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Sample records for public expenditures growing

  1. Increasing Public Expenditure

    National Research Council Canada - National Science Library

    Ammar Ben Zaed

    2015-01-01

    This article aims to analyze and interpret the phenomenon of increased public expenditures and test explanatory theories as well as to analyze Abstract the relationship between public spending and GDP...

  2. Public Expenditures, Budgetary Sustainability and the Assessment of Management of Public Expenditures in Kosovo

    OpenAIRE

    Behxhet Brajshori

    2009-01-01

    Public expenditures are public outlays which competent state organs realize for the purpose of fulfilling obligations of general public interest. They are manifested in different forms and in different social, economic and political areas. Public expenditures produce direct and indirect effects in production and influence consumption and prices. Economic structure and conjectural courses of one country have an impact on the highness of the public expenditures. Economic and social subsidies pr...

  3. Public Expenditures and the Production of Education

    Science.gov (United States)

    Neely, Stephen R.; Diebold, Jeffrey

    2016-01-01

    The relationship between public education expenditures and student outcomes remains an important concern for policy analysts, educational administrators, and the public at large. While previous studies have failed to identify a consistent relationship between public investments in education and positive student outcomes, most analyses have not…

  4. Adam Smith on public expenditure and taxation

    Directory of Open Access Journals (Sweden)

    Maurício C. Coutinho

    2001-01-01

    Full Text Available This paper presents Adam Smith’s view on taxation and public expenditure, by means of an almost literal reading of the Wealth of Nations famous passages on the "duties of the sovereign" and on the "maxims of taxation". Contrarily to the commonest usage of these passages, we will show that their core is the preoccupation with the public expenditure soaring and the defence of decentralisation. Furthermore and also contrarily to the existing interpretations we defend the non-existence of any contradiction between Smith’s income and price theory (and the incidence hypothesis, provided due attention is paid to the guiding role of the "maxims".

  5. Public Expenditures, Budgetary Sustainability and the Assessment of Management of Public Expenditures in Kosovo

    Directory of Open Access Journals (Sweden)

    Behxhet Brajshori

    2009-05-01

    Full Text Available Public expenditures are public outlays which competent state organs realize for the purpose of fulfilling obligations of general public interest. They are manifested in different forms and in different social, economic and political areas. Public expenditures produce direct and indirect effects in production and influence consumption and prices. Economic structure and conjectural courses of one country have an impact on the highness of the public expenditures. Economic and social subsidies present the main instruments for achieving economic and social effects through the policy of public expenditures, whilst in conjectural economies; the effect of public expenditures is large and is realized through the mechanism of multiplicators which are used when the economy is in the state of economic stagnation and recession. After the war, Kosovo built a new fiscal system according to the best international practices. The tax system consists of some taxes, it has a wide spread of tax charges and applies relatively low tax rates. Both budgetary revenues and budgetary consumption have marked certain variations in relation to GDP. Currently, The Kosovo Consolidated Budget (KCB is completely fulfilled by domestic revenues. It is considered that, even if the budgetary consumption increases up to 30-34% of GDP, this raise will not endanger budgetary sustainability of the country. According to the World Bank assessment (PEFA document- 2006 on the Effectiveness of Management of Public Expenditures in Kosovo, based on the performance of main indicators of management of public finances, the effectiveness of management of public expenditures in Kosovo is relatively satisfactory. According to the draft-document of the World Bank and the Government of Kosovo (PEFA-2008, the quality of management of public expenditures in 2008 has been profoundly improved.

  6. PUBLIC EXPENDITURES POLITICS ON A NATIONAL LEVEL

    Directory of Open Access Journals (Sweden)

    ANA-PETRINA PĂUN

    2013-10-01

    Full Text Available The development level of a society is closely related to the development state of its individuals. Ensuring a high level of welfare for individuals is done through public politics. In this work, the definition of public politics is presented through the synthesis of several authors` points of view. Starting from these visions, we have presented at a national level the public politics of public expenditures and those of public debt respectively. In regard to public debt politics, we have presented the „Public debt management (Management of government public debt and the authorisation and supervision of local public debt” politic along with its aim and objectives. Towards the final part of the document we have emphasised the objectives of the strategy regarding government public debt management on medium term for 2012-2014 (Strategy.

  7. World Public Expenditure: Education and Armaments, 1965-74

    Science.gov (United States)

    Carceles, Gabriel

    1977-01-01

    The latest data on public expenditures show that since 1973 world expenditures on education have exceeded military expenditures in developed nations, but that the opposite situation prevails in developing nations. Beginning with 1965, this article summarizes these expenditures for the world as a whole, including developed and developing nations.…

  8. Adam Smith on public expenditure and taxation

    Directory of Open Access Journals (Sweden)

    Maurício C. Coutinho

    2009-05-01

    Full Text Available This paper presents Adam Smith’s view on taxation and public expenditure, by means of an almost literal reading of the Wealth of Nations famous passages on the “duties of the sovereign” and on the “maxims of taxation”. Contrarily to the commonest usage of these passages, we will show that their core is the preoccupation with the public expenditure soaring and the defence of decentralisation. Furthermore – and also contrarily to the existing interpretations – we defend the non-existence of any contradiction between Smith’s income and price theory (and the incidence hypothesis, provided due attention is paid to the guiding role of the “maxims”.

  9. Public Expenditure Evolution in EU4 Countries

    Directory of Open Access Journals (Sweden)

    Daniela-Georgeta BEJU

    2014-11-01

    Full Text Available In contemporary society, the economy is the main pillar on which the state is based and life society is directly influenced by its evolution. So, development, or rather growth affects the smooth running of things, but this in turn is influenced by the decisions taken by individuals from government institutions, the ability of people to make profitable investments, but also to manage it more efficiently.The paper aims to highlight the importance of knowledge in public spending system, because the local communities or nations have to be awareness that nowhere can not consume more than they produce, and when this happens, the social-economic progress is endangered, so burden and poverty population are inevitable consequences. The study is based on analysis of public expenditure system in four Eastern European countries (Czech Republic, Romania, Slovakia, Hungary in the period 2000-2013.

  10. PRODUCTIVE GOVERNMENT EXPENDITURE IN A STOCHASTICALLY GROWING OPEN ECONOMY

    Institute of Scientific and Technical Information of China (English)

    Haijun WANG; Shigeng HU

    2007-01-01

    This paper employs a stochastic endogenous growth model with productive government expenditure in a small open economy to analyze the optimal fiscal policy.First,a stochastic model of a small open economy is constructed.Second.the equilibrium solutions of the representative agent's stochastic optimization problem are derived.Third,we obtain the equilibrium solutions of the central planner's stochastic optimization problem and the optimal government expenditure policy.Finally,the optimal tax policy is characterized.

  11. Romanian Public Expenditures Policy during the Economic Crisis

    Directory of Open Access Journals (Sweden)

    Anca-Ştefania SAVA

    2011-03-01

    Full Text Available The aim of this paper is to discuss the Romanian public expenditures policy promoted in the context of the economic and financial crisis. Firstly, we present a brief introduction on the effects of public expenditures policy to economic growth and the role of automatic stabilizers in times of economic recessions. Secondly, the paper analyzes the evolution of current and capital public expenditures before and during the economic and financial crisis, according to which unproductive spending prevailed, in detriment of productive investments which can stimulate the economic recovery.

  12. Public environmental expenditures in Estonia during 1995-2011

    Directory of Open Access Journals (Sweden)

    Sirje Pädam

    2014-01-01

    Full Text Available The purpose of this paper is to assess the impact of earmarking on central government environment protection expenditure. Since central government spending for the environment relies on earmarked revenues, which is not the case of the local government, it is expected that central government expenditure is to a lesser degree affected by macroeconomic developments. The analysis indicates that this is the case because correlation between GDP change and the change in central government expenditure for environment protection is smaller than that of the local government. It is also found that increasing revenues from earmarked environmental charges have contributed to growing expenditure. However, the analysis also suggests that the main driver of this growth is the expansion is EU funds. Reliance on EU expenditure was further reinforced by changes in earmarking rules in 2008-2009

  13. The influence of (public) health expenditure on longevity.

    Science.gov (United States)

    Aísa, Rosa; Clemente, Jesús; Pueyo, Fernando

    2014-10-01

    We report new evidence on the contribution of health expenditure to increasing life expectancy in OECD countries, differentiating the effects of public and private health expenditures. A theoretical model is presented and estimated though a cross-country fixed effects multiple regression analysis for a sample of OECD countries over the period 1980-2000. Although the effect of aggregate health expenditure is not conclusive, public health expenditure plays a significant role in enhancing longevity. However, its influence diminishes as the size of the public health sector on GDP expands, reaching a maximum around the 8 %. With the influence of public health expenditure being positive, the ambiguous effect of the aggregate expenditure suggests that the weight of public and private health sectors matters, the second having a lower impact on longevity. This might explain the poor evolution of the life expectancy in countries with a high amount of private resources devoted to health. In such cases, an extension of public services could give rise to a better outcome from the overall health investment.

  14. Pakistan - Public Expenditure Management : Strategic Issues and Reform Agenda

    OpenAIRE

    World Bank

    2004-01-01

    This report focuses principally on three key dimensions of better public expenditure management in Pakistan. First, it is paramount to continue financial discipline and reduce the overall size of the public sector deficit, including the sizable losses of public enterprises. The modest progress made in reducing the government's fiscal deficit during the past few years has been undermined by...

  15. Terminal costs, improved life expectancy and future public health expenditure.

    Science.gov (United States)

    Bjørner, Thomas Bue; Arnberg, Søren

    2012-06-01

    This paper presents an empirical analysis of public health expenditure on individuals in Denmark. The analysis separates out the individual effects of age and proximity to death (reflecting terminal costs of dying) and employs unique micro data from the period 2000 to 2009, covering a random sample of 10% of the Danish population. Health expenditure includes treatment in hospitals, subsidies to prescribed medication and health care provided by general practitioners and specialists and covers about 80% of public health care expenditure on individuals. The results confirm findings from previous studies showing that proximity to death has a significant impact on health care expenditure. However, it is also found that cohort effects (the baby boom generation) as well as improvements in life expectancy have a substantial effect on future health care expenditure even when proximity to death is controlled for. These results are obtained by combining the empirical estimates with a long term population forecast. When life expectancy increases, terminal costs are postponed but the increases in health expenditure that follow from longer life expectancy are not as large as the increase in the number of elderly persons would suggest (due to "healthy ageing"). Based on the empirical estimates, healthy ageing is expected to reduce the impact of increased life expectancy on real health expenditure by 50% compared to a situation without healthy ageing.

  16. LOCAL PUBLIC 0 EXPENDITURE AUTONOMY – MEASURING APPROACH

    Directory of Open Access Journals (Sweden)

    Irina BILAN

    2013-06-01

    Full Text Available The decentralization process was continuous in Romania starting with 1990, generating the implication of local authorities in local public finance, as a result of exclusives, shared and delegate competences and, so, the necessity of ensuring a good management of resources and expenditures. Therefore, the decentralization of competences / responsibilities from State to local governments was a major Romanian political theme and a first rank component of management of local public finance, as main driving instrument for local development. Specific legal framework of local responsibilities is established both to European and national level. Researchers based on regulation and practice have tried to quantify the responsibilities developing different models to measure local revenue and expenditures autonomy. The paper aims is to identify some models for measuring local expenditure autonomy and to apply for Romania. The study is oriented to measure local expenditure autonomy in Romania using Bell, Ebel, Kaiser and Rojchaichainthorn's model.

  17. FLYPAPER EFFECTS ANOMALY OF WEST PAPUA CAPITAL PUBLIC EXPENDITURE

    Directory of Open Access Journals (Sweden)

    Marthen Anthon Pentury

    2013-04-01

    Full Text Available In fiscal decentralization, local governments should be able to provide public service facilities for all communities. This study aims to determine the existence of flypaper effect in the total capital public expenditure and capital expenditure on education, health and infrastructure in districts in West Papua, 2003-2006. Tools of analysis used is panel data regression. The General Allocation Fund (DAU, the Special Allocation Fund (DAK and the Special Autonomy Fund (DOK partially and simultaneously have positive impact on total capital spending and capital expenditure in education, health, and infrastructure. It is also indicated the anomaly of flypaper effect in DAU, DAK, and DOK.Keywords: Flypaper effect, anomaly, fiscal decentralization, capital expendituresJEL classification numbers: H50, H75

  18. The Influence analysis on public expenditure to the technique efficiency of China

    Institute of Scientific and Technical Information of China (English)

    CHEN Xun; YU Jie

    2006-01-01

    In this paper,we use SFA to estimate the time-variant stochastic frontier model of 31 cities in China.The results tell us that raising the proportion of public expenditure in GDP can lower the technological efficiency,but raising some parts of public expenditure in GDP can promote the technological efficiency.Its realistic meaning is that it is excellent to turn the public expenditure structure to promote the technological efficiency.We computed the technological efficiency of 31 provinces/cities and the results show that the gap between the eastern region and western region is growing much.Finally,we decompose total factor productivity(TFP)and get the following result: from three regions,the biggest influence factor on technological efficiency is the scales economy.Technological progress and allocation efficiency have a smaller influence.From our results,we suggest that technological progress and allocation efficiency from public expenditure and income be raised to influence the TFP rate of change,and have a more efficient public expenditure.

  19. The impact of public expenditure on undernourishment distribution in Mexico.

    Science.gov (United States)

    Moreno-Macías, Lidia; Palma-Solís, Marco; Zapata-Vázquez, Rita E

    2013-09-01

    The status of undernourishment in children under the age of five in Mexico is open to debate. Linked to poverty, underweight and stunting, the rates of undernourishment are reported to be diminishing, although poverty remains an incessant problem. This study was done to determine whether there is an association between public expenditure and underweight and stunting distribution in Mexico based on data from the 2006 health and population census and from macroeconomic, social, and demographic variables. We used principal component analysis to reduce the number of variables and analyze their behavior. Multiple regressions showed that underweight and stunting are significantly associated with the marginalization index, support from the Sistema Nacional para el Desarrollo Integral de la Familia (DIF) supplies and breakfast program, the gross domestic product per capita, and expenditure from the Opportunities program. Further, public expenditure aimed to combat undernourishment is inadequately oriented to address the needs of the poor.

  20. Accountability for Public Expenditure under "Building Schools for the Future"

    Science.gov (United States)

    Shaoul, Jean; Stafford, Anne; Stapleton, Pamela

    2010-01-01

    This paper examines the disclosure and reporting of expenditure under the UK government's "Building Schools for the Future" programme. The study finds that there is little detailed and useful financial reporting, and the public's right to know under Freedom of Information Act 2000 is very limited. The lack of such information makes it…

  1. Health Sector:Public Expenditure Review 2010/11

    OpenAIRE

    Kikuli, Regina; Ally, Mariam

    2012-01-01

    The main objective of Health Sector Public Expenditure Review for fiscal year (FY) 2011 (PER FY11) was to assess the budgetary allocations and expenditures to inform stakeholders about progress made in key health financing milestones over the 2006/07–2011/12 period. Specifically, the Health Sector PER sets out to provide: A review of PER FY10 findings and actions taken by the sector in response to those findings, indicating unaccomplished/pending actions, and identifying follow-up actions fo...

  2. 76 FR 61254 - Interpretive Rule on When Certain Independent Expenditures Are “Publicly Disseminated” for...

    Science.gov (United States)

    2011-10-04

    ... actual public dissemination date of independent expenditure communications that take the form of items... independent expenditure communication pertains. \\2\\ Once the public dissemination date is established... 11 CFR Parts 104 and 109 Interpretive Rule on When Certain Independent Expenditures Are ``Publicly...

  3. Intergovernmental Grants and Public Expenditures: Evidence from a Survey Experiment

    DEFF Research Database (Denmark)

    Bækgaard, Martin; Kjærgaard, Marie

    2016-01-01

    The relationship between intergovernmental grants and public expenditures is one of the most studied phenomena in the local public finance literature. However, little is known about whether the impact of unconditional grants is fundamentally different from that of other sources of municipal revenue....... We study this question by means of a large-scale randomized survey experiment among Danish local politicians, which allows for a comparison of the impact of changes in various sources of municipal revenue. Our findings challenge the conventional conception in the public finance literature that money...

  4. Trends Analysis of Public Expenditure on Infrastructure and Economic Growth in Nigeria

    OpenAIRE

    Greg Ekpung EDAME

    2014-01-01

    This study critically analyze the trends analysis of public expenditure on infrastructure and economic growth in Nigeria, from 1970 to 2010. The objective of the study is to examine the trend in public expenditure on infrastructure in Nigeria between 1970 to 2010; to compare the trend in public expenditure between the various regimes in Nigeria between 1970 to 2010; to evaluate the relationship between expenditure on infrastructure and long-run economic growth; access the factors that influen...

  5. Social-Justice Principles Should Apply in Public Expenditure

    Institute of Scientific and Technical Information of China (English)

    刘穷志

    2007-01-01

    In the absence of household data, this article attempts to convert variables to build a public expenditure incidence assessment model by using middle-level data to analyse and explain the disequilibrium between the rich and poor in their public expenditure benefits. By using China’s provincial data to validate this model, we have found a lack of sufficient public security services for the rich; an increase in cultural, educational and healthcare provisions as well as social relief for the poor over recent years; a lack of social security services for the poor; the availability of immediate economic services, but a lack of those with long-term benefits to the poor; the provision of subsidies to the rich and the furnishing of special-purpose services and support to the poor. The disparity in the provision of public services is primarily attributable to economic strength, economic deficiency, public preference and the government financial transfer payment mechanism. Last but not least, the paper presents some policy recommendations.

  6. MEASURING EXPENDITURE NEEDS AND PUBLIC SAFETY TRANSFERS IN MEXICO

    Directory of Open Access Journals (Sweden)

    LUIS CABRERA-CASTELLANOS

    2009-01-01

    Full Text Available In this paper we deal simultaneously with two crucial problems in today’s Mexico: a fiscal federalism that is seriously-flawed in the allocation of transfers to the local governments and the large number of offences linked with organized crime, a category in which the country is among the highest ranking. In this paper we suggest a more equitable and effective allocation of public safety transfers to state governments. The proposal is based on measuring expenditure needs through the method of principal components.

  7. In Public Education Expenditures We Trust: Does Trust Increase Support for Public Education Expenditures?

    Science.gov (United States)

    Gur, Nurullah; Boyaci, Israfil; Ozcan, Yunus

    2015-01-01

    Trust is one crucial prerequisite for the welfare state. However, very few empirical studies exist that help us understand the mechanisms through which trust affects the welfare state. Influencing public support for developing friendly public policies might be one of these mechanisms. In this study, we use unique micro data from 34 countries to…

  8. Economic Analysis of the Public Expenditures in Norway: 2000-2013

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    Süleyman Dikmen

    2015-12-01

    Full Text Available AbstractIn this study, it is aimed to make an economic analysis of the public expenditures in Norway having a buoyant private sector, a robust public economy and a developed mixed economic system. The analyses encompasses the period of 2000-2013. In the study, public expenditures are examined considering the functional and economic classification of general government, central government and local administrations. It is determined that public expenditures in Norway follow a stabile course between 2000 and 2013, there is a settled fiscal structure, reforms are made in public administration for the quality of services released to the public to be increased, and the country is not affected from the global financial crisis. The perception of robust social state has a crucial share in public expenditures. In the period 2000-2013 expenditures for social protection, health and education constitute 68% of total expenditures on average. It is also seen that local administrations have a robust structure and in the aforementioned period they made 30% of the total expenditures on average. Keywords: Public Expenditures, Public Expenditures of Norway, Social ExpendituresJEL Classification Codes: H70, H72, H76

  9. What drives public health care expenditure growth? Evidence from Swiss cantons, 1970-2012.

    Science.gov (United States)

    Braendle, Thomas; Colombier, Carsten

    2016-09-01

    A better understanding of the determinants of public health care expenditures is key to designing effective health policies. We integrate demand and supply-side determinants and factors from political economy into an empirical analysis of the highly decentralized Swiss health care system and control for major health care finance reforms. We compile a novel data set of the cantonal health care expenditure in Switzerland, which currently amounts to about one fifth of total health care expenditure. We analyze the period 1970-2012 and use dynamic panel estimation methods. We find that per capita income, the unemployment rate and the share of foreigners are positively related to public health care expenditure growth. With regard to political economy aspects, public health care expenditures increase with the share of women elected to parliament. However, institutional restrictions for politicians, such as fiscal rules, do not appear to limit public health care expenditure growth. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  10. The political economy of the public-private mix in heath expenditure: an empirical review of thirteen OECD countries.

    Science.gov (United States)

    Mou, Haizhen

    2013-12-01

    This study investigates the factors that may have influenced the public-private mix of health expenditure in 13 OECD countries from 1981 to 2007. The degree to which health services are socialized is regarded as the product of a trade-off between the desire to redistribute income through the fiscal system and the losses some citizens will incur when the public health care system expands. The estimation results show that, greater income inequality and population aging are associated with a smaller share of public health expenditure in total health expenditure. The more ideologically left-leaning the electorate is, the larger the share of public health expenditure. Private health insurance tends to erode the political support for the public health care systems in countries with private duplicate health insurance, but not in countries with private primary health insurance. The findings suggest that the role of private sources of funding for health care is likely to grow in developed countries. The expansion of public coverage to include pharmaceuticals and long-term care in some countries may (theoretically) encounter less opposition if the current insurance holders have no duplicate coverage, if the voters as a whole share more left-leaning political ideology, and if low-income voters are more politically mobilized. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  11. Impact of healthcare reforms on out-of-pocket health expenditures in Turkey for public insurees.

    Science.gov (United States)

    Erus, Burcay; Aktakke, Nazli

    2012-06-01

    The Turkish healthcare system has been subject to major reforms since 2003. During the reform process, access to public healthcare providers was eased and private providers were included in the insurance package for public insurees. This study analyzes data on out-of-pocket (OOP) healthcare expenditures to look into the impact of reforms on the size of OOP health expenditures for premium-based public insurees. The study uses Household Budget Surveys that provide a range of individual- and household-level data as well as healthcare expenditures for the years 2003, before the reforms, and 2006, after the reforms. Results show that with the reforms ratio of households with non-zero OOP expenditure has increased. Share and level of OOP expenditures have decreased. The impact varies across income levels. A semi-parametric analysis shows that wealthier individuals benefited more in terms of the decrease in OOP health expenditures.

  12. The relationship between public education expenditure and economic growth: The case of India

    OpenAIRE

    Sayantan Ghosh Dastidar; Sushil Mohan; Monojit Chatterji

    2012-01-01

    The paper reviews the theoretical and the empirical case for public investment in education in India. Though the theoretical literature provides a backing for such a policy, the empirical literature fails to find a robust relation between education expenditure and growth. Expenditure on education is a necessary but not a sufficient condition for growth. It seems that the effectiveness of education expenditure depends on the institutional and labour market characteristics of the economy. The e...

  13. Effect of music by Mozart on energy expenditure in growing preterm infants.

    Science.gov (United States)

    Lubetzky, Ronit; Mimouni, Francis B; Dollberg, Shaul; Reifen, Ram; Ashbel, Gina; Mandel, Dror

    2010-01-01

    The rate of weight gain in preterm infants who are exposed to music seems to improve. A potential mechanism could be increased metabolic efficiency; therefore, we conducted this study to test the hypothesis that music by Mozart reduces resting energy expenditure (REE) in growing healthy preterm infants. DESIGN. A prospective, randomized clinical trial with crossover was conducted in 20 healthy, appropriate-weight-for-gestational-age, gavage-fed preterm infants. Infants were randomly assigned to be exposed to a 30-minute period of Mozart music or no music on 2 consecutive days. Metabolic measurements were performed by indirect calorimetry. REE was similar during the first 10-minute period of both randomization groups. During the next 10-minute period, infants who were exposed to music had a significantly lower REE than when not exposed to music (P = .028). This was also true during the third 10-minute period (P = .03). Thus, on average, the effect size of music on REE is a reduction of approximately 10% to 13% from baseline, an effect obtained within 10 to 30 minutes. Exposure to Mozart music significantly lowers REE in healthy preterm infants. We speculate that this effect of music on REE might explain, in part, the improved weight gain that results from this "Mozart effect."

  14. Increasing public expenditure efficiency in oil-rich economies : a proposal

    OpenAIRE

    Devarajan, Shantayanan; Le, Tuan Minh; Raballand, Gaël

    2010-01-01

    This paper proposes that, to increase the efficiency of public spending in oil-rich economies, some or all of the oil revenues be transferred to citizens, and fiscal instruments such as taxation be used to finance public expenditures. The authors develop the case as follows. First, they confirm the well-known result that public-expenditure efficiency is lower in oil-rich countries compared...

  15. Effects of Public Preschool Expenditures on the Test Scores of Fourth Graders: Evidence from TIMSS

    Science.gov (United States)

    Waldfogel, Jane; Zhai, Fuhua

    2008-01-01

    This study examines the effects of public preschool expenditures on the math and science scores of 4th graders, holding constant child, family, and school characteristics, other relevant social expenditures, and country and year effects, in 7 Organisation for Economic Co-operation and Development (OECD) countries--Australia, Japan, the…

  16. Effects of Public Preschool Expenditures on the Test Scores of Fourth Graders: Evidence from TIMSS

    Science.gov (United States)

    Waldfogel, Jane; Zhai, Fuhua

    2008-01-01

    This study examines the effects of public preschool expenditures on the math and science scores of 4th graders, holding constant child, family, and school characteristics, other relevant social expenditures, and country and year effects, in 7 Organisation for Economic Co-operation and Development (OECD) countries--Australia, Japan, the…

  17. The sustainability of public health expenditures: evidence from the Canadian federation.

    Science.gov (United States)

    Di Matteo, Livio

    2010-12-01

    The fiscal sustainability of government health expenditures is defined as the gap between growth rates of spending and measures of the resource base. The results show that over the period 1965-2008, real per capita Canadian provincial government health spending has grown at rates that exceed growth in basic measures of the resource base such as per capita gross domestic product (GDP), per capita federal transfers and per capita provincial government revenues. Forecasts of future spending to 2035 using determinant regression and growth rate extrapolation techniques show that Canadian provincial government health spending is projected to continue rising in the future and its share of provincial GDP will rise. While the amount spent on health is ultimately a public policy choice, provincial government health spending also cannot continue growing faster than the resource base indefinitely.

  18. [Decentralization and equity: public health expenditure in the municipalities of the Province of Buenos Aires].

    Science.gov (United States)

    Lago, Fernando Pablo; Moscoso, Nebel Silvana; Elorza, María Eugenia; Ripari, Nadia Vanina

    2012-12-01

    In this paper we analyze the degree of equity in access to the public health care system in the Province of Buenos Aires (Argentina). Through a quantitative retrospective study, we analyze the inequalities in the distribution of the total public health expenditure per capita. This variable is used as a proxy for the ability of the inhabitants of each jurisdiction to access health care services. The results indicate the existence of large disparities in the levels of expenditure devoted to the population without health coverage. Moreover, the existence of greater health care needs (estimated using infant mortality rates and percentage of homes with basic needs unmet) does not translate into higher levels of public expenditure. Finally, we detect a positive association between the relative wealth of municipalities (measured by the gross geographic product per capita) and the public health expenditure per capita.

  19. Monitoring and evaluation as tools for enhancing public expenditure management in Ukraine

    Directory of Open Access Journals (Sweden)

    Sergii Slukhai

    2011-06-01

    Full Text Available There are reasons to think that key elements of a performance-based budgeting methodology have already become a part of the mechanism for public expenditure management in Ukraine. At the same time, there still remains the issue of linking budget expenditures to the specifi c results achieved by specific budget programs. This defines the necessity of applying modern approaches to managing monitoring and evaluation (M&E. This study presents an analysis of the current state of M&E in Ukrainian public expenditure program management and offers some solutions which could improve its utilization.

  20. The Islamic Republic of Iran : Report on Public Financial Management, Procurement, and Expenditure Systems in Iran

    OpenAIRE

    World Bank

    2005-01-01

    This review aims to describe, and to the extent possible, analyze public expenditure management systems in Iran, including those involved in budget formulation and execution, financial management, procurement, and oversight (but not the management of the civil service). As such, it contains elements of a Public Expenditure Review, a Country Financial Accountability Assessment, and a Country Procurement Assessment Report. The report stops short of recommending additional or different reforms o...

  1. Does informal care reduce public care expenditure on elderly care? Estimates based on Finland's Age Study.

    Science.gov (United States)

    Kehusmaa, Sari; Autti-Rämö, Ilona; Helenius, Hans; Rissanen, Pekka

    2013-08-15

    To formulate sustainable long-term care policies, it is critical first to understand the relationship between informal care and formal care expenditure. The aim of this paper is to examine to what extent informal care reduces public expenditure on elderly care. Data from a geriatric rehabilitation program conducted in Finland (Age Study, n = 732) were used to estimate the annual public care expenditure on elderly care. We first constructed hierarchical multilevel regression models to determine the factors associated with elderly care expenditure. Second, we calculated the adjusted mean costs of care in four care patterns: 1) informal care only for elderly living alone; 2) informal care only from a co-resident family member; 3) a combination of formal and informal care; and 4) formal care only. We included functional independence and health-related quality of life (15D score) measures into our models. This method standardizes the care needs of a heterogeneous subject group and enabled us to compare expenditure among various care categories even when differences were observed in the subjects' physical health. Elder care that consisted of formal care only had the highest expenditure at 25,300 Euros annually. The combination of formal and informal care had an annual expenditure of 22,300 Euros. If a person received mainly informal care from a co-resident family member, then the annual expenditure was only 4,900 Euros and just 6,000 Euros for a person living alone and receiving informal care. Our analysis of a frail elderly Finnish population shows that the availability of informal care considerably reduces public care expenditure. Therefore, informal care should be taken into account when formulating policies for long-term care. The process whereby families choose to provide care for their elderly relatives has a significant impact on long-term care expenditure.

  2. Welfare Attitudes and Social Expenditure: Do Regimes Shape Public Opinion?

    Science.gov (United States)

    Jakobsen, Tor Georg

    2011-01-01

    This article examines the link between regime types, social expenditure, and welfare attitudes. By employing data on 19 countries taken from the World Values Survey, the main aim is to see to what degree the institutions of a country affect the attitudes of its citizens. According to Esping-Andersen ("The three worlds of welfare…

  3. Welfare Attitudes and Social Expenditure: Do Regimes Shape Public Opinion?

    Science.gov (United States)

    Jakobsen, Tor Georg

    2011-01-01

    This article examines the link between regime types, social expenditure, and welfare attitudes. By employing data on 19 countries taken from the World Values Survey, the main aim is to see to what degree the institutions of a country affect the attitudes of its citizens. According to Esping-Andersen ("The three worlds of welfare…

  4. Pakistan - Public Expenditure Management : Accelerated Development of Water Resources and Irrigated Agriculture

    OpenAIRE

    World Bank

    2004-01-01

    This report focuses principally on three key dimensions of better public expenditure management in Pakistan. First, it is paramount to continue financial discipline and reduce the overall size of the public sector deficit, including the sizable losses of public enterprises. The modest progress made in reducing the government's fiscal deficit during the past few years has been undermined by...

  5. The growth of public health expenditures in OECD countries: do government ideology and electoral motives matter?

    Science.gov (United States)

    Potrafke, Niklas

    2010-12-01

    This paper empirically evaluates whether government ideology and electoral motives influenced the growth of public health expenditures in 18 OECD countries over the 1971-2004 period. The results suggest that incumbents behaved opportunistically and increased the growth of public health expenditures in election years. Government ideology did not have an influence. These findings indicate (1) the importance of public health in policy debates before elections and (2) the political pressure towards re-organizing public health policy platforms especially in times of demographic change. Copyright © 2010 Elsevier B.V. All rights reserved.

  6. Whether trade openness has increased all the components of Portuguese public expenditure

    Directory of Open Access Journals (Sweden)

    Paulo Reis Mourao

    2007-09-01

    Full Text Available This work aims at identifying the public outlays that has been influenced by the growth of Portuguese trade openness since the end of World War II. For the Portuguese reality, it is one of the first attempts to discuss a large set of simultaneously tested control variables. For this purpose, the methodology started from a model that tries to the public expenditures to a system of simultaneous macroeconomic forces and, for testing, it followed the steps associated with cointegration analysis. Using the most convenient techniques, a restrictive set of four expenditures (subsidies, interest payments, other current expenditures, and total public expenditures as a proportion of GDP was found among the wider set suggested by the Literature. The nature of these expenditures supports the claim that, for the Portuguese case, a particular validity of the compensation hypothesis has been observed. The achieved evidence promotes an important rule: in addition to there being a long-term relation between (some public expenditures and trade openness, short-term relations may also appear.

  7. Estimated expenditures for essential public health services--selected states, fiscal year 1995.

    Science.gov (United States)

    1997-02-21

    Essential public health services are activities that public health departments and other partners undertake to protect and ensure the health of the public. To characterize expenditures for those services and to distinguish within them expenditures for personal health-care services from community-based health services directed toward populations, the Public Health Service (PHS) and the Public Health Foundation surveyed senior health officials in eight states (Arizona, Iowa, Louisiana, New York, Oregon, Rhode Island, Texas and Washington [combined 1995 population: 57.8 million]). This report summarizes the results of that survey, which indicate that spending on community-based health services is a small proportion of spending on essential services and an even smaller proportion of total health-care expenditures.

  8. The cyclical behaviour of public and private health expenditure in China.

    Science.gov (United States)

    Chen, Gang; Inder, Brett; Lorgelly, Paula; Hollingsworth, Bruce

    2013-09-01

    This paper studies short-run cyclical behaviour of public (government and social) and private health expenditure and GDP using both time series and panel data techniques. First, national time series data have been used within a multivariate Beveridge-Nelson decomposition framework to construct the permanent and cyclical components. The correlation analysis results for the cyclical components suggest that current public health expenditure is pro-cyclical while there is no clear evidence of a correlation between cycles in private health expenditure and in GDP growth. Next, using an instrumental variable method and the generalised method of moments estimator, provincial-level panel data analyses confirm pro-cyclical impacts of government spending on health. The provincial analysis also suggests that private health expenditure in urban China has a pro-cyclical association with GDP growth, but a lack of good instruments makes it difficult to identify a clear causal link between cycles in income growth and private health expenditure. The results suggest two policy recommendations relevant to public health expenditure, in line with China's current health reforms. Copyright © 2013 John Wiley & Sons, Ltd.

  9. An Inspection on the Gini Coefficient of the Budget Educational Public Expenditure per Student for China's Basic Education

    Science.gov (United States)

    Yingxiu, Yang

    2006-01-01

    Using statistical data on the implementing conditions of China's educational expenditure published by the state, this paper studies the Gini coefficient of the budget educational public expenditure per student in order to examine the concentration degree of the educational expenditure for China's basic education and analyze its balanced…

  10. Measuring the effects of reducing subsidies for private insurance on public expenditure for health care.

    Science.gov (United States)

    Cheng, Terence Chai

    2014-01-01

    This paper investigates the effects of reducing subsidies for private health insurance on public sector expenditure for hospital care. An econometric framework using simultaneous equation models is developed to analyse the interrelated decisions on the intensity and type of health care use and private insurance. The framework is applied to the context of the mixed public-private system in Australia. The simulation projections show that reducing premium subsidies is expected to generate net cost savings. This arises because the cost savings achieved from reducing subsidies are larger than the potential increase in public expenditure on hospital care. Copyright © 2013 Elsevier B.V. All rights reserved.

  11. Income distribution, public services expenditures, and all cause mortality in US states

    OpenAIRE

    2005-01-01

    Introduction: The objective of this paper is to investigate the relation between state and local government expenditures on public services and all cause mortality in 48 US states in 1987, and determine if the relation between income inequality and mortality is conditioned on levels of public services available in these jurisdictions.

  12. The impact of changes in county public health expenditures on general health in the population.

    Science.gov (United States)

    Brown, Timothy T; Martinez-Gutierrez, Maria S; Navab, Bahar

    2014-07-01

    We estimate the effect of changes in the per capita expenditures of county departments of public health on county-level general health status. Using panel data on 40 counties in California (2001-2009), dynamic panel estimation techniques are combined with the Lewbel instrumental variable technique to estimate an aggregate demand for health function that measures the causal cumulative impact that per capita public health expenditures have on county-level general health status. We find that a $10 long-term increase in per capita public health expenditures would increase the percentage of the population reporting good, very good or excellent health by 0.065 percentage points. Each year expenditures were increased would result in ∼24,000 individuals moving from the 'poor or fair health' category to the 'good, very good or excellent health' category across these 40 counties. In terms of the overall impact of county public health departments on general health status, at current funding levels, each annual expenditure cycle results in over 207,000 individuals being in the 'good, very good or excellent' categories of health status rather than the 'poor or fair' categories.

  13. Free does not mean affordable: maternity patient expenditures in a public hospital in Bangladesh

    Directory of Open Access Journals (Sweden)

    Khan Suhaila H

    2005-01-01

    Full Text Available Abstract Objective This study investigated a the amount and types of out-of-pocket expenditures by patients for nominally free services in a large public hospital in Bangladesh, b the factors influencing these expenses, and c the impact of these expenses on household income. Methods Eighty-one maternity patients were interviewed during their hospitalization in the Dhaka Medical College Hospital. Patients were selected by quota sample to match the distribution of maternity patient categories in the hospital. Patients were interviewed with a semi-structured, in-depth questionnaire. Results All interviewees incurred substantial out-of-pocket expenditures for travel, hospital admission fees, medicine, tests, food, and tips. Only two of the expenditures, travel expenses and admission fees, were not supposed to be provided free of charge by the hospital. The median total per-patient expenditure was $65 (range $2–$350, equivalent to 7% (range 0.04%–225% of annual household income. Half of all patients reported that their families had to borrow to pay for care at interest rates of 5%–30% per month. A third of these families reported selling jewelry, land or household items to moneylenders. The rural patients reported more difficulty in paying for care than the urban patients. Factors increasing the expenditures were duration of hospitalization, rural residence, and necessary (e.g. C-section, hysterectomy and unnecessary (e.g. episiotomy medical procedures. Conclusion Free maternity services in Bangladesh impose large out-of-pocket expenditures on patients. Authorities could reduce the burden by reducing the duration of hospital stays, limiting use of medical procedures, eliminating tips, and moving routine services closer to potential users. Fee for service could reduce unofficial expenditures if the fee were lower than and replaced typical unofficial expenditures, otherwise adding service fees without reform of current hospital practices would

  14. DEMOGRAPHIC DYNAMICS AND SUSTAINABILITY OF PUBLIC PENSION EXPENDITURES WITHIN EUROPEAN UNION-15 MEMBER STATES

    Directory of Open Access Journals (Sweden)

    MILOȘ MARIUS CRISTIAN

    2012-12-01

    Full Text Available Recent demographic dynamics within the European Union member states urge public decidents to find the right measures which could further on assure the sustainability of social public expenditures. Most of the specialised literature mainly highlights the macroeconomic variables which may affect the size of public pension expenditures. Nevertheless demographic effects, like fertility rate, old-age dependency ratio, effective retirement age or life expectancy are also important factors of the sustainability of social security expenditures, this also due to the latest economic approaches. Our econometric testing confirms the high relevance of all these variables upon public pension expenditures within EU-15 member states. Consequently, there should be some special measures which governments may consider in future public policies. We suggest that retirement should come later in citizens lives, but in order to enforce this new approach there is an urgent need of appropriate jobs which could be available for older generations. In fact the solution towards an increasing proportion of older people in nowadays society should be “active ageing”: encouraging older people to stay active and retire later. Also extremly important are the outcomes of targetting healthy and autonomous lives.

  15. Publicly funded medical savings accounts: expenditure and distributional impacts in Ontario, Canada.

    Science.gov (United States)

    Hurley, Jeremiah; Guindon, G Emmanuel; Rynard, Vicki; Morgan, Steve

    2008-10-01

    This paper presents the findings from simulations of the introduction of publicly funded medical savings accounts (MSAs) in the province of Ontario, Canada. The analysis exploits a unique data set linking population-based health survey information with individual-level information on all physician services and hospital services utilization over a four-year period. The analysis provides greater detail along three dimensions than have previous analyses: (1) the distributional impacts of publicly funded MSAs across individuals of differing health statuses, incomes, ages, and current expenditures; (2) the impact of differing degrees of risk adjustment for MSA contributions; and (3) the impact of MSA funding over multiple years, incorporating year-to-year variation in spending at the individual level. In addition, it analyses more plausible designs for publicly funded MSAs than the existing studies. Government uses information available from year t - 1 to allocate its budget for year t in a manner that is ex ante fiscally neutral for the public sector: the government first withholds funds equal to expected catastrophic insurance payments under the MSA plan, and then allocates only the balance to individual MSA accounts. The government captures the savings associated with reduced health-care utilization under MSAs and we examine deductibles that vary by income rather than by current health-care expenditures. The impacts on public expenditures under these designs are more modest than in the previous studies and under plausible assumptions MSAs are predicted to decrease public expenditures. MSAs, however, are also predicted to have unavoidable negative distributional consequences with respect to both public expenditures and out-of-pocket spending.

  16. Public drug expenditure in the Republic of Ireland.

    Science.gov (United States)

    Barry, Michael; Usher, Cara; Tilson, Lesley

    2010-06-01

    In Ireland, expenditure on medicines in the community has increased over sixfold from 300 million euro in 1998 to 1.9 billion euro in 2008. The Health Service Executive has examined all aspects of the drugs supply chain in an attempt to obtain value for money. The 2006 agreement between the Health Service Executive and the Irish Pharmaceutical Healthcare Association resulted in a 35% reduction in the price of patent-expired medicines with estimated savings of 248 million euro. The agreement has been extended to 2012 providing a further 40% price reduction for those off-patent products. Reductions in wholesaler margins and pharmacy reimbursement will provide savings of 130 million euro per annum. Patient co-payment under the Drugs Payment Scheme increased to 120 euro per month and a new co-payment for medical card holders is to be introduced. Since September 2009, all new pharmaceutical products are considered for pharmacoeconomic assessment. Generic substitution and reference pricing are to be introduced in 2011.

  17. Strengthening Public Revenue and Expenditure Management to Enhance Service Delivery

    OpenAIRE

    2013-01-01

    To achieve higher growth and reduce poverty and inequality, Mexico needs to improve public service delivery. Mexico is a middle-income country with continuing high levels of poverty (46.2 percent of the population). To improve public sector service delivery, Mexico needs to ensure sufficient financial and human resources relative to the needs of the population, and effective and efficient ...

  18. Energy expenditure of three public and three home-based active video games in children

    NARCIS (Netherlands)

    Simons, Monique; De Vries, Sanne I.; Jongert, Tinus; Verheijden, Marieke W.

    2014-01-01

    The purpose of this study was to assess the energy expenditure (EE) experienced by children when playing six active video games, which can be used in a home environment and in a public setting (e.g. game center), and to evaluate whether the intensity of playing these games can meet the threshold for

  19. Budgeted Revenues and Expenditures in Public School Systems: Current Status and Trends, Update 2007

    Science.gov (United States)

    Educational Research Service, 2007

    2007-01-01

    This "ERS Research Snapshot" provides answers to some of the key questions often asked by education leaders, policy makers, other school employees, and community members about budgeted revenues and expenditures within U.S. public school systems: (1) Why is information about school district budgets important?; (2) How were school district…

  20. Revenues and Expenditures by Public School Districts: School Year 2002-03. E.D. TAB. NCES 2006-312

    Science.gov (United States)

    Hill, Jason; Johnson, Frank

    2005-01-01

    This short report on revenues and expenditures at the school district level is a companion to the state-level E.D. TAB, Revenues and Expenditures for Public Elementary and Secondary Education: School Year 2002-03 (NCES 2005-353R), which presents total state and national spending on public elementary and secondary education. This report provides…

  1. The impacts of local health department consolidation on public health expenditures: evidence from Ohio.

    Science.gov (United States)

    Hoornbeek, John; Morris, Michael E; Stefanak, Matthew; Filla, Joshua; Prodhan, Rohit; Smith, Sharla A

    2015-04-01

    We examined the effects of local health department (LHD) consolidations on the total and administrative expenditures of LHDs in Ohio from 2001 to 2011. We obtained data from annual records maintained by the state of Ohio and through interviews conducted with senior local health officials and identified 20 consolidations of LHDs occurring in Ohio in this time period. We found that consolidating LHDs experienced a reduction in total expenditures of approximately 16% (P = .017), although we found no statistically significant change in administrative expenses. County health officials who were interviewed concurred that their consolidations yielded financial benefits, and they also asserted that their consolidations yielded public health service improvements.

  2. Evaluating the redistributive impact of public health expenditure using an insurance value approach.

    Science.gov (United States)

    Spadaro, Amedeo; Mangiavacchi, Lucia; Moral-Arce, Ignacio; Adiego-Estella, Marta; Blanco-Moreno, Angela

    2013-10-01

    This article analyses the redistributive impact of public health expenditure in Spain using an insurance value approach to compute individual and household's value of health services non-cash benefit. We model the intensity of use of different health care services using a count data framework on a nationally representative health care survey and then predict probabilities on the 2006 Spanish EU-SILC sample. This allows us to extend disposable income with the expected monetary value of public health services and to compare it with strictly cash income. Since non-cash income due to public health services is associated with health needs, we use needs-adjusted equivalence scales to perform distributional analysis and poverty/inequality comparisons. The results show that public health expenditure in Spain acts progressively on income distribution, and that health in-kind benefits, once considered as part of disposable income, can be extremely effective in reducing poverty and inequality.

  3. Public Expenditures and Agricultural Growth in Burkina Faso

    Directory of Open Access Journals (Sweden)

    Souleymane Ouedraogo

    2014-10-01

    Full Text Available This study analyzes public funding in the agricultural sector in Burkina Faso and assesses its impact on agricultural growth. Based on data collected from several sources (finance acts over the period 1983-2008, Automated Prediction Instrument (IPA, World Bank and National agricultural statistics over 26 years (from 1983 to 2008, the agricultural production has been modelled by using an error correction model and Cobb-Douglas function. The econometric analysis results show that public funding has a positive impact on agricultural production in the short term. A 9% growth rate of public funding over the period 2009-2015, causes an average agricultural production of 6.75% over the period. So, it is necessary for the State to increase funding in the agricultural sector to achieve a better growth of the domestic production and to meet the Millennium Development Goals regarding hunger reduction over the period 2009-2015.

  4. PUBLIC EXPENDITURE POLICY IN THE CONTEXT OF ECONOMIC CRISIS - CHALLENGES AND IMPLICATIONS

    Directory of Open Access Journals (Sweden)

    Petrisor Mihai - Bogdan

    2011-07-01

    Full Text Available Public spending is a key component for both public finances and government financial policy. In this situation, government expenditures are made in direct relation with the results of governance with economic and financial crises and global social welfare of the nation. From this perspective, our article aims to highlight the correlation between public expenditure and budgetary financial and economic crisis and, also, state government responses, anticipating their impact on medium and long term. Also, in the context of the crisis and the concomitent lack of public revenue, we identify the pillars on which to base the budget reduction in public expenditure. The implications of the economic crisis in Romania are analyzed along with proposed measures to be followed by the Government through budgetary fiscal strategy. In relation to the purpose and objectives of the research, documentation was made both in terms of bibliographic resources and the plan of legislative documents and quantitative reporting. We believe that the issue of increasing allocative efficiency of resources is vital to counter the current crisis, but also to maximize the positive effects of public interventions in general and from another state, we consider that state and, consequently, public expenditure budget which should be used to replace the market, can not be regarded as some suggest to be founded and we suggest a line for developed countries. This work was supported by the grant “Post-doctoral studies in Economics: program for continuous forming of elite researchers – SPODE”, contract POSDRU/89/1.5/S/61755, project financed by the European Social Fund, by the Operational Sectorial Program Development of Human Resources 2007-2013.

  5. Revenues and Expenditures for Public Elementary and Secondary Education: School Year 2013-14 (Fiscal Year 2014). First Look. NCES 2016-301

    Science.gov (United States)

    Cornman, Stephen Q.; Zhou, Lei

    2016-01-01

    This "First Look" contains national and state totals of revenues and expenditures for public elementary and secondary education for school year 2013-14. This "First Look" includes revenues by source and expenditures by function and object, including current expenditures per pupil and instructional expenditures per pupil. This…

  6. 75 FR 13265 - Request for Public Comment on Maintenance of Expenditure (MOE) Proposed Policy as Amended on 2-19-10

    Science.gov (United States)

    2010-03-19

    ... COMMISSION Request for Public Comment on Maintenance of Expenditure (MOE) Proposed Policy as Amended on 2-19.... SUMMARY: The EAC seeks public comment on a Maintenance of Expenditure (MOE) Proposed Policy as Amended on... Policy as Amended on 2-19-10. Notice: Request for Public Comment on Maintenance of Expenditure (MOE...

