Economic Outcomes Research Articles

Zero Budget Natural Farming Impact on Tribal Rabi Rice Farming: Economic Analysis

This study examines the economic viability of implementing Zero Budget Natural Farming (ZBNF) interventions in rabi rice cultivation, focusing on cost-effectiveness and productivity outcomes. Data collected before (2014-15) and after (2018-19) ZBNF adoption in a selected tribal area of Visakhapatnam district of Andhra Pradesh, India were analysed. Results reveal a reduction in total variable costs by 10.20 per cent, primarily attributed to decreases in weeding and nutrient supply expenses. Despite a slight increase in operational costs, ZBNF led to a significant drop (51.30 per cent) in input expenditures. Yield experienced a notable 10.25 per cent increase, resulting in a decrease in production costs from ₹1161.23 to ₹934.34 per quintal. The calculated cost-to-benefit ratio of -1:1.17 demonstrates favourable economic outcomes, highlighting the potential of ZBNF to enhance economic viability and sustainability in rabi rice cultivation among tribal farmers.

Clinical and Economic Outcomes of Patients with Osteoporosis Undergoing Spine Fusion Surgery in Japan.

Spinal fusion surgery with instrumentation is a treatment of choice for many spinal disorders; however, there is little data related to factors associated with early and late outcomes, especially among patients with poor bone quality (e.g., osteoporosis). We conducted this study to characterize the epidemiology and outcomes of patients undergoing spinal fusion surgery with instrumentation in Japan, especially in patients with poor bone quality and those needing additional fixation methods. This retrospective observational study used real-world health insurance claims data from the Japanese Medical Data Vision. Adult patients undergoing an index spinal fusion procedure from April 1, 2010, to September 30, 2017, with procedural details, length of stay (LOS), total in-hospital costs, spine-related reoperation, all-cause readmission, and postoperative complications recorded. Data were summarized descriptively overall, by osteoporosis status, and additional fixation method used, and were analyzed in bivariate analyses. Multivariate logistic and linear regressions were used to explore associations between covariates and variables of interest. A total of 22,932 patients (mean age, 67.3 years; 51.2% male) met the study criteria and were included. A total of 5,288 (23.0%) patients had osteoporosis, and 2,507 (10.9%) needed additional fixation methods; these patients were older, more frequently female, and had higher Elixhauser comorbidity index scores. Osteoporosis and additional fixation use were also associated with longer LOS, higher hospital costs, and higher rates of complications. Patients with osteoporosis and those needing additional fixation methods have a higher risk for procedural and postoperative complications, reoperation, longer LOS, and higher total hospital costs.

The economic efficiency of using protective measures in combating rice pests

In the conducted research in the conditions of the Karatal District of the Zhetysu Region, an analysis of the economic efficiency of rice pest control methods was performed. Among the main pests damaging the crops are the coastal fly, barley miner, and rice midge. The use of the insecticide dimethoate led to a significant reduction in damage from the coastal fly, increasing the biological efficiency to 90.9-94.2%. This, in turn, resulted in an increase in yield by 2.7-3.6 tons/ha compared to the control group. Data analysis also showed that the application of dimethoate is accompanied by a reduction in rice cultivation costs and an increase in net income. The profitability level of using this insecticide was 69.4%, indicating its high effectiveness in terms of agricultural economics. Additionally, the return on additional expenses for protecting rice crops using dimethoate reaches 2.1 times, confirming the economic feasibility of this protection method. Thus, the research results underscore the importance of applying modern rice protection methods and their positive impact on the economic outcome in the region's agriculture. They also justify the need for further research in this area to optimize the rice cultivation process considering economic aspects. Data analysis also showed that the application of dimethoate is accompanied by a reduction in rice cultivation costs and an increase in net income. The profitability level of using this insecticide was 69.4%, indicating its high effectiveness in terms of agricultural economics. Additionally, the return on additional expenses for protecting rice crops using dimethoate reaches 2.1 times, confirming the economic feasibility of this protection method. Thus, the research results underscore the importance of applying modern rice protection methods and their positive impact on the economic outcome in the region's agriculture. They also justify the need for further research in this area to optimize the rice cultivation process considering economic aspects.

