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Health Economics

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https://www.readbyqxmd.com/read/28205370/progressive-universalism-the-impact-of-targeted-coverage-on-health-care-access-and-expenditures-in-peru
#1
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
https://www.readbyqxmd.com/read/28205279/cancelled-procedures-in-the-english-nhs-evidence-from-the-2010-tariff-reform
#2
Graham Cookson, Simon Jones, Ioannis Laliotis
This paper explores the role of incentives in the English National Health Service. Until financial year 2009/2010, elective procedures that were cancelled after admission received a fixed reimbursement associated with a specific healthcare resource group code. We investigate whether this induced trusts to admit and then cancel, rather than cancel before admission and/or to cancel low fee over high fee work. As the tariff was ended in April 2010, we conduct an interrupted time series analysis to examine if their behaviour was affected after the tariff removal...
February 16, 2017: Health Economics
https://www.readbyqxmd.com/read/28176399/the-impact-of-unanticipated-economic-shocks-on-the-demand-for-contraceptives-evidence-from-uganda
#3
Olukorede Abiona
We investigate the impact of unanticipated economic shocks on the use of contraceptives for childbirth control in Uganda using a nationally representative panel of women. To complement our reduced form analysis, we use both intra-village and inter-village variation in rainfall shocks between 2009 and 2012 to identify the impact of agricultural income on the adoption of contraceptives by Ugandan women and their husbands. Our results indicate that women in Uganda, along with their husbands, use contraceptives strategically to postpone childbirth during negative shocks...
February 7, 2017: Health Economics
https://www.readbyqxmd.com/read/28147440/do-capitation-based-reimbursement-systems-underfund-tertiary-healthcare-providers-evidence-from-new-zealand
#4
Somi Shin, Christoph Schumacher, Eberhard Feess
One of the main concerns about capitation-based reimbursement systems is that tertiary institutions may be underfunded due to insufficient reimbursements of more complicated cases. We test this hypothesis with a data set from New Zealand that, in 2003, introduced a capitation system where public healthcare provider funding is primarily based on the characteristics of the regional population. Investigating the funding for all cases from 2003 to 2011, we find evidence that tertiary providers are at a disadvantage compared with secondary providers...
February 1, 2017: Health Economics
https://www.readbyqxmd.com/read/28127856/the-impact-of-regression-to-the-mean-on-economic-evaluation-in-quasi-experimental-pre-post-studies-the-example-of-total-knee-replacement-using-data-from-the-osteoarthritis-initiative
#5
Chris Schilling, Dennis Petrie, Michelle M Dowsey, Peter F Choong, Philip Clarke
Many treatments are evaluated using quasi-experimental pre-post studies susceptible to regression to the mean (RTM). Ignoring RTM could bias the economic evaluation. We investigated this issue using the contemporary example of total knee replacement (TKR), a common treatment for end-stage osteoarthritis of the knee. Data (n = 4796) were obtained from the Osteoarthritis Initiative database, a longitudinal observational study of osteoarthritis. TKR patients (n = 184) were matched to non-TKR patients, using propensity score matching on the predicted hazard of TKR and exact matching on osteoarthritis severity and health-related quality of life (HrQoL)...
January 27, 2017: Health Economics
https://www.readbyqxmd.com/read/28127822/access-to-health-insurance-and-utilization-of-substance-use-disorder-treatment-evidence-from-the-affordable-care-act-dependent-coverage-provision
#6
Brendan Saloner, Yaa Akosa Antwi, Johanna Catherine Maclean, Benjamin Cook
The relationship between insurance coverage and use of specialty substance use disorder (SUD) treatment is not well understood. In this study, we add to the literature by examining changes in admissions to SUD treatment following the implementation of a 2010 Affordable Care Act provision requiring health insurers to offer dependent coverage to young adult children of their beneficiaries under age 26. We use national administrative data on admissions to specialty SUD treatment and apply a difference-in-differences design to study effects of the expansion on the rate of treatment utilization among young adults and, among those in treatment, changes in insurance status and payment source...
