Health economics最新文献

{"title":"Hope and the Life Course: Results From a Longitudinal Study of 25,000 Adults.","authors":"Carol Graham, Redzo Mujcic","doi":"10.1002/hec.70041","DOIUrl":"https://doi.org/10.1002/hec.70041","url":null,"abstract":"<p><p>This paper reports the first large-scale longitudinal links between one of the least known dimensions of wellbeing-hope-and long-term outcomes in a range of life arenas. Hope has agentic properties which are relevant to people's future outcomes. Following 25,000 randomly sampled Australian adults over a period of 14 years from 2007 to 2021 (N > 115,000), we find a strong link between hope and better contemporary and future outcomes. Individuals with high levels of hope had improved later wellbeing, education, economic and employment outcomes, perceived and objective health, and are less likely to be lonely. Hope is associated with higher resilience, ability to adapt, and internal locus of control. It also serves as a psychological buffer during bad times. Respondents with high levels of hope were less likely to be influenced by negative life events and adapted more quickly and completely after these major events. Better understanding the drivers and consequences of hope can ultimately inform public policy to improve people's lives.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145238441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effects of Paid-Sick-Leave Mandates on Care Provision.","authors":"Xiaohui Guo, Lizhong Peng","doi":"10.1002/hec.70049","DOIUrl":"https://doi.org/10.1002/hec.70049","url":null,"abstract":"<p><p>The U.S. paid-sick-leave (PSL) mandates allow private-sector workers to take time off for their own or family members' illnesses. However, the impacts of these laws on workers' care seeking and provision activities are relatively understudied. We address this gap by exploiting cross-state variation in mandate enactment between 2012 and 2019. Using data from the American Time Use Survey, our difference-in-differences estimates show little evidence that PSL mandates affect the probability of spending time on overall care provision at the population level. However, we find a positive association between the mandates and care provided to adults by workers in industries with larger exposure to the policies. Our results provide empirical support for the potential of paid leave policies to help workers who otherwise have limited access to the benefit reconcile workplace responsibilities and caregiving.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145244371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Historical Racial Oppression and Healthcare Access: Unveiling Disparities Post-ACA in the American South.","authors":"Vinish Shrestha","doi":"10.1002/hec.70042","DOIUrl":"https://doi.org/10.1002/hec.70042","url":null,"abstract":"<p><p>This study investigates geographical disparities in the implementation and effectiveness of the Affordable Care Act (ACA) by linking them to the historical legacy of racial oppression in the American South. Using a cross-border regression discontinuity design that leverages variations in racial oppression intensity, we find that bordering counties in states with less oppressive regime experienced significantly greater benefits from the ACA compared to neighboring counties in more oppressive states. This divergence in insurance outcomes, which did not exist before the ACA, underscores the influence of historical racial regimes on contemporary policy efficacy. Furthermore, we demonstrate that political preferences from the Jim Crow era are correlated with the observed variations in ACA effectiveness. Our findings suggest that the racialization of the ACA is deeply rooted in the historical context of racial oppression in the American South.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145199150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive, Noncognitive, and Social Skills and Alcohol Consumption.","authors":"Sun Hyung Kim, Young C Joo","doi":"10.1002/hec.70046","DOIUrl":"https://doi.org/10.1002/hec.70046","url":null,"abstract":"<p><p>We study the effects of cognitive, noncognitive, and social skills on alcohol consumption, measured through total quantity, frequency, typical quantity, and binge drinking. Using the data from the NLSY79, we find that cognitive skills increase drinking frequency but reduce binge drinking and typical quantity. Noncognitive skills negatively impact frequency, typical quantity, and binge drinking, whereas social skills positively affect all measures of alcohol consumption. We present a framework and employ parametric causal mediation analysis to explore transmission channels, identifying mental wellness, future planning, and occupation prestige as significant mediators. However, the direction of this influence varies, highlighting the heterogeneity of the transmission channels.