Basic Willingness Research Articles

The architecture of global knowledge production – do low-income countries get more involved?

Abstract In this paper, we analyze the extent to which low-income countries integrate into the global knowledge production network. We develop an (undirected) research collaboration model based on which we identify the drivers of global research collaboration using publication data of the field Business and Economics from the Web of Science and macroeconomic data from the United Nations Educational, Scientific and Cultural Organization Institute for Statistics. Network and dynamic panel regression techniques are employed. Our results show that (i) reciprocal preferential attachment and the homophily between countries reinforce scientific collaboration, (ii) there is no evidence that low-income countries are becoming better integrated into the global knowledge production over the years, despite their active participation in international reserach collaboration, while (iii) high-income countries show a basic willingness to cooperate with them, which, in turn, promotes the integration of low-income countries, although this willingness seems to decline; and (iv) as to low-income countries, they have little choice but to invest more in education and R&D in order to advance in the global knowledge production network.

Caregivers' role in using a personal electronic health record: a qualitative study of cancer patients and caregivers in Germany

BackgroundParticularly in the context of severe diseases like cancer, many patients wish to include caregivers in the planning of treatment and care. Many caregivers like to be involved but feel insufficiently enabled. This study aimed at providing insight into patients’ and caregivers’ perspectives on caregivers’ roles in managing the patient portal of an electronic personal health record (PHR).MethodsA descriptive qualitative study was conducted comprising two study phases: (1) Usability tests and interviews with patients with cancer and caregivers (2) additional patient interviews after a 3-month-pilot-testing of the PHR. For both study parts, a convenience sample was selected, focusing on current state of health and therapy process and basic willingness to participate and ending up with a mixed sample as well as saturation of data. All interviews were audio-recorded, pseudonymized, transcribed verbatim and qualitatively analyzed.ResultsTwo main categories emerged from qualitative data: ‘Caregivers’ role’ and ‘Graduation of access rights’ – consisting of four subcategories each. The interviewed patients (n = 22) and caregivers (n = 9) felt that the involvement of caregivers is central to foster the acceptance of a PHR for cancer patients. However, their role varied from providing technical support to representing patients, e.g. if the patient’s state of health made this necessary. Heterogeneous opinions emerged regarding the question whether caregivers should receive full or graduated access on a patient’s PHR.ConclusionsIn order to support the patient and to participate in the care process, caregivers need up-to-date information on the patient’s health and treatment. Nevertheless, some patients do not want to share all medical data with caregivers, which might strain the patient-caregiver relationship. This needs to be considered in development and implementation of personal health records. Generally, in the debate on patient portals of a personal health record, paying attention to the role of caregivers is essential. By appreciating the important relationship between patients and caregivers right from the beginning, implementation, of a PHR would be enhanced.Trial registrationISRCTN85224823. Date of registration: 23/12/2015 (retrospectively registered).

Transition from Conventional Broiler Meat to Meat from Production Concepts with Higher Animal Welfare: Experiences from The Netherlands.

