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Healthcare Expenditure, Health Outcomes and Economic Growth: A Study of BRICS Countries 医疗支出、医疗成果与经济增长:金砖国家研究
IF 1.6 Q1 AREA STUDIES Pub Date : 2024-09-15 DOI: 10.1177/09763996241266393
Sumandeep Kaur, Ravi Kiran, Rakesh Sharma
This study examines the relation of health spending, health indicators and macroeconomic variables of the BRICS economies with economic growth by using panel data that span the years 2000–2019. According to the panel data analysis, the amount of government spending on healthcare has a positive effect on the gross domestic product (GDP) and gross national income per capita of the BRICS countries. Indicators of healthcare are positively related to GDP and GDP/capita. The exceptions are neonatal mortality and life expectancy at birth, both of which do not exhibit a statistically significant positive relation. The two dependent variables, GDP and GDP/capita, have a positive relation with the rate of population growth; however, GDP has a negative relation with inflation. When GDP and GDP/capita are used as dependent variables, the Hausman test indicates that the cross-section random-effect model is more significant than other models. Due to the positive relationship between GHE, GDP and GDP/capita, the government should play a major role in ensuring high-quality healthcare. Out-of-pocket expense increases in BRICS indicate a reduction in healthcare funds, limiting medical services for all citizens. There is a need to focus on healthcare infrastructure.
本研究通过使用 2000-2019 年的面板数据,研究了金砖国家经济体的医疗支出、健康指标和宏观经济变量与经济增长的关系。根据面板数据分析,政府在医疗卫生方面的支出额对金砖国家的国内生产总值(GDP)和人均国民总收入有积极影响。医疗保健指标与国内生产总值和人均国内生产总值呈正相关。但新生儿死亡率和出生时预期寿命除外,这两项指标在统计上并不呈现显著的正相关关系。国内生产总值和国内生产总值/人均这两个因变量与人口增长率呈正相关;但国内生产总值与通货膨胀率呈负相关。当使用国内生产总值和国内生产总值/人均作为因变量时,豪斯曼检验表明横截面随机效应模型比其他模型更显著。由于 GHE、GDP 和 GDP/capita 之间的正相关关系,政府应在确保高质量医疗保健方面发挥重要作用。金砖国家自付费用的增加表明医疗资金减少,限制了为所有公民提供医疗服务。有必要重视医疗基础设施。
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引用次数: 0
Effect of Technical NTMs on Indian Exports to ASEAN: What Role Do Logistics and Governance Capabilities Play? 技术性非关税措施对印度对东盟出口的影响:物流和治理能力发挥了什么作用?
IF 1.6 Q1 AREA STUDIES Pub Date : 2024-09-14 DOI: 10.1177/09763996241274072
Ayesha Fatma, Nalin Bharti
Technical non-tariff measures (NTMs) represent a commonly employed set of trade policy tools with well-documented implications for international trade. However, this study seeks to delve deeper into the underlying factors shaping these trade effects, focusing specifically on Indian exports to the Association of South-East Asian Nations (ASEAN). This study posits that domestic institutional and infrastructural conditions play a pivotal role in influencing the impact of regulatory measures such as technical NTMs. By leveraging logistics and governance indicators to assess these conditions, the research adopts a novel two-stage analysis approach. Initially, the study quantifies the trade effects of technical NTMs, which subsequently serve as the dependent variable in the second stage. The findings uncover nuanced patterns specific to indicators and NTM categories, with a notable emphasis on the significance of importer (ASEAN) indicators over exporter (India) indicators. Moreover, this article introduces an innovative methodological framework that transcends conventional analyses of technical NTMs, aiming to pinpoint the precise factors driving their effects for targeted improvement strategies.