Economic returns to reproducing parents' field of study.

Research on the influence of family background on college graduates' earnings has not considered the importance of the match between parents' and children's field of study. Using a novel design based on within-family comparisons, I examine long-term earnings returns to reproducing parents' field of study in Denmark. I find that individuals whose field of study matches that of a parent have earnings that are 2 percent higher than those of their siblings with college degrees in different fields, on average. Earnings returns to field inheritance are highest in the fields of law (9 percent), medicine (6 percent), and engineering (4 percent) and are driven mainly by income from self-employment. I find no direct evidence of nepotism as the earnings advantage does not arise from inheritance of parents' firms or employment in parents' occupational network. My findings indicate that, although a college degree generally equalizes family background differences in economic outcomes, there are additional payoffs to field inheritance, particularly in traditional fields characterized by a high degree of social closure and self-employment.

Benchmarking lean construction conformance in Pakistan’s construction industry

PurposeLean construction (LC) is an innovative approach in the construction industry that has shown significant success in developed countries. Although LC has potential in the construction sector of Pakistan, it has not been extensively explored. This study aims to address this knowledge gap by identifying and predicting current lean practices and assessing the strengths and weaknesses of LC implementation in Pakistan.Design/methodology/approachUsing robust statistical methods to analyze 92 valid responses, the study reveals that approximately 54% of lean practices are currently in use in the construction industry of Pakistan, with a population mean ranging from 52.7% to 55.6%.FindingsSurprisingly, the research identifies instances where some construction firms in Pakistan are implementing LC practices, even though they have only a limited understanding of its underlying principles. Notably, certain subprinciples, such as visual management, top management commitment to change, employee training, process cycle time reduction and production optimization, are less integrated within the construction industry. Exploring the possibility of implementing LC, recommendations for strategies to implement LC in Pakistan are suggested, aligning with the conceptual model proposed by the researchers.Originality/valueThe novelty of this work offers insights that can serve as a comprehensive guide for developing nations. It provides a structured approach to assess and benchmark LC practices, which, in turn, can contribute to a more efficient and effective construction industry. Moreover, the strategies proposed in this research can aid developing countries in the efficient implementation of LC. This will have a positive implication for both economic and developmental outcomes.

Corruption, unemployment, and clientelism: A Political Economy approach

We present a theoretical general equilibrium model that incorporates capital allocation dynamics between licit and illicit activities, endogenous unemployment, idiosyncratic moral costs, and the influence of corrupt political power. Our inquiry focuses on the endogeneity of corruption, highlighting its reciprocal relationship with political power, which is mediated through clientelist practices. Using data from Sub-Saharan African countries, our model reveals multiple equilibria, establishing a negative correlation between output and corruption and a positive correlation between corruption and unemployment. In addition, our analysis suggests that implementing appropriate tax rates to fund unemployment benefits can effectively alleviate corruption by transforming unemployed individuals’ perception of subsidies; this shift in perspective diminishes their susceptibility to corrupt practices, underscoring the significance of policy interventions targeting unemployment reduction to weaken clientelist mechanisms and reduce corruption. This study enriches our comprehension of the nuanced impact of corruption on economic outcomes and offers valuable insights for formulating effective anti-corruption policies.

Sustainable impact analysis of freight pooling strategies on city crowdsourcing logistics platform

This study investigates the effects of freight pooling strategies on urban crowdsourcing logistics, focusing on economic, social, and environmental outcomes. Utilising a mixed-integer linear programming model with an adaptive large neighbourhood search algorithm, our goal is to optimise the cost-efficiency of the freight pooling system. Real-world delivery and driver trajectory data from a major Chinese crowdsourcing logistics platform, along with high-resolution vehicle telematics data, validate our model in five scenarios, each defined by distinct cost coefficients reflecting diverse stakeholder priorities. Results show potential for up to a 21.3% reduction in carbon emissions, a 28.3% decrease in truck activity spatial coverage, and a 7.6% increase in available drivers. However, deadheading trips, due to order consolidation into fewer vehicles without an increase in overall demand, could offset maximum carbon reduction benefits by 16.4%. Other effects on customers’ and drivers’ welfare are explored for a comprehensive quantitative assessment of freight pooling strategies’ sustainability benefits.

