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Reviews science and technology policymaking in five countries with free-market economies: the United Kingdom, Germany, France, the Republic of Korea, and the United States. Implications for eastern European and other countries currently reorganizing toward domestic market economies and greater orientation toward world trade are discussed. (61 references) (LRW)

The purpose of this paper is to analyze the economics of taxing virgin raw materials for environmental reasons. The theoretical discussion is general in scope but empirically we focus on the case of aggregate taxation in three European countries. The motives for environmental taxation of aggregates are mixed, and not all motives find strong support in the economics literature. For instance, the conservation motive may be valid if a relevant market failure can be identified, but, in the presence of a well defined owner of the resource, resource scarcity is often not a sufficient condition for policy intervention. Under some conditions a tax levied per ton of aggregates extracted may be motivated by the presence of environmental externalities at the extraction stage. Still, such a tax provides no direct incentives to reduce the relevant externalities, since the only way of avoiding the tax is to reduce production. In this respect the UK tax appears to be particularly inefficient; it uses one policy instrument to address a number of different environmental externalities at the extraction stage (noise, dust, visual intrusion, loss of amenity and damage to biodiversity), and it is uniform across quarries although the associated externalities are likely to be highly site specific. Overall the paper concludes that taxing output or use typically represents a ‘second-best’ policy alternative, which could be used when, for instance, the monitoring of non-point-source emissions and/or efficient property rights regimes are hard to implement. The fact that virgin resource taxes often address rather diffuse (not to say unimportant) environmental problems may however make them hard to promote effectively on the political arena. Copyright © 2006 John Wiley & Sons, Ltd and ERP Environment. [ABSTRACT FROM AUTHOR]

The article discusses a 12-country study regarding estimates of lost revenue resulting from the illicit trade of cigarettes. It is said that such illicit trade has compromised health protective measures as well as government revenue. Results show that the estimated annual revenue loss to illicit cigarette trade is over three times the budget of the World Health Organization (WHO). Findings also suggest that lost revenue is greater than the investments made by the government to control tobacco.

Purpose - This paper seeks to define a coherent management preference function for determining the conditions when the market can be effectively used in the management of spectrum based on abduction and volitional pragmatism. Design/methodology/approach - Volitional pragmatism based on the logic of abduction is used to provide an explanation for real world empirical observation of few spectrum trades in the UK. This is generalized for application with wider context of European frequency management. Findings - There has been a considerable regulatory effort directed toward spectrum trading in the EU. The UK experience with trading is clearly not what was expected. It was suggested that this is a result of an analytical approach based on deductive validationism subject to ceteris paribus assumptions. This approach does have merit but its application is over extended. This is due in large part institutional under specification of what constitutes the market and the nature of the transaction taking place. Research limitations/implications - The emphasis is in this paper is on the explanation of real world facts rather than normative prescription based on deductive validationism. Such an approach though fallible (all facts cannot be taken into account) is no less valuable in the process of regulatory decision making than deductive validationism. Practical implications - This paper provides a more coherent explanation of spectrum development and the spectrum management reform process. Originality/value - A set of conditions are provided for determining when the market can be used in the management of spectrum. This makes explicit the intended operation of the market as well as its limitations. [ABSTRACT FROM AUTHOR]

This paper discusses the current Labour government's industrial policy—as most recently reflected in its document on manufacturing strategy—in the context of industrial policy in the UK over the last 50 years and the form that it has taken elsewhere in Europe. It concludes that the thematic priorities for UK industrial policy in the 1960s—international competitiveness, innovation, competition, and skills—continue to be the key themes of UK policy today. The paper presents data that illustrate the gaps that exist in key indicators of performance between the UK and its main economic competitors. The difference between the 1960s and the 2000s is that there are new instruments of policy. Two areas in particular are focused on—competition policy and technology policy—and an attempt is made to assess the likely effectiveness of these new instruments. The paper concludes that the international evidence base for these new approaches is reasonably robust but that it is still too soon to tell if they are having the hoped‐for impact on the performance of the UK economy. [ABSTRACT FROM PUBLISHER]

