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Constraints to Get Access in Maternal Healthcare: A Review from Lower-Middle-Income Countries 获得孕产妇保健的制约因素:来自中低收入国家的综述
Pub Date : 2020-09-03 DOI: 10.31014/aior.1991.03.03.215
Taufiq-E-Ahmed Shovo, N. Fatema, Asif Ali Jaedi Tamim, Zannatul Ferdaush Keya, Md. Hasan Howlader
The purpose of this study is to explore the basic constraints to get access to maternal healthcare utilization during the pre- and post-delivery period of women in selected lower-middle-income countries around the world. This paper is a review of the literature of previous articles published from 2000 to 2019 in different database. The findings of the study show that different types of intervening factors including socioeconomic status, health literacy of the women and their husband, education, employment status, decision-making power of the women and religion significantly influence the full and free access to the maternal health care facilities in lower-middle-income countries.

本研究的目的是探讨在世界上选定的中低收入国家,妇女在产前和产后获得孕产妇保健利用的基本制约因素。本文对2000年至2019年在不同数据库中发表的文章进行文献综述。研究结果表明,不同类型的干预因素,包括社会经济地位、妇女及其丈夫的卫生素养、教育、就业状况、妇女的决策权和宗教,对中低收入国家充分和免费获得孕产妇保健设施有重大影响。
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引用次数: 0
Debt Burden On The Future Generation: For Now, Worry More About The Current Generation! 未来一代的债务负担:现在,更担心当代人!
Pub Date : 2020-09-03 DOI: 10.2139/ssrn.3686242
Yusuke Horiguchi
One of the key concerns associated with large deficit spending is unfair debt burden to be born by future generations that such spending gives rise to. Massive pandemic relief spending financed by debt in the US in the past several months, as expected, has raised serious concerns about its implications for the well-being of future generations. However, debates have featured more passion and rhetoric than in-depth analyses, leaving obscure what the crux of the matter really is. This note is an attempt to clarify. Key points spelled out in the article indicate that, for the US, and particularly in the present situation where the Fed is following a very accommodative policy, the burden of current deficit spending on the future generation should be less of a concern than commonly perceived. This ought to be an important consideration as policy makers proceed to consider the cost and benefits of additional relief packages to address the economic fallout of the pandemic.
与巨额赤字支出相关的一个关键问题是,这种支出将给子孙后代带来不公平的债务负担。正如预期的那样,过去几个月美国通过债务资助的大规模流行病救济支出,引发了人们对其对后代福祉影响的严重担忧。然而,辩论的特点是更多的激情和修辞,而不是深入的分析,使问题的真正症结模糊不清。本照会试图澄清。文章中阐述的关键观点表明,对于美国来说,特别是在美联储采取非常宽松政策的情况下,当前赤字支出对下一代的负担应该不像人们普遍认为的那样令人担忧。在决策者着手考虑为应对这一流行病的经济影响而采取的额外一揽子救济措施的成本和收益时,这应该是一个重要的考虑因素。
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引用次数: 0
The South African Government’s response to COVID-19 南非政府应对COVID-19的措施
Pub Date : 2020-09-01 DOI: 10.1108/jpbafm-07-2020-0120
C. de Villiers, Dannielle Cerbone, W. van Zijl
PurposeThis paper provides a critical analysis of the South African government's response to the COVID-19 crisis and its effect on state finances and budgets.Design/methodology/approachThe paper critically analyses publicly available data.FindingsThe South African government's initial health response was praised by the international community, given the early lockdown and extensive testing regime. The lockdown devastated an already precarious economy, which led to negative social consequences. The initial lockdown delayed the epidemic, but subsequently, the infection rate climbed, requiring new restrictions, suggesting further economic disruption. The government has had to increase its borrowings, while the future tax take is forecast to be significantly reduced, a combination which will lead to a severely constrained public purse for many years to come. This will limit the government's ability to address the basic social needs that predated the COVID-19 crisis.Originality/valueThis is one of the first academic papers to critically assess the effect of the South African government's response to the COVID-19 crisis on state finances and budgets.
