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Cooperative Solutions for Sustainable Resource Management.

/ Many environmental management issues can be defined as allocation problems, e.g., the allocation of rights to use common-pool resources or the allocation of the cost of regional resource development projects. The allocation methods developed in the area of cooperative n-person game theory are most appropriate for these problems because they focus on the conditions for engendering and sustaining the necessary cooperation among the involved stakeholders. These solution concepts seek to ensure that the allocation is based on some norm of equity and, most often, also to minimize the incentive for any player to defect from the cooperative venture. We illustrate these solution concepts with an application to a water resource project in Southern California. We argue how the rigorous mathematical nature of these solution concepts should not hinder their application to actual situations and how, with the use of heuristic rules and inexact notions of comparable worths, we can employ these concepts even in approximate fashion. We remind ourselves that the goal of such an endeavor is to convince stakeholders of the equity of a proposed solution and, in so doing, maximize the prospect of sustained cooperation. The alternative to cooperation, on the other hand, may be endless stalemate.KEY WORDS: Core; Game theory; Equity; Common-pool resources; Sustainabilityhttp://link.springer-ny.com/link/service/journals/00267/bibs/24n2p167.html

Journal Article↗

Effects of modification of the allocation system on ischemia duration and costs of heart transplantation. Transplantation Cooperation UNI-NRW.

BACKGROUND: In order to optimize regional utilization of transplantable thoracic organs, the seven university hospitals in North-Rhine-Westfalia have formed a transplant cooperation meanwhile approved by Eurotransplant. METHODS: Heart transplant and organ donation activities of the cooperating hospitals in the year before the foundation of the cooperation (period A, 7/95 - 6/96) and in the year thereafter (period B, 7/96 - 6/97) were retrospectively analysed. RESULTS: In period A, a total of 39 heart transplants and 74 heart donations were performed, whereas in period B 67 heart transplantations and 78 heart donations could be achieved. The regional utilization of the donor organs increased from 4% to 30% with a significantly shorter ischemia time of regionally or locally allocated donor hearts than of nationally or internationally allocated ones. CONCLUSIONS: A high rate of regional or local heart transplant procedures with short ischemia times clearly demonstrate the benefits of a regionalization of heart transplant medicine for medical as well as economical reasons.

Cost-Benefit Analysis↗

Intra-family bargaining and time allocation.

"This paper investigates a new empirical implication of the cooperative bargaining model of family decision-making: the effect of threat point variations on time allocation decisions of the husband and wife....The bargaining model examined in this paper utilizes the cooperative game theory approach which assumes, among other things, that both players (spouses) know each other's utility function. With many family decisions such as marital dissolution, timing and spacing of children, labor market entry or reentry for the wife, it is not necessarily true that the preferences of each spouse are accurately known by the other.... In the context of the two-period model sketched out in this paper, bargaining between husband and wife over the extent of human capital investment for the wife, and the time allocation tradeoffs necessary to attain such an investment might be fruitfully modelled in a noncooperative framework." Data are from a variety of sources, including a University of Michigan study of couples' time-allocation patterns in 37 U.S. states and the District of Columbia.

Americas↗

Does availability of mental health resources prevent recurrent suicidal behavior? An ecological analysis.

This study examines whether availability of mental health resources in the county of residence is associated with subsequent suicidal behavior after a previous suicide attempt. Among 10,922 individuals who attempted suicide in Colorado between 1998 and 2002, residence in a county that offered a minimum safety-net of mental health services significantly reduced the risk of suicidal behavior for at least 1 year after the index attempt. Safety-net services included mental health treatment, crisis treatment, and case management. These results suggest one strategy for prevention of suicidal behavior that could inform state-level health policy development and resource allocation.

Adolescent↗

[Spanish international cooperation in health].

In this chapter, there is a view of the relationships between the Spanish policy for international cooperation aid and the main health problems of the developing world, with a gender perspective. The population health is a result of the development inequity between rich and poor countries. The international institutions have established the frame and priorities of the cooperation aid, being poverty eradication the main priority. The compromise of the Millennium Conference was to reduce in 2/3 child mortality and 3/4 maternal mortality before year 2015, to stop and reduce HIV-AIDS, malaria and others serious diseases as tuberculosis and to facilitate developing countries the access to drugs. Although the resources allocated, the total amount for cooperation has been reduced 30% during the last years. The Spanish AOD in health is difficult to account because it is considered among social basic services and it is not addressed to solve the main health problems in the poorest countries.

Developing Countries↗

The dynamics of trust: comparing humans to automation.