  7. Revenues and Expenditures for Public Elementary and Secondary Education: School Year 2000-01. Statistics in Brief.

    Science.gov (United States)

    St. John, Elise

    With data retrieved from the Common Core of Data collection of surveys, this report presents revenues and expenditures for public elementary and secondary education in all 50 states, the District of Columbia, and U.S. territories for school year 2000-01. Two pie charts display revenues by source and current expenditures by function. Seven tables…

  8. Changes in clinical and hotel expenditures following publication of the nursing home compare report card.

    Science.gov (United States)

    Mukamel, Dana B; Spector, William D; Zinn, Jacqueline; Weimer, David L; Ahn, Richard

    2010-10-01

    Nursing Home Compare first published clinical quality measures at the end of 2002. It is a quality report card that for the first time offers consumers easily accessible information about the clinical quality of nursing homes. It led to changes in consumers' demand, increasing the relative importance of clinical versus hotel aspects of quality in their search and choice of a nursing home. To examine the hypothesis that nursing homes responding to these changes in demand shifted the balance of resources from hotel to clinical activities. The study included 10,022 free-standing nursing homes nationwide during 2001 to 2006. RESEARCH DESIGN AND DATA: A retrospective multivariate statistical analysis of trends in the ratio of clinical to hotel expenditures, using Medicare cost reports, Minimum Data Set and Online Survey, Certification and Reporting data, controlling for changes in residents' acuity and facility fixed effects. Inference is based on robust standard errors. The ratio of clinical to hotel expenditures averaged 1.78. It increased significantly (P hotel expenditures following publication of the report card suggests that nursing homes responded as expected to the changes in the elasticity of demand with respect to clinical quality brought about by the public reporting of clinical quality measures. The response was stronger among nursing homes facing stronger incentives.

  9. Intersystem return on investment in public mental health: Positive externality of public mental health expenditure for the jail system in the U.S.

    Science.gov (United States)

    Yoon, Jangho; Luck, Jeff

    2016-12-01

    This study examines the extent to which increased public mental health expenditures lead to a reduction in jail populations and computes the associated intersystem return on investment (ROI). We analyze unique panel data on 44 U.S. states and D.C. for years 2001-2009. To isolate the intersystem spillover effect, we exploit variations across states and over time within states in per capita public mental health expenditures and average daily jail inmates. Regression models control for a comprehensive set of determinants of jail incarcerations as well as unobserved determinants specific to state and year. Findings show a positive spillover benefit of increased public mental health spending on the jail system: a 10% increase in per capita public inpatient mental health expenditure on average leads to a 1.5% reduction in jail inmates. We also find that the positive intersystem externality of increased public inpatient mental health expenditure is greater when the level of community mental health spending is lower. Similarly, the intersystem spillover effect of community mental health expenditure is larger when inpatient mental health spending is lower. We compute that overall an extra dollar in public inpatient mental health expenditure by a state would yield an intersystem ROI of a quarter dollar for the jail system. There is significant cross-state variation in the intersystem ROI in both public inpatient and community mental health expenditures, and the ROI overall is greater for inpatient mental health spending than for community mental health spending. Copyright © 2016. Published by Elsevier Ltd.

  10. Revenues and Expenditures for Public Elementary and Secondary Education: School Year 2001-02. ED.Tabs. NCES 2004?341

    Science.gov (United States)

    Cohen, Crecilla; Johnson, Frank.

    2004-01-01

    This brief publication contains basic revenue and expenditure data, by state, for public elementary and secondary education for school year 2001-02. It contains state-level data on revenues by source and expenditures by function, including expenditures per pupil. Contains a list of figures and list of tables. (Contains 2 figures and 7 tables.)

  11. Refining estimates of public health spending as measured in national health expenditure accounts: the Canadian experience.

    Science.gov (United States)

    Ballinger, Geoff

    2007-01-01

    The recent focus on public health stemming from, among other things, severe acute respiratory syndrome and avian flu has created an imperative to refine health-spending estimates in the Canadian Health Accounts. This article presents the Canadian experience in attempting to address the challenges associated with developing the needed taxonomies for systematically capturing, measuring, and analyzing the national investment in the Canadian public health system. The first phase of this process was completed in 2005, which was a 2-year project to estimate public health spending based on a more classic definition by removing the administration component of the previously combined public health and administration category. Comparing the refined public health estimate with recent data from the Organization for Economic Cooperation and Development still positions Canada with the highest share of total health expenditure devoted to public health than any other country reporting. The article also provides an analysis of the comparability of public health estimates across jurisdictions within Canada as well as a discussion of the recommendations for ongoing improvement of public health spending estimates. The Canadian Institute for Health Information is an independent, not-for-profit organization that provides Canadians with essential statistics and analysis on the performance of the Canadian health system, the delivery of healthcare, and the health status of Canadians. The Canadian Institute for Health Information administers more than 20 databases and registries, including Canada's Health Accounts, which tracks historically 40 categories of health spending by 5 sources of finance for 13 provincial and territorial jurisdictions. Until 2005, expenditure on public health services in the Canadian Health Accounts included measures to prevent the spread of communicable disease, food and drug safety, health inspections, health promotion, community mental health programs, public

  12. Political or dental power in private and public service provision: a study of municipal expenditures for child dental care

    DEFF Research Database (Denmark)

    Andersen, L. B.; Bech, M.; Lauridsen, J.

    2012-01-01

    Both professionals and politicians may affect expenditures for highly professional services provided in the public and private sector. We investigated Danish publicly financed child dental care with a special focus on the influence of politicians and dentists on the expenditure level. By studying...... spatial patterns in expenditure levels across municipalities, we are able to test the influences of these two main actors and the networks through which learning is achieved. Four hypotheses on the existence of different spatial spillover effects are tested. The empirical analysis is based on annual data...... from 1996 to 2001 for 226 Danish municipalities, thus allowing for the control for heterogeneity between municipalities and for intra-municipal correlations across time. The results point to differences in expenditures between municipalities with privately and publicly produced dental care. Furthermore...

  13. Marketing of Local Public Services under the Reduction of Administrative Expenditures

    Directory of Open Access Journals (Sweden)

    Ani Matei

    2009-03-01

    Full Text Available The concerns for reducing administrative expenditures have been expressed in the last 10-15 years in concrete initiatives. It is worth to remark the occurrence of networks concerning the application of Standard Cost Model (SCM, aimed to reduce administrative expenditures for affairs. Even the European Commission aims to elaborate and implement a strategy to reduce administrative costs for affairs inside the European Union. We find similar initiatives in OECD, several European states, i.e. United Kingdom, Denmark, Netherlands, Sweden, Norway, as well as other countries. An international project “Cross Country Benchmarking” is important in this respect.These concerns have developed and diversified due to the worsening of the economic crisis. The crisis effects, already visible in the public sector too, lessen more and more the possibilities of satisfying the citizen’s needs. The marketing specialists bring up more and more frequently new marketing instruments that, giving the context, should generate products and services meant to satisfy the citizens’ needs. The product and service, in itself, as well as their price, become the main marketing instruments. The present paper proposes an assessment, based on the two instruments of the public marketing mix, of the way in which the reduction of the administrative expenditures can lead to a reduction in the price of the public services or to their diversification with regard to the consumers’ needs. By using elements specific to the production theory, the product management shall be substantiated, as well as the strategies regarding the prices of the public services.

  14. Psychiatric inpatient expenditures and public health insurance programmes: analysis of a national database covering the entire South Korean population

    Directory of Open Access Journals (Sweden)

    Chung Woojin

    2010-09-01

    Full Text Available Abstract Background Medical spending on psychiatric hospitalization has been reported to impose a tremendous socio-economic burden on many developed countries with public health insurance programmes. However, there has been no in-depth study of the factors affecting psychiatric inpatient medical expenditures and differentiated these factors across different types of public health insurance programmes. In view of this, this study attempted to explore factors affecting medical expenditures for psychiatric inpatients between two public health insurance programmes covering the entire South Korean population: National Health Insurance (NHI and National Medical Care Aid (AID. Methods This retrospective, cross-sectional study used a nationwide, population-based reimbursement claims dataset consisting of 1,131,346 claims of all 160,465 citizens institutionalized due to psychiatric diagnosis between January 2005 and June 2006 in South Korea. To adjust for possible correlation of patients characteristics within the same medical institution and a non-linearity structure, a Box-Cox transformed, multilevel regression analysis was performed. Results Compared with inpatients 19 years old or younger, the medical expenditures of inpatients between 50 and 64 years old were 10% higher among NHI beneficiaries but 40% higher among AID beneficiaries. Males showed higher medical expenditures than did females. Expenditures on inpatients with schizophrenia as compared to expenditures on those with neurotic disorders were 120% higher among NHI beneficiaries but 83% higher among AID beneficiaries. Expenditures on inpatients of psychiatric hospitals were greater on average than expenditures on inpatients of general hospitals. Among AID beneficiaries, institutions owned by private groups treated inpatients with 32% higher costs than did government institutions. Among NHI beneficiaries, inpatients medical expenditures were positively associated with the proportion of

  15. The rise of digital direct-to-consumer advertising?: Comparison of direct-to-consumer advertising expenditure trends from publicly available data sources and global policy implications.

    Science.gov (United States)

    Mackey, Tim K; Cuomo, Raphael E; Liang, Bryan A

    2015-06-19

    Pharmaceutical marketing is undergoing a major shift in the United States, in part due to new transparency regulations under the healthcare reform act. Changes in pharmaceutical marketing practices include a possible shift from more traditional forms of direct-to-consumer advertising towards emerging use of Internet-based DTCA ("eDTCA") given the growing importance of digital health or "eHealth." Though legally allowed only in the U.S. and New Zealand, eDTCA poses novel regulatory challenges, as it can cross geopolitical boundaries and impact health systems and populations outside of these countries. We wished to assess whether changes in DTCA and eDTCA expenditure trends was occurring using publicly available pharmaceutical marketing data. DTCA data was analyzed to compare trends in aggregate marketing expenditures and to assess if there were statistically significant differences in trends and magnitudes for data sources and DTCA sub-categories (including eDTCA). This was accomplished using regression lines of DTCA trend data and conducting pairwise comparisons of regression coefficients using t-tests. Means testing was utilized for comparing magnitude of DTCA expenditure. Data from multiple data sources indicate that aggregate DTCA expenditures have slightly declined during the period from 2005-2009 and are consistent with results from other studies. For DTCA sub-categories, television remained the most utilized form of DTCA, though experienced trends of declining expenditures (-13.2 %) similar to other traditional media platforms such as radio (-30.7 %) and outdoor ads (-12.1 %). The only DTCA sub-category that experienced substantial increased expenditures was eDTCA (+109.0 %) and it was the only medium that had statistically significant differences in its marketing expenditure trends compared to other DTCA sub-categories. Our study indicates that traditional DTCA marketing may be on the decline. Conversely, the only DTCA sub-category that experienced

  16. Sustainability of recurrent expenditure on public social welfare programmes: expenditure analysis of the free maternal care programme of the Ghana National Health Insurance Scheme.

    Science.gov (United States)

    Ankrah Odame, Emmanuel; Akweongo, Patricia; Yankah, Ben; Asenso-Boadi, Francis; Agyepong, Irene

    2014-05-01

    Sustainability of public social welfare programmes has long been of concern in development circles. An important aspect of sustainability is the ability to sustain the recurrent financial costs of programmes. A free maternal care programme (FMCP) was launched under the Ghana National Health Insurance Scheme (NHIS) in 2008 with a start-up grant from the British Government. This article examines claims expenditure under the programme and the implications for the financial sustainability of the programme, and the lessons for donor and public financing of social welfare programmes. Records of reimbursement claims for services and medicines by women benefitting from the policy in participating facilities in one sub-metropolis in Ghana were analysed to gain an understanding of the expenditure on this programme at facility level. National level financial inflow and outflow (expenditure) data of the NHIS, related to implementation of this policy for 2008 and 2009, were reviewed to put the facility-based data in the national perspective. A total of US$936 450.94 was spent in 2009 by the scheme on FMCP in the sub-metropolis. The NHIS expenditure on the programme for the entire country in 2009 was US$49.25 million, exceeding the British grant of US$10.00 million given for that year. Subsequently, the programme has been entirely financed by the National Health Insurance Fund. The rapidly increasing, recurrent demands on this fund from the maternal delivery exemption programme-without a commensurate growth on the amounts generated annually-is an increasing threat to the sustainability of the fund. Provision of donor start-up funding for programmes with high recurrent expenditures, under the expectation that government will take over and sustain the programme, must be accompanied by clear long-term analysis and planning as to how government will sustain the programme.

  17. ECONOMIC AND SOCIAL EFFECTS OF THE DYNAMICS OF PUBLIC EXPENDITURE AT A STATE UNIVERSITY

    Directory of Open Access Journals (Sweden)

    MARIA MĂCRIŞ

    2014-10-01

    Full Text Available Our interest in developing this scientific approach has started from the impact that Higher Education has on the social and economic growth which positively affects employability and labour market mobility. In this respect, from the analysis carried out on the dynamics of public expenditure at a State university, we have concluded that it coincides with the evolution at national level, therefore it is necessary that the current economic conditions pay attention to increasing the efficiency of costs on education, Romanian Higher Education is expected and it should play a fundamental role in asserting a national society of knowledge and learning.

  18. Incidence of public expenditure on the human development index in Bogota, 1995-2010

    Directory of Open Access Journals (Sweden)

    Mónica Consuelo Rodríguez Torres

    2012-01-01

    Full Text Available This paper seeks to test the hypothesis that social public expenditure per capita invested in Bogota has had a significant influence on the improvement of the city’s human development. For this purpose, the Human Development Index (HDI for the capital between 1995-2010 is estimated, using the new methodology proposed by the UNDP in 2010. Thus, a retrospective estimation of the life expectancy, salaries, and educational achievement rates is carried out, the last as a combination between the average years of education and expected years of instruction. A qualitative analysis is then presented, between the HDI components and the social public expenditure invested through politics, programs, projects carried out in the city, according to the District Development Plan “Bogotá positiva, para vivir mejor (Positive Bogota, to Live Better”. Finally, a quantitative analysis of this relation is made and it is concluded that social public spending per capita is significant to explain the HDI, since there is a long-term and stable relation between the two variables.

  19. The Optimization of Budget Outcome to Create Trust in Public Expenditure Allocation on Local Budget

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    Hendri Koeswara

    2016-11-01

    Full Text Available Planning and budgeting process is the most crucial process in the administration of local government. Results of previous studies in Solok, the increase in the total budget is not accompanied by spending management capabilities. Expenditure of public service has always fluctuated, but ideally should always increasing. This study aimed to analyze the outcome of the budget in the allocation of public spending in an effort to realize the presence of trust on the budget in Solok West Sumatra Province. This study uses qualitative research methods with the type of research that is selected using descriptive type. While the techniques of data collection are done through an interview, observation and documentation study. This study further highlights the emic perspective, is the voice of the informant, not the personal opinion of the researchers (etic. Then, the data analysis is done categorically and chronologically, viewed repeatedly, and will continue to be encoded. To test the verification of data, triangulation is done by comparing the results of interviews with documents obtained in the field and testing of concepts used by researchers with the information given by the informant. The results showed that the pathology was found that budget allocations reflect inefficiencies as a failure of the link between policy, planning, and budgeting as a fragmented system. But on the other hand, it must be admitted there has been “trust” among policymaking actors in allocating public expenditure budget in playing the role in the budget policy.

  20. Bayes-Nash Equilibrium and Game Theory in Public Expenditure Management

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    Petru FILIP

    2011-05-01

    Full Text Available Auctions purchases represent an effective mechanism for public authorities, designed to provide the buyer (public authority, products and services with a convenient time to complete the transaction and the option to set a minimum price. In this paper we will study the problem of the optimal public expenditure rules using Bayes-Nash equilibrium in an symmetrical auction with knowledge of independent value, meaning each bidder knows only his own information. After setting the function for optimum balance to profit for the bidders by minimizing this function (the derivation of I order and maximize it (the derivation of II order, it has to identify the optimal range where the offer of a bidder for products and services will stand.

  1. Public health expenditure and health system responsiveness for low-income individuals: results from 63 countries.

    Science.gov (United States)

    Malhotra, Chetna; Do, Young Kyung

    2017-04-01

    Improvement in overall responsiveness to people's expectations is an important goal for any health system; socioeconomic equity in responsiveness is equally important. However, it is not known if socioeconomic disparities in responsiveness can be reduced through greater public health expenditures. This article assesses the relationship of the proportion of public health expenditure over total health expenditure (PPHE) with responsiveness for poorest individuals and the difference in responsiveness between the richest and poorest individuals. We used data from six responsiveness dimensions (prompt attention, dignity, choice, clarity of information, confidentiality and quality of basic amenities) of outpatient services from World Health Survey data from 63 countries. Hierarchical Ordered Probit (HOPIT) models assessed the probability of 'very good' responsiveness in each domain among the poorest and richest individuals for each country, correcting for reporting heterogeneity through vignettes. Linear regression models were then used to assess the association between predicted probabilities from HOPIT models and PPHE, adjusting for (log) Gross Domestic Product per capita. The study findings showed that higher PPHE was associated with a higher probability of 'very good' responsiveness for each domain among the poorest individuals, and with smaller pro-rich disparities in responsiveness between the richest and poorest individuals. In conclusion, increasing PPHE may improve the responsiveness of health services for the poorest individuals and reduce disparities in responsiveness between the richest and poorest individuals. © The Author 2016. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  2. Revenues and Expenditures for Public Elementary and Secondary Education: School Year 2011-12 (Fiscal Year 2012). First Look. NCES 2014-301

    Science.gov (United States)

    Cornman, Stephen Q.

    2015-01-01

    This First Look report introduces new data for national and state-level public elementary and secondary revenues and expenditures for fiscal year (FY) 2012. Specifically, this report includes findings from the following types of school finance data: (1) Revenue and expenditure totals; (2) Revenues by source; (3) Expenditures by function and…

  3. Revenues and Expenditures for Public Elementary and Secondary Education: School Year 2012-13 (Fiscal Year 2013). First Look. NCES 2015-301

    Science.gov (United States)

    Cornman, Stephen Q.

    2016-01-01

    This First Look report introduces new data for national and state-level public elementary and secondary revenues and expenditures for fiscal year 2013 (FY 13). Specifically, this report includes findings from the following types of school finance data: (1) revenue and expenditure totals; (2) revenues by source; (3) expenditures by function and…

  4. Analyzing the Cost-Effectiveness of Instruction Expenditures towards High School Completion among Oahu's Public School Districts

    Science.gov (United States)

    Ng, Larson S. W. M.

    2011-01-01

    The following study attempted to ascertain the instructional cost-effectiveness of public high school teachers towards high school completion through a financially based econometric analysis. Essentially, public high school instruction expenditures and completer data were collected from 2000 to 2007 and bivariate interaction analyzed through a…

  5. Income, financial barriers to health care and public health expenditure: A multilevel analysis of 28 countries.

    Science.gov (United States)

    Kim, Tae Jun; Vonneilich, Nico; Lüdecke, Daniel; von dem Knesebeck, Olaf

    2017-03-01

    International studies have repeatedly shown that people with lower income are more likely to experience difficulties to access medical services. Less is known on why these relations vary across countries. This study investigates whether the association between income and financial barriers to health care is influenced by national public health expenditures (PHE, in % of total health expenditure). Data from the International Social Survey Programme (2011) was used (28 countries, 23,669 respondents). Financial barriers were assessed by the individual experience of forgone care due to financial reasons. Monthly equivalent household income was included as the main predictor. Other individual-level control variables were age, gender, education, subjective health, insurance coverage and place of living. PHE was considered as a macro-level predictor, adjusted for total health expenditure. Statistically significant associations between income and forgone care were found in 21 of 28 examined countries. Multilevel analyses across countries revealed that people with lower income have a higher likelihood to forgo needed medical care (OR: 3.94, 95%-CI: 2.96-5.24). After adjustments for individual-level covariates, this association slightly decreased (OR: 2.94, 95%-CI: 2.16-3.99). PHE did not moderate the relation between income and forgone care. The linkage between health system financing and inequalities in access to health care seems to be more complex than initially assumed, pointing towards further research to explore how PHE affects the redistribution of health resources in different health care systems. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. Technical Note: The Relationship Between Heart Rate and Energy Expenditure in Growing Crossbred Boer and Spanish Wethers

    Science.gov (United States)

    Eight Boer (75%) x Spanish (BS) and 8 Spanish (S) wethers (155 +/- 8 d of age and 19.2 +/- 2.3 kg BW, initial) were used in a replicated crossover design with a 2 x 2 factorial arrangement of treatments to determine effects of genotype, diet quality, and time of the day on energy expenditure (EE), r...

  7. Walking and health care expenditures among adult users of the Brazilian public healthcare system: retrospective cross-sectional study.

    Science.gov (United States)

    Turi, Bruna Camilo; Codogno, Jamile Sanches; Fernandes, Rômulo Araújo; Monteiro, Henrique Luiz

    2015-11-01

    Physical inactivity is a major public health challenge due to its association with chronic diseases and the resulting economic impact on the public healthcare system. However, walking can help alleviate these problems. Aim To verify associations between walking during leisure-time, risk factors and health care expenditure among users of the Brazilian public health care system. Methods The sample consisted of 963 adults. Walking was evaluated using the Baecke questionnaire. The total expenditure per year was evaluated through the demand for health care services, verified in the medical records of each participant. Results Walking was reported as a physical activity during leisure-time by 64.4% of the participants. The group with the highest engagement in walking was younger and presented lower values for BMI, WC and expenditure on medication. Participants inserted in the category of higher involvement in walking were 41% less likely to be inserted into the group with higher total expenditure (OR = 0:59; 95% CI 0.39-0.89). Conclusion It was found that walking was the most frequent leisure-time physical activity reported by users of the Brazilian health care system and was associated with lower total and medication expenditure.

  8. Comparison of the effects of public and private health expenditures on the health status: a panel data analysis in eastern mediterranean countries.

    Science.gov (United States)

    Homaie Rad, Enayatollah; Vahedi, Sajad; Teimourizad, Abedin; Esmaeilzadeh, Firooz; Hadian, Mohamad; Torabi Pour, Amin

    2013-08-01

    Health expenditures are divided in two parts of public and private health expenditures. Public health expenditures contain social security spending, taxing to private and public sectors, and foreign resources like loans and subventions. On the other hand, private health expenditures contain out of pocket expenditures and private insurances. Each of these has different effects on the health status. The present study aims to compare the effects of these expenditures on health in Eastern Mediterranean Region (EMR). In this study, infant mortality rate was considered as an indicator of health status. We estimated the model using the panel data of EMR countries between 1995 and 2010. First, we used Pesaran CD test followed by Pesaran's CADF unit root test. After the confirmation of having unit root, we used Westerlund panel cointegration test and found that the model was cointegrated and then after using Hausman and Breusch-Pagan tests, we estimated the model using the random effects. The results showed that the public health expenditures had a strong negative relationship with infant mortality rate. However, a positive relationship was found between the private health expenditures and infant mortality rate (IMR). The relationship for public health expenditures was significant, but for private health expenditures was not. The study findings showed that the public health expenditures in the EMR countries improved health outcome, while the private health expenditures did not have any significant relationship with health status, so often increasing the public health expenditures leads to reduce IMR. But this relationship was not significant because of contradictory effects for poor and wealthy peoples.

  9. The Effect of the American with Disabilities Act on Public Education Expenditures

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    Mark P. Gius

    2005-01-01

    Full Text Available Section 504 of the Rehabilitation Act of 1973 and the American with Disabilities Act (ADA of 1990 were enacted in order to protect the rights of individuals with disabilities. These two laws have had a major impact on public schools, their offerings of services and their budgets. The purpose of the present study was to determine if passage of the ADA in 1990 has resulted in a statistically-significant increase in per student public education expenditures at the state level. Although numerous studies have estimated educational cost functions, no prior study has examined the impact of the ADA on per capita educational spending. Results of the present study indicate that the ADA did not have a statistically-significant effect on public educational spending at the state level. Several of the leading drivers of per student educational spending included population density, per capita income and percentage of the state that is over the age of 65, all variables that school administrators and policymakers have little control over. The only two variables that policymakers have control over and that have a significant impact on spending are student-teacher ratios and the overall educational tax rate. Hence, if states want to cut public school spending, the only two avenues open to them are cutting taxes or increasing class sizes.

  10. Labelled drug-related public expenditure in relation to gross domestic product (GDP) in Europe: a luxury good?

    LENUS (Irish Health Repository)

    Prieto, Luis

    2010-01-01

    "Labelled drug-related public expenditure" is the direct expenditure explicitly labelled as related to illicit drugs by the general government of the state. As part of the reporting exercise corresponding to 2005, the European Monitoring Centre for Drugs and Drug Addiction\\'s network of national focal points set up in the 27 European Union (EU) Member States, Norway, and the candidates countries to the EU, were requested to identify labelled drug-related public expenditure, at the country level. This was reported by 10 countries categorised according to the functions of government, amounting to a total of EUR 2.17 billion. Overall, the highest proportion of this total came within the government functions of Health (66%), and Public Order and Safety (POS) (20%). By country, the average share of GDP was 0.023% for Health, and 0.013% for POS. However, these shares varied considerably across countries, ranging from 0.00033% in Slovakia, up to 0.053% of GDP in Ireland in the case of Health, and from 0.003% in Portugal, to 0.02% in the UK, in the case of POS; almost a 161-fold difference between the highest and the lowest countries for Health, and a 6-fold difference for POS. Why do Ireland and the UK spend so much in Health and POS, or Slovakia and Portugal so little, in GDP terms? To respond to this question and to make a comprehensive assessment of drug-related public expenditure across countries, this study compared Health and POS spending and GDP in the 10 reporting countries. Results found suggest GDP to be a major determinant of the Health and POS drug-related public expenditures of a country. Labelled drug-related public expenditure showed a positive association with the GDP across the countries considered: r = 0.81 in the case of Health, and r = 0.91 for POS. The percentage change in Health and POS expenditures due to a one percent increase in GDP (the income elasticity of demand) was estimated to be 1.78% and 1.23% respectively. Being highly income elastic

  11. Labelled drug-related public expenditure in relation to gross domestic product (GDP) in Europe: a luxury good?

    Science.gov (United States)

    Prieto, Luis

    2010-05-17

    "Labelled drug-related public expenditure" is the direct expenditure explicitly labelled as related to illicit drugs by the general government of the state. As part of the reporting exercise corresponding to 2005, the European Monitoring Centre for Drugs and Drug Addiction's network of national focal points set up in the 27 European Union (EU) Member States, Norway, and the candidates countries to the EU, were requested to identify labelled drug-related public expenditure, at the country level. This was reported by 10 countries categorised according to the functions of government, amounting to a total of EUR 2.17 billion. Overall, the highest proportion of this total came within the government functions of Health (66%), and Public Order and Safety (POS) (20%). By country, the average share of GDP was 0.023% for Health, and 0.013% for POS. However, these shares varied considerably across countries, ranging from 0.00033% in Slovakia, up to 0.053% of GDP in Ireland in the case of Health, and from 0.003% in Portugal, to 0.02% in the UK, in the case of POS; almost a 161-fold difference between the highest and the lowest countries for Health, and a 6-fold difference for POS. Why do Ireland and the UK spend so much in Health and POS, or Slovakia and Portugal so little, in GDP terms? To respond to this question and to make a comprehensive assessment of drug-related public expenditure across countries, this study compared Health and POS spending and GDP in the 10 reporting countries. Results found suggest GDP to be a major determinant of the Health and POS drug-related public expenditures of a country. Labelled drug-related public expenditure showed a positive association with the GDP across the countries considered: r = 0.81 in the case of Health, and r = 0.91 for POS. The percentage change in Health and POS expenditures due to a one percent increase in GDP (the income elasticity of demand) was estimated to be 1.78% and 1.23% respectively. Being highly income elastic

  12. Contemporary Issues in Indian Higher Education: Privatization, Public and Household Expenditures and Student Loan

    Science.gov (United States)

    Duraisamy, P.; Duraisamy, Malathy

    2016-01-01

    Privatization of higher education in India is the outcome of increased demand, especially from the growing middle-income families, and the inability of state governments to step up public funding for higher education. This has resulted in rising enrolment in private unaided institutions, which increased from 25 percent in 2000-2001 to 58 percent…

  13. Contemporary Issues in Indian Higher Education: Privatization, Public and Household Expenditures and Student Loan

    Science.gov (United States)

    Duraisamy, P.; Duraisamy, Malathy

    2016-01-01

    Privatization of higher education in India is the outcome of increased demand, especially from the growing middle-income families, and the inability of state governments to step up public funding for higher education. This has resulted in rising enrolment in private unaided institutions, which increased from 25 percent in 2000-2001 to 58 percent…

  14. Estimating the Fiscal Effects of Public Pharmaceutical Expenditure Reduction in Greece.

    Science.gov (United States)

    Souliotis, Kyriakos; Papageorgiou, Manto; Politi, Anastasia; Frangos, Nikolaos; Tountas, Yiannis

    2015-01-01

    The purpose of the present study is to estimate the impact of pharmaceutical spending reduction on public revenue, based on data from the national health accounts as well as on reports of Greece's organizations. The methodology of the analysis is structured in two basic parts. The first part presents the urgency for rapid cutbacks on public pharmaceutical costs due to the financial crisis and provides a conceptual framework for the contribution of the Greek pharmaceutical branch to the country's economy. In the second part, we perform a quantitative analysis for the estimation of multiplier effects of public pharmaceutical expenditure reduction on main revenue sources, such as taxes and social contributions. We also fit projection models with multipliers as regressands for the evaluation of the efficiency of the particular fiscal measure in the short run. According to the results, nearly half of the gains from the measure's application is offset by financially equivalent decreases in the government's revenue, i.e., losses in tax revenues and social security contributions alone, not considering any other direct or indirect costs. The findings of multipliers' high value and increasing short-term trend imply the measure's inefficiency henceforward and signal the risk of vicious circles that will provoke the economy's deprivation of useful resources.

  15. Estimating the fiscal effects of public pharmaceutical expenditure reduction in Greece

    Directory of Open Access Journals (Sweden)

    Kyriakos eSouliotis

    2015-08-01

    Full Text Available The purpose of the present study is to estimate the impact of pharmaceutical spending reduction on public revenue, based on data from the national health accounts as well as on reports of Greece’s organizations. The methodology of the analysis is structured in two basic parts. The first part presents the urgency for rapid cutbacks on public pharmaceutical costs due to the financial crisis and provides a conceptual framework for the contribution of the Greek pharmaceutical branch to the country’s economy. In the second part, we perform a quantitative analysis for the estimation of multiplier effects of public pharmaceutical expenditure reduction on main revenue sources such as taxes and social contributions. We also fit projection models with multipliers as regressands for the evaluation of the efficiency of the particular fiscal measure in the short run. According to the results, near half of the gains from the measure’s application is offset by financially equivalent decreases in the government’s revenue, i.e. losses in tax revenues and social security contributions alone, not considering any other direct or indirect costs. The findings of multipliers’ high value and increasing short-term trend imply the measure’s inefficiency henceforward and signal the risk of vicious circles that will provoke the economy’s deprivation of useful resources.

  16. Refining estimates of public health spending as measured in national health expenditures accounts: the United States experience.

    Science.gov (United States)

    Sensenig, Arthur L

    2007-01-01

    Providing for the delivery of public health services and understanding the funding mechanisms for these services are topics of great currency in the United States. In 2002, the Department of Homeland Security was created and the responsibility for providing public health services was realigned among federal agencies. State and local public health agencies are under increased financial pressures even as they shoulder more responsibilities as the vital first link in the provision of public health services. Recent events, such as hurricanes Katrina and Rita, served to highlight the need to accurately access the public health delivery system at all levels of government. The National Health Expenditure Accounts (NHEA), prepared by the National Health Statistics Group, measure expenditures on healthcare goods and services in the United States. Government public health activity constitutes an important service category in the NHEA. In the most recent set of estimates, Government Public Health Activity expenditures totaled $56.1 billion in 2004, or 3.0 percent of total US health spending. Accurately measuring expenditures for public health services in the United States presents many challenges. Among these challenges is the difficult task of defining what types of government activity constitute public health services. There is no clear-cut, universally accepted definition of government public health care services, and the definitions in the proposed International Classification for Health Accounts are difficult to apply to an individual country's unique delivery systems. Other challenges include the definitional issues associated with the boundaries of healthcare as well as the requirement that census and survey data collected from government(s) be compliant with the Classification of Functions of Government (COFOG), an internationally recognized classification system developed by the United Nations.

  17. Public Expenditure on Education and Economic Growth in the USA in the Nineteenth and Twentieth Centuries in Comparative Perspective

    Science.gov (United States)

    Carpentier, Vincent

    2006-01-01

    Earlier studies of France, Germany and the UK suggest that a common framework exists to explain the relationship between public expenditure on education and economic growth in the nineteenth and twentieth centuries. This article shows that while a similar relationship exists in the USA, US policies were particularly committed to the educational…

  18. Public Expenditure in Education in Latin America. Recommendations to Serve the Purposes of the Paris Open Educational Resources Declaration

    Science.gov (United States)

    Toledo, Amalia; Botero, Carolina; Guzmán, Luisa

    2014-01-01

    In this paper, the authors identify and analyze public policy and the investment and expenditure that the governments of Argentina, Chile, Colombia, Paraguay and Uruguay commit to make in the development and procurement of textbooks, books and digital content for primary and secondary education (K-12). The aim is to identify and propose a roadmap…

  19. Intergenerational Conflict and Public Education Expenditure when There Is Co-Residence between the Elderly and Young

    Science.gov (United States)

    Arvate, Paulo Roberto; Zoghbi, Ana Carolina Pereira

    2010-01-01

    The main objective of this paper is to show that a family arrangement in which the elderly co-reside with the young determines that the elderly support the public education expenditure. Considering that this type of family arrangement is more common in Latin American countries than in the United States, our study is concentrated in Brazil. This…

  20. Intergenerational Conflict and Public Education Expenditure when There Is Co-Residence between the Elderly and Young

    Science.gov (United States)

    Arvate, Paulo Roberto; Zoghbi, Ana Carolina Pereira

    2010-01-01

    The main objective of this paper is to show that a family arrangement in which the elderly co-reside with the young determines that the elderly support the public education expenditure. Considering that this type of family arrangement is more common in Latin American countries than in the United States, our study is concentrated in Brazil. This…

  1. Fiscal policy and the business cycle: the impact of government expenditures, public debt, and sovereign risk on macroeconomic fluctuations

    NARCIS (Netherlands)

    Kirchner, M.K.

    2011-01-01

    This thesis studies the role of fiscal policy over the business cycle based on a combination of empirical macroeconometric techniques and macroeconomic theory. The focus of the analysis to be conducted is on the impact of government expenditure policies, public debt, and sovereign default risk on

  2. Central African Republic Public Expenditure Review : Creating Fiscal Space to Transition Out of Fragility Through Growth and Poverty Reduction

    OpenAIRE

    World Bank

    2012-01-01

    This public expenditure review (PER) aims to assist the government in its efforts to achieve a transition out of fragility through growth and development. Higher and sustained per capita real gross domestic product (GDP) growth to raise the income of the population and create employment is needed to reduce poverty and lower the risk of reversion to conflict. Significant productive investme...

  3. Macroeconomic Variables and the Dynamic Effect of Public Expenditure: Long-term Trend Analysis in Nigeria

    Directory of Open Access Journals (Sweden)

    Ajibola Arewa

    2013-12-01

    Full Text Available The paper investigates the long-run relationship between government expenditures and a set of macroeconomic variables (GDP, consumer price index and unemployment using annual data collected from CBN statistical bulletin for a period of 19891 to 2011. It particularly adopts Johansen multivariate co integration for its estimation procedure and discovers that there is long-run relationship between government expenditure and the specified macroeconomic variables. It also discovers that an increase in capital expenditure improves economic bliss, while recurrent expenditure is detrimental to growth. Finally, our findings show that most of the variables do not Granger cause each other, but however, recurrent expenditure Granger causes prices, in the same veil capital expenditure does granger cause unemployment.

  4. Out of pocket expenditure to deliver at public health facilities in India: a cross sectional analysis.

    Science.gov (United States)

    Issac, Anns; Chatterjee, Susmita; Srivastava, Aradhana; Bhattacharyya, Sanghita

    2016-08-24

    To expand access to safe deliveries, some developing countries have initiated demand-side financing schemes promoting institutional delivery. In the context of conditional cash incentive scheme and free maternity care in public health facilities in India, studies have highlighted high out of pocket expenditure (OOPE) of Indian families for delivery and maternity care. In this context the study assesses the components of OOPE that women incurred while accessing maternity care in public health facilities in Uttar Pradesh, India. It also assesses the determinants of OOPE and the level of maternal satisfaction while accessing care from these facilities. It is a cross-sectional analysis of 558 recently delivered women who have delivered at four public health facilities in Uttar Pradesh, India. All OOPE related information was collected through interviews using structured pre-tested questionnaires. Frequencies, Mann-Whitney test and categorical regression were used for data reduction. The analysis showed that the median OOPE was INR 700 (US$ 11.48) which varied between INR 680 (US$ 11.15) for normal delivery and INR 970 (US$ 15.9) for complicated cases. Tips for getting services (consisting of gifts and tips for services) with a median value of INR 320 (US$ 5.25) contributed to the major share in OOPE. Women from households with income more than INR 4000 (US$ 65.57) per month, general castes, primi-gravida, complicated delivery and those not accompanied by community health workers incurred higher OOPE. The significant predictors for high OOPE were caste (General Vs. OBC, SC/ST), type of delivery (Complicated Vs. Normal), and presence of ASHA (No Vs. Yes). OOPE while accessing care for delivery was one among the least satisfactory items and 76 % women expressed their dissatisfaction. Even though services at the public health facilities in India are supposed to be provided free of cost, it is actually not free, and the women in this study paid almost half of their mandated

  5. Political or dental power in private and public service provision: a study of municipal expenditures for child dental care.

    Science.gov (United States)

    Andersen, Lotte Bøgh; Bech, Mickael; Lauridsen, Jørgen

    2012-07-01

    Both professionals and politicians may affect expenditures for highly professional services provided in the public and private sector. We investigated Danish publicly financed child dental care with a special focus on the influence of politicians and dentists on the expenditure level. By studying spatial patterns in expenditure levels across municipalities, we are able to test the influences of these two main actors and the networks through which learning is achieved. Four hypotheses on the existence of different spatial spillover effects are tested. The empirical analysis is based on annual data from 1996 to 2001 for 226 Danish municipalities, thus allowing for the control for heterogeneity between municipalities and for intra-municipal correlations across time. The results point to differences in expenditures between municipalities with privately and publicly produced dental care. Furthermore, dentists appear to be the most important actors for the spatial spillover effects, and these effects are especially strong for municipalities situated in the same county that use private dental clinics. There is no evidence of political spatial spillover effects between municipalities.

  6. Heterogeneity in the effect of public health insurance on catastrophic out-of-pocket health expenditures: the case of Mexico.

    Science.gov (United States)

    Grogger, Jeffrey; Arnold, Tamara; León, Ana Sofía; Ome, Alejandro

    2015-06-01

    Low- and middle-income countries increasingly provide broad-based public health coverage to their residents. One of the goals of such programmes is to reduce the extent to which beneficiaries incur catastrophic out-of-pocket expenditures on health care. A recent field experiment showed that on average Mexico's new public insurance programme reduced such expenditures in rural areas. Our reanalysis of that data, augmented with administrative data on health infrastructure, shows that this effect depends strongly on the type of health facility to which the beneficiary has access. A second analysis, based on data from Mexico's National Household Income and Expenditure Surveys (abbreviated ENIGH for its name in Spanish), substantiates those findings. It shows that catastrophic expenditures have fallen sharply for rural households with access to well-staffed facilities, but that they have fallen little if at all for rural households with access to poorly staffed facilities. Our analysis of the ENIGH also shows that Mexico's public health insurance programme has sharply reduced catastrophic spending among urban households. Considering that most Mexicans live either in urban areas or in rural areas with access to well-staffed facilities, our results show that the public health insurance programme has been largely successful in achieving one of its key goals. At the same time, our results show how difficult it can be to provide effective protection against catastrophic health expenditures for residents of remote rural areas. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

  7. The Effect of Inflation Upon Expenditures of Illinois Public Senior Institutions.

    Science.gov (United States)

    Graziano, Anthony F.

    In this document, the author compares institutional costs at higher education institutions in Illinois between 1958 and 1971. In order to do this, it was necessary to deflate 1971 dollar expenditures and express them in terms of 1958 dollars. Measured in 1958 dollars, expenditures have increased by 397% to $446.7 million using the Consumer Price…

  8. How to (or not to) … measure performance against the Abuja target for public health expenditure.

    Science.gov (United States)

    Witter, Sophie; Jones, Alex; Ensor, Tim

    2014-07-01

    In 2001, African heads of state committed 'to set a target of allocating at least 15% of our annual budget to the improvement of the health sector'. This target has since been used as a benchmark to hold governments accountable. However, it was never followed by a set of guidelines as to how it should be measured in practice. This article sets out some of the areas of ambiguity and argues for an interpretation which focuses on actual expenditure, rather than budgets (which are theoretical), and which captures areas of spending that are subject to government discretion. These are largely domestic sources, but include budget support, which is externally derived but subject to Ministry of Finance sectoral allocation. Theoretical and practical arguments in favour of this recommendation are recommended using a case study from Sierra Leone. It is recommended that all discretionary spending by government is included in the numerator and denominator when calculating performance against the target, including spending by all ministries on health, social health insurance payments, debt relief funds and budget support. Conversely, all forms of private payment and earmarked aid should be excluded. The authors argue that the target, while an important vehicle for tracking political commitment to the sector, should be assessed intelligently by governments, which have legitimate wider public finance objectives of maximizing overall social returns, and should be complemented by a wider range of indicators, to avoid distortions.

  9. A comparison of outpatient healthcare expenditures between public and private medical institutions in urban China: an instrumental variable approach.

    Science.gov (United States)

    Xu, Judy; Liu, Gordon; Deng, Guoying; Li, Lin; Xiong, Xianjun; Basu, Kisalaya

    2015-03-01

    The growth of healthcare expenditure provokes constant comments and discussions, as countries battle the issues on cost containment and cost effectiveness. Prior to 1978, medical institutions in China were either state-owned or were collective public hospitals. Since 1978, China has been trying to rebuild its healthcare system, which was destroyed during the 'cultural revolution', allowing private medical institutions to deliver healthcare services. As a result, private medical institutions have grown from 0% to 28.57% between 1978 and 2010. In this context, we compare outpatient healthcare expenditures between public and private medical institutions. The central problem of this comparison is that the choice of medical institution is endogenous. So we apply an instrumental variable (IV) framework utilizing geographic information (whether the closest medical institution is private) as the instrument while controlling for severity of health and other relevant confounding factors. Using China's Urban Resident Basic Medical Insurance Survey 2008-2010, we found that there is no difference in expenditure between public and private medical institutions when IV framework is used. Our econometric tests suggest that our IV model is specified appropriately. However, the ordinary least square model, which is inconsistent in the presence of endogenous regressor(s), reveals that public medical institutions are more expensive. Copyright © 2013 John Wiley & Sons, Ltd.

  10. Revenues and Expenditures for Public Elementary and Secondary School Districts: School Year 2013-14 (Fiscal Year 2014). First Look. NCES 2016-303

    Science.gov (United States)

    Cornman, Stephen Q.

    2017-01-01

    This First Look report presents data on public elementary and secondary education revenues and expenditures at the local education agency (LEA) or school district level for fiscal year (FY) 2014.1 Specifically, this report includes findings from the following types of school finance data: (1) Revenue and expenditure totals by state and the 100…

  11. Revenues and Expenditures for Public Elementary and Secondary School Districts: School Year 2012-13 (Fiscal Year 2013). First Look. NCES 2015-303

    Science.gov (United States)

    Cornman, Stephen Q.

    2016-01-01

    This First Look report presents data on public elementary and secondary education revenues and expenditures at the local education agency (LEA) or school district level for fiscal year (FY) 2013. Specifically, this report includes findings from the following types of school finance data: (1) revenue and expenditure totals by state and the 100…

  12. Revenues and Expenditures for Public Elementary and Secondary School Districts: School Year 2007-08 (Fiscal Year 2008). First Look. NCES 2010-323

    Science.gov (United States)

    Honegger, Steven D.

    2010-01-01

    This publication contains data on revenues and expenditures per pupil made by school districts for school year 2007-08. Median per pupil revenue and expenditure data are reported by state, as well as values at the 5th and 95th percentiles. Data for charter schools are reported separately. There are also discussions on the different types of school…

  13. Revenues and Expenditures for Public Elementary and Secondary School Districts: School Year 2011-12 (Fiscal Year 2012). First Look. NCES 2014-303

    Science.gov (United States)

    Cornman, Stephen Q.

    2015-01-01

    This First Look report presents data on public elementary and secondary education revenues and expenditures at the local education agency (LEA) or school district level for fiscal year (FY) 2012.1. Specifically, this report includes findings from the following types of school finance data: (1) Revenue and expenditure totals by state and the 100…

  14. Public healthcare expenditure in Spain: measuring the impact of driving factors.

    Science.gov (United States)

    Blanco-Moreno, Ángela; Urbanos-Garrido, Rosa M; Thuissard-Vasallo, Israel John

    2013-06-01

    To assess the impact of demography, health status, death related costs and some macroeconomic variables on the evolution of health expenditure. We follow the methodology used by the Ageing Working Group (AWG) of the European Union to simulate expenditure projections on the basis of healthcare expenditure profiles for age-sex population groups. We estimate the profiles using data from Hospital Discharges Statistics and the Spanish National Health Survey. The differences between the compression of morbidity scenario and the expansion of morbidity scenario range from 1.35 to 1.57 points of GDP in 2060. The overestimation of healthcare expenditure when death related costs are ignored ranges from 0.04 to 0.11 percentage points, depending on the health status hypothesis. Moreover, the effect of death related cost diminishes as health status improves. Our results support the fact that intensity of healthcare use, instead of ageing, is the main driver of health expenditure. Thus, the concern of keeping expenditure under control should be focused on factors such as the population's health status, economic growth and development, new technologies and medical progress, and the organization and management of the healthcare system. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

  15. Growing Physics and Astronomy Public Outreach in Montreal

    Science.gov (United States)

    Simard, Gabrielle; Lepo, Kelly

    2017-01-01

    AstroMcGill was founded in 2011 by an enthusiastic group of undergraduate students, graduate students and post-doctoral fellows. It serves as the education and public outreach (EPO) branch of the astronomy group within the Physics Department at McGill University in Montreal, Quebec. Over the last five years, AstroMcGill has grown from organizing sporadic visits in a couple primary schools to running a successful inquiry-based outreach programme for grade 4-6 students, the McGill Space Explorers. During the same time span, the attendance at public AstroNight lectures ramped up from attracting a few dozen people to over 500 people each month. We will highlight the recent successes of the programme and our best guesses for the reasons behind this success. We will also discuss the challenges of working in a bilingual city as we juggle our majority anglophone volunteers, a mandatory french science curriculum for primary school children and the (somewhat) overlapping English- and French-speaking communities in the city.

  16. Suicide in Latin America: a growing public health issue.

    Science.gov (United States)

    Mascayano, Franco; Irrazabal, Matias; D Emilia, Wyatt; Vaner, Sidney Jane; Sapag, Jaime C; Alvarado, Ruben; Yang, Lawrence Hsin; Sinah, Binoy

    2015-01-01

    Suicide has become an international public mental health challenge, resulting in a need for interventions to address it as an individual, family, and community levels. The current scope review assesses trends regarding suicide within Latin America and the Caribbean: risk factors, protective factors, and mediators of suicidal ideation and behavior. Body: Our review is split into three sections, as a way of addressing the complex topic of suicide in an organized, comprehensive manner: (i) epidemiology of suicide in Latin America and Caribbean; (ii) factors associated to suicide ideation and attempts; and (iii) cultural factors as a predictors and mediators of suicide. Further, proper evidence about the association between suicide and cultural dimensions such as Familismo, Machismo/Marianismo, Religion and Acculturation is provided. Upon analyzing trends of and factors associated with suicide, we offer recommendations regarding future studies and intervention programs. We conclude that interventions and research should be based on and in response to cultural values and norms related to suicide within each community, in order to make more culturally-specific programs.

