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251.
Baker R Chilton S Donaldson C Jones-Lee M Lancsar E Mason H Metcalf H Pennington M Wildman J 《Health economics, policy, and law》2011,6(4):435-447
Recently, for many health economics researchers, empirical estimation of the monetary valuation of a quality-adjusted life year (QALY) has become an important endeavour. Different philosophical and practical approaches to this have emerged. On the one hand, there is a view that, with health-care budgets set centrally, decision-making bodies within the system can iterate, from observation of a series of previous decisions, towards the value of a QALY, thus searching for such a value. Alternatively, and more consistent with the approach taken in other public sectors, individual members of the public are surveyed with the aim of directly eliciting a preference-based - also known as a willingness-to-pay-based (WTP-based) - value of a QALY. While the former is based on supply-side factors and the latter on demand, both in fact suffer from informational deficiencies. Sole reliance on either would necessitate an acceptance or accommodation of chronic inefficiencies in health-care resource allocation. On the basis of this observation, this paper makes the case that in order to approach optimal decision making in health-care provision, a framework incorporating and thus, to a degree, reconciling these two approaches is to be preferred. 相似文献
252.
Jackson E 《Health economics, policy, and law》2011,6(2):279-81; discussion 283-5
253.
AbstractThis paper applies the distance-to-crime approach to the case of Improvised Explosive Device (IED) and shooting attacks conducted by the Provisional Irish Republican Army (PIRA) during the Northern Ireland conflict, 1970–1998. The aim is to (a) measure the typical ‘distance to crime’ (b) detect whether a distance-decay effect is noticeable and (c) investigate whether there is a discernible difference in the distance traveled depending upon individual offender characteristics or aspects of how the offence was committed. In particular, it highlights that many of the same dynamics that influence offender decision making within the volume crime world, also apply within the terrorism realm. Five findings stand out in particular. First, a distance decay effect is identifiable. Second, younger offenders travel significantly smaller distances. Third, complex attacks typically involve greater distances. Fourth, our results show the ability of leading decision-makers within PIRA to impact upon the day-to-day operations of the field operatives. Together the results reinforce the argument that when we focus on terrorism from a preventative angle, we should focus on their behaviors: what they do rather than remain preoccupied with concerns about who they are and/or what they might be like. Collectively the results also highlight the fact that for a finer-grained understanding of terrorist behavior we need to disaggregate on a number of levels: within the cadre of operatives, across terrorist attacks, across targets and within conflicts. 相似文献
254.
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256.
Abstract In this article, we use data from the 2001 American Housing Survey to evaluate whether nativity‐status differences in housing conditions vary by tenure and whether nativity status or race/ethnicity plays a more important role in determining housing conditions. Overall, when compared with native‐born households, recently arrived immigrant households are significantly more likely to be crowded, but either as likely or significantly less likely to live in poorer‐quality housing. Further analysis revealed, however, that race/ethnicity is a stronger indicator than immigrant status in predicting housing outcomes. Among homeowners, black and Hispanic households, regardless of nativity status, exhibited lower‐quality housing outcomes than native‐born and, frequently, foreign‐born whites. Thus, we find that minorities are doubly disadvantaged: They are less likely to attain homeownership than whites, and once they do, they are almost always significantly more likely to live in poorer‐quality housing. 相似文献
257.
Abstract Despite the unequivocal goal of income diversity as expressed in the Charter of the Congress for the New Urbanism, one of the more significant challenges facing the movement has been the creation of socially diverse neighborhoods, especially ones that include a mix of incomes. Although recent reports show that most New Urbanist developments are being built for upper‐middle‐class residents, some projects have managed to support income diversity. This article takes a closer look at those projects, reporting on the results of a nationwide survey of New Urbanist developers. We found that many developers have used complex, creative schemes to make affordable housing possible within the New Urbanist context. Developers created affordable opportunities by combining available government programs, partnerships with nonprofits, and innovative design solutions. These efforts have provided important sources of affordable housing within the context of walkable communities—serving as examples that should be emulated by future developers. 相似文献
258.
Emily Jane Haire 《Intelligence & National Security》2013,28(5):758-777
Using memoirs can be a vital way of supplementing archival evidence or indeed of overcoming a shortage of contemporaneous sources, and they offer insights into the attitudes and motivations of participants as well as how they recorded and remembered events. Memoirs retain an inherent value that must not be ignored, particularly in the study of intelligence liaison which addresses the kinds of personal and cultural aspects which are often especially well illuminated through autobiographical writing. This paper explores some of the theoretical and practical issues associated with the use of memoir material and examines them through the prism of selected autobiographical writings related to Anglo-French intelligence liaison from the Great War up to the Second World War. 相似文献
259.
What research supports the view that compact, walkable, diverse (CWD) neighborhoods are beneficial for urban residents? To make this assessment, we searched the literature to try to understand the current status of evidence regarding claims about the CWD neighborhood. We find that research linking CWD neighborhoods to effects on residents coalesces around three main topics: social relations, health, and safety. We conclude that on the basis of the literature reviewed, most of the intended benefits of the CWD neighborhood have been researched and found to have significant, positive effects for urban dwellers. While physical factors are but one element affecting behavior and outcomes, and the issues of self-selection and causality remain, overall, key dimensions of the CWD neighborhood have been found to positively affect social interaction, health, and safety. 相似文献
260.
Emily Rosenbaum Samantha Friedman Michael H. Schill Hielke Buddelmeyer 《Housing Policy Debate》2013,23(3):625-658
AbstractThis article adds to the literature on locational attainment of immigrants by evaluating how immigrant households in New York City compare with native‐born households with respect to neighborhood characteristics. It also examines whether the relationship between immigrant status and neighborhood quality varies by race/ethnicity and place of birth.Overall, foreign‐born households are more likely than native‐born households to live in neighborhoods with less access to medical care, higher rates of tuberculosis, and higher concentrations of poverty. Multivariate analyses reveal that all but one of these disadvantages disappear for foreign‐born households as a group. However, island‐born Puerto Ricans and immigrants—especially Dominicans, Caribbeans and Africans, and Latin Americans—are more likely to reside in lower‐quality neighborhoods than native‐born white households. Equally important, native‐born blacks and Hispanics are also disproportionately disadvantaged relative to native‐born whites, suggesting that a racial hierarchy exists in the locational attainment of households in New York City. 相似文献