Health economics最新文献

Racial Disparities in Severe Maternal Morbidity: The Role of Maternal Comorbidities. 严重产妇发病率的种族差异：产妇合并症的作用。

IF 2 3区医学

Health economics Pub Date : 2026-10-20 DOI: 10.1002/hec.70158

Annamaria Milazzo

{"title":"Racial Disparities in Severe Maternal Morbidity: The Role of Maternal Comorbidities.","authors":"Annamaria Milazzo","doi":"10.1002/hec.70158","DOIUrl":"https://doi.org/10.1002/hec.70158","url":null,"abstract":"The U.S. maternal health crisis disproportionately affects Black women, who face nearly twice the risk of severe maternal morbidity (SMM) compared with White women. Using 2016-2022 Texas hospital discharge data and a validated obstetric comorbidity score, the analysis first documents that the prevalence of SMM increased by 18% between 2016 and 2022, whereas maternal comorbidity burden increased by 42% over the same period. To better assess the role of comorbidities, the comorbidity score is disaggregated into underlying health and pregnancy-specific conditions. Oaxaca-Blinder decompositions indicate that the former accounts for the largest share-49 to 53%-of the Black-White SMM gap, while the latter accounts for an additional third of the disparity. After accounting for these factors, a residual Black-White SMM gap of 17%-20% persists across and within hospitals, including among women treated by the same physician. Overall, the findings underscore the critical need to improve women's health well before childbirth hospitalization and throughout the reproductive life course, while also strengthening prenatal care to prevent and effectively manage conditions that arise during pregnancy.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149227631","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}

引用次数: 0

The Impact of Repealing Certificate-of-Need Laws on Healthcare Spending: A Causal Analysis. 废除需求证明法对医疗支出的影响：因果分析。

IF 2 3区医学

Health economics Pub Date : 2026-10-14 DOI: 10.1002/hec.70160

James Bailey, Shishir Shakya

引用次数: 0

What Are the Impacts of Certificate-of-Need Laws? A Review of the Evidence. 需要证明法的影响是什么？证据回顾。

IF 2 3区医学

Health economics Pub Date : 2026-10-05 DOI: 10.1002/hec.70155

Charles Courtemanche, Joseph Garuccio

{"title":"What Are the Impacts of Certificate-of-Need Laws? A Review of the Evidence.","authors":"Charles Courtemanche, Joseph Garuccio","doi":"10.1002/hec.70155","DOIUrl":"https://doi.org/10.1002/hec.70155","url":null,"abstract":"This study reviews the literature on the impacts of Certificate-of-Need (CON) laws on outcomes related to hospitals. CON laws require the approval of states' health planning agencies for health care providers to engage in regulated actions such as opening or expanding facilities or purchasing equipment. Economic theory suggests that barriers to entry should reduce competition, leading to higher prices, greater per-firm quantity but lower market quantity, and larger net revenues for incumbent providers. However, defenders of CON laws argue that they ensure high quality standards for new entrants, while also offsetting distortions that disadvantage hospitals and put some at risk of closure. The preponderance of available evidence points toward CON laws restricting entry of new competitors, which in turn increases the number of procedures per hospital. At the same time, CON laws also appear to inhibit hospital expansion, and there is little evidence of increased prices or higher hospital profitability. Studies on hospital efficiency and quality of care for procedures performed exclusively at hospitals mostly point to null or negative effects, but evidence on quality is more mixed for services that can be provided outside of hospitals. With that said, there is a need for new research that utilizes the latest tools for identifying causal effects and better accounts for the wide variation in CON laws across states.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108837","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}

引用次数: 0

Symbolic Incentives Can Affect the Frequency of Blood and Plasma Donations: Evidence From 12 Years of Donors' Behavior. 象征性激励可以影响献血和血浆的频率：来自12年献血者行为的证据。

IF 2 3区医学

Health economics Pub Date : 2026-10-05 DOI: 10.1002/hec.70159

Ennio Bilancini, Leonardo Boncinelli, Roberto Di Paolo, Dario Menicagli, Emiliano Ricciardi, Francesco Serti

