A survey of physicians in a large group practice

Job satisfaction surveys among physicians, a recent phenomenon, are a very important managerial tool to determine the work motivation needs of physician-employees. The first MD Job Survey was done in 1984 by Lichtenstein on physicians employed by prisons. The largest survey of salaried physicians to date has been the 1987 Health Services Research Center of Chapel Hill survey of physicians employed in group practices. Currently, individual group practices are surveying their staffs with job satisfaction questions in order to enhance the work environment.     

BANKS,DEBT AND RISK: ASSESSING THE SPILLOVERS OF CORPORATE TAXES

We find evidence of tax-driven strategic allocation of debt and asset risk across group entities of European banks. We evaluate the effects that establishing tax neutrality between debt and equity finance has on systemic risk, and show that the degree of coordination in implementing the hypothetical tax reform matters. In particular, a coordinated elimination of the tax advantage of debt would significantly reduce systemic losses in the event of a severe banking crisis. By contrast, uncoordinated tax reforms are not equally beneficial precisely because national tax policies generate spillovers through cross-border bank activities. (JEL G21, G28, H25)     

The profile of cyclists in the city of Juiz de Fora

The problems related to the means of transport in urban Brazilians have been getting worse over the years. The increase of the fleet, to the detriment of the adequacy and extent of the road network of cities contributes to this fact. This paper presents a profile of users of cycling in the city of Juiz de Fora, and thus contributes to the study of sustainable urban mobility, providing researchers with information that can guide the search for the encouragement of the use of means of transport to meet environmental needs urban centers that contributes to social equity.     

Accounting for family background when designing optimal income taxes: a microeconometric simulation analysis

We develop an extended version of Roemer’s Equality of Opportunity (EOp) criterion that accounts for income differentials between as well as within types, where types are defined by circumstances that are beyond people’s control (parental education, in this study). A microeconometric model of labour supply in Italy is employed to identify income tax-transfer rules that are optimal according to the extended EOp criterion. Overall, the results do not conform to the perhaps common expectation that the more conventional Equality of Outcome criterion is more supportive of “interventionist” (redistributive) policies than the EOp approach.     

Modeling healthcare costs in simultaneous presence of asymmetry,heteroscedasticity and correlation

Highly skewed outcome distributions observed across clusters are common in medical research. The aim of this paper is to understand how regression models widely used for accommodating asymmetry fit clustered data under heteroscedasticity. In a simulation study, we provide evidence on the performance of the Gamma Generalized Linear Mixed Model (GLMM) and log-Linear Mixed-Effect (LME) model under a variety of data-generating mechanisms. Two case studies from health expenditures literature, the cost of strategies after myocardial infarction randomized clinical trial on the cost of strategies after myocardial infarction and the European Pressure Ulcer Advisory Panel hospital prevalence survey of pressure ulcers, are analyzed and discussed. According to simulation results, the log-LME model for a Gamma response can lead to estimations that are biased by as much as 10% of the true value, depending on the error variance. In the Gamma GLMM, the bias never exceeds 1%, regardless of the extent of heteroscedasticity, and the confidence intervals perform as nominally stated under most conditions. The Gamma GLMM with a log link seems to be more robust to both Gamma and log-normal generating mechanisms than the log-LME model.     

Public–private wage differential and gender gap in Latin America: Spoiled bureaucrats and exploited women?

This paper uses a rich collection of household surveys to investigate the wage differential between the public and private sectors in 13 Latin American countries. It also studies how the sector of employment affects the gender wage gap. Contrary to what is commonly thought, it is found that, in the majority of Latin American countries, there is a premium associated with working in the public sector. It is also found that the premium is often higher for women than for men but that this difference does not compensate for the wide gender gap.     

The Role of Survey Data in Microsimulation Models for Social Policy Analysis

Questions about the impact of social policies cannot be answered solely on the basis of official statistics made available in tabular format. The access to microdata allows policy analysts to answer these questions with a larger set of analytical tools, in particular microsimulation models. This paper examines the interface between survey data and microsimulation models. We review different types of microsimulation models (static and dynamic) and their data requirements. We then restrict the attention to survey-based microdata, and examine issues in survey design, questionnaire content, data quality, and dissemination policy that are important from the perspective of microsimulation.     

The role of macroeconomic policies in the global crisis

This paper argues that the lack of timely and decisive policy action to correct domestic and external imbalances contributed crucially to the build-up of financial excesses that led to the financial crisis and the Great Recession. We focus on 2002–2007 and perform a number of counterfactual simulations to investigate two central elements of the story, namely: (a) an over-expansionary US monetary policy and the absence of effective macro-prudential supervision, which permitted a prolonged expansion of debt-financed consumer spending and (b) the choice by China and other emerging countries to pursue an export-led growth strategy supported by pegging their currencies to the US dollar, in conjunction with sluggish domestic demand in major advanced economies characterized by low potential output growth. The results of the simulations lend support to the view that if substantial, globally coordinated demand rebalancing had been undertaken early on, the macroeconomic and financial imbalances would not have accumulated to the extent that they did and the financial turmoil might have had less drastic global consequences.     

Social Protection in the ‘Real World’: Issues,Models and Challenges

Social protection has evolved rapidly both conceptually and in practice, and is now a key policy issue in humanitarian and development debates. However, debates have sometimes been misled by approaches that pay inadequate attention to context‐specific factors, do not fully consider the sequence of interventions, and are too instrument‐centred. This article presents a conceptual framework to tailor social‐protection policy and implementation more closely to country contexts. Four stylised models of social protection are identified, corresponding to scenarios where social‐protection systems are absent, where elements of such systems exist, and where systems are emerging or have been consolidated. Each model is shown to lead to different challenges, implications and areas for further research.