Hospitals worldwide command the majority of any countries' health care budget. Reasons for these higher costs include the aging of the population requiring more intensive health care treatments provided in hospitals, the relatively high costs of labor in this labor intensive industry and payment systems that may encourage inefficient behavior on the part of hospital managers and physicians. Governments are seeking to instruments to mitigate this cost rise. Liberalizing hospital markets, deregulation, changing budget systems and changing ownership are only a few examples of attempts to make hospitals more efficient.
Hospital industry responds in various ways to changing market conditions and legislation. In most western hospital markets we observe hospital consolidation, acquisitions, mergers and the founding of several types of network and hospital associations. The question is whether this trend also contributes to more efficiency.
In this volume a number of outstanding internationally known scholars in the field of productivity measurement and health economics provide the reader with an excellent insight in the complexity of the issue. They explain that there is no straightforward panacea or recipe for the issues addressed. It is shown that the composition of the demand for care, the economic context, environmental and geographical conditions affect the outcomes. Policymakers should therefore take these nuances into account. A policy of increasing productivity starts with knowledge and insights in the complexity of the issue. The book therefore advocates the development of a strategy of collecting relevant data and conducting academic research that meet the standard of thestate of the art. The book provides two illustrative examples of such a strategy in Finland and Australia.
The authors have avoided as much as possible the technical jargon and complex mathematics and statistics involved in this research area. Therefore the book is par excellence suitable for policymakers and hospital managers, as well as for graduate students of health economics and health administration.
*Avoids, as much as possible, technical jargon and complex mathematics and statistics
*International in scope

This book analyses the economic history of the company and entrepreneurship in Spain from the 15th century to the present. It evaluates the economic theory, the formation of the figure of the entrepreneur, as well as the structure of the companies. This exploration of the businessmen in Spain over several centuries is something that has not been done until now. Joining the great Spanish historiographical debate about the existence or not of entrepreneurship, the book brings together research in very different historical contexts and junctures. It presents a selection of cases of companies and entrepreneurs from Spain, from different sectors, regions and periods, from boom to crisis, from the wine businessman to the railway sector, from private banking to the pioneers of the Spanish travel agency business. It will be of interest to academics and students in economic history, business and management history, as well as researchers in entrepreneurship & small business management.

The functioning of the gold standard has recently been at the heart of explanations of the interwar depression, particularly as a result of the research of Barry Eichengreen and Peter Temin. In The World Economy and National Economies in the Interwar Slump the interaction between the gold standard and the Great Depression in seven countries is examined by an international team of economists and economic historians.

Listen to a short interview with Stephen Mihm Host: Chris Gondek - Producer: Heron & Crane

Few of us question the slips of green paper that come and go in our purses, pockets, and wallets. Yet confidence in the money supply is a recent phenomenon: prior to the Civil War, the United States did not have a single, national currency. Instead, countless banks issued paper money in a bewildering variety of denominations and designs--more than ten thousand different kinds by 1860. Counterfeiters flourished amid this anarchy, putting vast quantities of bogus bills into circulation.

Their success, Stephen Mihm reveals, is more than an entertaining tale of criminal enterprise: it is the story of the rise of a country defined by a freewheeling brand of capitalism over which the federal government exercised little control. It was an era when responsibility for the country's currency remained in the hands of capitalists for whom "making money" was as much a literal as a figurative undertaking.

Mihm's witty tale brims with colorful characters: shady bankers, corrupt cops, charismatic criminals, and brilliant engravers. Based on prodigious research, it ranges far and wide, from New York City's criminal underworld to the gold fields of California and the battlefields of the Civil War. We learn how the federal government issued greenbacks for the first time and began dismantling the older monetary system and the counterfeit economy it sustained.

"A Nation of Counterfeiters" is a trailblazing work of history, one that casts the country's capitalist roots in a startling new light. Readers will recognize the same get-rich-quick spirit that lives on in the speculative bubbles and confidence games of the twenty-first century.

