98 research outputs found
Globalization, Party Positions, and the Median Voter
The authors argue that the effects of economic globalization on social democratic parties in Western Europe are conditional on the position of the median voter. If the median is far enough to the right, such parties will adopt business-friendly policies because they are required to win office. Only when the median is relatively far to the left will globalization constrain social democratic parties, forcing them to adopt policies further to the right in order to retain credibility. It is on this basis the authors argue that empirical studies are misspecified unless they include an interaction between measures of globalization and the position of the median. In addition to presenting formal theoretical arguments, the article reports empirical findings from fifteen countries in the period from 1973 to 2002 that support the conclusion that the effects of globalization are indeed contingent on the median. The authors find that the effects of globalization are significant for social democratic parties only in circumstances in which the median is relatively far to the left
More than Taxi-Drivers? Pitfalls and Prospects of Local Peacekeeping
The United Nations Integrated Mission in Timor Leste (UNMIT) represents an interesting case when discussing the impact of local peacekeeping on the overall success, or failure, of peacekeeping operations. Although not without its share of problems, this mission is a good example of the promise of local or 'bottom-up' peacekeeping
EU-China security cooperation in context. EUI Working Paper RSCAS 2015/31 (European University Institute).
The paper has two main aims. First it seeks to explore whether security cooperation between the EU and China is taking place, and if so, whether it is evenly spread across a number of security dimensions. Second it intends to investigate the underlying motives or drivers that either facilitate or inhibit EU-China security cooperation. Further, it will explain why the EU rather than EU member states is chosen as the unit of analysis, explore the development of EU-China security relations, and illustrate how historical legacies, identity aspects and differences over key issues, such as sovereignty and territorial integrity, affect EU-China security relations. In addition, it will deal with the theoretical and conceptual underpinnings of the study on EU-China security relations, paying particular emphasis to the concepts of diffusion and convergence. Whether or not EU-China security cooperation converges in one of the ten chosen security dimensions will be assessed by the degree of policy conformity the EU and China are able (or unable) to obtain with regard to threat perceptions and policy response thereto. Attention will be devoted to diffusion factors which can affect changes in the perception of threats and response thereof. Among these factors are changes in (geo-political) structure, interests and norms. A further objective of the paper will be to explore whether policy convergence on threat perceptions and response thereto might be a precondition for joint action, or whether practical cooperation can take place without prior policy convergence between the EU and China. The paper will round off with a short section introducing the security dimensions that are being examined in the more detailed study on which this paper is based
Cost of porcine reproductive and respiratory syndrome virus at individual farm level – An economic disease model
Porcine reproductive and respiratory syndrome (PRRS) is reported to be among the diseases with the highest economic impact in modern pig production worldwide. Yet, the economic impact of the disease at farm level is not well understood as, especially in endemically infected pig herds, losses are often not obvious. It is therefore difficult for farmers and veterinarians to appraise whether control measures such as virus elimination or vaccination will be economically beneficial for their farm. Thus, aim of this study was to develop an epidemiological and economic model to determine the costs of PRRS for an individual pig farm. In a production model that simulates farm outputs, depending on farm type, farrowing rhythm or length of suckling period, an epidemiological model was integrated. In this, the impact of PRRS infection on health and productivity was estimated. Financial losses were calculated in a gross margin analysis and a partial budget analysis based on the changes in health and production parameters assumed for different PRRS disease severities. Data on the effects of endemic infection on reproductive performance, morbidity and mortality, daily weight gain, feed efficiency and treatment costs were obtained from literature and expert opinion. Nine different disease scenarios were calculated, in which a farrow-to-finish farm (1000 sows) was slightly, moderately or severely affected by PRRS, based on changes in health and production parameters, and either in breeding, in nursery and fattening or in all three stages together. Annual losses ranged from a median of € 75′724 (90% confidence interval (C.I.): € 78′885–€ 122′946), if the farm was slightly affected in nursery and fattening, to a median of € 650′090 (90% C.I. € 603′585–€ 698′379), if the farm was severely affected in all stages. Overall losses were slightly higher if breeding was affected than if nursery and fattening were affected. In a herd moderately affected in all stages, median losses in breeding were € 46′021 and € 422′387 in fattening, whereas costs were € 25′435 lower in nursery, compared with a PRRSV-negative farm. The model is a valuable decision-support tool for farmers and veterinarians if a farm is proven to be affected by PRRS (confirmed by laboratory diagnosis). The output can help to understand the need for interventions in case of significant impact on the profitability of their enterprise. The model can support veterinarians in their communication to farmers in cases where costly disease control measures are justified
