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Article
Publication date: 1 December 2006

Ruth F.G. Williams, D.P. Doessel, Roman W. Scheurer and Harvey Whiteford

The purpose of this paper is to demonstrate that, although there are some unique features associated with mental illness, such special features do not preclude economic analysis.

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Abstract

Purpose

The purpose of this paper is to demonstrate that, although there are some unique features associated with mental illness, such special features do not preclude economic analysis.

Design/methodology/approach

As a mechanism for understanding how individual economic studies fit into the mental health sector, a conceptual framework of the components of mental health service provision is outlined. Emphasis is placed on, not simply institutional and market resources, but also on the services provided by relatives, self‐help groups, etc.

Findings

Australian data on parts of the mental health sector are employed to illustrate that some (and different) economic analyses can be undertaken in mental health. First, time‐series data on public psychiatric hospitals are employed to demonstrate trends associated with deinstitutionalisation. Other data (for Queensland alone) indicate that there are state‐based differences in the provision of such services. Second, attention is then directed to the analysis of time‐series data on private fee‐for‐service psychiatric services. Various concepts and measures from industrial economics are applied to analyse the relative size of this service industry, the pricing behaviour of the profession, the service‐mix of “the psychiatry firms” operating in Australia. In addition, the analysis also sheds some light on the distributional implications of Australia's national (and uniform) system of health funding, Medicare.

Originality/value

Apart from demonstrating that economic analyses can be undertaken in the difficult area of mental health, this paper indicates a number of puzzles (e.g. various regional variations within a unified profession and a uniform national funding scheme) that invite further investigation.

Details

International Journal of Social Economics, vol. 33 no. 12
Type: Research Article
ISSN: 0306-8293

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Article
Publication date: 15 February 2011

Ruth F.G. Williams and D.P. Doessel

Multiple connotations and conceptions of health need are currently in use. The purpose of this paper is to specify some important distinctions regarding this confusing…

1041

Abstract

Purpose

Multiple connotations and conceptions of health need are currently in use. The purpose of this paper is to specify some important distinctions regarding this confusing multiplicity in a taxonomic fashion relevant to the economic problems that arise in addressing health need. Classification is possible with the relevant concepts in conventional economic theory. The classification applies wherever economic considerations bear upon health need.

Design/methodology/approach

Initially, some seminal economic ideas about need are presented from Marshall, Pauly, Banfield, Jevons, Deaton and Meullbauer, and Georgescu‐Roegen. Recent discussions of basic needs by Sen and Nussbaum concerning “capabilities” and human flourishing are also considered. Ruger's subsequent developments of these concepts specifically for health are noted. The paper then specifies and classifies the current economic connotations of “health need” by applying positive economic analysis and the framework of economic theory. In particular, the conventional theories of consumer demand and production supply are useful. Geometric tools of analysis along with illustrations from the health sector specify various distinctions and classifications.

Findings

The uses of the generic term “need” relate to quite different economic problems. The findings show how diverse interpretations of need can be specified.

Originality/value

Distinctions over health need are important since, in many Western countries, need is one of the “pillars” of the Welfare State. Effective policy requires sound conceptions and measurements of need. Given the relevance of economics for approaching competing resource uses in the face of health need, measurement of need is improved with taxonomy, and confusion reduced.

Details

International Journal of Social Economics, vol. 38 no. 3
Type: Research Article
ISSN: 0306-8293

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Article
Publication date: 15 March 2011

D.P. Doessel and Ruth F.G. Williams

Government policy can alleviate inequities in living standards. Disabled people often qualify for government assistance which is one way that their living standard can improve…

961

Abstract

Purpose

Government policy can alleviate inequities in living standards. Disabled people often qualify for government assistance which is one way that their living standard can improve, although arbitrary systems for distributing assistance are not likely to serve equity objectives. The purpose of this paper is to indicate the key variables to which government should direct attention, in order to alleviate both horizontal and vertical inequity in grants to disabled people.

