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Applied Health Economics and Health Policy

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https://www.readbyqxmd.com/read/28578497/authors-reply-to-luft-measuring-the-volume-outcome-relation-for-complex-hospital-surgery
#1
LETTER
Vivian Ho, Woohyeon Kim, Stephen Wolff
No abstract text is available yet for this article.
June 3, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28577206/comment-on-measuring-the-volume-outcome-relation-for-complex-hospital-surgery
#2
LETTER
Harold S Luft
No abstract text is available yet for this article.
June 3, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28439816/competitive-health-markets-and-risk-equalisation-in-australia-lessons-learnt-from-other-countries
#3
Ayman Fouda, Gianluca Fiorentini, Francesco Paolucci
The aims of this paper are to evaluate the risk equalisation (RE) arrangement in Australia's private health insurance against practices in other countries with similar arrangements and to propose ways of improving the system to advance economic efficiency and solidarity. Possible regulatory responses to insurance market failures are reviewed based on standard economic arguments. We describe various regulatory strategies used elsewhere to identify essential system features against which the Australian system is compared...
April 24, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28434180/stated-uptake-of-physical-activity-rewards-programmes-among-active-and-insufficiently-active-full-time-employees
#4
Semra Ozdemir, Marcel Bilger, Eric A Finkelstein
BACKGROUND: Employers are increasingly relying on rewards programmes in an effort to promote greater levels of activity among employees; however, if enrolment in these programmes is dominated by active employees, then they are unlikely to be a good use of resources. OBJECTIVE: This study uses a stated-preference survey to better understand who participates in rewards-based physical activity programmes, and to quantify stated uptake by active and insufficiently active employees...
April 22, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28432644/clinical-governance-in-italy-made-in-england-for-import
#5
EDITORIAL
Livio Garattini, Anna Padula
No abstract text is available yet for this article.
April 21, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28432643/out-of-pocket-payments-and-subjective-unmet-need-of-healthcare
#6
Erik Schokkaert, Jonas Steel, Carine Van de Voorde
We present a critical review of the literature that discusses the link between the level of out-of-pocket payments in developed countries and the share of people in these countries reporting that they postpone or forgo healthcare for financial reasons. We discuss the pros and cons of measuring access problems with this subjective variable. Whereas the quantitative findings in terms of numbers of people postponing care must be interpreted with utmost caution, the picture for the vulnerable groups in society is reasonably robust and unsurprising: people with low incomes and high morbidity and incomplete (or non-existent) insurance coverage are most likely to postpone or forgo healthcare for financial reasons...
April 21, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28409489/cost-of-trauma-care-in-secondary-and-tertiary-care-public-sector-hospitals-in-north-india
#7
Ankur Sangwan, Shankar Prinja, Sameer Aggarwal, Jagnoor Jagnoor, Pankaj Bahuguna, Rebecca Ivers
BACKGROUND: Several initiatives to provide trauma care, including ambulance services, creation of a network of trauma hospitals and insurance schemes for cashless treatment, are currently being implemented in India. However, lack of information on the cost of trauma care is an impediment to the evidence-based planning for such initiatives. In this study, we aim to bridge this gap in evidence by estimating the unit cost of an outpatient consultation, inpatient bed-day of hospitalization, surgical procedure and diagnostics for providing trauma care through secondary- and tertiary-level hospitals in India...
April 13, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28374165/we-propose-a-novel-measure-for-social-welfare-and-public-health-capability-adjusted-life-years-calys
#8
LETTER
Anna Månsdotter, Björn Ekman, Inna Feldman, Lars Hagberg, Anna-Karin Hurtig, Lars Lindholm
No abstract text is available yet for this article.
April 3, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28258395/aligning-health-economics-methods-to-fit-with-the-changing-world-of-public-health
#9
LETTER
Emma Frew
No abstract text is available yet for this article.