技术性非关税措施是一套常用的贸易政策工具,对国际贸易的影响有据可查。然而,本研究试图深入探讨影响这些贸易效应的潜在因素,特别关注印度对东南亚国家联盟(东盟)的出口。本研究认为,国内制度和基础设施条件在影响技术性非关税措施等监管措施的影响方面发挥着关键作用。通过利用物流和治理指标来评估这些条件,本研究采用了一种新颖的两阶段分析方法。研究首先对技术性非关税措施的贸易影响进行量化,然后将其作为第二阶段的因变量。研究结果揭示了指标和非关税措施类别特有的细微模式,尤其强调了进口国(东盟)指标对出口国(印度)指标的重要性。此外,本文还引入了一个创新的方法框架,超越了对技术性非关税措施的传统分析,旨在找出驱动非关税措施影响的确切因素,从而制定有针对性的改进战略。
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引用次数: 0
Navigating the Silver Seas of Ageing: A Phenomenological Study on Life Course Impacts on Older Adults in Senior Living Facilities 驾驭老龄化的银色海洋:关于老年生活设施中老年人生命历程影响的现象学研究
IF 1.6 Q1 AREA STUDIES Pub Date : 2024-08-14 DOI: 10.1177/09763996241261789
Shi Yin Chee
This study examined the lived experiences of older adults in senior living facilities, focusing on the impact of their life course on their well-being. In-depth, semi-structured, one-on-one interviews were used to collect data from 28 older adults from six senior living facilities, and the results were thoroughly analysed. Using Moustakas’ transcendental phenomenology and the modified Stevick–Colaizzi–Keen analytical method, five main themes emerged: the influence of the life course on later life, linked lives, attachment through the life course, cultivation of memories and longing for intergenerational relationships. The findings indicated that life course experiences impacted later life in senior living facilities differently for each participant. While some developed meaningful experiences and supportive connections that cushioned the feelings of loss and loneliness, others struggled with a sense of familiarity, identity and security. The findings extend existing knowledge and provide valuable implications for academics, senior living facilitators, government policy, hospitality and healthcare providers.
本研究考察了养老机构中老年人的生活经历,重点关注他们的生活历程对其幸福感的影响。研究采用半结构化、一对一的深入访谈方式,收集了来自六家养老机构的 28 位老年人的数据,并对结果进行了全面分析。利用 Moustakas 的超越现象学和改良的 Stevick-Colaizzi-Keen 分析方法,得出了五大主题:生命历程对晚年生活的影响、联系在一起的生活、生命历程中的依恋、记忆的培养和对代际关系的渴望。研究结果表明,生命历程的经历对每位参与者在老年生活设施中的晚年生活产生了不同的影响。有些人发展了有意义的经历和支持性联系,缓解了失落感和孤独感,而另一些人则在熟悉感、认同感和安全感中挣扎。研究结果扩展了现有的知识,为学术界、老年生活促进者、政府政策、酒店业和医疗保健提供者提供了有价值的启示。
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引用次数: 0
Unravelling the Dynamics of Landscape Changes and Climate-sensitive Diseases in Kuttanad Wetland Ecosystem, India 揭示印度库塔纳德湿地生态系统景观变化和气候敏感性疾病的动态变化
IF 1.6 Q1 AREA STUDIES Pub Date : 2024-08-14 DOI: 10.1177/09763996241259531
Bejo Jacob Raju, S. Manasi
The article attempts to understand the occurrence of climate-sensitive diseases in the Kuttanad Wetland Ecosystem, considering the backdrop of landscape changes. The study analysed the changes in the environmental landscapes of Kuttanad, which presumably had contributed to the disease epidemiology. The changes in the landscapes in terms of water bodies, land utilization, agricultural practices and other anthropogenic interventions were comprehended by employing the geographic information system and remote sensing approaches. Further, through oral histories, the perceptions of the local inhabitants about the changes in the ecosystem and disease epidemiology were captured. In the study, substantial spatial changes were observed in the wetland during the period 1990–2017. The development initiatives have created serious environmental damage and pushed the wetland into a state of ecological fatigue. The narratives from the field survey attribute the changes in the environmental landscapes as factors that contributed to the epidemiology of climate-sensitive diseases. Infectious diseases, mostly fever-type, assume epidemic proportions during the monsoon and create a feeling of trepidation among people due to their fatal and contagious characteristics.