  17. Can health public expenditure reduce the tragic consequences of road traffic accidents? The EU-27 experience.

    Science.gov (United States)

    Castillo-Manzano, José I; Castro-Nuño, Mercedes; Fageda, Xavier

    2014-07-01

    This study uses data for the EU-27 countries in the period 1999-2009 to estimate determinants of road traffic fatality rates. Controlling for country attributes and road safety policy variables, we examine the influence of variables related with the national health systems; the number of hospital beds per square kilometer, and the percentage of health expenditures over gross domestic product. We find evidence that the density of hospital beds contributes to the fall in traffic-related fatalities. Furthermore, the quality of general medical facilities and technology associated with increases in health expenditure may be also a relevant factor in reducing road traffic fatalities.

  18. Control of public expenditure on drug products in Bulgaria – Policies and outcomes

    Directory of Open Access Journals (Sweden)

    Toni Yonkov Vekov

    2015-12-01

    implementing agreements on controlled access of patients after June 2009. This led to an annual increase in the expenditures on drug products for home treatment (on average, 17% for the period 2009-2012. Conclusion: This trend in Bulgaria will continue in the future since expenditure control only through price control by means of a reference system and the positive list of medicines is ineffective. There is a need for implementation of combined drug policies in Bulgaria in the form of negotiations on rebates with manufacturers and agreements on controlled access of patients and reference pricing.

  19. Recreation Expenditures by U. S. Consumers, 1929-l979. Publication T-6-135.

    Science.gov (United States)

    Kitchen, James W.; And Others

    This study explored trends in how Americans spent disposable personal income (DPI) on recreational activities from 1929 to 1979. Statistics were compiled from the Economic Report of the President and the United States Department of Commerce. Twelve classifications of recreation expenditures are presented: (1) books and maps; (2) magazines,…

  20. Relationship Between R&D Expenditures and Publication Output for U.S. Colleges and Universities.

    Science.gov (United States)

    McAllister, Paul R.; Wagner, Deborah Ann

    1981-01-01

    The NSF's University Science Statistics Program Integrated Data Base and CHI Research's bibliometric database were used in a study of the relationships among research resources, as measured by R&D expenditures, and research output, as measured by the quantity and visibility of scientific journal articles. (Author/MLW)

  1. A TERRITORIAL PROFILE OF PUBLIC EXPENDITURES AT LAU 2 LEVEL, FOR 2007-2013 PERIOD IN ROMANIA

    Directory of Open Access Journals (Sweden)

    Cristina\tLINCARU

    2015-06-01

    Full Text Available In view to improve the use of Cohesion policy resources more effectively and efficiently, we propose to explore the achievements of Structural and Cohesion Funds in 2007-13 in Romania at NUTS 5 /LAU 2 level in rural and urban areas. The common reformed cohesion policy represented by the EU Regulation 1303/2013 proposes the integrated approach of territorial development. On this background the territorial unit of analysis is the local administrative unit as the smallest regional hub for integrated public policies, including cohesion policy as well. This analysis involves administrative data provided by MDRP – Regional Development and Public Administration Ministry, connected with socio-economic indicators provided by INS TEMPO. The budgetary capacity of the LAU2 is evaluated using the spatial analysis applications according Anselin (2005, 2006 - using ARC GIS and GEODA software for period 2007-2013. The main result of this article is the territorial heterogenic profile of public expenditures at LAU 2 level with focus on expenditures on projects funded by external grants (irredeemable, useful input for regional policy efficient targeting, especially on the background of the Jobs – Growth - Investment Plan’s New EU Initiative. Looking at the big picture it is visible the higher the spatial heterogeneity tendency in terms of socio economic indicators than the terms of local budget indicators, when is applied the LISA clusters analysis.

  2. Public Expenditure and Scheduled Community Enrolment in Higher Education: A Comparison across Indian States

    Science.gov (United States)

    Sumithra, S.; Vardhan, R. Vishnu; Aruna, C.

    2014-01-01

    In India, the gross enrolment ratio has increased from 13.1 per cent in 2007-2008 to 15 per cent in 2011-2012 which moves the country from elite to a mass higher education system. This article seeks to examine the enrolment of scheduled caste (SC) students across various states in the country and the expenditure by each state and its effect on SC…

  3. Public Expenditure and Scheduled Community Enrolment in Higher Education: A Comparison across Indian States

    Science.gov (United States)

    Sumithra, S.; Vardhan, R. Vishnu; Aruna, C.

    2014-01-01

    In India, the gross enrolment ratio has increased from 13.1 per cent in 2007-2008 to 15 per cent in 2011-2012 which moves the country from elite to a mass higher education system. This article seeks to examine the enrolment of scheduled caste (SC) students across various states in the country and the expenditure by each state and its effect on SC…

  4. Utilisation rates and expenditure for public and private, curative-care services in semi-urban Guatemala.

    Science.gov (United States)

    van der Stuyft, P; Delgado, E; Sorensen, S C

    1997-03-01

    In November 1994, a retrospective survey was conducted for two purposes; to investigate patterns of health-care uptake for childhood and maternal illness in semi-urban Guatemala; and to gain an insight into the expenditure incurred by the subjects when they consulted the various health-care providers. The subjects, who all belonged to a semi-urban ladina community, had easy geographical access to the health-care providers, of all types, operating in Sacatepequez, in the central highlands of Guatemala. The community was divided into clusters of roughly equal population size and 20 of these were selected. Within each selected cluster, eight households that had at least one young child (quetzales in the official health centres to 63 quetzales with private physicians (a U.S.$ being equivalent to 5.5 quetzales at the time of the study). Although for each type of provider (except the health centres), expenditure was nearly equal for a woman or for a child contact, it consisted of a different mix of cost elements (consultation fee, drugs and transport) for each of the various categories of provider. The willingness for a more prominent role of the public sector. It would seem that there is, in the socio-economic environment of semi-urban Sacatepequez, room for experimenting with alternative modes of health-care financing to increase the quality and attractiveness of public services and their utilisation.

  5. Public Expenditure in Education in Latin America. Recommendations to Serve the Purposes of the Paris Open Educational Resources Declaration

    Directory of Open Access Journals (Sweden)

    Amalia Toledo Hernández

    2014-04-01

    Full Text Available In this paper, the authors identify and analyze public policy and the investment and expenditure that the governments of Argentina, Chile, Colombia, Paraguay and Uruguay commit to make in the development and procurement of textbooks, books and digital content for primary and secondary education (K-12. The aim is to identify and propose a roadmap for developing policies that advance the principles of the Paris Open Educational Resources Declaration. In the region, digital content coexists with and complements the traditional ones. Paper textbooks continue to have a leading role in the education systems of the region. In this context, the authors assess how the acquisition of traditional and digital materials occurs and offer some recommendations to the governments to adjust their public spending policies on educational resources development and procurement.

  6. Current Expenditures for Public Elementary and Secondary Education: School Year 2003-04. E.D. TAB. NCES 2006-352

    Science.gov (United States)

    Johnson, Frank

    2006-01-01

    This report presents current expenditures for public elementary and secondary education for school year 2003-04 (or fiscal year 2004). This data is from the National Center for Education Statistics (NCES) Common Core of Data (CCD), National Public Education Financial Survey (NPEFS) and School District Finance Survey (F-33). The data for these…

  7. Revenues and Expenditures for Public Elementary and Secondary Education: School Year 2006-07 (Fiscal Year 2007): First Look. NCES 2009-337

    Science.gov (United States)

    Zhou, Lei

    2009-01-01

    This report presents findings on public education revenues and expenditures using fiscal year 2007 (FY 07) data from the National Public Education Financial Survey (NPEFS) of the Common Core of Data (CCD) survey system. Programs covered in the NPEFS include regular, special, and vocational education; charter schools that reported data to the state…

  8. Impact of China's Public Hospital Reform on Healthcare Expenditures and Utilization: A Case Study in ZJ Province.

    Directory of Open Access Journals (Sweden)

    Hao Zhang

    Full Text Available High drug costs due to supplier-induced demand (SID obstruct healthcare accessibility in China. Drug prescriptions can generate markup-related profits, and the low prices of other medical services can lead to labor-force underestimations; therefore, physicians are keen to prescribe drugs rather than services. Thus, in China, a public hospital reform has been instituted to cancel markups and increase service prices.A retrospective pre/post-reform study was conducted in ZJ province to assess the impact of the reform on healthcare expenditures and utilization, ultimately to inform policy development and decision-making. The main indicators are healthcare expenditures and utilization.Post-reform, drug expenditures per visit decreased by 8.2% and 15.36% in outpatient and inpatient care, respectively; service expenditures per visit increased by 23.03% and 27.69% in outpatient and inpatient care, respectively. Drug utilization per visit increased by 5.58% in outpatient care and underwent no significant change in inpatient care. Both were lower than the theoretical drug-utilization level, which may move along the demand curve because of patient-initiated demand (PID; this indicates that SID-promoted drug utilization may decrease. Finally, service utilization per visit increased by 6% in outpatient care and by 13.10% in inpatient care; both were higher than the theoretical level moving along the demand curve, and this indicates that SID-promoted service utilization may increase.The reform reduces drug-prescription profits by eliminating drug markups; additionally, it compensates for service costs by increasing service prices. Post-reform, the SID of drug prescriptions decreased, which may reduce drug-resource waste. The SID of services increased, with potentially positive and negative effects: accessibility to services may be promoted when physicians provide more services, but the risk of resource waste may also increase. This warrants further research

  9. [Real per capita health spending by age and sex in Spain (1998-2008): changes and effects on public healthcare expenditure projections].

    Science.gov (United States)

    Blanco Moreno, Ángela; Urbanos Garrido, Rosa; Thuissard Vasallo, Israel John

    2013-01-01

    To analyze changes in real per capita spending by age and sex from 1998 to 2008 in Spain, and to assess their effects on public healthcare expenditure projections. Age- and sex-related expenditure profiles in constant terms were estimated for the Spanish population for 3 distinct years (1998, 2003 and 2008) by using data from hospital records and several National Health Surveys. These profiles were used to compare actual healthcare expenditure for 2003 and 2008 with the projections obtained by considering 1998 as the base year and by applying the methodology used by the Working Group on Aging of the European Union. The average annual growth rate of real per capita spending per person from 1998 to 2008 was 2.79%, which was higher than the GDP per capita growth rate (1.90%), basically due to its high rate of increase in the second half of the decade. From 1998 to 2008, per capita healthcare expenditure increased in most age groups, particularly in the groups aged 45-49 years, 60-64 years and 75 years and older. Projections of per capita expenditure in constant terms covered the real value observed for 2003, but were below the real value for 2008. Changes in the quantity and quality of healthcare services consumed by each person are an important factor in changes in healthcare expenditure and must be included in spending projections. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.

  10. The Feasibility of Applying the Micro-Financial Analysis Model to Expenditures for Public Education in Hawaii: What Reaches the Classroom? A Report to the Governor and the Legislature of the State of Hawaii. Report No.94-6.

    Science.gov (United States)

    Hawaii State Office of the Auditor, Honolulu.

    In order to determine the effectiveness of Hawaii State expenditures on public education (one-third of Hawaii's general revenues funds), the state legislature asked that the state auditor study the feasibility of applying a model to analyze expenditures for public education. The state auditor engaged Dr. Bruce S. Cooper, a professor at Fordham…

  11. The power of r - pharmaceutical sales decomposition in Cyprus public healthcare sector and determinants of drug expenditure evolution: any lessons learned?

    Science.gov (United States)

    Petrou, Panagiotis

    2014-04-01

    The pharmaceutical sector has been established as the primary cost driver in health. The scope of this paper is to explore the drivers of pharmaceutical expenditure in Cyprus by decomposing sales and assessing impact of prices, volumes and substitution effect. We used a statistical approach to decompose the growth of public pharmaceutical expenditure during 2005-2011 into three elements: 1) substitution effect; 2) price effect; and 3) increase of consumption. We further decomposed consumption into: 1) prescription/visits; 2) visits/beneficiaries; and 3) beneficiaries. Pharmaceutical expenditure grew by 31.4 % and volume of medicines dispensed increased by 55%. Prices declined by 11% and product-mix residual was -5.5%, indicating that Cyprus experienced a switch to cheaper medicines (generics) without compromising access of patients to innovative medicines. This was enhanced by guidelines, monitoring of prescribing behavior, generic substitution and efficient tendering. The increasing number of products per prescriptions should be monitored with caution.

  12. IS PUBLIC-EXPENDITURE REALLY PRODUCTIVE - NEW EVIDENCE FOR THE USA AND THE NETHERLANDS

    NARCIS (Netherlands)

    STURM, JE; DEHAAN, J

    1995-01-01

    This paper reviews empirical evidence for the USA on the impact of the public capital stock on productivity. Most previous research is criticized on econometric grounds. If the well known model of Aschauer is estimated in first differences - which is necessary as the variables used are neither stati

  13. IS PUBLIC-EXPENDITURE REALLY PRODUCTIVE - NEW EVIDENCE FOR THE USA AND THE NETHERLANDS

    NARCIS (Netherlands)

    STURM, JE; DEHAAN, J

    This paper reviews empirical evidence for the USA on the impact of the public capital stock on productivity. Most previous research is criticized on econometric grounds. If the well known model of Aschauer is estimated in first differences - which is necessary as the variables used are neither

  14. The Effects of State Public K-12 Education Expenditures On Income Distribution. NEA Research Working Paper

    Science.gov (United States)

    Behr, Todd; Christofides, Constantinos; Neelakantan, Pattabiraman

    2004-01-01

    The effects of education on people's income are well documented in the economics literature, and the benefits of investing in human capital--in terms of both higher earnings and of other economic and social benefits--are popular research topics for economists and other social scientists. The present study explores the effects of public education…

  15. Testing the Relationship between Public Expenditure and Economic Growth in Romania

    Directory of Open Access Journals (Sweden)

    Alina Cristina Nuţă

    2015-08-01

    Full Text Available In this paper we analyze whether the Romanian economic context confirms the Armey model, and present the relationship between public spending and economic growth that may offer a suitable basis for decision makers. The analysis is based on both annual and quarterly data regarding public spending and economic growth in Romania. After investigating the correlation validity, the analytic results did not confirm the premises related to the Armey Curve for the Romanian context during 1990-2011. However the time interval is marked by unpredictable phenomena such as the transition from the state economy to the market economy and the world financial crisis, both is altering the results. The fact determines us to search the coordinates for developing a new model that describes better the connections and the period characteristics.

  16. Public expenditure tracking on road infrastructure in Uganda: The case study of Pallisa and Soroti Districts

    OpenAIRE

    2010-01-01

    The main message of this study is that public action by making the choice to invest in infrastructure, has to be taken to alleviate the plight of Uganda’s economy which is endowed with adverse, natural or geographical aspects like tropical climate. Drawing from the existing literature of the various channels or means through which infrastructure affects growth, this study argues for strengthening structures and implementation in the promotion of infrastructure particularly rural roads. In ord...

  17. A Guide to Calculating District Expenditure-to-Performance Ratios Using Publicly Available Data. REL 2017-179

    Science.gov (United States)

    Ryan, Sarah; Lavigne, Heather J.; Zweig, Jacqueline S.; Buffington, Pamela J.

    2017-01-01

    Districts across the nation are seeking ways to increase efficiency by maintaining, if not improving, educational outcomes using fewer resources. One measure that is sometimes used as a proxy for school district efficiency is an expenditure-to-performance ratio, for example a ratio of per pupil expenditures to student academic performance. This…

  18. An explanatory model for state Medicaid per capita prescription drug expenditures.

    Science.gov (United States)

    Roy, Sanjoy; Madhavan, S Suresh

    2012-01-01

    Rising prescription drug expenditure is a growing concern for publicly funded drug benefit programs like Medicaid. To be able to contain drug expenditures in Medicaid, it is important that cause(s) for such increases are identified. This study attempts to establish an explanatory model for Medicaid prescription drugs expenditure based on the impacts of key influencers/predictors identified using a comprehensive framework of drug utilization. A modified Andersen's behavior model of health services utilization is employed to identify potential determinants of pharmaceutical expenditures in state Medicaid programs. Level of federal matching funds, access to primary care, severity of diseases, unemployment, and education levels were found to be key influencers of Medicaid prescription drug expenditure. Increases in all, except education levels, were found to result in increases in drug expenditures. Findings from this study could better inform intervention policies and cost-containment strategies for state Medicaid drug benefit programs.

  19. Willingness to pay for other individuals' healthcare expenditures.

    Science.gov (United States)

    Borges, A P; Reis, A; Anjos, J

    2017-03-01

    The need to improve the sustainability of public health expenditure, in a climate of growing pressure on national budgets, inevitably leads to a discussion about resource rationing, and the extent of society's responsibility for those expenditures. To contribute to this discussion empirically, this study evaluated the willingness of Portuguese respondents to pay for other individuals' healthcare expenditures through out-of-pocket payments. A questionnaire addressed to the general public was developed, with 296 respondents. The survey was divided into three sections: (i) sociodemographic characteristics of the respondents; (ii) health-related habits; and (iii) willingness to pay other individuals' healthcare expenditures and, if so, how much. Logit and ordered logit models were applied. Respondents were divided fairly even between those who were willing to pay for other individuals' healthcare expenditures and those who were not. Respondents with health insurance contracts were more willing to contribute, and the contribution value was higher. Having a degree-level education was associated with reduced willingness to pay for other individuals' healthcare expenditures, and reduced probability of paying a larger amount, which may be associated with holding individuals accountable for their choices. Considering self-reported risky behaviours, the respondents who consumed alcohol were more likely to be willing to pay for other individuals' healthcare expenditures, and to a greater extent, whereas smokers were less likely to pay larger amounts. These effects suggest that respondents with different unhealthy behaviours are not equally altruistic. These findings highlight the need to combine health policy and social beliefs. The respondents seem to be interested to discuss healthcare funding, given that they agreed to reveal their willingness to pay for other individuals' healthcare expenditures. Moreover, respondents' sociodemographic characteristics and health

  20. Impact of R&D expenditures on research publications, patents and high-tech exports among European countries.

    Science.gov (United States)

    Meo, S A; Usmani, A M

    2014-01-01

    This study aimed to compare the impact of Research&Development (R&D) expenditures on research publications, patents and high-tech exports among European countries. In this study, 47 European countries were included. The information regarding European countries, their per capita Gross Domestic Product (GDP), R&D spending, number of universities, indexed scientific journals, high technology exports and number of patents were collected. We recorded the total number of research documents in various science and social sciences subjects during the period 1996-2011. The main source for information was World Bank, Web of Science, Thomson Reuters and SCImago/Scopus. The mean GDP per capita for all the European countries is 23372.64 ± 3588.42 US$, yearly per capita spending on R&D 1.14 ± 0.13 US$, number of universities 48.17 ± 10.26, mean number of Institute of Scientific Information (ISI) indexed journal per country 90.72 ± 38.47, high technology exports 12.86 ± 1.59 and number of patent applications 61504.23 ± 22961.85. The mean of research documents published in various science and social science subjects among all the European countries during the period 1996-2011 is 213405.70 ± 56493.04. Spending on R&D, number of universities, indexed journals, high technology exports and number of patents have a positive correlation with number of published documents in various science and social science subjects. We found a positive correlation between patent application and high-tech exports. However, there was no association between GDP per capita and research outcomes. It is concluded that, the most important contributing factors towards a knowledge based economy are spending on R&D, number of universities, scientific indexed journals and research publications, which in turn give a boast to patents, high technology exports and ultimately GDP.

  1. PUBLIC EXPENDITURE AND PUBLIC POLICY: AN ASSESSMENT OF PERFORMANCE IN MATERNAL AND CHILDHOOD NETWORK IN MINAS GERAIS STATE

    Directory of Open Access Journals (Sweden)

    Alisson Maciel de Faria Marques

    2013-12-01

    Full Text Available Objective: This study examined the effects of public spending on the delivery of public policy. For this, we selected health policy, in Minas Gerais. The programmatic action chosen was the Programa de Redução da Mortalidade Infantil e Materna em Minas Gerais, also called Programa Viva Vida, from the resources involved in implementing this policy. Methods: It was analyzed the initial and final years of 2002 and 2009. The methodology consists of two separate tools. The first tool is through the analysis of indicators. The second tool used was data envelopment analysis (DEA in the analysis of efficiency. Data on health care delivery were obtained from the Departamento de Informática do SUS (DATASUS. The data used were collected in October 2011. Results: The results suggest a specific increase access to maternal and child health activities in the municipalities of the state, but with the maintenance of inequalities between regions of the state. Conclusions: The resources invested, the study suggests, encouraged the expansion of access to a process that has not undergone change. The result is proportional to the maintenance of newborns with low birth weight and / or prematurity and maternal deaths.

  2. The public expenditure for the research and development on the energy in France. Synthesis of the study realized for the energy observatory; Les depenses publiques de recherche et developpement sur l'energie en France. Synthese de l'etude realisee a la demande de l'Observatoire de l'energie

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-07-01

    The aim of this study is to provide a fine photography of the public expenditure on the energy, following the IEA format. This synthesis presents the study methodology and data on the expenditure in function of years 2002 to 2005. The repartition of the public expenditure by categories, by financing origin, and by the different sources or energy, are presented. (A.L.B.)

  3. 42 CFR 457.618 - Ten percent limit on certain Children's Health Insurance Program expenditures.

    Science.gov (United States)

    2010-10-01

    ... Insurance Program expenditures. 457.618 Section 457.618 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS... Children's Health Insurance Program expenditures. (a) Expenditures. (1) Primary expenditures are...

  4. Expansion of Public School Expenditures and Enrollments: Intercountry Evidence on the Effects of Income, Prices, and Population Growth.

    Science.gov (United States)

    Schultz, T. Paul

    1988-01-01

    Proposes a production-demand framework for explaining national schooling expenditures, teacher-student ratios, and male and female school enrollment rates across countries. Data for 89 countries for 1960-1980 are used to estimate the effects of real incomes per adult, the relative price of teachers, urbanization, and other factors on enrollment…

  5. An inspection on the Gini coefficient of the budget educational public expenditure per student for China's basic education

    Institute of Scientific and Technical Information of China (English)

    Yang Yingxiu

    2006-01-01

    Using statistical data on the implementing conditions Of China's educational expenditure pubhshed by the state.this paper studies the Gini coefficient of the budget educational pubic expenditure per student in order to examine the concentration degree of the educational expenditure for China's basic education and analyze its balanced development condition.As the research shows,China's basic education is undergoing an unbalanced development due to diversified factors,which is mainly reflected as follows:firstly.the budget educational pubic expenditure presents a four-tiered appearance of the strong,the less strong,the less weak and the weak,which lead to a great discrepancy between the two opposing extremes:secondly,the compulsory education in rural areas is still confronted with great difficulties;thirdly.the general senior secondary education is loaded with the crisis of unbalance.Therefore,it is necessary to construct a balanced development policy framework of the basic education and Pay close aaention to the benefit and effectiveness of the educational input.In addition.it is also important to clearly stipulate the criteflon ofthe government's educational allocation and to support the disadvantaged areas in order to promote the baianced development of the basic education.

  6. Fiscal competition and the structure of local public expenditure in China%中国财政竞争与地方公共支出结构分析

    Institute of Scientific and Technical Information of China (English)

    张恒龙; 陈宪

    2007-01-01

    This article examines the impact of intergovernmental fiscal competition on local public expenditure in China under current performance assessment system in which GDP is a critical factor.First,we present the assignment of public goods and tax burden and the share of foreign direct investment (FDI) of 30 provinces,and we find that current fiscal competition in China has taken the form of public expenditure improvement accompanied by preferential tax policies.Second,we regress the share of FDI on different components of provincial public expenditure;and find that the share of FDI is correlated negatively with the public service,tax burden and health care service while positively with infrastructure development.Therefore,FDI-based infrastructural investment crowds out public services investment,which fails to support the view that fiscal competition improves social welfares.

  7. Corruption, Public Expenditure Efficiency and Economic Growth%腐败、公共支出效率与长期经济增长

    Institute of Scientific and Technical Information of China (English)

    刘勇政; 冯海波

    2011-01-01

    This paper investigates the relationship between corruption, public expenditure efficiency and economic growth in China, both theoretically and empirically. Within the traditional endogenous growth model of public expenditure, we first establish a general equilibrium model, where corruption is introduced to the model through its impact on effective public expenditure. The model is solved numerically using parameters from the actual practice of Chinese economy. The results imply that public expenditure efficiency positively affects economic growth, while corruption indirectly affects economic growth through its impacts on public expenditure efficiency. Using provincial data from 1998 to 2008 in China, our empirical study, based on various static and dynamic panel data models, provides strong evidence for the theoretical implication. All these findings point to a fact that although the detailed mechanisms through which the corruption affects economic growth have not been explored explicitly in China, corruption may have negatively affected economic growth in China by reducing public expenditure efficiency.%本文从理论和实证两方面考察腐败、公共支出效率与长期经济增长的关系。本文在传统研究公共支出的内生经济增长模型中引入腐败要素,并建立一个包含家庭、厂商和政府的一般均衡模型。模型均衡解由参数校准的方法模拟计算得到。研究发现,公共支出效率与经济增长显正向关系,而腐败通过影响公共支出效率间接作用于经济增长。进一步地,本文运用中国30个省1998-2008年间的数据,同时采用多种静态和动态面板数据模型,实证检验了以上理论假说。结果表明,公共支出效率的提高有利于经济长期增长,而腐败的发生降低了公共支出效率的正向效应。这意味着尽管腐败对中国经济增长的作用尚存在多方面不明晰的途径,但其通过影响公共支出效率从而

  8. Student Service Expenditures Matter

    Science.gov (United States)

    Ehrenberg, Ronald G.; Webber, Douglas A.

    2010-01-01

    The "Great Recession" has caused a fiscal crisis in both public and private higher education that is unmatched in recent memory. Institutions' attention is focused on what they can cut out of their budgets. Student-service expenditures are often seen as discretionary in institutional budgets; they are viewed by some critics as…

  9. The Research of Economic Growth and Optimal Public Financial Expenditure%经济增长与最优财政支出规模研究

    Institute of Scientific and Technical Information of China (English)

    马树才; 孙长清

    2005-01-01

    The size of fiscal expenditure reflect the degree that government intervene in market, if government intervene in market too much, the action of government will lower economic growth. In order to choose optimal size of fiscal expenditure, the paper developed a endogenous growth model including government, and estimated the optimal size of fiscal expenditure in china from experience, the period is from 1978 to 2000. The conclusion is the optimal internal budget size of fiscal expenditure is 21.2% (fiscal expenditure relative to GDP), the total optimal size of fiscal expenditure is 24% (the total fiscal expenditure relative to GDP).

  10. 我国公共部门基本支出定额研究%Research on the Basic Expenditure Quota in Public Sectors of China

    Institute of Scientific and Technical Information of China (English)

    苟燕楠; 贾康

    2012-01-01

    The basic expenditure quota in public sectors is the standard for the government personnel funds and the arrangement of reg- ular expenditures. It is the foundation of making, implementing and controlling the government cost budget. This paper thoroughly dissected the covering range, standard and mechanism of the basic expenditure quota in public sectors of China, studied various practice models of quota system under different financial conditions, and analyzed the major problems and their causes in implementing the current quota system. According to the overall requirements of changing government func- tions and enforcing financial management, this paper also discussed the future reform trends of the quota system in terms of controlling totals, optimizing resource allocation, and regulating government behaviors.%公共部门基本支出定额是政府人员经费、日常公用经费安排的标准,是政府运行成本预算编制、执行和控制的基础。本文较为深入地剖析了我国公共部门基本支出定额的保障范围、保障标准和保障机制,梳理了不同财政条件下各种类型定额体系的实践模式,分析了现行定额体系实施过程中存在的主要问题及其原因,进而围绕转变政府职能、加强财政管理的总体要求,从总额控制、优化资源配置、提升使用效率、规范政府行为等方面探讨了定额体系未来的改革方向。

  11. Evaluation and Analysis on Expenditure of China Public Health 1978-2008%中国公共卫生支出评价分析:1978—2008

    Institute of Scientific and Technical Information of China (English)

    许敏兰; 沈时伯

    2012-01-01

    For 30 years since 1978, the general trend of the public health expenditure in China is increased and then decreased after the rise again. The excessively market reform causes public health service system lose its public welfare and can not meet public need. The main problems are that the proportion of public health expenditure is declining in GDP, finance expenditure, and the total amount of health expenditure, the input in public health service insufficient, and the structure of public health expenditure improper. Hence, the government should increase finance input in public health to reach the aim that every citizen has the essential health, particularly; the central govern- ment should increase expenditure on it to improve transfer payment system.%改革开放30年来,我国公共卫生支出呈现出先增加后下降再上升的三阶段趋势。由于过度市场化改革,造成公共医疗卫生服务体系逐渐丧失其公共性与公益性,不能满足公共需要。主要体现在公共卫生支出占GDP、财政支出、卫生总费用的比例逐步下降,公共卫生服务经费投入的不足以及公共卫生支出结构不合理。为达到“人人享有最基本的健康”服务的目标,必需增加政府对公共卫生的财政投入,尤其是提高中央政府在公共卫生方面的支出责任,改善转移支付体系。

  12. Government revenue-expenditure nexus: Evidence from several transitional economies

    Directory of Open Access Journals (Sweden)

    Konukcu-Önal Debi

    2008-01-01

    Full Text Available Budget deficits and the debate on the sources of deficit finance have been on the agenda of public economics ever since the 1980s. However recently in the post-communist countries fiscal imbalances appear to be an important problem due to prolonged periods of growing poverty resulting from the transition process. Poverty alleviation policies considerably affect the revenue and expenditure decisions of governments, which are subject to hard budget constraints in an open transitional economy and do not have room for departing from sound fiscal policies. The public finance literature provides a vast number of studies analyzing the relationship between public revenues and expenditures. These studies are mostly characterized by efforts to reveal the attitude of the fiscal authority towards maintaining the budget balance. In this respect, budgetary dynamics in which past government revenues have predictive power on the current level of government expenditures are accepted as evidence of the so-called tax-and-spend hypothesis. On the other hand, the revenue-expenditure nexus running from expenditures to revenues is known in the literature as the spend-and-tax hypothesis. The objective of this study is to analyze empirically the relationship between government revenues and expenditures in four of the transitional economies, i.e. Belarus, Kazakhstan, the Kyrgyz Republic and the Russian Federation. The empirical findings of this study, which are based on Granger causality tests, indicate evidence supporting the tax-and-spend hypothesis in Belarus and the Russian Federation and fiscal synchronization in Kazakhstan and the Kyrgyz Republic. The empirical support for the tax-and-spend hypothesis in these economies implies that increasing government revenues may not end up with lower budget deficits due to their stimulating effect on the demand for public goods and services.

  13. Gasto particularista en bienes públicos locales: índice de desviación Particularistic expenditure on local public goods: an index of deviation

    Directory of Open Access Journals (Sweden)

    María Alejandra Armesto

    2012-09-01

    Full Text Available El gasto particularista del gobierno se opone al gasto programático. Los dos tipos de medidas clasifican los beneficios de políticas como particularistas si son bienes exclusivos o si son explicados por variables políticas. Este artículo desarrolla un índice de gasto particularista en bienes públicos locales medido como desviación con respecto al programa. Se aplica el índice a la oferta de servicios básicos por administraciones subnacionales seleccionadas en México y Argentina. Se muestra que el índice corre menos riesgos de sobreestimar o subestimar el gasto particularista y el gasto programático que las medidas existentes.This article compares particularistic and programmed government spending. The two types of measures classify the benefits of policies as particularistic if they are exclusive goods or if they are determined by political variables. This article contains an index of particularistic expenditure on local public goods, measured as a deviation from the program. It applies this index to the supply of basic services from selected sub-national administrations in Mexico and Argentina. It shows that this index is less likely to over- or under-estimate particularistic and programmatic expenditure than existing measures.

  14. Growing Readers: Wendy Wilcox--West Bloomfield Township Public Library, MI

    Science.gov (United States)

    Library Journal, 2005

    2005-01-01

    In 2001 youth services librarian Wendy Wilcox begged her boss for the chance to make West Bloomfield Township Public Library (WBTPL) one of 20 demonstration sites for the Public Library Association (PLA)/Association for Library Service to Children initiative Every Child Ready To Read. While all participating libraries teach parents and caregivers…

  15. Growing Readers: Wendy Wilcox--West Bloomfield Township Public Library, MI

    Science.gov (United States)

    Library Journal, 2005

    2005-01-01

    In 2001 youth services librarian Wendy Wilcox begged her boss for the chance to make West Bloomfield Township Public Library (WBTPL) one of 20 demonstration sites for the Public Library Association (PLA)/Association for Library Service to Children initiative Every Child Ready To Read. While all participating libraries teach parents and caregivers…

  16. Public Relations in Rapidly Growing Suburban Districts: Insights from Texas Superintendents Bonny Cain and Doug Otto

    Science.gov (United States)

    Decman, John M.

    2005-01-01

    Throughout Texas, enrollments in suburban school districts have been rising, and in some instances, the increases have been substantial. Causes of this demographic trend are multifaceted, but in most instances they are an intricate mix of state population growth and urban flight. Rapidly growing suburban districts, like all Texas districts,…

  17. Balancing water sustainability and public health goals in the face of growing concerns about antibiotic resistance.

    Science.gov (United States)

    Pruden, Amy

    2014-01-01

    Global initiatives are underway to advance the sustainability of urban water infrastructure through measures such as water reuse. However, there are growing concerns that wastewater effluents are enriched in antibiotics, antibiotic resistant bacteria, and antibiotic resistance genes, and thus could serve as a contributing factor to growing rates of antibiotic resistance in human infections. Evidence for the role of the water environment as a source and pathway for the spread of antimicrobial resistance is examined and key knowledge gaps are identified with respect to implications for sustainable water systems. Efforts on the part of engineers along with investment in research in epidemiology, risk assessment, water treatment and water delivery could advance current and future sustainable water strategies and help avoid unintended consequences.

  18. Market Orientation of Spanish Public Universities: A Suitable Response to the Growing Competition

    Science.gov (United States)

    Flavian, Carlos; Lozano, Javier

    2007-01-01

    As has been the case with other public services, the Spanish university system has, over the last few years, undergone radical changes that have completely transformed the form and type of activities carried out therein. The far-reaching effect of these changes and of others that will probably occur in the not too distant future obliges the…

  19. 42 CFR 403.754 - Monitoring expenditure level.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Monitoring expenditure level. 403.754 Section 403.754 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES..., Conditions of Participation, and Payment § 403.754 Monitoring expenditure level. (a) Tracking expenditures...

  20. The growing impact of globalization for health and public health practice.

    Science.gov (United States)

    Labonté, Ronald; Mohindra, Katia; Schrecker, Ted

    2011-01-01

    In recent decades, public health policy and practice have been increasingly challenged by globalization, even as global financing for health has increased dramatically. This article discusses globalization and its health challenges from a vantage of political science, emphasizing increased global flows (of pathogens, information, trade, finance, and people) as driving, and driven by, global market integration. This integration requires a shift in public health thinking from a singular focus on international health (the higher disease burden in poor countries) to a more nuanced analysis of global health (in which health risks in both poor and rich countries are seen as having inherently global causes and consequences). Several globalization-related pathways to health exist, two key ones of which are described: globalized diseases and economic vulnerabilities. The article concludes with a call for national governments, especially those of wealthier nations, to take greater account of global health and its social determinants in all their foreign policies.

  1. Confined to grow?. Publication dynamics and the proliferation of scientific journals

    Science.gov (United States)

    Daruka, Istvan

    2014-01-01

    The number of research papers published yearly shows a staggering exponential growth. One can in fact witness a century-long publication avalanche (Fig.1). According to the two major databases INSPEC and Thomson Reuters, there is a 300-fold increase in the number of published items since the year 1900. The world of science has recently reached such a level of proliferating complexity that its structural evolution itself poses challenging scientific problems.

  2. National Health Expenditure Data

    Data.gov (United States)

    U.S. Department of Health & Human Services — National Health Expenditure Accounts are comprised of the following, National Health Expenditures - Historical and Projected, Age Estimates, State Health...

  3. Governmental control of public expenditure in the constitutional State: thoughts regarding General Comptroller sanctioning powers approval on functional administrative responsibility

    Directory of Open Access Journals (Sweden)

    Erika García Cobián Castro

    2013-12-01

    Full Text Available Constitutional doctrine has little addressed on the General Comptroller of the Republic and its controlling function of public resources execution and management. Efforts have been made to explain this situation in other realities, regarding high budgetary, accounting and auditing content needed to carry out auditing activities constitutionally assigned to this kind of entities. Nevertheless, identifying competences of the General Comptroller of the Republic and its nature of autonomous constitutional body shapes an important expression of Constitutional State and the principle of powers division. This entity controls State’s Public Budget execution contributing to constitutional property protection, legality of budget implementation and the appropriate management of public resources, also the «efficiency» of social needs, proper functioning of public administration and prevention of corruption, among others duties. This article analyzes the constitutional mission of the General Comptroller in a Constitutional State promoting the process of given a constitutional status to the legal system in its area of influence, also optimizing constitutional properties protected. For such purpose, the 29622 recent law («Law that modifies the 27785 Organic Law of National Control System and the General Comptroller of the Republic extending powers in order to sanction in accordance of functional administrative responsibility» shall be used as object of constitutional analysis.

  4. [Counterfeit phosphodiesterase type 5 inhibitors--growing safety risks for public health].

    Science.gov (United States)

    Fijałek, Zbigniew; Sarna, Katarzyna; Błazewicz, Agata; Marin, Jan

    2010-01-01

    Counterfeit drugs, medical devises and dietary supplements are inherently dangerous and a growing problem. In Europe the growth of the counterfeit medication market is attributable in part to registration of phosphodiesterase type 5 inhibitors (PDE-5) used for the erectile dysfunction. "Viagra, Levitra and Cialis belong to this group. It has been estimated that up to 2.5 million men in Europe are exposed to an illicit sildenafil, suggesting that there may be as many illegal as legal users of sildenafil. In Europe a strong trend is observed towards increasingly professional counterfeits and imitations of Viagra, Cialis and Levitra, with regard to the appearance of tablets, capsules and packaging. The professional presentation will deceive potential consumers into assuming these products are legal, efficacious and safe. Globally, increased obstacles for counterfeiters are necessary to combat pharmaceutical counterfeiting, including fines and penalties. The worldwide nature of the counterfeit problem requires proper coordination between countries to ensure an adequate enforcement. We described the usefulness of the time-of-flight mass spectrometry with the electrospray ionization (LC-ESI-MS-TOF) and the X-ray powder diffraction method (XRPD) for PDE-5 counterfeit screening from the Polish illegal market.

  5. Dementia in the oldest old: a multi-factorial and growing public health issue.

    Science.gov (United States)

    Gardner, Raquel C; Valcour, Victor; Yaffe, Kristine

    2013-01-01

    The population of oldest old, or people aged 85 and older, is growing rapidly. A better understanding of dementia in this population is thus of increasing national and global importance. In this review, we describe the major epidemiological studies, prevalence, clinical presentation, neuropathological and imaging features, risk factors, and treatment of dementia in the oldest old. Prevalence estimates for dementia among those aged 85+ ranges from 18 to 38%. The most common clinical syndromes are Alzheimer's dementia, vascular dementia, and mixed dementia from multiple etiologies. The rate of progression appears to be slower than in the younger old. Single neuropathological entities such as Alzheimer's dementia and Lewy body pathology appear to have declining relevance to cognitive decline, while mixed pathology with Alzheimer's disease, vascular disease (especially cortical microinfarcts), and hippocampal sclerosis appear to have increasing relevance. Neuroimaging data are sparse. Risk factors for dementia in the oldest old include a low level of education, poor mid-life general health, low level of physical activity, depression, and delirium, whereas apolipoprotein E genotype, late-life hypertension, hyperlipidemia, and elevated peripheral inflammatory markers appear to have less relevance. Treatment approaches require further study, but the oldest old may be more prone to negative side effects compared with younger patients and targeted therapies may be less efficacious since single pathologies are less frequent. We also highlight the limitations and challenges of research in this area, including the difficulty of defining functional decline, a necessary component for a dementia diagnosis, the lack of normative neuropsychological data, and other shortcomings inherent in existing diagnostic criteria. In summary, our understanding of dementia in the oldest old has advanced dramatically in recent years, but more research is needed, particularly among varied racial

  6. The Public Sector in the Czech Republic in Light of the Public Choice Theory

    National Research Council Canada - National Science Library

    Václav Rybáček

    2016-01-01

    .... The results are discussed against the theoretical background of the public choice theory. It was found out that there was an obvious bias to the deficit-driven provision of the public goods reflected concurrently in the growing indebtedness. On the other hand, the share of total revenues and expenditures remains rather stable over time.

  7. Government expenditure and energy intensity in China

    Energy Technology Data Exchange (ETDEWEB)

    Yuxiang, Karl [School of Economics and Business Administration, Room 230 of the 11th Dormitory at Campus B, Chongqing University, Chongqing 400044 (China); Chen, Zhongchang [Center for Population, Resources, and Environment Research, Chongqing University, Chongqing 400044 (China)

    2010-02-15

    The recent economic stimulus package of China has raised growing concern about its potential impact on energy demand and efficiency. To what extent does such expansion of government expenditure influence energy intensity? This question has not been well answered by the previous research. Using provincial panel data, this paper provides some evidence of a link between government expenditure and energy intensity in China. The empirical results demonstrate that the expansion of government expenditure since Asian financial crisis has exerted a significant influence on energy intensity. An increase in government expenditure in China leads to an increase in energy intensity. Further analysis compares such relationships in different economic situations. The comparison shows that such positive effect of government expenditure remains significant after the alteration in economic situation. Therefore, the results suggest introducing some measures to consolidate China's existing gains in energy efficiency. The analysis also explains why the downward trend in energy intensity is reversed in China since 2002. (author)

  8. 42 CFR 457.230 - FFP for State ADP expenditures.

    Science.gov (United States)

    2010-10-01

    ... procedures regarding the availability of FFP for ADP expenditures are in 45 CFR part 74, 45 CFR part 95... 42 Public Health 4 2010-10-01 2010-10-01 false FFP for State ADP expenditures. 457.230 Section 457...; Reduction of Federal Medical Payments § 457.230 FFP for State ADP expenditures. FFP is available for...

  9. Can mothers rely on the Brazilian health system for their deliveries? An assessment of use of the public system and out-of-pocket expenditure in the 2004 Pelotas Birth Cohort Study, Brazil

    Directory of Open Access Journals (Sweden)

    Bertoldi Andréa D

    2008-03-01

    Full Text Available Abstract Background In a country where comprehensive free health care is provided via a public health system (SUS, an unexpected high frequency of catastrophic out-of-pocket expenditure has been described. We studied how deliveries were financed among mothers of a birth cohort and whether they were an important source of household out-of-pocket expenditure. Methods All deliveries occurring in the city of Pelotas, Brazil, during 2004, were recruited for a birth cohort study. All mothers were interviewed just after birth and three months later. Comprehensive data on the pregnancy, delivery, birth conditions and newborn health were collected, along with detailed information on expenses related to the delivery. Results The majority of the deliveries (81% were financed by the public health system, a proportion that increased to more than 95% among the 40% poorest mothers. Less than 1% of these mothers reported some out-of-pocket expenditure. Even among those mothers covered by a private health plan, nearly 50% of births were financed by the SUS. Among the 20% richest, a third of the deliveries were paid by the SUS, 50% by private health plans and 17% by direct payment. Conclusion The public health system offered services in quantity and quality enough to attract even beneficiaries of private health plans and spared mothers from the poorest strata of the population of practically any expense.

  10. 45 CFR 264.75 - For the annual reconciliation, what are qualifying State expenditures?

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false For the annual reconciliation, what are qualifying State expenditures? 264.75 Section 264.75 Public Welfare Regulations Relating to Public Welfare OFFICE... training, and work, excluding any expenditure for public education in the State except expenditures...

  11. Fiscal Autonomy and Public Expenditure Efficiency: An Empirical Research on China's Local Government%财政自主与公共支出效率:自地方政府实践维度观察

    Institute of Scientific and Technical Information of China (English)

    陈志广

    2012-01-01

    This paper makes an examination on public expenditure efficiency of China's local government and its impact factors. Public expenditure efficiency is mainly affected by fiscal autonomy, in which the relative fiscal autonomy measured by the ratio of revenue to expenditure has positive effect, suggesting incentive benefits of decentralization, while absolute fiscal autonomy measured by revenue has more negative effect, suggesting lack of relevant control and accountability mechanism. That is to say, the so-called fiscal autonomy has not reached the requirements. Therefore, the local government should be decentralized, establish and improve public expenditure as soon as possible.%公共支出效率主要受相对财政自主——地方政府自有收入在支出中的比例——的正面影响。这表明了分权确立独立主体的激励型好处,但更受绝对财政自主——地方政府自有收入——的负面影响.意味着我国分权缺乏相应的控制和问责机制,所谓的财政自主还没有达到规范意义上的要求。因此,我国地方分权应坚持,但配套的公共财政包括公共预算制度更应尽快建立和健全。

  12. Accounting and Analysis on Public Health Expenditures in County-Level Maternal and Child Health Care Centers%县级妇幼保健院公共卫生费用核算与分析

    Institute of Scientific and Technical Information of China (English)

    吕丽丽; 刘国祥; 黄卫东; 高熹; 刘加卓

    2013-01-01

    Objective: Through accounting and analyzing public health expenditures of county-level maternal and child health care centers(MCHCC), to provide government scientific references for making the maternal and child health policies. Methods:The functional approach of health care accounting methods is used to account the public health expenditures. Results: The connotation and scale of public health services of county-level MCHCC are defined, and the items and contents of public health services are presented; the public health expenditures of county-level MCHCC were calculated and analyzed. Conclusion:The government financial input on public health care should be clear and enough; the government should implement the compensation mechanism to eliminate the phenomenon that MCHCC “put more emphasis on medical treatment than prevention disease” .%目的:通过核算与分析县级妇幼保健院公共卫生费用,为政府制定妇幼卫生政策提供科学依据。方法:采用卫生费用核算方法中的功能法进行公共卫生费用核算。结果:界定了县级妇幼保健院公共卫生服务项目内涵和外延,并确定了其分类及内容;进行了县级妇幼保健院公共卫生费用核算及分析。结论:政府在公共卫生服务方面的拨款应该做到用途清晰且足额拨付;政府应该尽快完善补偿机制,彻底根除妇幼保健院“重治轻防”的现象。

  13. Is income relevant for health expenditure and economic growth nexus?

    Science.gov (United States)

    Halıcı-Tülüce, Nadide Sevil; Doğan, İbrahim; Dumrul, Cüneyt

    2016-03-01

    This paper examines the relationship between health expenditure and economic growth using panel data consisting low and high-income countries. Using dynamic panel data methodology, we analyze twenty five high-income and nineteen low-income economies for the periods of 1995-2012 and 1997-2009, respectively. We find reciprocal relationship between health expenditure and economic growth in the short run and one-way causality from economic growth to public health expenditure in the long-run. In high-income countries, there is a two-way causality for both private and public health expenditures in the short-run, while in the long-run there is a one-way causality between economic growth and private health expenditures. The crucial finding of this study is that private health expenditures have negative influence on economic growth while public health expenditures have both negative and statistically significant effect.

  14. IDENTIFYING THE PARAMETERS OF THE MATHEMATICAL EXPENDITURE SYSTEM MODEL

    Directory of Open Access Journals (Sweden)

    ANA-PETRINA PĂUN

    2013-10-01

    Full Text Available This chapter describes an optimum regulation model for the public expenditures system in Romania. The aim of this work is to design an optimal control system of public expenditures in Romania. It contains an offline identification of the total public expenditures system in Romania for a timespan of 15 years. The total public expenditures system is a MISO type one (Multiple Input – Single Output and is identified by the use of the lowest foursquare applied on an OE (Output Error type model.

