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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/29299763/the-health-knowledge-mechanism-evidence-on-the-link-between-education-and-health-lifestyle-in-the-philippines
#1
Roman Hoffmann, Sebastian Uljas Lutz
Studies have found substantial differences in health-related behavior and health care usage between educational groups, which may explain part of the well-documented educational gradient in health. The allocative efficiency hypothesis offers a behavioral explanation for these reported differences. According to this theory, the educated possess more health knowledge and information, allowing them to make better health choices. We perform a mediation analysis to study this mechanism using original survey data from the Philippines, a lower-middle-income country...
January 3, 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
#2
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...
December 27, 2017: 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%C3%A2-diagnostic-and%C3%A2-the-therapeutic-risk
#3
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...
December 26, 2017: 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
#4
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...
December 19, 2017: 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
#5
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...
December 16, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29247340/assessing-the-opportunity-costs-of-patients-with-multidrug-resistant-organisms-in-hospitals
#6
Claudia Hübner, Walter Ried, Steffen Flessa
OBJECTIVES: The concept of opportunity cost can be applied to the utilization of hospital beds with special focus on patients colonized or infected with multidrug-resistant organisms. Blocked beds due to isolation measures or increased length of stay may result in opportunity costs if newly arriving patients have to be rejected and the hospital is confronted with revenue foregone. However, the amount of these costs is unclear, since different approaches are used in the literature to determine the respective costs...
December 15, 2017: 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
#7
EDITORIAL
Aleksandra Torbica, Rosanna Tarricone, Michael Drummond
No abstract text is available yet for this article.
December 5, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29188395/ema-priority-medicines-scheme-prime-will-more-paying-for-performance-agreements-be-needed-due-to-immature-data
#8
EDITORIAL
F Antoñanzas, C A Juárez-Castelló, R Rodríguez-Ibeas
No abstract text is available yet for this article.
November 29, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29181817/health-economic-evaluation-of-rivaroxaban-in-elective-cardioversion-of-atrial-fibrillation
#9
Maartje S Jacobs, Lisa A de Jong, Maarten J Postma, Robert G Tieleman, Marinus van Hulst
BACKGROUND: Electrical cardioversion (ECV) is a procedure in which a direct current electric shock is used to quickly and effectively restore the normal sinus rhythm. Appropriate anticoagulation reduces the risk of embolic events during and after ECV. The aim of this study was to estimate the cost-effectiveness of rivaroxaban compared with vitamin K oral antagonists (VKAs) in patients with atrial fibrillation undergoing elective ECV in the Netherlands. METHODS AND RESULTS: A static transmission model over a 1-year time horizon was developed to compare rivaroxaban with VKAs in terms of clinical outcomes, health effects (quality-adjusted life years; QALYs), and costs...
November 27, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29170843/the-impact-of-waiting-for-intervention-on-costs-and-effectiveness-the-case-of-transcatheter-aortic-valve-replacement
#10
Aida Ribera, John Slof, Ignacio Ferreira-González, Vicente Serra, Bruno García-Del Blanco, Purificació Cascant, Rut Andrea, Carlos Falces, Enrique Gutiérrez, Raquel Del Valle-Fernández, César Morís-de laTassa, Pedro Mota, Juan Francisco Oteo, Pilar Tornos, David García-Dorado
OBJECTIVES: The economic crisis in Europe might have limited access to some innovative technologies implying an increase of waiting time. The purpose of the study is to evaluate the impact of waiting time on the costs and benefits of transcatheter aortic valve replacement (TAVR) for the treatment of severe aortic stenosis. METHODS: This is a cost-utility analysis from the perspective of the Spanish National Health Service. Results of two prospective hospital registries (158 and 273 consecutive patients) were incorporated into a probabilistic Markov model to compare quality adjusted life years (QALYs) and costs for TAVR after waiting for 3-12 months, relative to immediate TAVR...