Heat waves and urban vulnerability: climate shelters, public services and innovative solutions. Lessons from Barcelona

ABSTRACT Future projections indicate a global increase in heat waves, especially in urban areas due to climate change and the heat island effect, leading to adverse human, economic, and environmental outcomes. Cities worldwide respond by integrating climate mitigation and adaptation measures. While long-term strategies dominate research, this paper explores the increasing interest in short-term solutions, examining the Barcelona Climate Shelter Network. Investigating climate shelter initiatives, it highlights the use of public or private spaces for respite during extreme heat. This model offers insights for other European cities facing escalating heat waves, encouraging reflections on reshaping public services amidst climate crises.

Bridging the rural-urban divide: An implementation plan for leveraging technology and artificial intelligence to improve health and economic outcomes in rural America.

Bridging the rural-urban divide: An implementation plan for leveraging technology and artificial intelligence to improve health and economic outcomes in rural America.

Extrapolative Uncertainty and Household Economic Behavior

We examine the uncertainty in households’ expectations regarding macroeconomic outcomes, namely inflation and the rate of nationwide home price growth. We document that people extrapolate from the instability of their personal and local environment when assessing the future volatility of these macroeconomic variables. Consequently, there are within-person spillovers in subjective uncertainty regarding different economic outcomes. This extrapolative behavior is more pronounced among lower-numeracy individuals, and it persists throughout the business cycle. People with more uncertain macroeconomic expectations are more likely to engage in precautionary behaviors regarding consumption and equity market exposure and are more concerned about credit market access. This paper was accepted by David Simchi-Levi, finance. Supplemental Material: The data files are available at https://doi.org/10.1287/mnsc.2023.00820 .

Cost-effectiveness comparison of dalpiciclib and abemaciclib combined with an aromatase inhibitor as first-line treatment for HR+/HER2− advanced breast cancer

ABSTRACT Objectives CDK4/6 inhibitors dalpiciclib and abemaciclib have been approved by the Chinese National Medical Products Administration as first-line treatment for postmenopausal females with hormone receptor-positive (HR+) and human epidermal growth factor receptor-2 negative (HER2−) advanced breast cancer (ABC). We aimed to assess the cost-effectiveness of dalpiciclib plus letrozole/anastrozole (non-steroidal aromatase inhibitor [NSAI]) compared with abemaciclib plus NSAI as a first-line treatment for HR+/HER2− ABC in China. Methods We constructed a Markov model with three health states to evaluate health and economic outcomes of first-line treatment with dalpiciclib plus NSAI and abemaciclib plus NSAI for HR+/HER2− ABC. Efficacy data was obtained from MONARCH3 and DAWNA-2 trials. Quality-adjusted life-years (QALYs) and incremental cost-effectiveness ratios (ICERs) were calculated. Results Compared with abemaciclib plus NSAI, dalpiciclib plus NSAI resulted in 4.27 additional QALYs, with an ICER of $14827.4/QALY. At a willingness-to-pay threshold of 3 times gross domestic product per capita in China for 2023 ($37721.5/QALY), the cost-effectiveness probability of dalpiciclib plus NSAI was 77.42%. Conclusions From the perspective of Chinese payers, dalpiciclib plus NSAI appears to be a cost-effective strategy compared with abemaciclib plus NSAI for the first-line treatment of patients with HR+/HER2− ABC in China. Clinical trial registration MONARCH3, www.clinicaltrials.gov, identifier is NCT02246621 and DAWNA-2, www.clinicaltrials.gov, identifier is NCT03966898.

