Economics

Visits to Specialists Under Medicare: Socioeconomic Advantage and Access to Care

Visits to Specialists Under Medicare: Socioeconomic Advantage and Access to Care
J Health Care for the Poor and Underserved. 1998;9:153-169.

Blustein, J. & Weiss, L.J.
01/01/1998

This study examines the relationship between socioeconomic advantage and the likelihood of receiving specialty care in a nationally representative sample of older Americans participating in fee-for-service Medicare. In 1992, 62.9 percent of Americans aged 65 and older visited a specialist physician at least once. Being white, having more education, and having a higher income were each independently associated with a higher likelihood of visiting a specialist. Having insurance to supplement basic Medicare coverage was also independently associated with an increased likelihood of visiting a specialist; disadvantaged elders are less likely to have such supplemental insurance. Therefore, based both upon socioeconomic disadvantage and a lack of insurance to supplement the basic Medicare benefit, black, less educated and low-income elders are less likely to receive specialty services under fee-for-service Medicare. As the program evolves, it will be important to continue to monitor access to specialty care in vulnerable, socioeconomically disadvantaged populations.

Where Youth Live: Effects of Urban Space on Employment

Where Youth Live: Effects of Urban Space on Employment
Urban Studies, Jun98, Vol. 35 Issue 7, p1187-1205, 19p, 8 charts, 3 graphs, 1 map

O'Regan, K. & Quigley, J.M.
01/01/1998

This paper synthesises a series of empirical analyses investigating the role of urban space in affecting minority employment outcomes. It broadens the focus beyond transport and the 'friction of space' and expands the data available for spatial research. The empirical analyses share a common framework linking 'access' to youth labour market performance. The first set of results is based on aggregate data relating access to employment outcomes for black youth at the metropolitan level. Access is broadly defined to include traditional measures of geographical distance, as well as measures of social isolation or social access. Metropolitan areas in which the black poor are more spatially isolated are also found to have higher black youth unemployment rates. The second body of evidence relies on the same type of metropolitan measures, combined with individual data on youth living with at least one parent. When individual and family characteristics are controlled for, and white and Hispanic youth are also considered, metropolitan measures of social access exert distinguishable effects upon youth employment-youth living in urban areas in which they have less residential contact with whites or the non-poor are less likely to be employed. The final piece of analysis links the individual records of such youth to tract-level measures of access, both social (neighbourhood composition variables) and geographical (job-access measures). This is accomplished through the creation of a unique data set at the Bureau of the Census. Again, after controlling for individual and family characteristics, the residential conditions of youth affect their employment. Ceteris paribus, youth living in census tracts with fewer employed adults, with fewer whites, and which are further from jobs are less likely to be employed. Results suggest that the overall effects of space on employment outcomes are substantial, explaining 10-40 per cent of the observed racial differences in employment in...

Marketing Racism: The Imperialism of Rationality, Critical Race Theory, and Some Interdisciplinary Lessons for Neoclassical Economics

Marketing Racism: The Imperialism of Rationality, Critical Race Theory, and Some Interdisciplinary Lessons for Neoclassical Economics
Virginia Journal of Social Policy and The Law, v. 5, n. 1 (1997)

Anthony M. Bertelli
01/01/1997

Making Progress in Relating Values, Goals, and Outcomes in the Evaluation of Local Economic Development Policy

Making Progress in Relating Values, Goals, and Outcomes in the Evaluation of Local Economic Development Policy
Economic Development Quarterly, Vol. 11, No. 3.

Smoke, P.
01/01/1997

Laura Reese and David Fasenfest highlight important conceptual, technical, and procedural issues regarding the relationship between values, goals, and results in the analysis of local economic development. Less insight is provided on how to make progress in resolving the difficult problems they outline. Experiences in developing countries, where analysts have long wrestled with similar concerns, indicate that improvements in designing, implementing, and evaluating local economic development policies can be realized by focusing on certain types of procedural reforms, including the use of multidisciplinary ex-ante policy appraisal; the adoption of a more broadly inclusive process to define, implement, and monitor local economic development policies; and greater emphasis on analysis of the specific institutional context in which local economic development policies must function. Recent work in the United States also suggests that policy makers should direct more attention to the critical problem of enforcing local economic development policy.

