IF 2.7 3区经济学

Health Economics Review Pub Date : 2024-12-20 DOI: 10.1186/s13561-024-00583-7

Elisabetta Listorti, Aleksandra Torbica, Giovanna Esposito, Matteo Franchi, Fabio Parazzini

{"title":"Determinants of the economic burden of ART on the Italian NHS: insights from the Lombardy region.","authors":"Elisabetta Listorti, Aleksandra Torbica, Giovanna Esposito, Matteo Franchi, Fabio Parazzini","doi":"10.1186/s13561-024-00583-7","DOIUrl":"https://doi.org/10.1186/s13561-024-00583-7","url":null,"abstract":"With the rising spread of Assisted Reproductive Technology (ART), it becomes imperative to understand the determinants of resource utilization in ART versus spontaneous pregnancies to enhance policies directed to pregnancy care. The focus of our study is to examine the costs associated with ART from the perspective of the Italian NHS and to investigate in depth the contributing social and clinical factors.Using the healthcare informative system of Lombardy, a Region of Northern Italy, we gathered individual-level information for a cohort of women who experienced either spontaneous pregnancies or pregnancies following ART from 2007 until 2020. The information covered multiple healthcare services, and we used a propensity score matching technique to match couples of ART/No ART women based on a comprehensive set of confounders. We then applied statistical tests and regression models to identify the impact of ART on the reported cost differences.Our cohort was composed of 44652 women and results revealed significantly higher costs for ART pregnancies, especially in terms of hospital admissions (additional 1611€, 95% CI 1558-1666) and drug prescriptions (additional 216 €, CI 95% 204-228) occurring before delivery. In-depth analysis showed for ART pregnancies, i) a higher likelihood of incurring expenses related to complications and ii) higher costs associated with two established clinical practices that lack scientific evidence supporting their efficacy.Our study sheds light on the complex interplay of clinical and social factors influencing the ART burden, emphasizing the importance of tailored support and evidence-based practices in optimizing outcomes and resource allocation.","PeriodicalId":46936,"journal":{"name":"Health Economics Review","volume":"14 1","pages":"107"},"PeriodicalIF":2.7,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Content: International Finance 27/3 内容：国际金融 27/3

IF 1.3 4区经济学

International Finance Pub Date : 2024-12-20 DOI: 10.1111/infi.12456

引用次数: 0

Bank Funding Risk, Reference Rates, and Credit Supply

IF 8 1区经济学

Journal of Finance Pub Date : 2024-12-20 DOI: 10.1111/jofi.13411

HARRY COOPERMAN, DARRELL DUFFIE, STEPHAN LUCK, ZACHRY WANG, YILIN (DAVID) YANG

引用次数: 0

The rise and fall of neoliberalism: Evidences from an ecological and regulationist analysis of France (1960–2020)

IF 7 2区经济学

Ecological Economics Pub Date : 2024-12-20 DOI: 10.1016/j.ecolecon.2024.108488

Alban Pellegris, Victor Court

{"title":"The rise and fall of neoliberalism: Evidences from an ecological and regulationist analysis of France (1960–2020)","authors":"Alban Pellegris, Victor Court","doi":"10.1016/j.ecolecon.2024.108488","DOIUrl":"https://doi.org/10.1016/j.ecolecon.2024.108488","url":null,"abstract":"This article explores the critical role of energy in shaping capitalist modes of development, and their entry into crisis, in France between 1960 and 2020. This analysis challenges traditional views that regard energy primarily as an exogenous shock and instead posits energy as a fundamental metabolic constraint in capitalist accumulation regimes. To demonstrate this, we integrate energy flows into the analysis of capitalists' regimes by crossing two bodies of knowledge: ecological economics and regulation theory. We enrich regulation theory with three key ecological macroeconomics indicators: thermodynamic efficiency, exosomatic metabolic rate and the weight of energy expenditures. Using descriptive statistics, we show that the weight of energy expenditures is the most significant variable: it must be contained if the rate of profit is to be maintained and if capital accumulation is to continue. Neoliberalism responded to the metabolic exhaustion of Fordism but eventually encountered its own limits in managing energy constraints. Neoliberal recipes for reconfiguring the metabolism have generated major imbalances likely to call into question the reproduction of this regime (financial crises, trade imbalances). We conclude that neoliberalism's structural crisis is rooted in the exhaustion of past energy management strategies, opening the door to the emergence of post-liberal capitalism.","PeriodicalId":51021,"journal":{"name":"Ecological Economics","volume":"1 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869927","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Disappearing Index Effect 消失的指数效应

IF 8 1区经济学

Journal of Finance Pub Date : 2024-12-20 DOI: 10.1111/jofi.13410

ROBIN GREENWOOD, MARCO SAMMON

引用次数: 0

Economic valuation of groundwater over-exploitation in the Maghreb 马格里布地下水过度开采的经济估值