Background: Patient and public involvement (PPI) is a requirement for UK health and social care research funding. Evidence for how best to implement PPI in research programmes, such as National Institute for Health Research (NIHR) Collaborations for Applied Health Research and Care (CLAHRCs), remains limited. This paper reports findings from an action research (AR) project called IMPRESS, which aims to strengthen PPI within CLAHRC East of England (EoE). IMPRESS combines AR with Normalisation Process Theory (NPT) to explore PPI within diverse case study projects, identifying actions to implement, test and refine to further embed PPI. Methods: We purposively selected CLAHRC EoE case study projects for in-depth analysis of PPI using NPT. Data were generated from project PPI documentation, semi-structured qualitative interviews with researchers and PPI contributors and focus groups. Transcripts and documents were subjected to abductive thematic analysis and triangulation within case. Systematic across case comparison of themes was undertaken with findings and implications refined through stakeholder consultation. Results: We interviewed 24 researchers and 13 PPI contributors and analysed 28 documents from 10 case studies. Three focus groups were held: two with researchers (n = 4 and n = 6) and one with PPI contributors (n = 5). Findings detail to what extent projects made sense of PPI, bought in to PPI, operationalised PPI and appraised it, thus identifying barriers and enablers to fully embedded PPI. Conclusion: Combining NPT with AR allows us to assess the embeddedness of PPI within projects and programme, to inform specific local action and report broader conceptual lessons for PPI knowledge and practice informing the development of an action framework for embedding PPI in research programmes. To embed PPI within similar programmes teams, professionals, disciplines and institutions should be recognised as variably networked into existing PPI support. Further focus and research is needed on sharing PPI learning and supporting innovation in PPI. [ABSTRACT FROM AUTHOR]

Throughout the nineteenth and twentieth centuries, the natural monopoly features of infrastructure industries, together with their strategic roles, have been important elements in state intervention. The aim of this paper is to evaluate what relative weight was attached to market failure problems on the one hand and geo-political factors on the other. For the period 1830-1939, how far were geo-political factors stronger than natural monopoly problems in accounting for the scale of intervention in the various countries of the Western World? How far did the policy instruments for security and market failure overlap? Whilst most of the infrastructure sectors are covered - including internal telecommunications, coal, gas, shipping, electricity and water - special attention is devoted to international submarine telegraph tables and railways. The paper concludes by demonstrating strong differences between Britain and USA on the one hand and Continental Europe plus Japan on the other. [ABSTRACT FROM AUTHOR]

For transport systems the issues of pricing, service quality, funding and investment in urban areas are inextricably interdependent. The paper first argues that no policy can be set for any of these aspects of transport in isolation from any other. Transport planners and urban policy-makers can choose to tolerate congestion, or build new capacity or introduce road user charging. These issues are explored and analysed in the context of London—Europe's most obviously resurgent city and the one with the most recent experience of road pricing in the form of the Congestion Charge. However, despite the evidence that in the centre, where it applies, the Congestion Charge has had broadly the effects economic theory would predict, there is still a growing problem for the rest of London and the UK caused largely by the combined effects of rising real incomes and the improving fuel efficiency of cars which reduces the impact of fuel taxes. This suggests a growing pressure for a national system of road pricing. To date ‘prices’, in the form of fuel duty (over £0.50 out of each £0.80 for a litre of fuel) have been set on the basis of historical precedent or political expediency. The paper sets out a regionally based model to analyse the implications of setting alternative levels of congestion charging and environmental taxes covering the whole of England. This includes modelling the implications for other transport modes and the net changes accruing to drivers and the Exchequer. Having presented the implications of some alternative policies, the paper discusses a number of the issues of political economy that would have to be resolved. While there seems to be little alternative to user charging in some form sooner or later, the sooner it can be introduced the more good it can do. However, the difficulties are real, less tractable than some people appear to believe and they have to be identified and dealt with. Perhaps the most significant unresolved problem is not the technical feasibility of such a system of national road pricing, but finding an appropriate, accountable and acceptable method for overseeing and administering the funds such a system would generate. [ABSTRACT FROM AUTHOR]

This paper is focused on a highly topical theme placed at the heart of international debates on regional security, namely the case of refugees in Europe. Approaching this theme is not the result of testing a purely theoretical assumption, but rather a reactive process driven by the need to understand a multitude of perspectives on one single reality. In this context, the author identifies a series of five so-called perspectives on the case of refugees in Europe and dysects each of them in order to detect their common and distinct features. This approach is completed by the clarification of terms used in this area and the theoretical framework on social construction of reality. [ABSTRACT FROM AUTHOR]

