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Applied Health Economics and Health Policy

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https://www.readbyqxmd.com/read/28439816/competitive-health-markets-and-risk-equalisation-in-australia-lessons-learnt-from-other-countries
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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/28364369/predicting-productivity-losses-from-health-related-quality-of-life-using-patient-data
#7
Clara Mukuria, Donna Rowen, Mónica Hernández-Alava, Simon Dixon, Roberta Ara
OBJECTIVE: This paper estimates productivity loss using the health of the patient in order to allow indirect estimation of these costs for inclusion in economic evaluation. METHODS: Data from two surveys of inpatients [Health outcomes data repository (HODaR) sample (n = 42,442) and health improvement and patient outcomes (HIPO) sample (n = 6046)] were used. The number of days off paid employment or normal activities (excluding paid employment) was modelled using the health of the patients measured by the EQ-5D, international classification of diseases (ICD) chapters, and other health and sociodemographic data...
March 31, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28364368/user-fees-in-general-practice-willingness-to-pay-and-potential-substitution-patterns-results-from-a-danish-gp-patient-survey
#8
Christian Kronborg, Line Bjørnskov Pedersen, Anders Fournaise, Christel Nøhr Kronborg
BACKGROUND: Increases in public expenditures to general practitioner (GP) services and specialist care have spurred debate over whether to implement user fees for healthcare services such as GP consultations in Denmark. OBJECTIVE: The objective of this study was to examine Danish patients' attitudes towards user fees and their willingness to pay (WTP) for a consultation, and to investigate how user charges may impact patients' behaviour. METHODS: A questionnaire survey was conducted in a GP clinic...
March 31, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28349499/a-cost-effectiveness-model-for-frail-older-persons-development-and-application-to-a-physiotherapy-based-intervention
#9
Jonathan Karnon, Hossein Haji Ali Afzali, Gregorius Virgianto Arpuji Anggoro Putro, Phyu Win Thant, Ameline Dompok, Ingrid Cox, Owen Henry Chikhwaza, Xian Wang, Mercy Mukui Mwangangi, Matahari Farransahat, Ian Cameron
INTRODUCTION: The clinical importance of frailty is increasing. Existing economic evaluations of interventions to manage frailty have limited time horizons, but even in older populations there may be important longer-term differences in costs and outcomes. This paper reports on the development of a cost-effectiveness model to predict publicly funded health and aged care costs and quality-adjusted life years (QALYs) over the remaining lifetime of frail Australians and a model-based cost-utility analysis of a physiotherapy-based intervention for frail individuals...
March 27, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28342061/cost-effectiveness-analysis-of-obinutuzumab-for-previously-untreated-chronic-lymphocytic-leukaemia-in-portuguese-patients-who-are-unsuitable-for-full-dose-fludarabine-based-therapy
#10
Ana Teresa Paquete, Luís Silva Miguel, Ursula Becker, Catarina Pereira, Carlos Gouveia Pinto
BACKGROUND: Chronic lymphocytic leukaemia (CLL) mostly affects patients with comorbidities and limited therapeutic options. Obinutuzumab in combination with chlorambucil (GClb) is a new therapeutic option for previously untreated CLL patients who are unsuitable for full-dose fludarabine-based therapy. This combination delays disease progression but incurs additional costs; thus, an assessment of its value for money is relevant. OBJECTIVE: To estimate the incremental cost-utility ratio of GClb in comparison with (i) rituximab in combination with chlorambucil (RClb), and (ii) chlorambucil alone (Clb) from the perspective of the Portuguese National Health Service (NHS)...
March 24, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28290107/estimating-willingness-to-pay-for-online-health-services-with-discrete-choice-experiments
#11
Jieun Chang, Scott J Savage, Donald M Waldman
BACKGROUND: Research has outlined the benefits and costs of online health services, but these studies have typically focused on a specific geographic region or disease. Very few studies have estimated consumer demand for online health services. OBJECTIVE: This study estimated household's willingness to pay (WTP) for the ability to receive remote diagnosis, treatment, monitoring and consultations online (telehealth). METHODS: WTP was estimated with a random utility model and household data from a US survey employing repeated discrete-choice experiments...
