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European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care

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https://www.readbyqxmd.com/read/30066237/health-polarization-and-inequalities-across-europe-an-empirical-approach
#1
Marta Pascual, David Cantarero, Paloma Lanza
This paper examines inequality and polarization in self-assessed health, contributing towards the limited research existing on health economics. We use data from the European Health Interview Survey (EHIS) to investigate the relationship between health inequality and polarization across 27 European countries in two periods: 2006-2009 and 2013-2015. As our key variable is of an ordinal nature, we employ median based measures. Our empirical results suggest that Greece is the country with the highest level of health polarization in both periods, whereas Ireland has the lowest one when we consider countries where the median category is "very good", coinciding with the findings obtained in the inequality index...
July 31, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30051153/potential-savings-in-the-treatment-pathway-of-liver-transplantation-an-inter-sectorial-analysis-of-cost-rising-factors
#2
Lena Harries, Jill Gwiasda, Zhi Qu, Harald Schrem, Christian Krauth, Volker Eric Amelung
INTRODUCTION: Identification of cost-driving factors in patients undergoing liver transplantation is essential to target reallocation of resources and potential savings. AIM: The aim of this study is to identify main cost-driving factors in liver transplantation from the perspective of the Statutory Health Insurance. METHODS: Variables were analyzed with multivariable logistic regression to determine their influence on high cost cases (fourth quartile) in the outpatient, inpatient and rehabilitative healthcare sectors as well as for medications...
July 26, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30051152/pricing-of-hpv-vaccines-in-european-tender-based-settings
#3
Venetia Qendri, Johannes A Bogaards, Johannes Berkhof
BACKGROUND: Vaccine price is one of the most influential parameters in economic evaluations of HPV vaccination programmes. Vaccine tendering is a cost-containment method widely used by national or regional health authorities, but information on tender-based HPV vaccine prices is scarce. METHODS: Procurement notices and awards for the HPV vaccines, published from January 2007 until January 2018, were systematically retrieved from the online platform for public procurement in Europe...
July 26, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30030647/a-new-method-for-valuing-health-directly-eliciting-personal-utility-functions
#4
Nancy J Devlin, Koonal K Shah, Brendan J Mulhern, Krystallia Pantiri, Ben van Hout
BACKGROUND: Standard methods for eliciting the preference data upon which 'value sets' are based generally have in common an aim to 'uncover' people's preferences by asking them to evaluate a subset of health states, then using their responses to infer their preferences over all dimensions and levels. An alternative approach is to ask people directly about the relative importance to them of the dimensions, levels and interactions between them. This paper describes a new stated preference approach for directly eliciting personal utility functions (PUFs), and reports a pilot study to test its feasibility for valuing the EQ-5D...
July 20, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30030646/pharmaceutical-pricing-conundrum-time-to-get-rid-of-it
#5
EDITORIAL
Livio Garattini, Anna Padula
No abstract text is available yet for this article.
July 20, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29980950/valuation-of-preference-based-measures-can-existing-preference-data-be-used-to-select-a-smaller-sample-of-health-states
#6
Samer A Kharroubi, Donna Rowen
BACKGROUND: Different countries have different preferences regarding health, and there are different value sets for popular preference-based measures across different countries. However, the cost of collecting data to generate country-specific value sets can be prohibitive for countries with smaller population size or low- and middle-income countries (LMIC). This paper explores whether existing preference weights could be modelled alongside a small own country valuation study to generate representative estimates...
July 6, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29978444/the-association-of-potentially-inappropriate-medication-use-on-health-outcomes-and-hospital-costs-in-community-dwelling-older-persons-a-longitudinal-12-year-study
#7
Virva Hyttinen, Johanna Jyrkkä, Leena K Saastamoinen, Anna-Kaisa Vartiainen, Hannu Valtonen
AIMS: To determine (1) whether potentially inappropriate medication (PIM) use defined by the Meds75 + database is associated with fracture-specific hospitalisations and all-cause mortality, and (2) the association between PIM use and all-cause hospitalisation costs in a 12-year follow-up of a nationwide sample of people aged ≥ 65 years in Finland. METHODS: This is a longitudinal study of 20,666 community-dwelling older persons with no prior purchases of PIMs within a 2-year period preceding the index date (1 Jan 2002), who were followed until the end of 2013...
July 5, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29974285/design-and-effects-of-outcome-based-payment-models-in-healthcare-a-systematic-review
#8
F P Vlaanderen, M A Tanke, B R Bloem, M J Faber, F Eijkenaar, F T Schut, P P T Jeurissen
INTRODUCTION: Outcome-based payment models (OBPMs) might solve the shortcomings of fee-for-service or diagnostic-related group (DRG) models using financial incentives based on outcome indicators of the provided care. This review provides an analysis of the characteristics and effectiveness of OBPMs, to determine which models lead to favourable effects. METHODS: We first developed a definition for OBPMs. Next, we searched four data sources to identify the models: (1) scientific literature databases; (2) websites of relevant governmental and scientific agencies; (3) the reference lists of included articles; (4) experts in the field...
July 5, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29968053/trends-and-regional-variation-in-rates-of-orthopaedic-surgery-in-germany-the-impact-of-competition
#9
Natalie Baier, Lisa-Marie Sax, Leonie Sundmacher
Competition in hospital services has been fostered in an increasing number of OECD countries with the goal that hospitals improve quality and/or efficiency. With the same intention competition has been promoted in Germany when introducing a system of prospective payments based on diagnosis-related groups (DRGs) in 2003. Beyond its intended effects, however, the reform led to a substantial increase in hospital activity, particularly for orthopaedic surgery. To shed more light on these developments, this paper analyses the relationship between the rates of certain orthopaedic surgical procedures and hospital competition across and within each of Germany's 402 districts...
July 2, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29934875/health-information-and-life-course-smoking-behavior-evidence-from-turkey
#10
Dean R Lillard, Zeynep Önder
We investigate whether individuals are less likely to start and more likely to quit smoking in years when newspapers publish more articles about the health risks of smoking. With data from 9030 respondents to the 2008 Global Adult Tobacco Survey in Turkey, we construct respondents' life-course smoking histories back to 1925 and model initiation and cessation decisions taken 1925-2008. To measure information, we count articles published in Milliyet, one of Turkey's major newspapers. Results from linear probability models show that people who have seen more smoking-health risk articles know more about the smoking-health relationship...
June 22, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29922900/the-economic-burden-of-disease-of-epithelial-ovarian-cancer-in-spain-the-ovarcost-study
#11
Laura Delgado-Ortega, Almudena González-Domínguez, Josep María Borrás, Juan Oliva-Moreno, Eva González-Haba, Salomón Menjón, Pedro Pérez, David Vicente, Luis Cordero, Margarita Jiménez, Susana Simón, Álvaro Hidalgo-Vega, Carlota Moya-Alarcón
OBJECTIVE: To assess the economic burden of epithelial ovarian cancer (EOC) in incident patients and the burden by disease stage in Spain. METHODS: We developed a Markov model from a social perspective simulating the natural history of EOC and its four stages, with a 10-year time horizon, 3-week cycles, 3% discount rate, and 2016 euros. Healthcare resource utilization and costs were estimated by disease stage. Direct healthcare costs (DHC) included early screening, genetic counselling, medical visits, diagnostic tests, surgery, chemotherapy, hospitalizations, emergency services, and palliative care...
June 19, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29909569/economic-burden-of-stroke-a-systematic-review-on-post-stroke-care
#12
S Rajsic, H Gothe, H H Borba, G Sroczynski, J Vujicic, T Toell, Uwe Siebert
OBJECTIVES: Stroke is a leading cause for disability and morbidity associated with increased economic burden due to treatment and post-stroke care (PSC). The aim of our study is to provide information on resource consumption for PSC, to identify relevant cost drivers, and to discuss potential information gaps. METHODS: A systematic literature review on economic studies reporting PSC-associated data was performed in PubMed/MEDLINE, Scopus/Elsevier and Cochrane databases, Google Scholar and gray literature ranging from January 2000 to August 2016...
June 16, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29948432/impact-of-mapped-eq-5d-utilities-on-cost-effectiveness-analysis-in-the-case-of-dialysis-treatments
#13
Fan Yang, Nancy Devlin, Nan Luo
OBJECTIVES: This study aimed to evaluate the performance of EQ-5D data mapped from SF-12 in terms of estimating cost effectiveness in cost-utility analysis (CUA). The comparability of SF-6D (derived from SF-12) was also assessed. METHODS: Incremental quality-adjusted life years (QALYs) and incremental cost-effectiveness ratios (ICERs) were calculated based on two Markov models assessing the cost effectiveness of haemodialysis (HD) and peritoneal dialysis (PD) using utility values based on EQ-5D-5L, EQ-5D using three direct-mapping algorithms and two response-mapping algorithms (mEQ-5D), and SF-6D...
June 14, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29876764/the-effects-of-health-shocks-on-labor-market-outcomes-evidence-from-uk-panel-data
#14
Otto Lenhart
This study examines the link between health shocks and labor market outcomes in the United Kingdom. For sample periods of up to 9 years, I use longitudinal data from the British Household Panel Survey to test how sudden health shocks affect a number of labor market outcomes, such as labor and household income, employment status, and hours worked. Additionally, the study examines potential mechanisms underlying the link between health declines and labor market outcomes. By estimating propensity score matching difference-in-differences models, the study shows that sudden health declines lead to significant and persistent reductions in earnings...
June 6, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29796781/mitigating-hypothetical-bias-in-willingness-to-pay-studies-post-estimation-uncertainty-and-anchoring-on-irrelevant-information
#15
Ana Bobinac
One possible source of hypothetical bias in willingness to pay (WTP) estimates is response uncertainty, referring to subject's uncertainty about the value of the good under assessment. It has been argued that uncertainty can be measured using the post-valuation 'certainty question' that asks: 'How certain are you about your stated WTP?' and marks the degree of certainty on a quantitative or a qualitative scale. Research has shown that the self-reported certainty evaluations can help mitigate hypothetical bias and obtain increasingly accurate WTP estimates...
May 23, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29209854/does-the-approach-to-economic-evaluation-in-health-care-depend-on-culture-values-and-institutional-context
#16
EDITORIAL
Aleksandra Torbica, Rosanna Tarricone, Michael Drummond
No abstract text is available yet for this article.
July 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29086085/cost-utility-and-cost-effectiveness-of-physical-exercise-during-adjuvant-chemotherapy
#17
Hanna van Waart, Johanna M van Dongen, Wim H van Harten, Martijn M Stuiver, Rosalie Huijsmans, Jeannette A J H Hellendoorn-van Vreeswijk, Gabe S Sonke, Neil K Aaronson
INTRODUCTION: A home-based, low-intensity physical activity program (Onco-Move) and a supervised, moderate-to-high intensity, combined resistance and aerobic exercise program (OnTrack) have proven to be effective in maintaining physical fitness and reducing fatigue among breast cancer patients undergoing adjuvant chemotherapy. This study evaluated the cost-utility and cost-effectiveness of Onco-Move and OnTrack. METHODS: A total of 230 patients were randomized to Onco-Move, OnTrack, or usual care (UC)...
July 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29022120/experience-based-utility-and-own-health-state-valuation-for-a-health-state-classification-system-why-and-how-to-do-it
#18
John Brazier, Donna Rowen, Milad Karimi, Tessa Peasgood, Aki Tsuchiya, Julie Ratcliffe
In the estimation of population value sets for health state classification systems such as the EuroQOL five dimensions questionnaire (EQ-5D), there is increasing interest in asking respondents to value their own health state, sometimes referred to as "experience-based utility values" or, more correctly, own rather than hypothetical health states. Own health state values differ to hypothetical health state values, and this may be attributable to many reasons. This paper critically examines whose values matter; why there is a difference between own and hypothetical values; how to measure own health state values; and why to use own health state values...
July 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/28932914/estimating-a-constant-wtp-for-a-qaly-a-mission-impossible
#19
Björn Sund, Mikael Svensson
Economic evaluations are an important input to decision-making and priority-setting in the health care sector. Measuring preferences for health improvements, as the demand-side value (willingness to pay) of gaining a quality-adjusted life year (QALY), is one relevant component in the interpretation of the results from health economic evaluations. Our article addresses whether willingness to pay for a QALY (WTP-Q) is sensitive to the size of the health differences and the probability for improvement. We use data from a contingent valuation survey based on 1400 respondents conducted in the spring of 2014...
July 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/28871490/a-comparison-of-the-responsiveness-of-eq-5d-5l-and-the-qolie-31p-and-mapping-of-qolie-31p-to-eq-5d-5l-in-epilepsy
#20
Ben F M Wijnen, Iris Mosweu, Marian H J M Majoie, Leone Ridsdale, Reina J A de Kinderen, Silvia M A A Evers, Paul McCrone
OBJECTIVE: To investigate the responsiveness of and correlation between the EQ-5D-5L and the QOLIE-31P in patients with epilepsy, and develop a mapping function to predict EQ-5D-5L values based on the QOLIE-31P for use in economic evaluations. METHODS: The dataset was derived from two clinical trials, the ZMILE study in the Netherlands and the SMILE study in the UK. In both studies, patients' quality of life using the EQ-5D-5L and QOLIE-31P was measured at baseline and 12 months follow-up...
July 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
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