1,720,973 research outputs found

    "Chi si occuperà degli anziani nel Vecchio Continente: il profilo dell'informal caregiver secondo il gradiente Nord-Sud"

    Full text link
    Following the recent debate on the Italian National Health Service (nhs) revision of the copayment system, this chapter provides a theoretical analysis of the effects of moving from a cost-sharing system based on copayments, with exemptions for low income and chronic conditions (like the current Italian one), to a system based on a deductible without exemptions. In principle, the system based on the deductible would have two advantages: 1) it could limit patients’ cost-sharing total expenditure, protecting them against the high financial risk they would incur in the event of severe or frequent illness episodes; 2) it could cut the admininistrative cost of cost-sharing exemptions. However, the system with a deductible presents drawbacks both in terms of allocative efficiency (the control of moral hazard is less effective) and in terms of equity (higher probability that low income patients reduce their health care consumption below the appropriate level). Other two systems of cost-sharing are then analysed: a system of copayments differentiated according to patients’ income and a maximum nhs coverage system based on patients’ characteristics and health needs. Both systems are effective in limiting moral hazard, while ensuring higher equity than systems without income differentiation in cost-sharing. However, both systems are characterised by higher administrative costs

    Crisi economica e riduzione del reddito: effetti sullo stato di salute

    No full text
    The global economic and financial crisis which began in the US in the summer of 2007 and spread to Europe in the following months is considered by many the worst recession since the Great Depression. There is a widespread concern among stakeholders that the present economic downturn will adversely affect public health contributing to mental health problems and to the adoption of less healthy lifestyles, and that the health care systems performance will be compromised by increased demand for treatment in a time when governments are under pressure to reduce public spending. This chapter combines newly available longitudinal individual level data from the Survey of Health Ageing and Retirement in Europe (share) with an aggregate regional level indicator of economic activity to investigate the relationship between macroeconomic environment, measured by the regional employment rate, negative income shocks and the physical and mental health of older Europeans in the context of economic instability. Physical and mental health are key dimensions of wellbeing, especially at older ages. Understanding how they might be affected by economic conditions during the crisis is crucial for policymakers facing the challenge of reducing government spending while dealing with demographic changes that require enabling older people to take an active part in society and to enjoy an independent and good quality of life as they age

    Going Beyond Counting First Authors in Author Co-citation Analysis

    Full text link
    The present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed

    Variations on the Author

    Full text link
    “Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship

    Appropriate Similarity Measures for Author Cocitation Analysis

    Full text link
    We provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
    corecore