978 resultados para Social security system for public sectors employeers


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Updated version of Its Amendments chart booklet.

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Mode of access: Internet.

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Cover title.

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Background: jurisdictions are developing public drug insurance systems to improve access to pharmaceuticals, cost-effective prescribing, and patient health and well-being. We compared 2 Jurisdictions with different pharmaceutical policies to determine prescribing patterns for 3-hydroxy-3-methylglutaryl coenzyme A reductase inhibitors (le, statins). Objective: The aim of this work was to investigate the feasibility of using available prescription admimstrative databases to compare the use of statins in Queensland, Australia, and in Nova Scotia, Canada. Methods: Data from the Nova Scotia Pharmacare Program and the Health Insurance Commission in Australia were used to obtain dispensing data. Utilization was compared for the 5-year period from 1997 through 2001, using the World Health Organization anatomic therapeutic chemical/defined daily dose (DDD) system. Results: In the year 2001, there were 177,000 beneficiaries in the public drug plan in Nova Scotia (62% aged ≥ 65 years old) and 960,000 concession beneficiaries (pensioners and social security recipients, 61% aged ≥ 65 years) in Queensland. These 2 groups were comparable. The overall utilization of statin medications increased steadily in both areas over the study period, from 50 to 205 DDD/1000 beneficiaries per day. Comparison of the 2 growth lines showed no statistically significant differences in overall statin use despite differences in brand availabilities and policies about prescribing. In the year 2001, atorvastatin was the most commonly prescribed statin in both areas, comprising 46% of statin use in Nova Scotia and 51% in Queensland. Mean doses of each statin prescribed were slightly above the DDDs. Expenditure on statins per 1000 beneficiaries and per DDD were similar in each jurisdiction, being slightly higher in Nova Scotia. Conclusions: Despite differences in pharmaceutical reimbursement systems, use of the statins was similar in Nova Scotia and Queensland. The feasibility of the methodology was demonstrated. Future studies, including comparisons of drug utilization for other classes of drugs for which drug policies may be divergent (eg, different pricing structures or prior authorization requirements), or for which less evidence for appropriate use is available, may be useful. © 2005 Excerpta Medica, Inc.

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This paper develops an overlapping-generations model in which agents invest in health to prolong life in both working and retirement periods. It explores how unfunded social security with or without health subsidies affects life expectancy, economic growth, and welfare. In particular, by extending life at a possible cost of capital accumulation, health subsidies and a pay-as-you-go pension can improve welfare, especially in the short run.

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Este trabalho discorre sobre o processo de implantação da TV digital interativa no Brasil, tendo como estudo de caso o estado do Maranhão e foca as possibilidades de inclusão social e digital em regiões com fragilidades de prestação de serviços públicos como Previdência Social, atendimento médico, bancário e de ensino a distância. Para tanto, aborda políticas públicas que conduziram ao SBTVD Sistema Brasileiro de Televisão Digital no país. O estudo apresenta as discussões na esfera pública e privada com a participação de organizações reconhecidamente qualificadas dentro e fora do país. Mostra também o complexo processo de articulação governamental com entidades da indústria eletroeletrônica e de grupos de telecomunicações privados instalados no Brasil, bem como a resistência de radiodifusores do setor privado em adotar o modelo proposto pelo Decreto 5.820/06 que prevê distribuição e acesso gratuito da população a serviços públicos essenciais por meio da televisão aberta. As consequências refletidas na permanência do atraso e baixo desenvolvimento do estado do Maranhão abrem possibilidades de superação com os novos programas disponibilizados pela Secretaria de Inclusão Digital (SID), do Ministério das Comunicações para responder à enorme demanda que priva regiões do Brasil como o Maranhão de desenvolvimento social e inclusão digital.

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Purpose – This paper seeks to respond to recent calls for more engagement-based studies of corporate social reporting (CSR) practice by examining the views of corporate managers on the current state of, and future prospects for, social reporting in Bangladesh. Design/methodology/approach – The paper uses a series of interviews with senior managers from 23 Bangladeshi companies representing the multinational, domestic private and public sectors. Findings – Key findings are that the main motivation behind current reporting practice lies in a desire on the part of corporate management to manage powerful stakeholder groups, whilst perceived pressure from external forces, notably parent companies' instructions and demands from international buyers, is driving the process forward. In the latter context it appears that adoption of international social accounting standards and codes is likely to become more prevalent in the future. Reservations are expressed as to whether such a passive compliance strategy is likely to achieve much in the way of real changes in corporate behaviour, particularly when Western developed standards and codes are imposed without consideration of local cultural, economic and social factors. Indeed, such imposition could be regarded as little more than an example of the erection of non-tariff trade barriers rather than representing any meaningful move towards empowering indigenous stakeholder groups. Originality/value – The paper contributes to the literature on CSR in developing countries where there is a distinct lack of engagement-based published studies.