Creative industries are increasingly understood to contribute to localised innovation and dynamism. This paper provides a methodologically consistent comparison of creative industries across France, Great Britain, Italy and Spain. We map spatial agglomerations of creative activities showing evidence of urban concentration, which for Britain and France coincides with the dominance of capital cities, whilst for Spain and Italy, significant concentrations can also be found in secondary cities. The four countries also differ in the specialisation profiles and in the role played by policy makers. A lack of dove-tailing with the European Union smart agenda is argued to be a cause of concern. [ABSTRACT FROM AUTHOR]

'Green-grabbing', in which environmental arguments support expropriation of land and resources, is a recognized element in neoliberal conservation. However, capitalism's strategic interest in promoting the neoliberalization of conservation is accompanied by attempts to exploit hitherto protected natures without any pretence at 'greenness'. In this paper we explore the dialectics between 'green' and 'un-green' grabbing as neoliberal strategies in the reconstruction of nature conservation policies after the 2008 financial 'crash' in Greece and the UK. In both countries, accelerated neoliberalization is manifested in diverse ways, including initiatives to roll back conservation regulation, market-based approaches to 'saving' nature and the privatization of public nature assets. The intensification of 'green' and 'un-green' grabbing reflects capitalism's strategic interest in both promoting and obstructing nature conservation, ultimately leaving for 'protected natures' two choices: either to be further degraded to boost growth or to be 'saved' through their deeper inclusion as commodities visible to the market. [ABSTRACT FROM AUTHOR]

This paper exploits survey information on reservation wages and data on actual wages from the European Community Household Panel to deduce, in the manner of Lancaster and Chesher, additional parameters of a stylized structural search model; specifically, reservation wage and transition/duration elasticities. The informational requirements of this approach are minimal, thereby facilitating comparisons between countries. Further, its policy content is immediate in so far as the impact of unemployment benefit rules and measures increasing the arrival rate of job offers are concerned. These key elasticities are computed for the United Kingdom and 11 other European nations. [ABSTRACT FROM AUTHOR]

Background Children born into poverty have lifelong disadvantages compared with those more fortunate; social interventions seek to break this cycle of poverty and deprivation. Early Years Centres are one such intervention. These were established in deprived areas in the UK to provide high quality out-of-home day care. This paper reports the results of an economic evaluation conducted alongside a randomized controlled trial of one of these centres in the Borough of Hackney, London. Methods Participants were randomized to receive either high quality day care as provided by the centre or to other child care that they secured for themselves where they chose to do so. Information on resource use (early years education and care, as well as health and social care) was collected over an 18-month period; this was valued using appropriate unit costs. The cost of education, social and health care together with the value of productivity gains and out-of-pocket costs were then compared with the effectiveness of the intervention, increased labour force participant in mothers. Results From the societal perspective, the value of employment outweighs the costs of health and social services used, and in both groups there are cost savings. These are greater in the intervention group, therefore Early Years day care is an efficient use of resources. However, there is a net cost to the public sector of providing the intervention. The cost of achieving an additional mother in the labour force at 18 months is £38 550 (85% CI of –£1273, £416 172). Conclusion From the societal perspective, over an 18-month period, all child care is cost saving, but high quality day care provided by the Early Years Centre is a cost-effective alternative to day care provided by other local services in Hackney. The public sector, however, incurs added expense from this intervention. [ABSTRACT FROM AUTHOR]

Many countries have introduced evaluations of university research, reflecting global demands for greater accountability. This paper compares methods of evaluation used across twelve countries in Europe and the Asia-Pacific region. On the basis of this comparison, and focusing in particular on Britain, we examine the advantages and disadvantages of performance-based funding in comparison with other approaches to funding. Our analysis suggests that, while initial benefits may outweigh the costs, over time such a system seems to produce diminishing returns. This raises important questions about its continued use. [ABSTRACT FROM AUTHOR]