June 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28185133/geographic-resource-allocation-based-on-cost-effectiveness-an-application-to-malaria-policy
#10
Tom L Drake, Yoel Lubell, Shwe Sin Kyaw, Angela Devine, Myat Phone Kyaw, Nicholas P J Day, Frank M Smithuis, Lisa J White
Healthcare services are often provided to a country as a whole, though in many cases the available resources can be more effectively targeted to specific geographically defined populations. In the case of malaria, risk is highly geographically heterogeneous, and many interventions, such as insecticide-treated bed nets and malaria community health workers, can be targeted to populations in a way that maximises impact for the resources available. This paper describes a framework for geographically targeted budget allocation based on the principles of cost-effectiveness analysis and applied to priority setting in malaria control and elimination...
June 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28164250/does-insurance-status-influence-a-patient-s-hospital-charge
#11
Lindsey Woodworth, Patrick S Romano, James F Holmes
BACKGROUND: There is obscurity regarding how US hospitals determine patients' charges. Whether insurance status influences a patient's hospital charge has not been explored. OBJECTIVE: The objective of this study was to determine whether hospitals charge patients differently based on their insurance status. METHODS: This was an analysis of the Florida Hospital Inpatient Data File for fiscal years 2011-2012 (N = 4.7 million). Multivariable regression analysis was used to adjust for patients' age, sex, length of stay, priority of admission, principal ICD-9-CM diagnosis, and All Payer Refined Diagnosis-Related Group subdivided by Severity of Illness subclass...
June 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28105555/malaria-and-economic-evaluation-methods-challenges-and-opportunities
#12
Tom L Drake, Yoel Lubell
There is a growing evidence base on the cost effectiveness of malaria interventions. However, certain characteristics of malaria decision problems present a challenge to the application of healthcare economic evaluation methods. This paper identifies five such challenges. The complexities of (i) declining incidence and cost effectiveness in the context of an elimination campaign; (ii) international aid and its effect on resource constraints; and (iii) supranational priority setting, all affect how health economists might use a cost-effectiveness threshold...
June 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27882528/an-empirical-comparison-of-the-eq-5d-5l-demqol-u-and-demqol-proxy-u-in-a-post-hospitalisation-population-of-frail-older-people-living-in-residential-aged-care
#13
Julie Ratcliffe, Thomas Flint, Tiffany Easton, Maggie Killington, Ian Cameron, Owen Davies, Craig Whitehead, Susan Kurrle, Michelle Miller, Enwu Liu, Maria Crotty
OBJECTIVE: To empirically compare the measurement properties of the DEMQOL-U and DEMQOL-Proxy-U instruments to the EQ-5D-5L and its proxy version (CEQ-5D-5L) in a population of frail older people living in residential aged care in the post-hospitalisation period following a hip fracture. METHODS: A battery of instruments to measure health-related quality of life (HRQoL), cognition, and clinical indicators of depression, pain and functioning were administered at baseline and repeated at 4 weeks' follow-up...
June 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27798796/screen-time-and-health-indicators-among-children-and-youth-current-evidence-limitations-and-future-directions
#14
REVIEW
Travis J Saunders, Jeff K Vallance
Despite accumulating evidence linking screen-based sedentary behaviours (i.e. screen time) with poorer health outcomes among children and youth <18 years of age, the prevalence of these behaviours continues to increase, with roughly half of children and youth exceeding the public health screen time recommendation of 2 h per day or less. The purpose of this article is to provide an overview of key research initiatives aimed at understanding the associations between screen time and health indicators including physical health, quality of life and psychosocial health...
June 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27798795/can-a-circular-payment-card-format-effectively-elicit-preferences-evidence-from-a-survey-on-a-mandatory-health-insurance-scheme-in-tunisia
#15
Olivier Chanel, Khaled Makhloufi, Mohammad Abu-Zaineh
BACKGROUND: The choice of elicitation format is a crucial but tricky aspect of stated preferences surveys. It affects not only the quantity and quality of the information collected on respondents' willingness to pay (WTP) but also the potential errors/biases that prevent their true WTP from being observed. OBJECTIVES: We propose a new elicitation mechanism, the circular payment card (CPC), and show that it helps overcome the drawbacks of the standard payment card (PC) format...