Drawing on research into the book-production records of twelve publishers-including George Bell & Son, Richard Bentley, William Blackwood, Chatto & Windus, Oliver & Boyd, Macmillan, and the book printers William Clowes and T&A Constable - taken at ten-year intervals from 1836 to 1916, this book interprets broad trends in the growth and diversity of book publishing in Victorian Britain. Chapters explore the significance of the export trade to the colonies and the rising importance of towns outside London as centres of publishing; the influence of technological change in increasing the variety and quantity of books; and how the business practice of literary publishing developed to expand the market for British and American authors. The book takes examples from the purchase and sale of popular fiction by Ouida, Mrs. Wood, Mrs. Ewing, and canonical authors such as George Eliot, Wilkie Collins, and Mark Twain. Consideration of the unique demands of the educational market complements the focus on fiction, as readers, arithmetic books, music, geography, science textbooks, and Greek and Latin classics became a staple for an increasing number of publishing houses wishing to spread the risk of novel publication.

The Compelling Saga of One of the World's Oldest Companies.Combining ancient craftsmanship with modern technology andmarketing innovations, Japan's Kikkoman Corporation hasquietly become a $2 billion market leader. The KikkomanChronicles is the fascinating story of how Kikkoman changedthe course of international marketing, shrewdly adapting to20th century realities while never truning their backs oncenturies of tradition; how one man envisioned the future ofglobal enterprise, spearheading the first Japanese manufacturing plant of any kind on U.S. soil; and howgenerations of Mogi family leadership have produced one oftoday's most formidable global competitors.More than an authoritative how-to international business, The Kikkoman Chronicles is the spellbinding story of: Shige Maki, the tough and resourceful woman who narrowlyescaped the 17th century siege of Osaka Castle to sow theseeds to today's Kikkoman Corporation. Kikkoman's survivaland adaptation across more than 300 hyears of social andpolitical upheaval in Japan. Innovative strategies Kikkoman has followed to become the world leader in the productionand marketing of soy sauce - an Asian staple.The Kikkoman Chronicles is a one-of-a-kind corporatebiography. By combining anecdotes and stories about Japan'samazing history wth hands-on tips and recommendations forproven international business success, Ronald E. Yates hasproduced an entertaining book that should become required reading for businesspersons and students throughout the world.

Change manifests itself in all facets of the economy. This important collection of previously published essays illustrates how the evolutionary approach can reveal not only where change comes from, and how it happens, but also where it will lead. The Evolving Economy covers a broad spectrum of issues ranging from the biological foundations of economic behavior to the co-evolution of firms, markets, and institutions. Ulrich Witt's individualistic approach synthesizes elements familiar from the writings of Veblen and Schumpeter on economic evolution. A conceptual debate on what the notion of evolution means in the economic context is as much emphasized as is the discussion of concrete hypotheses explaining why and how evolutionary economic change comes about. Offering an outline of a paradigm focusing on endogenous economic change, this book will be of great interest to economists and economic historians. Sociologists, philosophers and anthropologists will also find this work invaluable as it presents an encompassing assessment of the role of Darwinian thought for understanding human behavior and societal evolutio

This book discusses the developments of Sraffian-Ricardian economics, as well as looking at Sraffa's critique of the Marshallian theory of the firm and the industry, his edition of Ricardo's Works and correspondence, his book on production of commodities by means of commodities, and his influence Antonio Gramsci and Ludwig Wittgenstein.

In Managing the British Economy in the 1960s Sir Alec Cairncross, who was Economic Adviser to HMG in 1961-64 and Head of the newly-created Government Economic Service in 1964-69, tells the inside story of the making of economic policy under four Chancellors of the Exchequer between 1960 and 1970, first under a Conservative government then under a Labour government. He describes how the Treasury dealt with a whole succession of crises and experimented with many new departures of policy over the decade: for example, the efforts to engage in long-term planning, form a workable incomes policy, make use of new taxes for new purposes and enter the European Community. In parallel with the 1990s, the story is dominated by the effort to avoid devaluation followed by the struggle to make it work and keep the pound from sliding further.

This volume contains the proceedings of the Tenth Keynes Seminar held by Keynes College at the University of Kent at Canterbury in 1991. The purpose of the seminars is to examine for the student and the layman, as well as for the professional economist, the varous aspects of Keynes's life and work.

