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Health Economics

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https://www.readbyqxmd.com/read/28436139/improving-scope-sensitivity-in-contingent-valuation-joint-and-separate-evaluation-of-health-states
#1
José Luis Pinto-Prades, José Antonio Robles-Zurita, Fernando-Ignacio Sánchez-Martínez, José María Abellán-Perpiñán, Jorge Martínez-Pérez
We present data of a contingent valuation survey, testing the effect of evaluation mode on the monetary valuation of preventing road accidents. Half of the interviewees was asked to state their willingness to pay (WTP) to reduce the risk of having only 1 type of injury (separate evaluation, SE), and the other half of the sample was asked to state their WTP for 4 types of injuries evaluated simultaneously (joint evaluation, JE). In the SE group, we observed lack of sensitivity to scope while in the JE group WTP increased with the severity of the injury prevented...
April 24, 2017: Health Economics
https://www.readbyqxmd.com/read/28425680/adaptation-to-health-states-sick-yet-better-off
#2
Patricia Cubí-Mollá, Mireia Jofre-Bonet, Victoria Serra-Sastre
Healthcare funding decisions in the UK rely on health state valuations of the general public. However, it has been shown that there is disparity between the valuation of the impact of hypothetical conditions on health and the reported health by those experiencing them. Patients' adaptation to health states is among the most common explanations for this discrepancy. Being diagnosed with a disease appears to affect individual perception of health over time so that better subjective health may be reported over a disease trajectory...
April 20, 2017: Health Economics
https://www.readbyqxmd.com/read/28421691/the-impact-of-maternal-employment-on-children-s-adiposity-evidence-from-china-s-labor-policy-reform
#3
Young Jo, Qing Wang
BACKGROUND: China has experienced a rapid growth in childhood adiposity in recent years. Although a large number of studies examine the effect of maternal employment on children's adiposity in developed countries, only a few studies investigate the issue in developing countries. Moreover, existing studies tend to suffer from a potential endogeneity issue. AIMS: We provide new evidence on the causal effect of maternal employment on children's adiposity in China. MATERIALS AND METHODS: We employ a difference-in-difference strategy that takes advantage of China's 1995 legislative change to labor regulations, which reduced the number of workdays from 6 to 5 days per week...
April 19, 2017: Health Economics
https://www.readbyqxmd.com/read/28387427/love-conquers-all-but-nicotine-spousal-peer-effects-on-the-decision-to-quit-smoking
#4
Ali Palali, Jan C Van Ours
If two partners smoke, their quit behavior may be related through correlation in unobserved individual characteristics and through common shocks. However, there may also be a causal effect whereby the quit behavior of one partner is affected by the quit decision of the other partner. If so, there is a spousal peer effect on the decision to quit smoking. We use data containing retrospective information of Dutch partnered individuals about their age of onset of smoking and their age of quitting smoking. We estimate mixed proportional hazard models of starting rates and quit rates of smoking in which we allow unobserved heterogeneity to be correlated across partners...
April 7, 2017: Health Economics
https://www.readbyqxmd.com/read/28370758/market-environment-and-medicaid-acceptance-what-influences-the-access-gap
#5
Amelia Bond, William Pajerowski, Daniel Polsky, Michael R Richards
The U.S. health care system is undergoing significant changes. Two prominent shifts include millions added to Medicaid and greater integration and consolidation among firms. We empirically assess if these two industry trends may have implications for each other. Using experimentally derived ("secret shopper") data on primary care physicians' real-world behavior, we observe their willingness to accept new privately insured and Medicaid patients across 10 states. We combine this measure of patient acceptance with detailed information on physician and commercial insurer market structure and show that insurer and provider concentration are each positively associated with relative improvements in appointment availability for Medicaid patients...
March 28, 2017: Health Economics
https://www.readbyqxmd.com/read/28345272/population-health-and-the-economy-mortality-and-the-great-recession-in-europe
#6
José A Tapia Granados, Edward L Ionides
We analyze the evolution of mortality-based health indicators in 27 European countries before and after the start of the Great Recession. We find that in the countries where the crisis has been particularly severe, mortality reductions in 2007-2010 were considerably bigger than in 2004-2007. Panel models adjusted for space-invariant and time-invariant factors show that an increase of 1 percentage point in the national unemployment rate is associated with a reduction of 0.5% (p < .001) in the rate of age-adjusted mortality...
March 27, 2017: Health Economics
https://www.readbyqxmd.com/read/28345167/a-dynamic-estimation-of-obesity-using-nhanes-data-a-pseudo-panel-approach
#7
Michelle Saksena, Norman Maldonado
In this analysis, we examine the effect of wages on obesity by constructing pseudo-panels to conduct a dynamic estimation of Grossman's human capital model. The results indicate that wages have an increasing effect on obesity status. After accounting for past health status, the protective effect of wages commonly disseminated in the literature reverses on obesity status. The results may also indicate possible asymmetric consumption behavior between foods/nutrients that improve diet quality versus those that degrade it...