  15. 三级教育公共支出分配结构的合理性分析%An Analysis of the Rationality of the Public Expenditure Allocation Structure in Three-tier Education

    Institute of Scientific and Technical Information of China (English)

    李德显; 师婕

    2014-01-01

    Public spending on education is the government spending for education ,which is the material guarantee of education development .Whether the distribution of expenditure of public education is reason-able has an impact on the service efficiency of educational expenditure .In china ,public education expendi-ture allocation structure gradually tend to be more reasonable in terms of its publicity ,but there are still many problems .Compared with the rest of the world ,China’s public education is still in lowlevel of its spending ;and in higher education ,per student public expenditure index is still on the high side .In addi-tion ,compared with other in each stage ,senior high school public expenditure is insufficient .This situa-tion is not conducive to the improvement of labor quality and personnel structure optimization in our coun-try .In order to promote the rationalization of public education expenditure structure in our country ,the government needs to further increase investment in basic education stage and compulsory education devel-opment and increase the public spending for senior high school .At the same time ,China should actively promote the reform of higher education investment system .%公共教育支出是各级政府机构用于教育的支出,是教育发展的物质保证。公共教育支出分配结构是否合理,影响着教育经费的使用效率。当前,我国公共教育支出分配结构在其公共性方面逐渐趋于合理,但仍存在许多问题:与世界其他国家相比,我国公共教育产品的公共支出仍然处在比较低的水平,高等教育的生均支出指数仍然偏高。此外,我国高中阶段公共支出与其他阶段相比相对不足,不利于我国劳动力素质的提高和人才结构的优化。促进我国公共教育支出结构的合理化需要在进一步加大对基础教育阶段的投入、巩固义务教育发展的基础上,增加高中阶段的投入,积极促进高等教育投资体制改革。

  16. 26 CFR 56.4911-8 - Excess lobbying expenditures of affiliated group.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 17 2010-04-01 2010-04-01 false Excess lobbying expenditures of affiliated... (CONTINUED) MISCELLANEOUS EXCISE TAXES (CONTINUED) PUBLIC CHARITY EXCISE TAXES § 56.4911-8 Excess lobbying... expenditures, lobbying expenditures, and grass roots expenditures of an affiliated group of organizations,...

  17. 26 CFR 56.4911-6 - Records of lobbying and grass roots expenditures.

    Science.gov (United States)

    2010-04-01

    ... 26 Internal Revenue 17 2010-04-01 2010-04-01 false Records of lobbying and grass roots... lobbying and grass roots expenditures. (a) Records of lobbying expenditures. An electing public charity must keep a record of its lobbying expenditures for the taxable year. Lobbying expenditures of which...

  18. The Roles of Public Higher Education Expenditure and the Privatization of the Higher Education on U.S. States Economic Growth

    Science.gov (United States)

    Curs, Bradley R.; Bhandari, Bornali; Steiger, Christina

    2011-01-01

    Previous empirical literature finds that government expenditure on higher education has a negative, or null, effect on U.S. economic growth rates. This empirical result may be driven by omission of an important variable--the privatization of higher education. Using state-level panel data from 1970 to 2005, this analysis investigates whether the…

  19. 11 CFR 110.14 - Contributions to and expenditures by delegates and delegate committees.

    Science.gov (United States)

    2010-01-01

    ... mail or similar types of general public communication or political advertising. (ii) Such expenditures... public political advertising. A delegate may make expenditures to defray costs incurred in the use of... reference to a candidate for the office of President or any other public office. (i) Such expenditures are...

  20. 26 CFR 56.4911-1 - Tax on excess lobbying expenditures.

    Science.gov (United States)

    2010-04-01

    ... expenditure test election under section 501(h) is in effect (an “electing public charity”). An electing public..., the amount of an electing public charity's excess lobbying expenditures is the greater of— (1) The... 26 Internal Revenue 17 2010-04-01 2010-04-01 false Tax on excess lobbying expenditures. 56.4911-1...

  1. Incentives of Health Care Expenditure

    Directory of Open Access Journals (Sweden)

    Eero Siljander

    2012-12-01

    Full Text Available The incentives of health care expenditure (HCE have been a topic of discussion in the USA (Obama reforms and in Europe (adjustment to debt crisis. There are competing views of institutional versus GDP (unit income elasticity and productivity related factors of growth of expenditure. However ageing of populations, technology change and economic incentives related to institutions are also key drivers of growth according to the OECD and EU’s AWG committee. Simulation models have been developed to forecast the growth of social expenditure (including HCEs to 2050. In this article we take a historical perspective to look at the institutional structures and their relationship to HCE growth. When controlling for age structure, price developments, doctor density and in-patient and public shares of expenditures, we find that fee-for-service in primary care, is according to the results, in at least 20 percent more costly than capitation or salary remuneration. Capitation and salary (or wage remuneration are at same cost levels in primary care. However we did not find the cost lowering effect for gatekeeping which could have been expected based on previous literature. Global budgeting 30 (partly DRG based percent less costly in specialized care than other reimbursement schemes like open contracting or volume based reimbursement. However the public integration of purchaser and provider cost seems to result to about 20 higher than public reimbursement or public contracting. Increasing the number of doctors or public financing share results in increased HCEs. Therefore expanding public reimbursement share of health services seems to lead to higher HCE. On the contrary, the in-patient share reduced expenditures. Compared to the previous literature, the finding on institutional dummies is in line with similar modeling papers. However the results for public expansion of services is a contrary one to previous works on the subject. The median lag length of

  2. Accounting and Analysis on Public Health Expenditures in County-Level Centers for Disease Control%县级疾病控制机构公共卫生费用核算与分析

    Institute of Scientific and Technical Information of China (English)

    高熹; 刘国祥; 张歆; 吕丽丽; 刘加卓

    2013-01-01

    目的:通过核算与分析县级疾病控制机构公共卫生费用,为政府制定和完善公共卫生政策提供科学依据。方法:采用卫生费用核算方法中的功能法进行公共卫生费用核算。结果:界定了县级疾病控制机构公共卫生服务项目内涵和外延,并确定了其分类及内容;进行了县级疾病控制机构公共卫生费用核算及分析。结论:完善财政补偿机制,增加财政投入;合理调整财政投入结构,确保基本公共卫生服务的提供质量;加强政府监管,调整县级疾病控制机构的工作重点。%Objective: Through accounting and analyzing public health expenditures of county-level centers for disease control (CDC), to provide government scientific references for making and implementing public health policies. Methods: The functional approach of health care accounting methods is used to account the public health expenditures. Results: The connotation and scale of public health care activities of county-level CDC are defined, and the items and contents of public health services are presented; the public health expenditures of county-level CDC were calculated and analyzed. Conclusion: The compensation mechanism should be perfected, and the financial investment in public health needs to be raised;the structure of financial input ought to be rationally adjusted so as to guarantee the basic public health services quality, and government supervision needs to be strengthened to adjust the key projects of county-level CDC.

  3. Grau de cobertura dos planos de saúde e distribuição regional do gasto público em saúde Level of private health insurance coverage and regional distribution of public health expenditure

    Directory of Open Access Journals (Sweden)

    Samuel Kilsztajn

    2001-12-01

    Full Text Available O artigo analisa o grau de cobertura dos planos de saúde segundo as classes de rendimento mensal familiar e por unidade da federação e a distribuição dos recursos da Rede-SUS e do gasto público total em saúde por usuário dos serviços públicos de saúde nas regiões Norte-Nordeste e Centro-Sul do país. São apresentados e discutidos também os indicadores do gasto público total em saúde como percentual do PIB gerado nas regiões.This paper analyses the level of private health insurance coverage by classes of income and by states in Brazil and the distribution of the total public health expenditure by public health users in the North-Northeast and Central-South regions of the country. The paper also presents and discusses the total public health expenditure as a percentage of regional GDP.

  4. 42 CFR 403.750 - Estimate of expenditures and adjustments.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Estimate of expenditures and adjustments. 403.750 Section 403.750 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN...-Benefits, Conditions of Participation, and Payment § 403.750 Estimate of expenditures and adjustments....

  5. The Research and Improvement of the Efficiency of Public Education Expenditure in China%中国公共教育支出效率的研究及改进--基于DEA模型的实证分析

    Institute of Scientific and Technical Information of China (English)

    王帆

    2015-01-01

    公共教育是一项特殊的公共产品,具有正向的社会效益和个人效益。以DEA模型为基础对2001年和2013年两个代表性年份各省份的公共教育支出效率进行评估,研究发现:我国公共教育支出效率整体水平较高,东部地区的公共教育支出效率明显高于中西部地区,但是二者的差距在逐渐缩小。建议缩小地区内教育支出效率差距、均衡东中西部发展,明确政府职能、提高公共服务供给水平,完善中央政府与地方政府间的财政转移支付,建立公共教育支出绩效评价制度。%Public education is a special public good, which has the positive social benefit and individual benefit. Based on the DEA( Data Envelopment Analysis) model, the paper evaluates the efficiency of public education ex-penditure in the provinces of the two representative years in 2001 and 2013 .Research finds that the overall level of the efficiency of public education is higher, the efficiency of public education in the eastern region is higher than that of the Midwest, but the gap between the two is gradually narrowing.It suggests that the country should narrow the area efficiency of education expenditure gap and balance the eastern, central and western development, clear government functions, improve the level of public service supply, improve fiscal transfer payment between central government and local government, establish performance evaluation system of public education expenditure.

  6. Geographic Distribution of VA Expenditures Report (GDX)

    Data.gov (United States)

    Department of Veterans Affairs — Geographic Distribution of VA Expenditures Report (GDX) located on the Expenditures page in the Expenditure Tables category. This report details VA expenditures at...

  7. On age distribution of population, government expenditure and fiscal federalism.

    Science.gov (United States)

    Echevarria, C A

    1995-08-01

    "In this paper I build a simple model to analyze the consequences that population growth imposes on the relative needs of expenditure of governments in a fiscal federalism setup. I assume, first, that some government expenditure items can be classified according to the age of their recipient individuals and, second, that different levels of government are usually assigned different expenditure programs. The implication is that, for an initially given level of effective public good provision, changes in the size of population as well as in its age structure will influence the composition of public expenditure for different layers of administration in a different manner."

  8. Catastrophic Medical Expenditure Risk

    NARCIS (Netherlands)

    G. Flores (Gabriela); O.A. O'Donnell (Owen)

    2012-01-01

    textabstractMedical expenditure risk can pose a major threat to living standards. We derive decomposable measures of catastrophic medical expenditure risk from reference-dependent utility with loss aversion. We propose a quantile regression based method of estimating risk exposure from cross-section

  9. Catastrophic Medical Expenditure Risk

    NARCIS (Netherlands)

    G. Flores (Gabriela); O.A. O'Donnell (Owen)

    2012-01-01

    textabstractMedical expenditure risk can pose a major threat to living standards. We derive decomposable measures of catastrophic medical expenditure risk from reference-dependent utility with loss aversion. We propose a quantile regression based method of estimating risk exposure from cross-section

  10. Effect of previous utilization and out-of-pocket expenditure on subsequent utilization of a state led public-private partnership scheme "Chiranjeevi Yojana" to promote facility births in Gujarat, India.

    Science.gov (United States)

    Yasobant, Sandul; Shewade, Hemant Deepak; Vora, Kranti Suresh; Annerstedt, Kristi Sidney; Isaakidis, Petros; Dholakia, Nishith B; Mavalankar, Dileep V

    2017-04-25

    In Gujarat, India, a state led public private partnership scheme to promote facility birth named Chiranjeevi Yojana (CY) was implemented in 2005. Institutional birth is provided free of cost at accredited private health facilities to women from socially disadvantaged groups (eligible women). CY has contributed in increasing facility birth and providing substantially subsidized (but not totally free) birth care; however, the retention of mothers in this scheme in subsequent child birth is unknown. Therefore, we conducted a study aimed to determine the effect of previous utilization of the scheme and previous out of pocket expenditure on subsequent child birth among multiparous eligible women in Gujarat. This was a retrospective cohort study of multiparous eligible women (after excluding abortions and births at public facility). A structured questionnaire was administered by trained research assistant to those with recent delivery between Jan and Jul 2013. Outcome of interest was CY utilization in subsequent child birth (Jan-Jul 2013). Explanatory variables included socio-demographic characteristics (including category of eligibility), pregnancy related characteristics in previous child birth, before Jan 2013, (including CY utilization, out of pocket expenditure) and type of child birth in subsequent birth. A poisson regression model was used to assess the association of factors with CY utilization in subsequent child birth. Of 997 multiparous eligible women, 289 (29%) utilized and 708 (71%) did not utilize CY in their previous child birth. Of those who utilized CY (n = 289), 182 (63%) subsequently utilized CY and 33 (11%) gave birth at home; whereas those who did not utilize CY (n = 708) had four times higher risk (40% vs. 11%) of subsequent child birth at home. In multivariable models, previous utilization of the scheme was significantly associated with subsequent utilization (adjusted Relative Risk (aRR): 2.7; 95% CI: 2.2-3.3), however previous out of pocket

  11. The Causality between Government Revenue and Government Expenditure in Iran

    OpenAIRE

    Elyasi, Yousef; Rahimi, Mohammad

    2012-01-01

    The causal relationship between government revenue and government expenditure is an important subject in public economics especially to the control of budget deficit. The purpose of this study is to investigate the relationship between government revenue and government expenditure in Iran by applying the bounds testing approach to cointegration. The results of the causality test show that there is a bidirectional causal relationship between government expenditure and revenues in both long run...

  12. Health expenditures in Latin America and the Caribbean.

    Science.gov (United States)

    Govindaraj, R; Chellaraj, G; Murray, C J

    1997-01-01

    This paper presents the results of a study commissioned by the Latin American and Caribbean Technical Department of the World Bank to document and analyze health expenditures in Latin America and the Caribbean. In 1990, the countries of this region spent US$ 69 billion on health, with an average per capita health expenditure of US$ 162. On average, the countries spent 6.2% of their GDP on health, with the expenditures divided about equally between the public and private sectors. In both the public and private sectors, per capita health expenditures were positively and significantly correlated with per capita income. However, this relationship holds only for the public sector, when health expenditures are measured as a proportion of GDP. While several poorer countries were dependent on external assistance, with increasing income, the countries relied more on public expenditures to finance health care. Based on the limited time series data, it is evident that there was a considerable variation among countries regarding the proportion spent on capital investments, primary health care, and drugs, but not on salaries. Looking ahead, with increasing economic development, the proportion of GDP spent on health, along with public health expenditure as a proportion of total health expenditure, is likely to increase rapidly, while aid dependency is likely to decline.

  13. Incremental dementia-related expenditures in a medicaid population.

    Science.gov (United States)

    Bharmal, Murtuza F; Dedhiya, Seema; Craig, Bruce A; Weiner, Michael; Rosenman, Marc; Sands, Laura P; Modi, Ankita; Doebbeling, Caroline; Thomas, Joseph

    2012-01-01

    With the growing number of older adults, understanding expenditures associated with treating medical conditions that are more prevalent among older adults is increasingly important. The objectives of this research were to estimate incremental medical encounters and incremental Medicaid expenditures associated with dementia among Indiana Medicaid recipients 40 years or older in 2004. A retrospective cohort design analyzing Indiana Medicaid administrative claims files was used. Individuals at least 40 years of age with Indiana Medicaid eligibility during 2004 were included. Patients with dementia were identified via diagnosis codes in claims files between July 2001 and December 2004. Adjusted annual incremental medical encounters and expenditures associated with dementia in 2004 were estimated using negative binomial regression and zero-inflated negative binomial regression models. A total of 18,950 individuals (13%) with dementia were identified from 145,684 who were 40 years or older. The unadjusted mean total annualized Medicaid expenditures for the cohort with dementia ($28,758) were significantly higher than the mean expenditures for the cohort without dementia ($14,609). After adjusting for covariates, Indiana Medicaid incurred annualized incremental expenditures of $9,829 per recipient with dementia. Much of the annual incremental expenditure associated with dementia was driven by the higher number of days in nursing homes and resulting nursing-home expenditures. Drug expenditures accounted for the second largest component of the incremental expenditures. On the basis of disease prevalence and per recipient annualized incremental expenditures, projected incremental annualized Indiana Medicaid spending associated with dementia for persons 40 or more years of age was $186 million. Dementia is associated with significant expenditures among Medicaid recipients. Disease management initiatives designed to reduce nursing-home use among recipients with dementia may

  14. The impact of poverty, chronic illnesses, and health insurance status on out-of-pocket health care expenditures in later life.

    Science.gov (United States)

    Kim, Jinhyun; Richardson, Virginia

    2014-10-01

    This study aims to examine poverty, chronic illnesses, health insurance, and health care expenditures, within the context of a political economy of aging perspective. Subsamples of 1,773 older adults from the Medical Expenditure Panel Survey were selected for analyses. The results showed that chronic illnesses influenced out-of-pocket health care costs. Older persons with more than one health insurance spent less on out-of-pocket health care costs. The results have implications for health care social workers concerned with the growing costs of chronic illnesses, implementing integrated care, and advocating for extending public health insurance coverage especially for our most impoverished older adults.

  15. 76 FR 36000 - Rulemaking Petition: Independent Expenditure Reporting

    Science.gov (United States)

    2011-06-21

    ... 11 CFR Part 109 Rulemaking Petition: Independent Expenditure Reporting AGENCY: Federal Election... expenditures by persons other than political committees. The Petition is available for inspection in the Commission's Public Records Office, on its website, http://www.fec.gov/fosers/ , and through its Faxline...

  16. Energy Expenditure and Intake Methods

    NARCIS (Netherlands)

    Westerterp, K.R.

    2015-01-01

    The main components of total energy expenditure are energy expenditure for maintenance or basal metabolic rate, the thermic effect of food or diet-induced energy expenditure (DEE), and the energy cost of physical activity or activity-induced energy expenditure (AEE). This chapter describes methods t

  17. Attitudes toward Education Expenditures in Japan: Comparisons with Social Security and Welfare Services Expenditures

    Science.gov (United States)

    Nakazawa, Wataru

    2015-01-01

    This paper examines people's attitudes toward public spending on education in Japan. It is well known that Japan has the smallest public education expenditure relative to GDP among the OECD countries, and this may yield unequal opportunities in education. The tax burden in Japan is small compared to those in OECD countries, and there may be no…

  18. Educational Alternatives in Food Production, Knowledge and Consumption: The Public Pedagogies of "Growing Power" and "Tsyunhehkw"[superscript caret

    Science.gov (United States)

    Walter, Pierre

    2012-01-01

    This paper examines how two sites of adult learning in the food movement create educational alternatives to the dominant U.S. food system. It further examines how these pedagogies challenge racialised, classed and gendered ideologies and practices in their aims, curricular content, and publically documented educational processes. The first case is…

  19. School Financing: Movement Toward Equality of Expenditures?

    Science.gov (United States)

    Amato, Josephine

    In this paper, the political and economic forces influencing attempts to reduce the inequalities in education expenditures are examined. Current programs for financing public education (local, State, and Federal) are compared. In general, State-local tax systems are found to be regressive and improvements are suggested. Inequitability of State aid…

  20. Under scrutiny. As public anxiety grows over health care horror stories, consumers are starting to fight back. Guess who's winning.

    Science.gov (United States)

    Bilchik, G S

    1996-05-01

    "We're getting dozens of calls every day from people who are frustrated and fed up," says one health care consumer rights advocate. The scenario is familiar: first come the horror stories, then trailblazing, media-engaging lawsuits, and finally the public learning curve starts to accelerate. Then the heat gets turned up on the government to act. That's where we're at right now. Where will we be tomorrow?

  1. Revenues and Expenditures for Public Elementary and Secondary Education: School Year 2002-03. E.D. TAB. NCES 2005-353

    Science.gov (United States)

    Hill, Jason

    2005-01-01

    The data on public elementary and secondary education in this document are collected and reported each year by the National Center for Education Statistics (NCES), U.S. Department of Education. The data are part of the "National Public Education Financial Survey" (NPEFS), one of the components of the Common Core of Data (CCD) collection…

  2. Revenues and Expenditures for Public Elementary and Secondary Education: School Year 2005-06 (Fiscal Year 2006). First Look. NCES 2008-328

    Science.gov (United States)

    Zhou, Lei

    2008-01-01

    The Common Core of Data (CCD) is an annual collection of public elementary and secondary education data administered by the National Center for Education Statistics (NCES) and its collection agent, the U.S. Census Bureau. Data for CCD surveys are provided by state education agencies (SEAs). This report presents findings on public education…

  3. Obesity and health expenditures: evidence from Australia.

    Science.gov (United States)

    Buchmueller, Thomas C; Johar, Meliyanni

    2015-04-01

    Rising rates of obesity are a public health concern in every industrialized country. This study investigates the relationship between obesity and health care expenditure in Australia, where the rate of obesity has tripled in the last three decades. Now one in four Australians is considered obese, defined as having a body mass index (BMI, kg/m(2)) of 30 or over. The analysis is based on a random sample survey of over 240,000 adults aged 45 and over that is linked at the individual-level to comprehensive administrative health care claims for the period 2006-2009. This sub-population group has an obesity rate that is nearly 30% and is a major consumer of health services. Relative to the average annual health expenditures of those with normal weight, we find that the health expenditures of those with a BMI between 30 and 35 (obese type I) are 19% higher and expenditures of those with BMI greater than 35 (obese type II/III) are 51% higher. We find large and significant differences in all types of care: inpatient, emergency department, outpatient and prescription drugs. The obesity-related health expenditures are higher for obese type I women than men, but in the obese type II/III state, obesity-related expenditures are higher for men. When we stratify further by age groups, we find that obesity has the largest impact among men over age 75 and women aged 60-74 years old. In addition, we find that obesity impacts health expenditures not only through its link to chronic diseases, but also because it increases the cost of recovery from acute health shocks.

  4. Predictors of the highest long-term care expenditures in Japan

    Directory of Open Access Journals (Sweden)

    Kashiwagi Masayo

    2011-05-01

    Full Text Available Abstract Background In Japan, as the number of elderly covered by the Long-term Care Insurance (LTCI system has increased, demand for long-term care services has increased substantially and consequently growing expenditures are threatening the sustainability of the system. Understanding the predictive factors associated with long-term care expenditures among the elderly would be useful in developing future strategies to ensure the sustainability of the system. We report a set of predictors of the highest long-term care expenditures in a cohort of elderly persons who received consecutive long-term care services during a year in a Japanese city. Methods Data were obtained from databases of the LTC insurer of City A in Japan. Binary logistic regression was used to examine the predictors of the highest long-term care expenditures. We used a simplified model that focused on the effects of disability status and type of services used, while controlling for several relevant factors. Goodness of fit, a multicollinearity test, and logistic regression diagnostics were carried out for the final model. Results The study cohort consisted of 862 current users of LTCI system in city A. After controlling for gender and income, age, increased utilization rate of benefits, decline in functional status, higher care needs level and institutional care were found to be associated with the highest LTCI expenditures. An increased utilization rate of benefits (OR = 24.2 was a strong main effect predictors of the high LTC expenditures. However, a significant interaction between institutional care and high care need level was found, providing evidence of the combined effect of the two covariates. Conclusions Beyond to confirm that disability status of elderly persons is the main factor driving the demand of LTC services and consequently the expenditures, we showed that changes in utilization rate of benefits -a specific insurance factor- and the use of institutional care

  5. The Growing Public Health Challenges of Exposure to Ultraviolet Radiation From Use of Indoor Tanning Devices in the United States.

    Science.gov (United States)

    Bowman, Diana M; Lewis, Ryan C; Lee, Maximilian S; Yao, Catherine J

    2015-08-01

    Ultraviolet radiation is recognized as a human carcinogen by the International Agency for Research on Cancer, the world's authority on cancer research. In particular, exposure to ultraviolet radiation can lead to melanoma of the skin, which is the deadliest form of skin cancer in the United States. Yet despite the significant public health burden that is associated with skin cancer in the United States, each year over a million Americans engage in indoor tanning where exposure to artificial ultraviolet radiation occurs. In this article, we argue for an immediate ban on the use of commercial indoor tanning by minors and, based on international precedents, the phasing out of all commercial tanning operations in the United States. We consider the use of indoor tanning devices in the United States, epidemiological data on indoor tanning devices and cancer, regulation of tanning devices, and scientific evidence for increased government intervention.

  6. Climate changes, environment and infection: facts, scenarios and growing awareness from the public health community within Europe.

    Science.gov (United States)

    Bezirtzoglou, Christos; Dekas, Konstantinos; Charvalos, Ekatherina

    2011-12-01

    increased exposure to ultraviolet radiation and malnutrition due to alterations in agricultural products. Different kind of incidents in Europe with extreme weather events demonstrated effects on public health. The recent outbreak of the insect-borne Chikungunya virus in Italy in 2007 is an example of the kind of new health threat that the EU must be vigilant to confront. In addition, health effects of flooding, have been related to an excess cases of leptospirosis and campylobacter enteritis. Such examples have been demonstrated reported after flooding in the Czech Republic. Similarly, an increase of cryptosporidiosis in the United Kingdom has been related to flooding. Changing vector distributions associated with tickborne encephalitis and malaria have also been demonstrated in EU. A recently reported case of malaria in Italy in June 2008, suspected to be indigenously acquired, has shown how easily malaria could be reintroduced into several countries in the region. Another case of malaria in Greece in May 2010 affecting a young man living in a forestry region was claimed at KEELPNO-the Greek Center for disease control. Would this latest case be considered closely related to the one from Italy? If yes, then Public Health Services should elaborate plans to affront possible tickborne diseases. Heat waves are important causes of mortality on mortality are important. The deaths seen in France in 2003 from a heat wave are projected to be repeated, as heat waves become more severe. However, heat waves impacts on the transmission and severity of infectious diseases have not been elucidated. Finally scientific challenges include the elucudation of climate changes and extreme weather condition impact on infection transmission and outcome, human immune system changes and infection response, outbreak scenarios, animal and plant health and public health preparedness. European action plans to affront climate changes related health and infection problems are developed by the EU

  7. Revenues and Expenditures for Public Elementary and Secondary Education: School Year 2010-11 (Fiscal Year 2011). First Look. NCES 2013-342

    Science.gov (United States)

    National Center for Education Statistics, 2013

    2013-01-01

    The Common Core of Data (CCD) is an annual collection of public elementary and secondary education data by the National Center for Education Statistics (NCES) in the Institute of Education Sciences of the U.S. Department of Education. The purpose of this report is to introduce new data through the presentation of tables containing descriptive…

  8. Revenues and Expenditures for Public Elementary and Secondary Education: School Year 2009-10 (Fiscal Year 2010). First Look. NCES 2013-305

    Science.gov (United States)

    Cornman, Stephen Q.; Young, Jumaane; Herrell, Kenneth C.

    2012-01-01

    The Common Core of Data (CCD) is an annual collection of public elementary and secondary education data by the National Center for Education Statistics (NCES) in the Institute of Education Sciences of the U.S. Department of Education. The U.S. Census Bureau conducts the data collection for the finance surveys on behalf of NCES. State education…

  9. Revenues and Expenditures for Public Elementary and Secondary Education: School Year 2007-08 (Fiscal Year 2008). First Look. NCES 2010-326

    Science.gov (United States)

    Zhou, Lei

    2010-01-01

    The Common Core of Data (CCD) is an annual collection of public elementary and secondary education data by the National Center for Education Statistics (NCES) in the Institute of Education Sciences of the U.S. Department of Education. The data are reported by state education agencies (SEAs). The finance data are reported to the U.S. Census Bureau,…

  10. Revenues and Expenditures for Public Elementary and Secondary Education: School Year 2008-09 (Fiscal Year 2009). First Look. NCES 2011-329

    Science.gov (United States)

    Johnson, Frank; Zhou, Lei; Nakamoto, Nanae

    2011-01-01

    The Common Core of Data (CCD) is an annual collection of public elementary and secondary education data by the National Center for Education Statistics (NCES) in the Institute of Education Sciences of the U.S. Department of Education. The U.S. Census Bureau conducts the data collection for the finance surveys on behalf of NCES. State education…

  11. Is Taking a Pill a Day Good for Health Expenditures? Evidence from a Cross Section Time Series Analysis of 19 OECD Countries from 1970 – 2000

    OpenAIRE

    Verbelen, Bart

    2006-01-01

    This paper differs in two ways from previous comparative health system research. First, it focuses on the impact of pharmaceutical expenditures on total health expenditures as trends in pharmaceutical expenditures have been blamed of being a major driver of national health expenditures. In addition to pharmaceutical expenditures, other variables of interest are income, public financing, public delivery, ageing and urbanization. Second, the analysis includes a thorough sensitivity analysis on ...

  12. Forecasting military expenditure

    Directory of Open Access Journals (Sweden)

    Tobias Böhmelt

    2014-05-01

    Full Text Available To what extent do frequently cited determinants of military spending allow us to predict and forecast future levels of expenditure? The authors draw on the data and specifications of a recent model on military expenditure and assess the predictive power of its variables using in-sample predictions, out-of-sample forecasts and Bayesian model averaging. To this end, this paper provides guidelines for prediction exercises in general using these three techniques. More substantially, however, the findings emphasize that previous levels of military spending as well as a country’s institutional and economic characteristics particularly improve our ability to predict future levels of investment in the military. Variables pertaining to the international security environment also matter, but seem less important. In addition, the results highlight that the updated model, which drops weak predictors, is not only more parsimonious, but also slightly more accurate than the original specification.

  13. Catastrophic medical expenditure risk.

    Science.gov (United States)

    Flores, Gabriela; O'Donnell, Owen

    2016-03-01

    We propose a measure of household exposure to particularly onerous medical expenses. The measure can be decomposed into the probability that medical expenditure exceeds a threshold, the loss due to predictably low consumption of other goods if it does and the further loss arising from the volatility of medical expenses above the threshold. Depending on the choice of threshold, the measure is consistent with a model of reference-dependent utility with loss aversion. Unlike the risk premium, the measure is only sensitive to particularly high expenses, and can identify households that expect to incur such expenses and would benefit from subsidised, but not actuarially fair, insurance. An empirical illustration using data from seven Asian countries demonstrates the importance of taking account of informal insurance and reveals clear differences in catastrophic medical expenditure risk across and within countries. In general, risk is higher among poorer, rural and chronically ill populations.

  14. Energy expenditure in caving.

    Science.gov (United States)

    Antoni, Giorgia; Marini, Elisabetta; Curreli, Nicoletta; Tuveri, Valerio; Comandini, Ornella; Cabras, Stefano; Gabba, Silvia; Madeddu, Clelia; Crisafulli, Antonio; Rinaldi, Andrea C

    2017-01-01

    The aim of this study was to determine the energy expenditure of a group of cavers of both genders and different ages and experience during a 10 hour subterranean exploration, using portable metabolimeters. The impact of caving activity on body composition and hydration were also assessed through bioelectrical impedance, and nutritional habits of cavers surveyed. During cave activity, measured total energy expenditure (TEE) was in the range 225-287 kcal/h for women-men (MET = 4.1), respectively; subjects had an energy intake from food in the range 1000-1200 kcal, thus inadequate to restore lost calories. Bayesian statistical analysis estimated the effect of predictive variables on TEE, revealing that experienced subjects had a 5% lower TEE than the less skilled ones and that women required a comparatively larger energy expenditure than men to perform the same task. BIVA (bioelectrical impedance vector analysis) showed that subjects were within the range of normal hydration before and after cave activity, but bioelectrical changes indicated a reduction of extracellular water in men, which might result in hypo-osmolal dehydration in the case of prolonged underground exercise. All these facts should be considered when planning cave explorations, preparing training programs for subjects practising caving, and optimizing a diet for cavers. Further, information gathered through this study could be of value to reduce accidents in caves related to increase in fatigue.

  15. 公共支出、居民消费与经济增长关系研究%The Research of the Relationship between Public Expenditure, Residents Consumption and Economic Growth

    Institute of Scientific and Technical Information of China (English)

    房延生

    2012-01-01

    Using the economic data from 1978-2011, the paper analyzed the relationship between the public expenditure, consumption and economic growth, and found that there was the equilibrium among the variables in the long term and the short term, but there was not causal relationship between consumption and economic growth, and the interaction relations existed in consumption. The reserch indicated that consumption has effected the economic growth insignificantly. At last , the paper put forward some suggestions on the increasing consumption and promoting economic.%以1978—2011年的经济数据为研究对象,通过分析公共支出、居民消费和经济增长的关系,发现变量之间存在长期和短期的均衡关系,但是消费与经济增长之间并不存在双向因果关系,消费内部却存在互动关系,说明当前消费活动对经济增长有一定成效,但尚不明显。基于以上结论,对提高消费、拉动经济方面提出了相关的政策建议。

  16. Examining structural breaks and growth rates in international health expenditures.

    Science.gov (United States)

    Narayan, Paresh Kumar

    2006-09-01

    Over the last decade, there has been a growing interest in examining health expenditures. In this paper, we study the behaviour of health expenditures in the G3 countries (USA, the UK, and Japan) and three European countries (the UK, Switzerland and Spain) over the period 1960-2000 from a different perspective, in that we examine: (1) whether there is a common structural break in health expenditures across the G3 and European countries; (2) whether structural breaks have slowed down health expenditure growth rates in these countries or vice versa. Our main findings are that: (1) health expenditures share a common break in both bivariate and trivariate cases, and structural breaks and break intervals suggest that either one or a combination of events (second oil price shock, the 1987 stock market crash and/or recessions) have contributed to the commonality of break in health expenditures in the G3, while the oil price shocks have been instrumental in the commonality of breaks for the European countries; (2) except for the UK, structural breaks have slowed down growth rates in health expenditures for the USA, Japan, Switzerland and Spain.

  17. Abasto, surtimiento y gasto de bolsillo en medicamentos en hospitales públicos de México en 2009 Supply prescription filling and out-of-pocket expenditures on medicines in public hospitals in Mexico in 2009

    Directory of Open Access Journals (Sweden)

    Sergio Sesma-Vázquez

    2011-01-01

    Full Text Available OBJETIVO. Analizar la disponibilidad de medicamentos en las farmacias hospitalarias, el surtimiento de prescripciones a pacientes egresados y el gasto de bolsillo en medicamentos de pacientes hospitalizados. MATERIAL Y MÉTODOS. Análisis descriptivo de la Encuesta Nacional de Satisfacción y Trato Adecuado (ENSATA de 2009 con una muestra representativa de hospitales públicos sobre disponibilidad de una lista de 83 medicamentos en el momento de la visita a la farmacia, la proporción del surtimiento de recetas a pacientes en el momento de su alta y su gasto de bolsillo durante su estancia hospitalaria. RESULTADOS. En total se entrevistó a 26 271 pacientes egresados de los 160 hospitales públicos visitados. La disponibilidad de medicamentos en el ámbito nacional fue de 82%. Los hospitales de los Servicios Estatales de Salud (SESA mostraron una disponibilidad de 77% (variación de 30 a 96%. El surtimiento completo de recetas fue de 97% en las instituciones de seguridad social, cifra que contrasta con 56.2% de los hospitales de los SESA, que además presentaron una gran varianza entre estados (13 a 94% La mediana del gasto de pacientes hospitalizados fue de 150 pesos moneda nacional (1% gastó más de 10 000 pesos. CONCLUSIONES. La falta de los medicamentos en los hospitales tiene un impacto económico en el gasto de los hogares, particularmente en aquellos que cuentan con pocos recursos, y puede aumentar la morbilidad o mortalidad de los pacientes hospitalizados en las instituciones públicas.OBJECTIVE. To analyze the availability of drugs in public hospitals, the prescription-filling patterns for in-patients when they are discharged and their out-of-pocket expenditure during their hospitalization. MATERIAL AND METHODS. Using the National Satisfaction and Responsiveness Survey (ENSATA 2009, which includes a representative sample of public hospitals in Mexico in 2009, the availability of 83 essential medicines in the hospital pharmacies at the

  18. Advertising Expenditures in the Developing World

    OpenAIRE

    Leff, Nathaniel H; John U Farley

    1980-01-01

    Relative to market size, would one expect advertising expenditures to be higher or lower in the developing countries as compared with the more developed countries? This paper discusses some features of the marketing environment in the developing countries in order to clarify some of the conceptual issues which advertising raises for optimizing marketing and public policy decisions in the LDCs. In addition, new measures of advertising intensity in less developed and more developed countries ar...

  19. Energy expenditure in women boxing.

    Science.gov (United States)

    Chatterjee, P; Banerjee, A K; Majumdar, P; Chatterjee, P

    2006-01-01

    Women boxing have got recognition recently and so far no work has been reported on energy expenditure of national women boxers in India. This study was aimed to estimate the energy expenditure in Indian female boxers during sparring. A total of 20 female boxers were subjected. Energy expenditure was estimated using the same individual's HR-VO2 regression equation. Heart rate was recorded through radiotelemetry. Results reveal that average and maximum energy expenditure considering the total duration of boxing are 12.7 +/- 1.3 and 14.4 +/- 1.6 kcal/min. It is concluded that depending on the severity of energy expenditure female boxing comes under heavy category and as it is a pioneer attempt in India, further studies in this aspect are really required which will guide the coaches regarding the energy expenditure pattern in women boxing.

  20. The Evaluation of Higher Education Expenditure Performance and Investment Mechanism Reform

    Science.gov (United States)

    Wang, De; Fu, Meiying

    2009-01-01

    Along with the reform of Chinese Government public finance, higher education belongs to the public product, gradually changes from "fund investment management" to the "expenditure performance management". The evaluation of expenditure performance system becomes the key point of higher education investment mechanism reform. This…

  1. Constrained Total Energy Expenditure and Metabolic Adaptation to Physical Activity in Adult Humans.

    Science.gov (United States)

    Pontzer, Herman; Durazo-Arvizu, Ramon; Dugas, Lara R; Plange-Rhule, Jacob; Bovet, Pascal; Forrester, Terrence E; Lambert, Estelle V; Cooper, Richard S; Schoeller, Dale A; Luke, Amy

    2016-02-08

    Current obesity prevention strategies recommend increasing daily physical activity, assuming that increased activity will lead to corresponding increases in total energy expenditure and prevent or reverse energy imbalance and weight gain [1-3]. Such Additive total energy expenditure models are supported by exercise intervention and accelerometry studies reporting positive correlations between physical activity and total energy expenditure [4] but are challenged by ecological studies in humans and other species showing that more active populations do not have higher total energy expenditure [5-8]. Here we tested a Constrained total energy expenditure model, in which total energy expenditure increases with physical activity at low activity levels but plateaus at higher activity levels as the body adapts to maintain total energy expenditure within a narrow range. We compared total energy expenditure, measured using doubly labeled water, against physical activity, measured using accelerometry, for a large (n = 332) sample of adults living in five populations [9]. After adjusting for body size and composition, total energy expenditure was positively correlated with physical activity, but the relationship was markedly stronger over the lower range of physical activity. For subjects in the upper range of physical activity, total energy expenditure plateaued, supporting a Constrained total energy expenditure model. Body fat percentage and activity intensity appear to modulate the metabolic response to physical activity. Models of energy balance employed in public health [1-3] should be revised to better reflect the constrained nature of total energy expenditure and the complex effects of physical activity on metabolic physiology.

  2. 42 CFR 436.1004 - FFP in expenditures for medical assistance for individuals who have declared United States...

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false FFP in expenditures for medical assistance for... Financial Participation (FFP) Ffp for Expenditures for Determining Eligibility and Providing Services § 436.1004 FFP in expenditures for medical assistance for individuals who have declared United...

  3. 公共财政扶贫支出绩效评价研究--基于国家扶贫重点县数据%A Study on Evaluation of the Performance of Public Expenditure on Poverty-alleviating-Based on the Data of National Key Poverty-alleviating Counties

    Institute of Scientific and Technical Information of China (English)

    张铭洪; 施宇; 李星

    2014-01-01

    The paper evaluates empirically the performance of public expenditure on poverty-alleviating with the data of nation-al key poverty-alleviating counties from the year of 2003 to 2010, then sets up the evaluation criteria based on benchmarking method. The study shows that the performance of public expenditure on poverty-alleviating has been improving in recent years, however, the driving effect and expenditure structure of public funds need to be improved urgently. Meanwhile, great efforts should be put on improvement of housing,health and education conditions,and enhancement of the poverty groups’ability to get out of poverty by themselves in poor regions.%文章运用2003-2010年国家扶贫工作重点县数据,实证评价了公共财政扶贫支出绩效,并基于标杆管理思想设置了评价标准。研究发现,近年来公共财政扶贫支出绩效基本呈持续上升趋势,但是在财政资金带动和配置结构方面亟需改进,同时应大力改善贫困地区住房、医疗和教育条件,并提高扶贫对象的自我脱贫能力。

  4. Accelerating the Transformation of Public Expenditure to Enhance the Consumption Driving Force of the Economic Growth in Jiangsu%加快推进公共支出转型增强江苏经济增长消费驱动力

    Institute of Scientific and Technical Information of China (English)

    刘东皇; 孟范昆

    2013-01-01

      投资和出口在江苏经济增长过程中扮演着特别重要角色,而消费对经济增长的驱动作用在持续下降。作为影响居民消费的重要因素,江苏的公共支出并未对城乡居民消费产生挤入效应。江苏公共支出转型总体上符合经济发展方式转变的要求,但也存在相关的问题。因此,应加快推进公共支出转型,增强江苏经济增长的消费驱动力。%  Investment and export played a very important role in Jiangsu′s economic growth process , but consumption driving force is declining .Public expenditure is an important factor affecting consumption , but it does not produce crow-ding-in effect on consumption of urban and rural residents in Jiangsu .Overall the transformation of public expenditure in Jiangsu is in line with the requirements of the economic development pattern , but there are related problems .There-fore, we should accelerate the transformation of public expenditure to enhance the consumption driving force of the eco -nomic growth in Jiangsu .

  5. Drugs and Health Care Expenditure on the Aging Population.

    Science.gov (United States)

    Marešová, Petra; Mohelská, Hana; Kuča, Kamil

    2015-11-01

    The aim of this article is to identify the main factors that affect future trends in healthcare expenditures from the perspective of the anticipated ageing of the population. Attention shall be focused on the elderly demography, the inhabitants’ pensions and their expenditures on drugs. The article also shows the results of acase study concerning the use of particular types of drugs by elderly people in the Czech Republic and in European union. For the purpose of this article, Iemployed aliterature search method that uses available sources describing the determinants of public healthcare expenditure and the use of selected types of drugs by the ageing population. The current situation in EU Member Countries is addressed through an analysis of public expenditure using data from public databases, such as Eurostat or OECD. The types of drugs designed for the ageing population are focused on the Czech Republic. It follows from the executed analysis that the basic determinants of public healthcare expenditure are the demographic structure, income, the legislative conditions and productivity. The aim of effective public health care spending should not only be to achieve ahigher age, but also to enable the inhabitants to prolong the period of their work productivity and self-sufficiency. Aging population defines market opportunities open to companies from various sectors.

  6. Geographic Distribution of VA Expenditures Report FY2015

    Data.gov (United States)

    Department of Veterans Affairs — Geographic Distribution of VA Expenditures Report (GDX) located on the Expenditures page in the Expenditure Tables category. This report details VA expenditures at...

  7. Hypertension-associated expenditures for medication among US adults.

    Science.gov (United States)

    Wang, Guijing; Yan, Lili; Ayala, Carma; George, Mary G; Fang, Jing

    2013-11-01

    We sought to estimate how much the presence of hypertension adds to annual per capita and total expenditures for medication among US adults. The sample included 21,782 civilian noninstitutionalized adults aged ≥ 18 years who participated in the 2007 Medical Expenditure Panel Survey. Hypertension was defined as having a diagnosis of high blood pressure (except during pregnancy) or taking a blood pressure medication. We used a 2-part model to examine all-cause medication expenditure associated with hypertension. The prevalence of hypertension was 32.2%. Overall, 66.7% of adults purchased prescribed medications, with this proportion higher among hypertensive (93.0%) than normotensive (54.4%) adults (P Hypertensive adults were more likely to have medication expenditures than were normotensive adults (odds ratio (OR) = 6.42; P hypertensive adults, those aged ≥ 45 years were more likely to incur medication expenditure than those aged 18-44 years (OR = 3.00, P hypertensive persons ($2,337) than normotensive persons ($827). Hypertension-associated expenditures for medication were estimated at $68 billion in the US civilian non-institutionalized population in 2007. The presence of hypertension among US adults is associated with an increase of all-cause expenditures for medication, with this increase varying across groups by age and sex. © Published by Oxford University Press on behalf of American Journal of Hypertension Ltd 2013. This work is written by (a) US Government employees(s) and is in the public domain in the US.

  8. Financiamento e gasto público da educação básica no Brasil e comparações com alguns países da OCDE e América Latina Public funding and expenditures on basic education in Brazil and comparisons with some OECD and Latin American countries

    Directory of Open Access Journals (Sweden)

    Jorge Abrahão

    2005-10-01

    Full Text Available O artigo aborda o financiamento e gasto público voltados à educação básica no Brasil e de alguns países da Organização de Cooperação para o Desenvolvimento Econômico (OCDE e América Latina, de forma a se ter um quadro comparativo. Para isso, mostram-se a atual estrutura de financiamento da educação brasileira e seus principais problemas e os dados do gasto público na área de educação no período de 1995 a 2002. Além disso, apresentam-se dados e indicadores de financiamento e gasto público na área de educação para o Brasil em comparação com alguns países que participam da OCDE e da América Latina.This paper looks into public funding and expenditures directed to Basic Education in Brazil and some countries of the Organization for Economic Co-operation Development (OCDE and Latin America, so as to build a comparative situation of expenditures. It thus presents the current funding structure of the Brazilian educational system and its main problems as well as data of public expenditures on education between 1995- 002. Moreover, these data and indicators of public funding and expenditures on education in Brazil are contrasted with those of some OCDE and Latin American countries.

  9. Methodological Problems Of Statistical Study Of Regional Tourism And Tourist Expenditure

    Directory of Open Access Journals (Sweden)

    Anton Olegovich Ovcharov

    2015-03-01

    Full Text Available The aim of the work is the analysis of the problems of regional tourism statistics. The subject of the research is the tourism expenditure, the specificity of their recording and modeling. The methods of statistical observation and factor analysis are used. The article shows the features and directions of statistical methodology of tourism. A brief review of international publications on statistical studies of tourist expenditure is made. It summarizes the data from different statistical forms and shows the positive and negative trends in the development of tourism in Russia. It is concluded that the tourist industry in Russia is focused on outbound tourism rather than on inbound or internal. The features of statistical accounting and statistical analysis of tourism expenditure in Russian and international statistics are described. To assess the level of development of regional tourism the necessity of use the coefficient of efficiency of tourism. The reasons of the prevalence of imports over exports of tourism services are revealed using the data of the balance of payments. This is due to the raw material orientation of Russian exports and low specific weight of the account “Services” in the structure of the balance of payments. The additive model is also proposed in the paper. It describes the influence of three factors on the changes in tourist expenditure. These factors are the number of trips, the cost of a trip and structural changes in destinations and travel purposes. On the basis of the data from 2012–2013 we estimate the force and the direction of the influence of each factor. Testing of the model showed that the increase in tourism exports caused by the combined positive impact of all three factors, chief of which is the growing number of foreigners who visited Russia during the concerned period.

  10. Expenditures for Early Intervention Services

    Science.gov (United States)

    Hebbeler, Kathleen; Levin, Jesse; Perez, Maria; Lam, Irene; Chambers, Jay G.

    2009-01-01

    What does it cost to provide early intervention services? Data collected as part of the National Early Intervention Longitudinal Study were used to determine expenditures for infants, toddlers, and their families receiving services through Part C programs. The study found that the national average total expenditure for early intervention services…

  11. 教育财政分权与基础教育公共支出结构偏向%Relationship between Fiscal Decentralization in Education and Distortion of Public Expenditure Composition in Basic Education

    Institute of Scientific and Technical Information of China (English)

    柏檀; 周德群; 王水娟

    2015-01-01

    实行“地方为主、分级管理”的分权管理和以“普及九年制义务教育”为“重中之重”是我国基础教育管理体制的核心特征。本文在此背景下,运用公共经济学中关于财政分权、标尺竞争与公共支出结构偏向的相关性研究的理论和方法,探讨了学前教育投入不足的制度原因。通过构造教育财政分权指标、并基于1998年-2010年的省级面板数据,证明重心偏下的基础教育财政分权制度以及对“普九”政绩考核的标尺竞争,在公共支出结构上造就了地方教育部门“重义务教育、轻学前教育”的严重偏向,这是导致“入园难、入园贵”问题的制度诱因。%China’s basic education administration system has two unique characteristics:delegating fiscal responsibilities to local authorities and giving top priority to making the nine-year compulsory ed-ucation universal.This paper applies the theories of fiscal decentralization,yardstick competition,and public expenditure composition bias to explore reasons for the shrinkage of public investment in pre-school education.By constructing educational fiscal decentralization indicators,and based on provincial panel data from 1 998 to 2010,this empirical study finds that excessive fiscal decentralization in basic ed-ucation and the yardstick competition for higher performance evaluation in nine-year compulsory educa-tion induced local governments'inclination to emphasize primary education investment and neglect pre-school education investment.

