Demand & Supply in Health Economics eJournal最新文献_第10页

Cost-Effectiveness Analysis of Laparoscopic Surgery versus Open Surgery in Renal Cell Carcinoma at Inner Mongolia Medical University Subsidiary Hospital in Inner Mongolia, China 内蒙古医科大学附属医院肾细胞癌腹腔镜手术与开放手术的成本-效果分析

Demand & Supply in Health Economics eJournal Pub Date : 2014-01-01 DOI: 10.12778/235108618X15452373185291

Ji-quan Guo, S. Supakankunti

{"title":"Cost-Effectiveness Analysis of Laparoscopic Surgery versus Open Surgery in Renal Cell Carcinoma at Inner Mongolia Medical University Subsidiary Hospital in Inner Mongolia, China","authors":"Ji-quan Guo, S. Supakankunti","doi":"10.12778/235108618X15452373185291","DOIUrl":"https://doi.org/10.12778/235108618X15452373185291","url":null,"abstract":"The purposes of this study are to calculate the treatment cost on the perspective of provider, to assess short outcome (complications avoided) as well as the cost - effectiveness of the surgical treatments for renal cell carcinoma. This study aims to compare the 30 patients of laparoscopic surgery with 30 patients of open surgery in Inner Mongolia Medical University Subsidiary Hospital in Inner Mongolia in China during 2010-201. The data source is from the medical records and hospital cost accounting bills. The results showed that the cost of laparoscopic surgery is $ 1326.2/person, the number of complications avoided patients are 24 out of 30 patients. Therefore, the average cost of each complications avoided is $55.25. Moreover, the cost of open surgery is 920.6/person, the number of complications avoided patients are 26 out of 30 patients and the average cost of each complications avoided is $35.4. In conclusion, from the provider perspective's point of view and based on the limited available database, the effectiveness of open surgery seems to be better than the effectiveness of laparoscopic surgery. However, the interpretation of the study results should be with caution regarding the implementation of a surgical procedure to treat this disease further since this study employed only one hospital data base and a short period of time. Over which the other members in the society dare not to doubt nor dispute.","PeriodicalId":11036,"journal":{"name":"Demand & Supply in Health Economics eJournal","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74855329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adopting New Medical Technologies in Russian Public Hospitals: What Causes Inefficiency? 俄罗斯公立医院采用新医疗技术:导致低效率的原因?

Demand & Supply in Health Economics eJournal Pub Date : 2013-11-25 DOI: 10.2139/ssrn.2359340

L. Zasimova, S. Shishkin

{"title":"Adopting New Medical Technologies in Russian Public Hospitals: What Causes Inefficiency?","authors":"L. Zasimova, S. Shishkin","doi":"10.2139/ssrn.2359340","DOIUrl":"https://doi.org/10.2139/ssrn.2359340","url":null,"abstract":"The adoption of new medical technologies in Russian public hospitals is an important part of healthcare modernization and thus is a subject for public finance and regulation. Here we examine the decision-making process on adoption of new technologies in Russian hospitals, and the institutional environment in which they are made. We find that public hospitals operate within a strategic-institutional model of decision making and tend to adopt technologies that bring indirect benefits to their heads/physicians. Unlike Western clinics, the interests of Russian hospital heads and physicians are driven by the possibilities to obtain income from a part of hospital activities: the provision of chargeable medical services to the population, as well as receiving informal payments from patients. The specifically Russian feature of the decision-making process is that hospitals are strongly dependent on health authorities’ decisions about new equipment acquisition. The inefficiency problems arise from the contradiction between hospitals’ and authorities’ financial motivation for acquiring new technologies: hospitals tend to adopt technologies that bring benefits to their heads/physicians and minimize maintenance and servicing costs, while authorities’ main concern is initial cost of technology. The main reason for inefficiency of medical technology adoption arises from centralization of procurement of medical equipment for hospitals that creates the preconditions for rent-seeking behaviour of persons making such decisions","PeriodicalId":11036,"journal":{"name":"Demand & Supply in Health Economics eJournal","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81180256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

The Influence of Ownership and Compensation Practices on Charitable Activities 所有权与补偿实践对慈善活动的影响

Demand & Supply in Health Economics eJournal Pub Date : 2013-09-30 DOI: 10.2139/ssrn.1523971

L. Eldenburg, Fabio B. Gaertner, Theodore H. Goodman

{"title":"The Influence of Ownership and Compensation Practices on Charitable Activities","authors":"L. Eldenburg, Fabio B. Gaertner, Theodore H. Goodman","doi":"10.2139/ssrn.1523971","DOIUrl":"https://doi.org/10.2139/ssrn.1523971","url":null,"abstract":"Recent accounting research provides evidence that similar profit-based compensation incentives are used in for-profit and nonprofit hospitals. Because charity care reduces profits, such incentives should lead for-profit hospital managers to reduce charity care levels. Nonprofit hospital managers, however, may respond differently to the same incentives because they face a different set of institutional pressures and constraints. We compare the association between pay-for-performance incentives and charity care in for-profit and nonprofit hospitals. We find a negative and significant association between charity care and our proxy for profit-based incentives in for-profit hospitals, and no significant association in nonprofit hospitals. These results suggest that linking manager pay to profitability does not appear to discourage charity care in nonprofit hospitals. Apparently, the nonprofit mission, institutional pressures, and ownership constraints moderate the potentially negative effects of profit-based incentives. Because this evidence partially alleviates concerns over nonprofit compensation arrangements that mirror those used in for-profit hospitals, it should be of interest to regulators and policymakers. In addition, this study provides insights into accounting researchers about institutional and organizational influences that affect managerial responses to financial incentives in compensation contracts.","PeriodicalId":11036,"journal":{"name":"Demand & Supply in Health Economics eJournal","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84631219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Production Factors, Productivity Dynamics and Quality Gains as Determinants of Healthcare Spending Growth in U.S. Hospitals 生产要素，生产力动态和质量收益作为美国医院医疗保健支出增长的决定因素