November 23, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29149432/ebola-in-the-netherlands-2014-2015-costs-of-preparedness-and-response
#11
Anita W M Suijkerbuijk, Corien M Swaan, Marie-Josee J Mangen, Johan J Polder, Aura Timen, Wilhelmina L M Ruijs
The recent epidemic of Ebola virus disease (EVD) resulted in countries worldwide to prepare for the possibility of having an EVD patient. In this study, we estimate the costs of Ebola preparedness and response borne by the Dutch health system. An activity-based costing method was used, in which the cost of staff time spent in preparedness and response activities was calculated based on a time-recording system and interviews with key professionals at the healthcare organizations involved. In addition, the organizations provided cost information on patient days of hospitalization, laboratory tests, personal protective equipment (PPE), as well as the additional cleaning and disinfection required...
November 17, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29147814/health-care-service-utilization-of-documented-and-undocumented-hired-farmworkers-in-the-u-s
#12
Tianyuan Luo, Cesar L Escalante
This article analyzes issues related to U.S. hired farmworkers' utilization of health care services and their specific choices among health care provider and health bill payment method options. Using data from the National Agricultural Workers Surveys for the years 2000-2012, this article employs propensity score matching and probit estimation techniques to examine the health care utilization of hired farmworkers. This study's results indicate that undocumented hired farmworkers are 10.7 and 3% less likely to use U...
November 16, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29110223/the-effectiveness-and-cost-effectiveness-of-plant-sterol-or-stanol-enriched-functional-foods-as-a-primary-prevention-strategy-for-people-with-cardiovascular-disease-risk-in-england-a-modeling-study
#13
Wei Yang, Heather Gage, Daniel Jackson, Monique Raats
This study appraises the effectiveness and cost-effectiveness of consumption of plant sterol-enriched margarine-type spreads for the prevention of cardiovascular disease (CVD) in people with hypercholesterolemia in England, compared to a normal diet. A nested Markov model was employed using the perspective of the British National Health Service (NHS). Effectiveness outcomes were the 10-year CVD risk of individuals with mild (4-6 mmol/l) and high (above 6 mmol/l) cholesterol by gender and age groups (45-54, 55-64, 65-74, 75-85 years); CVD events avoided and QALY gains over 20 years...
November 6, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29086087/how-can-dental-insurance-be-optimized
#14
EDITORIAL
Piet Calcoen, Wynand P M M van de Ven
No abstract text is available yet for this article.
October 30, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29086086/the-triple-challenge-of-mental-health
#15
EDITORIAL
Peter Zweifel
No abstract text is available yet for this article.
October 30, 2017: 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
#16
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)...
October 30, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/29063465/are-cost-differences-between-specialist-and-general-hospitals-compensated-by-the-prospective-payment-system
#17
Francesco Longo, Luigi Siciliani, Andrew Street
Prospective payment systems fund hospitals based on a fixed-price regime that does not directly distinguish between specialist and general hospitals. We investigate whether current prospective payments in England compensate for differences in costs between specialist orthopaedic hospitals and trauma and orthopaedics departments in general hospitals. We employ reference cost data for a sample of hospitals providing services in the trauma and orthopaedics specialty. Our regression results suggest that specialist orthopaedic hospitals have on average 13% lower profit margins...
October 23, 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/28382502/economic-evaluation-of-personalized-medicine-a-call-for-real-world-data
#18
EDITORIAL
Robert Terkola, Fernando Antoñanzas, Maarten Postma
No abstract text is available yet for this article.
December 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/28224308/a-methodological-proposal-to-evaluate-the-cost-of-duration-moral-hazard-in-workplace-accident-insurance
#19
Ángel Martín-Román, Alfonso Moral
The cost of duration moral hazard in workplace accident insurance has been amply explored by North-American scholars. Given the current context of financial constraints in public accounts, and particularly in the Social Security system, we feel that the issue merits inquiry in the case of Spain. The present research posits a methodological proposal using the econometric technique of stochastic frontiers, which allows us to break down the duration of work-related leave into what we term "economic days" and "medical days"...
December 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://www.readbyqxmd.com/read/28008547/gender-specific-practice-styles-and-ambulatory-health-care-expenditures
#20
Boris Kaiser
This paper explores the role of physician gender in the expenditures for ambulatory care as a potential source of practice style variation. We exploit a large doctor-patient panel dataset based on insurance-claims data from Switzerland to estimate the effect of physician gender on health care expenditures. We find considerable heterogeneity across specialties. In primary care, female doctors are found to produce similar overall expenditures per visit as their male colleagues, but significantly smaller prescribing costs and significantly higher laboratory costs...
December 2017: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
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