本文对南非政府应对COVID-19危机及其对国家财政和预算的影响进行了批判性分析。这篇论文批判性地分析了公开可用的数据。考虑到早期的封锁和广泛的检测制度,南非政府最初的卫生应对措施受到了国际社会的赞扬。封锁摧毁了本已岌岌可危的经济,导致了负面的社会后果。最初的封锁延缓了疫情,但随后感染率攀升,需要新的限制措施,这意味着进一步的经济中断。政府不得不增加借款,而未来的税收预计将大幅减少,这两种情况的结合,将导致未来许多年公共财政严重吃紧。这将限制政府解决COVID-19危机之前的基本社会需求的能力。原创性/价值这是首批批判性评估南非政府应对COVID-19危机对国家财政和预算影响的学术论文之一。
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引用次数: 50
Healthcare Inequality in the Digital 21st Century: The Case for a Mandate for Equal Access to Quality Medicine for All 数字21世纪的医疗不平等:要求人人平等获得优质医疗的理由
Pub Date : 2020-08-23 DOI: 10.2139/ssrn.3679342
Julia M. Puaschunder, D. Beerbaum
The currently ongoing COVID-19 crisis challenges health around the world. Public and private sector healthcare provision differs between countries. On an interconnected globe with a highly mobile 21st century population and a most contagious virus, healthcare appears as internationally-interdependent as never before in the history of humankind. More than ever before pandemic precaution requires globally-carried solutions and risks management based on internationally-harmonized action. The endeavor of a commonly healthy world is challenged in light of the nowadays unprecedentedly-blatant healthcare inequality around the world. Based on macroeconomic modelling, our empirical research brought forward four indices shedding light on health inequality in the 21st digital century. International data on digitalization, economic prosperity, healthcare standards and innovation market financialization revealed that Europe and North America feature excellent starting positions on economic productivity and relatively low levels of corruption. Internet connectivity and high Gross Domestic Product are likely to lead on AI-driven big data insights for pandemic prevention, of which Europe, Asia and North America have optimal global healthcare leadership potential. Europe benefits from highest standards on public preventive medical care, while the United States has the most prosperous market financialization to advance medical innovations. Oceania performs well on general healthcare but has comparatively less international medical market power. Asia and the Gulf region are in the middle ranges of healthcare provision and market innovation financing but are critical on corruption, which also appears to hinder access to quality healthcare in South America. Africa ranks low on healthcare and raising funds for medical purposes in corruption-prone territories. The currently ongoing COVID-19 crisis has created awareness for the global interconnectivity of healthcare but also heighted attention to the drastic medical standard differences around the world, which unprecedentedly leverages the sustainable development mandate to grant equal access to healthcare.
目前正在进行的COVID-19危机对世界各地的卫生构成挑战。公共和私营部门提供的医疗保健服务因国家而异。在21世纪人口高度流动和传染性最强的病毒相互联系的地球上,医疗保健在国际上的相互依存程度达到了人类历史上前所未有的程度。预防大流行比以往任何时候都更需要全球统一的解决方案和基于国际协调行动的风险管理。鉴于当今世界各地前所未有的公然医疗保健不平等,共同健康世界的努力受到挑战。基于宏观经济模型,我们的实证研究提出了21世纪健康不平等的四个指标。关于数字化、经济繁荣、医疗保健标准和创新市场金融化的国际数据显示,欧洲和北美在经济生产力方面处于良好的起点位置,腐败程度相对较低。互联网连接和高国内生产总值(gdp)可能会引领人工智能驱动的大数据洞察,以预防流行病,其中欧洲、亚洲和北美具有最佳的全球医疗保健领导潜力。欧洲享有最高标准的公共预防医疗服务,而美国拥有最繁荣的市场金融化,以推动医疗创新。大洋洲在一般医疗保健方面表现良好,但在国际医疗市场上的影响力相对较小。亚洲和海湾地区在医疗保健提供和市场创新融资方面处于中等水平,但在腐败方面至关重要,腐败似乎也阻碍了南美获得高质量医疗保健。在容易腐败的地区,非洲在医疗保健和为医疗目的筹集资金方面排名较低。目前正在进行的COVID-19危机使人们认识到全球医疗保健的相互关联性,但也使人们注意到世界各地医疗标准的巨大差异,这前所未有地利用了可持续发展任务来提供平等获得医疗保健的机会。
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引用次数: 8
The Dynamics of Cross-Boundary Fire - Financial Contagion between the Oil and Stock Markets 跨境火灾的动态-石油和股票市场之间的金融传染
Pub Date : 2020-08-23 DOI: 10.2139/ssrn.3679656
Haiying Wang, Ying Yuan, Tianyang Wang
Motivated by the complex dynamics between the oil and stock markets, this study develops a dynamic Markov regime switching-copula-extreme value theory model to quantitatively investigate financial contagion and its characteristics between these two markets. The proposed model is applied to daily returns on crude oil prices and the stock markets in the United States and China over six major extreme downside risk events. We find that financial contagion is shorter, stronger, and more susceptible to extreme downside shocks in the United States than in China. In addition, the COVID-19 crisis shows the largest financial contagion compared with previous crises.