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This paper examines the efficiency of public sector expenditures and foreign aid at achieving social sector outcomes in Small Island Developing States (SIDS). Efficiency is estimated using a Stochastic Production Function (SPF) approach and panel data since 1990. A second stage of the analysis examines the determinants of efficiency. Results indicate that the efficiency of aid and public sectors at improving life expectancy has deteriorated during the 1990s but efficiency at improving school enrolments has increased. Higher levels of governance are associated with higher efficiency. There is also evidence to suggest that efficiency is lower in SIDS, as well as in Sub-Saharan Africa.

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Kutatásunk alapvetése, hogy egy ország versenyképessége az értékteremtő munkamegosztást támogató teljes közösségi intézményrendszer sikeres működésén múlik. Munkánkkal arra kerestük a választ, milyen értékek és motivációk alakítják a magyar gazdaság intézményrendszerét. Nem a hivatalos magatartási szabályok statikus elemzésére koncentráltunk, hanem a normák, konvenciók és innovációk világára, az intézményrendszer jövőjét befolyásoló dinamikus elemekre. Elemzésünk fókuszában a társadalmi és vállalkozói értékek, a gazdaságpolitika formálók versenyképességi narratívái, a helyi gazdaságok versenyképességi tényezői, a versenyképesség javítását szolgáló magánkezdeményezések és a nonprofit szektor működése álltak. Fő eredményünk, hogy a Magyarország jövőbeli versenyképességét befolyásoló tudati elemek - a gazdasági döntéshozók motivációi és normái – megfelelő alapot teremtenek a gazdaságunk versenyképességét megerősítő üzleti, civil és kormányzati kezdeményezések számára. Magas közösségi és morális elvárások jellemzik a lakosság és a vállalkozók értékrendjét. A gazdaságpolitika-alkotók nyitottak az intézményi problémákra, a magyar véleményformálók körében egyetértés van a fő versenyképességi kihívásokat illetően. Jól azonosíthatóak a szervezők erőfeszítéseit kompenzálni képes versenyképességi összefogások keretei. A helyi gazdaságfejlesztés intézményei alakulóban vannak. A nonprofit szektor működési viszonyainak bizonytalansága ellenére a közcélúság és a versenyképesség közös területein (mint az atipikus foglalkoztatás) jól teljesít. Ezek az eredmények egyszerre nyitnak perspektívát a tudományos vizsgálódás és a gyakorlati cselekvés számára. Az önérdek és a közösségi értékteremtő képesség javításának motivációja közötti kapcsolat tudományos vizsgálata, a társadalmi innovációk kutatása a versenyképesség javíthatóságának kereteit tárhatja fel. Az üzleti, civil vagy kormányzati szereplők pedig akkor tudják a fogyasztói, közösségi elvárásokat sikeresen összeegyeztetni stratégiai céljaikkal, ha a gazdasági és társadalmi szereplők normáihoz, konvencióihoz igazítva alakítják ki intézményformáló stratégiáikat. __________ The competitiveness of nations is based on the successful function of the institutions that support the division of labor on value creation – this is the basic principle of this research. Our project investigates what values and motivations shape the institutional setting of Hungarian economy. We study the world of norms, conventions and innovations – the elements that shape the institutions. The static analysis of official rules has only a minor role in this approach. Research focuses (1) on the value system of entrepreneurs (2), on the mind setting of public managers and executives of economic policy (3) on the factors of local economic competitiveness, (4) on the actions of private and non-profit sector in order to enhance competitiveness. The main finding of this research is that the cognitive factors that shape the competitiveness of Hungary – the norms and motivations of decision makers in the economy – give a positive support for the competitiveness strengthening initiatives of business, non-profit and public sectors. The studies on the values system of entrepreneurs and citizens show that expectations and moral values connected to competitiveness are strong. The public managers of economic policy are open-minded and there is a general consensus of experts, business and politics on the key competitiveness challenges of Hungary. There are well defined frameworks to conceptualize the schemes that make organizers’ efforts affordable in private initiatives for competitiveness. There are various developments on the field of institutions for local economic development. The nonprofit sector has good results on the common fields of competiveness and equity (like atypical forms of employment) despite the uncertainties in the background of the sector. These results open perspectives both for scientific research and practical applications. The research on connection between individual goals and motivation to improve value creating ability of the society and the study of social innovation reveal new aspects of competitiveness. Business, non-profit or public leaders can better synchronize their strategies with the expectation of consumers, communities and constituencies if their intentions to shape institutional settings fit better to the norms and conventions of the social and economic stakeholders.