March 27, 2017: Health Economics
https://www.readbyqxmd.com/read/28322480/re-thinking-the-different-perspectives-that-can-be-used-when-eliciting-preferences-in-health
#8
Aki Tsuchiya, Verity Watson
The 2003 Health Economics paper by Dolan, Olsen, Menzel and Richardson on 'An inquiry into the different perspectives that can be used when eliciting preferences in health' presents a conceptual framework of six perspectives along two dimensions: preferences (personal, social, and socially inclusive personal) and context (ex ante and ex post). The objective of our paper is to re-think this framework. We ask four questions concerning: the patient, or the user of the treatment; the payer of the treatment; the assessor of the value of treatment; and the timing of the illness and the nature of its risk...
March 21, 2017: Health Economics
https://www.readbyqxmd.com/read/28322479/the-impact-of-adverse-health-events-on-consumption-understanding-the-mediating-effect-of-income-transfers-wealth-and-health-insurance
#9
Patryk Babiarz, Tansel Yilmazer
Using data from the Panel Study of Income Dynamics for years 1999-2013, we investigate the impact of physical and mental illnesses on household consumption and financial status. In comparison to severe physical health problems, mental illnesses lead to larger decreases in labor income. Increases in public and private transfers following the onset of a mental illness do not completely offset the decline in labor income. Consequently, we find a significant decrease in consumption expenditures after the household head experiences a mental problem...
March 21, 2017: Health Economics
https://www.readbyqxmd.com/read/28321959/the-impact-of-the-eligibility-threshold-of-a-french-means-tested-health-insurance-programme-on-doctor-visits-a-regression-discontinuity-analysis
#10
Sophie Guthmuller, Jérôme Wittwer
This paper assesses the impact of eligibility for a free means-tested complementary health insurance plan, called Couverture Maladie Universelle Complémentaire (CMUC), on doctor visits. We use information on the selection rule to qualify for the plan to identify the effect of eligibility and adopt a regression discontinuity approach. Our sample consists of low-income individuals enrolled in the Health Insurance Fund and recipients of social benefits from the Family Allowance Fund of an urban area in Northern France...
March 20, 2017: Health Economics
https://www.readbyqxmd.com/read/28276112/the-effects-of-exercise-and-relaxation-on-health-and-wellbeing
#11
Hannah Forbes, Eleonora Fichera, Anne Rogers, Matt Sutton
Better management by individuals of their long-term conditions is promoted to improve health and reduce healthcare expenditure. However, there is limited evidence on the determinants and consequences of self-management activity. We investigate the determinants of two forms of self-management, exercise and relaxation, and their impact on the health and wellbeing of 3472 individuals with long-term health conditions over a 1-year period. We use simultaneous recursive trivariate models to estimate the effects of these two inputs on three health and wellbeing outcomes: the EuroQol five-dimensional (EQ-5D) score, self-assessed health and happiness...
March 9, 2017: Health Economics
https://www.readbyqxmd.com/read/28260248/2sls-vs-2sri-appropriate-methods-for-rare-outcomes-and-or-rare-exposures
#12
Anirban Basu, Norma B Coe
Using Monte-Carlo simulations, we compare the two-stage least-squares estimator with two-stage residual inclusion estimators, with varying forms of residuals, to estimate the local average treatment effect parameter for a binary outcome and endogenous binary treatment model in the presence of binary covariates and a binary instrumental variable. We vary the rarity of both the outcome and the treatment and find different estimators to produce the least bias in different settings. We develop guidance for applied researchers and illustrate the utility of this guidance with estimating the effects of long-term care insurance on a variety of binary health care use outcomes among the near-elderly using the Health and Retirement Study...
March 5, 2017: Health Economics
https://www.readbyqxmd.com/read/28251712/practice-variation-in-the-dutch-long-term-care-and-the-role-of-supply-sensitive-care-is-access-to-the-dutch-long-term-care-equitable
#13
Daisy Duell, Xander Koolman, France Portrait
Universal access and generous coverage are important goals of the Dutch long-term care (LTC) system. It is a legal requirement that everyone eligible for LTC should be able to receive it. Institutional care (IC) made up for 90% of Dutch LTC spending. To investigate whether access to IC is as equitable as the Dutch government aspires, we explored practice variation in entitlements to IC across Dutch regions. We used a unique dataset that included all individual applications for Dutch LTC in January 2010-December 2013 (N = 3,373,358)...