Design/methodology/approach

There is no literature, either theoretical or empirical, that specifically addresses this problem. This paper invokes important economic concepts associated with the nineteenth century English philosopher/economist, John Stuart Mill, as well as the 1998 Nobel Laureate in Economics, Amartya Sen. Mill's general conception of how government should behave in treating citizens was elaborated subsequently in the public finance literature on principles of taxation. These notions are about “the equal treatment of equals” and “the unequal treatment of unequals”. Sen's recent discussion of the “conversion handicap” from his general framework of capabilities is highly relevant to the question addressed here.

Findings

These concepts, applied with some analytical tools of algebra and geometry, show that Mill's principles can combine with Sen's into a relevant conceptual framework. The central principles and concepts for policy formation on the standard of living for disabled people are not random; they can be specified with clarity.

Originality/value

This paper contributes the relevant conceptual “yardsticks” by which policy for distributing assistance to disabled people can be evaluated. Steps, towards devising better approaches to the distribution of assistance to disabled people can now be taken.

Details

International Journal of Social Economics, vol. 38 no. 4
Type: Research Article
ISSN: 0306-8293

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Article
Publication date: 1 September 2003

Ruth F.G. Williams and D.P. Doessel

It is usually unnecessary to define the output of an industry, but this is not the case with mental health services. Following Grossman's conception of health capital, the outputs…

1852

Abstract

It is usually unnecessary to define the output of an industry, but this is not the case with mental health services. Following Grossman's conception of health capital, the outputs of mental health care enter a household production function as a commodity vector. Considering the multiple and heterogeneous nature of the services of this industry, preferences exist in multi‐dimensional space. An application of the characteristics theory of consumer demand associated with Ironmonger and Lancaster illustrates the outputs in terms of two characteristics, viz. symptom alleviation and disability reduction. Representing preferences by indifference curves, in the usual way, clarifies the relationship between mental health care inputs and the outputs of mental health care. The theoretical problem in the economics of mental health care of whether, or how, individual preferences can count is also addressed. It is shown on an indifference map what it means when society institutionalises some individuals. This approach also enables the deinstitutionalisation movement to be placed into an economic context. It is noted that empirical work on goods and services that have multiple characteristics involves the application of hedonic price analysis, a technique already applied in the economic literature on mental health.

Details

International Journal of Social Economics, vol. 30 no. 9
Type: Research Article
ISSN: 0306-8293

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Article
Publication date: 2 September 2014

D.P. Doessel and Ruth F. Williams

The purpose of this paper is to provide an exposition of the concepts relevant to measuring the economic effect of premature mortality and the conception of how the social loss…

446

Abstract

Purpose

The purpose of this paper is to provide an exposition of the concepts relevant to measuring the economic effect of premature mortality and the conception of how the social loss from premature mortality can be incorporated into social welfare measurement. None of the conventional welfare measures currently pick up this welfare signal.

Design/methodology/approach

Various concepts are examined in the conventional and “new” literatures of welfare measurement. Six Venn diagrams show how various concepts “fit together”.

Findings

This paper outlines a framework for measuring the economic effect of premature mortality in a conceptually appropriate way. Thus the paper shows how the welfare loss associated with premature mortality can be incorporated into social welfare measurement.

Research limitations/implications

Accurate premature mortality measurement is difficult but this data problem hardly limits this exercise. Sensitivity analyses can alleviate this measurement problem.

Practical implications

The main practical implication is that empirical applications are feasible. Time series data can be analysed from this conceptual framework to determine whether the problem of the social loss from premature mortality is improving through time, or worsening.

Social implications

Knowing the size of the welfare impact of premature mortality is useful not only on policy fronts concerning premature mortality prevention.

Originality/value

“New welfare measurement” has not yet been applied to the notion of the social loss from premature mortality.