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Rise of Health Economics: Transforming the Landscape of Economic Research.","authors":"Lorenz Gschwent, Björn Hammarfelt, Martin Karlsson, Mathias Kifmann","doi":"10.1002/hec.70044","DOIUrl":"https://doi.org/10.1002/hec.70044","url":null,"abstract":"<p><p>This paper explores the evolving role of health economics within economic research and publishing over the past 30 years. Historically, largely a niche field, health economics has become increasingly prominent, with the share of health economics papers in top journals growing significantly. We aim to identify the factors behind this rise. Using a combination of bibliometric methods and natural language processing (NLP), we classify abstracts to define health economics. Adapting NLP methods to evaluate the novelty, impact, and quality of academic papers, we demonstrate that the mainstreaming of health economics is driven by innovative, high-quality research, with two notable waves in quality ratings that highlight the emergence and impact of distinct subfields within the discipline. We find a strong positive correlation between citations and quality ratings, with health economics papers receiving fewer citations for their quality compared to other economics fields. Pandemic-related research received a high number of citations during 2020 and 2021; however, our findings indicate that this work was not systematically more novel or impactful than prior studies within the same subfield.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vaccination and Risk Aversion: Evidence From a Flu Vaccination Campaign.","authors":"Clémentine Garrouste, Arthur Juet, Anne-Laure Samson","doi":"10.1002/hec.70037","DOIUrl":"https://doi.org/10.1002/hec.70037","url":null,"abstract":"<p><p>We examine the causal effect of a French flu vaccination campaign on vaccination behavior. Individuals aged 65 and over receive an invitation letter with a voucher for a free flu shot, while those who are not eligible have to cover the costs themselves. Using a Fuzzy Regression Discontinuity Design, we find that receiving the invitation letter with the voucher leads to a significant increase in the likelihood of getting vaccinated. This effect is driven by individuals who are risk-averse. As illustrated in our theoretical model, for them, the costs of influenza infection outweigh the costs of the vaccine's side effects.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145130663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hope Walks: The Impact of Clubfoot Treatment on Human Flourishing in Ethiopia.","authors":"Bruce Wydick, Gianna Camacho, Patrizio Piraino","doi":"10.1002/hec.70040","DOIUrl":"https://doi.org/10.1002/hec.70040","url":null,"abstract":"<p><p>Children born with severe congenital conditions in low-income countries rank among the most disadvantaged among the global ultra-poor. We study the impact of clubfoot and its treatment across multiple dimensions of human flourishing on data collected from 564 children in Ethiopia. Working with Hope Walks, an organization that funds clubfoot interventions in numerous countries, we use a quasi difference-in-differences approach that generates counterfactual outcomes from the nearest-age siblings of children born with clubfoot, nested within a family-level fixed effect. We find that clubfoot status (early treatment) results in an impairment (restoration) of -1.44 <math> <semantics><mrow><mi>σ</mi></mrow> <annotation>$sigma $</annotation></semantics> </math> (0.91 <math> <semantics><mrow><mi>σ</mi></mrow> <annotation>$sigma $</annotation></semantics> </math> ) in physical mobility, -1.17 <math> <semantics><mrow><mi>σ</mi></mrow> <annotation>$sigma $</annotation></semantics> </math> (0.79 <math> <semantics><mrow><mi>σ</mi></mrow> <annotation>$sigma $</annotation></semantics> </math> ) in mental health, -1.07 <math> <semantics><mrow><mi>σ</mi></mrow> <annotation>$sigma $</annotation></semantics> </math> (0.64 <math> <semantics><mrow><mi>σ</mi></mrow> <annotation>$sigma $</annotation></semantics> </math> ) in social inclusion, -0.48 <math> <semantics><mrow><mi>σ</mi></mrow> <annotation>$sigma $</annotation></semantics> </math> (0.98 <math> <semantics><mrow><mi>σ</mi></mrow> <annotation>$sigma $</annotation></semantics> </math> ) in an education index, -0.76 <math> <semantics><mrow><mi>σ</mi></mrow> <annotation>$sigma $</annotation></semantics> </math> (0.42 <math> <semantics><mrow><mi>σ</mi></mrow> <annotation>$sigma $</annotation></semantics> </math> ) in religious faith, and -1.32 <math> <semantics><mrow><mi>σ</mi></mrow> <annotation>$sigma $</annotation></semantics> </math> (0.94 <math> <semantics><mrow><mi>σ</mi></mrow> <annotation>$sigma $</annotation></semantics> </math> ) in an aggregate index of human flourishing (all <math> <semantics><mrow><mi>p</mi> <mo><</mo> <mn>0.05</mn></mrow> <annotation>$p< 0.05$</annotation></semantics> </math> ). We attribute the large, broad, and significant impacts from clubfoot treatment to (i) a highly effective medical intervention that is (ii) carried out in an impoverished setting with scarce existing support for children born with disabilities, which (iii) broadly generates spillover effects across key development outcomes.