Demand & Supply in Health Economics eJournal Pub Date : 2013-09-29 DOI: 10.2139/ssrn.2344549

Juan M. Contreras, Elena S. Patel, Ignez M. Tristao

引用次数: 0

Implications of Physician Ethics, Billing Norms, and Service Cost Structures for Medicare's Fee Schedule 医生伦理、计费规范和医疗保险收费表的服务成本结构的含义

Demand & Supply in Health Economics eJournal Pub Date : 2013-09-25 DOI: 10.2139/ssrn.2331103

Jeffrey Clemens

{"title":"Implications of Physician Ethics, Billing Norms, and Service Cost Structures for Medicare's Fee Schedule","authors":"Jeffrey Clemens","doi":"10.2139/ssrn.2331103","DOIUrl":"https://doi.org/10.2139/ssrn.2331103","url":null,"abstract":"Medicare Part B pays physicians through a fixed fee schedule designed loosely as a system of average-cost reimbursement. This paper examines four difficulties faced by systems of this kind. First, Medicare's payment model would be improved if it accounted for the medical value and cost-effectiveness of treatments in addition to their input costs. Second, uniformly applied fee schedules are inefficient when physicians vary in their approaches to medical practice. Allowing Medicare to account for regional differences in practice styles, which are substantial, may have significant benefits. Third, differences in physicians' billing practices have similar, largely unstudied, implications. Proficient billers receive relatively high payments for incremental service provision, resulting in unintended variation in effective wages. Fourth, differences in services' cost structures point to an additional weakness in Medicare Part B's payment model. Average-cost reimbursement implies larger profit margins for capital-intensive services than for labor-intensive services. As implemented, Medicare's fee schedule has encouraged significant expansions in the adoption, utilization, and development of capital-intensive tests and treatments.","PeriodicalId":11036,"journal":{"name":"Demand & Supply in Health Economics eJournal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83770671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Demand & Supply in Health Economics eJournal Pub Date : 2013-09-09 DOI: 10.2139/ssrn.2323001

Chad Cotti, R. Dunn, Nathan Tefft

{"title":"Alcohol-Related Motor Vehicle Crash Risk and the Location of Alcohol Purchase","authors":"Chad Cotti, R. Dunn, Nathan Tefft","doi":"10.2139/ssrn.2323001","DOIUrl":"https://doi.org/10.2139/ssrn.2323001","url":null,"abstract":"In this study, we examine how the probability of driving after a binge-drinking episode varies with the location of consumption and type of alcohol consumed. We also investigate the relationship between the location of alcohol purchase and the number of alcohol-related fatal motor vehicle crashes. We find that binge-drinkers are significantly more likely to drive after consuming alcohol at establishments that sell alcohol for on-premises consumption, e.g., from bars or restaurants, particularly after drinking beer. Further, per capita sales of alcohol for off-premises consumption are unrelated to the rate of alcohol-related fatal motor vehicle crashes. When disaggregating alcohol types, per capita sales of beer for off-premises consumption are negatively associated with the rate of alcohol-related fatal motor vehicle crashes. In contrast, total per capita sales of alcohol from all establishments (on- and off-premises) are positively related to the rate of alcohol-related fatal motor vehicle crashes and the magnitude of this relationship is strongest for beer sales. Thus, policies that shift consumption away from bars and restaurants could lead to a decline in the number of motor vehicle crashes.","PeriodicalId":11036,"journal":{"name":"Demand & Supply in Health Economics eJournal","volume":"170 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2013-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91461567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Party Politics, Governors, and Healthcare Expenditures: A Regression Discontinuity Design Approach 政党政治、州长和医疗支出:一个回归不连续设计方法

Demand & Supply in Health Economics eJournal Pub Date : 2013-08-02 DOI: 10.2139/ssrn.2358204

Nayan Krishna Joshi

引用次数: 0

Macronutrients and Obesity: Revisiting the Calories in, Calories out Framework 宏量营养素与肥胖:重新审视卡路里摄入和卡路里消耗框架

Demand & Supply in Health Economics eJournal Pub Date : 2013-07-19 DOI: 10.2139/ssrn.2279503

Daniel Riera-Crichton, Nathan Tefft

引用次数: 0

Does Multitasking Improve Performance? Evidence from the Emergency Department 多任务处理能提高工作表现吗?急诊科的证据

Demand & Supply in Health Economics eJournal Pub Date : 2013-05-07 DOI: 10.2139/ssrn.2261757

D. Kc

引用次数: 37

Plan Sorting Under Risk Adjustment and Premium Discrimination in Health Insurance Exchanges 健康保险交易所风险调整与保费歧视下的计划分类

Demand & Supply in Health Economics eJournal Pub Date : 2013-03-28 DOI: 10.2139/ssrn.2244691

Julie Shi

引用次数: 0