Search results

This study aims to determine elements of telehealth that have the potential to increase costs for the health system in the short to medium term.

A search of PubMed, EMBASE and Scopus databases was performed in May 2018 using broad terms for telehealth and economics. Articles were included if they identified and explained reasons for an increase in cost for telehealth services. Studies were categorised by economic analysis type for data extraction and descriptive synthesis.

Fourteen studies met inclusion criteria and were included in the review. These studies identified that increased health system costs were due to implementation costs (e.g. for equipment, software or staff training), increased use of other healthcare services (e.g. pharmaceutical services) and ongoing service costs (including staff salaries) resulting from telehealth being additive to traditional service (e.g. increased frequency of contact).

Telehealth is often assumed to be a cost-effective method of delivering healthcare, even to the point where direct cost savings are expected by decision makers as a result of implementation. However, this investigation suggests it does not routinely reduce costs for the health system and can actually increase costs at both implementation and ongoing service delivery stages. Health services considering implementing telehealth should be motivated by benefits other than cost reduction such as improved accessibility, greater patient centricity and societal cost–benefit.

This article surveys the literature dealing with theory and applications of life cycle costing (LCC). It deals with the literature published in the last 25 years and provides 667 references.

This paper analyzes real and welfare effects of a permanent change in inflation rate, focusing on macroprudential policy’ role and its interaction with monetary policy.

While investigating disinflation costs, the authors simulate a medium-scale dynamic general equilibrium model with borrowing constraints, credit frictions and macroprudential authority.

Providing discussions on different policy scenarios in a context where still it is expected high inflation, there are three key contributions. First, when macroprudential authority actively operates to improve financial stability, losses caused by disinflation are limited. Second, a Taylor rule directly responding to financial variables might entail a trade-off between price and financial stability objectives, by increasing disinflation costs. Third, disinflation is welfare improving for savers, while costly for borrowers and banks. Indeed, while savers benefit from policies reducing price stickiness distortion, borrowers are worried about credit frictions, coming from collateral constraint.

The paper suggests threefold policy implications: the macroprudential authority should actively intervene during a disinflation process to minimize costs and financial instability deriving from it; policymakers should implement a disinflationary policy stabilizing also output; the central bank and the macroprudential regulator should pursue financial and price stability goals, separately.

This paper is the first attempt to study effects of a permanent inflation target reduction in focusing on the macroprudential policy’ role.

The manning and readiness levels of the reserve forces have been a key issue in the debate of the efficacy of the All‐Volunteer Force (AVF) since the original recommendation for an AVF by the Gates Commission in 1969. General Maxwell Taylor (1981) has identified the AVF's principal failings as:

Dialogue has been an elusive concept for academics when it comes to its definition within organisational contexts. In spite of the vast amount of academic research, it is not easy to find concrete proposals – both from theoretical and empirical standpoints – that analyse how companies manage dialogue processes with their stakeholders. The aim of this chapter is to fill this gap by highlighting the role of dialogue in strategic decision-making processes. In order to achieve this purpose, this work is structured into two parts. Firstly, multidisciplinary literature regarding how Public Relations and Management studies research on dialogue is reviewed. Secondly, the chapter presents a managerial proposal of dialogue for decision-making processes called the IDEA model. This chapter aims to scale back the theoretical fragmentation of the concept of dialogue while looking into its practicality based on an original proposal for scholars and practitioners.

This chapter describes a teacher leadership professional development program for K-12 science teachers constructed through a partnership between a university and five school districts. The development and implementation of the program drew from the literature on teacher leadership, communities of practice, and distributed leadership. The program supports teachers through a two-year fellowship program where they examine their teaching practices, attend professional development workshops, and undertake an independent teacher leadership project in their own schools. The chapter also describes the research conducted by the university to improve the program and shares findings and future implications of this research.

The purpose of this paper is to investigate whether there is a causal impact of party affiliation of state governors operating within a liberal state legislature on labor market activity of transgender individuals. The common perception is that Republicans are more likely to believe a person’s gender is determined by their sex at birth than Democrats. Such beliefs can influence voting, policies and practices.

Survey data on employment outcomes and other individual level characteristics are used from two surveys focusing on transgender individuals for the periods 2008 and 2015. These surveys represent the largest collection of data that examines the experiences of transgender people in the USA. To establish a casual effect, this analysis employs fixed effects Ordinary Least Squares methods and Propensity Score Matching algorithms.

Exploiting variations in the party affiliation of governors and liberal state governments, the study finds mixed employment effects of living in a Democratic-governed liberal state. Specifically, this paper shows that transgender people living in such states have an 18 percentage point (or 26 percent) higher likelihood of being employed in the 2008 survey, but a 16.4 percentage point (or 25 percent) lower likelihood of being employed in the 2015 survey. Despite the lower propensity to be out of the labor market in the 2008 sample, results from both surveys indicate a higher likelihood of being unemployed. These findings are robust to the inclusion of additional covariates (including confounders), alternative specifications and different estimation techniques. Heterogeneous effects are also explored.

To the authors’ current knowledge, this is the first study to systematically investigate the relationship between living in democratically governed liberal states and labor market circumstances of transgender people in the USA. This is the first paper to establish a causal relationship using matching techniques. The paper also provides suggestive evidence of the role of government ideology in influencing the working lives of transgender people.