Transitions by Agreement: Modeling the Spanish Way

1991 ◽  
Vol 85 (4) ◽  
pp. 1283-1302 ◽  
Author(s):  
Josep M. Colomer

Several nonrevolutionary cases of transition to democracy are modeled. Different preferences and strategic choices between the alternatives of continuity, reform, and rupture of the authoritarian regime are used to define conventional distinctions between hard-liners, soft-liners, and opposition more precisely. Six groups of actors emerge. Using game theory, the interactions among these actors are formally analyzed. The possibility of political pact in the first phase of change is identified with the possibility of cooperation between players in games in which the equilibrium is a deficient outcome. Three models of transition by agreement are established: agreed reform within the ruling bloc, controlled opening to the opposition, and sudden collapse of the authoritarian regime. Each of these models entails differences in the pace of change and in the limits of the pact and can be associated with different cases of transition in Southern Europe, Latin America, and Eastern Europe.

Author(s):  
Paul D. Kenny

This chapter sets out the puzzle at the center of the book: what explains the success of populist campaigners in India, Asia, and beyond? It summarizes the existing literature on populist success both in Latin America and Western Europe and argues that these explanations do a poor job of explaining Indian and Asian cases in particular. Populists win elections when the institutionalized ties between non-populist parties and voters decay. However, because different kinds of party systems experience distinct stresses and strains, we need different models of populist success based on the prevailing party­–voter linkage system in place in any given country. The chapter then sets out the rationale for concentrating on explaining populist success in patronage-based party systems, which are common not only to Asia, but also to Latin America and Eastern Europe.


Author(s):  
Neha J Pagidipati ◽  
Ann Marie Navar ◽  
Karen S Pieper ◽  
Jennifer B Green ◽  
M. A Bethel ◽  
...  

Background: Intensive risk factor modification significantly improves outcomes for patients with diabetes and cardiovascular disease (CVD). However, the degree to which secondary prevention treatment targets are achieved in international clinical practice is unknown. Methods: Attainment of 5 secondary prevention targets—aspirin use, lipid control (low-density lipoprotein cholesterol (LDL-C) <70 mg/dL or statin therapy), blood pressure control (<140 mmHg systolic, <90 mmHg diastolic), angiotensin-converting enzyme inhibitor or angiotensin receptor blocker use, and non-smoking status—was evaluated among 14,671 patients from 38 countries with diabetes and known CVD at entry into TECOS. Logistic regression was used to evaluate the association between individual and regional factors and target achievement. Results: Overall, 29.9% of patients with diabetes and CVD had all 5 secondary prevention measures at target. North America had the highest proportion (41.2%), whereas Western Europe, Eastern Europe, and Latin America had proportions of approximately 25%. The likelihood of having individual prevention components at target also varied by region: compared with North America, individuals in all other regions were less likely to have blood pressure at goal, and individuals in Eastern Europe and Latin America were less likely to have LDL-C at target or to be on statin therapy (see Figure). Overall, blood pressure control (57.9%) had the lowest overall attainment while non-smoking status had the highest (89%). Conclusions: On a global scale, significant opportunities exist to improve the quality of cardiovascular secondary prevention care among patients with diabetes and CVD, which in turn could lead to reduced risk of downstream cardiovascular events.


Sign in / Sign up

Export Citation Format

Share Document