Search

The consumption of natural resources is rapidly emerging as a major social problem, and social efforts to control this consumption are guided in part by research that tries to specify the meaning of resources to consumers. This paper compares a sociological perspective with the more widespread economic model of consumption, using data from study of billing systems, sociocultural status, and household energy use in a California apartment complex. The research suggests that the role of marginal price in ordering consumption can be interpreted as a contingent feature of the socially structured relationship between consumption and social status. It also suggests that the utility of a technology is a secondary and emergent product of its use, a fact obscured by the conventional analytic separation of supply and demand or meansand ends. [ABSTRACT FROM AUTHOR]

This paper introduces an econometric technique to analyze the factors affecting the land shares of alternative irrigation technologies in agriculture. It estimates the likelihood of usc of drip, sprinkler, and surface irrigation by fruit growers in the Central Valley of California. Higher water costs, the use of groundwater, the production of nuts, and location are found to increase the likelihood of using drip and sprinkler irrigation. The results are used to demonstrate the effectiveness of water price increases in inducing water conservation. [ABSTRACT FROM AUTHOR]

Objective: To assess the effects on hospitals of early California actions to expand insurance coverage for low-income uninsured adults after passage of the Affordable Care Act.Data Sources/study Setting: Data from the California Office of Statewide Health Planning and Development and the California Department of Health were merged with U.S. census data for 294 short-term general hospitals during the period 2009-2012.Study Design: A difference-in-difference analysis was conducted with hospitals in counties that did not implement insurance expansions used as a comparison group. Variables examined included payer mix, costs of unreimbursed care, and hospital operating margin. Sensitivity analyses were conducted as well as a triple difference analysis. Effects were estimated for hospitals overall and by ownership type.Principal Findings: California insurance expansions primarily benefited for-profit hospitals, with these facilities experiencing significant decreases in self-pay patients, increases in county-covered patients, and reductions in charity care. Most models yielded no significant change in payer mix and conflicting changes in unreimbursed care for nonprofit hospitals.Conclusions: California hospitals that treated the most uninsured prior to insurance expansions did not as a group experience substantial benefit in terms of reduced uninsured burden or better financial performance after program expansions occurred. [ABSTRACT FROM AUTHOR]

Changes in the costs of trading inputs or final goods affect establishment-level job flows. Using a longitudinal database containing the universe of manufacturing establishments in California from 1992 to 2004, we find that a decline in input or final-good trade costs is associated with job destruction in the least productive establishments, job creation in the most productive establishments, and an increase in the death likelihood of the least productive establishments. The evidence is consistent with predictions of models of trade with heterogeneous firms. Additionally, the evidence shows that the effects of input trade costs on establishment-level job flows are larger than the effects of final-good trade costs. ( JEL F14, F16) [ABSTRACT FROM AUTHOR]

Giving this presidential address to the Southern Economics Association is more of a privilege than a duty of office. I suspect that I am more honored to give this talk than most past presidents of the Association, given my current academic post in California. I may be far removed from my southern heritage in space, but not in orientation. My heart remains tied to the South. I am very pleased that the SEA board and members did not consider my current California connection as a disqualification for president of the Association. [ABSTRACT FROM AUTHOR]

Objective: To predict the true cost of developing and maintaining an electronic immunization registry, and to set the framework for developing future cost-effective and cost-benefit analysis.Data Sources/study Setting: Primary data collected at three immunization registries located in California, accounting for 90 percent of all immunization records in registries in the state during the study period.Study Design: A parametric cost analysis compared registry development and maintenance expenditures to registry performance requirements.Data Collection/extraction Methods: Data were collected at each registry through interviews, reviews of expenditure records, technical accomplishments development schedules, and immunization coverage rates.Principal Findings: The cost of building immunization registries is predictable and independent of the hardware/software combination employed. The effort requires four man-years of technical effort or approximately $250,000 in 1998 dollars. Costs for maintaining a registry were approximately $5,100 per end user per three-year period.Conclusions: There is a predictable cost structure for both developing and maintaining immunization registries. The cost structure can be used as a framework for examining the cost-effectiveness and cost-benefits of registries. The greatest factor effecting improvement in coverage rates was ongoing, user-based administrative investment. [ABSTRACT FROM AUTHOR]

An exponential spatial interaction model was used to analyze primary-health-careseeking patterns of rural consumers in northern California. A macrotheory of spatial interaction and a mlcrotheory of consumer search were combined as a logically consistent rationale for the model. Ordinary least squares proved superior to nonlinear least squares and a limited dependent variable maximum likelihood technique in predicting health-care-seeking patterns. The model was used to address policy questions including the impact of removing local providers on patient flows to remaining providers and the market shares that could be expected by a new provider. [ABSTRACT FROM AUTHOR]