This paper evaluates the development of prospects for cruising in Europe. It examines this within the broad framework of economic theory and maritime economics. Initially, the market structures and relationships applicable to cruising are considered with particular attention being paid to the linkages between the shipping markets and tourism and leisure. This conceptual analysis suggests that whilst cruising has a strong shipping element it does not fall exclusively within the classic framework of maritime economics but draws from both shipping and tourism and leisure. For reasons of clarity, a number of definitions are also provided covering maritime tourism and leisure, cruising, and supply and demand, as it relates to cruising. Following this, an overview of the cruise industry is included. This focuses primarily on the growth in the demand both world wide and at regional level. In particular, the analysis places the development of cruising in Europe in market perspective. Subsequently, the development of cruising in the UK is examined as a case study. Initially, UK market growth is analysed and it can be seen that the UK is now the second largest cruise market in the world after North America. Projections of the growth in UK demand to 2003 are also provided. The growth in supply is also studied and the UK targeted fleet is identified. In addition, the question of ownership is addressed. The prospects of employment for UK seafarers within the cruise industry are also considered and results obtained from the analysis suggest that it should be possible to increase the participation of UK and other European seafarers within the cruise industry at all levels and in all departments. In the final section of the paper, the position of UK ports as terminals and destinations is evaluated. It is concluded that the fundamentals of the cruise business remain strong, and continued growth by the industry should be possible for the foreseeable future. [ABSTRACT FROM AUTHOR]

Recent developments within the regulation approach have highlighted the importance of discourse in securing the conditions for the stabilisation of new modes of regulation. This paper considers the discursive construction in the UK of Britain's relationship to European integration. Despite claims that the politics of the ‘Third Way’ offer an innovative and coherent framework for New Labour's political strategy, the evidence suggests that discourses of national sovereignty and pragmatic economic national self-interest dominate. In conclusion it is suggested that the development of transnational discursive formations is a necessary precondition for the consolidation of regulatory forms and processes that break with previous nationally focused modes of regulation. [ABSTRACT FROM AUTHOR]

"This paper outlines the context of, and discusses the need for, local information on the demographic patterns and labour market experience of ethnic minority groups in many parts of Britain. The specific focus is on the identification and assessment of the strengths and weaknesses of particular data sources providing spatially disaggregated information on the economic position of ethnic minority groups.", (excerpt)

This paper compares the socioeconomic experiences of Caribbean immigration in Britain and Canada and shows how differing immigration trends together with changing economic circumstances influenced the process of integration. Caribbean immigrants in Canada are more recent arrivals than those in Britain and, in 1981, were still experiencing initial adjustment problems aggravated by an economy in which unemployment is still high. Unlike Britain, which has a large population born in that country of West Indian parentage, the "2nd generation" in Canada is small and mostly still in school. Despite higher levels of education and qualifications than their counterparts in Britain, Caribbean immigrants in Canada faced similar problems. Males were relatively more concentrated in manufacturing industries in Canada and in transportation in Britain, sectors which were undergoing significant structural change and experiencing high levels of unemployment. Earned income was below average in both countries but there were interesting gender differences. Caribbean women experienced the same "earnings gap", relative to men, that characterized most women in the labor force. However, Caribbean women were relatively more successful than men, as measured by unemployment rates and earned incomes. This appears to be due to their qualifications in nursing and other service occupations that continued to expand, and to be in demand in the 1970s and 1980s, when other occupations were declining in response to technological change and "post-industrial" developments. In both countries there were residual disadvantages, faced by Caribbean men and women, which cannot be statistically explained by factors such as age, education, period of immigration, or structural changes in the economy. These can be attributed, at least in part, to the institutionalized prejudice and discrimination against racial minorities which is prevalent in both societies. In absolute terms Caribbean immigrants in Canada are clearly better off than their counterparts in Britain. However, relative to other immigrants, and the native-born population with similar demographic characteristics and educational qualifications, those in Canada experience similar disadvantages.