The economic and fiscal impact of incremental use of cell-based quadrivalent influenza vaccine for the prevention of seasonal influenza among healthcare workers in Italy

BackgroundSeasonal influenza has a significant impact on public health, generating substantial direct healthcare costs, production losses and fiscal effects. Understanding these consequences is crucial to effective decision-making and the development of preventive strategies. This study aimed to evaluate the economic and the fiscal impact of implementing an incremental strategy for seasonal influenza prevention using the cell-based quadrivalent influenza vaccine (QIVc) among healthcare workers (HCWs) in Italy.MethodsTo estimate the economic impact of implementing this strategy, we performed a cost analysis that considered direct healthcare costs, productivity losses and fiscal impact. The analysis considered a 3-year time horizon. A deterministic sensitivity analysis was also conducted.ResultsAssuming a vaccination coverage rate of 30% among HCWs, the analysis considered a total of 203 018 vaccinated subjects. On analysing the overall differential impact (including direct costs, indirect costs and fiscal impact), implementing QIVc vaccination as a preventative measure against influenza among HCWs in Italy would yield societal resource savings of €23 638.78 in the first year, €47 277.56 in the second year, and €70 916.35 in the third year, resulting in total resource savings of €141 832.69.ConclusionsThe study demonstrated that implementing the incremental use of QIVc as part of a preventive strategy for seasonal influenza among HCWs in Italy could yield positive economic outcomes, especially in terms of indirect costs and fiscal impact. The resources saved could be utilized to fund further public health interventions. Policy-makers should consider these findings when making decisions regarding influenza prevention strategies targeting HCWs.

Better off in the city? Economic outcomes of rural out‐migration in Sweden—sibling study of cohorts 1960–1984

AbstractThis study examines disparities in income levels and employment status between individuals who migrate from rural areas and their siblings who remained in rural settings in Sweden for cohorts born 1960–1984. Utilizing comprehensive Swedish register data, we track the economic outcomes at age 35 or rural residents who migrated between ages 15 and 25, comparing them to non‐migrating siblings. Our analysis, employing binomial logit and log‐linear models for employment odds and income levels, respectively, reveals that while rural out‐migration generally leads to higher income, it does not significantly impact employment status. The study underscores the role of individual and family‐specific factors—such as gender and education—and broader time‐ and place‐dependent structures in mediating migration's effects. We find that income disparity between migrants and non‐migrants has increased since the 1990s and that the differences increase with the urbanization level of the destination.

Perceived Economic Burden, Mortality, and Health Status in Patients With Heart Failure

In the face of an emerging heart failure (HF) epidemic, describing the association between perceived economic burden (PEB) and health care outcomes is an important step toward more equitable and achievable care. To examine the association between PEB and risk of 1-year clinical outcomes and HF-specific health status in patients with acute decompensated HF. This prospective, multicenter, hospital-based cohort study prospectively enrolled adult patients hospitalized for acute decompensated HF at 52 hospitals in China from August 2016 to May 2018, with 1-year follow-up. Data were analyzed on June 17, 2022. Perceived economic burden, categorized as severe (cannot undertake expenses), moderate (can almost undertake expenses), or little (can easily undertake expenses). The clinical outcomes of the study were 1-year all-cause death and rehospitalization for HF. Heart failure-specific health status was assessed by the 12-Item Kansas City Cardiomyopathy Questionnaire (KCCQ-12). Among 3386 patients, median age was 67 years (IQR, 58-75 years) and 2116 (62.5%) were men. Of these patients, 404 (11.9%) had severe PEB; 2021 (59.7%), moderate PEB; and 961 (28.4%), little PEB. Compared with patients with little PEB, those with severe PEB had increased risk of 1-year mortality (hazard ratio [HR], 1.61; 95% CI, 1.21-2.13; P < .001) but not 1-year HF rehospitalization (HR, 1.21; 95% CI, 0.98-1.49; P = .07). The mean (SD) adjusted KCCQ-12 score was lowest in patients with severe PEB and highest in patients with little PEB at baseline (40.0 [1.7] and 50.2 [1.0] points, respectively; P < .001) and at each visit (eg, 12 months: 61.5 [1.6] and 75.5 [0.9] points respectively; P < .001). Patients reporting severe PEB had a clinically significant lower 1-year KCCQ-12 score compared with those reporting little PEB (mean difference, -11.3 points; 95% CI, -14.9 to -7.6 points; P < .001). In this cohort study of patients with acute decompensated HF, greater PEB was associated with higher risk of mortality and poorer health status but not with risk of HF rehospitalization. The findings suggest that PEB may serve as a convenient tool for risk estimation and as a potential target for quality-improvement interventions for patients with HF.