基于石油市场和股票市场之间复杂的动态关系,本文建立了动态马尔可夫制度转换-copula-极值理论模型,定量研究了石油市场和股票市场之间的金融传染及其特征。该模型应用于美国和中国六个主要极端下行风险事件的原油价格和股票市场的日收益。我们发现,与中国相比,美国的金融传染时间更短、更强,也更容易受到极端下行冲击的影响。此外,与以往危机相比,新冠肺炎危机显示出最大的金融传染。
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引用次数: 1
A Dynamic Ordered Logit Model With Fixed Effects 具有固定效应的动态有序Logit模型
Pub Date : 2020-08-04 DOI: 10.2139/ssrn.3672858
Chris Muris, P. Raposo, S. Vandoros
We study a fixed-T panel data logit model for ordered outcomes that accommodates fixed effects and state dependence. We provide identification results for the autoregressive parameter, regression coefficients, and the threshold parameters in this model. Our results require only four observations on the outcome variable. We provide conditions under which a composite conditional maximum likelihood estimator is consistent and asymptotically normal. We use our estimator to explore the determinants of self-reported health in a panel of European countries over the period 2003–2016 and find evidence for state dependence in self-reported health.
我们研究了一个固定的t面板数据逻辑模型,用于适应固定效应和状态依赖性的有序结果。我们给出了模型中自回归参数、回归系数和阈值参数的识别结果。我们的结果只需要对结果变量进行四次观察。给出了复合条件极大似然估计量相容且渐近正态的条件。我们使用我们的估计器来探索2003-2016年期间欧洲国家小组中自我报告健康的决定因素,并找到自我报告健康中国家依赖的证据。
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引用次数: 4
Income Losses and Subjective Well-Being: Gender and Ethnic Inequalities During the COVID-19 Lockdown Period in the UK 收入损失与主观幸福感:英国COVID-19封锁期间的性别和种族不平等
Pub Date : 2020-08-01 DOI: 10.2139/ssrn.3752239
Eleftherios Giovanis, Oznur Ozdamar
COVID-19 has become a global health pandemic forcing governments introducing unprecedented steps to contain the spread of the virus. On the 23rd of March, 2020, the UK government addressed the nation to announce extraordinary measures as a response to slow down the spread of the coronavirus, which have influenced the well-being and finances of millions of people. As a result people had to make difficult adjustments and to follow different coping strategies in order to respond to income losses. The main objective of this study is to examine the impact of various coping strategies, due to the lockdown measures, on the respondents’ subjective well-being by gender and ethnic background. We apply a difference-in-differences framework using data from the UK Household Longitudinal Study (UKHLS) combined with the UKHLS COVID-19 survey conducted in April 2020. Furthermore, using the Life Satisfaction Approach (LSA), we estimate the well-being costs of the coping strategies adopted that denote the amount required to revert individual’s well-being into the levels were before Covid-19 period. The results show that coping strategies with the earning losses have a significant detrimental impact on well-being and the related costs range between £250-3,500, which are significantly varied by gender and ethnic group.JEL Classification: C1, I14, I31
COVID-19已成为全球卫生大流行,迫使各国政府采取前所未有的措施来遏制病毒的传播。2020年3月23日,英国政府向全国发表讲话,宣布采取非常措施,以减缓冠状病毒的传播,冠状病毒已经影响了数百万人的福祉和财务状况。因此,人们不得不做出艰难的调整,并遵循不同的应对策略,以应对收入损失。本研究的主要目的是根据性别和种族背景,检查封锁措施对受访者主观幸福感的各种应对策略的影响。我们利用英国家庭纵向研究(UKHLS)的数据,结合2020年4月进行的UKHLS COVID-19调查,采用了差异中的差异框架。此外,使用生活满意度方法(LSA),我们估计了所采用的应对策略的幸福感成本,该策略表示将个人幸福感恢复到Covid-19时期之前的水平所需的数量。结果表明,应对收入损失的策略对幸福感有显著的不利影响,相关成本在250英镑至3500英镑之间,这在性别和种族群体中存在显著差异。JEL分类:C1, I14, I31
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引用次数: 6
Are Cryptocurrency Markets, Efficient Markets? 加密货币市场是有效市场吗?
Pub Date : 2020-07-31 DOI: 10.2139/ssrn.3670733
Arjun Singh
This paper examines the market efficiency of three key cryptocurrency markets namely: Bitcoin, Ethereum and Monero, before and during the COVID-19 pandemic. This research makes use of a Durbin-Watson test and a non-parametric runs test to test for weak-form efficiency, and two comprehensive event studies to test for semi-strong form and strong form efficiency. We conclude neither market can be considered efficient due to the presence of strong positive correlation, and inefficient reactions to our event studies. Despite this, each market became more efficient during the COVID-19 pandemic than before, due to the presence of weaker positive correlation during this timeframe, but inefficient, nonetheless. Thus, the study finds that of the tested cryptocurrency markets, none can be consider wholly efficient. This conclusion is consistent with the vast majority of existing literature.
