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11. Principal-Agent Problems in Health Care: Evidence from Prescribing Patterns of Private Providers in Vietnam

Publication Date:
12-2009
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
The principal-agent problem in health care asserts that providers, being imperfect agents for patients, will act to maximize their profits at the expense of the patients' interests. This problem applies especially where professional regulations are lacking and incentives exist to directly link providers' actions to their profits, such as a fee-for-service payment system. The current analysis tests for the existence of the principal-agent problem in the private health market in Vietnam by examining the prescribing patterns of the private providers. We show that (1) private providers were able to induce demand by prescribing more drugs than public providers for a similar illness and patient profile; (2) private providers were significantly more likely to prescribe injection drugs to gain trust among the patients; and (3) patients' education as a source of information and empowerment has enabled them to mitigate the demand inducement by the providers. Our hypotheses were supported with evidence from Vietnam National Health Survey 2001 and 2002, the first and, so far, only comprehensive health survey in the country.
Topic:
Health and Human Welfare
Political Geography:
Asia, Australia/Pacific, and Southeast Asia

12. A Human Rights-Oriented Approach to Military Operations

Author:
Federico Sperotto
Publication Date:
10-2009
Content Type:
Working Paper
Institution:
Human Rights Human Welfare (University of Denver)
Abstract:
Counterinsurgency is the dominant aspect of US operations in Afghanistan, and since ISAF—the NATO-led security and assistance force—has assumed growing security responsibility throughout the country, it is also a mission for the Europeans. The frame in which military operations are conducted is irregular warfare, a form of conflict which differs from conventional operations in two main aspects. First, it is warfare among and within the people. Second, it is warfare in which insurgents avoid a direct military confrontation, using instead unconventional methods and terrorist tactics.
Topic:
Human Rights, Human Welfare, War, and Counterinsurgency
Political Geography:
Afghanistan and Asia

13. Vietnam: Climate Change, Adaptation and Poor People

Publication Date:
11-2008
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
Vietnam is one of the most vulnerable countries in the world to climate change. The government's impressive achievements in pulling millions of people out of poverty are seriously jeopardised by the likely increase in extreme weather events such as severe rainfall and drought, and by slow climate changes like sea level rises and warming temperatures. Poor men and women are particularly at risk.A team of Oxfam researchers travelled to the two provinces of Ben Tre and Quang Tri in May 2008 to take a snapshot of how poor families are experiencing the changing climate, and how they might deal with this in the future.
Topic:
Climate Change and Human Welfare
Political Geography:
Asia and Vietnam

14. A Holistic Approach for Promoting the Rule of Law

Author:
Josef Bucher
Publication Date:
09-2008
Content Type:
Working Paper
Institution:
Human Rights Human Welfare (University of Denver)
Abstract:
The world has become smaller as a result of globalization tendencies, making the establishment of a global order more important than ever. Nations have become closer. Hence, the intensive relations between countries must be increasingly protected by legal security. In order to stabilise this global order, also intra-state relations must be subjected to the protection of the law. The rule of law has thus become a central element of successful globalisation on two different levels.
Topic:
International Relations, Civil Society, Globalization, Human Rights, Human Welfare, and International Law
Political Geography:
Asia

15. Incentives in China's Healthcare Delivery System

Author:
Karen Eggleston
Publication Date:
10-2008
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
The economic approach of comparative and historical institutional analysis (Aoki 2001, Greif 2006) has virtually never been used in theoretical studies of healthcare incentives. This paper seeks to help fill this gap by exploring the explanatory power of such an approach for understanding incentives in China's healthcare delivery system. It focuses on positive analysis of why China's health system incentives evolved the way they did. The first section analyzes the institution of physician dispensing (MDD) and reforms toward separation of prescribing from dispensing (SPD), in historical and comparative perspective. It shows, for example, how MDD was a self-reinforcing institution; the longer a society remains under MDD, the higher the associated costs of supplier-induced demand can be before implementing SPD becomes the efficient self-enforcing social institution. Rapid technological change and adoption of universal coverage are likely to trigger SPD reforms. The second section seeks to explain the pattern and impact of price regulation and hospital payment reforms in contemporary China, which also reflect the legacy of MDD.
Topic:
Government, Health, and Human Welfare
Political Geography:
China, Israel, and Asia