  12. 我国公共教育支出与经济增长关系的实证分析——基于财政性教育支出的视角%Empirical Analysis on the Relationship between Public Education Expenditure and Economic Increase——Based on an Empirical Analysis in the Government Appropriation for Education

    Institute of Scientific and Technical Information of China (English)

    李莹

    2011-01-01

    Public expenditure on education is an important aspect of the financial expenditures,which has certain contribution amount in the growth of national econmy,and scholars at home and abroad made a lot of research on the relationship between education and economic growth.In this paper we analyse the relationship between education and economic growth and make policy recommendations on the status of public expenditure on education by upbuilding the regression model of government appropriation for education and GDP.%公共教育支出是财政支出的一个重要方面,在经济增长中占有一定的贡献额,国内外学者对教育支出与经济增长之间的关系作了很多研究。本文通过建立财政性教育经费与国内生产总值之间的计量回归模型,对教育支出与经济增长之间的关系进行实证分析,并针对我国公共教育支出的现状提出一些政策建议。

  13. European healthcare policies for controlling drug expenditure.

    Science.gov (United States)

    Ess, Silvia M; Schneeweiss, Sebastian; Szucs, Thomas D

    2003-01-01

    In the last 20 years, expenditures on pharmaceuticals - as well as total health expenditures - have grown faster than the gross national product in all European countries. The aim of this paper was to review policies that European governments apply to reduce or at least slow down public expenditure on pharmaceutical products. Such policies can target the industry, the wholesalers and retailers, prescribers, and patients. The objectives of pharmaceutical policies are multidimensional and must take into account issues relating to public health, public expenditure and industrial incentives. Both price levels and consumption patterns determine the level of total drug expenditure in a particular country, and both factors vary greatly across countries. Licensing and pricing policies intend to influence the supply side. Three types of pricing policies can be recognised: product price control, reference pricing and profit control. Profit control is mainly used in the UK. Reference pricing systems were first used in Germany and The Netherlands and are being considered in other countries. Product price control is still the most common method for establishing the price of drugs. For the aim of fiscal consolidation, price-freeze and price-cut measures have been frequently used in the 1980s and 1990s. They have affected all types of schemes. For drug wholesalers and retailers, most governments have defined profit margins. The differences in price levels as well as the introduction of a Single European Pharmaceutical Market has led to the phenomenon of parallel imports among member countries of the European Union. This may be facilitated by larger and more powerful wholesalers and the vertical integration between wholesalers and retailers. To control costs, the use of generic drugs is encouraged in most countries, but only few countries allow pharmacists to substitute generic drugs for proprietary brands. Various interventions are used to reduce the patients' demand for drugs by

  14. 45 CFR 264.77 - How will we determine if a State met its Contingency Fund expenditure requirements?

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 2 2010-10-01 2010-10-01 false How will we determine if a State met its Contingency Fund expenditure requirements? 264.77 Section 264.77 Public Welfare Regulations Relating to Public... Contingency Fund? § 264.77 How will we determine if a State met its Contingency Fund expenditure requirements...

  15. Tightening the rules for local expenditure in Denmark

    DEFF Research Database (Denmark)

    Sørensen, Eva Moll

    , historical institutionalism is supplemented with rationalist and sociological variants. Methodologically, the paper is based on a case study of central-local government relations in Denmark with variation on the time dimension. The empirical data consist of policy documents, legal documents and qualitative......In Denmark, local governments spend over half of public budgets, and they also have high levels of financial discretion. This poses a challenge to macro-economic governance because expenditure and taxing decisions taken at the local level are decisive to the development of total public expenditure....... For decades, this challenge has been handled through agreements between the government and the local government associations containing collective targets for local expenditure and taxing. These agreements are handled in an institutional arrangement known as the ‘budgetary cooperation’. This arrangement...

  16. Tax Expenditures: A Theoretical Review

    Directory of Open Access Journals (Sweden)

    Vjekoslav Bratić

    2006-06-01

    Full Text Available Tax expenditures are an instrument frequently used when a government wishes to achieve certain economic and social effects. But because of the increasing number and scope of tax expenditures, their proper use, quality of administration and record-keeping have become a major challenge for the tax authorities and the whole of the government. The article considers and explains very diverse forms of tax expenditure such as reliefs, tax deductions, tax allowances, tax exceptions and special rates of taxation and the ways in which they are defined and calculated. The key problems in the analysis are the absence of a single definition and of methodology for the calculations; these ultimately make it impossible to compare tax expenditures between or among countries.

  17. Energy Expenditure associated with the use of neighborhood parks in 2 cities

    Science.gov (United States)

    Luis J. Suau; Myron F. Floyd; John O. Spengler; Jay E. Maddock; Paul H. Gobster

    2012-01-01

    Context: Availability of public neighborhood parks is associated with physical activity. Little is known about how parks contribute to population energy balance. Purpose: This study estimated energy expenditure associated with the use of neighborhood parks and compared energy expenditure by activity areas within parks and by neighborhood race/ethnicity and income....

  18. Thermal-Work Strain and Energy Expenditure during Marine Rifle Squad Operations in Afghanistan (August 2013)

    Science.gov (United States)

    2015-08-10

    TECHNICAL REPORT NO. T15-7 DATE August 2015 ADA THERMAL-WORK STRAIN AND ENERGY EXPENDITURE ...USARIEM TECHNICAL REPORT T15-7 THERMAL-WORK STRAIN AND ENERGY EXPENDITURE DURING MARINE RIFLE SQUAD OPERATIONS IN AFGHANISTAN...0704-0188 The public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for

  19. Political parties, institutions, and the dynamics of social expenditure in times of austerity

    NARCIS (Netherlands)

    Kittel, B.; Obinger, H.

    2003-01-01

    The containment of social expenditure growth has been a core issue of public policy in advanced industrial countries since the 1980s and has received much academic attention. Among the most extensively discussed explanatory factors of social expenditure are partisan politics and political

  20. 42 CFR 457.622 - Rate of FFP for State expenditures.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false Rate of FFP for State expenditures. 457.622 Section... Payments to States § 457.622 Rate of FFP for State expenditures. (a) Basis. Sections 1905(b), 2105(a) and... child health assistance plan. In general, FFP for administration under title XXI is not available...

  1. Higher Education Expenditures and State Balanced Budget Requirements: Is There a Relationship?

    Science.gov (United States)

    Serna, Gabriel R.; Harris, Gretchen

    2014-01-01

    While recent research has shown that restrictive state fiscal policies, such as tax and expenditure limitations (TELs), matter for state spending to public higher education, no study has examined the impacts that other restrictive state fiscal policies might have on expenditures to this same sector. In this analysis we examine the relationship…

  2. The Effect of Corruption on Government Expenditure Allocation in OECD Countries

    Directory of Open Access Journals (Sweden)

    Ondřej Jajkowicz

    2015-01-01

    Full Text Available This paper empirically examines the effect of corruption on the allocation of government expenditures by function. Equations using pooled panel dataset for 21 OECD countries between 1998 and 2011 were tested, and the findings show that government expenditure on defense and general public services increase, while government expenditures on education, health, recreation, culture and religion decline with higher levels of corruption. This paper presents new results and new evidence on the link between corruption and allocation of government expenditures in OECD countries.

  3. Growing Pains

    CERN Multimedia

    Katarina Anthony

    2013-01-01

    Heat expands and cold contracts: it’s a simple thermodynamic rule. But when temperatures swing from 300 K to near-absolute zero, this rule can mean a contraction of more than 80 metres across the LHC’s 27-km-long cryogenic system. Keeping this growth in check are compensators (a.k.a. bellows), which shrink and stretch in response to thermodynamic changes. Leak tests and X-rays now underway in the tunnel have revealed that these “joints” might be suffering from growing pains…   This 25-μm weld crack is thought to be the cause of the helium leaks. Prior to the LS1 warm-up, CERN’s cryogenic experts knew of two points in the machine’s cryogenic distribution system that were leaking helium. Fortunately, these leaks were sufficiently small, confined to known sub-sectors of the cryogenic line and – with help from the vacuum team (TE-VSC) – could easily be compensated for. But as the machine warmed up f...

  4. The Public Service of Jiangxi Province under the Perspective of Financial Revenue and Expenditure---Based on the Analysis of EG Two-step Method and Error Correction Model%财政收支视角下的江西公共服务--基于EG两步法和误差修正模型分析

    Institute of Scientific and Technical Information of China (English)

    钟理宏; 许莉; 周东良

    2015-01-01

    The long-run equilibrium relationship between revenues and expenditures affects the citizens enjoy the welfare of public services. We use of EG two-step method to inspect whether there is long-term equilibrium relationship between the revenue and expenditure in Jiangxi province between 1978-2012 ,and combine with the error correction model to analyze the short-term and long-term relationship between revenue and expenditure. The empirical results show that:there is really a long-run equilibrium relationship between the revenue and expendi-ture,when short -term fluctuations deviate from long -run equilibrium,the error correction term will adjust by 0. 337007 in contrast in order to pull the non-equilibrium to equilibrium. Granger causality test finds that the ex-penditure is the Granger causality of revenue,in other words,expenditure acting on public services can drive the growth of national economy,to some extent,it can bring increased revenue.%财政收支的长期均衡关系影响到公民享受公共服务的福利。通过运用EG两步法检验江西省1978-2012年间财政收支之间是否存在长期均衡关系,结合误差修正模型分析江西省财政收支的短期和长期关系。实证结果表明:江西省财政收支存在长期均衡关系,当短期波动偏离长期均衡时,误差修正项以0.337007的力度进行反向调整,使得非均衡状态向均衡状态回复。进行格兰杰因果关系检验,发现江西财政支出是财政收入的格兰杰因果关系,说明作用于公共服务上的财政支出能够带动国民经济的增长,在一定程度上带来财政收入的增加。

  5. The relation and development of expenditure inequality and income inequality of Czech households

    Directory of Open Access Journals (Sweden)

    Malá Zdeňka

    2012-01-01

    Full Text Available The paper focuses on an analysis of income inequality and expenditure inequality of households in the Czech Republic for the period 2001 - 2009, based on data from the Statistics of Family Accounts. The basic methodological tool is the Gini coefficient and its decomposition according to individual categories of consumer expenditure. The conducted research reaches the conclusion that income inequality is higher than inequality in consumer expenditure, and income inequality for the analyzed period is growing at a higher rate than expenditure inequality. Tax-transfer tools effectively eliminate income inequality, but nevertheless inequality of disposable income exceeds the inequality of net monetary expenditure. As regards the mutual relationship of income inequality and expenditure inequality, expenditure inequality within a period of economic growth and boom copied the course of income inequality, while within a period of economic decline and recession both inequalities showed a completely different development. The main determinant affecting income inequality may be considered to be non-consumer expenditure, particularly expenditure for the acquisition of real estate.

  6. PROFITABILITY OF INCREMENTAL EXPENDITURE ON FIBRE PROMOTION

    OpenAIRE

    Hill, Debbie J.; Piggott, Roley R.; Griffith, Garry R.

    1996-01-01

    In this paper the impact of changes in wool promotion expenditure and changes in expenditure on the promotion of competing fibres are examined using an equilibrium displacement model. The emphasis is on examining impacts on producer profits net of promotion expenditure and on benefit-cost ratios measuring changes in producer surplus relative to changes in promotion expenditure. It was found, for example, that incremental expenditure on apparel wool promotion on the domestic market is unprofit...

  7. 17 CFR 256.188 - Research, development, or demonstration expenditures.

    Science.gov (United States)

    2010-04-01

    ... 17 Commodity and Securities Exchanges 3 2010-04-01 2010-04-01 false Research, development, or... COMPANIES, PUBLIC UTILITY HOLDING COMPANY ACT OF 1935 4. Deferred Debits § 256.188 Research, development, or... of all expenditures for research, development or demonstration undertaken by or sponsored through the...

  8. Growing Concerns With Workplace Incivility.

    Science.gov (United States)

    Collins, Natasha Renee; Rogers, Bonnie

    2017-07-01

    Workplace incivility (WPI) is a growing issue across all public and private sectors. Occupational and environmental health nurses can educate employees and management about WPI, its risk factors and characteristics, and ways to reduce incidents of WPI.

  9. Sexual inactivity and sexual satisfaction among women living with HIV in Canada in the context of growing social, legal and public health surveillance

    Directory of Open Access Journals (Sweden)

    Angela Kaida

    2015-12-01

    Full Text Available Introduction: Women represent nearly one-quarter of the 71,300 people living with HIV in Canada. Within a context of widespread HIV-related stigma and discrimination and on-going risks to HIV disclosure, little is known about the influence of growing social, legal and public health surveillance of HIV on sexual activity and satisfaction of women living with HIV (WLWH. Methods: We analyzed baseline cross-sectional survey data for WLWH (≥16 years, self-identifying as women enrolled in the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS, a multisite, longitudinal, community-based research study in British Columbia (BC, Ontario (ON and Quebec (QC. Sexual inactivity was defined as no consensual sex (oral or penetrative in the prior six months, excluding recently postpartum women (≤6 months. Satisfaction was assessed using an item from the Sexual Satisfaction Scale for Women. Multivariable logistic regression analysis examined independent correlates of sexual inactivity. Results: Of 1213 participants (26% BC, 50% ON, 24% QC, median age was 43 years (IQR: 35, 50. 23% identified as Aboriginal, 28% as African, Caribbean and Black, 41% as White and 8% as other ethnicities. Heterosexual orientation was reported by 87% of participants and LGBTQ by 13%. In total, 82% were currently taking antiretroviral therapy (ART, and 77% reported an undetectable viral load (VL<40 copies/mL. Overall, 49% were sexually inactive and 64% reported being satisfied with their current sex lives, including 49% of sexually inactive and 79% of sexually active women (p<0.001. Sexually inactive women had significantly higher odds of being older (AOR=1.06 per year increase; 95% CI=1.05–1.08, not being in a marital or committed relationship (AOR=4.34; 95% CI=3.13–5.88, having an annual household income below $20,000 CAD (AOR: 1.44; 95% CI=1.08–1.92, and reporting high (vs. low HIV-related stigma (AOR=1.81; 95% CI=1.09–3.03. No independent

  10. The burden of abdominal obesity with physical inactivity on health expenditure in Brazil

    Directory of Open Access Journals (Sweden)

    Jamile S. Codogno

    2015-03-01

    Full Text Available The purpose of this study was to analyze the association between the clustering of physical inactivity with abdominal obesity and public health care expenditure in Brazilian adults. The sample was composed of 963 patients of both genders, randomly selected in the Brazilian Public Health care System during 2010. Entire health care expenditures during the last year were computed and stratified into: medical consultations, medication dispensing, laboratory tests and overall expenditure. Waist circumference was used to diagnose abdominal obesity and physical activity was assessed by previously validated questionnaire. Sedentary and abdominally obese patients (OR= 3.01 [OR95%CI= 1.81-4.99] had higher likelihood be inserted in the group of higher expenditures than only abdominally obese patients (OR= 1.66 [OR95%CI= 1.07-2.59]. There is a synergic effect between abdominal obesity and physical inactivity on overall health care expenditures.

  11. 中国共享式经济增长实证研究——基于公共支出、部门效应和政府治理的分析%Empirical Study on Inclusive Growth in China: Analysis Based on Public Expenditure, Sector Effects and Government Governance

    Institute of Scientific and Technical Information of China (English)

    卢现祥; 徐俊武

    2012-01-01

    Firstly, this paper constructs inclusive growth index based on multidimensional poverty index and employs indices concerning public expenditure, government governance and sector effects to study inclusive growth. Then it analyzes the short-term and long-term determinants of inclusive growth through co-integration model and error correction model, and focuses on the effects of sector public expenditure on inclusive growth. It shows that the economic growth in China from 1978 to 2008 is featured by inclusiveness as a whole, but the inclusive degree is low in most years. In the long run,the effect of public expenditure on PEG is the largest; in the short run, general government expenditure and government scale have significantly negative effects on the degree of inclusive growth.%文章首先基于多维贫困指标SHPI构建了共享式增长指数PEG,然后运用公共支出、政府治理水平和部门效应三个方面的指标来考察共享式增长。文章具体通过协整和误差修正模型分析了长期和短期影响共享式增长的主要因素及其调整机制,并在此基础上重点估计了各部门公共支出对共享式增长的影响。文章发现1978—2008年中国经济增长总体上具有共享性,但是大部分年份的共享程度较低。长期内,在公共支出、部门效应和政府治理水平三大类因素中公共支出方面的三个变量对PEG的影响最大。短期内,政府一般性支出和政府规模对共享式增长程度有非常显著的消极影响。

  12. Equity and Justice of Public Social Expenditure --Based on a Benefit Incidence Analysis in Zhejiang Province%民生支出的公平正义性分析——基于浙江各县教育和卫生支出的分析

    Institute of Scientific and Technical Information of China (English)

    赵海利

    2012-01-01

    文章基于1997~2008年浙江省教育支出和卫生支出的受益归宿分析表明,民生支出的最大受益者为人均收入最高地区居民,最大受损者为人均收入次低地区居民,民生支出具有累进性,距离公平正义的政策初衷仍有一定差距。但是,如果考虑不同收入组别生活成本、支出需求的差异,民生支出的公平程度将有所提高。通过建立因素法转移支付制度,提高民生支出比重,可以进一步提高民生支出的公平正义水平。%Using the benefit incidence analysis method and data from Zhejiang Province collected between 1997 and 2008, we analyze the equity and justice of public social expenditure, taking education and health as exam- pies. It shows that the biggest beneficiaries are the richest ,while the greatest losers are the second poorest. Social expenditure is progressive,although there is still a certain gap with objective equity and justice. Considering the difference in living costs and the expenditure demand, equity and justice will increase. To improve the level of equity and justice,we should establish a transfer payment system and increase public social spending as a proportion of government spending.

  13. Incremental health expenditure and lost days of normal activity for individuals with mental disorders: results from the São Paulo Megacity Study.

    Science.gov (United States)

    Chiavegatto Filho, Alexandre Dias Porto; Wang, Yuan-Pang; Campino, Antonio Carlos Coelho; Malik, Ana Maria; Viana, Maria Carmen; Andrade, Laura Helena

    2015-08-05

    diseases found by the study (hypertension and diabetes). The fact that individuals with mental disorders had a consistent higher health expenditure is notable given the fact that Brazil has a universal free-of-charge healthcare and medication system. The results highlight the growing importance of mental disorders as a public health issue for developing countries.

  14. The Impact of China’s Fiscal Expenditure in Agriculture on Farmer’s Income

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Based on the account of the vital role which the national finance played in supporting agriculture,the thesis presents the current situation of financial support for agriculture in China,in terms of the limited scale and irrational structure of financial support expenditure in agriculture.On the basis of the brief introduction of the current level of Chinese farmers’ income,the thesis discusses the effects of scale and irrational structure of financial support expenditure in agriculture on the farmers’ income,according to the related data of financial support expenditure in agriculture and rural per capita net income.The results indicate that the calculating regression equation has a remarkable explanation power,reflecting the positive role of financial support expenditure in agriculture played by national finance in increasing the farmers’ income.As regards the structure of financial support expenditure in agriculture at present,according to the proportion from high to low,the expenditure primarily consists of three parts from high to low in sequence as follows:productive expenditure and funds for public undertakings,capital construction expenditure,and rural relief expenditure plus science and technology funds.Such sequence deviates from the marginal production effects of financial support expenditure in agriculture and the correlation of farmers’ income,which demonstrates the severe irrationality of the structure of financial support expenditure in agriculture.Corresponding countermeasures are put forward as follows:on one hand,we should continue intensifying the efforts to support agriculture financially in order to form a regular increase mechanism;on the other hand,we should adjust and optimize the structure of financial support expenditure in agriculture,and further crystallize the investment flows.

  15. Pollution Abatement and Control Expenditures Survey (PACE)

    Data.gov (United States)

    U.S. Environmental Protection Agency — The Pollution Abatement Costs and Expenditures (PACE) survey is the most comprehensive national source of pollution abatement costs and expenditures related to...

  16. Pacific Marine Recreational Fishing Expenditure Survey 2000

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — A series of expenditure surveys have been done both regionally and nationally. This data pertains to the West coast states . Expenditures on trips by mode (for-hire,...

  17. Southeast Marine Recreational Fishing Expenditure Survey 1999

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — A series of expenditure surveys have been done both regionally and nationally. Expenditures on trips by mode (for-hire, private boat, and shore) were collected for...

  18. 78 FR 54796 - Research Expenditures

    Science.gov (United States)

    2013-09-06

    ... Internal Revenue Service 26 CFR Part 1 RIN 1545-BE64 Research Expenditures AGENCY: Internal Revenue Service... section 174 of the Internal Revenue Code (Code). In particular, these proposed regulations provide... property, including pilot models. The regulations will affect taxpayers engaged in research...

  19. Knowledge grows when shared

    DEFF Research Database (Denmark)

    Elbæk, Mikael Karstensen

    2010-01-01

    Knowledge is one of the few commodities that don’t devalue when used. Actually knowledge grows when shared and the free online access to peer-reviewed scientific publications is a potent ingredient the process of sharing. The sharing of knowledge is facilitated by the Open Access Movement. However...... infrastructure for Open Access was launched in Ghent, Belgium. This project and initiative is facilitating the success of the Open Access Pilot in FP7 as presented earlier in this journal. In this brief article I will present some of the most interesting issues that were discussed during the first session...

  20. Growing Old in Exile

    DEFF Research Database (Denmark)

    Liversage, Anika; Mirdal, Gretty Mizrahi

    2017-01-01

    Some studies on immigrants and ageing focus on the question of return; others focus on how immigrants, who grow old in their countries of destination, ‘age in place’, including whether they turn to their children or to public host country provisions for care and support. However, the issues...... of return and of ageing in place may both hold significance in individual immigrants’ lives. To investigate the changing expectations of old age throughout the life course, this paper draws on longitudinal interviews with immigrant women from Turkey who live in Denmark. We focus on the function of proximity...

  1. Social Welfare Expenditures and Infant Mortality.

    Science.gov (United States)

    Shim, Joyce

    2015-01-01

    This study examines the effects of social welfare expenditures on infant mortality (deaths younger than age 1 per 1,000 live births) across 19 Organisation for Economic Co-operation and Development (OECD) countries from 1980 to 2010. Data are obtained from various sources including the OECD, World Health Organization, and World Bank. The findings indicate that among three social welfare expenditure measures for families, the expenditures on family cash allowances are predicted to reduce infant mortality. However, the other two measures-the expenditures on parental and maternity leave and expenditures on family services-have no significant effects on infant mortality.

  2. 宏观税负、公共支出结构与个人主观幸福感兼论“政府转型”%Macro-Tax Burden, Public Expenditure Structure and People’s Subjective Well-Being:On the Chinese Government Transformation

    Institute of Scientific and Technical Information of China (English)

    谢舜; 魏万青; 周少君

    2012-01-01

    本文利用CGSS2006数据库,对政府转型下的宏观税负、民生财政支出和地区收入差距等与个人主观幸福感的关系进行实证检验后发现:(1)宏观税负对居民主观幸福感有显著负影响;(2)总体而言,政府公共支出增进了居民的主观幸福感;(3)从公共支出结构看,地方政府基建投资对于城镇居民的主观幸福感有显著负效应,政府用于科教文卫和社会保障的支出对居民的主观幸福感有显著正效应;(4)科教文卫支出与社会保障支出对市民与外来人员幸福感的影响存在显著差异。%People’s subjective well-being (SWB) is a key indicator when evaluating whether social and economic policies are successful or not. The open policy and reform have been in practice for more than 30 years now, China’s economy has sustained rapid growth, and people’s incomes are on continuous rise. Economic growth is supposed to enhance the SWB of people. However, people do not feel the expected happiness due to many social phenomena of the transition period. That economic development and citizen’s SWB are not related, and even reversely related, is a common problem in the current urban economic and social development in China. A meaningful topic worth discussion is how the government can promote SWB of its people. With the national data from CGSS2006 of the macro-tax burden, public expenditure, local governments’ revenue disparities, and people’s SWB, this study empirically tested their relationships. It was found that: (1) macro-tax burden had a significant negative impact on people’s SWB; (2) overall, public spending was positive correlated with SWB; (3) in the area of public spending, local governments’ infrastructural investment negative correlated with SWB, whereas their investments in science, education and social security positively correlated with SWB; and (4) expenditures on science, education and social security had different impact

  3. Political Opinion and the Trends in Romanian Government Expenditures

    Directory of Open Access Journals (Sweden)

    Cosmin Gabriel MARIAN

    2016-06-01

    Full Text Available A critical question for citizen deliberation is whether the country expends the right amount of public funds, allocated in the right proportions across the various substantive tasks of the government. Romania shows clear linear expenditure trends over time, largely independent of the government or political party in power. The Median Voter Theorem suggests that this might be an anticipated and legitimate democratic outcome given the incentive for politicians to follow movements in majority opinion or else risk electoral defeat. Yet the theorem, we discover, does not succeed in explaining the direction of Romanian budget trends. This paper examines post-revolution Romanian national government expenditures, compared to the preferences expressed by Romanian citizens as best we can determine from available public opinion polls. The finding, despite limited data, is that government spending and popular preferences show little correspondence, indicating possible problems regarding democratic responsiveness.

  4. Cumulative expenditures under the DI, SSI, Medicare, and Medicaid programs for a cohort of disabled working-age adults.

    Science.gov (United States)

    Riley, Gerald F; Rupp, Kalman

    2015-04-01

    To estimate cumulative DI, SSI, Medicare, and Medicaid expenditures from initial disability benefit award to death or age 65. Administrative records for a cohort of new CY2000 DI and SSI awardees aged 18-64. Actual expenditures were obtained for 2000-2006/7. Subsequent expenditures were simulated using a regression-adjusted Markov process to assign individuals to annual disability benefit coverage states. Program expenditures were simulated conditional on assigned benefit coverage status. Estimates reflect present value of expenditures at initial award in 2000 and are expressed in constant 2012 dollars. Expenditure estimates were also updated to reflect benefit levels and characteristics of new awardees in 2012. We matched records for a 10 percent nationally representative sample. Overall average cumulative expenditures are $292,401 through death or age 65, with 51.4 percent for cash benefits and 48.6 percent for health care. Expenditures are about twice the average for individuals first awarded benefits at age 18-30. Overall average expenditures increased by 10 percent when updated for a simulated 2012 cohort. Data on cumulative expenditures, especially combined across programs, are useful for evaluating the long-term payoff of investments designed to modify entry to and exit from the disability rolls. Published 2014. This article is a U.S. Government work and is in the public domain in the USA.

  5. PUBLIC DEBT SUSTAINABILITY ANALYSIS: EU CASE

    National Research Council Canada - National Science Library

    Botoc Claudiu; Pirtea Marilen; Nicolescu Cristina

    2011-01-01

    .... Commonly, public debt sustainability is defined as a sovereign's ability to service debt without large adjustments to public revenue and/or expenditure and without ever-increasing public-debt-to-GDP ratios...

  6. The Public Sector in the Czech Republic in Light of the Public Choice Theory

    Directory of Open Access Journals (Sweden)

    Václav Rybáček

    2016-06-01

    Full Text Available The aim of this paper is to discuss pros and cons of the current ways how the role of government in the society is analysed. In our analysis, macroeconomic aggregates provided by the satellite accounts of the public sector are used as an alternative analytical tool. This data supposedly better reflects the existing range of government activities as all government controlled entities are covered. Relevant time series by the Czech Statistical Office were prolonged making the analysis of long-term trends in the public sector size possible. The results are discussed against the theoretical background of the public choice theory. It was found out that there was an obvious bias to the deficit-driven provision of the public goods reflected concurrently in the growing indebtedness. On the other hand, the share of total revenues and expenditures remains rather stable over time.

  7. Alcohol consumption and household expenditure on alcohol in a rural district in Vietnam.

    Science.gov (United States)

    Giang, Kim Bao; Van Minh, Hoang; Allebeck, Peter

    2013-01-28

    Alcohol use and alcohol-related problems are on the rise in low- and middle-income countries. Expenditure on alcohol is an important problem for families and communities and needs to be assessed. This study examines level of alcohol consumption and expenditure on alcohol in a district in Vietnam. A cross-sectional survey was conducted in a rural district in northern Vietnam. Multi-stage sampling was employed to randomly select participants from 20 communities and a town in the same district. One thousand five hundred and sixty-four adults (765 males and 799 females) aged 18-60 years were interviewed. Information about alcohol use as well as expenditure on alcohol consumption four weeks prior to the interview was gathered. Non-parametric tests and log-linear regression were employed to compare expenditure on alcohol consumption across socioeconomic groups. The prevalence of alcohol use one month prior to interview was 35% (66% among men and 5% among women). The median alcohol consumption among those who reported use of alcohol in the week prior to the interview was 7.9 standard drinks. Excessive drinking (more than 14 standard drinks per week for men and more than seven standard drinks per week for women) occurred among 35% of those who used alcohol. Median expenditure for alcohol consumption during one month by those who drank alcohol was USD 3.5, accounting for 4.6% of household food expenditure, 2.7% of total household expenditure, and 1.8% of household income. The differences in alcohol consumption and expenditure between sexes and between socioeconomic groups are also presented. Our study confirms that alcohol consumption and alcohol-related problems are common among men in Vietnam. The share of alcohol expenditure in total household expenditure is substantial, especially among poor households. This should be considered an important public health issue, which needs to be taken into account in the alcohol policy debate.

  8. Slow-release carbohydrates: growing evidence on metabolic responses and public health interest. Summary of the symposium held at the 12th European Nutrition Conference (FENS 2015).

    Science.gov (United States)

    Vinoy, Sophie; Laville, Martine; Feskens, Edith J M

    2016-01-01

    To draw attention to the necessity of considering differences in the digestibility of carbohydrates, and more specifically of starch, a symposium was held at the 12th European Nutrition Conference (FENS), which took place in Berlin from October 20 to 23, 2015. The purpose of this session was to present the consolidated knowledge and recent advances regarding the relationship between slow-release carbohydrates, metabolic responses, and public health issues. Three main topics were presented: 1) the definition of, sources of, and recognised interest in the glycaemic response to slowly digestible starch (SDS); 2) clinical evidence regarding the physiological effects of slow-release carbohydrates from cereal foods; and 3) interest in reducing the postprandial glycaemic response to help prevent metabolic diseases. Foods with the highest SDS content induce the lowest glycaemic responses, as the starch is protected from gelatinisation during processing. In humans, high-SDS food consumption induces slower glucose release, lower postprandial insulinaemia, and stimulation of gut hormones. Moreover, postprandial hyperglycaemia is an independent risk factor for type two diabetes mellitus (T2DM) and cardiovascular disease (CVD). Therefore, given the plausible aetiologic mechanisms, we argue that postprandial glucose levels are relevant for health and disease and represent a meaningful target for intervention, for example, through dietary factors. This symposium was organised by Mondelez International R&D.

  9. [Health care expenditures and the aging population].

    Science.gov (United States)

    Felder, S

    2012-05-01

    The impact of a longer life on future health care expenditures will be quite moderate because of the high costs of dying and the compression of mortality in old age. If not age per se but proximity to death determines the bulk of expenditures, a shift in the mortality risk to higher ages will not significantly affect lifetime health care expenditures, as death occurs only once in every life. A calculation of the demographic effect on health care expenditures in Germany up until 2050 that explicitly accounts for costs in the last years of life leads to a significantly lower demographic impact on per-capita expenditures than a calculation based on crude age-specific health expenditures.

  10. State energy price and expenditure report 1994

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-06-01

    The State Energy Price and Expenditure Report (SEPER) presents energy price and expenditure estimates individually for the 50 States and the District of Columbia and in aggregate for the United States. The price and expenditure estimates developed in the State Energy Price and Expenditure Data System (SEPEDS) are provided by energy source and economic sector and are published for the years 1970 through 1994. Consumption estimates used to calculate expenditures and the documentation for those estimates are taken from the State Energy Data Report 1994, Consumption Estimates (SEDR), published in October 1996. Expenditures are calculated by multiplying the price estimates by the consumption estimates, which are adjusted to remove process fuel; intermediate petroleum products; and other consumption that has no direct fuel costs, i.e., hydroelectric, geothermal, wind, solar, and photovoltaic energy sources. Documentation is included describing the development of price estimates, data sources, and calculation methods. 316 tabs.

  11. Políticas públicas para la fruticultura en Argentina, 1930-1943 Public Policies for the Fruit Growing in Argentina, 1930-1943

    Directory of Open Access Journals (Sweden)

    María Silvia Ospital

    2013-04-01

    Full Text Available El cierre de los mercados internacionales para la producción agraria argentina, consecuencia de la crisis internacional de 1929, obligó al Estado a implantar una serie de medidas alternativas regulatorias de la producción y mercado internistas. Estas prácticas políticas fueron acompañadas por campañas publicitarias que apuntaban a identificar consumo de productos nacionales con una nueva versión del patriotismo. Este artículo se propone realizar algunos aportes sobre esa cuestión, centrándose en las formas en que el Estado nacional -a través del Ministerio de Agricultura- y la dirigencia política y empresarial de la provincia de Mendoza elaboraron la imagen de la Argentina frutícola, productora de uvas de mesa, naranjas y manzanas para el consumo interno, a la vez que la promovían proyectándola como un novedoso renglón de las exportaciones argentinas.The closing of international markets for Argentine agrarian production forced the Government to implement a series of alternative measures such as production and commerce public regulations, bilateral treaties and the rediscovery of possibilities of the domestic market for national products. Those political measures were supplemented by a variety of advertising campaigns aimed at identifying the consumption of domestic products with a new way of patriotism. This paper aims to make contributions to this matter, focusing in the ways in which both the national government -through its agriculture ministry- and the political and corporate leaderships in the province of Mendoza composed the image of Argentina as an important producer of grapes, oranges and apples, while at the same time they stimulated fruit as a new source of the country international commerce.

  12. State energy price and expenditure report 1992

    Energy Technology Data Exchange (ETDEWEB)

    1994-12-01

    The State Energy Price and Expenditure Report (SEPER) presents energy price and expenditure estimates individually for the 50 States and the District of Columbia and in aggregate for the United States. The price and expenditure estimates are provided by energy source and economic sector and are published for the years 1970, 1980, and 1985 through 1992. Data for all years, 1970 through 1992, are available on personal computer diskettes.

  13. Growing Wild and Being Managed

    DEFF Research Database (Denmark)

    Andreasen, Lars Birch

    2012-01-01

    This paper discusses the use of mobile communication and the spread of internet cafés, which are both growing rapidly in today’s Vietnam. Daily life in Vietnam is a complex mix of modern and traditional, public and private; the use of mobile phones, internet, and other communication possibilities...

  14. Geographic Distribution of VA Expenditures FY1999

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  15. Geographic Distribution of VA Expenditures FY2006

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  16. Geographic Distribution of VA Expenditures FY2000

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  17. Geographic Distribution of VA Expenditures FY2011

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  18. Geographic Distribution of VA Expenditures FY2002

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  19. Geographic Distribution of VA Expenditures FY2010

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  20. Geographic Distribution of VA Expenditures FY2001

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  1. Geographic Distribution of VA Expenditures FY2005

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  2. Geographic Distribution of VA Expenditures FY2012

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  3. Geographic Distribution of VA Expenditures FY2004

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  4. Geographic Distribution of VA Expenditures FY1997

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  5. Geographic Distribution of VA Expenditures FY2008

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  6. Geographic Distribution of VA Expenditures FY2009

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  7. Geographic Distribution of VA Expenditures FY1996

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  8. Geographic Distribution of VA Expenditures FY1998

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  9. Geographic Distribution of VA Expenditures FY2007

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  10. Geographic Distribution of VA Expenditures FY2003

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  11. Geographic Distribution of VA Expenditures FY2001

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  12. Geographic Distribution of VA Expenditures FY1996

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  13. Geographic Distribution of VA Expenditures FY2006

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  14. Geographic Distribution of VA Expenditures FY2003

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  15. Geographic Distribution of VA Expenditures FY2007

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  16. Geographic Distribution of VA Expenditures FY2011

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  17. Geographic Distribution of VA Expenditures FY2000

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  18. Geographic Distribution of VA Expenditures FY1997

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  19. Geographic Distribution of VA Expenditures FY2008

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  20. Geographic Distribution of VA Expenditures FY1998

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  1. Geographic Distribution of VA Expenditures FY2013

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  2. Geographic Distribution of VA Expenditures FY2002

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  3. Geographic Distribution of VA Expenditures FY2005

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  4. Geographic Distribution of VA Expenditures FY2010

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  5. Geographic Distribution of VA Expenditures FY1999

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  6. Geographic Distribution of VA Expenditures FY2004

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  7. Geographic Distribution of VA Expenditures FY2009

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  8. Geographic Distribution of VA Expenditures FY2012

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  9. Health Literacy Impact on National Healthcare Utilization and Expenditure

    Directory of Open Access Journals (Sweden)

    Rafia Rasu

    2015-11-01

    estimates show that the annual costs for prescription alone for adults with LHL possibly associated with basic and below basic health literacy could potentially reach about $172 billion. Conclusion Health literacy is inversely associated with healthcare utilization and expenditure. Individuals with below basic or basic HLL have greater healthcare utilization and expendituresspending more on prescriptions compared to individuals with above basic HLL. Public health strategies promoting appropriate education among individuals with LHL may help to improve health outcomes and reduce unnecessary healthcare visits and costs.

  10. Going beyond horizontal equity: an analysis of health expenditure allocation across geographic areas in Mozambique.

    Science.gov (United States)

    Anselmi, Laura; Lagarde, Mylène; Hanson, Kara

    2015-04-01

    In contexts where health services are mostly publicly provided and access is still limited, health financing systems require some mechanism for distributing financial resources across geographic areas according to population need. Equity in public health expenditure has been evaluated either by comparing allocations across spending units to equitable shares established using resource allocation formulae, or by using benefit incidence analysis to look at the distribution of expenditure across individual service users. In the latter case, the distribution across individuals has typically not been linked to the mechanisms that determine the allocation across geographic areas, and to the utilization of specific services by individuals. In this paper, we apply benefit incidence analysis in an innovative way to assess horizontal and vertical equity in the geographic allocation of recurrent expenditure for outpatient health care across districts in Mozambique. We compare the actual distribution of expenditure with horizontal and vertical equity benchmarks, set according to measures of economic status and need for health care. We quantify the observed inequities and the relative contributions of service use and resource allocation. We analyse government and donor expenditure separately and combined, for the years 2008-2011 to compare changes over time and funding source. We use data from a number of national routine sources. Results show improvements in both horizontal and vertical equity, along with the gradual alignment of government and donor resources over time, which resulted in almost horizontally and vertically equitable resource allocation in 2011. However, inequities in the distribution of expenditure across beneficiaries persisted and were driven by inequities in service use. The discrepancy between economic and need indicators highlighted initial differences in government and donor expenditure targets, raising questions about the purpose of public health

  11. Out-of-pocket health expenditures and antimicrobial resistance in low-income and middle-income countries: an economic analysis.

    Science.gov (United States)

    Alsan, Marcella; Schoemaker, Lena; Eggleston, Karen; Kammili, Nagamani; Kolli, Prasanthi; Bhattacharya, Jay

    2015-10-01

    The decreasing effectiveness of antimicrobial agents is a growing global public health concern. Low-income and middle-income countries are vulnerable to the loss of antimicrobial efficacy because of their high burden of infectious disease and the cost of treating resistant organisms. We aimed to assess if copayments in the public sector promoted the development of antibiotic resistance by inducing patients to purchase treatment from less well regulated private providers. We analysed data from the WHO 2014 Antibacterial Resistance Global Surveillance report. We assessed the importance of out-of-pocket spending and copayment requirements for public sector drugs on the level of bacterial resistance in low-income and middle-income countries, using linear regression to adjust for environmental factors purported to be predictors of resistance, such as sanitation, animal husbandry, and poverty, and other structural components of the health sector. Our outcome variable of interest was the proportion of bacterial isolates tested that showed resistance to a class of antimicrobial agents. In particular, we computed the average proportion of isolates that showed antibiotic resistance for a given bacteria-antibacterial combination in a given country. Our sample included 47 countries (23 in Africa, eight in the Americas, three in Europe, eight in the Middle East, three in southeast Asia, and two in the western Pacific). Out-of-pocket health expenditures were the only factor significantly associated with antimicrobial resistance. A ten point increase in the percentage of health expenditures that were out-of-pocket was associated with a 3·2 percentage point increase in resistant isolates (95% CI 1·17-5·15; p=0·002). This association was driven by countries requiring copayments for drugs in the public health sector. Of these countries, moving from the 20th to 80th percentile of out-of-pocket health expenditures was associated with an increase in resistant bacterial isolates

  12. Effect of photoperiod on body mass, and daily energy intake and energy expenditure in young rats

    NARCIS (Netherlands)

    Boon, P; Visser, H; Daan, S

    1997-01-01

    In this experiment we investigate the effect of photoperiod on locomotor activity, body mass, food intake, growth efficiency (relationship between body mass change and food intake), energy expenditure, and body composition in growing Wistar rats. Two groups of animals were subjected to either a

  13. Cost containment interventions introduced on the community drugs schemes in Ireland-evaluation of expenditure trends using a national prescription claims database.

    LENUS (Irish Health Repository)

    Usher, Cara

    2012-03-01

    The majority of pharmaceutical expenditure in Ireland occurs in the community for services provided by general practitioners and pharmacists. In the current national and international economic climate, it is anticipated that demand on these services will continue to grow.

  14. Assessing the inequality of lifetime healthcare expenditures

    NARCIS (Netherlands)

    Wong, Albert; Boshuizen, Hendriek; Polder, Johan; Ferreira, José António

    2016-01-01

    The rise in healthcare expenditures has raised doubts about the sustainability of health systems and instigated a discussion on their design. Policy making in this field requires a proper understanding of how healthcare expenditures evolve throughout an individual's lifetime, and of how they vary

  15. State energy price and expenditure report 1989

    Energy Technology Data Exchange (ETDEWEB)

    1991-09-30

    The State Energy Price and Expenditure Report (SEPER) presents energy price and expenditure estimates for the 50 States, the District of Columbia, and the United States. The estimates are provided by energy source (e.g., petroleum, natural gas, coal, and electricity) and by major consuming or economic sector. This report is an update of the State Energy Price and Expenditure Report 1988 published in September 1990. Changes from the last report are summarized in a section of the documentation. Energy price and expenditure estimates are published for the years 1970, 1975, 1980, and 1985 through 1989. Documentation follows the tables and describes how the price estimates are developed, including sources of data, methods of estimation, and conversion factors applied. Consumption estimates used to calculate expenditures, and the documentation for those estimates, are from the State Energy Data Report, Consumption Estimates, 1960--1989 (SEDR), published in May 1991. Expenditures are calculated by multiplying the price estimates by the consumption estimates, adjusted to remove process fuel and intermediate product consumption. All expenditures are consumer expenditures, that is, they represent estimates of money directly spent by consumers to purchase energy, generally including taxes. 11 figs., 43 tabs.

  16. The Determinants of Government Expenditure: Analysis of the Empirical Literature from 1995 to 2016

    Directory of Open Access Journals (Sweden)

    Glenda Maluleke

    2017-04-01

    Full Text Available This study reviewed literature studies on the determinants of government expenditure for the period 1995 to 2016. The research for the studies was conducted on the internet by combining government expenditure and determinants such as economic growth, government revenue, trade openness, poverty, public debt, dependency ratio, population, and urbanisation on the search engine. The finding of the literature provides conflicting results concerning the determinants of government expenditure. The results indicate that the government expenditure relationship with its determinants is significantly positive but in some instances it was found to be negative. The study recommends that future studies use the newly developed econometric techniques on previous studies to see whether they can provide different results.

  17. State energy price and expenditure report, 1995

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-08-01

    The State Energy Price and Expenditure Report (SEPER) presents energy price and expenditure estimates individually for the 50 States and the District of Columbia and in aggregate for the US. The estimates developed in the State Energy Price and Expenditure Data System (SEPEDS) are provided by energy source and economic sector and are published for the years 1970 through 1995. Data for all years are available on a CD-ROM and via Internet. Consumption estimates used to calculate expenditures and the documentation for those estimates are taken from the State Energy Data Report 1995, Consumption Estimates (SEDR), published in December 1997. Expenditures are calculated by multiplying the price estimates by the consumption estimates, which are adjusted to remove process fuel; intermediate petroleum products; and other consumption that has no direct fuel costs, i.e., hydroelectric, geothermal, wind, solar, and photovoltaic energy sources.

  18. Catastrophic expenditure on medicines in Brazil

    Science.gov (United States)

    Luiza, Vera Lucia; Tavares, Noemia Urruth Leão; Oliveira, Maria Auxiliadora; Arrais, Paulo Sergio Dourado; Ramos, Luiz Roberto; Pizzol, Tatiane da Silva Dal; Mengue, Sotero Serrate; Farias, Mareni Rocha; Bertoldi, Andréa Dâmaso

    2016-01-01

    ABSTRACT OBJECTIVE To describe the magnitude of the expenditure on medicines in Brazil according to region, household size and composition in terms of residents in a situation of dependency. METHODS Population-based data from the national household survey were used, with probabilistic sample, applied between September 2013 and February 2014 in urban households. The expenditure on medicines was the main outcome of interest. The prevalence and confidence intervals (95%CI) of the outcomes were stratified according to socioeconomic classification and calculated according to the region, the number of residents dependent on income, the presence of children under five years and residents in a situation of dependency by age. RESULTS In about one of every 17 households (5.3%) catastrophic health expenditure was reported and, in 3.2%, the medicines were reported as one of the items responsible for this situation. The presence of three or more residents (3.6%) and resident in a situation of dependency (3.6%) were the ones that most reported expenditure on medicines. Southeast was the region with the lowest prevalence of expenditure on medicines. The prevalence of households with catastrophic health expenditure and on medicines in relation to the total of households showed a regressive tendency for economic classes. CONCLUSIONS Catastrophic health expenditure was present in 5.3%, and catastrophic expenditure on medicines in 3.2% of the households. Multi-person households, presence of residents in a situation of economic dependency and belonging to the class D or E had the highest proportion of catastrophic expenditure on medicines. Although the problem is important, permeated by aspects of iniquity, Brazilian policies seem to be protecting families from catastrophic expenditure on health and on medicine. PMID:27982383

  19. E-cigarette advertising expenditures in the U.S., 2011-2012.

    Science.gov (United States)

    Kim, Annice E; Arnold, Kristin Y; Makarenko, Olga

    2014-04-01

    Electronic cigarettes (e-cigarettes) are growing in popularity, but little is known about the extent to which these products are advertised to consumers. To estimate expenditures for e-cigarette advertising in magazines, TV, the Internet, newspapers, and radio in the U.S. from 2011 to 2012. E-cigarette advertising data were obtained from leading media intelligence companies, Kantar Media and Nielsen. Estimated e-cigarette advertising expenditures were summarized across media channels for 2011 and 2012. Additional information on brands advertised and market-level buys (i.e., local versus national) also was examined. Overall, e-cigarette advertising expenditures across media channels tripled from $6.4 million in 2011 to $18.3 million in 2012. Expenditures were highest in magazines and TV and lowest in newspapers and on the Internet. More than 80 unique brands were advertised, but blu eCigs dominated ad spending, comprising 76.7% of all e-cigarette advertising expenditures in 2012. National markets were increasingly targeted from 54.9% of ad buys in 2011 to 87.0% of ad buys in 2012. E-cigarette advertising expenditures are increasing, with a greater focus on national markets and TV ads, which will likely increase consumer awareness and use of e-cigarettes in the future. Federal-level efforts are needed to mandate that e-cigarette companies report their advertising expenditures. Future studies should examine how e-cigarette advertising expenditures and message content influence consumer awareness of, interest in, and use of e-cigarettes. © 2013 American Journal of Preventive Medicine Published by American Journal of Preventive Medicine All rights reserved.

