Promoting productivity in the National Health Service, 1950 to 1966

In the 1950s, the Ministry of Health, supported by interested groups outside government, recognised the political importance of productive efficiency. For leadership, organisational models and techniques the Ministry looked to the movement for industrial productivity. The NHS was receptive, but private-sector approaches were modified and dampened as they were imported. NHS management was to be the provider of technical expertise, but the deployment of this expertise was limited by clinical autonomy and de-coupling from financial incentives. This article casts new light on the history of productivity policy, NHS management and the moving frontier between state and civil society.     

The equally “bad” French and English farmers of Quebec: New TFP measures from the 1831 census

New TFP estimates drawn from the neglected census of 1831 for Lower Canada are used to test the controversial (but still dominant) traditional “poor French farmers” explanation for a prolonged economic crisis. The new evidence shows that French-speaking areas were equally as productive as English-speaking areas, something that upturns the established consensus and reinforces the minority viewpoint that culture had little to do with the crisis. Using a broad range of controls, the researchers find that this conclusion is robust and that other variables such as settlement recency, environment, and economic structure were much more significant determinants of TFP. These results warrant the abandonment of the cultural explanation and a shift toward other explanatory channels.     

Cases of hydatid disease in medieval Iceland

Eight individuals with calcified cysts preserved in the thorax and abdomen, one of which had a maximum diameter of 17–20 cm, were recovered during recent excavations at Skriðuklaustur, a medieval monastic site which also functioned as a hospital during its operation from AD 1493–1554 in Eastern Iceland. Hydatid cysts are the result of parasitic infection by Echinococci commonly in the liver and lungs of the accidental human host. Echinococcus granulosus was likely introduced to Iceland soon after the settlement period (9th century AD) and became endemic around AD1200 when dogs were introduced from Germany. It has since been eradicated in Iceland due to an extensive educational literature programme and government controls implemented since the mid‐1800s. Reviews of the palaeopathological literature mentioning calcified shell fragments indicated hydatism to be the most logical aetiology. The eight individuals in question were buried in close proximity to one another. This may indicate that this particular ailment (sullaveiki) had its own classification during the medieval period in Iceland and perhaps even a distinct treatment if not in life, at least in death. Copyright © 2010 John Wiley & Sons, Ltd.     

明清松江府棉布产量与市场销售问题新探

明清时期,松江府是全国的棉纺织业中心。从劳动生产率、劳动时间和劳动力数量等角度考察,明代晚期,松江府棉布产量最多为1575万匹,外销量最多为1305万匹;清代中叶产量最多为3000万匹,外销量在2600万匹左右。明代“松江棉布,衣被天下”,只是市场有效需求不足的结果。清代松江棉布销售区域大大压缩,并不是市场竞争的结果,而是基于其生产能力、运输成本以及与外地经济联系的结果。     

Voluntarism, municipalism and welfare: the geography of hospital utilization in England in 1938

This paper provides a comprehensive analysis of the pattern of hospital utilization (rather than provision) in England prior to the establishment of the NHS, showing the extent to which the probability of obtaining hospital treatment was a function of residence. Access to hospital care depended on the vigour of voluntarism and the political priorities of local governments. The pattern of voluntary hospital utilization is shown to have been markedly unequal, but the effect of municipal provision was to reduce disparities in access to services. The paper demonstrates variations in hospital utilization and discusses contemporary assessments of the situation. This work contributes to debates about the efficacy of non-profit forms of welfare delivery; it provides a novel British study to complement American work in this field. It also raises questions about the contemporary vogue for partnerships in health care delivery between the public and private sectors, arguing that such proposals rest on an optimistic view of history.     

Structural Change and Regional Disparities in Xinjiang,China

The paper by a noted American geographer and a specialist based in Germany examines and analyzes recent economic growth and structural change in the strategically significant and resource-rich (including oil and gas deposits) region of Xinjiang. The authors identify regional variation in the trajectory of economic development at the urban and county levels, employing conceptual approaches related to structural shifts in economic sectors and focusing on shifts in employment from agriculture to activities in the secondary and tertiary sectors. They also investigate the role of the tertiary sector using a labor transition model, examining its functioning in the context of the industrial sector's absorption of labor in the transitional economy of China. Calculations are based on the most recent official statistical data released by national and regional governments and available at present (mid-2006). Journal of Economic Literature, Classification Numbers: J21, J24, O18, R11. 9 figures, 4 tables, 45 references.     

医院可达性评价与规划——以江苏省仪征市为例

医院作为公共服务设施的一个重要组成部分,为居民提供了必不可少的医疗机会,其空间分布以及可达性的优劣,直接影响到居民能接触到医院的机会和方便程度。把可达性的概念引入到医院规划中,利用Mapinfo公司的控件MapX和Borland公司的可视化编程语言Delphi,开发了基于时间最短的路径选择信息系统,生成了医院可达性的等时线图和医院服务范围图,通过该系统可直观的看到区域内任何一点到达同一级医院所花费的最短时间以及通过的路径。以江苏省仪征市的医院为例,运用该系统对医院的可达性进行了评价,并提出了医院的规划方案。     

Industrial clusters,organized crime,and productivity growth in Italian SMEs

We examine whether organized crime affects firms’ performance (defined using Total Factor Productivity growth) both directly and indirectly, by downsizing the positive externalities arising from the geographic concentration of (intra‐ and inter‐industry) market‐related firms. The analysis uses a large sample of Italian small‐ and medium‐sized manufacturing firms over the period 2010–2013. The results highlight the negative direct effects of organized crime on firms’ productivity growth. Any positive effect derived from industrial clustering is thoroughly debilitated by a strong presence of organized crime, and the negative moderation effect of organized crime on productivity growth is greater for smaller than for larger firms.     

近代广州医院时空分布研究

广州近代医院,历经百余年的发展,呈现为初生、迅速、衰落和恢复四个发展阶段,形成以老城为核心区向周围墨渍式递减、五大优势地段呈面状、城外西关和东关呈点散状的选址空间格局。不同类型医院的生长、选址亦具有清晰的时空界线。这种时空分布特征是多种机制因素综合作用的结果。近代医院的生长和配置,使广州居民医疗生态大为改观,但总量供应不足、空间配置不合理等缺陷亦非常明显。     

Access to capital markets and the geography of productivity leaders and laggards

This paper examines whether access to the capital market of convertible and nonconvertible bonds affects total factor productivity (TFP) for the population of Italian joint stock manufacturing companies, based in highly segmented local financial markets, between 2007 and 2017. The hypothesis, well grounded in the literature, is that long-term capital favors investment in intangibles and other risky assets necessary for productivity growth. To identify this effect, we exploit the exogenous shock of the Italian banking deregulation of the mid-1990s as an instrument for firm-level access to capital, interacted with distance from logistic networks. These reforms changed the distribution of the type of branches at the local level, increasing the share of joint stock banks, which have high connections to international capital markets. This geographical reallocation of banking activities ultimately affected firms' financial structure, favouring their access to capital, even when based in peripheral financial areas. Firms which issued instruments of market debt achieved higher levels of productivity and a higher probability to reach top percentiles of productivity distribution.