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Effects of behavioral biases on life insurance demand decisions in Uganda 行为偏差对乌干达人寿保险需求决策的影响
IF 1.9 Q2 ECONOMICS Pub Date : 2023-11-23 DOI: 10.1108/ijse-03-2023-0201
Yusuf Katerega Ndawula, Neema Mori, Isaac Nkote
PurposeThis paper examines the relationship between behavioral biases, and demand decisions for life insurance products in Uganda.Design/methodology/approachData were collected from 351 life insurance policyholders in Uganda. The authors used a cross-sectional survey by applying a structured questionnaire. Descriptive analysis was conducted and hypothesized relationships between the constructs were evaluated through the use of structural equation modeling.FindingsResults indicate that, behavioral biases are significant predictors of life insurance demand among Ugandan policyholders. Also, the two behavioral bias variables (heuristic bias and prospect bias) are significant predictors of demand decisions for life insurance products.Practical implicationsThese results are helpful for both insurers and regulators. For insurers, it is now evident that demand decisions for life insurance products are not fully rational. It is imperative for insurers to simplify life insurance product information (heuristics), integrate product education and widen dissemination of product information (prospect bias) to allow policyholders to come up with optimal demand decisions. While for insurance policymakers, the study provides an understanding of behavioral biases. With such insights, policymakers can identify exploitative and deceptive information that target policyholders to better guide life insurance documentation and product designs.Originality/valueThis study is the first to offer insights into behavioral biases' influence on demand decisions for life insurance products in a developing country like Uganda. By integrating prospects and expected utility theory, this study examines rationality and irrationality in demand decisions for life insurance products.Peer reviewThe peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-03-2023-0201
目的 本文研究了乌干达人寿保险产品的行为偏差与需求决策之间的关系。作者采用结构化问卷进行横截面调查。结果结果表明,行为偏差是乌干达投保人人寿保险需求的重要预测因素。此外,两个行为偏差变量(启发式偏差和前景偏差)对人寿保险产品的需求决策具有显著的预测作用。对于保险公司来说,现在很明显,人寿保险产品的需求决策并非完全理性。保险公司必须简化寿险产品信息(启发式),整合产品教育,扩大产品信息的传播范围(前景偏差),让投保人做出最佳的需求决策。对于保险政策制定者来说,这项研究提供了对行为偏差的理解。有了这样的认识,政策制定者就能识别针对投保人的剥削性和欺骗性信息,从而更好地指导人寿保险文件和产品设计。通过整合前景理论和预期效用理论,本研究探讨了人寿保险产品需求决策中的理性和非理性问题。同行评议本文的同行评议记录可在以下网址查阅:https://publons.com/publon/10.1108/IJSE-03-2023-0201。
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引用次数: 0
“You cannot rely on bank loans to expand your business”: aversion to formal credit among female micro-entrepreneurs in Ghana “你不能依靠银行贷款来扩大你的业务”:加纳女性微型企业家对正式信贷的厌恶
IF 1.9 Q2 ECONOMICS Pub Date : 2023-11-22 DOI: 10.1108/ijse-02-2023-0090
Charles Ackah, Gertrude Dzifa Torvikey, Faustina Obeng Adomaa, Kofi Takyi Asante

Purpose

The marginalisation of female entrepreneurs in accessing credit is well documented. Yet, how female entrepreneurs navigate through the marginalisation to gain funding is under-explored.

Design/methodology/approach

The authors address this gap using qualitative data from 30 female entrepreneurs in three neighbourhoods with varying socio-economic characteristics in Ghana's capital, Accra.

Findings

The authors find a marked aversion to bank loans among respondents. Consequently, they nurtured trust in their social circles in order to facilitate access to informal credit from internal (e.g. family and friends) and external (e.g. trade credit, associations and religious organisations) sources. This aversion to loans from formal financial institutions (FFIs) had a socio-cultural aspect, including cumbersome application procedures, a deep-rooted fear of the social consequences of defaulting and religious prohibition against interest payment for Islamic traders.

Social implications

This paper shows that providing formal access to credit is not enough to support women's entrepreneurship if the socio-cultural factors inhibiting women's access to credit from FFIs are not addressed.

Originality/value

The findings suggest that trust is an important factor that bridges the gap in female entrepreneurs' access to funding given their heavy reliance on informal sources of funding.

