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Article

The Implications of School Assignment Mechanisms for Efficiency and Equity  

Atila Abdulkadiroğlu

Parental choice over public schools has become a major policy tool to combat inequality in access to schools. Traditional neighborhood-based assignment is being replaced by school choice programs, broadening families’ access to schools beyond their residential location. Demand and supply in school choice programs are cleared via centralized admissions algorithms. Heterogeneous parental preferences and admissions policies create trade-offs among efficiency and equity. The data from centralized admissions algorithms can be used effectively for credible research design toward better understanding of school effectiveness, which in turn can be used for school portfolio planning and student assignment based on match quality between students and schools.

Article

Incentives and Performance of Healthcare Professionals  

Martin Chalkley

Economists have long regarded healthcare as a unique and challenging area of economic activity on account of the specialized knowledge of healthcare professionals (HCPs) and the relatively weak market mechanisms that operate. This places a consideration of how motivation and incentives might influence performance at the center of research. As in other domains economists have tended to focus on financial mechanisms and when considering HCPs have therefore examined how existing payment systems and potential alternatives might impact on behavior. There has long been a concern that simple arrangements such as fee-for-service, capitation, and salary payments might induce poor performance, and that has led to extensive investigation, both theoretical and empirical, on the linkage between payment and performance. An extensive and rapidly expanded field in economics, contract theory and mechanism design, had been applied to study these issues. The theory has highlighted both the potential benefits and the risks of incentive schemes to deal with the information asymmetries that abound in healthcare. There has been some expansion of such schemes in practice but these are often limited in application and the evidence for their effectiveness is mixed. Understanding why there is this relatively large gap between concept and application gives a guide to where future research can most productively be focused.