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Health Economics Review

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https://www.readbyqxmd.com/read/29264664/does-spending-matters-re-looking-into-various-covariates-associated-with-out-of-pocket-expenditure-oope-and-catastrophic-spending-on-accidental-injury-from-nsso-71st-round-data
#1
Jalandhar Pradhan, Rinshu Dwivedi, Sanghamitra Pati, Sarit Kumar Rout
BACKGROUND: Accidental Injury is a traumatic event which not only influences physical, psychological, and social wellbeing of the households but also exerts extensive financial burden on them. Despite the devastating economic burden of injuries, in India, there is limited data available on injury epidemiology. This paper aims to, first, examine the socio-economic differentials in Out of Pocket Expenditure (OOPE) on accidental injury; second, to look into the level of Catastrophic Health Expenditure (CHE) at different threshold levels; and last, to explore the adjusted effect of various socio-economic covariates on the level of CHE...
December 20, 2017: Health Economics Review
https://www.readbyqxmd.com/read/29260345/palivizumab-in-the-prevention-of-severe-respiratory-syncytial-virus-infection-in-children-with-congenital-heart-disease-a-novel-cost-utility-modeling-study-reflecting-evidence-based-clinical-pathways-in-spain
#2
Ralph Schmidt, Istvan Majer, Natalia García Román, Alejandra Rivas Basterra, ElizaBeth Grubb, Constancio Medrano López
BACKGROUND: Respiratory syncytial virus (RSV) infection remains one of the major reasons of re-hospitalization among children with congenital heart disease (CHD). This study estimated the cost-effectiveness of palivizumab prophylaxis versus placebo, in Spain, from the societal perspective, using a novel cost-effectiveness model reflecting evidence-based clinical pathways. METHODS: A decision-analytic model, combining a decision tree structure in the first year and a Markov structure in later years, was constructed to evaluate the benefits and costs associated with palivizumab versus no prophylaxis among children with CHD...
December 19, 2017: Health Economics Review
https://www.readbyqxmd.com/read/29209881/the-costs-of-repatriating-an-ill-seafarer-a-micro-costing-approach
#3
Mads D Faurby, Olaf C Jensen, Lulu Hjarnoe, Despena Andrioti
Seafarers sail the high seas around the globe. In case of illness, they are protected by international regulations stating that the employers must pay all expenses in relation to repatriation, but very little is known about the cost of these repatriations. The objective of this study was to estimate the financial burden of repatriations in case of illness. We applied a local approach, a micro-costing method, with an employer perspective using four case vignettes: I) Acute myocardial infarction (AMI), II) Malignant hypertension, III) Appendicitis and IV) Malaria...
December 6, 2017: Health Economics Review
https://www.readbyqxmd.com/read/29204727/economic-evaluation-of-2014-cholera-outbreak-in-ghana-a-household-cost-analysis
#4
Dziedzom Kwesi Awalime, Bernard Bright K Davies-Teye, Linda A Vanotoo, Nkechi S Owoo, Edward Nketiah-Amponsah
INTRODUCTION: Ghana experienced its worst cholera outbreak in three decades in 2014. Evidence of cholera economic costs on affected households has been limited. This study aimed at determining economic costs on households affected by the  cholera outbreak in a Coastal Region of Ghana. METHODS: Two districts; High and Low Incidence Areas (HIA and LIA) were selected in comparative cost analysis and disease impact on affected households assessed based on scientifically documented economic indicators...
December 4, 2017: Health Economics Review
https://www.readbyqxmd.com/read/29196914/health-care-utilisation-amongst-older-adults-with-sensory-and-cognitive-impairments-in-europe
#5
David G Lugo-Palacios, Brenda Gannon
Worldwide, the high prevalence of multiple chronic conditions amongst older population has led to increased utilisation of health care and rising associated costs, becoming a major public health concern. Hearing, vision and cognitive disorders are common chronic conditions amongst older Europeans and recent studies have documented its high co-occurrence. While it has been shown separately that suffering either mental disorders or sensory (hearing and vision) impairments is associated with higher health care utilisation, the association between health care utilisation and the interaction of these conditions has received little attention in the literature...
December 1, 2017: Health Economics Review
https://www.readbyqxmd.com/read/29192353/effects-of-a-mobility-monitoring-system-on-the-cost-of-care-in-relation-to-reimbursement-at-swiss-nursing-homes-learnings-from-a-randomized-controlled-trial
#6
Mario Stark, Rigo Tietz, Heidrun Gattinger, Virpi Hantikainen, Stefan Ott
BACKGROUND/OBJECTIVE: Nursing homes in Switzerland are under pressure to efficiently coordinate staff activities to cover their personnel costs under the care financing system. In this study, the use of a mobility monitoring system accompanied with case conferences was investigated in order to improve sleep quality and estimate the cost benefit of this intervention. METHOD: In an open two-phase randomized controlled trial at three nursing homes, residents with cognitive impairment were randomly assigned to an intervention group and a control group...