本文研究了三个关键加密货币市场的市场效率,即:比特币、以太坊和门罗币,在COVID-19大流行之前和期间。本研究使用Durbin-Watson检验和非参数运行检验来检验弱形式效率,并使用两个综合事件研究来检验半强形式和强形式效率。我们的结论是,由于存在强烈的正相关关系,两个市场都不能被认为是有效的,而且对我们的事件研究的反应是低效的。尽管如此,在新冠肺炎大流行期间,由于正相关性减弱,每个市场的效率都比以前高,但效率仍然很低。因此,研究发现,在经过测试的加密货币市场中,没有一个可以被认为是完全有效的。这一结论与绝大多数现有文献一致。
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引用次数: 0
The Rise of the Swiss Regulatory Healthcare State: On Preserving the Just in the Quest for the Better (or Less Expensive?) 瑞士监管医疗国家的兴起:在追求更好(或更便宜?)
Pub Date : 2020-07-26 DOI: 10.1111/rego.12342
Melanie Levy
Political theories of the modern state describe a rise of the regulatory healthcare state, balancing the imperatives of cost control and quality assurance and welfare norms such as solidarity. This paper analyses the unique case of Switzerland, where the rise of the regulatory healthcare state occurred late and incompletely, with the adoption of the Federal Health Insurance Law in 1994. The Swiss federal state pursues the social objective of universal access to healthcare through social health insurance regulation. This paper demonstrates that economic efficiency has not been the primary goal of healthcare coverage within the Swiss regulatory healthcare state despite rising costs. As another exceptional feature, Switzerland has diverged from the traditional path of judicial behavior in the regulatory state. This paper critically dissects how the Swiss Federal Court has become a crucial actor, imposing limits on access to healthcare and shaping decision-making criteria for social regulation, such as cost-benefit and cost-impact analysis. Through this judicialization of limit-setting, the judiciary engages in an ongoing constitutional dialogue on the limits of the regulatory welfare state and its sustainability for the future.
现代国家的政治理论描述了监管医疗保健国家的兴起,平衡了成本控制和质量保证的必要性以及团结等福利规范。本文分析了瑞士的独特案例,在瑞士,随着1994年《联邦健康保险法》的通过,监管医疗保健国家的兴起出现得很晚,也不完全。瑞士联邦政府通过社会健康保险条例追求全民获得医疗保健的社会目标。本文表明,尽管成本不断上升,但经济效率并不是瑞士监管医疗保健国家内医疗保健覆盖的主要目标。瑞士的另一个特殊之处在于,它偏离了监管国家司法行为的传统路径。本文批判性地剖析了瑞士联邦法院如何成为一个至关重要的行动者,对获得医疗保健施加限制,并形成社会监管的决策标准,如成本效益和成本影响分析。通过这种限制设置的司法化,司法部门就监管福利国家的限制及其未来的可持续性进行了持续的宪法对话。
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引用次数: 0
Tennis Betting Strategies Based on Neural Networks 基于神经网络的网球投注策略
Pub Date : 2020-07-26 DOI: 10.2139/ssrn.3660940
Jeremy Flahault, Nicolas Le Roger, Marius-Cristian Frunza
The aim of this paper is to explore betting strategies for tennis matches using neural networks. We used public data and we implemented a neural network prediction model, with an accuracy of 85% on the validation and testing sets. Based on the predictive model we tested several investment strategies which incorporates investor's risk profile. The optimal strategy is to place bets on games where our model indicates a high likelihood of victory and an appropriate bookmaker's odds.
本文的目的是利用神经网络来探索网球比赛的投注策略。我们使用公共数据,并实现了一个神经网络预测模型,在验证和测试集上的准确率为85%。基于预测模型,我们测试了几种包含投资者风险特征的投资策略。最佳策略是在我们的模型显示获胜可能性高且庄家赔率合适的游戏中下注。
{"title":"Tennis Betting Strategies Based on Neural Networks","authors":"Jeremy Flahault, Nicolas Le Roger, Marius-Cristian Frunza","doi":"10.2139/ssrn.3660940","DOIUrl":"https://doi.org/10.2139/ssrn.3660940","url":null,"abstract":"The aim of this paper is to explore betting strategies for tennis matches using neural networks. We used public data and we implemented a neural network prediction model, with an accuracy of 85% on the validation and testing sets. Based on the predictive model we tested several investment strategies which incorporates investor's risk profile. The optimal strategy is to place bets on games where our model indicates a high likelihood of victory and an appropriate bookmaker's odds.","PeriodicalId":13563,"journal":{"name":"Insurance & Financing in Health Economics eJournal","volume":"195 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79802761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Insurance & Financing in Health Economics eJournal
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