1,140,512 research outputs found

    Catalyzing Private Capital Flows: Do IMF Programs Work as Commitment Devices?

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    An objective of IMF programs is to help countries improve their access to international capital markets. In this paper, we examine if Fund programs influence the ability of developing country issuers to tap international bond markets and whether they improve spreads paid on the bonds issued. We find that Fund programs do not provide a uniformly favorable signaling effect, i.e., the mere presence of the IMF does not act as a strong seal of good housekeeping. Instead, the evidence is most consistent with a positive effect of IMF programs when they are viewed as likely to lead to policy reform and when undertaken before economic fundamentals have deteriorated significantly. The size of the Fund’s program matters, but the credibility of a joint commitment by the country and the IMF appears to be critical.Programs, signaling, capital market access

    Evaluating diverse electronic consultation programs with a common framework.

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    BackgroundElectronic consultation is an emerging mode of specialty care delivery that allows primary care providers and their patients to obtain specialist expertise without an in-person visit. While studies of individual programs have demonstrated benefits related to timely access to specialty care, electronic consultation programs have not achieved widespread use in the United States. The lack of common evaluation metrics across health systems and concerns related to the generalizability of existing evaluation efforts may be hampering further growth. We sought to identify gaps in knowledge related to the implementation of electronic consultation programs and develop a set of shared evaluation measures to promote further diffusion.MethodsUsing a case study approach, we apply the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) and the Quadruple Aim frameworks of evaluation to examine electronic consultation implementation across diverse delivery systems. Data are from 4 early adopter healthcare delivery systems (San Francisco Health Network, Mayo Clinic, Veterans Administration, Champlain Local Health Integration Network) that represent varied organizational structures, care for different patient populations, and have well-established multi-specialty electronic consultation programs. Data sources include published and unpublished quantitative data from each electronic consultation database and qualitative data from systems' end-users.ResultsOrganizational drivers of electronic consultation implementation were similar across the systems (challenges with timely and/or efficient access to specialty care), though unique system-level facilitators and barriers influenced reach, adoption and design. Effectiveness of implementation was consistent, with improved patient access to timely, perceived high-quality specialty expertise with few negative consequences, garnering high satisfaction among end-users. Data about patient-specific clinical outcomes are lacking, as are policies that provide guidance on the legal implications of electronic consultation and ideal remuneration strategies.ConclusionA core set of effectiveness and implementation metrics rooted in the Quadruple Aim may promote data-driven improvements and further diffusion of successful electronic consultation programs

    Seeking A Sustainable Journey to Work: Findings from the National Bridges to Work Demonstration

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    The Bridges to Work demonstration was designed to test whether efforts to help inner-city job seekers overcome barriers to accessing suburban jobs would result in better employment opportunities and earnings for these workers. This report examines outcomes for more than 1,800 applicants to Bridges to Work, half of whom were randomly selected to receive the programs transportation, job placement and supportive services for up to 18 months and half who were not offered these services. The researchers found that Bridges to Work did not positively impact participants employment and earnings, results that were consistent across cities and across various strategies for providing transportation services. Given the programs implementation challenges, costs and lack of results, the report concludes that the Bridges model is not a viable policy response to the mismatch between the location of jobs and the location of unemployed workers. However, the models lack of success does not diminish the importance of improving transportation options to increase workers access to employment, and the authors derive a number of important lessons from the demonstrations experience to inform future mobility efforts

    Does micro-credit empower women : evidence from Bangladesh

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    This paper examines the effects of men's and women's participation in group-based micro-credit programs on a large set of qualitative responses to questions that characterize women's autonomy and gender relations within the household. The data come from a special survey carried out in rural Bangladesh in 1998-99. The results are consistent with the view that women's participation in micro-credit programs helps to increase women's empowerment. Credit program participation leads to women taking a greater role in household decisionmaking, having greater access to financial and economic resources, having greater social networks, having greater bargaining power compared with their husbands, and having greater freedom of mobility. Female credit also tended to increase spousal communication in general about family planning and parenting concerns. The effects of male credit on women's empowerment were, at best, neutral, and at worse, decidedly negative. Male credit had a negative effect on several arenas of women's empowerment, including physical mobility, access to savings and economic resources, and power to manage some household transactions.Public Health Promotion,Economic Theory&Research,Health Monitoring&Evaluation,Anthropology,Environmental Economics&Policies,Health Monitoring&Evaluation,Anthropology,Environmental Economics&Policies,Housing&Human Habitats,Economic Theory&Research

    Factors Influencing Lease Revenue and Non-industrial Landowners' Willingness to allow Hunting Access