Complex industrial environments involve cooperation between operators and automation. The strategies used to allocate tasks to automation are a crucial component of that cooperation and are known to be affected by the operators' trust in the automation. In 2 simulated process control experiments, the authors compared trust in automation with trust in human partners in equivalent situations. Experiment 1 found the relationship between trust and task allocation to be qualitatively identical, but quantitatively attenuated, for human partners as compared with automation. Experiment 2 additionally identified the operators' trustworthiness, as they thought it would be perceived by a human partner, as crucial to task allocation under human collaboration but not under automation. The results imply that human collaboration benefits from calibration of people's assessment of how others perceive them.

Adult↗

Justice within social dilemmas.

The defining feature of social dilemma situations is the inherent conflict faced by those involved: should one act in his or her own individual best interest or sacrifice a measure of one's personal payoff to help maximize the joint payoff of the group as a whole? In such dilemmas, those making individualistic and defecting choices are always at a competitive advantage relative to those who choose to cooperate. One seemingly inevitable consequence of the resulting resource allocation asymmetry is that it must challenge and threaten the cooperator's sense of fairness and justice, and it is the reaction of those caught in social dilemmas to this injustice and unfairness that is the focus of this article. We examine how justice processes-distributive justice, procedural justice, restorative justice, and retributive justice-operate in social dilemmas. Within this examination, we consider ideas from classic and contemporary conceptual analyses of justice to provide a broader context within which to understand social dilemmas and the roles that justice plays as people strive to ensure fair outcomes for themselves and for others. We conclude with the proposal of a 4-stage, sequential model of justice in social dilemmas that posits groups move between the types of justice concerns when unfair and unsatisfactory outcomes (e.g., inequitable resource allocations, violations of agreed-on allocation rules, intentional and egregious exploitation of the group) cause members to "recognize the necessity" for change to ensure fair and just outcomes for all.

Conflict, Psychological↗

[The National Tuberculosis Control Program in Madagascar].

In 1991, the National Tuberculosis Control Program could start in Madagascar, thanks to the financial support of the French Cooperation. Within 3 years, this allocation of resources allowed the management, respecting the new standards, of 56% of the country's health structures and of more than 75% of the sick. The number of detected and treated patients increased of 80%. During the same period, the recovery rate increased from less than 35% to more than 65%. Those primary results were satisfactory in terms of working but they were not enough in epidemiological terms as the aims were still far: the detection rate of smear-positive pulmonary tuberculosis was 40% whereas it ought be 60%, and their recovery rate was 65% whereas it ought to be over 80%. The geographic extension of the Program and its progress depend on a structural strengthening needing an obvious political will and on the intervention of financial partners cooperating with France and willing to set up a long lasting partnership.

Financial Support↗

Clinical results of an organ procurement organization effort to increase utilization of donors after cardiac death.

BACKGROUND: To stimulate organ donation, an organ procurement organization (OPO)-wide effort was undertaken to increase donors after cardiac death (DCD) over a 5-year period. This included commonality of protocols, pulsatile perfusion of kidneys, centralization of data and a regional allocation variance designed to minimize cold ischemia times and encourage adoption of DCD protocols at transplant centers. RESULTS: In one OPO, eight centers initiated DCD programs in 11 hospitals. A total of 52 DCD donors were procured, increasing from four in 1999 to 21 in 2003. Eleven donors had care withdrawn in the operating room, whereas 41 had care withdrawn in the ICU. In all, 91 patients received renal transplants from these 52 donors (12 kidneys discarded, one double transplant), whereas 5 patients received liver transplants. One-, two-, and three-year kidney graft survival rates were 90%, 90%, and 82%, respectively. Fifty-five percent of patients needed at least one session of hemodialysis postoperatively. Mean recipient hospital length of stay was 11.1+/-6 days. Mean creatinine levels at 3, 6, 12, and 24 months were 1.65, 1.40, 1.41, and 1.40, respectively. CONCLUSIONS: DCD donors can be an important source of donor organs and provide excellent overall outcomes. Regional cooperation and a prospectively considered allocation and distribution system are important considerations in stimulating DCD programs.

Adult↗

The costs and benefits of undoing egocentric responsibility assessments in groups.

Individuals working in groups often egocentrically believe they have contributed more of the total work than is logically possible. Actively considering others' contributions effectively reduces these egocentric assessments, but this research suggests that undoing egocentric biases in groups may have some unexpected costs. Four experiments demonstrate that members who contributed much to the group outcome are actually less satisfied and less interested in future collaborations after considering others' contributions compared with those who contributed little. This was especially true in cooperative groups. Egocentric biases in responsibility allocation can create conflict, but this research suggests that undoing these biases can have some unfortunate consequences. Some members who look beyond their own perspective may not like what they see.

Altruism↗