Without meaning to be irreverent, it is fair to say that in the Middle Ages, at the height of its political and economic power, the Roman Catholic Church functioned in part as a powerful and sophisticated corporation. The Church dealt in a "product" many consumers felt they had to have: the salvation of their immortal souls. The Pope served as its CEO, the College of Cardinals as its board of directors, bishoprics and monasteries as its franchises. And while the Church certainly had moral and social goals, this early antecedent to AT&T and General Motors had economic motives and methods as well, seeking to maximize profits by eliminating competitors and extending its markets.
In Sacred Trust: The Medieval Church as an Economic Firm, five highly respected economists advance the controversial argument that the story of the Roman Catholic Church in the Middle Ages is in large part a story of supply and demand. Without denying the centrality--or sincerity--of religious motives, the authors employ the tools of modern economics to analyze how the Church's objectives went well beyond the realm of the spiritual. They explore the myriad sources of the Church's wealth, including tithes and land rents, donations and bequests, judicial services and monastic agricultural production. And they present an in-depth look at the ways in which Church principles on marriage, usury, and crusade were revised as necessary to meet--and in many ways to create--the needs of a vast body of consumers. Along the way, the book raises and answers many intriguing questions. The authors explore the reasons behind the great crusades against the Moslems, probing beyond motives of pure idealism to highlight the Church's concern with revenues from tourism and the sale of relics threatened by Moslem encroachment in the holy lands. They examine the Church's involvement in the marriage market, revealing how the clergy filled their coffers by extracting fees for blessing or dissolving marital unions, for hearing marital disputes, and even for granting permission for blood relatives to wed. And they shed light on the concept of purgatory, showing how this "product innovation" developed by the Church in the twelfth century--a form of "deferred payment"--opened the floodgates for a fresh market in post-mortem atonement through payments on behalf of the deceased. Finally, the authors show how the cumulative costs that the faithful were asked to bear eventually priced the Roman Catholic church out of the market, paving the way for Protestant reformers like Martin Luther.
A ground-breaking look at the growth and decline of the medieval Church, Sacred Trust demonstrates how economic reasoning can be used to cast light on the behavior of any complex historical institution. It offers rare insight into one of the great historical powers of Western civilization, in a analysis that will intrigue anyone interested in life in the Middle Ages, in church history, or in the influence of economic motives on historical events.

Volume 36B of Research in the History of Economic Thought and Methodology features a symposium reflecting on the significance of Mary Morgan's contributions to the history and philosophy of economics. Symposium participants include guest editors Marcel Boumans and Hsiang-Ke Chao, as well as Harro Maas, Tiago Mata, Gerardo Serra, and Andrej Svorencik. The volume also features the next installment of Charles R. McCann, Jr. and Vibha Kapuria-Foreman's continuing project on the neglected Chicago economist, Robert Franklin Hoxie.

Louis Mandrin led a gang of bandits who brazenly smuggled contraband into eighteenth-century France. Michael Kwass brings new life to the legend of this Gallic Robin Hood and the thriving underworld he helped to create. Decades before the storming of the Bastille, surging world trade excited a revolution in consumption that transformed the French kingdom. Contraband" exposes the dark side of this early phase of globalization, revealing hidden connections between illicit commerce, criminality, and popular revolt.

France's economic system was tailor-made for an enterprising outlaw like Mandrin. As French subjects began to crave colonial products, Louis XIV lined the royal coffers by imposing a state monopoly on tobacco from America and an embargo on brilliantly colored calico cloth from India. Vigorous black markets arose through which traffickers fed these exotic goods to eager French consumers. Flouting the law with unparalleled panache, Mandrin captured widespread public attention to become a symbol of a defiant underground.

This furtive economy generated violent clashes between gangs of smugglers and customs agents in the borderlands. Eventually, Mandrin was captured by French troops and put to death in a brutal public execution intended to demonstrate the king's absolute authority. But the spectacle only cemented Mandrin's status as a rebel folk hero in an age of mounting discontent. Amid cycles of underground rebellion and agonizing penal repression, the memory of Mandrin inspired ordinary subjects and Enlightenment philosophers alike to challenge royal power and forge a movement for radical political change.

This book is a comprehensive reconstruction of the successful attempt by rural professionals in late imperial Russia to engage peasants in a common public sphere. Covers a range of aspects, from personal income and the dynamics of the job market to ideological conflicts and psychological transformation. Based on hundreds of individual life stories.