"The past decade has witnessed a substantial contraction in the size of the Irishborn community in Britain. This paper uses shift share analysis to assess the extent to which job losses amongst the Irish in Britain over the years 1971-1977 may have induced return migration to Ireland. The article concludes that such 'push' factors are likely to have been relatively weak in comparison to the 'pull' of an Irish economy considerably more buoyant than that of Britain.", (excerpt)

Background In responding to Covid-19, governments have tried to balance protecting health while minimizing gross domestic product (GDP) losses. We compare health-related net benefit (HRNB) and GDP losses associated with government responses of the UK, Ireland, Germany, Spain and Sweden from UK healthcare payer perspective. Methods We compared observed cases, hospitalizations and deaths under 'mitigation' to modelled events under 'no mitigation' to 20 July 2020. We thus calculated healthcare costs, quality adjusted life years (QALYs), and HRNB at £20,000/QALY saved by each country. On per population (i.e. per capita) basis, we compared HRNB with forecast reductions in 2020 GDP growth (overall or compared with Sweden as minimal mitigation country) and qualitatively and quantitatively described government responses. Results The UK saved 3.17 (0.32–3.65) million QALYs, £33 (8–38) billion healthcare costs and £1416 (220–1637) HRNB per capita at £20,000/QALY. Per capita, this is comparable to £1455 GDP loss using Sweden as comparator and offsets 46.1 (7.1–53.2)% of total £3075 GDP loss. Germany, Spain, and Sweden had greater HRNB per capita. These also offset a greater percentage of total GDP losses per capita. Ireland fared worst on both measures. Countries with more mask wearing, testing, and population susceptibility had better outcomes. Highest stringency responses did not appear to have best outcomes. Conclusions Our exploratory analysis indicates the benefit of government Covid-19 responses may outweigh their economic costs. The extent that HRNB offset economic losses appears to relate to population characteristics, testing levels, and mask wearing, rather than response stringency. [ABSTRACT FROM AUTHOR]

This paper examines the right to health care. Various expressions of this right may be distinguished. These include both individual rights and social rights which could be based upon international treaties and constitutional rights. They may be found in national health legislation and, in some cases, in jurisprudence. To analyze the consequences of limiting the right to health care, a framework for judicial review has been developed which encompasses these expressions of the right to health care. The framework was used to examine legal and health policy developments in three Western and two Eastern European countries. In Italy and the Netherlands the right to health care is protected constitutionally (but on differing legal bases) while the United Kingdom does not have a written constitution. In contrast, Hungary and Poland have for many years seen the state take responsible for the provision, administration and allocation of health care services and the right to health care was guaranteed theoretically but not in practice because of the lack of (financial) means. However, the Polish Constitution explicitly anticipates possible limitations of the right to health care. What all these countries have in common is a cost containment perspective where the future will bring even tighter limits on what resources patients may consume. Despite differences in legal structure between these countries, where they seem to converge is on the consequences of putting limitations on the right to health care. The courts in Italy, the Netherlands and the UK have formulated conditions drawn from the acceptance that this right has to be judged within the context of limited resources. It may be concluded that finding a compromise between the right to health care and cost containment policies could also be an issue, Eastern European countries will have to face in the future. [ABSTRACT FROM AUTHOR]

Access to reliable and timely information ensures that decision-makers can operate effectively. The motivations and challenges of parliamentarians and policy-makers in accessing evidence have been well documented in the policy literature. However, there has been little focus on research-providers. Understanding both the demand- and the supply-side of research engagement is imperative to enhancing impactful interactions. Here, we examine the broader experiences, motivations and challenges of UK-based research professionals engaging with research-users relevant to policy-making and scrutiny in the UK using a nationwide online questionnaire. The context of the survey partly involved contributing to the UK Evidence Information Service (EIS), a proposed rapid match-making service to facilitate interaction between parliamentary arenas that use evidence and research-providers. Our findings reveal, at least for this sub-sample who responded, that there are gender-related differences in policy-related experience, motivations, incentives and challenges for research professionals to contribute to evidence-informed decision-making through initiatives such as the EIS. Male and female participants were equally likely to have policy experience; however, males reported both significantly broader engagement with the research-users included in the survey and significantly higher levels of engagement with each research-user. Reported incentives for engagement included understanding what the evidence will be used for, guidance on style and content of contribution, and acknowledgement of contributions by the policymaker or elected official. Female participants were significantly more likely to select the guidance-related options. The main reported barrier was workload. We discuss how academia-policy engagement initiatives can best address these issues in ways that enhance the integration of research evidence with policy and practice across the UK. [ABSTRACT FROM AUTHOR]

