A Guaranteed Minimum Income Scheme for Australia? Some Problems1

The integration of the income taxation and social security systems is implicit in a guaranteed minimum income scheme. Some of the issues involved in this integration are highlighted. The two systems have developed independently in Australia, mainly because of the fundamentally different roles that the two serve. It is argued that although the two systems should work in harmony, their complete integration will present many great conceptual and practical difficulties which would reduce the effectiveness of both. Thus the poverty problem can be more fruitfully attacked by reform within the existing social security system in Australia than by the introduction of an integrated system.     

Structural equation models for area health outcomes with model selection

Recent analyses seeking to explain variation in area health outcomes often consider the impact on them of latent measures (i.e. unobserved constructs) of population health risk. The latter are typically obtained by forms of multivariate analysis, with a small set of latent constructs derived from a collection of observed indicators, and a few recent area studies take such constructs to be spatially structured rather than independent over areas. A confirmatory approach is often applicable to the model linking indicators to constructs, based on substantive knowledge of relevant risks for particular diseases or outcomes. In this paper, population constructs relevant to a particular set of health outcomes are derived using an integrated model containing all the manifest variables, namely health outcome variables, as well as indicator variables underlying the latent constructs. A further feature of the approach is the use of variable selection techniques to select significant loadings and factors (especially in terms of effects of constructs on health outcomes), so ensuring parsimonious models are selected. A case study considers suicide mortality and self-harm contrasts in the East of England in relation to three latent constructs: deprivation, fragmentation and urbanicity.     

A Weighted Composite Dose – Response Model For Human Salmonellosis

This article describes the development of a weighted composite dose – response model for human salmonellosis. Data from previously reported human challenge studies were categorized into two different groups representing low and moderately virulent/pathogenic Salmonella strains based on a disease end point. Because epidemiological data indicate that some Salmonella strains are particularly pathogenic, and in the absence of human feeding study data for such strains, Shigella dysenteriae was used as a proxy for highly virulent strains. Three single-hit dose – response models were applied to the human feeding study data and evaluated for best fit using maximum likelihood estimation: (1) the exponential (E-1pop), (2) the two-subpopulation exponential (E-2pop), and (3) the Beta-Poisson (BP). Based on the goodness-of-fit test, the E-1pop and BP were the best-fit models for low and moderately virulent/pathogenic Salmonella strains, and the E-2pop and BP models were better for highly virulent/pathogenic strains. Epistemic analysis was conducted by determining the degree of confidence associated with the selected models, which was found to be 50%/50% (E-1pop/BP) for low and moderately pathogenic Salmonella strains, and 9.8%/90.2% (E-2pop/BP) for highly virulent strains. The degree of confidence for each component model and variations in the proportion of strains within each virulence/pathogenicity category were incorporated into the overall composite model. This study describes the influence of variation in strain virulence and host susceptibility on the shape of the population dose – response relationship.     

Biased Bootstrap Methods for Reducing the Effects of Contamination

Contamination of a sampled distribution, for example by a heavy-tailed distribution, can degrade the performance of a statistical estimator. We suggest a general approach to alleviating this problem, using a version of the weighted bootstrap. The idea is to 'tilt' away from the contaminated distribution by a given (but arbitrary) amount, in a direction that minimizes a measure of the new distribution's dispersion. This theoretical proposal has a simple empirical version, which results in each data value being assigned a weight according to an assessment of its influence on dispersion. Importantly, distance can be measured directly in terms of the likely level of contamination, without reference to an empirical measure of scale. This makes the procedure particularly attractive for use in multivariate problems. It has several forms, depending on the definitions taken for dispersion and for distance between distributions. Examples of dispersion measures include variance and generalizations based on high order moments. Practicable measures of the distance between distributions may be based on power divergence, which includes Hellinger and Kullback–Leibler distances. The resulting location estimator has a smooth, redescending influence curve and appears to avoid computational difficulties that are typically associated with redescending estimators. Its breakdown point can be located at any desired value ε∈ (0, ½) simply by 'trimming' to a known distance (depending only on ε and the choice of distance measure) from the empirical distribution. The estimator has an affine equivariant multivariate form. Further, the general method is applicable to a range of statistical problems, including regression.     

Organisation als Freiraum und Zwang

Organisations are marked by contradictions: change and continuity, health and sickness, men and women, creativity and linearity, past and future and freedom and restriction are only a few poles in which these contradictions are made visible. Organisations try to give answers to these contradictions and give space for both: freedom and restriction. Here, systems and individuals are related in mutual challenge and in permanent negotiation. It is therefore important for management and employee to reflect on the preconditions for the chance of freedom and restriction. The organisation has to provide the possibility to legitimize the ‘Management of Paradox’ in order to generate answers which are necessary to guide change and contradiction.     

The nature, extent and determinants of violence against psychiatric personnel

Violence against psychiatric staff seems to be on the increase. Such abuse can lead to mental health consequences for the staff and a reluctance to be closely involved with patients. Few Swedish investigations have examined violence against mental nurses and psychiatrists, or undertaken comparative studies between them. In this study we examined the extent, nature and determinants (i.e. risk factors) of violence against psychiatric nurses (n = 731) and psychiatrists (n = 320) working in the eight health care districts of Stockholm. These caregivers were assessed cross-sectionally by means of a questionnaire covering various areas (e.g. violence and work environment). The majority of the participants (85%) reported having been exposed to violence during their careers, with 57% being victimized in the past 12 months. Physical violence was common, and factors such as negative attitudes to work and diminished sense of autonomy were associated with an increased vulnerability to violence. Nurses and psychiatrists did not differ in violence variables. In spite of the weaknesses of the design (cross-sectional self-selecting sample), this study corroborates previous findings and identifies personal factors associated with violence that have received little attention in the literature (e.g. lack of respect for the organization of care).     

Floating ideas—An experiment in enhancing hypergames with maps

Within the OR community, an increasing emphasis is being placed on developing approaches to tackle complex, ‘messy’ decision problems. The work described in this paper arose out of the premise that it would be desirable to integrate ideas from a number of different approaches of this type. Specifically, the paper describes one experimental attempt to link methods for modelling conflict situations (the analysis of options and hypergames) with the cognitive mapping approach to eliciting subjective data. Taking a personally-owned decision problem, mapping was used to enrich the game-based approaches by providing a way of documenting the argumentation underlying the models used. Though difficult to generalise from, the experiment not only suggested that such an extension is likely to be an improvement, but also highlighted some deficiencies in the existing versions of the game-based approaches themselves.     

ON BOOTSTRAP HYPOTHESIS TESTING

We describe methods for constructing bootstrap hypothesis tests, illustrating our approach using analysis of variance. The importance of pivotalness is discussed. Pivotal statistics usually result in improved accuracy of level. We note that hypothesis tests and confidence intervals call for different methods of resampling, so as to ensure that accurate critical point estimates are obtained in the former case even when data fail to comply with the null hypothesis. Our main points are illustrated by a simulation study and application to three real data sets.