The making of a hospital physician executive

Physicians are accustomed to having the "buck" stop with them in the clinical arena. Indeed, they resist any attempt to have it otherwise. Management has only recently come back into their consciousness as a career possibility. Management is the "buck" that now belongs to the enemy, represented by managed care, paperwork, and regulation. The thoughts in this article have grown from the author's experience over the past six years as a physician executive in a community hospital, a career that followed 25 years in clinical and anatomical pathology.     

Race,Sex, and Perception of the Occupational Opportunity Structure among College Students*

Questionnaires were administered to 70 black female, 75 black male, 1,457 white female and 1,429 white male university freshmen. In order to test three alternative theories regarding perceptions of discrimination, analyses of variance related sex, race, and SES to total scores of perceived occupational discrimination against blacks (BDST) and against women (WDST). Blacks perceived significantly more discrimination against black people than did whites; neither sex nor SES differentialed scores on BDST. Black females and white males perceived significantly more discrimination against women than did white females; black females had the highest and white females the lowest WDST scores. A discriminant analysis on white females indicated that high WDST scorers were characterized by an “underdog syndrome” whereas low WDST scorers held internal, individualistic values. The findings indicated the greatest support for the formulation that differential anticipatory socialization into the role of “a person who is discriminated against” characterized white females who perceived more or less discrimination against women.     

Analysis of a complex decision situation — The Simpsons/Simpsons-Sears merger proposal

Many of the decision situations that arise in modern organizations are very complex. Conventional methods of decision analysis have only limited applicability in these situations. This paper describes a method that can be used as an aid to decision making in such situations where interactions between the parties involved are an important factor. The method is illustrated by reference to a recent situation in which there was competition between a number of participants with regard to the future of the firm of Simpsons Ltd of Toronto. The analysis described illustrates the application of a step-by-step procedure that can be used by participants in the analysis of such situations.     

Validation of an inferential approach for the measurement of illegitimacy

An inferential model which utilizes surname comparisons in inferring legitimacy status is developed and validated. Criterion validation is employed to assess the level of agreement between the inferential approach and the conventional reporting procedure. Data for the analysis are based on a sample of birth certificates contained in files of the National Center for Health Statistics for calendar year 1973. Results indicate that despite excessive error within some categories of the control variables, the inferential method is generally adequate to obtain reliable estimates of illegitimacy.     

Wage patterns: An evolutionary perspective

The existence of wage patterns is often cited as evidence that the labor market is affected by institutional forces outside the purview of economic theory. In this paper, it is argued that such patterns can be understood as the result of an information-acquiring activity of labor market participants that enhances their chance of survival. Wage comparisons are selected, sometimes mistakenly, in an effort to cope with the uncertainty of the environment. This evolutionary analysis denies a distinction between market forces and spillovers. Helpful comments on an earlier draft were received from John Pencaval, Melvin Reder, and Stanley Siebert. The usual disclaimer attaches.     

Management attitudes toward two-tier pay plans

Two-tier pay plans, under which new hires are paid on a lower pay scale than existing employees, have been used with increasing frequency in union-management contracts. The two-tier phenomenon appears to be associated with the wider concession bargaining movement that began in the early 1980s. In this study, management attitudes toward and forecasts about two-tier pay plans are explored by means of a questionnaire survey. In general, the management community is found to be optimistic about the spread and utility of two-tier pay plans in the near term. Managers in firms that actually have two-tier plans are more enthusiastic about their impacts than other managers. Over a longer term, however, the managers surveyed tend to believe that separate wage scales under two-tier plans will eventually be merged into a unified scale. The authors would like to thank Maury Pearl and Gwang-Gi Baek for research assistance on this study.     

An experiment on coordination in multi-candidate elections: The importance of polls and election histories

Do polls simply measure intended voter behavior or can they affect it and, thus, change election outcomes? Do candidate ballot positions or the results of previous elections affect voter behavior? We conduct several series of experimental, three-candidate elections and use the data to provide answers to these questions. In these elections, we pay subjects conditionally on election outcomes to create electorates with publicly known preferences. A majority (but less than two-thirds) of the voters are split in their preferences between two similar candidates, while a minority (but plurality) favor a third, dissimilar candidate. If all voters voted sincerely, the third candidate — a Condorcet loser — would win the elections. We find that pre-election polls significantly reduce the frequency with which the Condorcet loser wins. Further, the winning candidate is usually the majority candidate who is listed first on the poll and election ballots. The evidence also shows that a shared history enables majority voters to coordinate on one of their favored candidates in sequences of identical elections. With polls, majority-preferred candidates often alternate as election winners.