December 1, 2017: Health Economics Review
https://www.readbyqxmd.com/read/28752223/discrete-choice-modelling-of-patient-preferences-for-modes-of-drug-administration
#7
Ebenezer Kwabena Tetteh, Steve Morris, Nigel Titcheneker-Hooker
The administration of (biologically-derived) drugs for various disease conditions involves consumption of resources that constitutes a direct monetary cost to healthcare payers and providers. An often ignored cost relates to a mismatch between patients' preferences and the mode of drug administration. The "intangible" benefits of giving patients what they want in terms of the mode of drug delivery is seldom considered. This study aims to evaluate, in monetary terms, end-user preferences for the non-monetary attributes of different modes of drug administration using a discrete-choice experiment...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28646287/assessing-the-effects-of-price-regulation-and-freedom-of-choice-on-quality-evidence-from-the-physiotherapy-market
#8
Piia Pekola, Ismo Linnosmaa, Hennamari Mikkola
In health care, many aspects of the delivery of services are subject to regulation. Often the purpose of the regulated health care system is to encourage providers to keep costs down without skimping on quality. The purpose of this paper is to analyse the effect of price regulation and free choice on quality in physiotherapy organised by the Social Insurance Institution of Finland for the disabled individuals.We use the difference-in-differences method in our effort to isolate the effect of the regulation and for this task we have defined the regulated and non-regulated firms and their quality before and after the regulation...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28634925/technical-efficiency-of-selected-hospitals-in-eastern-ethiopia
#9
Murad Ali, Megersa Debela, Tewfik Bamud
This study examines the relative technical efficiency of 12 hospitals in Eastern Ethiopia. Using six-year-round panel data for the period between 2007/08 and 2012/13, this study examines the technical efficiency, total factor productivity, and determinants of the technical inefficiency of hospitals. Data envelopment analysis (DEA) and DEA- based Malmquist productivity index used to estimate relative technical efficiency, scale efficiency, and total factor productivity index of hospitals. Tobit model used to examine the determinants of the technical inefficiency of hospitals...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28593509/health-expenditure-and-economic-growth-a-review-of-the-literature-and-an-analysis-between-the-economic-community-for-central-african-states-cemac-and-selected-african-countries
#10
Serge Mandiefe Piabuo, Julius Chupezi Tieguhong
African leaders accepted in the year 2001 through the Abuja Declaration to allocate 15% of their government expenditure on health but by 2013 only five (5) African countries achieved this target. In this paper, a comparative analysis on the impact of health expenditure between countries in the CEMAC sub-region and five other African countries that achieved the Abuja declaration is provided. Data for this study was extracted from the World Development Indicators (2016) database, panel ordinary least square (OLS), fully modified ordinary least square (FMOLS) and dynamic ordinary least square (DOLS) were used as econometric technic of analysis...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28577182/economic-burden-of-cancer-among-patients-with-surgical-resections-of-the-lung-rectum-liver-and-uterus-results-from-a-us-hospital-database-claims-analysis
#11
Iftekhar Kalsekar, Chia-Wen Hsiao, Hang Cheng, Sashi Yadalam, Brian Po-Han Chen, Laura Goldstein, Andrew Yoo
OBJECTIVES: To determine hospital resource utilization, associated costs and the risk of complications during hospitalization for four types of surgical resections and to estimate the incremental burden among patients with cancer compared to those without cancer. METHODS: Patients (≥18 years old) were identified from the Premier Research Database of US hospitals if they had any of the following types of elective surgical resections between 1/2008 and 12/2014: lung lobectomy, lower anterior resection of the rectum (LAR), liver wedge resection, or total hysterectomy...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28550486/socioeconomic-inequality-of-diabetes-patients-health-care-utilization-in-denmark
#12
Camilla Sortsø, Jørgen Lauridsen, Martha Emneus, Anders Green, Peter Bjødstrup Jensen
Understanding socioeconomic inequalities in health care is critical for achieving health equity. The aim of this paper is threefold: 1) to quantify inequality in diabetes health care service utilization; 2) to understand determinants of these inequalities in relation to socio-demographic and clinical morbidity factors; and 3) to compare the empirical outcome of using income level and educational level as proxies for Socio Economic Status (SES).Data on the entire Danish population of diabetes patients in 2011 (N = 318,729) were applied...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28536969/economic-conditions-hypertension-and-cardiovascular-disease-analysis-of-the-icelandic-economic-collapse
#13
Kristín Helga Birgisdóttir, Stefán Hrafn Jónsson, Tinna Laufey Ásgeirsdóttir
Previous research has found a positive short-term relationship between the 2008 collapse and hypertension in Icelandic males. With Iceland's economy experiencing a phase of economic recovery, an opportunity to pursue a longer-term analysis of the collapse has emerged. Using data from a nationally representative sample, fixed-effect estimations and mediation analyses were performed to explore the relationship between the Icelandic economic collapse in 2008 and the longer-term impact on hypertension and cardiovascular health...
December 2017: Health Economics Review
https://www.readbyqxmd.com/read/28534279/overcoming-resistance-against-managed-care-insights-from-a-bargaining-model
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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