Peer review

The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-02-2023-0090

目的妇女企业家在获得信贷方面被边缘化的情况有据可查。然而,女性企业家如何通过边缘化来获得资金还未得到充分探索。设计/方法/方法作者利用来自加纳首都阿克拉三个不同社会经济特征社区的30名女性企业家的定性数据解决了这一差距。调查结果作者发现,受访者明显厌恶银行贷款。因此,他们在社交圈中培养信任,以便于从内部(如家人和朋友)和外部(如贸易信贷、协会和宗教组织)获得非正式信贷。这种对正规金融机构贷款的厌恶有社会文化方面的原因,包括繁琐的申请程序、对拖欠债务的社会后果的根深蒂固的恐惧以及宗教禁止向伊斯兰商人支付利息。社会影响本文表明,如果不解决阻碍妇女从外资机构获得信贷的社会文化因素,提供正式的信贷渠道不足以支持妇女创业。独创性/价值研究结果表明,信任是弥合女性企业家在获得资金方面的差距的一个重要因素,因为她们严重依赖非正式的资金来源。同行评议本文的同行评议历史可在:https://publons.com/publon/10.1108/IJSE-02-2023-0090
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引用次数: 0
Entrepreneurial orientation and social performance of microfinance institutions in Indonesia 印尼小额信贷机构的创业取向与社会绩效
IF 1.9 Q2 ECONOMICS Pub Date : 2023-11-21 DOI: 10.1108/ijse-06-2023-0478
Morrison Hendrik Riwu Kore, Rofikoh Rokhim, Riani Rachmawati, Lily Sudhartio

Purpose

The purpose of this research was to examine the influence of entrepreneurial orientation on social performance and the influence of social performance on financial performance of microfinance institutions (MFIs) in Indonesia. These tests use environmental dynamism as antecedents.

Design/methodology/approach

The research was conducted on a sample of 235 CEOs/top leaders of MFIs spread across all provinces in Indonesia. Data collection used survey questionnaires. Data testing used SPSS version 25, and structural modeling used Amos version 25.

Findings

The findings show that entrepreneurial orientation significantly influences the social performance of MFIs in Indonesia. Entrepreneurial orientation does not influence financial performance but must go through social performance mediation. Social performance has a significant effect on financial performance. The importance of MFIs improves social performance (depth and breadth of reach) to improve financial performance.

Practical implications

MFIs need to increase social contribution and responsibility to improve social performance which will impact financial performance.

Originality/value

Entrepreneurial orientation influence on financial performance goes through social performance. Social performance includes the depth of the reach to contribute to improving the quality of life of people experiencing poverty around the MFI's operations and the social responsibility of MFIs to the community through scholarships, free medical assistance, basic food assistance and building/renovating houses of worship and others.

Peer review

The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-06-2023-0478

摘要本研究旨在探讨印尼小额信贷机构的创业取向对社会绩效的影响,以及社会绩效对财务绩效的影响。这些测试使用环境动态作为前提。设计/方法/方法这项研究是在印度尼西亚所有省份的235名小额信贷机构的首席执行官/最高领导人的样本中进行的。数据收集采用调查问卷。数据检验采用SPSS 25版,结构建模采用Amos 25版。研究结果表明,创业取向显著影响印尼小额信贷机构的社会绩效。创业取向不影响财务绩效,但必须经过社会绩效中介。社会绩效对财务绩效有显著影响。小额信贷机构的重要性提高了社会绩效(触及的深度和广度),从而改善了财务绩效。金融机构需要增加社会贡献和责任,以提高社会绩效,从而影响财务绩效。创业取向对财务绩效的影响是通过社会绩效来实现的。社会业绩包括在小额信贷机构的业务范围内为改善贫困人口的生活质量作出贡献的深度,以及小额信贷机构通过奖学金、免费医疗援助、基本粮食援助以及建造/翻新礼拜场所和其他场所对社区承担的社会责任。同行评议本文的同行评议历史可在:https://publons.com/publon/10.1108/IJSE-06-2023-0478
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引用次数: 0
Trends and socioeconomic disparities in undernutrition among Muslim women in India: evidence from the last two decades (1998–2021) 印度穆斯林妇女营养不良的趋势和社会经济差异:过去二十年(1998-2021)的证据
IF 1.9 Q2 ECONOMICS Pub Date : 2023-11-20 DOI: 10.1108/ijse-04-2023-0320
Zeenat Hashmi, Ashish Singh

Purpose

A woman's nutritional status significantly determines her overall well-being. The authors critically examine the trends — including socioeconomic disparities — in undernutrition among Muslim women in India, a notably socio-economically disadvantaged group. The authors also investigate trends and variations across the dimensions of caste, place of residence (rural/urban), education, economic status and geographic regions.