Details

International Journal of Social Economics, vol. 41 no. 9
Type: Research Article
ISSN: 0306-8293

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Article
Publication date: 1 May 2004

D.P. Doessel and Ruth F.G. Williams

The production of specialist psychiatric services in Australia reflects the “mixed” system of public and private production of health services generally. This paper, an exercise…

442

Abstract

The production of specialist psychiatric services in Australia reflects the “mixed” system of public and private production of health services generally. This paper, an exercise in descriptive or positive economics, is concerned only with private production, i.e. those services provided by psychiatrists operating in “private practice” on a fee‐for‐service basis. It is shown that there is a sharp distinction in Australian institutional arrangements between psychiatric services produced in‐hospital and out‐of‐hospital. The main differences relate to the general coinsurance rates applied, 75 per cent in the former case and 85 per cent in the latter case. In addition out‐of‐hospital services are subject to a “gap” safety‐net provision. Using both algebraic and geometric expositions, the central relationships between gross prices, net prices, schedule fees and subsidies/rebates are illustrated in general, and in various special cases, e.g. where a psychiatrist “direct bills” or “bulk bills” the Health Insurance Commission.

Details

International Journal of Social Economics, vol. 31 no. 5/6
Type: Research Article
ISSN: 0306-8293

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Article
Publication date: 15 February 2011

Leslie Armour

It is difficult to get an adequate account of human needs but there are known needs which, for hundreds of millions of people, are not met. Can the present economic system meet…

1340

Abstract

Purpose

It is difficult to get an adequate account of human needs but there are known needs which, for hundreds of millions of people, are not met. Can the present economic system meet them? Can any economic system meet them? Is simple economic growth the answer? The purpose of this paper is to explore some of the questions, emphasizing the problems and paradoxes.

Design/methodology/approach

The paper looks at India where poverty is rampant despite recent gains, and at Bhutan which ranks low in economic production but quite high on the “happiness scales”. It also looks at questions of the relation of economic inequality to social problems, citing recent studies.

Findings

The paper focuses on how well the world's economic systems address, or fail to address, human needs.

Originality/value

This paper is written by a philosopher and writer on social economics (and Editor of International Journal of Social Economics (IJSE )) who works in a variety of fields: metaphysics and its epistemological relations, the theory of the history of philosophy (focusing on the seventeenth and nineteenth centuries), and moral, social, and economic philosophy and their relations to culture and religion. The paper then introduces the papers in this special issue of the IJSE devoted to human needs.

Details

International Journal of Social Economics, vol. 38 no. 3
Type: Research Article
ISSN: 0306-8293

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Book part
Publication date: 11 May 2007

Kurt M. Menning

Forests too thick with fuels that are too continuously spread to resist fire are common throughout the west. After a century or more of actively working to suppress fire across…

Abstract

Forests too thick with fuels that are too continuously spread to resist fire are common throughout the west. After a century or more of actively working to suppress fire across the landscape, we now recognize that fire is a part of our forests, shrublands, and range, and that it will come whether we wish it or not. At last, managers must realize forests cannot be fire-proofed (DellaSala, Williams, Williams, & Franklin, 2004). We must work with fire rather than against it.

Details

Living on the Edge
Type: Book
ISBN: 978-1-84950-000-5

Available. Content available
Book part
Publication date: 24 June 2024

Noel Scott, Brent Moyle, Ana Cláudia Campos, Liubov Skavronskaya and Biqiang Liu

Free Access. Free Access

Abstract

Details

Cognitive Psychology and Tourism
Type: Book
ISBN: 978-1-80262-579-0

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Article
Publication date: 12 June 2017

Nuan Fang Xu, Zi-Chen Deng, Yan Wang and Kai Zhang

The purpose of this paper is to study the dynamic vibrations of the tethered satellite system (TSS).

192

Abstract

Purpose

The purpose of this paper is to study the dynamic vibrations of the tethered satellite system (TSS).

Design/methodology/approach

The energy principle and the variational approach are used to establish the dynamic equations of the TSS. By introducing new generalized coordinates, the equations are transformed into the Hamiltonian system. Then, the symplectic Runge-Kutta (SRK) method is used to solve the canonical equations.

Findings

The influence of the tether length on the dynamic behavior of the TSS is very important.

Originality/value

The dynamic responses of the TSS are obtained by using the SRK method.

Details

Multidiscipline Modeling in Materials and Structures, vol. 13 no. 1
Type: Research Article
ISSN: 1573-6105

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