Simple SummaryAnimal welfare (AW) in conventional Dutch broiler production (i.e., production systems that only satisfy the legal minimum requirements) has been under critique for decades. Then, suddenly, in 2014–2015, AW was improved for the entire Dutch fresh meat market for broilers. A study was conducted regarding the main reasons and decisive factors of this transition. It was found that important factors in bringing-about this transition were: (1) The availability of a cost-efficient alternative to conventional concepts, (2) a basic willingness to change within the entire value chain (including consumers), (3) initiating and triggering actions by non-governmental organizations (NGOs), (4) decisive initiatives by retailers and (5) simultaneous introduction of the new concept and replacement of the conventional concept (i.e., depriving the consumer of a cheaper choice alternative). It was concluded that, if these decisive factors were present, considerable improvements with regard to AW could be obtained in a relatively short period of time. This information can be of use for value chains of other species (e.g., pork) and countries outside the Netherlands.Since the 1970s, animal welfare (AW) in Dutch broiler production has been criticized by non-governmental organizations (NGOs) and the general public. Despite the development of production concepts aimed at improving AW, the conventional concept, which satisfied only the minimum legal requirements, remained by far the most dominant one in the Dutch fresh broiler meat market. Then, quite suddenly, in 2014–2015 (i.e., within less than two years), a new broiler concept with increased AW was introduced, which included a slower growing animal, more space, and an improved light regime. This alternative completely replaced the by then conventional concept. The aim of this study was to investigate the origin, causes, and driving forces of this sudden change. Popular and scientific literature, as well as interviews with key players in this transition process, were used to re-construct the chronology of events and draw the main and decisive findings. The latter include: (1) The availability of a cost-efficient alternative to conventional concepts, (2) a basic willingness to change within the entire value chain (including consumers), (3) initiating and triggering actions by NGOs, (4) decisive initiatives by retailers and (5) simultaneous introduction of the new concept and replacement of the conventional concept (i.e., depriving the consumer of a cheaper choice alternative). The result was a real transition of the Dutch fresh meat market without negative purchasing responses of the consumers. It was concluded that, although the Dutch fresh broiler meat market only included 30% of total domestic production, the existence of the abovementioned decisive factors could bring about an important change in favor of AW within a short period of time.

Saliva samples as a source of DNA for high throughput genotyping: an acceptable and sufficient means in improvement of risk estimation throughout mammographic diagnostics

BackgroundBreast cancer screening programs seem to be an insufficient tool for women at high genetic risk for breast cancer. These women are not adequately monitored yet. Genetic testing may improve clearly the quality of breast cancer prevention programs. At present, blood samples are favored for obtaining high-quality DNA; however, DNA can also be obtained by collecting saliva. The aim of this study was, on the one hand, to determine whether saliva sampling is a practicable means to obtain sufficient quantity and quality of DNA and, on the other hand, whether it is accepted by patients throughout mammographic diagnostics.Methods67 consecutive women with diagnostic need for mammography with or without a family history for breast cancer were asked for their basic willingness to undergo a genetic testing by saliva sample in addition to standard diagnostics. Saliva samples were analyzed in terms of DNA quantity and quality.Results64 (95.6%) women agreed to provide a saliva sample; 3 of them denied participation. And even 63 out of 64 (98.4%) were interested in their specific results. 45 out of 64 samples contained a DNA concentration above 50 ng/µl, 12 samples were between 25 and 50 ng/µl and only 7 of them were under 25 ng/µl with the standard extraction procedure.ConclusionA high number of patients seem to accept salvia samples as a risk assessment tool in breast diagnostics and are interested in their specific risk situation. At the same time, it could be demonstrated that it is an effective way to provide high-quality DNA for breast cancer gene analysis. However, it remains to be shown whether it would be possible to integrate it with the same acceptance in a nationwide breast cancer screening program.

Trial and Pricing Strategies of Software Market with Competition and Network Effects

In this paper, we develop a framework to generally characterize the equilibrium trial and pricing strategies of oligopoly software market, when there exist competition, network effects (externalities), uncertainty on software functionality, network maintaining cost and compatibility issues. We find that, in equilibrium, the restriction on network effects is decreasing with network effects, but increasing with consumers’ basic willingness to pay. Meanwhile, the restriction on functionality is increasing with the posterior on the functionality after trial. The equilibrium price has a non-linear relation with the equilibrium network effects in a monopoly market and a market with completely incompatible software. However, the equilibrium price is set to maintaining cost in a market with completely compatible software. Moreover, we find that incompatibility could generate an equilibrium under which identical firms choose different trial and pricing strategies, and all consumers who want to purchase software are divided by firms on the market.