Background: The Healthy Living Pharmacy (HLP) project, launched in England, UK in 2009 was a novel approach of introducing public health services within community pharmacy to tackle local health inequalities. A national roll-out followed a reported successful pilot; subsequent local evaluations ensued. Objectives: To summarise reported outcomes and investigate contextual factors that indicate the presence, absence and maturity of implementation determinants, thus offering useful lessons to stakeholders in implementing future initiatives to achieve successful outcomes. Methods: A systematic review was conducted to identify all publications reporting on the HLP project. All HLP articles and conference abstracts were considered for inclusion and were assessed for methodological quality. The Consolidated Framework for Implementation Research (CFIR) was utilised to identify potential implementation determinants reported. Each article was then analysed to identify reported economic, humanistic or clinical outcomes. Results: The review included six peer-reviewed journal articles and 12 conference abstracts. Joanna Briggs Institute Qualitative Assessment and Review Instrument indicated deficiencies in methodological quality. Through adoption of the CFIR framework, the implementation determinants relevant to the implementation of HLP into community pharmacy were identified. A resonating issue emerged in that the absence of adopting an evidence-based implementation process limited the ability to capture meaningful outcome data. This resulted in a lack of evidence to support sustainability and the failure to address many of the well cited barriers, e.g. lack of awareness amongst patients, public and other healthcare professionals, and weak support for future investment in resource for training and dissemination. Conclusions: Healthcare systems are increasingly called on to adopt evidence-based interventions that improve quality, control costs, and maximize value, thus offering opportunity to accelerate the implementation of clinical pharmacy services and programs aimed at improving patient care. Interventions, such as the HLP project require focused efforts on implementation and evaluation of those implementation efforts to produce effective and lasting changes in complex health care systems. [ABSTRACT FROM AUTHOR]

Over the past decade, the European defence industry has had to respond to increasing pressures of reduced defence spending, exacerbated more recently by removal of the immediate military threat from the former Soviet Union. Under the "Options for Change", the UK has abandoned certain weapons programmes, while Germany has had the additional economic and social problems brought on by re-unification. The industry's options comprise conversion, diversification or specialization, thus continuing to face structure change and competition from defence imports and "off-the-shelf" systems and equipment. Given the high exit barriers and past "cushioning" of the industry by governments, the presence of skills and know-how to compete effectively is questionable. The case for strategic marketing approach for those suppliers remaining is clear; as buyer (monopsonistic) power strengthens, the threat of new entrants increases and the associated competitive rivalry intensifies. However, the ingrained "defence culture" in many supplier organizations may be an impediment to change. [ABSTRACT FROM AUTHOR]

Treatment of metastatic soft tissue sarcoma ( mSTS) commonly includes multiple lines of chemotherapy, until a decline in performance status precludes further treatment. The primary objective of this study was to describe the lifetime healthcare resource utilisation and cost among mSTS patients with favourable response to chemotherapy. SABINE was a multi-centre ( n = 25), multi-country ( n = 9) retrospective chart review study of mSTS patients with favourable response to chemotherapy following 4 cycles. Healthcare resource utilisation was collected from first line until death or end of follow-up. Costs were analysed by health states (defined by treatment line, chemotherapy use and disease progression) and estimated by multiplying the mean weekly cost per health state by the expected number of weeks spent in each health state. Expected per-patient lifetime medical cost was €65 616 (95% CI: €51 454-€85 003); comprised of IV chemotherapy (31.7%), inpatient care (24.8%), concomitant medication (11.0%), oral chemotherapy (8.9%), outpatient visits (8.8%), radiotherapy (6.3%), hospice (4.0%), imaging (3.7%) and laboratory (0.7%). Weekly costs were 280-330% higher during chemotherapy treatment periods than off-chemotherapy, especially after disease progression. Per-patient costs were highest in the USA and lowest in the Netherlands and UK. The economic burden of mSTS is considerable and the amount of resources devoted to its treatment varies across countries. [ABSTRACT FROM AUTHOR]