Using Mixture Models to Detect Sex Bias in Health Outcomes in Bangladesh

Using Mixture Models to Detect Sex Bias in Health Outcomes in Bangladesh
Journal of Econometrics 77 (1), March, 259-276.

Morduch, J. & Stern, H.
01/01/1997

Many interesting economic hypotheses entail differences in behaviors of groups within a population, but analyses of pooled samples shed only partial light on underlying segmentations. Finite mixture models are considered as an alternative to methods based on pooling. Robustness checks using t-regressions and a Bayesian analogue to the likelihood ratio test for model evaluation are developed. The methodology is used to investigate pro-son bias in child health outcomes in Bangladesh. While regression analysis on the entire sample appears to wash out evidence of bias, the mixture models reveal systematic girl-boy differences in health outcomes.

Public Infrastructure, Private Input Demand and Economic Performance in New England Manufacturing

Public Infrastructure, Private Input Demand and Economic Performance in New England Manufacturing
Journal of Business and Economic Statistics, Vol. 14, No. 1, Jan, pp 91-102.

Schwartz, A.E. & Morrison, C.
01/01/1996

Much of the current debate on the economic performance impacts of public infrastructure investment relates to the input-specific effects of such investment. In this article we explore these impacts by evaluating substitution patterns affecting private input use in New England manufacturing. Using a cost-based methodology, we find that, in the short run, public capital expenditures provide cost-saving benefits that exceed the associated investment costs due to substitutability between public capital and private inputs. Over time, however, stimulating investment in private capital increases economic performance more effectively than public capital expenditures alone and in fact reduces the cost incentive for such expenditures. In addition, growth in output motivated by infrastructure investment increases employment opportunities because this growth overrides short-run substitutability.

Residential Mobility and Mortgages

Residential Mobility and Mortgages
Regional Science and Urban Economics 26(3-4), June 1996, pages 287-311.

Chan, S.
01/01/1996

Mortgage applications are a detailed and accurate source of household information that is verified by underwriters, making it a more accurate data source than self-reported survey answers. This paper discusses how mortgage data can be applied to areas of economics outside mortgage finance. As a supplement to variables from the application form, the self-selection of mortgage points is used to infer expected mobility. A duration model of housing spells is estimated, and the points indicator is shown to be highly significant in predicting mobility for low loan-to-value borrowers. The findings demonstrate the potential fruitfulness of using this new data source.

State Infrastructure and Productive Performance

State Infrastructure and Productive Performance
American Economic Review, December 1996, Vol. 86, No. 5, pp 1095-1111.

Schwartz, A.E. & Morrison, C.
01/01/1996

Recent research on productivity growth has focused on public infrastructure and its impact on economic growth and productivity. We construct a model of firms' technology and behavior, taking advantage of the analytical framework provided in the cost-function-based applied production-theory literature, and apply it to state-level data for U.S. manufacturing. We find that infrastructure investment provides a significant return to manufacturing firms and augments productivity growth. The net benefits of infrastructure investment may or may not be positive, depending upon the social costs of infrastructure investment and the relative growth rates of output and infrastructure.

Decentralization, Externalities, and Efficiency

Decentralization, Externalities, and Efficiency
Review of Economic Studies 62, April 1995, 223-247.

Morduch, J. Klibanoff, P.
01/01/1995

In the competitive model, externalities lead to inefficiencies, and inefficiencies increase with the size of externalities. However, as argued by Coase, these problems may be mitigated in a decentralized system through voluntary coordination We show how coordination is limited by the combination of two factors: respect for individual autonomy and the existence of private information. Together they imply that efficient outcomes can only be achieved through coordination when external effects are relatively large Moreover, there are instances in which coordination cannot yield any improvement at all, despite common knowledge that social gains from agreement exist This occurs when external effects are relatively small, and this may help to explain why coordination is so seldom observed in practice. When improvements are possible, we describe how simple subsidies can be used to implement second-best solutions and explain why standard solutions, such as Pigovian taxes, cannot be used. Possible extensions to issues arising in the structure of research joint ventures, assumptions in the endogenous growth literature, and the location of environmental hazards are also described.

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