Cost-effectiveness and budget impact of decentralising childhood tuberculosis diagnosis in six high tuberculosis incidence countries: a mathematical modelling study

The burden of childhood tuberculosis remains high globally, largely due to under-diagnosis. Decentralising childhood tuberculosis diagnosis services to lower health system levels could improve case detection, but there is little empirically based evidence on cost-effectiveness or budget impact. In this mathematical modelling study, we assessed the cost-effectiveness and budget impact of decentralising a comprehensive diagnosis package for childhood tuberculosis to district hospitals (DH-focused) or primary health centres (PHC-focused) compared to standard of care (SOC). The project was conducted in Cambodia, Cameroon, Côte d'Ivoire, Mozambique, Sierra Leone, and Uganda between August 1st, 2018 and September 30th, 2021. A mathematical model was developed to assess the health and economic outcomes of the intervention from a health system perspective. Estimated outcomes were tuberculosis cases, deaths, disability-adjusted life years (DALYs) and incremental cost-effectiveness ratios (ICERs). We also calculated the budget impact of nationwide implementation. The TB-Speed Decentralization study is registered with ClinicalTrials.gov, NCT04038632. For the DH-focused strategy versus SOC, ICERs ranged between $263 (Cambodia) and $342 (Côte d'Ivoire) per DALY averted. For the PHC-focused strategy versus SOC, ICERs ranged between $477 (Cambodia) and $599 (Côte d'Ivoire) per DALY averted. Results were sensitive to TB prevalence and the discount rate used. The additional costs of implementing the DH-focused strategy ranged between $12.8M (range 10.8-16.4) (Cambodia) and $50.4M (36.5-74.4) (Mozambique), and between $13.9M (12.6-15.6) (Sierra Leone) and $134.6M (127.1-143.0) (Uganda) for the PHC-focused strategy. The DH-focused strategy may be cost-effective in some countries, depending on the cost-effectiveness threshold used for policy making. Either intervention would require substantial early investment. Unitaid.

The economic basis of a tax: the concept and the principle

The subject. The article investigates the legal content of the concept of the economic basis of a tax and the relevant principle. The reason for choosing this subject of investigation lies in the emerging practice of how the statutory principle applies which is set out in article 3(3) of the Russian Tax Code, according to which taxes and levies should have an economic basis. Purpose of the study. The article analyses the existing ideas about the economic basis of taxes, proposes and substantiates the legal definition of the concept, specifies the types of taxable economic benefit and discloses the content of the principle of the economic grounds of a tax.Methodology. The methodological framework comprises a systemic analysis of the provisions of Russian tax legislation, studying the practice of courts and administrative bodies, higher courts and opinions of experts, the historical background and the interrelation between the economic and legal aspects of taxation.Conclusions. The economic basis of a tax should be understood to mean gaining an economic benefit to which tax legislation pegs the emergence of the obligation to pay the tax. Economic benefit should be understood as a positive economic outcome. The article delves into the types of economic benefit, which includes the following: added value, profit, net profit and natural resource royalty. To impose a specific tax, the principle of economic basis of a tax means an imperative requirement for the taxpayer to have relevant economic benefit.