January 27, 2017: Health Economics
https://www.readbyqxmd.com/read/28120361/the-effect-of-the-2009-influenza-pandemic-on-absence-from-work
#7
Fabian Duarte, Srikanth Kadiyala, Samuel H Masters, David Powell
In July 2009, the World Health Organization declared the first flu pandemic in nearly 40 years. Although the health effects of the pandemic have been studied, there is little research examining the labor productivity consequences. Using unique sick leave data from the Chilean private health insurance system, we estimate the effect of the pandemic on missed days of work. We estimate that the pandemic increased mean flu days missed by 0.042 days per person-month during the 2009 peak winter months (June and July), representing an 800% increase in missed days relative to the sample mean...
January 25, 2017: Health Economics
https://www.readbyqxmd.com/read/28090693/will-the-needs-based-planning-of-health-human-resources-currently-undertaken-in-several-countries-lead-to-excess-supply-and-inefficiency-rejoinder
#8
Kisalaya Basu, Maxwell Pak
No abstract text is available yet for this article.
January 16, 2017: Health Economics
https://www.readbyqxmd.com/read/28052558/do-targeted-reproductive-health-services-matter-the-impact-of-a-midwife-program-in-indonesia
#9
Christoph Strupat
This paper examines empirically whether midwives, as an integral part of the reproductive health and family planning programs in Indonesia, are effective in advising young women to delay their first birth and also influence the decision on post-primary school attendance. Using the Indonesian Family Life Survey, I investigate the extent to which the expansion of a midwife program affects the age at first birth and the number of school years of women. My findings suggest that women who were exposed to a midwife when they have to decide on further school attendance (aged 13-20 years) delay their first birth and also stay longer in school...
January 4, 2017: Health Economics
https://www.readbyqxmd.com/read/28026085/health-insurance-costs-and-employee-compensation-evidence-from-the-national-compensation-survey
#10
Priyanka Anand
This paper examines the relationship between rising health insurance costs and employee compensation. I estimate the extent to which total compensation decreases with a rise in health insurance costs and decompose these changes in compensation into adjustments in wages, non-health fringe benefits, and employee contributions to health insurance premiums. I examine this relationship using the National Compensation Survey, a panel dataset on compensation and health insurance for a sample of establishments across the USA...
December 27, 2016: Health Economics
https://www.readbyqxmd.com/read/27976430/pure-white-and-deadly%C3%A2-expensive-a-bitter-sweetness-in-health-care-expenditure
#11
Vitor Castro
This paper analyses the impact of sugar availability/intake on diabetes expenditure and on total health care expenditure. Building this macroeconomic analysis upon the literature on the determinants of health care expenditure, we estimate a dynamic panel data model over a sample of 156 countries for the period 1995-2014. After controlling for the traditional determinants of health care spending, we find that an increase in sugar availability/intake leads to a significant rise in diabetes expenditure (per capita and per diabetic) and in the growth rate of total health care expenditure per capita...
December 15, 2016: Health Economics
https://www.readbyqxmd.com/read/27928846/financial-penalties-for-performance-in-health-care
#12
EDITORIAL
Søren Rud Kristensen
No abstract text is available yet for this article.
December 7, 2016: Health Economics
https://www.readbyqxmd.com/read/27928845/changing-relationship-between-unemployment-and-mortality-in-south-korea
#13
Chulhee Lee, Kyeongbae Kim
Over the period from 1989 to 2012, total mortality in South Korea shifted from being weakly procyclical or unrelated to the economy to strongly countercyclical in the early 2000s. Cancers played a significant role in changing the direction of the effects of unemployment on mortality. The overall pattern of the effects of macroeconomic conditions on mortality in South Korea roughly follows the corresponding changes observed in the United States. We have provided evidence that the sudden change in the relationship between economic conditions and mortality was driven by diseases with higher and rapidly rising treatment costs...
December 7, 2016: Health Economics
https://www.readbyqxmd.com/read/27917565/market-competition-and-the-health-composition-of-manufactured-food
#14
Stephen F Hamilton, Vincent Réquillart
There has been surprisingly little research to date on the supply-side role of food manufacturers on equilibrium health outcomes for consumers. In this letter we consider an oligopoly model in which food processors choose the health composition of manufactured food. We show that price competition between food processors leads to unhealthy food composition in the market equilibrium, even under circumstances in which consumers know food composition is unhealthy. Taxes on manufactured food decrease the healthiness of manufactured foods whenever improved consumer health increases the price elasticity of food demand...
