Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 10 de 10
Filtrar
Mais filtros

Base de dados
Tipo de documento
Intervalo de ano de publicação
1.
Theor Popul Biol ; 155: 51-66, 2024 02.
Artigo em Inglês | MEDLINE | ID: mdl-38128836

RESUMO

About 50 years ago, Keyfitz (1971) asked how much further a growing human population would increase if its fertility rate were immediately to be reduced to replacement level and remain there forever. The reason for demographic momentum is an age-structure inertia due to relatively many potential parents because of past high fertility. Although nobody expects such a miraculous reduction in reproductive behavior, a gradual decline in fertility in rapidly growing populations seems inevitable. As any delay in fertility decline to a stationary level leads to an increase in the momentum, it makes sense to think about the timing and the quantum of the reduction in reproduction. More specifically, we consider an intertemporal trade-off between costly pro- and anti-natalistic measures and the demographic momentum at the end of the planning period. This paper uses the McKendrick-von Foerster partial differential equation of age-structured population dynamics to study a sketched problem in a distributed parameter control framework. Among the results obtained by applying an appropriate extension of Pontryagin's Maximum Principle are the following: (i) monotony of adaptation efforts to net reproduction rate and convex decrease/concave increase (if initial net reproduction rate exceeds 1/is below 1); and (ii) oscillating efforts and reproduction rate if, additionally, the size of the total population does not deviate from a fixed level.


Assuntos
Coeficiente de Natalidade , Crescimento Demográfico , Humanos , Demografia , Dinâmica Populacional , Fertilidade
2.
J Math Econ ; 93: 102489, 2021 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-33558783

RESUMO

One of the principal ways nations are responding to the COVID-19 pandemic is by locking down portions of their economies to reduce infectious spread. This is expensive in terms of lost jobs, lost economic productivity, and lost freedoms. So it is of interest to ask: What is the optimal intensity with which to lockdown, and how should that intensity vary dynamically over the course of an epidemic? This paper explores such questions with an optimal control model that recognizes the particular risks when infection rates surge beyond the healthcare system's capacity to deliver appropriate care. The analysis shows that four broad strategies emerge, ranging from brief lockdowns that only "smooth the curve" to sustained lockdowns that prevent infections from spiking beyond the healthcare system's capacity. Within this model, it can be optimal to have two separate periods of locking down, so returning to a lockdown after initial restrictions have been lifted is not necessarily a sign of failure. Relatively small changes in judgments about how to balance health and economic harms can alter dramatically which strategy prevails. Indeed, there are constellations of parameters for which two or even three of these distinct strategies can all perform equally well for the same set of initial conditions; these correspond to so-called triple Skiba points. The performance of trajectories can be highly nonlinear in the state variables, such that for various times t , the optimal unemployment rate could be low, medium, or high, but not anywhere in between. These complex dynamics emerge naturally from modeling the COVID-19 epidemic and suggest a degree of humility in policy debates. Even people who share a common understanding of the problem's economics and epidemiology can prefer dramatically different policies. Conversely, favoring very different policies is not evident that there are fundamental disagreements.

3.
Eur J Oper Res ; 246(1): 281-292, 2015 Oct 01.
Artigo em Inglês | MEDLINE | ID: mdl-26435573

RESUMO

The paper studies the incumbent-entrant problem in a fully dynamic setting. We find that under an open-loop information structure the incumbent anticipates entry by overinvesting, whereas in the Markov perfect equilibrium the incumbent slightly underinvests in the period before the entry. The entry cost level where entry accommodation passes into entry deterrence is lower in the Markov perfect equilibrium. Further we find that the incumbent's capital stock level needed to deter entry is hump shaped as a function of the entry time, whereas the corresponding entry cost, where the entrant is indifferent between entry and non-entry, is U-shaped.

4.
PLoS One ; 17(9): e0273557, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36054113

RESUMO

Immediately after the start of the COVID-19 pandemic in Early 2020, most affected countries reacted with strict lockdown to limit the spread of the virus. Since that time, the measures were adapted on a short time basis according to certain numbers (i.e., number of infected, utilization of intensive care units). Implementing a long-term optimal strategy was not possible since a forecast when R&D will succeed in developing an effective vaccination was not available. Our paper closes this gap by assuming a stochastic arrival rate of the COVID-19 vaccine with the corresponding change in the optimal policy regarding the accompanying optimal lockdown measures. The first finding is that the lockdown should be intensified after the vaccine approval if the pace of the vaccination campaign is rather slow. Secondly, the anticipation of the vaccination arrival also leads to a stricter lockdown in the period without vaccination. For both findings, an intuitive explanation is offered.