IF 7 2区经济学

Ecological Economics Pub Date : 2024-12-20 DOI: 10.1016/j.ecolecon.2024.108499

Abderraouf Zaatra, Georgios Kleftodimos, Mélanie Requier-Desjardins, Hatem Belhouchette

{"title":"Economic valuation of groundwater over-exploitation in the Maghreb","authors":"Abderraouf Zaatra, Georgios Kleftodimos, Mélanie Requier-Desjardins, Hatem Belhouchette","doi":"10.1016/j.ecolecon.2024.108499","DOIUrl":"https://doi.org/10.1016/j.ecolecon.2024.108499","url":null,"abstract":"The agricultural sector is recognized as particularly vulnerable to the effects of climate change. In semi-arid areas, the performance and durability of irrigated systems are often difficult to manage. Understanding agriculture's response to water scarcity, institutional change and policy interventions is important in order to better define the different agricultural development pathways. The purpose of this paper is to carry out an economic assessment of the costs of groundwater over-exploitation in the Maghreb. This was achieved by using bio-economic modeling in three case studies: the Saïss plain (Morocco), El Haouaria plain (Tunisia) and Sétif plain (Algeria). A set of indicators (land use, farm gross margin, the dual value of water and labor requirements) was calculated for each case study in two scenarios (a business-as-usual (S_BAU) scenario and a return-to-equilibrium (S_RtE) scenario) over a period of 15 years, from 2021 to 2035. Our results show that (i) the state of the aquifer and its over-exploitation level determine the extent of future changes; (ii) in the case of significant groundwater over-exploitation, restoration costs are higher than over-exploitation costs (Saïss plain); on the other hand, in the case where the over-exploitation rate is lower (El Haouaria and Sétif plains), the over-exploitation and restoration costs are close; (iii) both scenarios show significant structural and social changes, and without the effective implementation of environmental and social policies, they lead to high economic losses.","PeriodicalId":51021,"journal":{"name":"Ecological Economics","volume":"24 1","pages":""},"PeriodicalIF":7.0,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

(Re)defining the smart city at national level? Coexisting narratives of urban sustainability governance in Germany

IF 4.7 1区经济学

Urban Studies Pub Date : 2024-12-19 DOI: 10.1177/00420980241295935

Leonie Büttner, Nele Kress

{"title":"(Re)defining the smart city at national level? Coexisting narratives of urban sustainability governance in Germany","authors":"Leonie Büttner, Nele Kress","doi":"10.1177/00420980241295935","DOIUrl":"https://doi.org/10.1177/00420980241295935","url":null,"abstract":"While the question of how the Smart City (SC) concept is mobilised at global and local levels is well researched, few studies have focused on the national level. In this article, we seek to better understand the role of the national level regarding the embedding and creation of SCs. More specifically, we explore the German Smart Cities Dialogue Platform, established by the German government in 2016 as a place where ways of thinking about and acting on the SC are produced and stabilised. Drawing on key concepts of governmentality, we analyse dominant narratives of the SC in Germany, focusing on how the national SC discourse shapes the governance of urban sustainability. We show that the national level in Germany plays a decisive role in embedding and creating the SC, as it mediates between globally prevailing ideas of the SC and local realities. By linking the SC to nationally prevailing values, norms and political cultures such as sustainability, the common good, civil rights and digital sovereignty, a corrective to globally dominant techno-euphoric narratives of the SC is created. At the same time, the (re)definition at the national level promotes an ecological modernisation approach to sustainable urban development to the exclusion of alternative visions of urban sustainability pathways.","PeriodicalId":51350,"journal":{"name":"Urban Studies","volume":"64 1","pages":""},"PeriodicalIF":4.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142869842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contracting with sequential care providers.

