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Health Economics Review

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https://www.readbyqxmd.com/read/28534279/overcoming-resistance-against-managed-care-insights-from-a-bargaining-model
#1
Andree Ehlert, Thomas Wein, Peter Zweifel
Recent healthcare reforms have sought to increase efficiency by introducing managed care (MC) while respecting consumer preferences by admitting choice between MC and conventional care. This article proposes an institutional change designed to let German consumers choose between the two settings through directing payments from the Federal Health Fund to social health insurers (SHIs) or to specialized MC organizations (MCOs). To gauge the chance of success of this reform, a game involving a SHI, a MCO, and a representative insured (RI) is analyzed...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28508169/variation-in-the-relationship-between-birth-weight-and-subsequent-obesity-by-household-income
#2
Jonas Minet Kinge
There is evidence to suggest that high birth weight increases subsequent BMI. However, little attention has been paid to variations in this impact between population groups. This study investigates the relationship between high birth weight and subsequent obesity, and whether or not this relationship varies by household income. Data was taken from fourteen rounds of the Health Survey for England (between 2000-2014; N = 31,043) for children aged 2-16. We regressed obesity in childhood against birth weight, accounting for interactions between birth weight and household income, using sibling-fixed effects models...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28470542/a-comparative-analysis-of-a-disposable-and-a-reusable-pedicle-screw-instrument-kit-for-lumbar-arthrodesis-integrating-hta-and-mcda
#3
Claudia Ottardi, Alessio Damonti, Emanuele Porazzi, Emanuela Foglia, Lucrezia Ferrario, Tomaso Villa, Enrico Aimar, Marco Brayda-Bruno, Fabio Galbusera
OBJECTIVE: Lumbar arthrodesis is a common surgical technique that consists of the fixation of one or more motion segments with pedicle screws and rods. However, spinal surgery using these techniques is expensive and has a significant impact on the budgets of hospitals and Healthcare Systems. While reusable and disposable instruments for laparoscopic interventions have been studied in literature, no specific information exists regarding instrument kits for lumbar arthrodesis. The aim of the present study was to perform a complete health technology assessment comparing a disposable instrument kit for lumbar arthrodesis (innovative device) with the standard reusable instrument...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28444572/national-health-insurance-subscription-and-maternal-healthcare-utilisation-across-mothers-wealth-status-in-ghana
#4
Edward Kwabena Ameyaw, Raymond Elikplim Kofinti, Francis Appiah
INTRODUCTION: This study is against the backdrop that despite the forty-nine percent decline in Maternal Mortality Rate in Ghana, the situation still remains high averaging 319 per 100,000 live births between 2011 and 2015. OBJECTIVE: To examine the relationship between National Health Insurance and maternal healthcare utilisation across three main wealth quintiles (Poor, Middle and Rich). METHODS: The study employed data from the 2014 Ghana Demographic and Health Survey...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28389976/distinct-impacts-of-high-intensity-caregiving-on-caregivers-mental-health-and-continuation-of-caregiving
#5
Narimasa Kumagai
Although high-intensity caregiving has been found to be associated with a greater prevalence of mental health problems, little is known about the specifics of this relationship. This study clarified the burden of informal caregivers quantitatively and provided policy implications for long-term care policies in countries with aging populations. Using data collected from a nationwide five-wave panel survey in Japan, I examined two causal relationships: (1) high-intensity caregiving and mental health of informal caregivers, and (2) high-intensity caregiving and continuation of caregiving...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28337738/does-birth-under-registration-reduce-childhood-immunization-evidence-from-the-dominican-republic
#6
Steve Brito, Ana Corbacho, Rene Osorio
The consequences of lacking birth certificates remain largely unexplored in the economic literature. We intend to fill this knowledge gap studying the effect of lacking birth certificates on immunization of children in the Dominican Republic. This is an interesting country because a significant number of children of Haitian descent face the consequences of lacking proper documentation. We use the distance to the civil registry office and the mother's document of identification as instrumental variables of the child's birth certificate...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28281245/medicare-modernization-and-diffusion-of-endoscopy-in-ffs-medicare
#7
Lee R Mobley, Pedro Amaral, Tzy-Mey Kuo, Mei Zhou, Srimoyee Bose
OBJECTIVE: To examine how FFS Medicare utilization of endoscopy procedures for colorectal cancer (CRC) screening changed after implementation of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) in 2006, which provided subsidized drug coverage and expanded the geographic availability of Medicare managed care plans across the US. DATA SOURCES/STUDY SETTING: Using secondary data from 100% FFS Medicare enrollees, we analyzed endoscopy utilization during two intervals, 2001-2005 and 2006-2009...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28275988/income-related-inequalities-in-diseases-and-health-conditions-over-the-business-cycle