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The economic rationale for public intervention into private markets through price mechanisms is twofold: to correct market failures and to redistribute resources. Financial incentives are one such price mechanism. In this dissertation, I specifically address the role of financial incentives in providing social goods in two separate contexts: a redistributive policy that enables low income working families to access affordable childcare in the US and an experimental pay-for-performance intervention to improve population health outcomes in rural India. In the first two papers, I investigate the effects of government incentives for providing grandchild care on grandmothers’ short- and long-term outcomes. In the third paper, coauthored with Manoj Mohanan, Grant Miller, Katherine Donato, and Marcos Vera-Hernandez, we use an experimental framework to consider the the effects of financial incentives in improving maternal and child health outcomes in the Indian state of Karnataka.

Grandmothers provide a significant amount of childcare in the US, but little is known about how this informal, and often uncompensated, time transfer impacts their economic and health outcomes. The first two chapters of this dissertation address the impact of federally funded, state-level means-tested programs that compensate grandparent-provided childcare on the retirement security of older women, an economically vulnerable group of considerable policy interest. I use the variation in the availability and generosity of childcare subsidies to model the effect of government payments for grandchild care on grandmothers’ time use, income, earnings, interfamily transfers, and health outcomes. After establishing that more generous government payments induce grandmothers to provide more hours of childcare, I find that grandmothers adjust their behavior by reducing their formal labor supply and earnings. Grandmothers make up for lost earnings by claiming Social Security earlier, increasing their reliance on Supplemental Security Income (SSI) and reducing financial transfers to their children. While the policy does not appear to negatively impact grandmothers’ immediate economic well-being, there are significant costs to the state, in terms of both up-front costs for care payments and long-term costs as a result of grandmothers’ increased reliance on social insurance.

The final paper, The Role of Non-Cognitive Traits in Response to Financial Incentives: Evidence from a Randomized Control Trial of Obstetrics Care Providers in India, is coauthored with Manoj Mohanan, Grant Miller, Katherine Donato and Marcos Vera-Hernandez. We report the results from “Improving Maternal and Child Health in India: Evaluating Demand and Supply Side Strategies” (IMACHINE), a randomized controlled experiment designed to test the effectiveness of supply-side incentives for private obstetrics care providers in rural Karnataka, India. In particular, the experimental design compares two different types of incentives: (1) those based on the quality of inputs providers offer their patients (inputs contracts) and (2) those based on the reduction of incidence of four adverse maternal and neonatal health outcomes (outcomes contracts). Along with studying the relative effectiveness of the different financial incentives, we also investigate the role of provider characteristics, preferences, expectations and non-cognitive traits in mitigating the effects of incentive contracts.

We find that both contract types input incentive contracts reduce rates of post-partum hemorrhage, the leading cause of maternal mortality in India by about 20%. We also find some evidence of multitasking as output incentive contract providers reduce the level of postnatal newborn care received by their patients. We find that patient health improvements in response to both contract types are concentrated among higher trained providers. We find improvements in patient care to be concentrated among the lower trained providers. Contrary to our expectations, we also find improvements in patient health to be concentrated among the most risk averse providers, while more patient providers respond relatively little to the incentives, and these difference are most evident in the outputs contract arm. The results are opposite for patient care outcomes; risk averse providers have significantly lower rates of patient care and more patient providers provide higher quality care in response to the outputs contract. We find evidence that overconfidence among providers about their expectations about possible improvements reduces the effectiveness of both types of incentive contracts for improving both patient outcomes and patient care. Finally, we find no heterogeneous response based on non-cognitive traits.