Background Relatively little is known about cross-country differences in alcohol affordability or factors that determine differences in affordability over time. This information is potentially important for alcohol policy, especially policies that focus on higher taxes or prices to reduce total alcohol consumption. This study estimates cross-country alcohol consumption relationships using economic models incorporating income and prices and alternative models based on alcohol affordability. The data and analysis are restricted to higher income countries. Methods Data for alcohol consumption per capita (ages 15+) are analyzed for 2 samples: first, 17 countries in the Organisation for Economic Co-operation and Development for the period 1975 to 2000; second, 22 countries in the European Union for the period from 2000 to 2008. Panel data models are utilized, with country and time fixed-effects to control for confounding influences. In economic demand models, covariates are real per capita income and real alcohol price indices. In affordability models, income is divided by prices to yield an index of alcohol affordability. Results Analysis of data trends reveals that much of the increase in affordability is due to rising real incomes, and not falling real prices. Economic models of demand perform slightly better statistically, but differences are not substantial as income and affordability are highly correlated. For both samples, exogenous rates of growth of alcohol consumption are negative. Price and income elasticities, on average, are within the range of prior estimates. Affordability elasticities are between 0.21 and 0.25. Conclusions Although alcohol affordability is a valid concept statistically, its use in policy discussions tends to hide underlying causes of changes in affordability. A better approach is a comparison and analysis of trends and cross-country differences in real incomes and real alcohol prices together with the affordability index. Country-level analysis of income and price elasticities also is required. [ABSTRACT FROM AUTHOR]

Aim: To undertake a systematic literature review to examine the effect of food cost on diet quality and risk factors for chronic disease, specifically focusing on diet-related lifestyle diseases affecting the Australian population. Methods: A search of six databases resulted in the inclusion of one systematic review, three cohort studies, 41 cross-sectional studies and four modelling studies in this review. Results: Between 2000 and 2006, the price of healthy foods has increased more than the price of less healthy foods. Healthy Food Access Basket surveys show that a healthy diet may often be unaffordable for low- and average-income households. Diets of higher energy density were associated with lower diet cost, whereas diets of higher nutrient density and nutritional quality were associated with higher diet cost. Recent studies report an inverse association between food price and food consumption. Consequently, an increase in food cost was associated with a significant reduction in weight, waist circumference, body mass index, obesity and insulin resistance. Conclusions: Manipulation of food cost may alter food consumption and therefore risk factors for chronic disease. Further longitudinal studies investigating the impact of pricing strategies on diet quality and disease risk are needed. [ABSTRACT FROM AUTHOR]

One of the consequences of major regulatory reform of the telecommunications sector from the end of the 1970s - particularly, privatisation, liberalisation and deregulation - was the establishment of a new business environment which permitted former national telecommunications monopolies to expand abroad. From the 1990s, a number of these firms, particularly those based in Europe, joined the rankings of the world's leading multinational corporations. Their internationalisation was uneven, however: while some firms internationalised strongly, others ventured abroad much slower. This article explores how the regulatory framework within which telecommunications incumbents evolved over the long-term shaped their subsequent, uneven, paths to internationalisation. Two case studies representing 'maximum variation' are selected: Telefonica, whose early and unrelenting expansion transformed it into one of the world's most international of multinational corporations, and BT, whose overseas ventures failed and, with eroding domestic market share, forced the firm to partially retreat, becoming the least international of the large European incumbents. Long-term ownership, access to capital, management style and exposure to liberalisation strongly influenced firms' approaches to internationalisation. [ABSTRACT FROM AUTHOR]

This special issue of International Affairs seeks to stimulate more debate and interest in Britain on North Africa. This relatively neglected area of British foreign policy has largely been funneled through the European Union (EU), where the focus of policy has been on preventive security, above all policing against illegal migration and the spread of radicalism and terrorism. The main driver for regional change and potential insecurity is now demographic, evident in the high levels of youth unemployment across North Africa. In facing the challenge of leadership successions over the next decade, it is in the interest of the EU, and in turn, Britain, to engage more closely with North Africa's younger generations to ensure the region's longer term security and stability. Britain has few strong bilateral links with North African societies, however, with the exception of private sector investments in the energy sector and security cooperation. New investment opportunities and a demand for English language and other forms of training for employment could put Britain at an advantage in responding to North African demands for diversified international relationships. A greater focus is also needed on local development opportunities to assist new actors to assume their own economic and political roles, as a better means of delivering security and jobs than relying on central states to deliver both. The articles in this special issue offer new insights into developments in the region, as well as analyses of European and American policy responses to the challenges identified. A common theme is that the region has been held back by a combined lack of institutional safeguards and political participation, with negative impacts on the spread of the economic benefits of higher growth rates and investment. Authoritarian leaderships have proved reliable partners for the EU and Britain in the past, but will they continue to do so in future? [ABSTRACT FROM AUTHOR]