#8
Tinna Laufey Ásgeirsdóttir, Hildur Margrét Jóhannsdóttir
How business cycles affect income-related distribution of diseases and health disorders is largely unknown. We examine how the prevalence of thirty diseases and health conditions is distributed across the income spectrum using survey data collected in Iceland in 2007, 2009 and 2012. Thus, we are able to take advantage of the unusually sharp changes in economic conditions in Iceland during the Great Recession initiated in 2008 and the partial recovery that had already taken place by 2012 to analyze how income-related health inequality changed across time periods that can be described as a boom, crisis and recovery...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28251553/hospital-physician-payment-mechanisms-in-austria-do-they-provide-gateways-to-institutional-corruption
#9
Margit Sommersguter-Reichmann, Adolf Stepan
Institutional corruption in the health care sector has gained considerable attention during recent years, as it acknowledges the fact that service providers who are acting in accordance with the institutional and environmental settings can nevertheless undermine a health care system's purposes as a result of the (financial) conflicts of interest to which the service providers are exposed. The present analysis aims to contribute to the examination of institutional corruption in the health sector by analyzing whether the current payment mechanism of separately remunerating salaried hospital physicians for treating supplementary insured patients in public hospitals, in combination with the public hospital physician's possibility of taking up dual practice as a self-employed physician with a private practice and/or as an attending physician in private hospitals, has the potential to undermine the primary purposes of the Austrian public health care system...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28243888/assessing-the-impact-of-state-opt-out-policy-on-access-to-and-costs-of-surgeries-and-other-procedures-requiring-anesthesia-services
#10
John E Schneider, Robert Ohsfeldt, Pengxiang Li, Thomas R Miller, Cara Scheibling
In 2001, the U.S. government released a rule that allowed states to "opt-out" of the federal requirement that a physician supervise the administration of anesthesia by a nurse anesthetist. To date, 17 states have opted out. The majority of the opt-out states cited increased access to anesthesia care as the primary rationale for their decision. In this study, we assess the impact of state opt-out policy on access to and costs of surgeries and other procedures requiring anesthesia services. Our null hypothesis is that opt-out rule adoption had little or no effect on surgery access or costs...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28188606/costs-of-productivity-loss-due-to-occupational-cancer-in-canada-estimation-using-claims-data-from-workers-compensation-boards
#11
W Dominika Wranik, Adam Muir, Min Hu
INTRODUCTION: Cancer is a leading cause of illness globally, yet our understanding of the financial implications of cancer caused by working conditions and environments is limited. The goal of this study is to estimate the costs of productivity losses due to occupational cancer in Canada, and to evaluate the factors associated with these costs. METHODS: Two sources of data are used: (i) Individual level administrative claims data from the Workers Compensation Board of Nova Scotia; and (ii) provincial aggregated cancer claims statistics from the Association of Workers Compensation Boards of Canada...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28168633/cost-utility-analysis-of-dynamic-intraligamentary-stabilization-versus-early-reconstruction-after-rupture-of-the-anterior-cruciate-ligament
#12
Martin Bierbaum, Oliver Schöffski, Benedikt Schliemann, Clemens Kösters
OBJECTIVES: The aim of this study was to evaluate the cost-effectiveness of the dynamic intraligamentary stabilization (DIS) technique in comparison with reconstructive surgery (ACLR) in the treatment of isolated anterior cruciate ligament (ACL) ruptures from the perspective of the community of insured citizens in Germany. METHODS: Because of the specific decision problem at hand, namely that with DIS the procedure has to take place within 21 days after the initial trauma, a decision tree was developed...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28150127/standardised-mortality-rate-for-cerebrovascular-diseases-in-the-slovak-republic-from-1996-to-2013-in-the-context-of-income-inequalities-and-its-international-comparison
#13
Beáta Gavurová, Viliam Kováč, Tatiana Vagašová
Non-communicable diseases represent one of the greatest challenges for health policymakers. The main objective of this study is to analyse the development of standardised mortality rates for cerebrovascular disease, which is one of the most common causes of deaths, in relation to income inequality in individual regions of the Slovak Republic. Direct standardisation was applied using data from the Slovak mortality database, covering the time period from 1996 to 2013. The standardised mortality rate declined by 4...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28144927/pay-for-performance-and-contractual-choice-the-case-of-general-practitioners-in-england
#14
Eleonora Fichera, Mario Pezzino