IF 2.7 3区经济学

Health Economics Review Pub Date : 2024-12-19 DOI: 10.1186/s13561-024-00572-w

Sverre Grepperud, Pål Andreas Pedersen

{"title":"Contracting with sequential care providers.","authors":"Sverre Grepperud, Pål Andreas Pedersen","doi":"10.1186/s13561-024-00572-w","DOIUrl":"https://doi.org/10.1186/s13561-024-00572-w","url":null,"abstract":"Background: The literature on care coordination refers to high service costs, low quality, and consumer dissatisfaction, as the consequences of institutional fragmentation and uncoordinated care.Objectives: In this work we are concerned with the role financial incentives (reimbursement schemes) might play in promoting coordinated care when providers are organized sequentially along a care pathway and the clients (patients) are transferred from one caregiver to another.Methods: We apply a game-theoretic framework to analyze the situation where three providers provide services to a patient group and there are interdependencies between the providers in terms of cost-externalities and altruistic patient preferences.Results: For activity-based contracts, the incentives for cost containment are efficient (internal efficiency), while the incentives for quality provision are inefficient due to preference misalignments and poor coordination that derive from funding costs, imperfect altruism, the presence of externalities and strategic behavior. The optimal cost-based contracts are mixed contracts that vary across providers according to their position in the production chain, and they consist of the following three elements; (i) fixed budgets, (ii) payments contingent upon the treatment costs of production chain followers (integrated penalties), and (iii) payments contingent upon the providers' own treatment costs (positive or negative cost-sharing). For these contracts, the providers are typically internally inefficient, while the inefficiencies associated with preference misalignments and poor coordination are solved.Conclusions: Our production chain perspective, when compared to single-provider approaches, enhances the appeal of cost-based contracts relative to pure prospective contracts.","PeriodicalId":46936,"journal":{"name":"Health Economics Review","volume":"14 1","pages":"103"},"PeriodicalIF":2.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An analysis of factors influencing technical efficiency of health expenditures in China.

IF 2.7 3区经济学

Health Economics Review Pub Date : 2024-12-19 DOI: 10.1186/s13561-024-00585-5

Jingjing Cheng, Xianming Kuang, Ping Zhou, Weiran Sha

{"title":"An analysis of factors influencing technical efficiency of health expenditures in China.","authors":"Jingjing Cheng, Xianming Kuang, Ping Zhou, Weiran Sha","doi":"10.1186/s13561-024-00585-5","DOIUrl":"https://doi.org/10.1186/s13561-024-00585-5","url":null,"abstract":"China's primary healthcare (PHC) system, together with rural healthcare services, remains the Achilles' heel in the national healthcare system. Healthcare workers, specifically village doctors, are an integral part of the healthcare system. Using the two-stage data envelopment analysis (DEA) and Tobit regression analysis, this study aims to investigate the efficiency of healthcare expenditures on medical resources and services in China, as well as determine how different types of healthcare work influence efficiency. Compared with other types of healthcare workers, village doctors exerted a prominent impact on provincial and rural efficiency at all stages and played a key role in augmenting the efficiency of healthcare expenditures on health outcomes. Besides, township health centers (THCs) and village clinics (VCs) faced administrative overstaffing, mainly involving pharmacists, other nonmedical technologists, and health administrators, which adversely affected the efficiency of healthcare expenditures. This study suggests that the higher the proportion of these non-village doctor positions (e.g., pharmacists, health administrators, and nonmedical technologists) in THCs and VCs, the lower the efficiency of China's PHC system. Overall, the priority should be enhancing the training and remuneration of village doctors and other healthcare workers in rural areas to further enhance their performance and increase the overall efficiency of China's healthcare system.","PeriodicalId":46936,"journal":{"name":"Health Economics Review","volume":"14 1","pages":"105"},"PeriodicalIF":2.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of health shocks on the absenteeism magnitude at work in Togo: is health insurance a mitigating factor?

IF 2.7 3区经济学

Health Economics Review Pub Date : 2024-12-19 DOI: 10.1186/s13561-024-00578-4

Yacobou Sanoussi, Ilessan Akom Dossou, Mawuli Couchoro

{"title":"Effect of health shocks on the absenteeism magnitude at work in Togo: is health insurance a mitigating factor?","authors":"Yacobou Sanoussi, Ilessan Akom Dossou, Mawuli Couchoro","doi":"10.1186/s13561-024-00578-4","DOIUrl":"https://doi.org/10.1186/s13561-024-00578-4","url":null,"abstract":"Background: The occurrence of health shocks affects households economically in various ways. It most often leads to missed work, thus inducing a decrease in productivity and a loss of income. These effects are even more significant if the extent of absenteeism is high or if its duration is long.Purpose: This study aims to analyse the effects of health shocks on the magnitude of absenteeism and to highlight the potential mitigating effect of health insurance on the magnitude of absenteeism among households affected by the shocks.Methodology/approach: Absenteeism at work was measured here by the number of days lost due to health problems. Data from the Harmonised Survey on Household Living Conditions (EHCVM) 2019 were used for this purpose. To account for the endogeneity problem in this context, we use Two-Stage Least Square (2SLS) model to achieve our objectives.Results: Our results suggest that health shocks significantly increase the magnitude of absenteeism from work by increasing the probability of a longer duration of absenteeism. Health insurance mitigates the magnitude of absenteeism by significantly reducing the probability of moving from short to long absenteeism by 3.27.Conclusion: Health shocks have a significant effect on the magnitude of absenteeism. Given the role of health insurance in mitigating the effect of health shocks, this study highlights the need for an extension of health insurance to a greater number of people for a more significant effect.","PeriodicalId":46936,"journal":{"name":"Health Economics Review","volume":"14 1","pages":"104"},"PeriodicalIF":2.7,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

经济学最新文献