Design/methodology/approach

The analysis leverages the nationally representative National Family Health Surveys (NFHS) of India conducted between 1998 and 2021. The authors examined poor–rich ratios, concentration indices, disparity ratios and predicted probabilities of being underweight (captured using Body Mass Index).

Findings

From 1998 to 2021, there has been a decline in undernutrition prevalence among Muslim women. However, stark socioeconomic variations persist. While the prevalence has decreased over time across all socioeconomic groups, disparities — both within and between groups — remain significant and, in many cases, have expanded. For certain socioeconomic subgroups (e.g. Muslim women with no formal education or those in the Central and Northeast regions), the disparity doubled between 1998 and 2021. In regions like the South, where undernutrition prevalence is low or has reduced, disparities remain significant and generally have increased.

Originality/value

To the authors’ knowledge, the study is the first to provide a comprehensive examination of the prevalence, trends and socioeconomic disparities in undernutrition among Muslim women in India over the past two decades.

Peer review

The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-04-2023-0320

目的女性的营养状况在很大程度上决定了她的整体健康状况。这组作者对印度穆斯林妇女营养不良的趋势——包括社会经济差异——进行了批判性的研究,印度穆斯林妇女是一个明显的社会经济弱势群体。作者还调查了种姓、居住地(农村/城市)、教育、经济地位和地理区域等维度的趋势和变化。设计/方法/方法本分析利用了1998年至2021年期间进行的具有全国代表性的印度全国家庭健康调查。作者研究了贫富比率、浓度指数、差距比率和体重过轻的预测概率(用身体质量指数捕获)。从1998年到2021年,穆斯林妇女营养不良的发生率有所下降。然而,明显的社会经济差异依然存在。虽然随着时间的推移,所有社会经济群体的患病率都有所下降,但群体内部和群体之间的差距仍然很大,在许多情况下,差距还在扩大。对于某些社会经济亚群体(例如未受过正规教育的穆斯林妇女或中部和东北部地区的妇女),1998年至2021年间,这一差距翻了一番。在南方等营养不足发生率较低或有所减少的区域,差距仍然很大,而且普遍有所扩大。原创性/价值据作者所知,这项研究首次全面考察了过去20年来印度穆斯林妇女营养不良的普遍性、趋势和社会经济差异。同行评议本文的同行评议历史可在:https://publons.com/publon/10.1108/IJSE-04-2023-0320
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引用次数: 0
The role of ethical leadership to employees work engagement: a social learning theory perspective 伦理型领导对员工工作投入的作用:社会学习理论视角
Q2 ECONOMICS Pub Date : 2023-11-15 DOI: 10.1108/ijse-03-2023-0218
Junaidi Junaidi
Purpose This study examines the role of ethical leadership in building employee trust, knowledge sharing (KS), job satisfaction and then influencing employee engagement in the workplace. Design/methodology/approach The sample included 610 employees of Indonesia Islamic Bank, obtained through an online survey. Structural equation modelling was used to test the research hypotheses. Findings Ethical leadership actively contributes to the growth of employee trust, exchange knowledge frequent and job satisfaction and then become key points to enhance employees’ engagement. Research limitations/implications Future research is required to validate across regions and organisations to in light of the findings of the topic study. Practical implications Organisational leaders and employees obtain a better understanding of ethics and organisation management field, hence employees and leaders must encourage ethical values as code of conduct in the workplace. Originality/value This study demonstrated the extent of the Khan concept for a combination of employee engagement, ethical leadership and KS. It also incorporates employee job satisfaction and the organisational engagement among employees. Peer review The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-03-2023-0218
本研究旨在探讨伦理型领导在建立员工信任、知识共享、工作满意度以及影响员工敬业度方面的作用。设计/方法/方法样本包括印度尼西亚伊斯兰银行的610名员工,通过在线调查获得。采用结构方程模型对研究假设进行检验。伦理型领导对员工信任、知识交流频繁和工作满意度的增长有积极的促进作用,进而成为提升员工敬业度的关键。未来的研究需要跨地区和组织进行验证,以根据主题研究的结果。实际意义组织领导者和员工对道德和组织管理领域有了更好的了解,因此员工和领导者必须鼓励道德价值观作为工作场所的行为准则。独创性/价值本研究证明了可汗概念对员工敬业度、道德领导和KS组合的影响程度。它还包括员工工作满意度和员工之间的组织敬业度。同行评议本文的同行评议历史可在:https://publons.com/publon/10.1108/IJSE-03-2023-0218
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引用次数: 0
Economic impact of gain in life expectancy: a case study of India 预期寿命延长对经济的影响:以印度为例
