When The High-Income Country Context Dissolves. Social Policy Preferences in Low- and Middle-Income Democracies

The provision of welfare services can be understood as an iterated public goods game in simplified terms. Individuals contribute via taxation while the state cooperates by the provision of welfare services as return for paid contributions. Focusing on welfare provision in low- and middle-income democracies, where we find decisive variation in state capacity and considerable inefficiencies such as high rates of income inequality, corruption, and a prosperous informal economy, the efficiency of the public goods game becomes uncertain. If the state is perceived as weak and untrustworthy because of lacking capacity to extract revenue and to deliver social services, why should individuals turn towards this low-capacity entity for provision of welfare services? Drawing upon the current debate on redistributive preferences in the political economy literature, the overall research question that this dissertation is concerned with therefore asks: what happens to individual social policy preferences when the context of high-income states dissolves? The dissertation analyses social policy preference formation in the context of increased uncertainty that is reflected by weaknesses in the distributive and extractive capacities of the state and inefficiency – that is, the informal economy. Based on cross-country survey data for a large set of less developed democracies, the study illustrates with the use of hierarchical modeling techniques how context characteristics influence individual preferences, next to micro level factors such as income, education, and labor market status. The analyses reveal a considerable impact of these key features of the public goods game for social policy preferences in low- and middle-income democracies. The dissertation builds a micro-foundation for social policy in low- and middle-income democracies that takes into account the institutional and structural framework of the state and the particularities of a stratified labor market

[DNVF Memorandum Health Literacy (Part 1) - Background, Relevance, Research Topics and Questions in Health Services Research: Short Version].

Ernstmann N, Bauer U, Berens E-M, et al. DNVF Memorandum Gesundheitskompetenz (Teil 1) – Hintergrund, Relevanz, Gegenstand und Fragestellungen in der Versorgungsforschung: Kurzfassung. Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)). 2020;82(7):639-645.Mehr als die Hälfte der deutschen Bevölkerung hat Schwierigkeiten im Umgang mit Gesundheitsinformationen. Es ist eine wichtige Aufgabe der Versorgungsforschung zu untersuchen, wie sich die Professionen und Organisationen des Gesundheitssystems dieser Herausforderung stellen können. Die vorliegende Kurzfassung des DNVF Memorandums Gesundheitskompetenz (Teil 1) nimmt Begriffsbestimmungen der individuellen und organisationalen Gesundheitskompetenz vor, präsentiert den nationalen und internationalen Forschungsstand und stellt ethische Aspekte der versorgungsbezogenen Gesundheitskompetenzforschung dar. Vor diesem Hintergrund werden zentrale Forschungsgegenstände und zukünftige Forschungsdesiderata abgeleitet.More than half of the German population has difficulties in dealing with health information. It is an important task of health services research to examine how healthcare professionals and health care organizations can meet this challenge. This short version of the DNVF Memorandum Health Literacy (Part 1) defines the terms of individual and organizational health literacy, presents the national and international state of research and ethical aspects of health literacy research in health care settings. Central research topics and future research desiderata are derived. © Georg Thieme Verlag KG Stuttgart · New York