This article examines British preferences on European monetary integration. It challenges dominant theories of preference formation, suggesting an alternative explanation focusing on governmental majority. Empirical evidence is presented on both UK economic behaviour and the views of domestic economic interests, as well as government majority. The article also analyses first and second-hand accounts of the main players involved in three cases: the decision not to join the Exchange Rate Mechanism in 1979, the decision to join the ERM in 1990, and the decision to opt out of stage 3 of Economic and Monetary Union. [ABSTRACT FROM AUTHOR]

A serious academic concern with Europe has emerged amongst a few American institutions and authors. Great Britain's economy, for instance, has been the subject of two important and influential studies conducted by the Brookings Institution. The functionalist emphasis on political life being an organic whole in which institutions function to re-produce that whole is thought to be both too robust and perhaps, at another level, not quite robust enough to specify the manner in which economic policy is derived. It makes too robust a claim, it is argued, in that the outcomes of state intervention have been variable between countries and not necessarily successful in re-producing the economy. This rather than being all of a kind and deemed successful in the task, as would be implied by functionalist theory. Secondly it has not been quite robust enough, it is suggested, in that its dys-functional variant can only specify an ad hoc, transitory relationship between economic problems and the adequate means brought to bear on them by the state, in which the social system or structure causes the institutional adaption and agent behavior rather than the reverse.

Background: Migraine is a distinct neurological disease that imposes a significant burden on patients, society, and the healthcare system. This study aimed to characterize the incremental burden of migraine in individuals who suffer from ≥4 monthly headache days (MHDs) by examining health-related quality of life (HRQoL), impairments to work productivity and daily activities, and healthcare resource utilization (HRU) in the EU5 (France, Germany, Italy, Spain, United Kingdom).Methods: This retrospective cross-sectional study used data from the 2016 National Health and Wellness Survey (NHWS; N = 80,600). Short-Form 36-Item Health Survey, version 2 (SF-36v2) physical and mental component summary scores (PCS and MCS), Short-form-6D (SF-6D), and EuroQoL (EQ-5D), impairments to work productivity and daily activities (Work Productivity and Activity Impairment Questionnaire (WPAI), and HRU were compared between migraine respondents suffering from ≥4 MHDs (n = 218) and non-migraine controls (n = 218) by propensity score matching using sociodemographic characteristics. Chi-square, T-tests, and Mann-Whitney tests were performed to determine significant differences between the groups after propensity score matching.Results: HRQoL was lower in migraine individuals suffering from ≥4 MHDs compared with non-migraine controls, with reduced SF-36v2 PCS (46.00 vs 50.51) and MCS (37.69 vs 44.82), SF-6D health state utility score (0.62 vs 0.71), and EQ-5D score (0.68 vs 0.81) (for all, p < 0.001). Respondents with migraine suffering from ≥4 MHDs also reported higher levels of absenteeism from work (14.43% vs 9.46%; p = 0.001), presenteeism (35.52% vs 20.97%), overall work impairment (38.70% vs 23.27%), and activity impairment (44.17% vs 27.75%) than non-migraine controls (for all, p < 0.001). Additionally, HRU was significantly higher for individuals with ≥4 MHDs compared to their matched controls. Consistently, migraine subgroups (4-7 MHDs, 8-14 MHDs and CM) had lower HRQoL, greater overall work and activity impairment, and higher HRU compared to non-migraine controls.Conclusions: Migraine of ≥4 MHDs was associated with poorer HRQoL, greater work productivity loss, and higher HRU compared with non-migraine controls. The findings of the study suggest that an unmet need exists among individuals suffering from ≥4 MHDs in the EU5 suggesting the need for effective prophylactic treatments to lessen the humanistic and economic burden of migraine. [ABSTRACT FROM AUTHOR]

An introduction is presented in which the editor discusses various reports within the issue on topics including the comparison of self-rated health in Poland with Greece, the suicide rates evaluated in Spain, and the evaluation of values and principles in decision making.