Q2 ECONOMICS Pub Date : 2023-11-06 DOI: 10.1108/ijse-06-2022-0422
Sujoy Das
Purpose Few empirical studies examined the relationship between life expectancy and income in India. This study aims to examine the impact of life expectancy on economic growth in India by incorporating all the major states of India. Design/methodology/approach This study is based on secondary data and includes 16 major states of India covering the periods 2000–2014. The author used panel fixed effect model (FEM) to examine the impact of life expectancy on economic growth. Findings Empirical analysis revealed a positive trend in life expectancy in India. In association with life expectancy, the author found continuous growth in the elderly population. The result of the FEM shows that gains in life expectancy positively affect economic growth in India. The empirical findings do not support any negative impact of life expectancy gains on economic growth. Originality/value This study is the outcome of the independent and original research work of the authors and contributes significantly to the literature on the demography–economic relationship. The findings of this study help the author to understand that life expectancy gain is in no way a constraint, rather the skill and experience of the workforce are crucial to determining economic growth. Peer review The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-06-2022-0422 .
在印度,很少有实证研究考察了预期寿命与收入之间的关系。本研究旨在通过纳入印度所有主要州来检查预期寿命对印度经济增长的影响。本研究基于二手数据,包括2000-2014年期间印度16个主要邦。本文采用面板固定效应模型(FEM)检验了预期寿命对经济增长的影响。实证分析显示,印度人的预期寿命呈积极趋势。与预期寿命相关,作者发现老年人口持续增长。FEM的结果表明,预期寿命的增加对印度的经济增长产生了积极影响。实证结果不支持预期寿命增加对经济增长有任何负面影响。本研究是作者独立、原创性研究的成果,对人口与经济关系的文献研究有重要贡献。这项研究的发现有助于作者理解预期寿命的增长绝不是一种限制,相反,劳动力的技能和经验对决定经济增长至关重要。同行评议本文的同行评议历史可在:https://publons.com/publon/10.1108/IJSE-06-2022-0422。
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引用次数: 0
Cash and in-kind transfers in India: contexts, preferences and evidence 印度的现金和实物转移:背景、偏好和证据
Q2 ECONOMICS Pub Date : 2023-11-01 DOI: 10.1108/ijse-03-2023-0158
Aurolipsa Das, Narayan Sethi
Purpose Since the last decade, debates regarding the efficiency and effectiveness of the forms of transfer, i.e. in the form of in-kind or cash transfers, have been gaining momentum. This paper aims to explore the preferences revealed by the beneficiaries, the role of contextual conditions in moulding these preferences, factors associated with the transfer scheme that defines the preferences and the rationale behind such responses. Design/methodology/approach The study conducted involves primary data collected from an Indian state, Odisha. 308 beneficiaries of the Targeted Public Distribution System (TPDS) were interviewed concerning specific objectives in a rural district (Mayurbhanj) and another highly urbanised district (Khordha). Findings The comparative results show that the strength of the contextual conditions significantly influences the preferences of the beneficiaries in the rural district as compared to the effect on the beneficiaries of the urban district. Education seems to have an insignificant impact in rural areas. However, income and standard of living have positive significant effects on shaping the preferences for cash or in-kind transfers. Originality/value Examining the strength of the contextual conditions and emphasising beneficiaries' perspectives would stimulate a better understanding of the implementation of the proposed quasi-Universal Basic Income. The study would hence, be instrumental in dealing with the transition towards cash transfers in the Indian context where the co-responsibility of both stakeholders, the government and the beneficiaries, should be given equal weightage. Peer review The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-03-2023-0158
