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131. The Global Aging Preparedness Index

Author:
Richard Jackson, Neil Howe, and Keisuke Nakashima
Publication Date:
10-2010
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Global aging promises to affect everything from business psychology and worker productivity to rates of savings and investment, long-term returns to capital, and the direction of global capital flows. Perhaps most fatefully, it could throw into question the ability of many societies to provide a decent standard of living for the old without placing a crushing burden on the young.
Topic:
Demographics, Economics, Globalization, and Health

132. Confronting Ghosts: Thailand's Shapeless Southern Insurgency

Author:
Joseph Chinyong Liow and Don Pathan
Publication Date:
03-2010
Content Type:
Working Paper
Institution:
Lowy Institute for International Policy
Abstract:
The violence that has plagued the predominantly Malay provinces of Pattani, Narathiwat and Yala in southern Thailand (not to mention four Malay-speaking districts in the upper southern province of Songkhla) over the past few years has become one of the most closely watched security situations in Southeast Asia. Like Thailand, many other states in the region are still struggling with key nation-building challenges that are potentially prone to involvement by regional and global terrorist groups, posing threats to these countries' hubs of international engagement and undercutting attempts at regional confidence and community building. The significant and sustained upsurge in violence in southern Thailand in the last few years, across numerous administrations in Bangkok, and the nebulous nature of the insurgency itself, make it a particularly important conflict to understand for those with interests in Thailand and Southeast Asian security and stability and in the evolution of internal conflicts. A decade ago, many hoped that the insurgency in the south of Thailand had melted away. Instead it has come back in a more powerful and threatening manner.
Topic:
Political Violence, Demographics, Islam, and Insurgency
Political Geography:
Asia, Thailand, and Southeast Asia

133. Aging Risk and Health Care Cost in Korea

Author:
Byong Ho Tchoe and Sang-Ho Nam
Publication Date:
02-2009
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
It is generally perceived that health care cost is increasing because of population aging. In Korea, the number of people over 65 years of age was 3.1 percent of the population in 1970, 5.1 percent in 1990, 7.2 percent in 2000, and 9.1 percent in 2005. These figures show that the period of time in which an aging population increases by 2 percent is getting shorter; thus aging has been accelerating.
Topic:
Demographics and Health
Political Geography:
Israel, Asia, and Korea

134. Does your health care depend on how your insurer pays providers? Variation in utilization and outcomes in Thailand

Author:
Sanita Hirunrassamee and Sauwakon Ratanawijitrasin
Publication Date:
03-2009
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
Hospitals in Thailand operate in a multiple insurance payment environment. This paper examines 1) access to medicines and other medical technologies, 2) treatment outcomes, and 3) efficiency in resource use, among beneficiaries of the three government health insurance schemes in Thailand. Using 2003-2005 inpatient data for patients with three tracer diseases from three government hospitals, we find that utilization of more expensive items differs between patients whose insurers pay on a closed- or open-ended basis. Where new vs. conventional drugs are both available, patients whose insurer pays on a fee-for-service basis tend to have greater access to new drugs, compared to patients whose insurer pays on a capitated or case basis. Similar patterns were found where there are options between originator vs. generic drugs, drugs in different dosage forms, and more vs. less advanced diagnostic technologies. Effects of insurance payment are more pronounced where price gaps among the medical technologies are significant. Efficiency results are mixed, depending on nature of the disease conditions and type of resources required for treatment.
Topic:
Demographics and Health
Political Geography:
Thailand and Southeast Asia

135. The healer or the druggist: Effects of two health care policies in Taiwan on elderly patients' choice between physician and pharmacist services

Author:
Kang-Hung Chang
Publication Date:
03-2009
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
When both physicians and pharmacists in Taiwan prescribed and dispensed drugs, many elderly people considered the two types of health care providers more or less synonymous (i.e., close substitutes). Two policies mandated in the 1990s changed this perception: National Health Insurance (NHI), which provides insurance coverage to all citizens, and a separation policy (SP) that forbids physicians from dispensing and pharmacists from prescribing drugs. The author finds that by providing an economic incentive to the previously uninsured elderly, NHI raised the probability that they would visit physicians, relative to their continuously insured counterparts. In particular, some previously uninsured elderly who once only visited pharmacists were more likely to also visit physicians after NHI was implemented. Following this, the SP made it more likely that all elderly patients would only visit physicians and buy drugs from on-site pharmacists hired by physicians—a result different than its policy goal.
Topic:
Demographics, Health, and Human Welfare
Political Geography:
Israel, Taiwan, and Asia