文章试图了解库塔纳德湿地生态系统中对气候敏感的疾病的发生情况,同时考虑到地貌变化的背景。研究分析了库塔纳德环境景观的变化,推测这些变化促成了疾病的流行。通过使用地理信息系统和遥感方法,了解了水体、土地利用、农业实践和其他人为干预措施方面的景观变化。此外,还通过口述历史,了解了当地居民对生态系统变化和疾病流行的看法。研究发现,在 1990-2017 年期间,湿地发生了巨大的空间变化。开发活动对环境造成了严重破坏,使湿地陷入生态疲劳状态。实地调查的叙述将环境景观的变化归结为导致气候敏感性疾病流行的因素。传染病,主要是发烧类疾病,在季风期间呈流行趋势,由于其致命性和传染性的特点,在人们中间造成一种恐惧感。
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引用次数: 0
Politics of Infrastructural Developmentalism: A Spatial Reading of the Colombo Port City Project 基础设施发展主义的政治学:科伦坡港口城项目的空间解读
IF 1.6 Q1 AREA STUDIES Pub Date : 2024-08-13 DOI: 10.1177/09763996241260124
Mayank Mishra
A state produces political space and uses this space as a privileged instrument to impose its rationality. A high-modernist state commences ‘prescribing’ and ‘imposing’ to establish a ‘new society’, thus adhering to a tabula rasa (blank slate) approach in policies and planning. It denounces the past as a model to ameliorate the present, disregarding local conditions and knowledge, and perpetuating visual images that promise an alchemised future. In a typical spatial understanding of the state, the standard marker of growth is perceivably developing infrastructure. The article intends to do a spatial and temporal reading of the Colombo Port City (CPC) project, deemed to perceivably transform the Sri Lankan urban economic landscape, as a case study. The article conducted an ethnographic study of the project, locating it in Harvey’s ‘spatial fix’, Scott’s High Modernism and Guy Debord’s concept of spectacle to comprehend the larger spatial politics that an infrastructure project exhibits. Considering Colombo as a case study, the article shall also examine infrastructure’s political affect and how spatial reconfigurations rearrange government institutions as the infrastructure impacts and alters the nature of power. It will critically examine the modality of the investments in infrastructure, its internal politics and its much fetishized economic feasibility.
国家制造政治空间,并利用这一空间作为强加其合理性的特权工具。一个高度现代主义的国家开始 "规定 "和 "强加 "以建立一个 "新社会",从而在政策和规划中坚持 "白板"(tabula rasa)方法。它摒弃了将过去作为改善现在的模式的做法,无视当地的条件和知识,将承诺未来炼金术的视觉形象永久化。在对国家的典型空间理解中,增长的标准标志是可感知的基础设施发展。科伦坡港口城(Colombo Port City,简称 CPC)项目被视为斯里兰卡城市经济景观的可感知变革,本文旨在将该项目作为一个案例研究,对其进行空间和时间解读。文章对该项目进行了人种学研究,将其置于哈维的 "空间固定"、斯科特的 "高度现代主义 "和居伊-德波的 "奇观 "概念之中,以理解基础设施项目所展示的更广泛的空间政治。文章还将以科伦坡为案例,研究基础设施的政治影响,以及当基础设施影响和改变权力性质时,空间重构如何重新安排政府机构。文章将批判性地研究基础设施投资的模式、其内部政治以及其备受推崇的经济可行性。
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引用次数: 0
Doubling Farmers’ Incomes in India by 2022: A Farmers’ Perspective 到 2022 年印度农民收入翻一番:农民的视角
IF 1.6 Q1 AREA STUDIES Pub Date : 2024-08-02 DOI: 10.1177/09763996241258600
Sukhwinder Singh, Nikhil Srinivasapura Venkateshmurthy, D. Prabhakaran, Sailesh Mohan
In 2016–2017, Indian government set a policy target of doubling farmers’ incomes by 2022. This article investigates farmers’ perspectives on this contentious policy. Results suggest that only 18% of farmers were aware of this policy. Most farmers blamed the government’s support, high cost of cultivation and low MSP for their inability to increase their farm profitability. While synthesizing farmers’ perspectives, past trends, and the debate among agricultural scientists and policy analysts, this policy could not help farmers in doubling their incomes by 2022. However, it could have been possible if the governments had initiated some targeted programmes to provide them with farm inputs at lower prices and bought their crops at a higher MSP.
