partners, was a contributed paper to Session F27 of the General Conference of the International Union for the Scientific Study of Population, New Delhi, 20–27 September 1989. A longer version appeared as LS Working Paper 70, issued by City University Social Statistics Research Unit, September 1990.     

Brief case: managing inputs

Jane Carmichael's views on Managing Inputs provide a further interesting contribution on a topic, strategic control, that we have covered on several occasions in this column. Carmichael's approach is to dig back behind the results being achieved to the 'inputs' on which they depend. But, while this may unearth causes of performance that can often be missed by a bottom-line orientation, results must ultimately remain vital; a business that is on track with all its input measures, but is missing its output goal is still in trouble. We continue to be interested in hearing from readers with views on strategic control processes, particularly those who have found productive ways of setting input and output targets.     

National Practitioner Data Bank--incomplete and future cloudy

Nearly six years after the National Practitioner Data Bank was authorized by Congress in the Health Care Quality Improvement Act of 1986, and more than a year after its actual creation, the device is still only partially operational. What is more, the success of even those limited efforts is being questioned, and the timetable for future developments remains to be firmed up. Also, the costs are much higher than estimated.     

Working with an executive search firm: Part II--The hiring organization's perspective

This article is the second part in a two-part series on how to work with an executive search firm. The first article, which appeared in the September-October 1992 issue of Physician Executive, focused on executive search from the candidate's perspective. This article focuses on how organizations can work with an executive search firm to recruit and retain top management talent.     

Management training for the physician executive

At conferences of physician managers, the issue almost always arises of whether or not a physician manager needs to obtain a formal management degree. There is no clear answer to such a question, reason enough for its perennial appearance at such meetings. These decisions are the result of both personal and environmental factors, each creating unique situations that will dictate the direction taken. In this article, one such direction is described.     

HIV testing of health care workers

Until recently, nothing much beyond education and the dispensing of condoms was being done to control the spread of AIDS. We have not yet taken sufficient measures to prevent the spread of this disease. Instead, we insist on protecting the privacy of the HIV-positive individual. However, we ignore the right to privacy by mandating testing for syphilis, which is not nearly as serious a disease as AIDS. Now, mandatory testing of health care workers is being proposed more frequently.     

Clinical program renovation management

The day-to-day management of medical practice is so heavily influenced by tactical imperatives that few physicians have the time to think strategically. Traditionally, the difference between tactics and strategy is not a major concern of most physician executives. The realm of tactics is the short run, when managers must make do with the fixed resources at hand. Strategy addresses the long run, when all resources and markets are variable. A tactical focus is understandable, maybe even acceptable, in industries where nothing challenges traditional approaches to production of an established product or service. However, medical care in the 1990s is changing so fast that a physician executive must devote an incredible amount of time and effort just to stay confused about what is going on.     

Immigrant fertility: an examination of social characteristics and assimilation

"This study compares the fertility patterns of foreign-born and native-born women in Canada and examines whether [the] same set of social characteristics accounts for differential fertility among both the groups. The study also assesses the importance of social characteristics and assimilation on immigrant fertility behavior. Two generations of currently married/cohabiting women with spouse present are analyzed using multiple regressions. The results reveal similar effects on fertility of social characteristics for foreign-born and native-born, while in the case of younger generations the effects are stronger."