The Quality and Outcomes Framework (QOF) is a Pay-for-Performance scheme introduced in England in 2004 to reward primary care providers. This incentive scheme provides financial incentives that reward the overall performance of a practice, not individual effort. Consequently, an important question is how the QOF may affect contractual choices, quality provision and doctor mobility in the primary healthcare labour market. The paper provides a simple theoretical model that shows that the introduction and further strengthening of the scheme may have induced practices to compete for the best doctors and modified their choices in terms of contractual agreements with practitioners...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28124313/policy-makers-the-international-community-and-the-population-in-the-prevention-and-treatment-of-diseases-case-study-on-hiv-aids
#15
Kjell Hausken, Mthuli Ncube
A four-period game is developed between a policy maker, the international community, and the population. This research supplements, through implementing strategic interaction, earlier research analyzing "one player at a time". The first two players distribute funds between preventing and treating diseases. The population reacts by degree of risky behavior which may cause no disease, disease contraction, recovery, sickness/death. More funds to prevention implies less disease contraction but higher death rate given disease contraction...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28124312/is-health-care-a-necessary-or-luxury-product-for-asian-countries-an-answer-using-panel-approach
#16
S M Abdullah, Salina Siddiqua, Rumana Huque
A number of studies have estimated the income elasticity of health care expenditure to identify whether health care is a necessary or luxury product. However, the issue has received less attention in developing countries, especially in Asian economies. The current study for the first time has used the panel data covering 36 Asian countries for the period 1995-2013 for revealing the nature of health care as a product. Along with conventional econometric techniques we have addressed the issue of cross section dependence and used Westerlund (2007) panel cointegration test which is robust against cross section dependence and heterogeneity for detecting the presence of panel cointegration...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28105591/valuing-productivity-loss-due-to-absenteeism-firm-level-evidence-from-a-canadian-linked-employer-employee-survey
#17
Wei Zhang, Huiying Sun, Simon Woodcock, Aslam H Anis
In health economic evaluation studies, to value productivity loss due to absenteeism, existing methods use wages as a proxy value for marginal productivity. This study is the first to test the equality between wage and marginal productivity losses due to absenteeism separately for team workers and non-team workers. Our estimates are based on linked employer-employee data from Canada. Results indicate that team workers are more productive and earn higher wages than non-team workers. However, the productivity gap between these two groups is considerably larger than the wage gap...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28097610/on-the-interdependence-of-ambulatory-and-hospital-care-in-the-german-health-system
#18
Tugba Büyükdurmus, Thomas Kopetsch, Hendrik Schmitz, Harald Tauchmann
For some considerable time now the interface between ambulatory and hospital care has been mooted as a cause of inefficiencies in the German health system and there have been calls for a softening of the strict separation between the two sectors. This debate emphasizes the need for detailed empirical information on the interdependence between the two sectors. Using extensive administrative data at the level of the 412 German counties for the years 2007 to 2009 and a simultaneous equation model which allows the numbers of ambulatory and hospital cases to be mutually interdependent, we examine the connection between ambulatory and hospital specialist care separately for ten medical specialties...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28092012/results-of-a-randomized-controlled-trial-analyzing-telemedically-supported-case-management-in-the-first-year-after-living-donor-kidney-transplantation-a-budget-impact-analysis-from-the-healthcare-perspective
#19
Klaus Kaier, Silvia Hils, Stefan Fetzer, Philip Hehn, Anja Schmid, Dieter Hauschke, Lioudmila Bogatyreva, Bernd Jänigen, Przemyslaw Pisarski
ᅟ: We analyze one-year costs and savings of a telemedically supported case management program after kidney transplantation from the perspective of the German Healthcare System. Recipients of living donor kidney transplantation (N = 46) were randomly allocated to either (1) standard aftercare or (2) standard aftercare plus additional telemedically supported case management. A range of cost figures of each patient's medical service utilization were calculated at month 3, 6 and 12 and analyzed using two-part regression models...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/27995577/patient-dumping-outlier-payments-and-optimal-healthcare-payment-policy-under-asymmetric-information
#20
Tsuyoshi Takahara
We analyze a rationale for official authorization of patient dumping in the prospective payment policy framework. We show that when the insurer designs the healthcare payment policy to let hospitals dump high-cost patients, there is a trade-off between the disutility of dumped patients (changes in hospitals' rent extraction due to low-severity patients) and the shift in the level of cost reduction efforts for high-severity patients. We also clarify the welfare-improving conditions by allowing hospitals to dump high-severity patients...
December 2016: Health Economics Review
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