自上个十年以来,关于转让形式,即实物或现金转让形式的效率和效力的辩论势头越来越大。本文旨在探讨受益者所表现出的偏好,背景条件在塑造这些偏好中的作用,与定义偏好的转移方案相关的因素以及这些反应背后的基本原理。设计/方法/方法所进行的研究涉及从印度奥里萨邦收集的原始数据。针对农村地区(Mayurbhanj)和另一个高度城市化地区(Khordha)的具体目标,对308名目标公共分配系统(TPDS)的受益者进行了访谈。对比结果表明,背景条件的强度对农村地区受益人的偏好影响显著,而对城市地区受益人的影响较小。教育对农村地区的影响似乎微不足道。然而,收入和生活水平对形成现金或实物转移的偏好有显著的积极影响。独创性/价值考察背景条件的强度并强调受益人的观点,将有助于更好地理解拟议的准普遍基本收入的实施情况。因此,这项研究将有助于在印度的背景下处理向现金转移的过渡,在这种情况下,政府和受益者这两个利益相关者的共同责任应该得到同等的重视。同行评议本文的同行评议历史可在:https://publons.com/publon/10.1108/IJSE-03-2023-0158
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引用次数: 0
What do individuals know, feel and do from a financial perspective? An empirical study on financial satisfaction 从金融的角度来看,个人知道、感觉和做什么?财务满意度的实证研究
Q2 ECONOMICS Pub Date : 2023-10-30 DOI: 10.1108/ijse-03-2023-0239
Jitender Kumar, Manju Rani, Garima Rani, Vinki Rani
Purpose Financial satisfaction is a potential ambition of individuals' lives that requires well-strategized economic behaviors. The authors examine the impact of various factors on the financial behavior (FB) and financial satisfaction (FIS) of individuals in India's National Capital Region (NCR). Design/methodology/approach Through a literature review, a survey questionnaire was formulated using existing scales on FIS. For more in-depth insights, data are obtained from 427 respondents in the NCR region using self-administered questionnaires. This article used “partial least square structural equation modeling (PLS-SEM)” to inspect the hypothesized model of individuals' FIS. Findings According to the study results, financial attitude (FA), financial self-efficacy (FSE), financial knowledge (FK) and demographic characteristics (DC) significantly influence FB. Conversely, financial stress (FS) negatively impacts FB. It also highlights that FA, FSE, FK and FB all significantly impact FIS. Nevertheless, FS and DC insignificantly influence FIS. Originality/value To the best knowledge of the authors, this article is an initial attempt to offer a novel perspective of individuals' FB and FIS in India. It would help the government and stakeholders by providing various pioneering economic schemes and making policies that help increase individuals' FIS. Peer review The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-03-2023-0239
财务上的满足是个人生活中潜在的抱负,需要有良好的经济行为策略。作者研究了各种因素对印度国家首都地区(NCR)个人财务行为(FB)和财务满意度(FIS)的影响。设计/方法/方法通过文献回顾,利用现有的FIS量表制定调查问卷。为了获得更深入的见解,我们使用自填问卷从NCR地区的427名受访者那里获得了数据。本文采用偏最小二乘结构方程模型(PLS-SEM)对假设的个体FIS模型进行检验。研究结果显示,理财态度(FA)、理财自我效能感(FSE)、理财知识(FK)和人口统计学特征(DC)显著影响理财行为。相反,财务压力(FS)对FB有负向影响。结果还表明,FA、FSE、FK和FB对FIS均有显著影响。然而,FS和DC对FIS的影响不显著。据作者所知,这篇文章是对印度个人FB和FIS的新颖视角的初步尝试。它将通过提供各种开创性的经济方案和制定有助于提高个人FIS的政策来帮助政府和利益相关者。同行评议本文的同行评议历史可在:https://publons.com/publon/10.1108/IJSE-03-2023-0239
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引用次数: 0
Efficiency in Uganda’s seed potato systems 乌干达种薯系统的效率
Q2 ECONOMICS Pub Date : 2023-10-27 DOI: 10.1108/ijse-10-2021-0641
Ambrose R. Aheisibwe, Razack B. Lokina, Aloyce S. Hepelwa
Purpose This paper aims to examine the level of economic efficiency and factors that influence economic efficiency among seed potato producers in South-western Uganda. Design/methodology/approach The paper analyses the economic efficiency of 499 informal and 137 formal seed producers using primary data collected through a structured questionnaire. A multi-stage sampling technique was used to select the study sites and specific farmers. A one-step estimation procedure of normalized translog cost frontier and inefficiency model was employed to determine the level of economic efficiency and the influencing factors. Findings The results showed that mean economic efficiencies were 91.7 and 95.2% for informal and formal seed potato producers, respectively. Furthermore, results show significant differences between formal and informal seed potato producers in economic efficiency at a one percent level. Market information access, credit access, producers' capacity and experience increase the efficiency of informal