  20. Energy expenditure of acutely ill hospitalised patients

    Directory of Open Access Journals (Sweden)

    Gariballa Salah

    2006-03-01

    Full Text Available Abstract Objective To measure energy expenditure of acutely ill elderly patients in hospital and following discharge in the community. Design Sixty-three consecutive hospitalised acutely ill elderly patients were recruited. Eight patients were studied to assess the reliability of the Delta Tract Machine as a measure of energy expenditure; 35 patients had their energy expenditure studied in hospital on two occasions and 20 patients had their energy expenditure measured in hospital and at 6 weeks in the community Results Men had higher basal energy expenditure (BMR values compared to women however the difference was not statistically significant [Men, mean (SD 1405 (321 Kcal, women 1238 (322 kcal; mean difference (95% CI 166 kcal (-17 to 531, p = 0.075]. After adjusting for age, gender and body mass index both medication and C-reactive protein (CRP, concentrations showed significant correlation with measured energy expenditure in hospital, (r = -0.36, "p Conclusion Tissue inflammation and medications were associated with change in measured energy expenditure in acutely ill patients.

  1. National expenditure on health research in South Africa: what is the benchmark?

    Science.gov (United States)

    Paruk, Fathima; Blackburn, Jonathan M; Friedman, Irwin B; Mayosi, Bongani M

    2014-05-27

    The Mexico (2004), Bamako (2008) and Algiers (2008) declarations committed the South African (SA) Ministry of Health to allocate 2% of the national health budget to research, while the National Health Research Policy (2001) proposed that the country budget for health research should be 2% of total public sector health expenditure. The National Health Research Committee has performed an audit to determine whether these goals have been met, judged by: (i) health research expenditure as proportions of gross expenditure on research and development (GERD) and the gross domestic product (GDP); and (ii) the proportion of the national health and Department of Health budgets apportioned to research. We found that total expenditure on health research in SA, aggregated across the public and private sectors, was R3.5 billion in 2009/10, equating to 16.7% of GERD. However, the total government plus science council spend on health research that year was only R729 million, equating to 3.5% of GERD (0.03% of the GDP) or 0.80% of the R91.4 billion consolidated government expenditure on health. We further found that R418 million was spent through the 2009/2010 Health Vote on health research, equating to 0.46% of the consolidated government expenditure on health or 0.9% of the R45.2 billion Health Vote. Data from other recent years were similar. Current SA public sector health research allocations therefore remain well below the aspirational goal of 2% of the national health budget. We recommend that new, realistic, clearly defined targets be adopted and an efficient monitoring mechanism be developed to track future health research expenditure.

  2. An Ambition to Grow

    OpenAIRE

    Ron Kemp; R Hakkert

    2006-01-01

    This report tries to gain insight in the willingness or ambition to grow of a small business owner. The main question of this report is therefore: Which factors influence the ambition to grow a business? To examine the ambition to grow an economic and a psychological perspective is given in this study.

  3. Growing Pains (For Parents)

    Science.gov (United States)

    ... Month-Old Feeding Your 1- to 2-Year-Old Growing Pains KidsHealth > For Parents > Growing Pains Print A ... olds and, later, in 8- to 12-year-olds. Signs and Symptoms Growing pains always concentrate in the muscles , rather than ...

  4. Transparency and public involvement in animal research.

    Science.gov (United States)

    Pound, Pandora; Blaug, Ricardo

    2016-05-01

    To be legitimate, research needs to be ethical, methodologically sound, of sufficient value to justify public expenditure and be transparent. Animal research has always been contested on ethical grounds, but there is now mounting evidence of poor scientific method, and growing doubts about its clinical value. So what of transparency? Here we examine the increasing focus on openness within animal research in the UK, analysing recent developments within the Home Office and within the main group representing the interests of the sector, Understanding Animal Research. We argue that, while important steps are being taken toward greater transparency, the legitimacy of animal research continues to be undermined by selective openness. We propose that openness could be increased through public involvement, and that this would bring about much needed improvements in animal research, as it has done in clinical research. 2016 FRAME.

  5. Public services, personal benefits

    NARCIS (Netherlands)

    Bob Kuhry; Evert Pommer; Jedid-Jah Jonker; John Stevens

    2006-01-01

    Original title: Publieke productie & persoonlijk profijt. This report looks in detail at the costs of public services (such as care, education, public administration and safety) and the benefits that citizens derive from the government expenditure involved in delivering those services. In

  6. Public services, personal benefits

    NARCIS (Netherlands)

    Bob Kuhry; Evert Pommer; Jedid-Jah Jonker; John Stevens

    2006-01-01

    Original title: Publieke productie & persoonlijk profijt. This report looks in detail at the costs of public services (such as care, education, public administration and safety) and the benefits that citizens derive from the government expenditure involved in delivering those services. In 2003,

  7. Productive Public Expenditure, Corruption and Endogenous Economic Growth: a Reconsideration%生产性公共开支、贪污和内生经济增长:一种新的考虑

    Institute of Scientific and Technical Information of China (English)

    汪红初; 胡适耕

    2005-01-01

    This paper extends the study of corruption to a stochastically growing economy,which is subject to an idiosyncratic capital shock. We discuss the impact of corruption and anti-corruption on growth and welfare, where phenomena as precautionary saving occurs. And the cost-minimizing corruption share is delivered if the parameters of policy are measurably adjusted. Additionally, we analyzed the relationship between the competitively chosen growth rate and the socially optimal one.Some interesting results are obtained in this paper.%在一个连续时间的随机内生增长模型中,我们扩展讨论了在预防性储蓄存在时,个人贪污和反贪污行为对经济增长的影响.在我们的框架下,只要适当地调整政策参数,可以得到福利最优和增长最快一致的贪污水平.同时,我们分析了个人决策与社会计划者决策下经济增长的关系,得到了一些有意义的结论.

  8. Managing Public Accountability : How Public Managers Manage Public Accountability

    NARCIS (Netherlands)

    Schillemans, Thomas

    2015-01-01

    Accountability is of growing importance in contemporary governance. The academic literature on public accountability is fraught with concerned analyses, suggesting that accountability is a problematic issue for public managers. This article investigates how public managers experience accountability

  9. Toward a Hierarchical Bayesian Framework for Modelling the Effect of Regional Diversity on Household Expenditure

    Directory of Open Access Journals (Sweden)

    Brodjol Sutijo Supri Ulama

    2012-01-01

    Full Text Available Problem statement: Household expenditure analysis was highly demanding for government in order to formulate its policy. Since household data was viewed as hierarchical structure with household nested in its regional residence which varies inter region, the contextual welfare analysis was needed. This study proposed to develop a hierarchical model for estimating household expenditure in an attempt to measure the effect of regional diversity by taking into account district characteristics and household attributes using a Bayesian approach. Approach: Due to the variation of household expenditure data which was captured by the three parameters of Log-Normal (LN3 distribution, the model was developed based on LN3 distribution. Data used in this study was household expenditure data in Central Java, Indonesia. Since, data were unbalanced and hierarchical models using a classical approach work well for balanced data, thus the estimation process was done by using Bayesian method with MCMC and Gibbs sampling. Results: The hierarchical Bayesian model based on LN3 distribution could be implemented to explain the variation of household expenditure using district characteristics and household attributes. Conclusion: The model shows that districts characteristics which include demographic and economic conditions of districts and the availability of public facilities which are strongly associated with a dimension of human development index, i.e., economic, education and health, do affect to household expenditure through its household attributes."

  10. Energy expenditure, nutrition and growth.

    Science.gov (United States)

    Wiskin, A E; Davies, J H; Wootton, S A; Beattie, R M

    2011-06-01

    Fundamental to appropriate nutritional prescription is an understanding of the conditions necessary for growth that include the requirements for energy in health and illness. Energy requirements need to be met by the dietary intake to prevent weight loss. A positive energy balance will result in weight gain. Energy requirement includes several components; the largest is the basal metabolic rate, although physical activity level and the energy needs of growth are important components. All aspects of energy metabolism are likely to be influenced by illness and impact on energy balance. Changes in dietary intake and physical activity are observed clinically but poorly described in most childhood illnesses. Changes in metabolic rate are poorly described in part owing to methodological problems. This review explores changes in energy expenditure associated with health and disease, highlights the lack of evidence underpinning this aspect of practical nutritional support and provides the clinician with a guide to the factors involved in estimating energy requirements, emphasising the importance of measuring the child's response to nutritional support.

  11. THEORETICAL ASPECTS ON THE EFFECTIVENESS OF ENVIRONMENTAL EXPENDITURES

    Directory of Open Access Journals (Sweden)

    HOLT ALINA GEORGIANA

    2015-03-01

    Full Text Available Air and water quality are vital for human life and our societies devote large sums of money to reduce pollution and conserve a healthy environment. Much of the financial resources mobilized to finance environmental protection come from private sources - entrepreneurs pay to eliminate environmentally harmful waste safely, or to mitigate the effects of polluting production processes. But while technology standards, environmental permits, pollution taxes play an important role in correcting the behavior of society, public expenditure presents also a very important variable in efforts to support the environment.

  12. Modeling Per Capita State Health Expenditure Variat...

    Data.gov (United States)

    U.S. Department of Health & Human Services — Modeling Per Capita State Health Expenditure Variation State-Level Characteristics Matter, published in Volume 3, Issue 4, of the Medicare and Medicaid Research...

  13. Medical Expenditure Panel Survey (MEPS) Query Tool

    Data.gov (United States)

    U.S. Department of Health & Human Services — MEPSnet HC Query Tool MEPSnet/Household Component provides easy access to nationally representative statistics of health care use, expenditures, sources of payment,...

  14. Medical Expenditure Panel Survey Household Component

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Medical Expenditure Panel Survey (MEPS) Household Component (HC) collects data from a sample of families and individuals in selected communities across the...

  15. Northeast Marine Recreational Fishing Expenditure Survey

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — A series of expenditure surveys have been done both regionally and nationally. This data pertains to the Northeast U.S. states that was collected in 1998....

  16. Executive function, episodic memory, and Medicare expenditures.

    Science.gov (United States)

    Bender, Alex C; Austin, Andrea M; Grodstein, Francine; Bynum, Julie P W

    2017-07-01

    We examined the relationship between health care expenditures and cognition, focusing on differences across cognitive systems defined by global cognition, executive function, or episodic memory. We used linear regression models to compare annual health expenditures by cognitive status in 8125 Nurses' Health Study participants who completed a cognitive battery and were enrolled in Medicare parts A and B. Adjusting for demographics and comorbidity, executive impairment was associated with higher total annual expenditures of $1488 per person (P executive function, but not episodic memory ($584 higher for every 1 standard deviation decrement in executive function; P executive function is specifically and linearly associated with higher health care expenditures. Focusing on management strategies that address early losses in executive function may be effective in reducing costly services. Copyright © 2017 the Alzheimer's Association. Published by Elsevier Inc. All rights reserved.

  17. Marine angler expenditures 2006 (NCEI Accession 0145343)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Angler expenditures for their most recent trip in 2006, by fishing mode - for-hire, private boat, shore. Includes categories such as bait, ice, fuel, lodging, meals,...

  18. Reconciling Medical Expenditure Estimates from the MEPS...

    Data.gov (United States)

    U.S. Department of Health & Human Services — Reconciling Medical Expenditure Estimates from the MEPS and NHEA, 2007, published in Volume 2, Issue 4 of the Medicare and Medicaid Research Review, provides a...

  19. Budgetary Expenditure on Health and Human Development in India

    Directory of Open Access Journals (Sweden)

    Brijesh C. Purohit

    2012-01-01

    Full Text Available This study aims at analyzing the differentials across rich and poor states and across rich and poorer strata and rural urban segments of 19 major Indian states. The study indicates that besides individual health financing policies of the respective state governments, there are significant disparities even between rural and urban strata and rich and poorer sections of the society. These are indicated by high inequality coefficients and an emerging pattern of life style second generation health problems as well as levels of utilization of both preventive and curative care both in public and private sectors. Our results emphasise that there is a need to increase public expenditure on health, improve efficiency in utilization of existing public facilities, and popularize government run health insurance schemes meant primarily for the poor. These steps may help to mitigate partly the inequitable outcomes.

  20. Impact of Fiscal Decentralization on Unproductive Public Spending in Local Government:Taking Education and Administrative Expenditure for Example%财政分权对地方政府非生产性公共支出的影响--以教育和行政管理支出为例

    Institute of Scientific and Technical Information of China (English)

    唐婷婷

    2016-01-01

    Because of the difference of the affiliation of the direct interest of unproductive public spending, and not all of the local government officials has the only goal of post promotion, economic performance is not the only factor of the promotion of local government officials, the social network resources also has important impact on their promotion, this paper carries out the theory analysis of the relationship between the fiscal decentralization and the spending of education and administrative in China. It also carries out the empirical research of the panel data in 1998-2006 of 30 provinces in China by FGLS and SUR. The main conclusions are gotten that the overall effect of Chinese fiscal decentralization is inhibit the education investment of local government and stimulate the growth of administrative expenditure, the growth of the scale of administrative personnel stimulates the expansion of the administrative expenditure and has significantly"crowd out"effect on the education spending.%本文基于非生产性公共支出直接利益归属的不同,同时由于地方政府官员并非都存在追求职位晋升唯一目标,经济绩效也并非决定地方政府官员晋升的唯一因素、社会网络资源对其晋升的也存在重要影响,对中国式财政分权与教育和行政管理支出的关系进行了理论分析;同时利用中国30个省份1998-2006年的面板数据,运用可行广义最小二乘法和似不相关回归方法进行实证研究。得出以下主要结论:中国式财政分权的总体效应是抑制了地方政府教育投入的力度,而刺激了行政管理支出的增长;而且,行政人员规模的增长在刺激行政管理支出膨胀的同时,对教育支出产生显著的“挤出”效应。

  1. 10 CFR 603.560 - Estimate of project expenditures.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 4 2010-01-01 2010-01-01 false Estimate of project expenditures. 603.560 Section 603.560... Business Evaluation Fixed-Support Or Expenditure-Based Approach § 603.560 Estimate of project expenditures... have confidence in the estimate of the expenditures required to achieve well-defined...

  2. Energy expenditure in HIV infection123

    OpenAIRE

    Kosmiski, Lisa

    2011-01-01

    Energy intake recommendations for adults should be based preferably on direct measurements of total daily energy expenditure (TDEE) in corresponding populations who are maintaining healthy body weight and satisfactory physical activity levels. During adolescence, pregnancy, and lactation, energy requirements should be based on TDEE plus the additional energy required to advance these physiologic states. With illness, energy expenditure and energy intake change, but nutritional intervention is...

  3. State energy price and expenditure report 1993

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-01

    The State Energy Price and Expenditure Report (SEPER) presents energy price and expenditure estimates individually for the 50 states and the District of Columbia and in aggregate for the US. The five economic sectors used in SEPER correspond to those used in SEDR and are residential, commercial, industrial, transportation, and electric utility. Documentation in appendices describe how the price estimates are developed, provide conversion factors for measures used in the energy analysis, and include a glossary. 65 tabs.

  4. Trends in scale and structure of Korea's health expenditure over last three decades (1980-2009): financing, functions and providers.

    Science.gov (United States)

    Jeong, Hyoung-Sun; Shin, Jeong-Woo

    2012-05-01

    This paper introduces statistics related to the size and composition of Korea's total health expenditure. The figures produced were tailored to the OECD's system of health accounts. Korea's total health expenditure in 2009 was estimated at 73.7 trillion won (US$ 57.7 billion). The annual per capita health expenditure was equivalent to US$ PPP 1,879. Korea's total health expenditure as a share of gross domestic product was 6.9% in 2009, far below the OECD average of 9.5%. Korea's public financing share of total health expenditure increased rapidly from less than 50% before 2000 to 58.2% in 2009. However, despite this growth, Korea's share remained the fourth lowest among OECD countries that had an average public share of 71.5%. Inpatient, outpatient, and pharmaceutical care accounted for 32.1%, 33.0%, and 23.7% of current health expenditure in 2009, respectively. A total of 41.1% of current health expenditure went to hospitals, 28.1% to providers of ambulatory healthcare (15.9% on doctor's clinics), and 17.9% to pharmacies. More investment in the translation of national health account data into policy-relevant information is suggested for future progress.

  5. Does the Budget Expenditure Composition Matter for Long-Run Economic Growth in a Resource Rich Country? Evidence from Azerbaijan

    Directory of Open Access Journals (Sweden)

    Khatai Aliyev

    2016-06-01

    Full Text Available This study investigates the role of budget expenditure composition over Azerbaijan’s non-oil economic growth in the long-run by classifying public spending as capital, social and other expenditures. Authors’ employ ARDLBT approach to co-integration for the period of 2000Q1-2014Q4 to estimate long-run contribution of each spending category before-and-after the oil boom while controlling for oilrelated factors. Empirical results endorse the validity of long-run association among variables. Results concluded insignificant negative impact of capital expenditures, and significant negative impact of other expenditures. However, social spending has statistically and economically strong positive impact over the non-oil output growth. Therefore, research findings confirm that public expenditure composition significantly matters for long-run non-oil economic growth, and social expenditures have the greater positive impact in a resource-rich economy, Azerbaijan. Research results are highly useful for the government officials to consider while planning the expenditures in order to minimize negative response of non-oil sector to the fiscal contraction.

  6. A smartphone-driven methodology for estimating physical activities and energy expenditure in free living conditions.

    Science.gov (United States)

    Guidoux, Romain; Duclos, Martine; Fleury, Gérard; Lacomme, Philippe; Lamaudière, Nicolas; Manenq, Pierre-Henri; Paris, Ludivine; Ren, Libo; Rousset, Sylvie

    2014-12-01

    This paper introduces a function dedicated to the estimation of total energy expenditure (TEE) of daily activities based on data from accelerometers integrated into smartphones. The use of mass-market sensors such as accelerometers offers a promising solution for the general public due to the growing smartphone market over the last decade. The TEE estimation function quality was evaluated using data from intensive numerical experiments based, first, on 12 volunteers equipped with a smartphone and two research sensors (Armband and Actiheart) in controlled conditions (CC) and, then, on 30 other volunteers in free-living conditions (FLC). The TEE given by these two sensors in both conditions and estimated from the metabolic equivalent tasks (MET) in CC served as references during the creation and evaluation of the function. The TEE mean gap in absolute value between the function and the three references was 7.0%, 16.4% and 2.7% in CC, and 17.0% and 23.7% according to Armband and Actiheart, respectively, in FLC. This is the first step in the definition of a new feedback mechanism that promotes self-management and daily-efficiency evaluation of physical activity as part of an information system dedicated to the prevention of chronic diseases.

  7. Energy expenditure in rock/pop drumming.

    Science.gov (United States)

    De La Rue, S E; Draper, S B; Potter, C R; Smith, M S

    2013-10-01

    Despite the vigorous nature of rock/pop drumming, there are no precise data on the energy expenditure of this activity. The aim of this study was to quantify the energy cost of rock/pop drumming. Fourteen male drummers (mean±SD; age 27±8 yrs.) completed an incremental drumming test to establish the relationship between energy expenditure and heart rate for this activity and a ramped cycle ergometer test to exhaustion as a criterion measure for peak values (oxygen uptake and heart rate). During live concert performance heart rate was continuously measured and used to estimate energy expenditure (from the energy expenditure vs. heart rate data derived from the drumming test). During concert performance, estimated energy expenditure (mean±SD) was 623±168 kcal.h⁻¹ (8.1±2.2 METs) during performances of 38.6±15.6 min, and drummers achieved a peak heart rate of 186±16 b.min⁻¹. During the drumming test participants attained 78.7±8.3% of the cycle ergometer peak oxygen uptake. Rock/pop drumming represents a relatively high-intensity form of physical activity and as such involves significant energy expenditure. Rock/pop drumming should be considered as a viable alternative to more traditional forms of physical activity.

  8. Main drivers of health expenditure growth in China: a decomposition analysis.

    Science.gov (United States)

    Zhai, Tiemin; Goss, John; Li, Jinjing

    2017-03-09

    ; Measures should be taken to strengthen the capacity of health personnel in grass-roots facilities and to establish an effective referral system, so as to reduce the growth in expenditure per case of disease and to ensure that excess health price inflation does not grow out of control.

  9. Population, growth and health expenditure

    Directory of Open Access Journals (Sweden)

    Luis Currais

    2000-12-01

    Full Text Available A genuine understanding of the economic growth process should take into account the extent to which fertility and mortality affect the population growth rate as an endogenous variable. To this end we construct a growth model using an infinite horizon setup in which economic development and health status influence the population growth rate. Mortality depends on health expenditure, and fertility is endogenously determined. Adults within each household take into account the welfare and resources of their current and future descendants. Their decisions determine not only the evolution of the population growth rate but also the evolution of the per capita income.Este artigo analisa a mortalidade e a fertilidade como variáveis endógenas ao modelo e determinantes do crescimento da população associado ao processo de crescimento econômico. Com este propósito, é desenvolvido um modelo de horizonte infinito onde tanto o nível de desenvolvimento econômico quanto o gasto em saúde influenciam a taxa de crescimento da população. Cada família toma suas decisões tendo em conta o bem-estar social e os recursos disponíveis de seus descendentes atuais e futuros. Suas decisões determinam não só a evolução da taxa de crescimento da população, mas também a evolução da renda per capita.

  10. “互联网+”环境下中部地区公共图书馆开源节流的若干思考%Some Think on to Increase Income and Reduce Expenditure of Public Library of the Central Region under “Internet +” Environment

    Institute of Scientific and Technical Information of China (English)

    黄国彬

    2016-01-01

    〔Abstract〕With the help of China statistical yearbook and the iffth assessment grading date of at or above the county level public library of the ministry of culture, this paper analyzes the development of the central public library and the important factors that affect the level of development : money problems . Combined with the typical case and the statistical data of the package, the crowd funding and cloud services used by libraries at home and abroad , the main strategy to increase income and reduce expenditure of public library of the Central Region to apply the concept of the foregoing three Internet + or technology is proposed . This paper discusses that public library of the Central Region can be combined with the focus of the assessment and grading index, clear direction and positioning, scientiifc use of crowd sourcing, crowd funding and cloud services, alleviate the government ifnances insufifcient.%文章借助中国统计年鉴、文化部第五次县以上公共图书馆的评估定级数据,整体剖析中部地区公共图书馆的发展水平,分析影响其发展水平的重要因素——经费投入存在的问题,结合众包、众筹和云服务等在国内外图书馆应用的典型案例与统计数据,提出将前述三项“互联网+”的理念或技术应用于中部地区公共图书馆开源节流的主要策略。中部地区公共图书馆可结合评估定级指标的重点,明确发展方向与定位,科学运用众包、众筹和云服务,缓解政府财政投入不足引发的发展困境。

  11. [Relationship between cost systems and hospital expenditure].

    Science.gov (United States)

    García-Cornejo, Beatriz; Pérez-Méndez, José A

    2017-08-31

    To analyze the relationship between the degree of development of hospital cost systems (CS) implemented by the regional health services (RHS) and the variation in unit cost of hospitals in Spanish National Health Service (NHS) between 2010 and 2013 and to identify other explanatory factors of this variation. A database of NHS hospitals was constructed from exclusively public sources. Using a multilevel regression model, explaining factors of the variation in unit cost (cost per weighted unit of activity [WAU]) of a sample of 170 hospitals were analyzed. The variables representative of the degree of development of CS are associated in a negative and significant way with the variation of the cost per WAU. It is observed that if a high-level development CS is used the cost variation per WAU would be reduced by close to 3.2%. There is also a negative and significant relationship between the variation in the cost per WAU and the variations in the percentage of high technology and the hospital occupancy rate. On the other hand, the variations in the average cost of personnel and in the number of workers per 100 beds are associated in a positive and significant way with the variation of the cost per WAU. In the period analysed, during which the main health expenditure adjustment was made, the control in hospital unit cost is associated not only with spending cuts but also with aspects related to their management, such as the implementation of more developed CS. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  12. Burden of out-of-pocket expenditure for road traffic injuries in urban India

    Directory of Open Access Journals (Sweden)

    Kumar G

    2012-08-01

    Full Text Available Abstract Background Road traffic injuries (RTI are an increasing public health problem in India where out-of-pocket (OOP expenditures on health are among the highest in the world. We estimated the OOP expenses for RTI in a large city in India. Methods Information on medical and non-medical expenditure was documented for RTI cases of all ages that reported alive or dead to the emergency departments of two public hospitals and a large private hospital in Hyderabad. Differential risk of catastrophic OOP total expenditure (COPE-T and medical expenditure (COPE-M, and distress financing was assessed for 723 RTI cases that arrived alive at the study hospitals with multiple logistic regression. Catastrophic expenditure was defined as expenditure > 25% of the RTI patient’s annual household income. Variation in intensity of COPE-M in RTI was assessed using multiple classification analysis (MCA. Results The median OOP medical and non-medical expenditure was USD 169 and USD 163, respectively. The prevalence of COPE-M and COPE-T was 21.9% (95% CI 18.8-24.9 and 46% (95% CI 42–49.3, respectively. Only 22% had access to medical insurance. Being admitted to a private hospital (OR 5.2, 95% CI 2.7–9.9 and not having access to insurance (OR 3.8, 95% CI 1.9–7.6 were significantly associated with risk of having COPE – M. Similar results were seen for COPE - T. MCA analysis showed that the burden of OOP medical expenditure was mainly associated with in-patient days in hospital (Eta =0.191. Prevalence of distress financing was 69% (95% CI 65.5-72.3 with it being significantly higher for those reporting to the public hospitals (OR 2.8, 95% CI 1.7-4.6, those belonging to the lowest per capita annual household income quartile (OR 7.0, 95% CI 3.7-13.3, and for those without insurance access (OR 3.4, 95% CI 2.0-5.7. Conclusions This paper has outlined the high burden of out-of-pocket medical and total expenditure associated with RTI in India. These data

  13. PUBLIC DEBT SUSTAINABILITY ANALYSIS: EU CASE

    Directory of Open Access Journals (Sweden)

    Botoc Claudiu

    2011-07-01

    Full Text Available The global crisis has caused a serious fiscal deterioration that leaves the world economy with serious challenges. In many developed markets as well as in a few emerging markets (Emerging markets public finances have already become, or are at least at risk of becoming, unsustainable. Commonly, public debt sustainability is defined as a sovereign's ability to service debt without large adjustments to public revenue and/or expenditure and without ever-increasing public-debt-to-GDP ratios. Hence, this definition refers to both a country's ability and willingness to repay its debt. We also have to add the fact that there isn`t an universal accepted definition of fiscal or debt sustainability. In light of the growing public debt, the issue of debt sustainability has increasingly attracted attention. In this paper we analyse public debt sustainability scenario in EU economies. At least half of the EU countries will have to implement stringent fiscal consolidation programmes over the next few years in order to prevent already high public-debt-to-GDP ratios from a further significant rise, also the case of Romania. However, drastic fiscal policy adjustment may be not feasible in the short term and hence public debt is likely to grow further. In some scenarios the public-debt-to-GDP ratio is predicted to soar to 133% in 2020, from just over 100% in 2010. By contrast, nearly all EM countries, including major economies, appear to be well positioned to stabilise or even outgrow their current debt ratios without drastic fiscal adjustment. Institutional improvements may help European countries to maintain fiscal credibility. In light of the future fiscal challenges, many European governments may introduce new or more effective national debt limits, similar to those put in place in the past with good results by some Emerging markets. Such institutional reforms could help to insulate fiscal policies from political pressure and to anchor financial market

  14. Spatial Dynamics and Determinants of County-Level Education Expenditure in China

    Science.gov (United States)

    Gu, Jiafeng

    2012-01-01

    In this paper, a multivariate spatial autoregressive model of local public education expenditure determination with autoregressive disturbance is developed and estimated. The existence of spatial interdependence is tested using Moran's I statistic and Lagrange multiplier test statistics for both the spatial error and spatial lag models. The full…

  15. Assessing future sustainability of french public finances

    OpenAIRE

    Creel, Jérôme; Hubert, Paul; Saraceno, Francesco

    2013-01-01

    This paper contributes to the debate on the French public finances' consolidation by investigating the long-term sustainability of France's fiscal position. We trace the historical trends of government's tax receipts and expenditures. We find that while the level of public expenditure in France is larger than in the rest of the Euro Area (mostly because of public wages and social benefits), its trend is comparable to its neighbours. Net lending is also under control, thanks to the high levels...

  16. Social class related inequalities in household health expenditure and economic burden: evidence from Kerala, south India

    Directory of Open Access Journals (Sweden)

    Narayana Delampady

    2011-01-01

    Full Text Available Abstract Background In the Indian context, a household's caste characteristics are most relevant for identifying its poverty and vulnerability status. Inadequate provision of public health care, the near-absence of health insurance and increasing dependence on the private health sector have impoverished the poor and the marginalised, especially the scheduled tribe population. This study examines caste-based inequalities in households' out-of-pocket health expenditure in the south Indian state of Kerala and provides evidence on the consequent financial burden inflicted upon households in different caste groups. Methods Using data from a 2003-2004 panel survey in Kottathara Panchayat that collected detailed information on health care consumption from 543 households, we analysed inequality in per capita out-of-pocket health expenditure across castes by considering households' health care needs and types of care utilised. We used multivariate regression to measure the caste-based inequality in health expenditure. To assess health expenditure burden, we analysed households incurring high health expenses and their sources of finance for meeting health expenses. Results The per capita health expenditures reported by four caste groups accord with their status in the caste hierarchy. This was confirmed by multivariate analysis after controlling for health care needs and influential confounders. Households with high health care needs are more disadvantaged in terms of spending on health care. Households with high health care needs are generally at higher risk of spending heavily on health care. Hospitalisation expenditure was found to have the most impoverishing impacts, especially on backward caste households. Conclusion Caste-based inequality in household health expenditure reflects unequal access to quality health care by different caste groups. Households with high health care needs and chronic health care needs are most affected by this inequality

  17. Social class related inequalities in household health expenditure and economic burden: evidence from Kerala, south India.

    Science.gov (United States)

    Mukherjee, Subrata; Haddad, Slim; Narayana, Delampady

    2011-01-07

    In the Indian context, a household's caste characteristics are most relevant for identifying its poverty and vulnerability status. Inadequate provision of public health care, the near-absence of health insurance and increasing dependence on the private health sector have impoverished the poor and the marginalised, especially the scheduled tribe population. This study examines caste-based inequalities in households' out-of-pocket health expenditure in the south Indian state of Kerala and provides evidence on the consequent financial burden inflicted upon households in different caste groups. Using data from a 2003-2004 panel survey in Kottathara Panchayat that collected detailed information on health care consumption from 543 households, we analysed inequality in per capita out-of-pocket health expenditure across castes by considering households' health care needs and types of care utilised. We used multivariate regression to measure the caste-based inequality in health expenditure. To assess health expenditure burden, we analysed households incurring high health expenses and their sources of finance for meeting health expenses. The per capita health expenditures reported by four caste groups accord with their status in the caste hierarchy. This was confirmed by multivariate analysis after controlling for health care needs and influential confounders. Households with high health care needs are more disadvantaged in terms of spending on health care. Households with high health care needs are generally at higher risk of spending heavily on health care. Hospitalisation expenditure was found to have the most impoverishing impacts, especially on backward caste households. Caste-based inequality in household health expenditure reflects unequal access to quality health care by different caste groups. Households with high health care needs and chronic health care needs are most affected by this inequality. Households in the most marginalised castes and with high health care

  18. Household energy consumption and expenditures 1993

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-10-05

    This presents information about household end-use consumption of energy and expenditures for that energy. These data were collected in the 1993 Residential Energy Consumption Survey; more than 7,000 households were surveyed for information on their housing units, energy consumption and expenditures, stock of energy-consuming appliances, and energy-related behavior. The information represents all households nationwide (97 million). Key findings: National residential energy consumption was 10.0 quadrillion Btu in 1993, a 9% increase over 1990. Weather has a significant effect on energy consumption. Consumption of electricity for appliances is increasing. Houses that use electricity for space heating have lower overall energy expenditures than households that heat with other fuels. RECS collected data for the 4 most populous states: CA, FL, NY, TX.

  19. 45 CFR 95.7 - Time limit for claiming payment for expenditures made after September 30, 1979.

    Science.gov (United States)

    2010-10-01

    ... STATE CHILDREN'S HEALTH INSURANCE PROGRAMS) Time Limits for States To File Claims § 95.7 Time limit for... 45 Public Welfare 1 2010-10-01 2010-10-01 false Time limit for claiming payment for expenditures made after September 30, 1979. 95.7 Section 95.7 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  20. 45 CFR 95.10 - Time limit for claiming payment for expenditures made before October 1, 1979.

    Science.gov (United States)

    2010-10-01

    ... STATE CHILDREN'S HEALTH INSURANCE PROGRAMS) Time Limits for States To File Claims § 95.10 Time limit for... 45 Public Welfare 1 2010-10-01 2010-10-01 false Time limit for claiming payment for expenditures made before October 1, 1979. 95.10 Section 95.10 Public Welfare DEPARTMENT OF HEALTH AND HUMAN SERVICES...

  1. What drives health care expenditure?--Baumol's model of 'unbalanced growth' revisited.

    Science.gov (United States)

    Hartwig, Jochen

    2008-05-01

    The share of health care expenditure in GDP rises rapidly in virtually all OECD countries, causing increasing concern among politicians and the general public. Yet, economists have to date failed to reach an agreement on what the main determinants of this development are. This paper revisits Baumol's [Baumol, W.J., 1967. Macroeconomics of unbalanced growth: the anatomy of urban crisis. American Economic Review 57 (3), 415-426] model of 'unbalanced growth', showing that the latter offers a ready explanation for the observed inexorable rise in health care expenditure. The main implication of Baumol's model in this context is that health care expenditure is driven by wage increases in excess of productivity growth. This hypothesis is tested empirically using data from a panel of 19 OECD countries. Our tests yield robust evidence in favor of Baumol's theory.

  2. The Growing Human Population.

    Science.gov (United States)

    Keyfitz, Nathan

    1989-01-01

    Discusses the issue of human population. Illustrates the projections of the growing human population in terms of developed and less developed countries. Describes the family planning programs in several countries. Lists three references for further reading. (YP)

  3. Melting ice, growing trade?

    National Research Council Canada - National Science Library

    Sami Bensassi; Julienne C. Stroeve; Inmaculada Martínez-Zarzoso; Andrew P. Barrett

    2016-01-01

    Abstract Large reductions in Arctic sea ice, most notably in summer, coupled with growing interest in Arctic shipping and resource exploitation have renewed interest in the economic potential of the Northern Sea Route (NSR...

  4. Poverty and private health expenditures in Italian households during the recent crisis.

    Science.gov (United States)

    Sarti, Simone; Terraneo, Marco; Tognetti Bordogna, Mara

    2017-03-01

    The global financial crisis that began in 2008 had an overall effect on the health behaviours of Italian households. Aggregate private health expenditures have decreased while the citizens have increasingly been asked to share health costs. The reduction of households' health expenditure could have serious consequences for health, especially if it concerns the most vulnerable people. The aim of this paper is to analyse the relation between poverty and household health expenditure, considering regional and social group variations. The data used stem from the "Family Expenditure Survey" collected by the Italian Statistical Institute (ISTAT) from 1997 to 2013. Results of multivariate analysis controlling for potential socio-demographic confounders show that the propensity to spend for poor families is decreased in the last years compared to not poor households. Meanwhile, among the households who spend, the average expenditure in euro seems to have been more stable over time. This is an alarming signal for the health of the most vulnerable households. These conditions could result in a gradual deterioration of health in poor families, which is likely to increase the burden on health systems in future. Hence, at this moment public intervention does not seem able to alleviate this situation. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

  5. Government Expenditure, Defense Expenditure and Economic Growth: a Causality Analysis for BRICS

    Directory of Open Access Journals (Sweden)

    Salman Ali Shah

    2016-12-01

    Full Text Available This paper empirically examines the effects of civilian and military portions of government expenditure on economic growth of five key emerging economies Brazil, Russia, India, China and South Africa (BRICS. We ran separate Cointegration and Granger causality tests for each country using data taken from WDI and SIPRI while taking account of the limitations of time series data. We got interestingly different effects of military expenditure on economic growth across countries especially for the three nuclear powers Russia, India and China. India and Brazil showed negative, Russia and China showed positive while South Arica showed no effect on economic growth in terms of government civilian expenditure.

  6. Disability Compensation and Patient Expenditures: FY2000 to FY2013

    Data.gov (United States)

    Department of Veterans Affairs — This report contains FY2000 through FY2013 data on disability compensation expenditures and recipients and on VA healthcare system patients and patient expenditures.

  7. Estimating energy expenditure during front crawl swimming using accelerometers

    DEFF Research Database (Denmark)

    Nordsborg, Nikolai Baastrup; Espinosa, Hugo G.; Van Thiel, David H

    2014-01-01

    The determination of energy expenditure is of major interest in training load and performance assessment. Small, wireless accelerometer units have the potential to characterise energy expenditure during swimming. The correlation between absorbed oxygen versus flume swimming speed and absorbed...

  8. Disability Compensation and Patient Expenditures: FY2000 to FY2013

    Data.gov (United States)

    Department of Veterans Affairs — This report contains FY2000 through FY2013 data on disability compensation expenditures and recipients and on VA healthcare system patients and patient expenditures.

  9. Energy expenditure on recreational visits to different natural environments.

    Science.gov (United States)

    Elliott, Lewis R; White, Mathew P; Taylor, Adrian H; Herbert, Stephen

    2015-08-01

    Physical inactivity poses a significant challenge to physical and mental health. Environmental approaches to tackle physical inactivity have identified natural environments as potentially important public health resources. Despite this, little is known about characteristics of the activity involved when individuals visit different types of natural environment. Using Natural England's Monitor of Engagement with the Natural Environment Survey, we examined 71,603 English respondents' recreational visits to natural environments in the past week. Specifically, we examined the intensity of the activities they undertook on the visits (METs), the duration of their visit, and the associated total energy expenditure (MET minutes). Visits to countryside and urban greenspace environments were associated with more intense activities than visits to coastal environments. However, visits to coastal environments were associated with the most energy expenditure overall due to their relatively long duration. Results differed by the urbanity or rurality of the respondent's residence and also how far respondents travelled to their destination. Knowledge of what types of natural environment afford the highest volumes and intensities of physical activity could inform landscape architecture and exercise prescriptions. Isolating activity-supporting characteristics of natural environments that can be translated into urban design is important in providing physical activity opportunities for those less able to access expansive environments.

  10. PREDICTING ADVERTISING EXPENDITURES USING INTENTION SURVEYS

    NARCIS (Netherlands)

    ALSEM, KJ; LEEFLANG, PSH

    1994-01-01

    In this article we study the use of intention surveys to predict the effects of a possible entrant. The case under investigation deals with the introduction of private broadcasting in the Netherlands. Several predictions of the advertising expenditures in various media are given which depend on a nu

  11. The Effect of Recessions on Gambling Expenditures

    NARCIS (Netherlands)

    C. Horváth (Csilla); R. Paap (Richard)

    2012-01-01

    textabstractThis article examines the influence of the business cycle on expenditures of three major types of legalized gambling activities: Casino gambling, lottery, and pari-mutuel wagering. Empirical results are obtained using monthly aggregated US per capita consumption time series for the perio

  12. PREDICTING ADVERTISING EXPENDITURES USING INTENTION SURVEYS

    NARCIS (Netherlands)

    ALSEM, KJ; LEEFLANG, PSH

    1994-01-01

    In this article we study the use of intention surveys to predict the effects of a possible entrant. The case under investigation deals with the introduction of private broadcasting in the Netherlands. Several predictions of the advertising expenditures in various media are given which depend on a nu

  13. Systematic review of factors affecting pharmaceutical expenditures.

    Science.gov (United States)

    Mousnad, Mohamed Awad; Shafie, Asrul Akmal; Ibrahim, Mohamed Izham

    2014-06-01

    To systematically identify the main factors contributing to the increase in pharmaceutical expenditures. A systematic search of published studies was conducted utilising major widely used electronic databases using the search terms 'factors,' 'financing,' 'pharmaceutical,' and 'expenditures.' To be included, the studies needed to: (1) measure at least one of the following outcomes: total growth in pharmaceutical expenditures, price growth or quantity growth; (2) mention a clear method for analysing the impact of factors affecting the increases in drug expenditures; (3) be written in English. Nonprimary articles that were published only as an abstract, a review, a commentary or a letter were excluded. From a total of 2039 studies, only 25 were included in the full review. The main determinant categories that were identified in the review were factors related to price, utilisation, therapeutic choice, demand and health care system. The major cost drivers were found to be changes in drug quantities and therapies as well as new drugs. It is important for policymakers to understand pharmaceutical spending trends and the factors that influence them in order to formulate effective cost containment strategies and design optimum drug policy. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  14. Functional data analysis of sleeping energy expenditure

    Science.gov (United States)

    Adequate sleep is crucial during childhood for metabolic health, and physical and cognitive development. Inadequate sleep can disrupt metabolic homeostasis and alter sleeping energy expenditure (SEE). Functional data analysis methods were applied to SEE data to elucidate the population structure of ...

  15. Government Expenditure Management and Control within the ...

    African Journals Online (AJOL)

    Nekky Umera

    government expenditure within the framework of the Ethiopian Economy. This was done with ... Ethiopia with a gross domestic product of about US$ 6.bn, a per capital ... Manufacturing and mining are in the 3rd and 4th position respectively. In.

  16. Growing skull fracture

    Directory of Open Access Journals (Sweden)

    Mihajlović Miljan H.

    2006-01-01

    Full Text Available Background. Growing skull fracture or craniocerebral erosion is a rare complication of linear skull fracture in childhood. It is characterized by progressive diastatic enlargement of the fracture line, which leads to a cranial defect, dural cleft, and cerebral herniation. It is presented as a soft pulsabile scalp swelling above the fracture, with a clear cranial defect. Case report. In this paper we presented a patient, an 8-month-old boy with the growing skull fracture revealed four weeks after the injury. After the surgical treatment, the boy was in a good general condition without the presence of neurologic impairment. Conclusion. Early recognition of craniocerebral erosion is very important. Timely detection prevents further progression of the disease and the evolution of neurological impairment. Surgery is the method of choice for treating a growing skull fracture .

  17. Revenue and Expenditure Nexus: A Case Study of Romania

    Directory of Open Access Journals (Sweden)

    Qazi Muhammad Adnan HYE

    2010-07-01

    Full Text Available This study determines the causal relationship between the expenditure and revenue of government in the case of Romania by using the autoregressive distributive lag approach to cointegration, variance decomposition and rolling regression method. The results indicate that bidirectional long run relationship exist between expenditure and revenue of government. The variance decomposition method suggests government revenue shock has more sharply impact on the government expenditure as compared to the shock in government expenditure and response of government revenue collection.

  18. Resting energy expenditure is not influenced by classical music

    Directory of Open Access Journals (Sweden)

    Slinde Frode

    2005-08-01

    Full Text Available Abstract Obesity shows an increasing prevalence worldwide and a decrease in energy expenditure has been suggested to be one of the risk factors for developing obesity. An increase in resting energy expenditure would have a great impact on total energy expenditure. This study shows that classical music do not influence resting energy expenditure compared to complete silence. Further studies should be performed including other genres of music and other types of stress-inductors than music.

  19. Household Expenditures on Private Tutoring: Emerging Evidence from Malaysia

    Science.gov (United States)

    Kenayathulla, Husaina Banu

    2013-01-01

    Private tutoring has been a burgeoning phenomenon in Malaysia for decades. This study examines the determinants of private tutoring expenditures in Malaysia using the 2004/2005 Household Expenditures Survey and applies hurdle regression models to the data. The results indicate that total household expenditures, household head's level of…

  20. Household Expenditures on Private Tutoring: Emerging Evidence from Malaysia

    Science.gov (United States)

    Kenayathulla, Husaina Banu

    2013-01-01

    Private tutoring has been a burgeoning phenomenon in Malaysia for decades. This study examines the determinants of private tutoring expenditures in Malaysia using the 2004/2005 Household Expenditures Survey and applies hurdle regression models to the data. The results indicate that total household expenditures, household head's level of education,…

  1. Household Expenditures on Private Tutoring: Emerging Evidence from Malaysia

    Science.gov (United States)

    Kenayathulla, Husaina Banu

    2013-01-01

    Private tutoring has been a burgeoning phenomenon in Malaysia for decades. This study examines the determinants of private tutoring expenditures in Malaysia using the 2004/2005 Household Expenditures Survey and applies hurdle regression models to the data. The results indicate that total household expenditures, household head's level of education,…

  2. Gender, Marital Status, and Commercially Prepared Food Expenditure

    Science.gov (United States)

    Kroshus, Emily

    2008-01-01

    Objective: Assess how per capita expenditure on commercially prepared food as a proportion of total food expenditure varies by the sex and marital status of the head of the household. Design: Prospective cohort study, data collected by the United States Bureau of Labor Statistics 2004 Consumer Expenditure Survey. Setting: United States.…

  3. Educational Expenditures in Thailand: Development, Trends, and Distribution

    Science.gov (United States)

    Sagarik, Danuvas

    2014-01-01

    This article aims to investigate the trends of education expenditure policy during the past few decades, as well as the recent allocation and distribution of education expenditure in Thailand. It also focuses on the development of the substance of education policy in Thailand. Political connection with the education expenditure policy is also…

  4. Health care expenditure in Sweden--an international comparison.

    Science.gov (United States)

    Gerdtham, U G; Jönsson, B

    1991-01-01

    This paper analyses health care expenditure in Sweden and compares this with the corresponding expenditure in OECD countries. The definition and measurement problems of health care expenditure are discussed, new figures for the development of health care expenditure are presented and different measures of health care expenditure are provided. We found that health care expenditure has increased by about 20% in constant prices for Sweden between 1980 and 1988, but that health care expenditure as a share of the GDP has dropped during the same period in current prices. Health care expenditure disaggregated on different age groups show for Sweden that in the age group 15-64 years, health care expenditure has not increased in constant prices between 1976 and 1985, but in the oldest age group, health care expenditure has increased considerable during this period. Health care expenditure in Sweden is as high as would be expected, taking into account the degree of economic development and the growth of expenditure during the 80s, and has followed that in comparable OECD countries. However, the relative price is lower, which means that the input of real resources are greater than in other countries.

  5. Public Library Trends Analysis: Fiscal Years 1992-1996.

    Science.gov (United States)

    Glover, Denise

    2001-01-01

    Identifies and describes trends in public libraries for 24 selected variables, including library collections, services, operating income and expenditures, and staffing. Data are from the National Center for Education Statistics Public Libraries Survey. (Author/SLD)

  6. Annoyances in Growing Up

    Institute of Scientific and Technical Information of China (English)

    Peng Yuanchang; Ye Qing

    2007-01-01

    @@ Annoyances in growing up seem to be unavoidable. Many problems still face the Chinese power industry just climbing onto a new level of 600-GW installed capacity. It has to search practicable solutions for problems with the significant themes including structure optimization,efficiency improvement and environment protection.

  7. Growing Up with "1984."

    Science.gov (United States)

    Franza, August

    1983-01-01

    Relates changing student reaction to George Orwell's "1984" over 20 years of teaching. Finds present high school students' acceptance of Orwell's bleak world vision both a sign of student honesty and a frightening indication of the growing reality of the book. (MM)

  8. Growing Old in Sweden.

    Science.gov (United States)

    Berglind, Hans

    This document contains the bases of lectures delivered in Florida by a visiting Stockholm University sociology professor. The first chapter, "Growing Old in Sweden," includes information on the income, standard of living, and quality of services available to the elderly in that country. That information is presented within the changing…

  9. Cities on the GROW

    NARCIS (Netherlands)

    Nunes, Richard; Meulen, Suzanne; Mol, G.; Bailey, Alison

    2015-01-01

    Cities on the Grow is a cross-disciplinary project that has been funded by Climate-KIC, an initiative of the European Institute of Innovation and Technology. It seeks to support the sustainable growth of urban food enterprises toward the implementation of more commercially viable business practices.

