Developing economics expertise for the evaluation of primary health care

Given that government budgets are increasingly stretched in the face of competing demands, there is a pressing need for evidence on the costs and benefits of public sector investments. Nowhere is this need greater than in the health field, where the benefits of programmes are typically difficult to measure. Within the health sector a key area of interest is primary health care, which is generally regarded as a central function and the most important means by which the health of the population can be improved. This paper reports the results of a recent survey of Commonwealth countries which sought to establish the extent of economic evaluation of PHC programmes, the impact on decision-making and the level of health economics expertise available in Third World countries. Based on the results of the survey, suggestions are made for improving the commissioning and conduct of economic evaluations, for interpreting and implementing evaluation results, and for developing government expertise in economic evaluation.     

Self-reported delinquency and home life: Evidence from a sample of British girls

This study examines the correlation between family variables and delinquency (both self-reported and official) in a small sample of British teenage girls. Factor analysis of the 72-item Home Life Questionnaire (from T. H. Hirschi [1969] Causes of Delinquency, University of California Press, Berkeley) revealed a clear four-factor structure of caring and communication, discipline, pressure and mother-daughter closeness, which cumulatively accounted for 31% of the variance. Multiple regression of these factors onto self-reported delinquency indicated the maternal factor to be most powerful, explaining 25% of the variance in self-reported delinquency. Institutionalized and noninstitutionalized girls showed only chance differences in terms of the quality of their home life.Anne Campbell's research interests are in sex differences in antisocial behavior, especially aggression.     

Interstate tax competition after TRA86

When a governor announces that a tax increase is necessary, how do voters decide whether the governor is representing the situation honestly, or just preparing to line his or her pockets? This paper presents evidence that voters may look at the tax increases in neighboring states to obtain information on whether a tax increase is appropriate and, using this information, decide whether to reelect their governor. The data suggest that comparisons with neighbors influence gubernatorial behavior: Governors are more likely to raise taxes when neighbors are doing the same. TRA86 allows us an extra check on the rnodelpresented: I f the marginal dollar taken in state taxes is more costly to state residents, this may increase the extent to which residents use information provided through neighboring states to sort good governors from bad.