16. Japan's Lost Decade: Lessons for the United States in 2008

Author:
John H. Makin
Publication Date:
01-2008
Content Type:
Policy Brief
Institution:
American Enterprise Institute for Public Policy Research
Abstract:
Japan experienced a disastrous decade of economic stagnation and deflation from 1991 to 2001 after bubbles in its stock market and land market collapsed. While some economic pain was unavoidable—given a 60 percent plunge in equity prices between late 1989 and August 1992, accompanied by the onset of what ultimately became a 70 percent drop in land values by 2001—the "lost decade" was not an inevitable outcome. It required a series of persistently wrong economic policy decisions that ignored the lessons learned in America's Great Depression of the 1930s and the subsequent research on the causes of that painful period.
Topic:
Economics, Human Rights, Human Welfare, Humanitarian Aid, and Markets
Political Geography:
United States, Japan, America, and Asia

17. Violations of Human Rights during Military Operations in Chechnya

Author:
Federico Sperotto
Publication Date:
02-2007
Content Type:
Working Paper
Institution:
Human Rights Human Welfare (University of Denver)
Abstract:
The case-law of the European Court of Human Rights concerning violations of human rights law during armed conflict has been extended after the first decisions on cases arose from violations, committed during the war in Chechnya between 1999 and 2000. In the words of the Court, at that time the situation called for exceptional measures, in order to regain control over the Republic and suppress an illegal armed insurgency. The Court has been ready to admit those measures, including the deployment of army units equipped with heavy combat weapons, military aviation and artillery, were necessary to counter the aggressiveness of the separatists, but in such a way as to avoid or minimize, to the greatest extent possible, damage to civilians. This brief paper focuses on the means and methods employed. It aims firstly at illustrating the core of the Court's decisions, in order to identify the key aspects of the protection granted by the system of the European Convention in situations requiring the use of military force. Then it clarifies the approach of the Court to the law of armed conflict.
Topic:
Human Rights and Human Welfare
Political Geography:
Russia, Europe, Asia, and Chechnya

18. Law in Times of War: the Case of Chechnya

Author:
Federico Sperotto
Publication Date:
08-2007
Content Type:
Working Paper
Institution:
Human Rights Human Welfare (University of Denver)
Abstract:
In October 1999 “the second Chechen war” broke out. In December the Russian federal army started an operation to take control of Grozny. During the confrontation between the Federal forces and the Chechen separatists, serious human rights violations occurred. Several cases concerning violations of fundamental rights, in and around the city, have been brought before the European Court of Human Rights against Russia. The lawsuits concerned in particular physical integrity issues. This study provides some insights on the jurisprudence of the European Court on Human Rights in order to ascertain the adequacy of the mechanism of protection provided by the European Convention of 1950 in situations of armed conflict.
Topic:
Human Rights, Human Welfare, and War
Political Geography:
Russia, Europe, Asia, and Chechnya

19. Sri Lanka: The Failure of the Peace Process

Publication Date:
11-2006
Content Type:
Working Paper
Institution:
International Crisis Group
Abstract:
After four years of relative peace, Sri Lanka has again plunged into military conflict between the government and the separatist Tamil group, the Liberation Tigers of Tamil Eelam (LTTE). A 2002 ceasefire, negotiated with Norway's help, remains intact on paper but is flouted on the ground with increasing regularity and frequent brutality. More than 2,500 people, many of them civilians, have been killed since January. Human rights abuses and political killings are carried out with impunity by both sides. The humanitarian crisis in the north east is critical, with more than 200,000 fleeing their homes during the year. Until attitudes change on both sides, the immediate prospect is for worsening violence.
Topic:
Government, Human Welfare, and Peace Studies
Political Geography:
Norway, Asia, and Sri Lanka

20. Afghan Update: April 1 - April 30, 2006

Author:
Francis Rheinheimer
Publication Date:
05-2006
Content Type:
Working Paper
Institution:
Center for Defense Information
Abstract:
A senior U.S. State Department official said on April 3 that more violence was expected in the coming months. Assistant Secretary of State for South and Central Asia Richard Boucher reaffirmed the opinion of some U.S. military leaders that the warmer months and the increased presence of International Security Assistance Force (ISAF) troops would signal a stepped up effort by insurgents to disrupt peacebuilding and reconstruction efforts. Boucher also cited the battle against narcotics traffickers as cause for increased fighting.
Topic:
Human Welfare, Politics, Religion, and Terrorism
Political Geography:
United States and Asia