March 2, 2017: Health Economics
https://www.readbyqxmd.com/read/28233420/constraints-on-formulary-design-under-the-affordable-care-act
#14
Martin Andersen
I study the effect of prescription drug essential health benefits (EHB) requirements from the Affordable Care Act on prescription drug formularies of health insurance marketplace plans. The EHB regulates the number of drugs covered but leaves other dimensions (cost sharing and utilization management) of the formulary unregulated. Using data on almost all formularies in the country, I demonstrate that requiring insurers to cover one additional drug adds 0.22 drugs (3.3%) to the average formulary, mostly owing to firms increasing the number of drugs covered to comply with the EHB requirement...
February 24, 2017: Health Economics
https://www.readbyqxmd.com/read/28233465/parental-health-and-children-s-cognitive-and-noncognitive-development-new-evidence-from-the-longitudinal-survey-of-australian-children
#15
Huong Thu Le, Ha Trong Nguyen
This paper examines the effects of parental health on cognitive and noncognitive development in Australian children. The underlying nationally representative panel data and a child fixed effects estimator are used to deal with unobserved heterogeneity. We find that only father's serious mental illness worsens selected cognitive and noncognitive skills of children. Maternal poor health also deteriorates some cognitive and noncognitive outcomes of children of lone mothers only. Our results demonstrate that either failing to account for parent-child fixed effects or using child noncognitive skills reported by parents could overestimate the harmful impact of poor parental health on child development...
February 23, 2017: Health Economics
https://www.readbyqxmd.com/read/28233361/the-causal-effect-of-retirement-on-mortality-evidence-from-targeted-incentives-to-retire-early
#16
Hans Bloemen, Stefan Hochguertel, Jochem Zweerink
This paper estimates the impact of early retirement on mortality using Dutch administrative micro panel data. An unexpected temporary decrease in the eligibility age for retirement benefits for civil servants is used to instrument the retirement choice. We find that induced early retirement decreased the probability that a man dies within 5 years by 2.6 percentage points. The result is robust to alternative specifications and data selection criteria.
February 23, 2017: Health Economics
https://www.readbyqxmd.com/read/28224675/substance-use-treatment-provider-behavior-and-healthcare-reform-evidence-from-massachusetts
#17
Johanna Catherine Maclean, Brendan Saloner
We examine the impact of the 2006 Massachusetts healthcare reform on substance use disorder (SUD) treatment facilities' provision of care. We test the impact of the reform on treatment quantity and access. We couple data on the near universe of specialty SUD treatment providers in the USA with a synthetic control method approach. We find little evidence that the reform lead to changes in treatment quantity or access. Reform effects were similar among for-profit and non-profit facilities. In an extension, we show that the reform altered the setting in which treatment is received, the number of offered services, and the number of programs for special populations...
February 21, 2017: Health Economics
https://www.readbyqxmd.com/read/28218481/an-analysis-of-sibling-correlations-in-health-using-latent-variable-models
#18
Timothy J Halliday, Bhashkar Mazumder
We investigate sibling correlations in youth health status using the Panel Study of Income Dynamics. We do so by estimating the covariance structure of a system of equations in latent variables using methods that have hitherto not been used in the literature on intergenerational transmissions of health. Across a battery of outcomes, we find that between 50 and 60% of health status can be attributed to shared familial or neighborhood characteristics. Taking the principal component across all outcomes, we obtain a sibling correlation of about 53%...
February 20, 2017: Health Economics
https://www.readbyqxmd.com/read/28217847/do-financial-incentives-influence-gps-decisions-to-do-after-hours-work-a-discrete-choice-labour-supply-model
#19
Barbara Broadway, Guyonne Kalb, Jinhu Li, Anthony Scott
This paper analyses doctors' supply of after-hours care (AHC), and how it is affected by personal and family circumstances as well as the earnings structure. We use detailed survey data from a large sample of Australian General Practitioners (GPs) to estimate a structural, discrete choice model of labour supply and AHC. This allows us to jointly model GPs' decisions on the number of daytime-weekday working hours and the probability of providing AHC. We simulate GPs' labour supply responses to an increase in hourly earnings, both in a daytime-weekday setting and for AHC...
February 20, 2017: Health Economics
https://www.readbyqxmd.com/read/28205370/progressive-universalism-the-impact-of-targeted-coverage-on-health-care-access-and-expenditures-in-peru
#20
Sven Neelsen, Owen O'Donnell
Like other countries seeking a progressive path to universalism, Peru has attempted to reduce inequalities in access to health care by granting the poor entitlement to tax-financed basic care without charge. We identify the impact of this policy by comparing the target population's change in health care utilization with that of poor adults already covered through employment-based insurance. There are positive effects on receipt of ambulatory care and medication that are largest among the elderly and the poorest...
February 16, 2017: Health Economics
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