Assuntos
COVID-19 , COVID-19/epidemiologia , COVID-19/prevenção & controle , Vacinas contra COVID-19 , Controle de Doenças Transmissíveis , Humanos , Pandemias/prevenção & controle , SARS-CoV-2
5.
J Public Econ Theory ; 2022 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-35942308

RESUMO

During the COVID-19 pandemic countries invested significant amounts of resources into its containment. In early stages of the pandemic most of the (nonpharmaceutical) interventions can be classified into two groups: (i) testing and identification of infected individuals, (ii) social distancing measures to reduce the transmission probabilities. Furthermore, both groups of measures may, in principle, be targeted at certain subgroups of a networked population. To study such a problem, we propose an extension of the SIR model with additional compartments for quarantine and different courses of the disease across several network nodes. We develop the structure of the optimal allocation and study a numerical example of three symmetric regions that are subject to an asymmetric progression of the disease (starting from an initial hotspot). Key findings include that (i) for our calibrations policies are chosen in a "flattening-the-curve," avoiding hospital congestion; (ii) policies shift from containing spillovers from the hotspot initially to establishing a symmetric pattern of the disease; and (iii) testing that can be effectively targeted allows to reduce substantially the duration of the disease, hospital congestion and the total cost, both in terms of lives lost and economic costs.

6.
J Math Econ ; 47(4-5): 627-641, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-28298810

RESUMO

We study socially vs individually optimal life cycle allocations of consumption and health, when individual health care curbs own mortality but also has a spillover effect on other persons' survival. Such spillovers arise, for instance, when health care activity at aggregate level triggers improvements in treatment through learning-by-doing (positive externality) or a deterioration in the quality of care through congestion (negative externality). We combine an age-structured optimal control model at population level with a conventional life cycle model to derive the social and private value of life. We then examine how individual incentives deviate from social incentives and how they can be aligned by way of a transfer scheme. The age-patterns of socially and individually optimal health expenditures and the transfer rate are derived. Numerical analysis illustrates the working of our model.

7.
Theor Popul Biol ; 77(3): 164-70, 2010 May.
Artigo em Inglês | MEDLINE | ID: mdl-20096297

RESUMO

We show that in a large class of distributed optimal control models (DOCM), where population is described by a McKendrick type equation with an endogenous number of newborns, the reproductive value of Fisher shows up as part of the shadow price of the population. Depending on the objective function, the reproductive value may be negative. Moreover, we show results of the reproductive value for changing vital rates. To motivate and demonstrate the general framework, we provide examples in health economics, epidemiology, and population biology.


Assuntos
Modelos Teóricos , Reprodução , Animais , Infecções por HIV/epidemiologia , Infecções por HIV/prevenção & controle , Humanos , Recém-Nascido , Comportamento Predatório
8.
J Optim Theory Appl ; 184(3): 1065-1082, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32103838

RESUMO

The paper presents a transformation of a multi-stage optimal control model with random switching time to an age-structured optimal control model. Following the mathematical transformation, the advantages of the present approach, as compared to a standard backward approach, are discussed. They relate in particular to a compact and unified representation of the two stages of the model: the applicability of well-known numerical solution methods and the illustration of state and control dynamics. The paper closes with a simple example on a macroeconomic shock, illustrating the workings and advantages of the approach.

9.
Economist (Leiden) ; 168(2): 215-257, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32624586

RESUMO

We study medical progress within a two-sector economy of overlapping generations subject to endogenous mortality. Individuals demand health care with a view to lowering mortality over their life-cycle. We characterise the individual optimum and the general equilibrium, and study the impact of a major medical innovation leading to an improvement in the effectiveness of health care. We find that general equilibrium effects dampen strongly the increase in health care usage following medical innovation. Moreover, an increase in savings offsets the negative impact on GDP per capita of a decline in the support ratio. Finally, we show that the reallocation of resources between the final goods and health care sector, following the innovation, plays a crucial role in shaping the general equilibrium impact.

10.
PLoS One ; 15(12): e0243413, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33264368

RESUMO

Nations struggled to decide when and how to end COVID-19 inspired lockdowns, with sharply divergent views between those arguing for a resumption of economic activity and those arguing for continuing the lockdown in some form. We examine the choice between continuing or ending a full lockdown within a simple optimal control model that encompasses both health and economic outcomes, and pays particular attention to when need for care exceeds hospital capacity. The model shows that very different strategies can perform similarly well and even both be optimal for the same relative valuation on work and life because of the presence of a so-called Skiba threshold. Qualitatively the alternate strategies correspond to trying essentially to eradicate the virus or merely to flatten the curve so fewer people urgently need healthcare when hospitals are already filled to capacity.


Assuntos
COVID-19/epidemiologia , Quarentena/métodos , COVID-19/mortalidade , COVID-19/prevenção & controle , COVID-19/transmissão , Política de Saúde , Humanos , Modelos Estatísticos , Fatores de Tempo
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA