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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/30276497/alcohol-quantity-and-quality-price-elasticities-quantile-regression-estimates
#1
Robert Pryce, Bruce Hollingsworth, Ian Walker
Many people drink more than the recommended level of alcohol, with some drinking substantially more. There is evidence that suggests that this leads to large health and social costs, and price is often proposed as a tool for reducing consumption. This paper uses quantile regression methods to estimate the differential price (and income) elasticities across the drinking distribution. This is also done for on-premise (pubs, bars and clubs) and off-premise (supermarkets and shops) alcohol separately. In addition, we examine the extent to which drinkers respond to price changes by varying the 'quality' of the alcohol that they consume...
October 1, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30229376/advanced-therapy-medicinal-products-and-health-technology-assessment-principles-and-practices-for-value-based-and-sustainable-healthcare
#2
Bengt Jönsson, Grace Hampson, Jonathan Michaels, Adrian Towse, J-Matthias Graf von der Schulenburg, Olivier Wong
BACKGROUND: Advanced therapy medicinal products (ATMPs) are beginning to reach European markets, and questions are being asked about their value for patients and how healthcare systems should pay for them. OBJECTIVES: To identify and discuss potential challenges of ATMPs in view of current health technology assessment (HTA) methodology-specifically economic evaluation methods-in Europe as it relates to ATMPs, and to suggest potential solutions to these challenges...
September 18, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30229375/cost-effectiveness-of-controlling-gestational-diabetes-mellitus-a-systematic-review
#3
Najmiatul Fitria, Antoinette D I van Asselt, Maarten J Postma
OBJECTIVE: Timely screening for hyperglycaemia in pregnancy using a simple glucose test enhances early detection and control of gestational diabetes mellitus (GDM). The aim of this study was to provide an overview of the evidence on the cost-effectiveness of identification and/or treatment of GDM. METHODS: We conducted a systematic review using three electronic databases (PubMed, EMBASE, and Cochrane) of cost-effectiveness studies of GDM screening and treatment published during 2000-2017...
September 18, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30229374/a-qaly-loss-is-a-qaly-loss-is-a-qaly-loss-a-note-on-independence-of-loss-aversion-from-health-states
#4
Stefan A Lipman, Werner B F Brouwer, Arthur E Attema
Evidence has accumulated documenting loss aversion for monetary and, recently, for health outcomes-meaning that, generally, losses carry more weight than equally sized gains. In the conventional Quality-Adjusted Life Year (QALY) models, which comprise utility for quality and length of life, loss aversion is not taken into account. When measuring elements of the QALY model, commonly, the (implicit) assumption is that utility for length and quality of life are independent. First attempts to quantify loss aversion for QALYs typically measured loss aversion in the context of life duration, keeping quality of life constant (or vice versa)...
September 18, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30191342/impact-of-late-and-prolonged-working-life-on-subjective-health-the-swedish-experience
#5
Dominique Anxo, Thomas Ericson, Chizheng Miao
This paper explores the relationship between the prolongation of working life and subjective health. Drawing on a unique combination of longitudinal data and the results of a postal survey in Sweden, we investigate the health consequences of extending working life beyond the normal retirement age of 65. To do this, we compare the health status of two groups of retired people: one group who left the labour market completely at the age of 65, and a second group who remained in employment after the age of 65. Using a standard linear probability model and controlling for a range of socio-economic variables as well as previous labour market experiences, perceived life expectancy, pre-retirement income and health, our estimations show that those continuing to work after 65 on average display a 6...
September 6, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30187252/the-impact-of-long-term-care-on-primary-care-doctor-consultations-for-people-over-75-years
#6
Julien Forder, Katerina Gousia, Eirini-Christina Saloniki
Many countries are adopting policies to create greater coordination and integration between acute and long-term care services. This policy is predicated on the assumption that these service areas have interdependent outcomes for patients. In this paper, we study the interdependencies between the long-term (home care) services and consultations with a primary care doctor, as used by people over 75 years. Starting with a model of individual's demand for doctor consultations, given supply, we formalize the hypothesis that exogenous increases to home care supply will reduce the number of consultations where these services are technical substitutes...
September 5, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30187251/when-is-it-too-expensive-cost-effectiveness-thresholds-and-health-care-decision-making
#7
EDITORIAL
Werner Brouwer, Pieter van Baal, Job van Exel, Matthijs Versteegh
No abstract text is available yet for this article.
September 5, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30178149/harsh-times-do-stressors-lead-to-labor-market-losses
#8
Terhi Maczulskij, Petri Böckerman
This paper examines the links between stressful life events and labor market outcomes. We use twin data for Finnish men and women combined with register-based individual information on earnings, employment and social income transfers. The twin data allow us to account for shared environmental and genetic confounders. We measure the exposure to stressful life events in 1990. The labor market outcomes are measured during a 20-year follow-up over the period 1990-2009. Three findings stand out. First, stressors lead to worse labor market outcomes...
September 3, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30178148/determinants-of-time-to-institutionalisation-and-related-healthcare-and-societal-costs-in-a-community-based-cohort-of-patients-with-alzheimer-s-disease-dementia
#9
Mark Belger, Josep Maria Haro, Catherine Reed, Michael Happich, Josep Maria Argimon, Giuseppe Bruno, Richard Dodel, Roy W Jones, Bruno Vellas, Anders Wimo
OBJECTIVES: To examine the costs of caring for community-dwelling patients with Alzheimer's disease (AD) dementia in relation to the time to institutionalisation. METHODS: GERAS was a prospective, non-interventional cohort study in community-dwelling patients with AD dementia and their caregivers in three European countries. Using identified factors associated with time to institutionalisation, models were developed to estimate the time to institutionalisation for all patients...
September 3, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30171490/long-term-medical-costs-of-alzheimer-s-disease-matched-cohort-analysis
#10
Elizaveta Sopina, Eldon Spackman, Janne Martikainen, Gunhild Waldemar, Jan Sørensen
OBJECTIVES: Medical costs associated with Alzheimer's disease (AD) are characterised by uncertainty and are often presented in a format unsuitable for decision modelling. We set out to estimate long-term medical costs attributable to AD compared to the general population for use in decision modelling. METHODS: We used multiple logistic regressions to generate propensity scores to match 26,951 incident cases of AD with 26,951 people without AD, identified from Danish hospital and medication registries...
August 31, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30171489/structured-physiotherapy-including-a-work-place-intervention-for-patients-with-neck-and-or-back-pain-in-primary-care-an-economic-evaluation
#11
Sanjib Saha, Birgitta Grahn, Ulf-G Gerdtham, Kjerstin Stigmar, Sara Holmberg, Johan Jarl
A cluster-randomized controlled trial, WorkUp, was conducted for working-aged patients at risk of sick leave or on short-term sick leave due to acute/subacute neck and/or back pain in Sweden. The purpose of WorkUp was to facilitate participants to stay at work or in case of sick leave, return-to-work. The aim of this study was to study whether the WorkUp trial was cost-effective. Patients in the intervention and reference group received structured evidence-based physiotherapy, while patients in the intervention group also received a work place dialogue with the employer as an add-on...
August 31, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30121870/catastrophic-financial-effect-of-replacing-informal-care-with-formal-care-a-study-based-on-haematological-neoplasms
#12
Marta Ortega-Ortega, Raúl Del Pozo-Rubio
Informal care is a substantial source of support for people with cancer. However, various studies have predicted its disappearance in the near future. The aim of this study is to analyse the catastrophic effect resulting from the substitution of informal care with formal care in patients with blood cancer throughout the different stages of treatment. A total of 139 haematological neoplasm patients who underwent stem cell transplantation in Spain, completed a longitudinal questionnaire according to the three phases of treatment between 2012 and 2013...
August 18, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/30066237/health-polarization-and-inequalities-across-europe-an-empirical-approach
#13
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
#14
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
#15
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/29362900/the-effect-of-online-gambling-on-gambling-problems-and-resulting-economic-health-costs-in-germany
#16
Tobias Effertz, Anja Bischof, Hans-Jürgen Rumpf, Christian Meyer, Ulrich John
Problematic and pathological gambling have emerged as substantial problems in many countries. One potential accelerating factor for this phenomenon during recent years is the Internet, which offers different kinds of games and online applications for gambling that are faster, more attractive due to a variety of design and marketing options, less costly and potentially more addictive than terrestrial gambling opportunities. However, the contributing role of the Internet for problematic gambling has not been analyzed sufficiently so far and remains inconclusive...
September 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29282588/impact-of-specialist-rehabilitation-services-on-hospital-length-of-stay-and-associated-costs
#17
A Duarte, C Bojke, W Cayton, A Salawu, B Case, L Bojke, G Richardson
BACKGROUND: Provision of specialist rehabilitation services in North Yorkshire and Humberside may be suboptimal. Local commissioning bodies need to prioritise investments in health care, but previous studies provide limited evidence to inform the decision to expand existing services on the basis of cost-effectiveness. We examine the impact of specialist rehabilitation services in the subregion on hospital length of stay (LoS) and associated costs compared to routine care. METHODS: Comparison of hospital LoS and associated costs in centres with greater access (Hull) and limited access (i...
September 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29280041/threshold-analysis-in-the-presence-of-both-the-diagnostic-and-the-therapeutic-risk
#18
Stefan Felder, Thomas Mayrhofer
The well-established a priori probability of illness threshold in medical decision making, introduced by Pauker and Kassirer (N Engl J Med 293:229-234, 1975; N Engl J Med 302:1109-1117, 1980), involves the diagnostic risk only. We generalize the threshold analysis by adding the therapeutic risk, i.e., in accounting for the risk that a treatment might sometimes fail. We derive a priori probability of illness threshold as a function of the probability of successful treatment, as well as the inverted function, where the successful treatment probability threshold is a function of the a priori probability of illness...
September 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29260341/consensus-based-cross-european-recommendations-for-the-identification-measurement-and-valuation-of-costs-in-health-economic-evaluations-a-european-delphi-study
#19
Lisanne I van Lier, Judith E Bosmans, Hein P J van Hout, Lidwine B Mokkink, Wilbert B van den Hout, G Ardine de Wit, Carmen D Dirksen, Henk L G R Nies, Cees M P M Hertogh, Henriëtte G van der Roest
OBJECTIVES: Differences between country-specific guidelines for economic evaluations complicate the execution of international economic evaluations. The aim of this study was to develop cross-European recommendations for the identification, measurement and valuation of resource use and lost productivity in economic evaluations using a Delphi procedure. METHODS: A comprehensive literature search was conducted to identify European guidelines on the execution of economic evaluations or costing studies as part of economic evaluations...
September 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29249015/cost-effectiveness-of-cell-free-dna-in-maternal-blood-testing-for-prenatal-detection-of-trisomy-21-18-and-13-a-systematic-review
#20
REVIEW
Lidia García-Pérez, Renata Linertová, Margarita Álvarez-de-la-Rosa, Juan Carlos Bayón, Iñaki Imaz-Iglesia, Jorge Ferrer-Rodríguez, Pedro Serrano-Aguilar
The aim of this paper was to conduct a systematic review of the cost-effectiveness of the analysis of cell-free DNA in maternal blood, often called the non-invasive prenatal test (NIPT), in the prenatal screening of trisomy in chromosomes 21, 18 and 13. MEDLINE, MEDLINE in process, EMBASE, and Cochrane Library were searched in April 2017. We selected: (1) economic evaluations that estimated the costs and detected cases of trisomy 21, 18 or 13; (2) comparisons of prenatal screening with NIPT (universal or contingent strategies) and the usual screening without NIPT, (3) in pregnant women with any risk of foetal anomalies...
September 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
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