  10. Growing Up In Appalachia.

    Science.gov (United States)

    Reed, Judith

    1981-01-01

    Offers a glimpse of a Smithsonian Institution Traveling Exhibition of 80 photographs and selected writings by first through eighth grade children growing up in Letcher County, Kentucky. Children were guided by an artist-in-residence sponsored by the Kentucky Arts Commission and Appalshop, a multimedia cooperative. (Author/RH)

  11. Health care expenditure, laboratory services and IVD market.

    Science.gov (United States)

    Veronesi, E; Mambretti, C; Gazzaniga, P

    1997-01-01

    What has been written until now should not be misinterpreted: without doubt there is wastage in the Italian health care expenditure which must be rationalized. Moreover, the public deficit-now over two million billion lira-will probably prevent any reinvestment in health care of resources liberated through the above-mentioned rationalization process. In the near future, the attention of the authorities should be focused on how to reduce public spending, which probably also includes spending on health care. The message which needed to be passed on here does not refuse to recognize the possibility of rationalizing health care expenditure in Italy nor does it reject the need for this course of action. Instead it tries to give the following warning: in the light of the above circumstances-or the fact that even now the authorities cannot admit to spending "much" in the absolute sense, especially with regard to technology, or the fundamental role of IVDs in health care processes, or the difficulties in which the companies of the sector have been placed-it is possible to state that any blind, or worse still, ill-equipped, intervention in this field would have the undoubted effect of damaging the health care sector, or even place many companies on their knees, without receiving the expected benefits on the balance sheet. Benefits in the form of efficiency and saving can only be obtained from an effective reorganisation of the health structures, in line with the reforms provided for by legislative decree n. 502/92 (and subsequent modifications)--which, due to aspects too numerous to mention, is still a dead letter--and by taking steps towards valuing the laboratory services. As already stated, to talk of inefficiency in general terms means talking of unproductive expenditure: this occurs when utilizing factors whose cost is "too high" and/or productivity is "too low". It is with this distinction in mind that intervention must come; assessing factors not individually but

  12. The Italian National Health Service expenditure on workplace prevention and safety (2006-2013): a national-level analysis.

    Science.gov (United States)

    Signorelli, C; Riccò, M; Odone, A

    2016-01-01

    The World Health Organization (WHO) stated that countries' health policies should give high priority to primary prevention of occupational health hazards. Scant data are available on health expenditure on workplace prevention and safety services and on its impact on occupational health outcomes in Italy and in other European countries. objective of the present study was to systematically retrieve, analyse and critically appraise the available national-level data on public health expenditure on workplace prevention and safety services as well as to correlate them with occupational health outcomes. National-level data on total public health expenditure on prevention services, its share spent on workplace prevention and safety services as well as on number of workers receiving appropriate health surveillance were derived from the national public health expenditure monitoring system over a 8-year study period (2006-2013). An analytic approach was adopted to explore the association between health expenditure and occupational health services supply. The Italian National Health Service spends almost € 5 billion per year on preventive care, of which 13.3% are spent on workplace prevention and safety programmes (€ 645 million, € 10.6 per capita). There is wide heterogeneity between Italian regions. Our findings are useful for health systems and policies analysis, national and international comparisons as well as for health policy makers to plan, implement and monitor occupational health prevention programmes.

  13. 26 CFR 1.501(h)-1 - Application of the expenditure test to expenditures to influence legislation; introduction.

    Science.gov (United States)

    2010-04-01

    ... expenditures to influence legislation; introduction. 1.501(h)-1 Section 1.501(h)-1 Internal Revenue INTERNAL...) Exempt Organizations § 1.501(h)-1 Application of the expenditure test to expenditures to influence..., (except as otherwise provided in subsection (h)).” This requirement is called the substantial part...

  14. Impact of Out-of-Pocket Expenditure on Physical Therapy Utilization for Nonspecific Low Back Pain: Secondary Analysis of the Medical Expenditure Panel Survey Data.

    Science.gov (United States)

    Dolot, Janet; Viola, Deborah; Shi, Qiuhu; Hyland, Matthew

    2016-02-01

    Physical therapy decreases low back pain, improves function, and may lead to decreased use of medical services. However, factors predicting physical therapy utilization for patients with low back pain are not well understood. The purpose of this study was to identify the impact of out-of-pocket expenditure on physical therapy utilization for US adults with nonspecific low back pain. This study was a secondary analysis of retrospective Medical Expenditure Panel Survey data. The participants were US adults with nonspecific low back pain. The outcome variable was the number of visits per episode of care. The research variable was out-of-pocket expenditure. Covariate variables were Medical Outcomes Study 12-Item Short-Form Health Survey (SF-12) component scores. Descriptive statistics and multiple linear regression analyses were performed. Three hundred fourteen adults met the inclusion criteria and submitted SF-12 scores, representing nearly 4 million adults. Out-of-pocket expenditure, physical component score, and the age-insurance category "18-64 years with public coverage only for all of the year or uninsured all of the year" negatively predicted visits per episode of care in the final regression model. Limitations of the study included use of a nonexperimental design, lack of information about symptom severity and content of physical therapy, and SF-12 scores were not taken coincidental with the episode of care. Out-of-pocket expenditure negatively predicts physical therapy utilization. More research is needed to identify all factors influencing physical therapy utilization so that effective health policies may be developed. © 2016 American Physical Therapy Association.

  15. 少子老龄化、公共养老金支出与提高退休年龄--基于 O ECD国家的经验比较%The Aging Population with Lower Fertility,Public Pension Expenditures and the Increase in the Retirement Ages Based on the Empi rical Comparison among OECD Countries

    Institute of Scientific and Technical Information of China (English)

    柳清瑞; 苏牧羊

    2016-01-01

    The crisis of aging population with lower fertility has occurred in many OECD countries owing to the decline in total fertility rate and the increase in life expectancy .According to the model of public pension expenditures and sensitivity analysis of its parameters ,the gradual rise in the elderly dependency ratio will lead to the step-by-step increase in public pension expend‐itures in these countries ,w hile the increase in retirement ages will result in the reduction in the elderly dependency ratio and be helpful for the control of the rapid increase in public pension ex‐penditures .Accordingly ,many OECD countries have carried out the reform of increasing the re‐tirement ages .This paper makes a comparative analysis of the basic conditions (life expectancy , health life expectancy ,education level of adults and the ratio of working-age population) and poli‐cy design of increasing the retirement ages in these countries .It sums up the main experiences as follow s :the first is to adjust the retirement ages based on the enough consideration of the macro-economy and population conditions ;the second is to increase the retirement ages incrementally and gradually in a certain period and set up the window period of the reform ;the third is to estab‐lish the assistant mechanisms of increasing the retirement ages in order to avoid the economic ef‐ficiency losses of the reform ,such as the policy of flexible retirement ,and the promotion and protection policy for the old people’s employment .On this basis ,it discusses the conditions and policy design of increasing retirement ages in China .%在人口生育率下降与预期寿命延长的双重作用下,O ECD国家普遍出现了少子老龄化危机。根据公共养老金支出水平模型及其参数的敏感性分析,老年抚养比不断上升将导致公共养老金支出水平逐步提高,提高退休年龄将降低老年抚养比并有助于控制公共养老金支出的过快增

  16. Health-care expenditure and health policy in the USA versus other high-spending OECD countries.

    Science.gov (United States)

    Lorenzoni, Luca; Belloni, Annalisa; Sassi, Franco

    2014-07-05

    The USA has exceptional levels of health-care expenditure, but growth has slowed dramatically in recent years, amidst major efforts to close the coverage gap with other countries of the Organisation for Economic Co-operation and Development (OECD). We reviewed expenditure trends and key policies since 2000 in the USA and five other high-spending OECD countries. Higher health-sector prices explain much of the difference between the USA and other high-spending countries, and price dynamics are largely responsible for the slowdown in expenditure growth. Other high-spending countries did not face the same coverage challenges, and could draw from a broader set of policies to keep expenditure under control, but expenditure growth was similar to the USA. Tightening Medicare and Medicaid price controls on plans and providers, and leveraging the scale of the public programmes to increase efficiency in financing and care delivery, might prevent a future economic recovery from offsetting the slowdown in health sector prices and expenditure growth. Copyright © 2014 Elsevier Ltd. All rights reserved.

  17. Adjusting Health Expenditures for Inflation: A Review of Measures for Health Services Research in the United States.

    Science.gov (United States)

    Dunn, Abe; Grosse, Scott D; Zuvekas, Samuel H

    2016-11-21

    To provide guidance on selecting the most appropriate price index for adjusting health expenditures or costs for inflation. Major price index series produced by federal statistical agencies. We compare the key characteristics of each index and develop suggestions on specific indexes to use in many common situations and general guidance in others. Price series and methodological documentation were downloaded from federal websites and supplemented with literature scans. The gross domestic product implicit price deflator or the overall Personal Consumption Expenditures (PCE) index is preferable to the Consumer Price Index (CPI-U) to adjust for general inflation, in most cases. The Personal Health Care (PHC) index or the PCE health-by-function index is generally preferred to adjust total medical expenditures for inflation. The CPI medical care index is preferred for the adjustment of consumer out-of-pocket expenditures for inflation. A new, experimental disease-specific Medical Care Expenditure Index is now available to adjust payments for disease treatment episodes. There is no single gold standard for adjusting health expenditures for inflation. Our discussion of best practices can help researchers select the index best suited to their study. © Published 2016. This article is a U.S. Government work and is in the public domain in the USA.

  18. How to Grow Old

    Institute of Scientific and Technical Information of China (English)

    Bertrand Russell

    2008-01-01

    <正>1. In spite of the title, this article will really be on how not to grow old, which, at my time of life, is a much more important subject. My first advice would be to choose your ancestors carefully. Although both my parents died young, I have done well in this respect as regards my other ancestors. My maternal grandfather, it is true, was cut off in the flower of his youth at the age of sixty-seven,

  19. The impact of population ageing on future Danish drug expenditure

    DEFF Research Database (Denmark)

    Kildemoes, Helle Wallach

    Background Population ageing is likely to place an increasing burden on future health care budgets. Several studies have demonstrated that the impact of ageing on future hospital expenditures will be overestimated when not accounting for proximity to death. This is because greater health care...... expenditure among the elderly partly is due the high "costs of dying". Aims The aim of this study was to estimate the impact of the ageing Danish population on future total expenditures on out-of-hospital prescription drugs and to describe the association between age and drug expenditure among survivors...... compared to that of decedents. Methods Taking expenditure during the last year of life and the changes in mortality rates into account, future drug expenditure was projected by multiplying estimated mean annual drug expenditure according to age, gender and survival status by the predicted future number...

  20. The Mind Grows Circuits

    CERN Document Server

    Panigrahy, Rina

    2012-01-01

    There is a vast supply of prior art that study models for mental processes. Some studies in psychology and philosophy approach it from an inner perspective in terms of experiences and percepts. Others such as neurobiology or connectionist-machines approach it externally by viewing the mind as complex circuit of neurons where each neuron is a primitive binary circuit. In this paper, we also model the mind as a place where a circuit grows, starting as a collection of primitive components at birth and then builds up incrementally in a bottom up fashion. A new node is formed by a simple composition of prior nodes when we undergo a repeated experience that can be described by that composition. Unlike neural networks, however, these circuits take "concepts" or "percepts" as inputs and outputs. Thus the growing circuits can be likened to a growing collection of lambda expressions that are built on top of one another in an attempt to compress the sensory input as a heuristic to bound its Kolmogorov Complexity.

  1. Machine-Learning Algorithms to Code Public Health Spending Accounts.

    Science.gov (United States)

    Brady, Eoghan S; Leider, Jonathon P; Resnick, Beth A; Alfonso, Y Natalia; Bishai, David

    Government public health expenditure data sets require time- and labor-intensive manipulation to summarize results that public health policy makers can use. Our objective was to compare the performances of machine-learning algorithms with manual classification of public health expenditures to determine if machines could provide a faster, cheaper alternative to manual classification. We used machine-learning algorithms to replicate the process of manually classifying state public health expenditures, using the standardized public health spending categories from the Foundational Public Health Services model and a large data set from the US Census Bureau. We obtained a data set of 1.9 million individual expenditure items from 2000 to 2013. We collapsed these data into 147 280 summary expenditure records, and we followed a standardized method of manually classifying each expenditure record as public health, maybe public health, or not public health. We then trained 9 machine-learning algorithms to replicate the manual process. We calculated recall, precision, and coverage rates to measure the performance of individual and ensembled algorithms. Compared with manual classification, the machine-learning random forests algorithm produced 84% recall and 91% precision. With algorithm ensembling, we achieved our target criterion of 90% recall by using a consensus ensemble of ≥6 algorithms while still retaining 93% coverage, leaving only 7% of the summary expenditure records unclassified. Machine learning can be a time- and cost-saving tool for estimating public health spending in the United States. It can be used with standardized public health spending categories based on the Foundational Public Health Services model to help parse public health expenditure information from other types of health-related spending, provide data that are more comparable across public health organizations, and evaluate the impact of evidence-based public health resource allocation.

  2. Economic impact of chikungunya epidemic: out-of-pocket health expenditures during the 2007 outbreak in Kerala, India.

    Science.gov (United States)

    Vijayakumar, K; George, B; Anish, T S; Rajasi, R S; Teena, M J; Sujina, C M

    2013-01-01

    The southern state of Kerala, India was seriously affected by a chikungunya epidemic in 2007. As this outbreak was the first of its kind, the morbidity incurred by the epidemic was a challenge to the state's public health system. A cross sectional survey was conducted in five districts of Kerala that were seriously affected by the epidemic, using a two-stage cluster sampling technique to select households, and the patients were identified using a syndromic case definition. We calculated the direct health expenditure of families and checked whether it exceed the margins of catastrophic health expenditure (CHE). The median (IQR) total out-of-pocket (OOP) health expenditure in the study population was USD7.4 (16.7). The OOP health expenditure did not show any significant association with increasing per-capita monthly income.The major share (47.4%) of the costs was utilized for buying medicines, but costs for transportation (17.2%), consultations (16.6%), and diagnoses (9.9%) also contributed significantly to the total OOP health expenditure. The OOP health expenditure was high in private sector facilities, especially in tertiary care hospitals. For more than 15% of the respondents, the OOP was more than double their average monthly family income. The chikungunya outbreak of 2007 had significantly contributed to the OOP expenditure of the affected community in Kerala.The OOP health expenditure incurred was high, irrespective of the level of income. Governments should attempt to ensure comprehensive financial protection by covering the costs of care, along with loss of productivity.

  3. Impact of demographic ageing on sustainability of public finance in Serbia

    Directory of Open Access Journals (Sweden)

    Zdravković Aleksandar

    2012-01-01

    Full Text Available Population ageing is a global phenomenon without precedent in the history of humanity having implications in all facets of life. From an economic point of view, population ageing is certainly one of the biggest challenges of modern time. A consequence of these global demographic tendencies reflected in growing number of pensioners which negatively affects sustainability of public pension systems financed by the principle of intergenerational solidarity (Pay-As-You-Go - widely represented in public pension schemes of European countries. In this paper, impact of demographic ageing on pension systems is analyzed in the context of sustainability of public finance in Serbia in the period 2010-2050. Although the comparative analysis of the pension expenditure share in gross domestic product (GDP does not point to significant differences between Serbia and the countries in the neighborhood and the European Union, the growth trend of subsidizing the Pension Fund from the government budget endangers medium-term sustainability of the public pension system in Serbia, bearing in mind that the implementation of measures proposed in pension reforms can be valorized only in the long run. The main objective of the analysis is projecting long-term pension expenditure as a share of GDP. The projections were formed indirectly by modeling the average pension expenditure, because this variable incorporates both growth in the total pension expenditure and growth in the number of pensioners as a result of demographic trends, and better reflects the actual growth of pension expenditure. For the purposes of the analysis, in addition to the projection of real GDP growth, size of the inactive population aged 65 and over, as the main contingent of the pension system users and the total number of pensioners, was projected by means of stochastic cohort component methodology. Based on these projections and assumptions about the growth rate of average pension expenditure

  4. The effect of recessions on gambling expenditures.

    Science.gov (United States)

    Horváth, Csilla; Paap, Richard

    2012-12-01

    This article examines the influence of the business cycle on expenditures of three major types of legalized gambling activities: Casino gambling, lottery, and pari-mutuel wagering. Empirical results are obtained using monthly aggregated US per capita consumption time series for the period 1959.01-2010.08. Among the three gambling activities only lottery consumption appears to be recession-proof. This series is characterized by a vast and solid growth that exceeds the growth in income and the growth in other gambling sectors. Casino gambling expenditures show a positive growth during expansions and no growth during recessions. Hence, the loss in income during recessions affects casino gambling. However, income shocks which are not directly related to the business cycle do not influence casino gambling expenditures. Pari-mutuel wagering displays an overall negative trend and its average growth rate is smaller than the growth in income, especially during recessions. The findings of this article provide important implications for the gambling industry and for local governments.

  5. HOUSEHOLD EXPENDITURE IN RESPONSE TO NATURAL DISASTERS

    Directory of Open Access Journals (Sweden)

    Eny Sulistyaningrum

    2015-09-01

    Full Text Available Natural disasters have increased in their frequency, and the intensity of their destruction over the last ten years in Indonesia. Households usually respond to these difficulties by cutting their consump-tion, especially for non-essential goods. Arguably natural disasters are exogenous events, so this paper uses the exogenous variation from natural disasters as a natural experiment design to estimate the effect of disasters on household expenditure. When a certain group is exposed to the causal variable of interest, such as a disaster, and other groups are not, the Difference In Difference model (DID can be used for estimation. Using a micro level survey data set from the Indonesian Family Life Survey (IFLS which covers approximately 83 percent of the Indonesian population within the survey area, this paper examines the effects of natural disasters on household expenditure. This paper also examines whether there are any different impacts from different types of disasters. The finding is there are no significant effects of disasters on total household expenditure for households living in disaster regions, whether they are affected directly or not by the disaster.

  6. Some Thoughts on Effects of Fluctuation of Stock and Real Estate Prices on Consumer Expenditure

    Institute of Scientific and Technical Information of China (English)

    刘琳

    2006-01-01

    @@ With the rapid development of China' s financial markets,stocks and real estate are becoming one of the assets that can exert remarkable influence on consumer behavior.Since the early 1990s, sharp rises in stock market value in some European and North American countries, along with violent swings of stock market in other countries (Japan, for instance), have asserted enormous influence upon their perspective level of consumer expenditure.In the meantime, influence of fluctuation of real estate prices has been growing consistently as well.Dr.Greenspan,Chairman of the Federal Reserve System, proclaimed in 2001 that fluctuation of U.S.real estate prices should have had a more significant impact on consumer expenditure than that from fluctuation of stock prices in that year, and this trend should continue to strengthen in U.S.

  7. Analysis of The Impact of Public Finance Expenditure Structure on Consumption Fairness —— Based on the Test of VEC Model%我国财政支出结构对消费公平的影响分析——基于VEC模型的检验

    Institute of Scientific and Technical Information of China (English)

    罗志红; 朱青

    2012-01-01

    Consumption fairness has a direct impact on social equity and economic justice, and plays an important role in the harmonious development of our society. The study is carried out on the gap between financial classification expenditure and household expenditure between urban and rural areas and between different re- gions. The result shows that the expenditure for economic construction is conducive to narrowing the consumption gap between urban and rural areas and between regions from 1980 to 2010. The long-term unbalanced develop- ment of sharing development expenditure could widen this gap. And administrative services expenditure is the main reason for the widening gap between urban and rural areas, but is not relevant to the consumption gap be- tween regions. Therefore, it is urgent to further optimize China's fiscal expenditure structure in order to achieve the consumption fairness.%居民消费公平直接影响社会公平与经济公平的实现,对我国社会的和谐发展有着重要意义。对财政分类支出与城乡之间、地区之间居民消费支出差距的关系的实证研究表明,在1980~2010年期间,经济建设支出有利于缩小城乡之间和地区之间居民消费差距;共享发展支出长期不均衡发展扩大了城乡之间和地区之间的消费差距;行政服务支出只是城乡居民消费差距扩大的重要原因,而与地区间消费差距的形成无关。因此,需进一步优化我国财政支出结构,从而实现消费公平的目的。

  8. 45 CFR 95.13 - In which quarter we consider an expenditure made.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false In which quarter we consider an expenditure made... INSURANCE PROGRAMS) Time Limits for States To File Claims § 95.13 In which quarter we consider an... title I, IV-A, IV-E, X, XIV, or XVI (AABD) to have been made in the quarter in which a payment was...

  9. Kidney Transplantation Is Associated with Catastrophic Out of Pocket Expenditure in India

    OpenAIRE

    Raja Ramachandran; Vivekanand Jha

    2013-01-01

    Kidney transplantation (KT) is only viable renal replacement option for most patients in India. Most patients do not have health insurance and meet treatment expenditure from their own resources. We prospectively evaluated the expenses associated with KT and its impact on the socioeconomic status of families in a public hospital. All direct and indirect expenses incurred by the patients from the time of diagnosis of chronic kidney disease to KT were recorded. Direct expenses included physicia...

  10. Parties, Pressure groups and the Politics of Municipal Expenditures in France

    OpenAIRE

    Hoffmann-Martinot, Vincent; Balme, Richard

    1989-01-01

    New Leaders, Parties and Groups: Comparative Tendancies in Local LeadershipFiscal Austerity and Urdan Innovation Conference, Paris, april 1989; The paper proposes an analysis of determinants of public expenditures in French cities over 20.000 between 1983 and 1985. Different factors are estimated using bivariate analysis. Environmental determinants are contrasted with political variables including influence of the bureaucracy and pressure groups, and partisan ideology of mayors. Results show ...

  11. International trade growing fast

    Energy Technology Data Exchange (ETDEWEB)

    Bamber, D.

    1992-01-01

    Facts and figures relating to the state of the world's coal industry are quoted from a recent report by Sheffield Energy and Resources Information Services (SERIS) entitled 'Coal companies worldwide: competition and performance indicators'. The report ranks performance by country and compares data for 1990 with that of 1985. This article selects some figures on rising exports from Chinese companies and lists top ten coal exporters and producers worldwide for 1985 and 1990. Whilst in some countries exports are growing faster than production, the overall profitability of the coal industry has deteriorated. 1 ref., 2 tabs.

  12. Differences in healthcare expenditures for inflammatory bowel disease by insurance status, income, and clinical care setting.

    Science.gov (United States)

    Park, Michelle D; Bhattacharya, Jay; Park, Kt

    2014-01-01

    Background. Socioeconomic factors and insurance status have not been correlated with differential use of healthcare services in inflammatory bowel disease (IBD). Aim. To describe IBD-related expenditures based on insurance and household income with the use of inpatient, outpatient, emergency, and office-based services, and prescribed medications in the United States (US). Methods. We evaluated the Medical Expenditure Panel Survey from 1996 to 2011 of individuals with Crohn's disease (CD) or ulcerative colitis (UC). Nationally weighted means, proportions, and multivariate regression models examined the relationships between income and insurance status with expenditures. Results. Annual per capita mean expenditures for CD, UC, and all IBD were $10,364 (N = 238), $7,827 (N = 95), and $9,528, respectively, significantly higher than non-IBD ($4,314, N = 276, 372, p 19.47]), with increased odds for inpatient and emergency care. Private insurance had higher costs associated with outpatient care, office-based care, and prescribed medicines. Low-income patients had lower costs associated with outpatient (OR 0.38, CI [0.15-0.95]) and office-based care (OR 0.21, CI [0.07-0.62]). Conclusions. In the US, high inpatient utilization among publicly insured patients is a previously unrecognized driver of high IBD costs. Bridging this health services gap between SES strata for acute care services may curtail direct IBD-related costs.

  13. Population ageing and public finance targets

    OpenAIRE

    Heikki Oksanen

    2003-01-01

    The paper incorporates intergenerational fairness into a framework to analyse long-term sustainability of public finances under population ageing. It establishes a link between ageing-related public expenditure projections and public finance targets, thereby clarifying the connection between pension reforms and general government budget balance and debt targets.

  14. 42 CFR 435.1008 - FFP in expenditures for medical assistance for individuals who have declared United States...

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false FFP in expenditures for medical assistance for... ISLANDS, AND AMERICAN SAMOA Federal Financial Participation Limitations on Ffp § 435.1008 FFP in... identity. Except for individuals described in § 435.406(a)(1)(v), FFP will not be available to a State...

  15. [Health expenditure in the context of social expenditure. A generational analysis of tendencies in Spain in the context of demographic aging. 2008 SESPAS Report].

    Science.gov (United States)

    López Casasnovas, Guillem; Mosterín Höpping, Ana

    2008-04-01

    The tendency for public welfare spending to be increasingly aimed at the elderly has been identified in several developed countries. While population aging is a common trend, it is not obvious why the shift in spending exceeds the trend in aging, or why per capita spending on the elderly is increasing. In the first part of the present article, we show that this trend is occurring in Spain, identify the losers from this development, discuss the policies that underlie it, and propose adjustments based on Musgrave's fixed proportions rule for fair intergenerational distribution. These policies aim to manage population aging, labor market participation of youth and women, as well as public policies that combine 'work-fare' strategies with the more traditional 'welfare' strategies. In the second part of this paper, we explore the contribution of public health expenditure to overall public social expenditure, and analyze the effect of increasing health on distributional fairness. This analysis is guided by our perception that social policy, including health policy, should be more horizontal, i.e. it should take into account the sum total of a mixed basket of resources aimed at any recipient group, to avoid the skewed allocation of resources that arises from compounding various independent distributions of resources. Coordination of the various channels of social expenditure should ensure precisely targeted recipients and cross-departmental sources. The normative fairness criterion to be used should be precisely specified. In Spain (1980-2000) the oldest segment of the population has gained the most, appropriating an increased share of resources. This increase goes beyond the amount that could be explained by population aging throughout the period. The 'losers' are individuals with different fragility conditions. On average the youngest working group has suffered the highest relative loss.

  16. Washington state foster care: dental utilization and expenditures.

    Science.gov (United States)

    Melbye, Molly L R; Chi, Donald L; Milgrom, Peter; Huebner, Colleen E; Grembowski, David

    2014-01-01

    To identify factors associated with dental utilization and expenditures for children enrolled in Washington State (WA) foster care (FC). This cross-sectional study used 2008 Medicaid enrollment and claims files for children ages Foster Home Care, Kinship Care, Group Care, Other), and urbanicity. Only 43 percent of the children utilized any dental care; the adjusted mean expenditure was $198.35 [95% confidence interval (CI) $181.35, $215.36]. Fewer utilized diagnostic (41 percent), preventive (39 percent), restorative (11 percent), or complex (5 percent) services. Associated with utilization (P ≤ 0.01) were: female [ARR = 1.05, 95% CI(1.01, 1.10)]; 0-2 years [ARR = 0.18, 95% CI(0.15, 0.21)], [3-5 years ARR = 0.78, 95% CI(0.74, 0.83)]; Native American [ARR = 0.85, 95% CI(0.80, 0.91)]; SSI [ARR = 1.10, 95% CI(1.04, 1.17)]; Kinship Care [ARR = 0.94, 95% CI(0.90, 0.98)]; Group Care [ARR = 1.25 95% CI(1.15, 1.37)]; and urban/rural urbanicity with population Care [$28.57 95% CI($14.00, $43.15)]. Most children enrolled in WA FC for ≥11 months during 2008 did not receive dental care. Research is needed to determine the level of unmet need among children in FC and interventions to improve access to oral health of the children. Enforcement of existing federal legislation is needed. © 2013 American Association of Public Health Dentistry.

  17. Rising Health Expenditure due to Non-communicable Diseases in India: An Outlook

    Directory of Open Access Journals (Sweden)

    Debasis Barik

    2016-11-01

    Full Text Available Abstract: With ongoing demographic transition, epidemiological transition in India has been emerged as a growing concern in India. The share of non-communicable disease in total disease burden has increased from 31 per cent in 1990 to 45 per cent in 2010. This paper seeks to explore the health scenario of India in the wake of the growing pace of non-communicable diseases like diabetes, hypertension among Indian population using data from health and morbidity survey of the National Sample Survey Organisation (2004 and notifies about the resource needed to tackle this growing health risk. Given the share of private players (70 per cent in Indian health system, results indicate a higher private expenditure, mostly out-of-pocket expense, on account of non-communicable diseases. A timely look into the matter may tackle a more dreadful situation in near future.

  18. Rising Health Expenditure Due to Non-Communicable Diseases in India: An Outlook.

    Science.gov (United States)

    Barik, Debasis; Arokiasamy, Perianayagam

    2016-01-01

    With ongoing demographic transition, epidemiological transition has been emerged as a growing concern in India. The share of non-communicable disease in total disease burden has increased from 31% in 1990 to 45% in 2010. This paper seeks to explore the health scenario of India in the wake of the growing pace of non-communicable diseases such as diabetes and hypertension among Indian population using data from health and morbidity survey of the National Sample Survey Organisation (2004) and notifies about the resource needed to tackle this growing health risk. Given the share of private players (70%) in Indian health system, results indicate a higher private expenditure, mostly out-of-pocket expense, on account of non-communicable diseases. A timely look into the matter may tackle a more dreadful situation in near future.

  19. Growing a market economy

    Energy Technology Data Exchange (ETDEWEB)

    Basu, N.; Pryor, R.J.

    1997-09-01

    This report presents a microsimulation model of a transition economy. Transition is defined as the process of moving from a state-enterprise economy to a market economy. The emphasis is on growing a market economy starting from basic microprinciples. The model described in this report extends and modifies the capabilities of Aspen, a new agent-based model that is being developed at Sandia National Laboratories on a massively parallel Paragon computer. Aspen is significantly different from traditional models of the economy. Aspen`s emphasis on disequilibrium growth paths, its analysis based on evolution and emergent behavior rather than on a mechanistic view of society, and its use of learning algorithms to simulate the behavior of some agents rather than an assumption of perfect rationality make this model well-suited for analyzing economic variables of interest from transition economies. Preliminary results from several runs of the model are included.

  20. Aging Risk and Health Care Expenditure in Korea

    Science.gov (United States)

    Tchoe, Byongho; Nam, Sang-Ho

    2010-01-01

    This paper analyzes the impact of population aging on health care expenditures in Korea. Examination of the age-expenditure profile reveals that health care resources are allocated more for the older cohort of population over time, suggesting significant growth of health care expenditures due to population aging. We contend, however, that population aging is considered as a parameter rather than an independent variable to explain rising health care expenditures. This paper shows that population aging is not found to be a significant determinant of health care expenditures according to the econometric analysis using OECD health data and time-series data for Korea. Using the components decomposition method, which measures the contribution of each component of health care expenditure, we estimate that population aging contributes only less than 10 percent. PMID:20948958

  1. MARKETING EXPENDITURES IN THE INDONESIAN CONSTRUCTION INDUSTRY

    Directory of Open Access Journals (Sweden)

    Krishna Mochtar

    2004-01-01

    Full Text Available In the 1960s, a “new” marketing concept known as "four Ps marketing mix" appeared and shifted the focus from the product to the customer. The objective of the new concept was not only profit, and the means of achieving the objective expanded to include the entire “marketing mix”: product, price, promotion, and place (channels and distribution. Expenditures of marketing in a company should be explored from these mixes, because each mix would have an impact on the total marketing expenditures. These four mixes are the main aspects of marketing and thus, should represent almost all expenditures in marketing in a company. From this research it is discovered that the responding contractors have only average efforts to improve or innovate their service, mostly using the latest construction methods and management approach. Correlated to their policy in the fourth mix (Place, they are still national oriented and not international oriented in marketing their services, this may lead to the big question of their survival; their motivation to innovate is only average while their target market is only national market. Their attitude to use more intensive “fees” policy rather than both product innovation and promotion is also interesting. Big percentage of the responding contractors assumes these “fees” are regular marketing practices. This attitude may better be stopped to make the construction industry practices healthier. Attitude to use more product innovation and true promotion approach in marketing in construction must be encouraged systematically in the future, to improve competitiveness in the long term.

  2. Defense, Education and Health Expenditures in Selected Asian Countries

    OpenAIRE

    Hirnissa, M.T; Habibullah, M.S.; Baharom, A.H.

    2008-01-01

    This study explores the inter-relationship between military expenditure, education expenditure and health expenditure in eight selected Asian countries namely Malaysia, Indonesia, Singapore, Philippines, Bangladesh, Nepal, Sri Lanka and South Korea. Autoregressive Distributed Lag-Restricted Error Correction Model (ARDL-RECM) procedure was utilized in the analysis. The empirical results suggest that, except for the case of Malaysia and Sri Lanka, whereby no meaningful interrelationship was det...

  3. Development of a Compendium of Energy Expenditures for Youth

    OpenAIRE

    Ainsworth Barbara E; Ridley Kate; Olds Tim S

    2008-01-01

    Abstract Background This paper presents a Compendium of Energy Expenditures for use in scoring physical activity questionnaires and estimating energy expenditure levels in youth. Method/Results Modeled after the adult Compendium of Physical Activities, the Compendium of Energy Expenditures for Youth contains a list of over 200 activities commonly performed by youth and their associated MET intensity levels. A review of existing data collected on the energy cost of youth performing activities ...

  4. The Relationship between Inflation and Defense Expenditures.

    Science.gov (United States)

    1979-12-01

    resources they would be bid up in the expanding sector. See Robert Solow , "Evaluation," in After the Phillips Curve: Persistence of High Inflation and...can be explained by the respective rates of growth of money supply per unit of national product. ’𔃼 IF’risch, op. cit., p. 1311. Robert J. Gordon...Statistical Approach for Forecasting Defense Expenditures in the Short-run," in William F. Butler, Robert A. Kavesh, and Robert B. Platt, eds., "Methods and

  5. Total HIV/AIDS expenditures in Dehong Prefecture, Yunnan province in 2010: the first systematic evaluation of both health and non-health related HIV/AIDS expenditures in China.

    Directory of Open Access Journals (Sweden)

    Duo Shan

    Full Text Available We assessed HIV/AIDS expenditures in Dehong Prefecture, Yunnan Province, one of the highest prevalence regions in China, and describe funding sources and spending for different categories of HIV-related interventions and at-risk populations.2010 HIV/AIDS expenditures in Dehong Prefecture were evaluated based on UNAIDS' National AIDS Spending Assessment methodology.Nearly 93% of total expenditures for HIV/AIDS was contributed by public sources. Of total expenditures, 52.7% was allocated to treatment and care, 24.5% to program management and administration and 19.8% to prevention. Spending on treatment and care was primarily allocated to the treatment of opportunistic infections. Most (40.4% prevention spending was concentrated on most-at-risk populations, injection drug users (IDUs, sex workers, and men who have sex with men (MSM, with 5.5% allocated to voluntary counseling and testing. Prevention funding allocated for MSM, partners of people living with HIV and prisoners and other confined populations was low compared to the disproportionate burden of HIV/AIDS in these populations. Overall, people living with HIV accounted for 57.57% of total expenditures, while most-at-risk populations accounted for only 7.99%.Our study demonstrated the applicability of NASA for tracking and assessing HIV expenditure in the context of China, it proved to be a useful tool in understanding national HIV/AIDS response from financial aspect, and to assess the extent to which HIV expenditure matches epidemic patterns. Limited funding for primary prevention and prevention for MSM, prisoners and partners of people living with HIV, signal that resource allocation to these key areas must be strengthened. Comprehensive analyses of regional and national funding strategies are needed to inform more equitable, effective and cost-effective HIV/AIDS resource allocation.

  6. 11 CFR 110.20 - Prohibition on contributions, donations, expenditures, independent expenditures, and...

    Science.gov (United States)

    2010-01-01

    ... participate in the decision-making process of any person, such as a corporation, labor organization, political... activities, such as decisions concerning the making of contributions, donations, expenditures, or... to political committees and organizations of political parties. A foreign national shall...

  7. Do Expenditures Other than Instructional Expenditures Affect Graduation and Persistence Rates in American Higher Education?

    Science.gov (United States)

    Webber, Douglas A.; Ehrenberg, Ronald G.

    2010-01-01

    During the last two decades, median instructional spending per full-time equivalent (FTE) student at American 4-year colleges and universities has grown at a slower rate than median spending per FTE student in a number of other expenditure categories, including academic support, student services and research. Our paper uses institutional level…

  8. Geographic Distribution of VA Expenditures (GDX FY 2016)

    Data.gov (United States)

    Department of Veterans Affairs — This report details VA expenditures at the state, county, and Congressional District level. It includes categories such as Compensation and Pension, Construction,...

  9. Acutely decreased thermoregulatory energy expenditure or decreased activity energy expenditure both acutely reduce food intake in mice.

    Directory of Open Access Journals (Sweden)

    Karl J Kaiyala

    Full Text Available Despite the suggestion that reduced energy expenditure may be a key contributor to the obesity pandemic, few studies have tested whether acutely reduced energy expenditure is associated with a compensatory reduction in food intake. The homeostatic mechanisms that control food intake and energy expenditure remain controversial and are thought to act over days to weeks. We evaluated food intake in mice using two models of acutely decreased energy expenditure: 1 increasing ambient temperature to thermoneutrality in mice acclimated to standard laboratory temperature or 2 exercise cessation in mice accustomed to wheel running. Increasing ambient temperature (from 21 °C to 28 °C rapidly decreased energy expenditure, demonstrating that thermoregulatory energy expenditure contributes to both light cycle (40 ± 1% and dark cycle energy expenditure (15 ± 3% at normal ambient temperature (21 °C. Reducing thermoregulatory energy expenditure acutely decreased food intake primarily during the light cycle (65 ± 7%, thus conflicting with the delayed compensation model, but did not alter spontaneous activity. Acute exercise cessation decreased energy expenditure only during the dark cycle (14 ± 2% at 21 °C; 21 ± 4% at 28 °C, while food intake was reduced during the dark cycle (0.9 ± 0.1 g in mice housed at 28 °C, but during the light cycle (0.3 ± 0.1 g in mice housed at 21 °C. Cumulatively, there was a strong correlation between the change in daily energy expenditure and the change in daily food intake (R(2 = 0.51, p<0.01. We conclude that acutely decreased energy expenditure decreases food intake suggesting that energy intake is regulated by metabolic signals that respond rapidly and accurately to reduced energy expenditure.

  10. Melting ice, growing trade?

    Directory of Open Access Journals (Sweden)

    Sami Bensassi

    2016-05-01

    Full Text Available Abstract Large reductions in Arctic sea ice, most notably in summer, coupled with growing interest in Arctic shipping and resource exploitation have renewed interest in the economic potential of the Northern Sea Route (NSR. Two key constraints on the future viability of the NSR pertain to bathymetry and the future evolution of the sea ice cover. Climate model projections of future sea ice conditions throughout the rest of the century suggest that even under the most “aggressive” emission scenario, increases in international trade between Europe and Asia will be very low. The large inter-annual variability of weather and sea ice conditions in the route, the Russian toll imposed for transiting the NSR, together with high insurance costs and scarce loading/unloading opportunities, limit the use of the NSR. We show that even if these obstacles are removed, the duration of the opening of the NSR over the course of the century is not long enough to offer a consequent boost to international trade at the macroeconomic level.

  11. Growing for different ends.

    Science.gov (United States)

    Catts, Oron; Zurr, Ionat

    2014-11-01

    Tissue engineering and regenerative biology are usually discussed in relation to biomedical research and applications. However, hand in hand with developments of this field in the biomedical context, other approaches and uses for non-medical ends have been explored. There is a growing interest in exploring spin off tissue engineering and regenerative biology technologies in areas such as consumer products, art and design. This paper outlines developments regarding in vitro meat and leather, actuators and bio-mechanic interfaces, speculative design and contemporary artistic practices. The authors draw on their extensive experience of using tissue engineering for non-medical ends to speculate about what lead to these applications and their possible future development and uses. Avoiding utopian and dystopian postures and using the notion of the contestable, this paper also mentions some philosophical and ethical consideration stemming from the use of non-medical approaches to tissue constructs. This article is part of a directed issue entitled: Regenerative Medicine: the challenge of translation.

  12. Effect of the new maternity insurance scheme on medical expenditures for caesarean delivery in Wuxi, China: a retrospective pre/post-reform case study.

    Science.gov (United States)

    Chen, Chun; Cheng, Zhihong; Jiang, Ping; Sun, Mei; Zhang, Qi; Lv, Jun

    2016-12-01

    Aiming to control rising medical expenditures and help improve China's healthcare systems, this study examined whether a cap-based medical insurance scheme with shared financial interest between the insurance and healthcare providers is effective in containing hospitals' C-section medical expenditures. We used 6547 caesarean delivery case records from a teaching tertiary-level general public hospital located in Wuxi, China (2004-2013), and used the Chow test to investigate the possibility of significant variation in mean medical expenditures for caesarean deliveries pre- and post-reform. We also used paired sample t-tests and linear regression models to compare the mean medical expenditures between insured and uninsured women undergoing caesarean delivery during the post-reform period. After the scheme's implementation, medical expenditures for caesarean deliveries declined and the medical expenditures of women covered by the scheme were significantly lower than those of uninsured patients. These findings indicated the scheme's effectiveness in minimizing caesarean delivery expenditures. The cap-based medical insurance scheme with shared financial interest between insurance and healthcare providers would likely steer healthcare providers' behaviors in a more cost-effective direction.

  13. Tourism Expenditures and Environment in Thailand

    Directory of Open Access Journals (Sweden)

    Malliga Sompholkrang

    2014-09-01

    Full Text Available Tourism activities affect the environment of different destinations, which is influenced by different tourists’ consumption. The objective of this study is to examine the relationship between inbound tourist expenditures and three main environmental dimensions, which are carbon dioxide emission from transport, energy demand, and water usage, in Thailand. This paper employs Vector Autoregressive (VAR models to determine the relationship of variables. Data from Ministry of Energy, Bank of Thailand, Metropolitan Electricity Authority, Provincial Waterworks Authority, National Statistical Office, Department of Tourism, and Tourism Authority of Thailand between 1988 and 2012 have been applied in the model. Note that, energy demand is represented by total electricity consumption of hotel and accommodation sector in Thailand, while water usage is represented by the total water consumption of tourists. This study found the relationships among tourists’ expenditures, carbon dioxide emission from transport, energy demand, and water usage. Therefore, the policies recommendations may be essential to prepare the optimal schemes and budgets for encountering the environmental impacts from tourism business expansion.

  14. Public Debt, Public Investment and Economic Growth in Mexico

    National Research Council Canada - National Science Library

    Isaac Sanchez-Juarez; Rosa García-Almada

    2016-01-01

    ...: has the growing public debt of state governments promoted increased public investment? If the answer is yes, then does any increase in public investment lead to more growth in the Mexican states...

  15. Differences in health between Americans and Western Europeans: Effects on longevity and public finance.

    Science.gov (United States)

    Michaud, Pierre-Carl; Goldman, Dana; Lakdawalla, Darius; Gailey, Adam; Zheng, Yuhui

    2011-07-01

    In 1975, 50-year-old Americans could expect to live slightly longer than most of their Western European counterparts. By 2005, American life expectancy had fallen behind that of most Western European countries. We find that this growing longevity gap is primarily due to real declines in the health of near-elderly Americans, relative to their Western European peers. We use a microsimulation approach to project what US longevity would look like, if US health trends approximated those in Western Europe. The model implies that differences in health can explain most of the growing gap in remaining life expectancy. In addition, we quantify the public finance consequences of this deterioration in health. The model predicts that gradually moving American cohorts to the health status enjoyed by Western Europeans could save up to $1.1 trillion in discounted total health expenditures from 2004 to 2050.

  16. Growing carbon nanotubes

    Directory of Open Access Journals (Sweden)

    Yoshinori Ando

    2004-10-01

    Full Text Available The discovery of ‘fullerenes’ added a new dimension to the knowledge of carbon science1; and the subsequent discovery of ‘carbon nanotubes’ (CNTs, the elongated fullerene added a new dimension to the knowledge of technology2;. Today, ‘nanotechnology’ is a hot topic attracting scientists, industrialists, journalists, governments, and even the general public. Nanotechnology is the creation of functional materials, devices, and systems through control of matter on the nanometer scale and the exploitation of novel phenomena and properties of matter (physical, chemical, biological, electrical, etc. at that length scale. CNTs are supposed to be a key component of nanotechnology. Almost every week a new potential application of CNTs is identified, stimulating scientists to peep into this tiny tube with ever increasing curiosity.

  17. The Equity Impact of Public Finance of Private Education Provision in Cote d'Ivoire

    Science.gov (United States)

    Sakellariou, Chris; Patrinos, Harry Anthony

    2009-01-01

    The equity effects of public subsidization of private schools in Cote d'Ivoire are analyzed. The subsidy per student in private (and public) schools increases as one goes to higher household per capita expenditure groups. Students from families in the highest expenditure quartile receive twice the subsidy received by students from families in the…

  18. How Do Galaxies Grow?

    Science.gov (United States)

    2008-08-01

    Astronomers have caught multiple massive galaxies in the act of merging about 4 billion years ago. This discovery, made possible by combining the power of the best ground- and space-based telescopes, uniquely supports the favoured theory of how galaxies form. ESO PR Photo 24/08 ESO PR Photo 24/08 Merging Galaxies in Groups How do galaxies form? The most widely accepted answer to this fundamental question is the model of 'hierarchical formation', a step-wise process in which small galaxies merge to build larger ones. One can think of the galaxies forming in a similar way to how streams merge to form rivers, and how these rivers, in turn, merge to form an even larger river. This theoretical model predicts that massive galaxies grow through many merging events in their lifetime. But when did their cosmological growth spurts finish? When did the most massive galaxies get most of their mass? To answer these questions, astronomers study massive galaxies in clusters, the cosmological equivalent of cities filled with galaxies. "Whether the brightest galaxies in clusters grew substantially in the last few billion years is intensely debated. Our observations show that in this time, these galaxies have increased their mass by 50%," says Kim-Vy Tran from the University of Zürich, Switzerland, who led the research. The astronomers made use of a large ensemble of telescopes and instruments, including ESO's Very Large Telescope (VLT) and the Hubble Space Telescope, to study in great detail galaxies located 4 billion light-years away. These galaxies lie in an extraordinary system made of four galaxy groups that will assemble into a cluster. In particular, the team took images with VIMOS and spectra with FORS2, both instruments on the VLT. From these and other observations, the astronomers could identify a total of 198 galaxies belonging to these four groups. The brightest galaxies in each group contain between 100 and 1000 billion of stars, a property that makes them comparable

  19. BIOTECHNOLOGY IN FRUIT GROWING

    Directory of Open Access Journals (Sweden)

    Z. Jurković

    2008-09-01

    Full Text Available Research studies in the area of biotechnologies in fruit growing started at the Agricultural Institute Osijek in 2006 with the establishment of the first experimental in vitro laboratory for micropropagation. The laboratory started an active research related to the Project "Biotechnological methods in fruit tree identification, selection and propagation" Project is part of program "Preservation and revitalization of grape and fruit autochthonous cultivars". The goal of this research is to determine genetic differences between autochthonous and introduced cultivars of cherry as well as cultivars and types of sour cherry, to find and optimize a method for fast recovery of clonal material. A great number of cherry cultivars and types within the population of cv. Oblacinska sour cherry exists in Croatia. A survey with the purpose of selecting autochthonous cultivars for further selection has been done in previous research. Differences have been found in a number of important agronomic traits within the populations of cv. Oblačinska sour cherry. Autochthonous cherry cultivars are suspected to be synonyms of known old cultivars which were introduced randomly and have been naturalized under a local name. Identification and description of cultivars and types of fruits is based on special visible properties which were measurable or notable. In this approach difficulties arise from the effect of non-genetic factors on expression of certain traits. Genetic-physiological problem of S allele autoincompatibility exists within cherry cultivars. Therefore it is necessary to put different cultivars in the plantation to pollinate each other. Apart form the fast and certain sort identification independent of environmental factors, biotechnological methods based on PCR enable faster virus detection compared with classical serologic methods and indexing and cover a wider range of plant pathogens including those undetectable by other methods. Thermotherapy and

  20. Growing Galaxies Gently

    Science.gov (United States)

    2010-10-01

    New observations from ESO's Very Large Telescope have, for the first time, provided direct evidence that young galaxies can grow by sucking in the cool gas around them and using it as fuel for the formation of many new stars. In the first few billion years after the Big Bang the mass of a typical galaxy increased dramatically and understanding why this happened is one of the hottest problems in modern astrophysics. The results appear in the 14 October issue of the journal Nature. The first galaxies formed well before the Universe was one billion years old and were much smaller than the giant systems - including the Milky Way - that we see today. So somehow the average galaxy size has increased as the Universe has evolved. Galaxies often collide and then merge to form larger systems and this process is certainly an important growth mechanism. However, an additional, gentler way has been proposed. A European team of astronomers has used ESO's Very Large Telescope to test this very different idea - that young galaxies can also grow by sucking in cool streams of the hydrogen and helium gas that filled the early Universe and forming new stars from this primitive material. Just as a commercial company can expand either by merging with other companies, or by hiring more staff, young galaxies could perhaps also grow in two different ways - by merging with other galaxies or by accreting material. The team leader, Giovanni Cresci (Osservatorio Astrofisico di Arcetri) says: "The new results from the VLT are the first direct evidence that the accretion of pristine gas really happened and was enough to fuel vigorous star formation and the growth of massive galaxies in the young Universe." The discovery will have a major impact on our understanding of the evolution of the Universe from the Big Bang to the present day. Theories of galaxy formation and evolution may have to be re-written. The group began by selecting three very distant galaxies to see if they could find evidence

  1. Public Incentives for Conservation on Private Land

    OpenAIRE

    Suter, Jordan; Sahan, Dissanayake; Lynne, Lewis

    2014-01-01

    Habitat destruction and fragmentation resulting from land development has motivated considerable public and private expenditures on land conservation initiatives. In addition to direct expenditures related to the procurement of conservation land, legislators have also put in place incentives aimed at encouraging private landowners to voluntarily donate conservation easements. Many landowners have taken advantage of these incentives, as private land held under conservation easement increased n...