March 13, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28290106/a-head-to-head-comparison-of-uk-sf-6d-and-thai-and-uk-eq-5d-5l-value-sets-in-thai-patients-with-chronic-diseases
#12
Phantipa Sakthong, Wipaporn Munpan
PURPOSE: Little was known about the head-to-head comparison of psychometric properties between SF-6D and EQ-5D-5L or the different value sets of EQ-5D-5L. Therefore, this study set out to compare the psychometric properties including agreement, convergent, and known-group validity between the SF-6D and the EQ-5D-5L using the real value sets from Thailand and the UK in patients with chronic diseases. METHODS: 356 adults taking a medication for at least 3 months were identified from a university hospital in Bangkok, Thailand, between July 2014 and March 2015...
March 13, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28290105/economic-evaluations-of-thrombophilia-screening-prior-to-prescribing-combined-oral-contraceptives-a-systematic-and-critical-review
#13
REVIEW
Erin Vernon, Bridget Hiedemann, Bonnie H Bowie
BACKGROUND: Combined oral contraceptives (COCs) increase the risk of venous thromboembolism (VTE), particularly among women with inherited clotting disorders. The World Health Organization classifies combined hormonal contraception as an "unacceptable health risk" for women with thrombogenic mutations but advises against universal thrombophilia screening before prescribing COCs given the low prevalence of thrombophilia and high screening costs. OBJECTIVE: Through the lens of lifetime costs and benefits, this paper systematically and critically reviews all published economic evaluations of thrombophilia screening prior to prescribing COCs...
March 13, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28290104/erratum-to-spectra-optia-%C3%A2-for-automated-red-blood-cell-exchange-in-patients-with-sickle-cell-disease-a-nice-medical-technology-guidance
#14
Iain Willits, Helen Cole, Roseanne Jones, Kimberley Carter, Mick Arber, Michelle Jenks, Joyce Craig, Andrew Sims
No abstract text is available yet for this article.
March 13, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28265820/how-a-bottom-up-multi-stakeholder-initiative-helped-transform-the-renal-replacement-therapy-landscape-in-spain
#15
Rafael Selgas, Laura Rodriguez, Juan Carlos Julian, Cesar Remon, Mario Prieto-Velasco, Javier Perez-Contreras, Miguel Perez Fontan
Healthcare reforms aim to change certain parts of the health system to improve quality of care, access, or financial sustainability. Traditionally, healthcare reform is understood as an action undertaken by a government at a national or local level. However, bottom-up changes can also lead to improvements in the health system. This paper describes the efforts of a coordinated multi-stakeholder advocacy group in Spain to promote a more cost-effective and patient-centred treatment for people receiving renal replacement therapy and assesses the outcomes of their advocacy for health system financing and patient satisfaction...
March 6, 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
#16
LETTER
Emma Frew
No abstract text is available yet for this article.
March 4, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28247199/cost-effectiveness-of-genotype-guided-warfarin-dosing-in-patients-with-mechanical-heart-valve-replacement-under-the-fee-for-service-system
#17
Dong-Jin Kim, Ho-Sook Kim, Minkyung Oh, Eun-Young Kim, Jae-Gook Shin
BACKGROUND: Although studies assessing the cost effectiveness of genotype-guided warfarin dosing for the management of atrial fibrillation, deep vein thrombosis, and pulmonary embolism have been reported, no publications have addressed genotype-guided warfarin therapy in mechanical heart valve replacement (MHVR) patients or genotype-guided warfarin therapy under the fee-for-service (FFS) insurance system. OBJECTIVE: The aim of this study was to evaluate the cost effectiveness of genotype-guided warfarin dosing in patients with MHVR under the FFS system from the Korea healthcare sector perspective...
February 28, 2017: Applied Health Economics and Health Policy
https://www.readbyqxmd.com/read/28164250/does-insurance-status-influence-a-patient-s-hospital-charge
#18
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/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
#19
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
#20
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
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