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Dictionary of Evidence-based Medicine.pdf

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<strong>Dictionary</strong> <strong>of</strong> <strong>Evidence</strong>-<strong>based</strong> <strong>Medicine</strong> 131<br />

freely. Examples <strong>of</strong> such goods are houses and cars. Quasi-private goods<br />

are similar to private goods except that they are not freely traded in competitive<br />

markets. Examples are public libraries and park amenities (Mitchell<br />

RC, Carson RT (1989) Using surveys to value public goods: the contingent<br />

valuation method. Resources for the Future, Washington DC).<br />

Public interest detailing (see Academic detailing)<br />

Publication bias<br />

The bias which arises when positive results are published while negative<br />

or null results are not (see File drawer problem and Funnel plot).<br />

Purchasing power<br />

The purchasing power <strong>of</strong> a currency (PPC) is the amount <strong>of</strong> goods that it<br />

will purchase in its home economy. A conversion rate between currencies<br />

can therefore be <strong>based</strong> on what one currency unit (e.g. US$) will buy in<br />

its home economy (the USA) and working out how many currency units<br />

(e.g. Yen) would be required in another country (Japan) to buy the same<br />

amount <strong>of</strong> goods. The US$ is <strong>of</strong>ten used as the reference currency unit<br />

for such comparisons. A PPC-<strong>based</strong> conversion rate is therefore not the<br />

same as the market rate as the former takes account <strong>of</strong> cost <strong>of</strong> living in the<br />

different countries. However, a key component <strong>of</strong> international economic<br />

analysis is the theory <strong>of</strong> purchasing power parity which says that in the<br />

long run, a US$ should purchase as much in the USA as anywhere else in<br />

the world after adjustment for transportation costs and therefore, in the<br />

long run, changes in exchange rates reflect relative inflation rates. Economic<br />

statistics such as the gross domestic product (GDP) are <strong>of</strong>ten<br />

reported in terms <strong>of</strong> both market rates and PPC.<br />

Use <strong>of</strong> PPC produces some surprising rankings. For example, in the<br />

World Bank report for 1995, while the USA has the highest world GDP at<br />

both PPC and market exchange rates, China moves from seventh position<br />

<strong>based</strong> on market exchange rates to second position using PPC. India<br />

similarly moves from 15th position to fifth position. The PPC is <strong>of</strong>ten<br />

referred to as the purchasing power parity in the popular literature.

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