How did Tunisia succeed in eliminating the threat of militant Islamic fundamentalism? Borowiec examines the actions, which begin with the removal of the senile President Habib Bourguiba in 1987, known in Tunisia as the change. Today, while its next door neighbor, Algeria, is in the midst of an upheaval threatening modernization and a secular government, Tunisia is the only Muslim country to ban polygamy and to introduce state-funded contraception. Borowiec begins by sketching Tunisia's history from the Phoenician era onward. He provides a detailed analysis of the country's Islamic movement, and then examines the efforts of Bourguiba's successor, Zine El Abidine Ben Ali, to liberalize the economy, foster a Western orientation, and make education accessible to all. Interviews with leading government officials as well as educators, writers, and average Tunisians puts a human face on a process that may allow Tunisia to make the transition to become a young developed nation at the beginning of the next millennium. This book is important to scholars, researchers, and the general public concerned with events in North Africa and the Arab world.

This book provides a comprehensive knowledge of the Asian crisis from an economic, political and social point of view, and suggests possible scenarios which could take place in the future. The analysis is divided into two parts. The first includes area studies of the main Asian countries during the crisis, beginning with China, Japan and Southeast Asia, followed by South Asia and Central Asia. The second focuses on international variables, including environmental, political, and regional issues.

The bloody, mass sacrifices of the Aztec empire have been documented and decried since the 16th century when the Spanish began using violence to justify their own domination of the Mesoamerican Indian population. Similarly, the violence of the Conquest, and the first years of the Spanish colonial occupation of Mexico, have been discussed and decried. However, researchers and scholars have discussed the violence of both societies only in descriptive terms, rarely attempting to offer explanations for the violence of the two periods. The unique feature of this analysis is a socioeconomic investigation of labor patterns, food production, trade, wealth, population, and environment, providing an explanatory framework for what otherwise appears as senseless and random violence. In this study, Johns analyzes the violence of Aztec and Conquest Mexico from a materialistic perspective.

Managing the World Economy , while recognizing how much has been achieved since the start of the Industrial Revolution, challenges the view that much better results could have been attained. It argues that faster economic growth and much better use of the available human talent could have been in the past, and should be in the future, achievable targets. The reasons for the performance of the world economy over the last two hundred years being well below the achievable optimum stem mainly from misconceptions about macroeconomic policy, which the book sets out to explain and correct.

"The State Economic Handbook" is a new annual reference book profiling the economy, demography, political environment, and business climates for each of the 50 states. This information, gathered from a variety of sources and clearly presented in one volume, will be of great value to researchers, businesses, news media, and government agencies.

This book analyzes China's historical experience of industrialization. It adopts a critical stance towards China's development strategy and proposes an alternative approach, outlining its main features. Due to the great importance and special problems of China's rural modernization, special attention is devoted to analysis of the rural sector. Many of China's rural socio-economic problems are similar to those encountered in other developing countries. It is intended that this book will increase understanding of China's socio-economic development as well as contributing to wider debates in the theory of economic development.

This work uses the critical theory developed by Herbert Marcuse and Jurgen Habermas to analyze the English working class from 1750 to 1867, in particular its social protest activities.

"Adam Smith in Context" delves into some central components of Smith's thought, especially his moral philosophy, and challenges some commonly shared views. It combines philosophical, historical, methodological and economic issues of Smith's legacy, uncovering original interpretations of what Smith really said. It is an important contribution for those interested in Adam Smith as it proposes a different reading of his works by investigating the classical sources of his moral thought and the influences of his own time.

This book brings together articles by international political economists on Keynesian economics and its legacy. The book begins with Don Patinkin's assessment of Keynes' early life and focuses attention on Keynes' contribution to monetary economics. Among the many controversies surrounding "The general theory", Axel Leijonhufvud takes the view that the Keynesian revolution began and stayed on the wrong track.;Leland Yeager refutes the idea that Keynesian economics was responsible for the general prosperity in the indusrialized world immediately after the Second World War. Although Karl Brunner is not fundamentally against Keynes' methodological approach, he is critical of his reliance on fiscal rather than monetary policy. Whereas Terence Hutchison defends Keynes, both against his critics but also against Keynesians, and argues that Keynes would not have shared their interpretation of his work on fundamental grounds. Patrick Minford traces the roots of neoclassical economics, based on the concept of rational expectations, back to "the general theory". In the final chapter, Stephen Littlechild offers an alternative to Keynesian economics by focusing attention on the Austrian school.

The amount collected in taxation, the items which have been taxed, and the classes of people on whom the tax burden has fallen, have all changed greatly in the period from the Restoration to the present. This book considers how and why these changes took place, and some of the consequences which have flowed from them.