  2. Case grows for climate change

    Energy Technology Data Exchange (ETDEWEB)

    Hileman, B.

    1999-08-09

    In the four years since the IPCC stated that 'the balance of evidence suggests a discernible human influence on global climate', evidence for anomalous warming has become more compelling, and as a result scientists have become more concerned that human-induced climate change has already arrived. The article summarises recent extra evidence on global temperatures, carbon dioxide measurements, ice shelf breakup, coral bleaching, unstable climates and improved climate models. At the time of the Kyoto conference, the US became keen on the idea that enhancing forest and soil carbon sequestration was a good way to offset emissions reduction targets. Congress is however under the opinion on that the Kyoto protocol presents a threat to the US economy, and senate is very unlikely to ratify the protocol during the Clinton Administration. The debate as to whether the US government should mandate major emission reduction or wait for more scientific certainty may continue for a number of years, but, growing concern of scientists and the public for the harmful effects of climate change may cause a change. 4 figs., 8 photos.

  3. Growing Youth Growing Food: How Vegetable Gardening Influences Young People's Food Consciousness and Eating Habits

    Science.gov (United States)

    Libman, Kimberly

    2007-01-01

    Much attention is currently being paid to rising rates of obesity, especially among youth. In this context, garden-based education can have a role in improving public health. A qualitative study conducted at the Brooklyn Botanic Garden (BBG) Children's Garden provides supporting evidence for the claim that growing vegetables can improve the…

  4. Hurdles for sport consumption? Determining factors of household sports expenditure

    NARCIS (Netherlands)

    Thibaut, Erik; Vos, Steven; Scheerder, Jeroen

    2013-01-01

    The purpose of this article is to explore the determining factors of household expenditures on sports participation. Due to a relatively large amount of zero-expenditures, simple regression methods are not suited. Because of methodological reasons, the two-step Heckman approach is used over the Tobi

  5. Allocation of expenditures within the household: A new Danish survey*

    DEFF Research Database (Denmark)

    Bonke, Jens; Browning, Martin

    We report on a new data initiative that is designed to address the question of “who gets what” within the household. The data consists of supplements to the Danish Expenditure Survey (DES) which is a traditional nationally representative, diary based survey of expenditures. We collect supplementa...

  6. Educational Expenditures and Student Engagement: When Does Money Matter?

    Science.gov (United States)

    Pike, Gary R.; Smart, John C.; Kuh, George D.; Hayek, John C.

    2006-01-01

    The few studies focusing on the relationships between higher education expenditures and student outcomes have produced contradictory results. This study hypothesized that the lack of consistent relationships is a function of the fact that the effects of expenditures on outcomes are mediated by student engagement. Furthermore, it is expected that…

  7. Measuring energy expenditure in sports by thermal video analysis

    DEFF Research Database (Denmark)

    Gade, Rikke; Larsen, Ryan Godsk; Moeslund, Thomas B.

    2017-01-01

    Estimation of human energy expenditure in sports and exercise contributes to performance analyses and tracking of physical activity levels. The focus of this work is to develop a video-based method for estimation of energy expenditure in athletes. We propose a method using thermal video analysis...

  8. 34 CFR 200.60 - Expenditures for professional development.

    Science.gov (United States)

    2010-07-01

    ... 34 Education 1 2010-07-01 2010-07-01 false Expenditures for professional development. 200.60... Paraprofessionals § 200.60 Expenditures for professional development. (a)(1) Except as provided in paragraph (a)(2... professional development activities to ensure that teachers and paraprofessionals meet the requirements of...

  9. Faculty Employment and R&D Expenditures at Research Universities

    Science.gov (United States)

    Zhang, Liang; Ehrenberg, Ronald G.

    2010-01-01

    This study uses panel data to examine the relationship between faculty employment and external R&D expenditures at Research and Doctoral institutions over a 15-year period of time. On average, a 1% increase in the number of full-time faculty is associated with about 0.2% increase in total R&D expenditure. Further, a one percentage point increase…

  10. Daily energy expenditure, physical activity, and weight loss in Parkinson's disease patients

    Science.gov (United States)

    Patients with Parkinson's disease (PD) commonly exhibit weight loss (WL) which investigators attribute to various factors, including elevated energy expenditure. We tested the hypothesis that daily energy expenditure (DEE) and its components, resting energy expenditure (REE) and physical activity (P...

  11. Relating the environmental impact of consumption to household expenditures : An input-output analysis

    NARCIS (Netherlands)

    Kerkhof, Annemarie C.; Nonhebel, Sanderine; Moll, Henri C.

    2009-01-01

    In this paper we evaluate the relationships between household expenditures and the environmental impact categories climate change, acidification, eutrophication and smog formation, by combining household expenditures with environmentally extended input–output analysis. Expenditure elasticities are e

  12. Relating the environmental impact of consumption to household expenditures : An input-output analysis

    NARCIS (Netherlands)

    Kerkhof, Annemarie C.; Nonhebel, Sanderine; Moll, Henri C.

    2009-01-01

    In this paper we evaluate the relationships between household expenditures and the environmental impact categories climate change, acidification, eutrophication and smog formation, by combining household expenditures with environmentally extended input–output analysis. Expenditure elasticities are

  13. Development and changes in consumption expenditures of the population

    Directory of Open Access Journals (Sweden)

    Zuzana Toufarová

    2008-01-01

    Full Text Available The paper deals with development and changes in consumption expenditures of population. It uses secondary data to analyze consumption expenditures of EU-25 and the Czech Republic and concetrates on changes in the expenditure groups over the period of past years. Other part of this paper is devoted to primary data analysis. Primary data were obtained in a questionnaire survey. Primary data analysis is based on statistical methods and it investigates changes in the structure of consumption expenditures of households in relation to changes in household income. By using dependency analysis the paper verifies dependency of surveyed groups of consumption expenditures and groups of households sorted by identification characteristics. Additionally, also based on the primary research, the paper tries to find out the way households allocate money surplus remaining after covering all the adequate expenses.

  14. Development of a Compendium of Energy Expenditures for Youth

    Directory of Open Access Journals (Sweden)

    Ainsworth Barbara E

    2008-09-01

    Full Text Available Abstract Background This paper presents a Compendium of Energy Expenditures for use in scoring physical activity questionnaires and estimating energy expenditure levels in youth. Method/Results Modeled after the adult Compendium of Physical Activities, the Compendium of Energy Expenditures for Youth contains a list of over 200 activities commonly performed by youth and their associated MET intensity levels. A review of existing data collected on the energy cost of youth performing activities was undertaken and incorporated into the compendium. About 35% of the activity MET levels were derived from energy cost data measured in youth and the remaining MET levels estimated from the adult compendium. Conclusion The Compendium of Energy Expenditures for Youth is useful to researchers and practitioners interested in identifying physical activity and energy expenditure values in children and adolescents in a variety of settings.

  15. Development of a compendium of energy expenditures for youth.

    Science.gov (United States)

    Ridley, Kate; Ainsworth, Barbara E; Olds, Tim S

    2008-09-10

    This paper presents a Compendium of Energy Expenditures for use in scoring physical activity questionnaires and estimating energy expenditure levels in youth. Modeled after the adult Compendium of Physical Activities, the Compendium of Energy Expenditures for Youth contains a list of over 200 activities commonly performed by youth and their associated MET intensity levels. A review of existing data collected on the energy cost of youth performing activities was undertaken and incorporated into the compendium. About 35% of the activity MET levels were derived from energy cost data measured in youth and the remaining MET levels estimated from the adult compendium. The Compendium of Energy Expenditures for Youth is useful to researchers and practitioners interested in identifying physical activity and energy expenditure values in children and adolescents in a variety of settings.

  16. Long-Run Implications of Public Debt on Economic Growth

    Directory of Open Access Journals (Sweden)

    Ion Lucian Catrina

    2011-04-01

    Full Text Available Many European countries faced with large fiscal deficits have adopted great plans ofausterity to limit their public debt. In Romania, despite many measures to reduce public sector wagesand some social allowances, in the 2009 and 2010 has been recorded only a small contraction ofgovernmental expenditure but a fast growing public debt. However, the main effects of the austeritymeasures have materialized in a significant reduction in domestic demand and an important reductionof gross domestic product. Also, despite a substantial reduction of supply, the unemployment rate hasnot exceeded 8% in Romania. This paper aims to analyze how much the policies restricting budgetdeficit and public debt in Romania delayed the resumption of economic growth. Even the euroadoption perspective impose a stricter management of Romanian budgetary policies and othernominal convergence criteria, the hard core of economic policies must be the reinventing a new pathto sustainable growth. It is necessary to conclude a new financing agreement with IMF for the nexttwo years? We also intend to test the tolerance degree of the Romanian economy to public debtexpansion (according to Reinhart&Rogoff model, 2010 as reflected in the growth rate of real grossdomestic product.

  17. Modeling total expenditure on warranty claims

    CERN Document Server

    Mitra, Abhimanyu

    2010-01-01

    We approximate the distribution of total expenditure of a retail company over warranty claims incurred in a fixed period [0, T], say the following quarter. We consider two kinds of warranty policies, namely, the non-renewing free replacement warranty policy and the non-renewing pro-rata warranty policy. Our approximation holds under modest assumptions on the distribution of the sales process of the warranted item and the nature of arrivals of warranty claims. We propose a method of using historical data to statistically estimate the parameters of the approximate distribution. Our methodology is applied to the warranty claims data from a large car manufacturer for a single car model and model year.

  18. Equity in Health Care Expenditure in Nigeria

    Directory of Open Access Journals (Sweden)

    Olanrewaju Olaniyan

    2013-07-01

    Full Text Available Equity isone of the basic principles of health systems and features explicitly in theNigerian health financing policy. Despite acclaimed commitment to theimplementation of this policy through various pro-poor health programmes andinterventions, the level of inequity in health status and access to basichealth care interventions remain high. This paper examines the equity of healthcare expenditure by individuals in Nigeria. The paper evaluated equity in out-of-pocketspending( OOP for the country and separately for the six geopolitical zones ofthe country.The methodological framework rests onKakwani Progressivity Indices (KPIs, ReynoldSmolensky indices andconcentration indices (CIs using data from the 2004 Nigerian National LivingStandard Survey( NLSS collected by the National Bureau of Statistics. .The results reveal that health financing isregressive with the incidence disproportionately rest on poor households withabout 70% of the total expenditure on health is through out-of-pocket paymentsby households. Poor households are prone to bear most of the expenses in theevent of any health shock. The catastrophic consequences thus push some intopoverty, and aggravate the poverty of others.The paper therefore suggests that thecountry’s health financingsystems must be designed not only to allow people to access services when theyare needed, but must also protect household, from financial catastrophe, byreducing OOP spending through risk pooling and prepayment schemes within thehealth system.Keywords:                            Equity, Health careexpenditure, Kakwani progressivity index, Nigeria.

  19. Comparability of State and Local Expenditures among Schools within Districts: A Report from the Study of School-Level Expenditures

    Science.gov (United States)

    Heuer, Ruth; Stullich, Stephanie

    2011-01-01

    This report from the Study of School-Level Expenditures presents findings on how state and local education expenditures at the school level vary within school districts. This study is not examining compliance with the current Title I comparability requirement, nor does it examine the comparability of resources between districts. Rather, it focuses…

  20. Nuevos desafíos en Relaciones Públicas 2.0: La creciente influencia de las plataformas de online review en Turismo/New Challenges in Public Relations 2.0: The growing influence of online review platforms in Tourism

    Directory of Open Access Journals (Sweden)

    Susana Wichels

    2014-05-01

    Full Text Available La influencia de las Tecnologías de la Información y Comunicación (TIC en el sector turístico y en especial en la comunicación de los productos y en la gestión de las relaciones con los públicos es ampliamente conocida. Las aplicaciones Web 2.0 basadas en comentarios y valoraciones de usuarios a escala mundial, en concreto TripAdvisor, influencian las prácticas en relaciones públicas y comunicación turísticas obligando a una cuidada gestión de la reputación online. Si por un lado las nuevas herramientas 2.0 están à disposición de las organizaciones para comunicar con sus públicos, por otro lado son también fuente de comentários y valoraciones directas que pueden reforzar positivamente la imagen de una organización o contribuir con opiniones negativas que desafian nuevas práticas en relaciones públicas. A fin de determinar si estas aplicaciones están afectando el comportamiento de planificación y reservas de productos y servicios turísticos, hicimos un estudio basado en el análisis de Burguess y Kerr (2012 dirigida a turistas portugueses. / The influence of Information Technology and Communication (ICT in the tourism sector, especially in communicating products and managing relations with the public is recognized widely. Web 2.0 applications based on reviews and ratings from users worldwide, specifically TripAdvisor, are influencing practices in public relations and communication in tourism and obliging a careful management of online reputation. If on one hand, the new 2.0 tools allow a direct communication with the audiences, on the other hand they also provide comments and reviews that can positively reinforce or undermine the image of an organization, challenging new practices in public relations. To determine how internet, and in particular online review applications are affecting the behavior of researching and booking, we have prepared a study based on Burguess & Kerr (2012 analysis, about traveler’s use of the

  1. Measuring New Public Management at the Local Level: Experiences from EU Cities

    Directory of Open Access Journals (Sweden)

    Irena BAČLIJA

    2012-10-01

    Full Text Available Economic globalization, growingly differentiated and unstable markets, fiscal crises in light of increasing public expenditure are the elements of an uncertain future for local communities. Local communities are captured between the local service provision demands and the global market of local communities that compete for investors. In the context of this ever demanding environment the functions of local administration should be reformed. The article presents the specifics of local management and alongside its reform process under the principles of new public management. The empirical part of the article explains the findings of an extensive study of local administrations in the European Union and their reforms with implications that show the effects of reformed local administration on the economic performance of the local community.

  2. Integrated Public Education, Fertility and Human Capital

    Science.gov (United States)

    Azarnert, Leonid V.

    2014-01-01

    This paper analyzes the consequences of integration in public education. I show that the flight from the integrated multicultural public schools to private education increases private educational expenditures and, as a result, decreases fertility among more affluent parents whose children flee. In contrast, among less prosperous parents…

  3. Integrated Public Education, Fertility and Human Capital

    Science.gov (United States)

    Azarnert, Leonid V.

    2014-01-01

    This paper analyzes the consequences of integration in public education. I show that the flight from the integrated multicultural public schools to private education increases private educational expenditures and, as a result, decreases fertility among more affluent parents whose children flee. In contrast, among less prosperous parents…

  4. Essays on development economics and public economics

    NARCIS (Netherlands)

    Wang, Ruixin

    2015-01-01

    The first chapter is on a “dark” side of fiscal decentralization. I demonstrate, with Wendun Wang in a yardstick competition model, that as fiscal expenditure is decentralized, more public resources might be misallocated between visible public goods and invisible ones. To empirically verify our theo

  5. Public Voucher Plans. Trends and Issues.

    Science.gov (United States)

    Hadderman, Margaret

    This document provides an overview of public-school voucher plans. Educational vouchers originated in the 1960s when Milton Friedman argued that vouchers would improve educational efficiency. Parents would receive the equivalent of per-pupil expenditures in the form of vouchers that could then be used at any school, either public and private. But…

  6. Essays on development economics and public economics

    NARCIS (Netherlands)

    Wang, Ruixin

    2015-01-01

    The first chapter is on a “dark” side of fiscal decentralization. I demonstrate, with Wendun Wang in a yardstick competition model, that as fiscal expenditure is decentralized, more public resources might be misallocated between visible public goods and invisible ones. To empirically verify our

  7. Indirect costs of diabetes and its impact on the public finance: the case of Poland.

    Science.gov (United States)

    Torój, Andrzej; Mela, Aneta

    2017-08-31

    Growing public and private expenditure on healthcare results i.a. from the spreading of chronic diseases. Diabetes belongs to the most frequent ones, beyond neoplasms and cardiological diseases, and hence generates a significant burden for the public finance in terms of the direct costs. However, the economy suffers also from the indirect cost of diabetes that manifests itself in the loss in Gross Domestic Product (GDP) and general government revenues. This paper aims to measure this indirect cost, both in terms of GDP drop (social perspective) and public revenue drop (public finance perspective), in the case of Poland in 2012-2014. We use a modified human capital approach and unique dataset provided by the Social Security institution in Poland and the Polish Central Statistical Office. Diabetes is a substantial and growing burden for the Polish economy. In the years 2012, 2013 and 2014 the indirect cost (output loss) amounted to 1.85 bn USD, 1.94 bn USD and 2.00 bn USD respectively. Estimated indirect cost of diabetes can be a useful input for health technology analyses of drugs or economic impact assessments of public health programmes.

  8. A smooth mixture of Tobits model for healthcare expenditure.

    Science.gov (United States)

    Keane, Michael; Stavrunova, Olena

    2011-09-01

    This paper develops a smooth mixture of Tobits (SMTobit) model for healthcare expenditure. The model is a generalization of the smoothly mixing regressions framework of Geweke and Keane (J Econometrics 2007; 138: 257-290) to the case of a Tobit-type limited dependent variable. A Markov chain Monte Carlo algorithm with data augmentation is developed to obtain the posterior distribution of model parameters. The model is applied to the US Medicare Current Beneficiary Survey data on total medical expenditure. The results suggest that the model can capture the overall shape of the expenditure distribution very well, and also provide a good fit to a number of characteristics of the conditional (on covariates) distribution of expenditure, such as the conditional mean, variance and probability of extreme outcomes, as well as the 50th, 90th, and 95th, percentiles. We find that healthier individuals face an expenditure distribution with lower mean, variance and probability of extreme outcomes, compared with their counterparts in a worse state of health. Males have an expenditure distribution with higher mean, variance and probability of an extreme outcome, compared with their female counterparts. The results also suggest that heart and cardiovascular diseases affect the expenditure of males more than that of females.

  9. Measured energy expenditure in pediatric intensive care patients.

    Science.gov (United States)

    Tilden, S J; Watkins, S; Tong, T K; Jeevanandam, M

    1989-04-01

    Few data are available on energy requirements of mechanically ventilated, critically ill children. We measured the resting energy expenditure in 18 mechanically ventilated patients between ages 2 and 18 years, using indirect calorimetry. All patients had fractional inspired oxygen concentration less than 0.6, no spontaneous respirations, hemodynamic stability, and no fever or active infection, and were receiving 5% dextrose. All subjects were hypermetabolic, since the measured resting energy expenditure divided by the predicted basal energy expenditure from the Harris-Benedict equations was 1.48 +/- 0.09 (mean +/- SEM). The energy requirements calculated using "injury factors" and "activity factors" adapted for adults is 1.62 times basal energy expenditure. The injury factor for the pediatric multiple trauma patients should be 1.25 compared with 1.35 in adults. In these pediatric intensive care patients 33% +/- 8% of the energy is derived from carbohydrates, 53% +/- 8% from fat, and 14% +/- 2% from protein oxidation. In individual critically ill pediatric patients, energy requirements should be estimated by measuring their resting energy expenditure whenever possible and adding 5% for their activity. In the absence of the actual measurement of resting energy expenditure, the recommended energy requirement is 1.5 times basal energy expenditure. In this acute phase of injury, the daily nitrogen requirement is 250 mg per kilogram of body weight.

  10. Do state expenditures on tobacco control programs decrease use of tobacco products among college students?

    Science.gov (United States)

    Ciecierski, Christina Czart; Chatterji, Pinka; Chaloupka, Frank J; Wechsler, Henry

    2011-03-01

    The objective of this paper is to investigate the effects of state tobacco control program expenditures on individual-level tobacco use behaviors among young adults. Data come from the 1997, 1999 and 2001 waves of the Harvard School of Public Health College Alcohol Study (CAS). Our findings indicate that a higher level of state spending on tobacco control programs in the prior year is associated with a statistically significant increase in the probability that current daily smokers report at least one attempt to quit smoking in the past year. We also find evidence that higher state expenditures on tobacco control programs in the prior year are associated with reductions in the prevalence of daily smoking and 30-day cigar use among college students. We do not find any statistically significant association between state tobacco control program expenditures and the number of attempts to quit smoking among those with at least one attempt, or on the prevalence of smokeless tobacco use in the past month.

  11. Exercise Training and Energy Expenditure following Weight Loss.

    Science.gov (United States)

    Hunter, Gary R; Fisher, Gordon; Neumeier, William H; Carter, Stephen J; Plaisance, Eric P

    2015-09-01

    This study aims to determine the effects of aerobic or resistance training on activity-related energy expenditure (AEE; kcal·d(-1)) and physical activity index (activity-related time equivalent (ARTE)) following weight loss. It was hypothesized that weight loss without exercise training would be accompanied by decreases in AEE, ARTE, and nontraining physical activity energy expenditure (nonexercise activity thermogenesis (NEAT)) and that exercise training would prevent decreases in free-living energy expenditure. One hundred forty premenopausal women had an average weight loss of 25 lb during a diet (800 kcal·d(-1)) of furnished food. One group aerobically trained 3 times per week (40 min·d(-1)), another group resistance-trained 3 times per week (10 exercises/2 sets × 10 repetitions), and the third group did not exercise. Dual-energy x-ray absorptiometry was used to measure body composition, indirect calorimetry was used to measure resting energy expenditure (REE) and walking energy expenditure, and doubly labeled water was used to measure total energy expenditure (TEE). AEE, ARTE, and nontraining physical activity energy expenditure (NEAT) were calculated. TEE, REE, and NEAT all decreased following weight loss for the no-exercise group, but not for aerobic and resistance trainers. Only REE decreased in the two exercise groups. Resistance trainers increased ARTE. HR and oxygen uptake while walking on the flat and up a grade were consistently related to TEE, AEE, NEAT, and ARTE. Exercise training prevents a decrease in energy expenditure, including free-living energy expenditure separate from exercise training, following weight loss. Resistance training increases physical activity, whereas economy/ease of walking is associated with increased TEE, AEE, NEAT, and ARTE.

  12. Catastrophic Health Expenditure After the Implementation of Health Sector Evolution Plan: A Case Study in the West of Iran

    Directory of Open Access Journals (Sweden)

    Bakhtiar Piroozi

    2016-07-01

    Full Text Available Background: One of the main objectives of health systems is the financial protection against out-of-pocket (OOP health expenditures. OOP health expenditures can lead to catastrophic payments, impoverishment or poverty among households. In Iran, health sector evolution plan (HSEP has been implemented since 2014 in order to achieve universal health coverage and reduce the OOP health expenditures as a percentage of total health expenditures. This study aimed to explore the percentage of households facing catastrophic health expenditures (CHE after the implementation of HSEP and the factors that determine CHE. Methods: A total of 663 households were selected through a cluster sampling based on the census framework of Sanandaj Health Center in July 2015. Data were gathered using face-to-face interviews based on the household section of the World Health Survey questionnaire. In this study, according to the World Health Organization (WHO definition, if household health expenditures were equal to or more than 40% of the household capacity to pay, household was considered to be facing CHE. The determinants of CHE were analyzed using logistic regression model. Results: The rates of households facing CHE were 4.8%. The key determinants of CHE were household economic status, presence of elderly or disabled members in the household and utilization of inpatient or rehabilitation services. Conclusion: The comparison of our findings and those of other studies carried out using a methodology comparable with ours in different parts of Iran before the implementation of HSEP suggests that the implementation of recent reforms has reduced CHE at the household level. Utilization of inpatient and rehabilitation services, the presence of elderly or disabled members in the household and the low economic status of the household would increase the likelihood of facing CHE. These variables should be considered by health policy-makers in order to review and revise content of

  13. Resting energy expenditure, substrate use, and video tapes.

    Science.gov (United States)

    Cooper, B. G.; Matthews, J. N.; Alberti, K. G.

    1995-01-01

    OBJECTIVE--To investigate the effect of watching different types of video on energy expenditure. DESIGN--Randomised study assessing a "pleasant," an "amusing," an "exciting," and no video film clips. SUBJECTS--12 volunteers who did not know the purpose of the study. MAIN OUTCOME MEASURES--Changes in energy expenditure, substrate use, heart rate, and aural temperature during each film clip. RESULTS--Energy expenditure was raised slightly (0.21 kJ/day) during the "exciting" film. Individual responses varied greatly. CONCLUSION--Watching different types of video seems to have little effect on resting metabolic rate. Images p1664-a PMID:8541750

  14. Lifetime medical costs of obesity: prevention no cure for increasing health expenditure.

    Directory of Open Access Journals (Sweden)

    Pieter H M van Baal

    2008-02-01

    Full Text Available BACKGROUND: Obesity is a major cause of morbidity and mortality and is associated with high medical expenditures. It has been suggested that obesity prevention could result in cost savings. The objective of this study was to estimate the annual and lifetime medical costs attributable to obesity, to compare those to similar costs attributable to smoking, and to discuss the implications for prevention. METHODS AND FINDINGS: With a simulation model, lifetime health-care costs were estimated for a cohort of obese people aged 20 y at baseline. To assess the impact of obesity, comparisons were made with similar cohorts of smokers and "healthy-living" persons (defined as nonsmokers with a body mass index between 18.5 and 25. Except for relative risk values, all input parameters of the simulation model were based on data from The Netherlands. In sensitivity analyses the effects of epidemiologic parameters and cost definitions were assessed. Until age 56 y, annual health expenditure was highest for obese people. At older ages, smokers incurred higher costs. Because of differences in life expectancy, however, lifetime health expenditure was highest among healthy-living people and lowest for smokers. Obese individuals held an intermediate position. Alternative values of epidemiologic parameters and cost definitions did not alter these conclusions. CONCLUSIONS: Although effective obesity prevention leads to a decrease in costs of obesity-related diseases, this decrease is offset by cost increases due to diseases unrelated to obesity in life-years gained. Obesity prevention may be an important and cost-effective way of improving public health, but it is not a cure for increasing health expenditures.

  15. Public Health and Education Spending in Ghana in 1992-98: Issues of Equity and Efficiency. Working Paper No. 2579.

    Science.gov (United States)

    Canagarajah, Sudharshan; Ye, Xiao

    This paper analyzes efficiency and equity issues in public expenditures on education and health in Ghana during the 1990s. Data were drawn from reports of the ministries of education and health and from household surveys conducted 1988-98. In the late 1990s, Ghana's public expenditures on education decreased. Basic education enrollment was…

  16. Spatio-temporal dependencies between hospital beds, physicians and health expenditure using visual variables and data classification in statistical table

    Directory of Open Access Journals (Sweden)

    Medyńska-Gulij Beata

    2016-06-01

    Full Text Available This paper analyses the use of table visual variables of statistical data of hospital beds as an important tool for revealing spatio-temporal dependencies. It is argued that some of conclusions from the data about public health and public expenditure on health have a spatio-temporal reference. Different from previous studies, this article adopts combination of cartographic pragmatics and spatial visualization with previous conclusions made in public health literature. While the significant conclusions about health care and economic factors has been highlighted in research papers, this article is the first to apply visual analysis to statistical table together with maps which is called previsualisation.

  17. Spatio-temporal dependencies between hospital beds, physicians and health expenditure using visual variables and data classification in statistical table

    Science.gov (United States)

    Medyńska-Gulij, Beata; Cybulski, Paweł

    2016-06-01

    This paper analyses the use of table visual variables of statistical data of hospital beds as an important tool for revealing spatio-temporal dependencies. It is argued that some of conclusions from the data about public health and public expenditure on health have a spatio-temporal reference. Different from previous studies, this article adopts combination of cartographic pragmatics and spatial visualization with previous conclusions made in public health literature. While the significant conclusions about health care and economic factors has been highlighted in research papers, this article is the first to apply visual analysis to statistical table together with maps which is called previsualisation.

  18. Differences in healthcare expenditures for inflammatory bowel disease by insurance status, income, and clinical care setting

    Directory of Open Access Journals (Sweden)

    Michelle D. Park

    2014-09-01

    Full Text Available Background. Socioeconomic factors and insurance status have not been correlated with differential use of healthcare services in inflammatory bowel disease (IBD.Aim. To describe IBD-related expenditures based on insurance and household income with the use of inpatient, outpatient, emergency, and office-based services, and prescribed medications in the United States (US.Methods. We evaluated the Medical Expenditure Panel Survey from 1996 to 2011 of individuals with Crohn’s disease (CD or ulcerative colitis (UC. Nationally weighted means, proportions, and multivariate regression models examined the relationships between income and insurance status with expenditures.Results. Annual per capita mean expenditures for CD, UC, and all IBD were $10,364 (N = 238, $7,827 (N = 95, and $9,528, respectively, significantly higher than non-IBD ($4,314, N = 276, 372, p < 0.05. Publicly insured patients incurred the highest costs ($18,067 over privately insured ($8,014, p < 0.05 or uninsured patients ($5,129, p < 0.05. Among all IBD patients, inpatient care composed the highest proportion of costs ($3,392, p < 0.05. Inpatient costs were disproportionately higher for publicly insured patients. Public insurance had higher odds of total costs than private (OR 2.13, CI [1.08–4.19] or no insurance (OR 4.94, CI [1.26–19.47], with increased odds for inpatient and emergency care. Private insurance had higher costs associated with outpatient care, office-based care, and prescribed medicines. Low-income patients had lower costs associated with outpatient (OR 0.38, CI [0.15–0.95] and office-based care (OR 0.21, CI [0.07–0.62].Conclusions. In the US, high inpatient utilization among publicly insured patients is a previously unrecognized driver of high IBD costs. Bridging this health services gap between SES strata for acute care services may curtail direct IBD-related costs.

  19. Considerations regarding the constitutional obligation determining the financing source for budgetary expenditures

    Directory of Open Access Journals (Sweden)

    Florentina Camelia Stoica

    2016-12-01

    Full Text Available This study examines the relation between constitutionality and opportunity in order to adopt regulations in matters of economy and finance. The analysis concerns in particular the regulation process on budgetary expenditures, respectively the constitutional obligation to indicate the source of financing for these expenses. The legal and jurisprudential landmarks identified are likely to reveal the delicate issues of balancing the concurring interests, as well as the constitutionalisation tendency of certain obligations imposed by the law of public finances and, respectively, the Fiscal Responsibility Law in the sense of transforming them into “constitutional criteria” through the application of Article 138 (5 of the Constitution.

  20. Hawaii Longline Fishery Trip Expenditure (2004 to present)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This is a time-series dataset of trip expenditure data for the Hawaii-based longline fleet for the period August 2004 to present. The data collection includes 10...

  1. Measuring Government Expenditure Efficiencies Towards Peace and Human Development

    Directory of Open Access Journals (Sweden)

    Ahmad Danu Prasetyo

    2014-02-01

    Full Text Available In this paper, we investigate the efficiency level of government expenditure in 82 countries towards the human development and peace index of the respective countries by using Data Envelopment Analysis (DEA approach during 2007-2011. We found that only few countries that always being positioned in the efficient frontier during the sample period, namely: Japan, Nigeria, and Norway.  By using Malmquist index approach, we also found that Cyprus has the largest government expenditure efficiency improvement.Keywords: Government Expenditure Efficiencies, Human Development Index, Global Peace Indexdoi:10.12695/ajtm.2013.6.2.3 How to cite this article:Prasetyo, A.D., and Pudjono, A.N.S. (2013. Measuring Government Expenditure Efficiencies Towards Peace and Human Development. The Asian Journal of Technology Management 6 (2: 82-91. Print ISSN: 1978-6956; Online ISSN: 2089-791X. doi:10.12695/ajtm.2013.6.2.3

  2. Bicycle messengers: energy expenditure and exposure to air pollution.

    Science.gov (United States)

    Bernmark, Eva; Wiktorin, Christina; Svartengren, Magnus; Lewné, Marie; Aberg, Samuel

    2006-11-15

    The purpose of the study was to determine the level of energy expenditure and exposure to air pollution for bicycle messengers. Relationships between heart rate (HR) and oxygen uptake, and between HR and pulmonary ventilation (VE) for each participant were established in laboratory tests. Air pollution and HR were measured during one working day. The total oxygen uptake was then described as the total energy expenditure in Joule (J) and in multiples of the energy expenditure at rest (MET). The mean energy expenditure during a working day (8 h) was 12 MJ, (4.8 MET). The level of air pollution exposure when cycling seemed to be comparable with the levels of exposure when sitting inside a vehicle. The VE during cycling was four times higher than resting value. Increased VE led to increased exposure to air pollution.

  3. Activities contributing to energy expenditure among Guatemalan adults

    Directory of Open Access Journals (Sweden)

    Martorell Reynaldo

    2007-10-01

    Full Text Available Abstract Background Guatemala has experienced a substantial increase in overweight and obesity in recent years, yet physical activity patterns and consequent energy expenditure are largely unexplored in this population. Methods To describe overall physical activity levels (PAL and activities contributing to daily energy expenditure, we analyzed time spent in daily activities as reported by 985 women and 819 men, living in rural and urban areas of Guatemala in 2002–04. Results Physical activity levels recommended to prevent obesity (PAL ≥ 1.70 differed by residence/occupation among men (agricultural-rural: 77%; nonagricultural-rural: 36%; urban: 24%; P Conclusion Overall, energy expenditure was low in the population not dedicated to agricultural occupations; an increased focus on active leisure-time behaviors may be needed to counterbalance reductions in energy expenditure consequent to sedentarization of primary occupations.

  4. Human Energy Expenditure and Postural Coordination on the Mechanical Horse.

    Science.gov (United States)

    Baillet, Héloïse; Thouvarecq, Régis; Vérin, Eric; Tourny, Claire; Benguigui, Nicolas; Komar, John; Leroy, David

    2017-01-01

    The authors investigated and compared the energy expenditure and postural coordination of two groups of healthy subjects on a mechanical horse at 4 increasing oscillation frequencies. Energy expenditure was assessed from the oxygen consumption, respiratory quotient, and heart rate values, and postural coordination was characterized by relative phase computations between subjects (elbow, head, trunk) and horse. The results showed that the postural coordination of the riders was better adapted (i.e., maintenance of in-phase and antiphase) than that of the nonriders, but the energy expenditure remains the same. Likewise, we observed an energy system shifting only for nonriders (from aerobic to lactic anaerobic mode). Finally, cross-correlations showed a link between energy expenditure and postural coordination in the riders (i.e., effectiveness).

  5. Government Expenditure, Efficiency and Economic Growth: A Panel ...

    African Journals Online (AJOL)

    Development Indicators (WDI) database. The paper .... government expenditure which is associated with borrowing financial resources from the private investors does ...... In American Economic Association/ASSA Annual Meetings. Atlanta, pp.

  6. Multiple Sclerosis and Catastrophic Health Expenditure in Iran

    Science.gov (United States)

    Juyani, Yaser; Hamedi, Dorsa; Hosseini Jebeli, Seyede Sedighe; Qasham, Maryam

    2016-01-01

    Background: There are many disabling medical conditions which can result in catastrophic health expenditure. Multiple Sclerosis is one of the most costly medical conditions through the world which encounter families to the catastrophic health expenditures. This study aims to investigate on what extent Multiple sclerosis patients face catastrophic costs. Method: This study was carried out in Ahvaz, Iran (2014). The study population included households that at least one of their members suffers from MS. To analyze data, Logit regression model was employed by using the default software STATA12. Results: 3.37% of families were encountered with catastrophic costs. Important variables including brand of drug, housing, income and health insurance were significantly correlated with catastrophic expenditure. Conclusions: This study suggests that although a small proportion of MS patients met the catastrophic health expenditure, mechanisms that pool risk and cost (e.g. health insurance) are required to protect them and improve financial and access equity in health care.

  7. Price elasticity of expenditure across health care services.

    Science.gov (United States)

    Duarte, Fabian

    2012-12-01

    Policymakers in countries around the world are faced with rising health care costs and are debating ways to reform health care to reduce expenditures. Estimates of price elasticity of expenditure are a key component for predicting expenditures under alternative policies. Using unique individual-level data compiled from administrative records from the Chilean private health insurance market, I estimate the price elasticity of expenditures across a variety of health care services. I find elasticities that range between zero for the most acute service (appendectomy) and -2.08 for the most elective (psychologist visit). Moreover, the results show that at least one third of the elasticity is explained by the number of visits; the rest is explained by the intensity of each visit. Finally, I find that high-income individuals are five times more price sensitive than low-income individuals and that older individuals are less price-sensitive than young individuals.

  8. American Samoa Longline Fishery Trip Expenditure (2006 to present)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This is a time-series dataset for trip expenditure data for the American Samoa-based longline fleet from August 2006 to present. The dataset includes 10 variable...

  9. The challenge of expenditure-assignment reform in Russia

    OpenAIRE

    1994-01-01

    This paper is an examination of the critical role the assignment of expenditure responsibilities must play in building the Russian Federation. The fiscal federalism system and the expenditure assignments inherited from the Soviet Union were not truly decentralized. All the real decisions were made back in Moscow. Although subnational governments now have authority to create their own budgets, past processes and institutions still undermine local autonomy. How ever, the most serious threat to ...

  10. Activities contributing to energy expenditure among Guatemalan adults

    OpenAIRE

    Martorell Reynaldo; Ramirez-Zea Manuel; Gregory Cria O; Stein Aryeh D

    2007-01-01

    Abstract Background Guatemala has experienced a substantial increase in overweight and obesity in recent years, yet physical activity patterns and consequent energy expenditure are largely unexplored in this population. Methods To describe overall physical activity levels (PAL) and activities contributing to daily energy expenditure, we analyzed time spent in daily activities as reported by 985 women and 819 men, living in rural and urban areas of Guatemala in 2002–04. Results Physical activi...

  11. French public finances at risk?

    Directory of Open Access Journals (Sweden)

    Creel Jérôme

    2014-01-01

    Full Text Available Using descriptive evidence, this paper contributes to the debate on French public finances’ consolidation by examining the long-term sustainability of France’s fiscal position. We trace the historical trends of government’s tax receipts and expenditures. We illustrate that while the level of public expenditure in France is larger than in the Euro Area, its trend is comparable to its neighbours. French net debt is comparable to Eurozone’s while French net wealth remains positive. However, the French tax system is not progressive with only 6% of compulsory levies raised that way, and too complex. The paper then acknowledges the efficient debt management of French authorities. As a conclusion, we see no risk of future unsustainability linked to the nature or the level of current French public finances.

  12. Determinants of cruise passengers’ expenditures in the port of call

    Directory of Open Access Journals (Sweden)

    Maršenka Marksel

    2016-12-01

    Full Text Available Cruise tourism generates different types of cruise consumption and related indirect, direct and induced expenditure effects, in homeports as well as in ports of call. Cruise passengers’ expenditures produce positive economic effects for destinations, from increasing the incomes and employment, to tax incomes, duties, etc. Therefore, it is no doubt that cruise stakeholders and local economies can benefit from increased cruise passenger consumption. To stimulate higher consumption and passengers’ satisfaction, it is necessary to design the supportive policy framework and build appropriate quality of products and services. Identifying influential variables of cruise passengers’ expenditures in this sense enables the design of appropriate policies and measures. In the current research, based on a survey of 357 cruise passengers, several variables included in a new theoretical model of the expenditures determinants, such as gender, nationality, frequency of cruising and frequency of visits, were found to be statistically significantly associated with cruise passengers’ expenditures. Several conclusions and suggestions to stimulate cruise passenger expenditures based on research findings are provided.

  13. Circadian rhythm of energy expenditure and oxygen consumption.

    Science.gov (United States)

    Leuck, Marlene; Levandovski, Rosa; Harb, Ana; Quiles, Caroline; Hidalgo, Maria Paz

    2014-02-01

    This study aimed to evaluate the effect of continuous and intermittent methods of enteral nutrition (EN) administration on circadian rhythm. Thirty-four individuals, aged between 52 and 80 years, were fed through a nasoenteric tube. Fifteen individuals received a continuous infusion for 24 hours/d, and 19 received an intermittent infusion in comparable quantities, every 4 hours from 8:00 to 20:00. In each patient, 4 indirect calorimetric measurements were carried out over 24 hours (A: 7:30, B: 10:30, C: 14:30, and D: 21:30) for 3 days. Energy expenditure and oxygen consumption were significantly higher in the intermittent group than in the continuous group (1782 ± 862 vs 1478 ± 817 kcal/24 hours, P = .05; 257 125 vs 212 117 ml/min, P = .048, respectively). The intermittent group had higher levels of energy expenditure and oxygen consumption at all the measured time points compared with the continuous group. energy expenditure and oxygen consumption in both groups were significantly different throughout the day for 3 days. There is circadian rhythm variation of energy expenditure and oxygen consumption with continuous and intermittent infusion for EN. This suggests that only one indirect daily calorimetric measurement is not able to show the patient's true needs. Energy expenditure is higher at night with both food administration methods. Moreover, energy expenditure and oxygen consumption are higher with the intermittent administration method at all times.

  14. Role of energy expenditure in the development of pediatric obesity.

    Science.gov (United States)

    DeLany, J P

    1998-10-01

    The role that energy expenditure plays in pediatric obesity was somewhat confused by early research purporting to show that, as a group, obese children have lower energy intakes than do lean children. On the basis of this intake data, the conclusion was drawn that obese persons are somehow energy efficient, leading to weight gain. More recent research examining energy expenditure has shown clearly that, as a group, obese children have higher energy expenditures than do their lean counterparts. With the advent of the doubly labeled water method for determining free-living energy expenditure, it has been shown that obese children underreport intake significantly more than do lean children. When measurements are properly adjusted for differences in body size, there are generally no major differences in energy expenditure between lean and obese groups. However, in some cross-sectional studies, a low level of physical activity has been shown to be related to current body fatness. In addition, longitudinal studies have shown that a low level of energy expenditure, particularly energy expended in physical activity, is associated with both body fatness and weight gain.

  15. Relationship Between Body Mass Index and Medical Care Expenditures for North Carolina Adolescents Enrolled in Medicaid in 2004

    Directory of Open Access Journals (Sweden)

    Paul A. Buescher, PhD

    2008-01-01

    Full Text Available IntroductionMany studies document that overweight and obese adults have substantially higher medical care expenditures than do adults of normal weight, but comparable data for children or adolescents are few. This study examines patterns of expenditure for medical care and use of medical care services among a sample of North Carolina adolescents enrolled in Medicaid, stratified by body mass index categories.MethodsNorth Carolina public health records, which include clinically measured height and weight, were linked to 2004 North Carolina Medicaid enrollment records to find adolescents aged 12–18 years whose records matched. We then examined all paid claims for 2004 of the 3528 adolescents whose records matched. Total expenditures by sex and race, hospital costs, physician costs, and prescription drug costs were tabulated and stratified by body mass index. We also examined, by body mass index, the percentage of adolescents who had a paid claim for selected diagnosed health conditions.ResultsOverall, and for most demographic and service categories, overweight adolescents and at-risk-for-overweight adolescents had higher average Medicaid expenditures than did normal-weight adolescents. Some of these differences were statistically significant. Overweight adolescents were significantly more likely to have a paid claim for services related to diabetes, asthma, or other respiratory conditions.ConclusionAlthough based on a small sample, our results suggest that overweight has negative health consequences as early as adolescence. Further studies with larger samples could help confirm the findings of our study.

  16. Method for growing plants aeroponically.

    Science.gov (United States)

    Zobel, R W; Del Tredici, P; Torrey, J G

    1976-03-01

    A simple, inexpensive system for growing plants with their roots bathed in nutrient mist is described. The aeroponics system uses a spinner from a home humidifier to propel nutrient solution into a polyethylene-lined plywood box atop which plants are supported on plastic light-fixture "egg crating." Success in growing a number of herbaceous and woody species, including nodulated legumes and nonlegumes, is reported.

  17. Public investment and regional growth and convergence : Evidence from Greece

    NARCIS (Netherlands)

    Rodriguez-Pose, Andres; Psycharis, Yannis; Tselios, Vassilis

    2012-01-01

    This paper estimates the impact of public investment on regional economic growth and convergence at the NUTS 3 level in Greece. Using a new database of public expenditure per region for the period 19782007, it proposes a model which captures not just the impact of public investment in Greek prefectu

  18. Health-related expenditure patterns in selected migrant groups: data from the Australian Household Expenditure Survey, 1984.

    Science.gov (United States)

    Powles, J; Hage, B; Cosgrove, M

    1990-01-01

    Australians born in Italy, Greece and East and South East Asia all have substantially lower mortality levels than those born in Australia, the British Isles or Holland and Germany. Using data from the 1984 Household Expenditure Survey, the health-related consumption expenditure of these six groups was compared (excluding expenditure on medical care). The heterogeneity of household types was largely removed by confining attention to married couple households with dependent children. The two groups with mortality levels comparable to those of the Australian-born (British Isles and Holland/Germany) also shared a similar pattern of consumption expenditures. There was a tendency (not always fully consistent), for the low mortality groups to spend more on fruits, vegetables, cereal products and fish and substantially less on alcohol. Patterns that might be 'unexpected' in low mortality groups are the (presumptively) substantial expenditures on tobacco among males (especially in the Greek group) and the substantial expenditures on red meat in all three groups. Analysis of available data sets such as this can provide useful descriptions of the distribution of health-influencing behaviour in our population.

  19. Energy expenditure during sexual activity in young healthy couples.

    Directory of Open Access Journals (Sweden)

    Julie Frappier

    Full Text Available OBJECTIVE: To determine energy expenditure in kilocalories (kcal during sexual activity in young healthy couples in their natural environment and compare it to a session of endurance exercise. METHODS: The study population consisted of twenty one heterosexual couples (age: 22.6 ± 2.8 years old from the Montreal region. Free living energy expenditure during sexual activity and the endurance exercise was measured using the portable mini SenseWear armband. Perceived energy expenditure, perception of effort, fatigue and pleasure were also assessed after sexual activity. All participants completed a 30 min endurance exercise session on a treadmill at a moderate intensity. RESULTS: Mean energy expenditure during sexual activity was 101 kCal or 4.2 kCal/min in men and 69.1 kCal or 3.1 kCal/min in women. In addition, mean intensity was 6.0 METS in men and 5.6 METS in women, which represents a moderate intensity. Moreover, the energy expenditure and intensity during the 30 min exercise session in men was 276 kCal or 9.2 kCal/min and 8.5 METS, respectively and in women 213 kCal or 7.1 kCal/min and 8.4 METS, respectively. Interestingly, the highest range value achieved by men for absolute energy expenditure can potentially be higher than that of the mean energy expenditure of the 30 min exercise session (i.e. 306.1 vs. 276 kCal, respectively whereas this was not observed in women. Finally, perceived energy expenditure during sexual activity was similar in men (100 kCal and in women (76.2 kCal when compared to measured energy expenditure. CONCLUSION: The present study indicates that energy expenditure during sexual activity appears to be approximately 85 kCal or 3.6 kCal/min and seems to be performed at a moderate intensity (5.8 METS in young healthy men and women. These results suggest that sexual activity may potentially be considered, at times, as a significant exercise.

  20. Niche public transport operational and capital investment strategies to minimize fares in the light of increased energy costs

    CSIR Research Space (South Africa)

    Letebele, MO

    2009-07-01

    Full Text Available Fuel costs are a significant component of a public transport fare. It is therefore of critical importance for measures aimed at containing household public transport expenditure to explore alternative ways of reducing fuel consumption or fuel...