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    Despite the fact that earnings associated with selling hunting leases could significantly contribute to landowners' incomes, only a small minority of them allow access on their lands for a fee. Based on a sample survey of Mississippi state landowners, we analyzed landowners' willingness to participate in supplying leases as well as factors influencing lease revenue per fee acre. While landowners' decision to allow hunting access and factors influencing lease revenue per acre were jointly modeled consistent with Heckman's analysis of sample selectivity bias, the hunting lease revenue function was specified in accordance with Rosen's hedonic pricing theory. Empirical results showed landowners' concerns about control over their land, loss of privacy and damage to property, and accident liability insurance reduced their willingness to allow hunting access; and, in contrast, increase in total land holding, race and residential location increased the probability of participation. With regards to factors explaining differences in lease revenue per fee acre, analysis showed that location, expertise in managing fee hunting enterprise, provision of services, and certain wildlife habitats account for systematic variations in lease revenues. These findings have implications for landowners' management of their lands, the design of extension programs, and public agencies engaged in the provision of natural resource based recreation.Marginal lands, Mississippi, Incentive programs, Recreation, Wildlife enterprises, Farm Management, Q510, Q260,

    The impact of trade promotion services on Canadian exporter performance.

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    We evaluate the impact of the programs delivered by the Canadian Trade Commissioner Service (TCS) on export performance by Canadian firms. We draw on a unique set of microdata created by linking three separate firm-level databases: Statistics Canada’s Exporter Register and its Business Register, which provide information on export activity and firm characteristics, and the TCS client management database maintained by Foreign Affairs and International Trade Canada, which contains details on trade promotion services provided to Canadian firms. We apply the treatment effects analytical framework to isolate the effects of public sector trade promotion. We find that TCS programs have a consistent and positive impact on Canadian exporter performance. Exporters that access TCS services export, on average, 17.9 percent more than comparable exporters that do not. Furthermore, we also find that TCS assistance benefits exporters in terms of product and market diversification.

    The Influence of Rebate Programs on the Demand for Water Heaters: The Case of New South Wales

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    In the past decade the Australian Federal government and state governments have established a wide range of programs to cut greenhouse gas emissions from all sectors. This paper examines the role of hot water system rebate programs in shifting the existing stock of electric water heaters toward more climate friendly versions using two unique data sets from New South Wales homeowners. The first data set is based on a survey of households who recently purchased a water heater and exploits a natural experiment created by the rebate program to quantify its effects. The other data set is based on a set of stated preference questions asked of households who own an older water heater and will in the reasonably near future face a replacement decision. We find that recent rebate programs significantly increased the share of solar/heat pump systems. For households without access to natural gas, this increased share comes directly from inefficient electric water heaters. For households with access to natural gas, older existing electric water heaters would likely have been replaced with gas water heaters in the absence of the rebate programs. The rebate program appears to be much less effective when water heaters are replaced on an emergency basis. Data from discrete choice experiments was analysed using several flexible choice models. A newly proposed model that combines a latent class approach with a random coefficients approach clearly dominates the other models in terms of statistical fit. Predictions based on this model estimate are reasonably consistent with actual purchase data. Results from it point to considerable heterogeneity with respect to household preferences toward different types of water heaters and with respect to the discount rates they hold.Climate change mitigation, Energy conservation programs, Natural experiments, Discrete choice experiments, Environmental Economics and Policy, Resource /Energy Economics and Policy,

    What Factors Account for State-to-State Differences in Food Security?

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    States differ in the extent to which their residents are food secure—meaning that they have consistent access to enough food for active, healthy living. The prevalence of food security in a State depends not only on the characteristics of households in the State, such as their income, employment, and household structure, but also on State-level characteristics, such as average wages, cost of housing, levels of participation in food assistance programs, and tax policies. Taken together, an identified set of household-level and State-level factors account for most of the State-to-State differences in food security. Some State-level factors point to specific policies that are likely to improve food security, such as policies that increase the supply of affordable housing, promote the use of Federal food assistance programs, or reduce the total tax burden on low-income households.Food security, food insecurity, hunger, very low food security, State predictors of food security, Food Security and Poverty,

    The impact of trade promotion services on Canadian exporter performance

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    We evaluate the impact of the programs delivered by the Canadian Trade Commissioner Service (TCS) on export performance by Canadian firms. We draw on a unique set of microdata created by linking three separate firm-level databases: Statistics Canada’s Exporter Register and its Business Register, which provide information on export activity and firm characteristics, and the TCS client management database maintained by Foreign Affairs and International Trade Canada, which contains details on trade promotion services provided to Canadian firms. We apply the treatment effects analytical framework to isolate the effects of public sector trade promotion. We find that TCS programs have a consistent and positive impact on Canadian exporter performance. Exporters that access TCS services export, on average, 17.9 percent more than comparable exporters that do not. Furthermore, we also find that TCS assistance benefits exporters in terms of product and market diversification.Export Promotion, Heterogeneous Firms, Canada
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