Evaluating risk: global fees and episodic care

In 1999, two articles in The Physician Executive -- "Part I: Global Theory and the Nature of Risk (July-August)." and "Part II: Towards a Choice-Based Model of Managed Care (October-November)" -- outlined the flaws of orthodox managed care theory and highlighted the unique advantages of moving to a genuinely market-based model, which included the concept of direct contracting for integrated episodes of care. This follow-up focuses on comparing an episode contracting system to a traditional capitated program and outlines the features that make this approach much more attractive to physicians, payers, and most importantly patients.     

The impact of US tariffs against China on US imports: Evidence for trade diversion?

We provide evidence on the existence of short-run trade diversion effects towards third countries as a consequence of tariff shocks. We exploit sudden policy changes in the context of the trade dispute between the United States and China in 2018. Based on a data set covering monthly product-level information on US imports from 30 countries for the period 2016 until May 2019, we employ a difference-in-differences estimation framework. Doing so, we can show a strong negative direct effect of US tariffs on US imports from China, but do not find evidence for significant short-run trade diversion effects towards third countries.     

Effects of facial expression and stare duration on walking speed: Two field experiments

Two field experiments investigated the generality of the stare-escape phenomenon for pedestrians. Experiment 1, conducted at a traffic intersection, failed to replicate a previous finding that being stared at leads to faster walking speed. One hypothesis that could explain this failure is that the relatively short staring times used in Experiment 1 were insufficient for subjects to attribute a threatening meaning to the stare. In Experiment 2, conducted at a library elevator, duration of staring was systematically varied—either 2 seconds or more than 15 seconds. Consistent with the attribution time hypothesis, subjects increased walking speed after a long stare but decreased it after a short stare. In both experiments a smile coupled with a stare appeared to neutralize the effects of a stare alone.The authors would like to thank Clyde Hendrick for his valuable comments on an earlier draft of this paper.     

Shorter hours wanted? A systematic review of working-time preferences and outcomes

Changes in working time have important economic, social and environmental implications. However, research on workers' preferences is highly fragmented across disciplines and journals. To overcome this, the present article provides a systematic review of the literature, analysing 173 studies. The study shows that working-time outcomes and mismatches are mostly studied in a small group of OECD countries, using survey data and statistical methods. The most clear and consistent results are about gender, care responsibilities and current working hours. Among professions, only the medical workforce receives substantial attention. Norms and preference formation are poorly understood, and more qualitative research is essential to understand how working-time reductions could spread.     

Pornographic Picture Processing Interferes with Working Memory Performance

Some individuals report problems during and after Internet sex engagement, such as missing sleep and forgetting appointments, which are associated with negative life consequences. One mechanism potentially leading to these kinds of problems is that sexual arousal during Internet sex might interfere with working memory (WM) capacity, resulting in a neglect of relevant environmental information and therefore disadvantageous decision making. In this study, 28 healthy individuals performed 4 experimental manipulations of a pictorial 4-back WM task with neutral, negative, positive, or pornographic stimuli. Participants also rated 100 pornographic pictures with respect to sexual arousal and indicated masturbation urges previous to and following pornographic picture presentation. Results revealed worse WM performance in the pornographic picture condition of the 4-back task compared with the three remaining picture conditions. Furthermore, hierarchical regression analysis indicated an explanation of variance of the sensitivity in the pornographic picture condition by the subjective rating of the pornographic pictures as well as by a moderation effect of masturbation urges. Results contribute to the view that indicators of sexual arousal due to pornographic picture processing interfere with WM performance. Findings are discussed with respect to Internet sex addiction because WM interference by addiction-related cues is well known from substance dependencies.     

The relative importance of ethnicity and religion in predicting attitudes towards gays and lesbians

Using data from a sample of college students from several campuses throughout the United States, this research examines whether ethnic differences (African Americans versus European Americans) in attitudes toward gays and lesbians are a function of religious attendance. Multiple regressions were run separately for attitudes towards lesbians and attitudes toward gay men. When predicting attitudes toward lesbians, ethnic differences were present in the absence of religious attitudes; however, when religious attitudes were entered into the model, ethnic differences disappeared. In predicting attitudes toward gay men, ethnic differences were never present, while religious attitudes were always statistically significant. We conclude that differences in attitudes toward homosexuals in general, and gay men specifically, are not necessarily a function of ethnicity but possibly of religious attendance and the effect of the "Black church." We end with a discussion of the link between ethnicity, religion, HIV/AIDS, and heterosexism in the African American community.