The Difficulties of Designing Future Coastlines in the Face of Climate Change

This paper adopts two perspectives. The first is a framing process aimed at defining and examining the conditions for adopting adaptive coastal governance. The second applies to relevant themes of changing coastal policy, central to the testing of adaptive coastal governance, namely cooperative science, risk-sensitive planning, socially fair insurance cover and effective ways to design, finance and engage with local communities over actual coastal change. We illuminate both missions through case studies in North Norfolk (England) and Portugal, all notably affected by coastal change. In England and Portugal, there is a broad understanding and acceptance of the likely effects of climate change. This recognition encourages debates over risk-averse planning, the design of proactive insurance cover, creative relocation of endangered property and new ways of predicting and paying for coastal adjustment. Yet, moving from a basic willingness to engage with coastal change to actual practices of landscape adjustment through such policy shifts is proving very difficult. In this research, we find that coastal landscapes are lived experiences, resigned acceptances of inevitable change and hopeful imaginings. Coastal management institutions are not geared to resolving this incompatibility and this paper explains why.

Intentions to adopt photovoltaic systems depend on homeowners' expected personal gains and behavior of peers

Photovoltaic (PV) system adoption in Germany is mainly driven by a feed-in tariff that guarantees a financial return on investment. To promote adoption in the future absence of this tariff, we explored further motives of homeowners relevant to PV system purchase intention. A sample of 200 homeowners who did not own a PV system participated in an online-survey. Only few homeowners actually planned to adopt a PV system. However, basic willingness to adopt a PV system was high, whereas willingness to pay was low - hinting at a potentially growing market with falling prices. Using path analysis, we show that the subjective norm (i.e. peer behavior and expectations) and the attitude towards PV were strong predictors of purchase intention. Attitude towards PV systems was mainly based on aspirations of social status, autarky, and financial gains, whereas costs, efforts, and risks associated with PV systems were detrimental to attitude. We conclude that to promote further adoption, energy storage systems that increase financial savings and autarky need to be improved and marketed. Furthermore, institutionalized tests of PV systems and labels need to be introduced to reduce risk perceptions among homeowners willing to adopt a PV system.

Black‐market Medicine and Public Opinion Towards the Welfare State: Evidence from Israel

AbstractBased on a survey and interviews, this article presents and analyses Israeli public opinion toward black‐market medicine (BMM) and the welfare state. In addition to providing quantitative and qualitative evidence of the existence of under‐the‐table payments in Israel, we suggest various insights into this phenomenon. While most citizens admit that they would consider making under‐the‐table payments in order to receive preferential medical treatment, when the questions mention words such as ‘illegal’ or ‘bribe’, respondents tend to be less tolerant of such activities. We find that, first, there is a basic willingness among Israeli citizens to use BMM. Second, despite this predilection, Israeli citizens are reluctant to articulate their willingness to engage in such illegal activities. This reluctance implies the existence of a moral barrier among the population as far as identifying themselves with illegal behaviour is concerned. We may infer the existence of a gap between declared attitudes and behaviour. Third, the fact that people's willingness to engage in BMM is greater than their willingness to adopt black‐market strategies in other areas signifies the special nature of health care. Finally, by connecting the phenomenon of BMM to public opinion regarding the welfare state, we point to a possible gap between normative attitudes and preferences produced by structural conditions.

Optimal versioning and pricing of information products with considering or not common valuation of customers

Since information products are often offered to market in multiple versions to make vertical differentiation, the optimal versioning strategy has become a hot topic in the research community. This paper focuses on the numerical investigation of the properties of optimal versioning under linear utility functions by considering or not the common valuation (or reservation price) of all customers. The bilevel programming model is built for the optimal versioning task of an information product with the monopolist as the leader and all customers as followers, and it is able to formulate the optimal versioning strategy by considering both quality levels and prices of an information product. The utility functions are defined by considering or not the basic willingness to pay shared by all customers with some-degree of homogeneity, and then the optimality of the two-version scheme is evaluated. It is found that the two-version scheme consisting of both the highest-quality version and the lower-quality version is superior to the one-version scheme with only the highest-quality version when there is nonzero common valuation of customers. But the introduction of the interim-quality version will cannibalize market shares of both the highest-quality version and the lowest-quality version in the three-version scheme according to numerical computation results based on the bilevel programming model. The three-version scheme cannot bring more profit to the monopolist than the two-version scheme, or there does not exist an optimal three-version scheme for the versioning strategy with linear utility functions.