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145086036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"You've Been Framed: The Impact of Risk and Time Framings on Contraceptive Preferences in a Discrete Choice Experiment.","authors":"Matthew Quaife, Giulia Chiandet","doi":"10.1002/hec.70039","DOIUrl":"https://doi.org/10.1002/hec.70039","url":null,"abstract":"<p><p>Previous research shows that choices are influenced by how probabilities are presented, that we value losses more than gains, and that we misunderstand cumulative probabilities over time. These factors are important when designing discrete choice experiments (DCEs) because almost all include some representation of probability over a time period. Contraceptive choice is one of the most common health choices and requires people to trade-off between efficacy, side effects, and modality. We used a DCE to explore whether people chose differently when faced with positive or negative framings of contraceptive effectiveness or valued 1-year or 3-year cumulative risks differentially. We developed a simple eight-task DCE with three attributes: effectiveness, administration frequency, and (non-)hormonal nature. Participants saw effectiveness as either positively or negatively, and with numerically equivalent 1-year and cumulative 3-year effectiveness values. We used mixed multinomial logistic regression models with interaction terms and explored preference heterogeneity. The negative frame increased sensitivity to effectiveness by 18% (p = 0.04) and sensitivity to cumulative effectiveness over 3 years was 10% less than over 1 year (p = 0.01). Preferences were heterogenous with respect to attributes but not framing effects. Attribute framing substantially affected preferences for effectiveness, and decisions around risk presentation should be reported transparently.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Targeting Vaccine Information Framing to Recipients' Education: A Randomized Trial.","authors":"Alice Dominici, Lisen Arnheim Dahlström","doi":"10.1002/hec.70036","DOIUrl":"https://doi.org/10.1002/hec.70036","url":null,"abstract":"<p><p>We study the effect of framing informational campaigns scientifically or emotionally on the vaccination uptake of recipients with different educational backgrounds. 7616 Swedish mothers stratified by education received a leaflet on their children's upcoming HPV vaccination opportunity. The leaflet's framing was randomized between emotional and scientific, whereas the content remained uniform; control units received an uninformative reminder of the same length. We find substantial heterogeneity by educational background. Mothers with compulsory schooling exposed to scientific framing increased their uptake by 5.7 percentage points (7.25%). The effect was driven by less skeptical mothers with little previous HPV knowledge and higher engagement with the materials. Emotional framing decreased uptake by 4.8 percentage points (5.41%) among high school-educated mothers who read more superficially and were more hesitant at baseline.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do Stronger Employer Responsibilities Enhance Work Accommodation for Sick-Listed Workers? Evidence From a Dutch Reform.","authors":"Laura Jansen, Viola Angelini, Max Groneck, Raun van Ooijen","doi":"10.1002/hec.70038","DOIUrl":"https://doi.org/10.1002/hec.70038","url":null,"abstract":"<p><p>This paper studies the impact of stronger employer responsibilities for facilitating work resumption of sick or disabled workers on employers' workplace accommodation efforts during sick leave. We exploit a reform in the Netherlands that altered experience rating-that is, shifting the costs of sick leave and disability insurance to the firm-both for permanent and non-permanent employees. Using unique Dutch survey data on workplace accommodation of long-term sick-listed workers, we show that experience rating has no significant impact on accommodation efforts. Moreover, we provide evidence that the reform led to more firms opting for self-arranging both the sick leave benefits and the reintegration process of sick non-permanent workers, instead of using the public insurance scheme.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}