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To share or not to share: Public attitudes towards disclosing personal and identifiable medical data and information
In the summer of 2023, we surveyed 2,355 members of the public in England to gauge their opinions on the acceptability of the NHS sharing their personal versus anonymised data or information with other key entities operating within the public health system. These include hospitals, GPs, pharmacists, social care providers, health insurance companies, pharmaceutical companies for research purposes, and city or county councils. Notably, 84% of respondents indicate it is either acceptable or very acceptable of the NHS sharing personalised data and information with hospitals and GPs. In contrast, the majority of respondents (50%+) find it either unacceptable or very unacceptable of sharing such information with pharmaceutical companies for research purposes or with councils, whether it was personal or anonymised. Interestingly, higher levels of acceptability were observed when the term information was used rather than data with GPs and hospitals. Our findings extend previous understanding by suggesting that, when there are perceived potential personal benefits, people are more willing to share personal rather than anonymised health information/data. This is a new finding that has not been considered before in the discussion of patients’ health information/data sharing. We discuss the managerial implications and provide specific recommendations to the NHS, insurance companies, pharmaceutical companies, and local governments on how they could improve their communication with the general public regarding the sharing of health data and information.Economic & Social Research Council Project Reference:
ES/W011913/1, Measuring Trust and its Variance during the COVID-19 Pandemic Using Serial Surveys and Quantitative Text Analysis (https://gtr.ukri.org/projects?ref=ES%2FW011913%2F1)
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London, you have a problem with women: Trust towards the police in England
Following a series of high-profile incidents of violence against women by serving London Metropolitan Police Officers, questions of standards and the public’s confidence in policing are in the spotlight. Over a fifteen-month period between July 2022 and September 2023 using monthly surveys of representative English samples, this study confirms that women, in general, are more trusting in the police than men. This, however, does not hold true in London. Out of nine regions in England, London is the only region where women’s overall trust in the police is lower than men. Lower levels of trust in the police among women in London hold when controls for age, income, political environment and crime levels are considered. In line with existing literature that considers women being more sensitive to cues about trustworthiness, the concerning incidents of sexual violence by police officers against women are likely to further erode trust in police in the capital, which already ranks last among England’s nine regions in citizen trust of the police.Japan Society for the Promotion of Science (JPJSJRP 20211704 ); UK Research and Innovation (ES/W011913/1)
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The influence of waiting times and sociopolitical variables on public trust in healthcare: A cross-sectional study of the NHS in England
Data availability:
Replication code and data are available through the Harvard Dataverse at: https://doi.org/10.7910/DVN/AQYYNK .
The data are in the public domain, under the terms of the Creative Commons CC0 1.0 Universal deed.Objectives:
This study aims to assess factors influencing public trust in the National Health Service (NHS) in England, focusing on the impact of waiting times in Accident & Emergency (A&E) departments and for GP-to-specialist cancer referrals.
Study design:
A cross-sectional survey-based research design was employed, covering the period from July 2022 to July 2023.
Methods:
Data were collected through YouGov surveys, yielding 7415 responses. Our analysis is based on 6952 of these responses which we were able to aggregate to 42 NHS Integrated Care Boards (ICBs) for A&E waiting times and 106 ICB sub-units for cancer referral times. Multiple regression analysis was conducted, with the dependent variable being trust in the NHS.
Results:
Waiting times for A&E and cancer referrals did not significantly affect trust in the NHS. However, other sociopolitical factors displayed significant influence. Specifically, being a member of an ethnic minority group, or having voted Conservative in the 2019 general election were associated with lower trust scores. Other variables such as age and local unemployment rate were also significant predictors.
Conclusions:
Our findings suggest that waiting times for healthcare services have no effect on public trust in the NHS. Instead, trust appears to be largely shaped by sociopolitical factors. Policymakers should therefore look beyond operational efficiency when seeking to bolster trust in the healthcare system.UKRI/ESRC (Grant reference ES/W011913/1) and the JSPS (Grant reference JPJSJRP 20211704)
Modelling the economic efficiency of using different strategies to control Porcine Reproductive & Respiratory Syndrome at herd level
PRRS is among the diseases with the highest economic impact in pig production worldwide. Different strategies have been developed and applied to combat PRRS at farm level. The broad variety of available intervention strategies makes it difficult to decide on the most cost-efficient strategy for a given farm situation, as it depends on many farm-individual factors like disease severity, prices or farm structure. Aim of this study was to create a simulation tool to estimate the cost-efficiency of different control strategies at individual farm level. Baseline is a model that estimates the costs of PRRS, based on changes in health and productivity, in a specific farm setting (e.g. farm type, herd size, type of batch farrowing).