2016-2017 年,印度政府制定了到 2022 年农民收入翻番的政策目标。本文调查了农民对这一有争议的政策的看法。结果表明,只有 18% 的农民了解这一政策。大多数农民将无法提高农业收益率归咎于政府的支持、种植成本高和 MSP 低。综合农民的观点、过去的趋势以及农业科学家和政策分析师的讨论,该政策无法帮助农民在 2022 年前实现收入翻番。但是,如果政府能够启动一些有针对性的计划,以较低的价格向农民提供农业投入,并以较高的最低收购价收购他们的农作物,那么农民的收入就有可能翻番。
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引用次数: 0
Drivers of Adoption: Mechanical Harvesting in the Corporate Sector Tea Plantations in Sri Lanka 采用的驱动因素:斯里兰卡企业茶园的机械采摘
IF 1.6 Q1 AREA STUDIES Pub Date : 2024-05-11 DOI: 10.1177/09763996241239414
T. G. Nimal Mahinda, Mohamed Esham, H. S. Rohitha Rosairo, H. W. Shyamalie
Tea industry experts emphasize that selective manual harvesting is the best way to maintain leaf quality while preserving tea plant health. However, tea plantations tend to adopt mechanical harvesting to overcome labour shortages and harvesting costs. But the adoption of mechanical harvesting is still low, prompting further investigations. The purpose of this study is to investigate tea plantation managers’ concerns about the factors influencing mechanical harvesting adoption based on a case study as the research strategy. The results demonstrated that the majority of determinants that emerged, as drivers are consistent with the latent constructs, defined in adoption theories. Key drivers are employees’ attitudes, facilitation, continuous monitoring, training of women and skill development through regular practice. The organizational factors that cannot be explained through adoption theories were isolated. The findings concluded that multi-dimensional factors have emerged as the driving force, which will be useful to anyone looking into the real application.
茶业专家强调,有选择性的人工采摘是保持茶叶质量和茶树健康的最佳方式。然而,茶园倾向于采用机械采摘,以克服劳动力短缺和采摘成本问题。但是,机械采摘的采用率仍然很低,这就需要进一步的调查。本研究的目的是以个案研究为研究策略,调查茶园管理者对采用机械采摘的影响因素的关注。研究结果表明,作为驱动因素出现的大多数决定因素与采用理论中定义的潜在构造相一致。主要的驱动因素包括员工的态度、促进、持续监测、对妇女的培训以及通过定期实践培养技能。采用理论无法解释的组织因素被分离出来。研究结果得出结论,多维因素已成为驱动力,这对任何研究实际应用的人都会有所帮助。
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引用次数: 0
The Role of Money in India’s Elections: How Effective Is the Political Finance Regime? 金钱在印度选举中的作用:政治金融制度的有效性如何?
IF 1.6 Q1 AREA STUDIES Pub Date : 2024-05-06 DOI: 10.1177/09763996241246054
Ashutosh Kumar
Political finance does play a positive role in democratic regimes as it enables parties to strengthen their organizations and also run a dynamic electoral campaign. However, for the well-being of electoral democracies, it is imperative that political party funding/campaign finance is neither illegal nor illicit. Violation of political finance-related regulations erodes the citizens’ confidence in the fairness of the electoral system and also weakens trust in political parties. Like other democracies, India also faces the challenge of the infusion of big money, a large component of which remains unaccounted, corroding the fairness of what is otherwise a robust electoral system. The efforts of the Election Commission of India (ECI) to enforce a stringent political finance regime with the help of existing electoral laws, enforcement agencies and judicial intervention have so far met with limited success in checking the illegal and illicit money inflow and large-scale unaccounted expenditure. The task has been difficult due to perceived apathy of political parties, inadequate regulations and enforcement powers with the ECI.
政治融资在民主制度中确实发挥着积极作用,因为它使政党能够加强其组织,并开展充满活力的竞选活动。然而,为了选举民主制度的福祉,政党筹资/竞选融资必须既不违法也不非法。违反政治资金相关法规会削弱公民对选举制度公平性的信心,也会削弱对政党的信任。与其他民主国家一样,印度也面临着大笔资金注入的挑战,其中很大一部分资金去向不明,削弱了原本健全的选举制度的公正性。印度选举委员会(ECI)借助现行选举法、执法机构和司法干预,努力执行严格的政治融资制度,但迄今为止,在遏制非法和不法资金流入以及大规模不明支出方面成效有限。由于各政党的冷漠态度、法规不健全以及选举委员会的执法权力不足,这项任务一直难以完成。
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引用次数: 0
Analysing Determinants of Institutional Delivery in NFHS-5: A Comprehensive Study in India with a Focus on Caste Dynamics 分析 NFHS-5 中机构服务提供的决定因素:以种姓动态为重点的印度综合研究
IF 1.6 Q1 AREA STUDIES Pub Date : 2024-04-29 DOI: 10.1177/09763996241236243
Subhajeet Singh Sardar, Mridul Mandal, Subhasis Bhattacharya
The benefit of institutional delivery not only impacts maternal health but also reduces newborn mortality and increases overall well-being. This study focused on differences in the determinants of delivering at institution settings in India, with specific importance given to mothers within different caste groups. This is one area that was given less importance in the existing literature, particularly in studies that focused on the determinants of institutional delivery in India. Using data from the National Family Health Survey 5 (NFHS-5), the research explores factors influencing the choice between institutional and non-institutional delivery. Using logistic regression, and after removing influential and large residual observations (outliers), the analysis reveals that sociocultural determinants, including caste, religion, economic status and maternal education, significantly impact delivery preferences. Mothers from Scheduled Castes and Other Caste categories exhibit a higher likelihood of opting for institutional delivery. Economic factors, partner support, family size, maternal education, health-seeking behaviours, age, perceived distance to health facilities and media engagement also play crucial roles. Comparative analyses across caste groups emphasize the influence of wealth and education on institutional delivery choices. The findings underscore the need for having targeted interventions addressing diverse sociocultural contexts to improve maternal healthcare outcomes and reduce health disparities in India. Efforts should focus on awareness campaigns and overcoming challenges to promote the benefits of institutional delivery.