Lösungsansätze gegen den Allgemeinarztmangel auf dem Land – Ergebnisse einer Online-Befragung unter Ärzten in Weiterbildung

In times of shortage of general practitioners (GPs), especially in rural areas, it is of particular interest to explore expectations and interests of GP trainees relating to their future work. The aim of this study was, to survey the willingness of trainee doctors to work in or open a general practice, as well as their expectations and plans concerning future work as a GP in a rural area. The survey was conducted online between April to October 2010 with trainee doctors. The questionaire contained 25 questions about the trainees' sociodemographic status, expectations and conception of their future work, factors influencing setting up a GP practice and their ideas about working in a rural area. 528 trainee doctors from across Germany responded. More than half of them were female, more than 40% older than 35 years. 89% could image themselves settling in a GP practice, 77% in a rural area. The three most important factors influencing working in a rural practice were family friendly surrounding, the rural village itself and cooperation with colleagues. Most trainees would accepted having to travel 30 minutes to work. As the basic willingness to set up practice in rural areas is quite high, relevant influencing factors such as family friendly surroundings, out-of-hour services arrangements und working models offering the opportunity to work in group handed practices should be emphasized in recruitment.

Youth and political participation — empirical results for Germany within a European context

Impatience with politics in Germany, disenchantment with political commitment and individualization are labels frequently attached to the political involvement of young people. Empirical analyses, however, show a rather more complex picture. A basic willingness to become politically involved and to express political opinions is apparent. Indeed, many young people make use of numerous and varied opportunities to express themselves politically, although usually no more than occasionally. Not surprisingly, participation in traditional associations has fallen in some cases. On the other hand, affinity and commitment to ‘New Social Movements’(NSMs) remain fairly consistent. Participation patterns among young people differ according to gender, education level and place of origin: federal states of former West Germany (the ‘old’ states) or the former German Democratic Republic (the ‘new’ states). One focus of the article is on the differences between West and East Germany. The results are then discussed within a European context.

Political participation of youth. Young Germans in the European context

Impatience with politics, weariness with political commitment, and individualisation are labels frequently used to characterise the political involvement of young people. Empirical analyses show a rather more complex picture. A basic willingness to become politically involved and to express one’s political opinion is apparent: Indeed, many young people use numerous and varied opportunities to express themselves politically; however, this usually covers only occasional activities. Not surprisingly, participation in some traditional associations has become lower. On the other hand, affinity and commitment to new social movements remain fairly consistent. Participation patterns differ according to gender, education level, and the youth’s place of origin (federal states of the former Federal Republic, or former GDR). These are some of the key results of the follow-up youth surveys carried out by the German Youth Institute. If the comparison between eastern and western Germans is seen in a European perspective, the complex interconnections between the institutionalised political cultures of nations and the participation patterns of young people become apparent. In what kind of institutions and to what extent do young people between 16 and 29 years show political engagement in Germany? What kind of differences can be seen between the new and the old Federal states? Is it possible to identify typical trends of development? Do gender, educational level, value orientations or social background conditions such as unemployment play a role in this regard? In the following, we will endeavour to answer these questions on the basis of empirical research. For this reason, in the following tables and analyses we will particularly focus on the differences between East and West Germany and the temporal development of discrepancies. The question of how specific and changing social institutions influence human attitudes and behaviour can be analysed using the quasi-experiment of 40 years of German division as an example. However, additional aspects reveal themselves and new questions arise by comparing young people across the different European Member States. Hence, we will discuss this additional comparative perspective.