136. Allocation of control rights and cooperation efficiency in public-private partnerships: Theory and evidence from the Chinese pharmaceutical industry

Author:
Zhe Zhang, Ming Jia, and Difang Wan
Publication Date:
03-2009
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
This article uses incomplete contract theory to study the allocation of control rights in public-private partnerships (PPPs) between pharmaceutical enterprises and nonprofit organizations; it also investigates how this allocation influences cooperation efficiency. We first develop a mathematic model for the allocation of control rights and its influence on cooperation efficiency, and then derive some basic hypotheses from the model. The results of an empirical test show that the allocation of control rights influences how enterprises invest in PPPs. A proper allocation provides incentives for firms to make fewer self-interested and more public-interested investments. Such an allocation also improves the cooperation efficiency of PPPs.
Topic:
Demographics, Health, and Human Welfare
Political Geography:
China, Israel, and Asia

137. Comparing Public and Private Hospitals in China: Evidence from Guangdong

Author:
Karen Eggleston, Mingshan Lu, Congdong Li, Jian Wang, Zhe Yang, and Jing Zhang
Publication Date:
04-2009
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
Government and private roles in this segment of health service delivery remain controversial in China, as in many countries. Using 2004 data from over 360 government-owned and private hospitals in Guangdong Province, we find that non-government hospitals serve an overlapping but distinct market. They are smaller, newer market entrants, more likely to specialize, and less likely to be included in urban social insurance networks. We also document differences in staffing and financial performance, but no systematic ownership differences in simple measures of quality, controlling for size, location, case-mix and other confounding factors.
Topic:
Demographics, Government, Health, and Privatization
Political Geography:
China, Israel, and Guangdong

138. Population Policy, Economic Reform, and Fertility Decline in Guangdong Province, China

Author:
Jiajian Chen, Robert D. Retherford, Minja Kim Choe, Li Xiru, and Cui Hongyan
Publication Date:
05-2009
Content Type:
Working Paper
Institution:
East-West Center
Abstract:
This paper examines Guangdong's fertility decline between 1975 and 2005 and analyzes how it has been influenced by both fertility policy and economic development. Guangdong's economic development has been very rapid and has attracted huge numbers of migrants from other provinces. The effect of this migration on Guangdong's fertility is an important part of the story. Measures of fertility and nuptiality employed in the analysis include the total fertility rate, parity progression ratios, mean age at first marriage, mean age at first birth, and mean closed birth interval between first and second birth. These measures are calculated from birth histories reconstructed from data from China's 1990 and 2000 censuses and 2005 mini-census. An overlapping-trend analysis provides indications of the accuracy of the estimates.
Topic:
Demographics, Development, Economics, and Migration
Political Geography:
China and Israel

139. The Power of Proximity: Strategic Decisions in African Party Politics

Author:
Alexander Stroh
Publication Date:
02-2009
Content Type:
Working Paper
Institution:
German Institute of Global and Area Studies
Abstract:
Recent publications suggest that exclusively ethnoregional parties are as rare in sub-Saharan Africa as elsewhere. At the same time, the idea that ethnicity is a very special feature of African party politics persists. The paper acknowledges the general relevance of ethnicity in party competition but emphasizes the level on which it becomes important. It develops a microbehavioral approach which pays particular attention to the strategic choices of party elites in order to supplement the dominant structuralist thinking in party research on Africa. An in-depth evaluation of detailed election data from Burkina Faso shows that strategies which rely on personal proximity between the voter and the candidates influence the parties' success to a great extent. Parties maximize their chances of winning seats if they concentrate their limited resources on the home localities of leading party members. Hence, African party politics are less dependent on ethnic demography than is often implied but more open to change through elite behavior.
Topic:
Democratization, Demographics, Ethnic Conflict, and Politics
Political Geography:
Africa

140. Food Futures: Rethinking UK Strategy

Author:
Kate Bailey, Susan Ambler-Edwards, and Alexandra Kiff
Publication Date:
02-2009
Content Type:
Working Paper
Institution:
Chatham House
Abstract:
Over the next few decades, the global food system will come under renewed pressure from the combined effects of seven fundamental factors: population growth, the nutrition transition, energy, land, water, labour and climate change. The combined effects will create constraints on food supply and if action is not taken, there is a real potential for demand growth to outstrip increases in global food production. Effects on developing countries would be devastating. Developed countries will be affected too. Expectations of abundant and ever cheaper food could come under strain. The UK can no longer afford to take its food supply for granted.
Topic:
Security, Agriculture, Climate Change, Demographics, Globalization, and International Security
Political Geography:
United Kingdom