住院分娩的好处不仅影响产妇健康,还能降低新生儿死亡率,提高整体福利。本研究重点关注印度住院分娩决定因素的差异,尤其重视不同种姓群体中母亲的情况。在现有文献中,尤其是在关注印度住院分娩决定因素的研究中,对这一领域的重视程度较低。本研究利用第五次全国家庭健康调查(NFHS-5)的数据,探讨了影响产妇选择住院分娩还是非住院分娩的因素。利用逻辑回归法,在剔除有影响的和大的残差观测值(异常值)后,分析结果显示,社会文化决定因素,包括种姓、宗教、经济状况和产妇教育,对分娩偏好有显著影响。在册种姓和其他种姓的母亲选择住院分娩的可能性更高。经济因素、伴侣支持、家庭规模、孕产妇教育、寻求健康的行为、年龄、对医疗机构距离的感知以及媒体参与也起着至关重要的作用。对不同种姓群体的比较分析强调了财富和教育对选择住院分娩的影响。研究结果突出表明,有必要针对不同的社会文化背景采取有针对性的干预措施,以改善印度孕产妇的医疗保健结果并缩小健康差距。工作重点应放在提高认识运动和克服挑战上,以宣传住院分娩的好处。
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引用次数: 0
Do Automation and Robotization Affect Occupation in India? An Empirical Study 自动化和机器人化会影响印度的职业吗?实证研究
IF 1.6 Q1 AREA STUDIES Pub Date : 2024-03-08 DOI: 10.1177/09763996241231835
Anjali Bansal, S. P. Singh, P. C. Mohanty, Jaspal Singh
Technology is reshaping the occupational landscape. Technological adoption has accelerated in the last few years with the increasing use of robots and automation. However, only a few pieces of literature are available that discuss how robotization and automation would change the world of work. In India, hardly any empirical research discusses the risk of robots and automation in occupations. The article estimates the industrial robot density in the manufacturing sector in India for the period 2011–2012 to 2020–2021. It also observes the workforce distribution changes by industry and occupation for the same period. Further combining the O*Net data with the Employment and Unemployment Survey data and Periodic Labour Force Survey for 2011–2012 and 2020–2021, respectively, constructs the composite index of risk of automation (RoA). The RoA index scores reveal that between 2011–2012 and 2020–2021, the automation risk in all jobs in India has increased and the risk intensity varies across occupations and industries.
技术正在重塑职业格局。在过去几年里,随着机器人和自动化的使用越来越多,技术应用的速度也在加快。然而,只有少数文献讨论了机器人化和自动化将如何改变工作世界。在印度,几乎没有任何实证研究讨论机器人和自动化在职业中的风险。文章估算了 2011-2012 年至 2020-2021 年期间印度制造业的工业机器人密度。文章还观察了同期各行业和职业的劳动力分布变化。将 O*Net 数据与 2011-2012 年和 2020-2021 年的就业与失业调查数据和定期劳动力调查数据进一步结合,构建了自动化风险(RoA)综合指数。自动化风险指数得分显示,在 2011-2012 年和 2020-2021 年期间,印度所有工作的自动化风险都在增加,不同职业和行业的风险强度各不相同。
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引用次数: 0
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Millennial Asia
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