June 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27704390/utility-estimates-of-disease-specific-health-states-in-prostate-cancer-from-three-different-perspectives
#16
Katharine S Gries, Dean A Regier, Scott D Ramsey, Donald L Patrick
OBJECTIVE: To develop a statistical model generating utility estimates for prostate cancer specific health states, using preference weights derived from the perspectives of prostate cancer patients, men at risk for prostate cancer, and society. METHODS: Utility estimate values were calculated using standard gamble (SG) methodology. Study participants valued 18 prostate-specific health states with the five attributes: sexual function, urinary function, bowel function, pain, and emotional well-being...
June 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27699648/clinical-and-cost-effectiveness-of-apixaban-compared-to-aspirin-in-patients-with-atrial-fibrillation-an-australian-perspective
#17
Zanfina Ademi, Kumar Pasupathi, Danny Liew
OBJECTIVE: To determine the clinical and cost effectiveness of apixaban compared to aspirin in the prevention of thromboembolic events for patients with atrial fibrillation for whom vitamin K antagonist (VKA) therapy (warfarin) has been considered unsuitable. METHODS: A previously published Markov model with yearly cycles was updated. Information from the Apixaban Versus Acetylsalicylic acid to prevent Stroke in Atrial Fibrillation (AVERROES) trial in combination with other population data was used to simulate the costs and effects of apixaban compared to aspirin over 10 years...
June 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28194657/eq-5d-and-the-euroqol-group-past-present-and-future
#18
REVIEW
Nancy J Devlin, Richard Brooks
Over the period 1987-1991 an inter-disciplinary five-country group developed the EuroQol instrument, a five-dimensional three-level generic measure subsequently termed the 'EQ-5D'. It was designed to measure and value health status. The salient features of its development and its consolidation and expansion are discussed. Initial expansion came, in particular, in the form of new language versions. Their development raised translation and semantic issues, experience with which helped feed into the design of two further instruments, the EQ-5D-5L and the youth version EQ-5D-Y...
April 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28063135/cost-effectiveness-of-insulin-degludec-plus-liraglutide-ideglira-in-a-fixed-combination-for-uncontrolled-type-2-diabetes-mellitus-in-sweden
#19
Åsa Ericsson, Adam Lundqvist
BACKGROUND: Patients with uncontrolled type 2 diabetes mellitus (T2DM) are a priority group for intensified therapy without weight gain and with low risk of hypoglycaemia. OBJECTIVE: This study evaluates the cost effectiveness of insulin degludec plus liraglutide (IDegLira, Xultophy(®)) compared with six potential intensification treatment options for patients with T2DM that is uncontrolled with basal insulin. METHODS: The Swedish Institute for Health Economics (IHE) Cohort Model of Type 2 Diabetes was used with Swedish input data, a 40-year time frame and a societal perspective...
April 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/27943165/assessment-of-public-health-and-economic-impact-of-intranasal-live-attenuated-influenza-vaccination-of-children-in-france-using-a-dynamic-transmission-model
#20
L Gerlier, M Lamotte, S Grenèche, X Lenne, F Carrat, C Weil-Olivier, O Damm, M Schwehm, M Eichner
OBJECTIVES: We estimated the epidemiological and economic impact of extending the French influenza vaccination programme from at-risk/elderly (≥65 years) only to healthy children (2-17 years). METHODS: A deterministic, age-structured, dynamic transmission model was used to simulate the transmission of influenza in the French population, using the current vaccination coverage with trivalent inactivated vaccine (TIV) in at-risk/elderly individuals (current strategy) or gradually extending the vaccination to healthy children (aged 2-17 years) with intranasal, quadrivalent live-attenuated influenza vaccine (QLAIV) from current uptake up to 50% (evaluated strategy)...
April 2017: Applied Health Economics and Health Policy
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