A SEMI-PARAMETRIC MODEL FOR ASYMMETRIC INFORMATION IN HEALTH PLAN MARKETS

Two sources of asymmetric information in health markets are adverse selection where only individuals know their illness probability and their preventive effort to reduce illness probabilities. This effort is not observed by insurers, and thus individuals cannot be adequately compensated for their effort. I investigate whether asymmetric information plays a role in health care markets through a semi-parametric model that allows both adverse selection and preventive effort. I find that preventive effort plays a role in illness probabilities. If the United States implements universal health coverage, the currently uninsured population will exert less preventive effort, and their illness probabilities will increase. (JEL I11 , C14 )     

Public Health Institutions,Clinical Research and Protection System of Patients’ Rights: An Impact Evaluation of Public Policy

Public health institutions are involved in human experimentations, which is a specific phase of pharmaceutical industry’s production process. These medical centers collect clinical evidence about experimental treatments and, at the same time, they have to guarantee patients’ safety through appropriate Institutional Review Boards. Taking human experimentation into account, this work aims at estimating a public policy designed to reduce transaction costs that are related to the protection system of patients’ rights, with both a normative and positive approach. On the one hand, considering a sample of European countries as counterfactual, an empirical analysis is performed in order to estimate the impact of a national law aimed at harmonizing the procedure to obtain opinions on clinical trials. On the other hand, an alternative law, which might be able to favor the exchange between pharmaceutical companies and patients, is proposed.     

Over‐indebtedness and microcredit in Cambodia: Moving beyond borrower‐centric frames

Over the past two decades, Cambodia has experienced an unprecedented credit boom, a growth in lending so rapid that the International Monetary Fund (IMF) referred to it as “one of the fastest financial deepening episodes by historical cross‐cultural standards” (IMF, 2016, p. 4). This deepening has been driven by the expansion of microcredit. In tandem, over‐indebtedness has increased among microcredit borrowers, and debt has become a significant political and economic concern. This article explores how over‐indebtedness is understood and explained by stakeholders across microcredit value chains. To do so, we draw on interviews with microfinance institution (MFI) executives, investors, branch managers, partners, financial literacy trainers, loan officers and borrowers in Siem Reap and Phnom Penh. We find that across the sector, dominant framings of over‐indebtedness privilege borrower‐centric explanations, while discounting the structural drivers of excessive lending and borrowing. As a consequence, current efforts to limit over‐indebtedness are unlikely to produce the kinds of solutions that are most needed to reduce the debt stress among borrowers. These arguments have implications across the Global South, particularly for contexts where microfinance is rapidly expanding.     

Challenging the Rhetoric of Choice in Maternal Labour‐Force Participation: Preferred Versus Contracted Work Hours

The notion of choice in maternal labour‐force participation (LFP) is a contentious one, with assertions that LFP is a direct result of either personal inclinations, such as employment commitment or external factors, such as historically available opportunities. This article suggests an alternative framework for understanding and testing choice in LFP using preferred versus contracted work hours. It explores these constructs quantitatively in a group of working mothers (N = 275) with dependent children and investigates qualitatively the underlying reasons for discrepant preferred versus contracted work hours in a sub‐sample of these women with under‐school‐aged children (N = 20). The results show that nearly two‐thirds of women working full time would prefer to work part time and the major reasons for not acting on their preferences is because of the nature of the job and the lack of career opportunities available for part‐time employees.     

Medical students' and tutors' experiences of directed and self-directed learning programs in evidence-based medicine: a qualitative evaluation accompanying a randomized controlled trial

This qualitative study aims to interpret the results of a randomized controlled trial comparing two educational programs (directed learning and self-directed learning) in evidence-based medicine (EBM) for medical students at the University of Oslo from 2002 to 2003. There is currently very little comparative educational research in this field. In the trial, no statistically significant differences between the study groups were shown for any outcomes considered (EBM knowledge, skills, and attitudes). Further analysis suggests that main reason for the negative trial results was that the majority of students learned equally effectively, whichever program they received, although implementation of the educational programs was not complete because of varying attendance. This study illustrates a stepwise evaluation model that might be useful in evaluating other socially complex interventions.     

On the efficiency of using the sample kurtosis in selecting optimal lpestimators

This paper examines the efficiency of thesample kurtosisin obtaining L_P estimates as an estimates of central tendency for symmetric distributions. Moreover, guidelines are established for determining an optimal value of P based on the kurtosis of the error distribution.     

Measuring Christian Beliefs that Affect Managerial Decision-Making: A Beginning

Although considerable work has been done on the measurement of religious values and beliefs, little is understood about their effect on managerial values and decision making. This paper reports on theoretical work by the authors identifying Christian religious beliefs that might affect managerial decision making; it also reports the results of empirical work validating five scales of religious beliefs that might affect managerial decision making. Future research directions are proposed. This revised version was published online in August 2006 with corrections to the Cover Date.