The model evaluates different intervention scenarios: depopulation/repopulation (D/R), close & roll-over (C&R), mass vaccination of sows (MS), mass vaccination of sows and vaccination of piglets (MS + piglets), improvements in internal biosecurity (BSM), and combinations of vaccinations with BSM. Data on improvement in health and productivity parameters for each intervention were obtained through literature review and from expert opinions. The economic efficiency of the different strategies was assessed over 5 years through investment appraisals: the resulting expected value (EV) indicated the most cost-effective strategy. Calculations were performed for 5 example scenarios with varying farm type (farrow-to-finish – breeding herd), disease severity (slightly – moderately – severely affected) and PRRSV detection (yes – no). The assumed herd size was 1000 sows with farm and price structure as commonly found in Germany. In a moderately affected (moderate deviations in health and productivity parameters from what could be expected in an average negative herd), unstable farrow-to-finish herd, the most cost-efficient strategies according to their median EV were C&R (€1′126′807) and MS + piglets (€ 1′114′649). In a slightly affected farrow-to-finish herd, no virus detected, the highest median EV was for MS + piglets (€ 721′745) and MS (€ 664′111). Results indicate that the expected benefits of interventions and the most efficient strategy depend on the individual farm situation, e.g. disease severity. The model provides new insights regarding the cost-efficiency of various PRRSV intervention strategies at farm level. It is a valuable tool for farmers and veterinarians to estimate expected economic consequences of an intervention for a specific farm setting and thus enables a better informed decision
The influence of waiting times and sociopolitical variables on public trust in healthcare: A cross-sectional study of the NHS in England
Objectives
This study aims to assess factors influencing public trust in the National Health Service (NHS) in England, focusing on the impact of waiting times in Accident and Emergency (A and E) departments and for GP-to-specialist cancer referrals.
Study design
A cross-sectional survey-based research design was employed, covering the period from July 2022 to July 2023.
Methods
Data were collected through YouGov surveys, yielding 7415 responses. Our analysis is based on 6952 of these responses which we were able to aggregate to 42 NHS Integrated Care Boards (ICBs) for A and E waiting times and 106 ICB sub-units for cancer referral times. Multiple regression analysis was conducted, with the dependent variable being trust in the NHS.
Results
Waiting times for A and E and cancer referrals did not significantly affect trust in the NHS. However, other sociopolitical factors displayed significant influence. Specifically, being a member of an ethnic minority group, or having voted Conservative in the 2019 general election were associated with lower trust scores. Other variables such as age and local unemployment rate were also significant predictors.
Conclusions
Our findings suggest that waiting times for healthcare services have no effect on public trust in the NHS. Instead, trust appears to be largely shaped by sociopolitical factors. Policymakers should therefore look beyond operational efficiency when seeking to bolster trust in the healthcare system
The influence of waiting times and sociopolitical variables on public trust in healthcare : a cross-sectional study of the NHS in England
Objectives: This study aims to assess factors influencing public trust in the National Health Service (NHS) in England, focusing on the impact of waiting times in Accident & Emergency (A&E) departments and for GP-to-specialist cancer referrals. Study design: A cross-sectional survey-based research design was employed, covering the period from July 2022 to July 2023. Methods: Data were collected through YouGov surveys, yielding 7415 responses. Our analysis is based on 6952 of these responses which we were able to aggregate to 42 NHS Integrated Care Boards (ICBs) for A&E waiting times and 106 ICB sub-units for cancer referral times. Multiple regression analysis was conducted, with the dependent variable being trust in the NHS. Results: Waiting times for A&E and cancer referrals did not significantly affect trust in the NHS. However, other sociopolitical factors displayed significant influence. Specifically, being a member of an ethnic minority group, or having voted Conservative in the 2019 general election were associated with lower trust scores. Other variables such as age and local unemployment rate were also significant predictors. Conclusions: Our findings suggest that waiting times for healthcare services have no effect on public trust in the NHS. Instead, trust appears to be largely shaped by sociopolitical factors. Policymakers should therefore look beyond operational efficiency when seeking to bolster trust in the healthcare system
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