The Impact of a State-Level, Place-Based Economic Development Program: A Difference-in-Differences Approach

This analysis uses a difference-in-differences approach to examine the impact of the Regional Cities Initiative (RCI) on economic development outcomes in counties that participated in the program relative to those that did not participate. The RCI was a place-based economic development program that was implemented in Indiana beginning in 2015. Through a competitive process, this program provided funding for projects meant to improve the quality of life in three regions of the state. The results indicate that participating counties had higher gross domestic product growth and higher employment growth than nonparticipating counties. There is limited evidence that the program had a positive impact on population growth. There were no discernable effects on house prices or earnings.

The role of the health sector in tackling climate change: A narrative review

Climate change is one of the largest threats to population health and has already affected the ecosystem, food production, and health and wellbeing of populations all over the world. The healthcare sector is responsible for around 5 % of greenhouse gas emissions worldwide and can play a key role in reducing global warming.This narrative review summarized the information on the role of healthcare systems in addressing climate change and strategies for reducing its negative impact to illustrate different types of actions that can support the ecological transformation of healthcare systems to help reaching sustainable development goals.A wide range of green interventions are shown to be effective to reduce the carbon footprint of healthcare and can have a meaningful impact if implemented systematically. However, these would not suffice unless accompanied by systemic mitigation strategies altering how healthcare is provided and consumed. Sustainable healthcare strategies such as reducing waste and low-value care will have direct benefits for the environment while improving economic and health outcomes. The healthcare sector has a unique opportunity to leverage its position and resources to provide a comprehensive strategy for fighting climate change and improving population health and the environment on which it depends.

Estimating the economic effects of US state and local fiscal policy: A synthetic control method matching‐regression approach

AbstractIn this paper, we advance the empirical literature on US state and local fiscal policymaking by using the synthetic control method (SCM) to create pairwise matches for states in subsequent regression analysis of the relationships between state and local fiscal policies and several state economic outcomes. Additional contributions include the use of principal component analysis to construct broader narratives of state economic performance and to reduce the dimensionality of the characteristics used in SCM matching, while the regressions also include variables to control for post‐matching economic shocks. Compared to conventional regression analysis, the SCM matching‐regression approach better addresses potential endogeneity, reduces interpolation bias, and creates fiscal policy measures that better reflect policy differences. The SCM‐matched regressions produce more statistically significant relationships between state and local fiscal variables and economic outcomes than do the conventional unmatched regressions, suggesting improved identification of state and local fiscal policy effects on economic outcomes. Robust relationships found include negative economic effects of the own‐source revenue burden and property taxes. Consistent with the existing literature, the estimated fiscal policy effects are quantitatively small and unlikely to drive differences in state economic performance.

The projected health and economic impact of increased colorectal cancer screening participation among Canadians by income quintile

ObjectivesDisparities in colorectal cancer (CRC) screening uptake by socioeconomic status have been observed in Canada. We used the OncoSim-Colorectal model to evaluate the health and economic outcomes associated with increasing the participation rates of CRC screening programs to 60% among Canadians in different income quintiles.MethodsBaseline CRC screening participation rates were obtained from the 2017 Canadian Community Health Survey. The survey participants were categorized into income quintiles using their reported household income and 2016 Canadian Census income quintile thresholds. Within each quintile, the participation rate was the proportion of respondents aged 50–74 who reported having had a fecal test in the past two years. Using the OncoSim-Colorectal model, we simulated an increase in CRC screening uptake to 60% across income quintiles to assess the effects on CRC incidence, mortality, and associated economic costs from 2024 to 2073.ResultsIncreasing CRC screening participation rates to 60% across all income quintiles would prevent 69,100 CRC cases and 36,600 CRC deaths over 50 years. The improvement of clinical outcomes would also translate to increased person-years and health-adjusted person-years. The largest impact was observed in the lowest income group, with 22,200 cases and 11,700 deaths prevented over 50 years. Increased participation could lead to higher screening costs ($121 million CAD more per year) and lower treatments costs ($95 million CAD less per year), averaged over the period 2024–2073.ConclusionIncreased screening participation will improve clinical outcomes across all income groups while alleviating associated treatment costs. The benefits of increased participation will be strongest among the lowest income quintile.