December 4, 2016: Health Economics
https://www.readbyqxmd.com/read/27917560/is-best-worst-scaling-suitable-for-health-state-valuation-a-comparison-with-discrete-choice-experiments
#15
Nicolas Krucien, Verity Watson, Mandy Ryan
Health utility indices (HUIs) are widely used in economic evaluation. The best-worst scaling (BWS) method is being used to value dimensions of HUIs. However, little is known about the properties of this method. This paper investigates the validity of the BWS method to develop HUI, comparing it to another ordinal valuation method, the discrete choice experiment (DCE). Using a parametric approach, we find a low level of concordance between the two methods, with evidence of preference reversals. BWS responses are subject to decision biases, with significant effects on individuals' preferences...
December 4, 2016: Health Economics
https://www.readbyqxmd.com/read/27917556/the-mental-health-of-children-providing-care-to-their-elderly-parent
#16
Dörte Heger
Providing care to a disabled parent can be a psychologically strenuous activity with potential negative consequences for the caregiver's mental health. At the same time, experiencing the declining health of a parent - often the very reason for the parent's care needs - can impact the adult child's mental health negatively. Because both events are usually observed simultaneously, disentangling the "caregiver effect" and the "family effect" remains a challenge. Using longitudinal data of the elderly population in Europe and an instrumental variable approach to address possible endogeneity concerns, this paper separately estimates the effect of caregiving and the decline of a parent's health on adult children's mental health...
December 4, 2016: Health Economics
https://www.readbyqxmd.com/read/27882629/average-cost-pricing-and-dynamic-selection-incentives-in-the-hospital-sector
#17
Mathias Kifmann, Luigi Siciliani
This study investigates dynamic incentives to select patients for hospitals that are remunerated according to a prospective payment system of the diagnosis-related group (DRG) type. Using a model with patients differing in severity within a DRG, we show that price dynamics depend on the extent of hospital altruism and the relation between patients' severity and benefit. Upwards and downwards price movements over time are both possible. In a steady state, DRG prices are unlikely to give optimal incentives to treat patients...
November 24, 2016: Health Economics
https://www.readbyqxmd.com/read/27873371/getting-a-sporting-chance-title-ix-and-the-intergenerational-transmission-of-health
#18
Lisa Schulkind
We know that healthier mothers tend to have healthier infants, but we do not know how much of that relationship reflects the intergenerational transmission of genetic attributes versus environmental influences. From a policy perspective, it is crucial to understand which environmental influences are important and whether investments in one generation affect outcomes for the next. I use variation in the implementation of Title IX to measure the effects of increased athletic opportunities on the health of infants...
November 22, 2016: Health Economics
https://www.readbyqxmd.com/read/28139093/adoption-decisions-for-medical-devices-in-the-field-of-cardiology-results-from-a-european-survey
#19
Maximilian H M Hatz, Jonas Schreyögg, Aleksandra Torbica, Giuseppe Boriani, Carl R B Blankart
Decisions to adopt medical devices at the hospital level have consequences for health technology assessment (HTA) on system level and are therefore important to decision makers. Our aim was to investigate the characteristics of organizations and individuals that are more inclined to adopt and utilize cardiovascular devices based on a comprehensive analysis of environmental, organizational, individual, and technological factors and to identify corresponding implications for HTA. Seven random intercept hurdle models were estimated using the data obtained from 1249 surveys completed by members of the European Society of Cardiology...
February 2017: Health Economics
https://www.readbyqxmd.com/read/28139092/the-role-of-learning-in-health-technology-assessments-an-empirical-assessment-of-endovascular-aneurysm-repairs-in-german-hospitals
#20
Yauheniya Varabyova, Carl Rudolf Blankart, Jonas Schreyögg
Changes in performance due to learning may dynamically influence the results of a technology evaluation through the change in effectiveness and costs. In this study, we estimate the effect of learning using the example of two minimally invasive treatments of abdominal aortic aneurysms: endovascular aneurysm repair (EVAR) and fenestrated EVAR (fEVAR). The analysis is based on the administrative data of over 40,000 patients admitted with unruptured abdominal aortic aneurysm to more than 500 different hospitals over the years 2006 to 2013...
February 2017: Health Economics
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