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Validity of discrete-choice experiments evidence for health risk reduction

There is growing interest in discrete-choice experiment (DCE) as a method to elicit consumers' preferences in the health care sector. Increasingly this method is used to determine willingness to pay (WTP) for health-related goods. However, its external validity in the health care domain has not been investigated until now. This paper examines the external validity of DCE...

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English / 01/01/2007

Aging and future healthcare expenditure: a consistent approach

The impact of aging on healthcare expenditure (HCE) has been at the center of a prolonged debate. This paper purports to shed light on several issues of this debate by presenting new evidence on the "red herring" hypothesis advanced by Zweifel, Felder and Meier (1999). This hypothesis amounts to distinguishing a mortality from a morbidity component in healthcare expenditure...

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English / 01/01/2007

Technology, information, and the decentralization of the firm

This paper analyzes the relationship between the diffusion of new technologies and the decentralization of firms. Centralized control relies on the information of the principal, which we equate with publicly available information. Decentralized control, on the other hand, delegates authority to a manager with superior information. However, the manager can use her informational...

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English / 01/01/2007

The dynamics of neighbourhood watch and norm enforcement

We propose a dynamic model of neighbourhood watch schemes. While the state chooses punishment levels, apprehension of criminals depends on the watchfulness of citizens. We show that, contrary to standard intuition, crime levels can increase in punishments. This is because neighbourhood watch schemes can fall victim to their own success if recruitment of new members is driven by fear...

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English / 01/01/2007

Intra-industry trade with multinational firms

Recent developments, including the analysis of firm-level adjustment to falling trade costs, have contributed to a revival of interest in intra-industry trade (IIT). Most empirical work still relies on the standard Grubel–Lloyd measure. This however refers only to international trade, disregarding income flows stimulated by repatriated profits of multinational firms. Given the...

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English / 01/01/2007

The impact of postal voting on participation: evidence for Switzerland

Many countries are forging ahead with convenient balloting methods, in particular electronic and postal voting, in order to re-engage voters. In this paper, we test whether the cost reductions with postal voting increase turnout. The empirical analysis is based on a newly collected data set on the introduction of postal voting in Swiss cantons. We take advantage of the unique fact...

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English / 01/01/2007

Awards as compensation

Awards are non-material, extrinsic compensation taking the form of orders, medals, decorations and prizes. They have been widely used in monarchies and republics, private organizations, not-for-profit and profit-oriented firms. Nevertheless, they have so far not received much attention. This paper develops empirically testable hypotheses, analysing the determinants of the supply of...

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English / 01/01/2007

Mittelstand und Mitbestimmung. Unternehmensführung, Mitbestimmung und Beteiligung in mittelständischen Unternehmen

In diesem Buch werden ausgewählte Ergebnisse zweier Studien zum Verhältnis von Mittelstand und Mitbestimmung vorgestellt. Ausgangspunkt der Fragestellung ist die Beobach-tung, dass im Betriebsverfassungsrecht zwar für Unternehmen ab fünf Beschäftigten ein Be-triebsrat möglich ist, ein solcher aber in der überwiegenden Zahl der betreffenden Betriebe nicht existiert. Die Gründe dafür...

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Deutsch / 01/01/2007

Talking intervention: foreign policy frames and their conditional impact on individual attitudes

Given the rising importance of the global media and the relative unwillingness of democratic publics to accept casualties in war, decision makers have increasingly relied on the strategic dissemination of rhetoric in order to justify military engagements. They "talk intervention", that is, they justify foreign engagements in terms of an emerging global norm that finds the...

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English / 01/01/2007

The neural signature of social norm compliance

All known human societies establish social order by punishing violators of social norms. However, little is known about how the human brain processes the punishment threat associated with norm violations. We use fMRI to study the neural circuitry behind forced norm compliance by comparing a treatment in which norm violations can be punished with a control treatment in which...

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English / 01/01/2007

Mehr Forschung zu Effizienz und Qualität

Bei Untersuchungen zu Kostenvorteilen von MC werden meist einzelne Massnahmen isoliert betrachtet. Um aussagestarke Ergebnisse zu erhalten, braucht es Untersuchungen, bei denen
die Gesamteffekte von Massnahmen den Gesamtkosten gegenübergestellt werden. Ein weiterer Aspekt mit Forschungsbedarf ist die Qualität: Verbesserte Qualitätsmessungen würden nicht nur MC zugute kommen,...

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Deutsch / 01/01/2007

Neue Capitationberechnung

Für Managed-Care-Organisationen ist es entscheidend, dass die Kopfpauschale pro Versicherten (Capitation) risikogerecht
berechnet ist. Eine neue Formel bezieht erstmals auch identifizierte chronische Erkrankungen mit ein. Die Autoren bezeichnen dies als Durchbruch.

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Deutsch / 01/01/2007

Risikoselektion und Risikostrukturausgleich in der Schweiz

Die Bedeutung des Risikostrukturausgleichs ist aus gesundheitsökonomischer Sicht zumindest im schweizerischen Kontext unbestritten. Soll am System der Einheitsprämien und am Kassenwettbewerb festgehalten werden, braucht es einen befriedigenden Risikostrukturausgleich (RSA). Sonst besteht die Gefahr, dass volkswirtschaftlich unerwünschte Risikoselektion in grösserem Mass auftritt und...

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Deutsch / 01/01/2007

Supply of private voluntary health insurance in low-income countries

This chapter describes how economic theory (and experience) of the demand for insurance predicts that risk-averse individuals purchase coverage if available at so-called fair premiums, which amount to no more than the expected value of the loss to be covered. In the case of health, additional fi nancial means (provided by coverage) may be even more important when a person is ill than...

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English / 01/01/2007

Das Sisyphus-Syndrom im Gesundheitswesen: neue Evidenz

DEUTSCH: Gesundheitsleistungen erinnern an eine Sisyphusarbeit. Um die Analogie zu begreifen,
betrachte man eine Entscheidung, mehr Mittel für Gesundheit zur Verfügung zu stellen.
Dies führt zu einer höheren Zahl von Überlebenden, die eine Mehrnachfrage nach Gesundheitsleistungen ausüben. Die Aufwendungen für die Gesundheit steigen, und der Kreis schließt sich. Die...

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Deutsch / 01/01/2007

Population ageing and health care expenditure: a school of red herrings?

This paper revisits the debate on the red herring, viz. the claim that population ageing will not have a significant impact on health care expenditure (HCE). It decomposes HCE into seven components, includes both survivors and deceased individuals, and estimates a two-part model of the demand for health care services, using a large Swiss data set for 1999. It finds no or weak age...

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English / 01/01/2007

The theory of social health insurance

The objective of this text is to develop the theory of social health insurance (SHI; the expression used especially in the United States is “public health insurance,” which will be viewed as one variant of SHI here). While a good deal is known about the demand and supply of private insurance, the theoretical basis of SHI is much more fragile. Specifically, on the demand side, what...

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English / 01/01/2007

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