DEA-Like Efficiency Ranking of Regional Health Systems in Spain

The last decades have witnessed an increasing international concern in assessing how efficiently health care resources are used in producing health. At a country level, comparing the efficiency of regional health systems and ranking the regions accordingly promotes transparency policies and represents an important incentive for the design and implementation of specific programs aimed at improving the quality of health care services within the country. The use of data envelopment analysis (DEA) as a tool for efficiency analysis in the health sector is well-established, but its use with a ranking purpose is discouraged due to lack of discrimination and comparability issues. Using data from the competent health authority in Spain, the purpose of this study is to assess the efficiency of the regional health systems in Spain and identify those regions that are using their health care inputs more efficiently than others, given the observed level of health outcomes. To this aim, a DEA-based model that operates under a common weights basis is used in order to improve discrimination and establish a common scale for a proper comparison of the regional health systems in Spain that can be subsequently ranked by their efficiency score.     

The role of intercultural,scientific and technological openness on innovation in European regions

This paper analyses the importance of openness for innovation in European regions. Openness is understood from a double angle: intercultural and scientific & technological. Our hypothesis is that each type of openness brings different kinds of knowledge into the regions and results on a different innovation output. S&T openness brings analytical forms of knowledge whilst intercultural openness brings tacit ones. Our results confirm this relationship as S&T openness shows a significant impact on patent activity, but not when a broader innovation indicator is used. Intercultural openness is highly significant when measuring innovation by a broader index and much less when measured by patents.     

What happens after compulsory education? Problems of continuity and possible policies in the case of Spain

The lack of opportunities to enter post-compulsory education in Spain and other countries in southern Europe is a serious problem from the point of view of the requirements of the productive system as well as the social inequality that it creates. This article analyses the effect of a range of variables on that lack of opportunity and various public policy measures are proposed that are directed towards reinforcing the continuity of young people in the education system. The analysis is carried out through the proposal and estimation of a multinomial logistic regression model that permits the identification of factors associated with the process of passing from compulsory education to the possibilities that are open when this finishes (with regard to the education system and the labor market). The model is applied to a sample of individuals of 16 and 17 years of age from the European Community Household Panel in the year 2000 wave. The analysis allows the identification of two groups of variables that affect the probability of following the different paths that are open at the end of compulsory education. On the one hand, there is social and cultural background (reflected in variables such as the social class and education of the parents) and on the other, there is the region of residence, the effect of which derives essentially from the differences that exist between the labor markets. The article concludes by putting forward a set of mainly educational public policies that have the object of increasing access to post-compulsory education. These policies are mostly equity oriented.     

Nonparametric estimation of a regression function from backward recurrence times in a cross-sectional sampling

This study considers the nonparametric estimation of a regression function when the response variable is the waiting time between two consecutive events of a stationary renewal process, and where this variable is not completely observed. In these circumstances, our data are the recurrence times from the occurrence of the last event up to a pre-established time, along with the corresponding values of a certain set of covariates. Estimation of the error density function and some of its characteristics are also considered. For the proposed estimators, we first analyze their asymptotic behavior and, thereafter, carry out a simulation study to highlight their behavior in finite samples. Finally, we apply this methodology to an illustrative example with biomedical data.     

Undercounting Urban Residents in Bolivia: A Small-Area Study of Census-Driven Migration

Employing a small-area study approach in a single urban area in Bolivia, a country with high rates of internal circular migration, we describe how, in the months before the November 2012 census, local leaders and neighbors, concerned with maximizing the per capita resources their residential districts and rural communities could claim from central government, threatened to employ sanctions against absent individuals whom they judged to be regular residents. We use three types of data—a two-wave household survey, data from vehicle toll booths, and photographic logs of a minibus station—to show how these threats generated substantial movement out of the urban area, leading to an urban undercount of roughly 20 % of prime-age adults and 50 % of those aged at least 50. More generally, we argue that these data highlight how local leaders’ increasingly sophisticated attempts to shape data extend beyond the well-known examples from autocratic states. This is driven by a combination of intensive urban–rural connections, leaders’ greater democratic accountability to local voters, increasing fiscal transparency at the national level, increasing fiscal accountability of governments to transnational neoliberal institutions pushing “transparency” and “evidence-based” policy, and more overt talk about “resource sharing” that is rooted in an evidence-based planning paradigm. Since these structural conditions exist in many other developing countries, the possibility of equivalent urban undercounts in forthcoming censuses needs to be anticipated and avoided.     

Philanthrocapitalism as a Neoliberal (Development Agenda) artefact: philanthropic discourse and hegemony in (financing for) international development*

ABSTRACT

Based on a critical analysis of the structurally neoliberal financing for development (FfD) system established by the Addis Ababa Action Agenda, this article contributes to the literature that views the 2030 Agenda as a new phase of the Neoliberal Development Agenda (NDA), which has been consolidated as hegemonic within the international development (ID) field in recent decades. Additionally, considering philanthrocapitalism as an ideological framework that proposes its own diagnoses and prognoses, we analyse various discourses of relevant Philanthrocapitalist Institutions and International Organizations to point how they legitimate themselves. This article shows how philanthrocapitalism has been constituted not only as a key element within the current model of FfD but also as a genuine neoliberal artefact designed to encapsulate the NDA apparatus, and fostered by the discourse of international agencies to contribute to the meta-objective of consolidating the neoliberal model as hegemonic in the ID arena.     

International migration and development in mexican communities

The theoretical and empirical literature generally regards international migration as producing a cycle of dependency and stunted development in sending communities. Most migrants’ earnings are spent on consumption; few funds are channeled into productive investment. We argue that this view is misleading because it ignores the conditions under which productive investment is likely to be possible and profitable. We analyze the determinants of migrants’ savings and remittance decisions, using variables defined at the individual, household, community, and macroeconomic levels. We identify the conditions under which U.S. earnings are repatriated to Mexico as remittances and savings, and indicate the factors leading to their productive investment.     

Changing conditions in the US labor market

In this paper, we assess the extent to which the Immigration Reform and Control Act (IRCA) of 1986 affected US labor market conditions facing Mexican migrant workers. Using data gathered from migrants in ten Mexican communities, as well as out-migrants from those communities located in the USA, we examined whether and how IRCA affected US wages, hours worked, and the terms of employment. Estimated period effects did not indicate a clear break in most of these variables following IRCA's passage in 1986, except for hours worked and monthly income. Our analyses did reveal a fairly consistent pattern of deterioration in the labor market conditions facing undocumented migrants, however. Compared to illegal migrants working in the USA before IRCA, those migrating afterward worked fewer hours and were less likely to have taxes withheld from their pay. We also found evidence that undocumented migrants were pushed from the agrarian to the urban economy by the increase in labor supply occasioned by the SAW program.     

Stemming the tide? Assessing the deterrent effects of the immigration reform and control act

This study uses a new source of data to assess the degree to which the Immigration Reform and Control Act (IRCA) deterred undocumented migration from Mexico to the United States. Data were collected from migrants interviewed in seven Mexican communities during the winters of 1987 through 1989, as well as from out-migrants from those communities who subsequently located in the United States. We conduct time-series experiments that examine changes in migrants' behavior before and after passage of the IRCA in 1986. We estimate trends in the probability of taking a first illegal trip, the probability of repeat migration, the probability of apprehension by the Border Patrol, the probability of using a border smuggler, and the costs of illegal border crossing. In none of these analyses could we detect any evidence that IRCA has significantly deterred undocumented migration from Mexico.