while number of potato varieties, market information access and producers' experience increase economic efficiency for formal counterparts. Research limitations/implications Most seed potato producers, especially the informal ones do not keep comprehensive records of their production and marketing activities. This required more probing as answers depended on memory recall. Practical implications Future research could explore panel data approach involving more cropping seasons with time variant economic efficiency and individual unobservable characteristics that may influence farmers' efficiency to validate the current findings. Social implications The paper shows that there is more potential for seed potato producers to increase their economic efficiency given the available technology. This has a direct implication on the economy through increased investment in the production and promotion of high yielding seed potato varieties to meet the growing national demand for potatoes. Originality/value The paper bridges the gap in literature on economic efficiency among seed potato producers, specifically in applying the normalized translog cost frontier approach in estimating economic efficiency in the context of potato sub-sector in Uganda. Peer review The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-10-2021-0641
本文旨在研究乌干达西南部种薯生产者的经济效率水平和影响经济效率的因素。设计/方法/方法本文采用结构化问卷收集的原始数据,分析了499个非正规种子生产者和137个正规种子生产者的经济效率。采用多阶段抽样技术选择研究地点和特定农民。采用归一化超对数成本前沿和低效率模型一步估算法确定了经济效率水平和影响因素。结果表明,非正规和正规种薯生产者的平均经济效率分别为91.7%和95.2%。此外,结果表明正规和非正规种薯生产者在经济效率上存在1%的显著差异。市场信息获取、信贷获取、生产者的能力和经验提高了非正规部门的效率,而马铃薯品种数量、市场信息获取和生产者的经验提高了正规部门的经济效率。研究局限/影响大多数种薯生产者,特别是非正规生产者,没有保存其生产和销售活动的全面记录。这需要更多的探究,因为答案取决于记忆回忆。未来的研究可以探索面板数据方法,包括更多的种植季节,具有时变的经济效率和个体不可观察的特征,这些特征可能影响农民的效率,以验证当前的研究结果。本文表明,在现有技术条件下,种薯生产者提高经济效益的潜力更大。这对经济产生了直接影响,增加了对生产和推广高产种子马铃薯品种的投资,以满足全国对马铃薯日益增长的需求。原创性/价值本文弥补了种子马铃薯生产者经济效率方面的文献差距,特别是在乌干达马铃薯分部门背景下应用标准化的超对数成本前沿方法来估计经济效率。同行评议本文的同行评议历史可在:https://publons.com/publon/10.1108/IJSE-10-2021-0641
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引用次数: 0
Income and health insurance effects on modern health-seeking behaviours in rural Ghana: nature and extent of bias involved 收入和健康保险对加纳农村现代求医行为的影响:所涉偏见的性质和程度
Q2 ECONOMICS Pub Date : 2023-10-24 DOI: 10.1108/ijse-03-2023-0223
Samuel Sekyi, Philip Kofi Adom, Emmanuel Agyapong Wiafe
Purpose This study examined the influence of income and health insurance on the health-seeking behaviour of rural residents, addressing the concerns of endogeneity and heterogeneity bias. Design/methodology/approach A two-stage residual inclusion was utilised to correct self-selection-based endogeneity problems arising from health insurance membership. Findings This study provides support for Andersen's behavioural model (ABM). Income and health insurance positively stimulate rural residents' use of modern healthcare services, but the effect of insurance risks a downward bias if treated as exogenous. Further, the effect of health insurance differs between males and females and between adults and the elderly. Originality/value This study advances the literature, arguing that, within the ABM framework, enabling (i.e. income and insurance) and predisposing factors (i.e. age and gender) complement each other in explaining rural residents' use of modern health services. Peer review The peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-03-2023-0223
目的研究收入和医疗保险对农村居民就医行为的影响,解决内生性和异质性偏差的问题。设计/方法/方法采用两阶段剩余纳入来纠正健康保险会员资格产生的基于自我选择的内生性问题。本研究为Andersen的行为模型(ABM)提供了支持。收入和医疗保险对农村居民利用现代医疗卫生服务具有正向促进作用,但如果作为外生因素来看待,则保险的作用存在向下倾斜的风险。此外,健康保险的效果在男性和女性之间以及在成年人和老年人之间存在差异。原创性/价值本研究推进了文献,认为在ABM框架内,使能因素(即收入和保险)和诱发因素(即年龄和性别)在解释农村居民使用现代卫生服务方面相互补充。同行评议本文的同行评议历史可在:https://publons.com/publon/10.1108/IJSE-03-2023-0223
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INTERNATIONAL JOURNAL OF SOCIAL ECONOMICS
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