{"title":"Symbolic Incentives Can Affect the Frequency of Blood and Plasma Donations: Evidence From 12 Years of Donors' Behavior.","authors":"Ennio Bilancini, Leonardo Boncinelli, Roberto Di Paolo, Dario Menicagli, Emiliano Ricciardi, Francesco Serti","doi":"10.1002/hec.70159","DOIUrl":"https://doi.org/10.1002/hec.70159","url":null,"abstract":"We investigate how donors respond to symbolic incentives, specifically medals, tied to donation intensity and duration. To this aim, we employ panel data encompassing the entire population of blood and plasma donors affiliated with the primary donor association (AVIS) in Tuscany, Italy, covering the period from 2008 to 2019. The structure of the award scheme adopted by AVIS enables us to examine the impact of two distinct characteristics of the symbolic incentives: the assignment as either private or public and the criterion of assignment based exclusively on the number of donations (donation-only) or, under less demanding donation requirements, also on the years of membership (donation-and-membership). After controlling for time-constant unobservable individual traits that may influence the level and the evolution of performance over a donor's career, we find that (i) these symbolic awards do not affect behavior before their obtainment, (ii) receiving an award through the donation-and-membership criterion leads to a subsequent increase in donation frequency, and (iii) receiving an award through the donation-only criterion, regardless of whether it is announced publicly or privately, does not boost donors' performance. These findings suggest that symbolic awards are effective when bestowed upon less accomplished donors by making their attainment not solely contingent on performance but also on membership, and are related to community identification and self-image concerns rather than status-seeking behavior.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108876","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}

引用次数: 0

The Effects of Political Misalignment With the Government on Individual Well-Being and Mental Health. 与政府的政治错位对个人福祉和心理健康的影响。

IF 2 3区医学

Health economics Pub Date : 2026-10-03 DOI: 10.1002/hec.70157

Joaquín Artés, Fernando De La Cuesta, Rubén Gonzálvez, Beatriz Rodríguez-Sánchez

引用次数: 0

Case-Mix Adjustment of Multidimensional Patient-Reported Outcomes to Assess Hospital Performance 多维患者报告结果的病例组合调整以评估医院绩效。

IF 2 3区医学

Health economics Pub Date : 2026-10-02 Epub Date: 2026-08-04 DOI: 10.1002/hec.70139

Nils Gutacker, Yuanyuan Gu

{"title":"Case-Mix Adjustment of Multidimensional Patient-Reported Outcomes to Assess Hospital Performance","authors":"Nils Gutacker, Yuanyuan Gu","doi":"10.1002/hec.70139","DOIUrl":"10.1002/hec.70139","url":null,"abstract":"Multidimensional patient-reported outcome measures (PROMs) are increasingly used to compare the performance of health care providers. Meaningful comparisons require the data to be adjusted for differences in case-mix. The common approach in the literature is to aggregate PROM data into univariate summary scores prior to case-mix adjustment. In this paper, we extend the work by McCarthy (2015, 2016) to develop a dimension-specific adjustment methodology for performance assessment. This method permits to model the influence of patient characteristics separately for each dimension while retaining the maximum amount of information to inform different stakeholders. We conduct a simulation study to compare the performance of both methods in terms of their ability to identify provider performance, and to identify context-specific factors that should guide the choice of methodology in applied research. We follow this up with a real-world case study of knee replacement surgery in the English NHS. We find that the domain-specific approach outperforms the summary score approach in most cases but the differences are small. We conclude that the choice of method ought to consider not just performance but also ease of implementation and retention of decision-relevant granular information.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"35 11","pages":"1734-1743"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.70139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148673623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Recreational Marijuana Laws and Workplace Absence 娱乐性大麻法律和工作场所缺勤。

IF 2 3区医学

Health economics Pub Date : 2026-10-02 Epub Date: 2026-08-10 DOI: 10.1002/hec.70142

Matthew Brown

引用次数: 0

Walking With Feet Tied to the Past: Childhood Exposure to the 1918 Influenza Pandemic and Later-Life Male Mortality 与过去联系的脚走路：童年接触1918年流感大流行和晚年男性死亡率。

IF 2 3区医学

Health economics Pub Date : 2026-10-02 Epub Date: 2026-07-30 DOI: 10.1002/hec.70141

Hamid Noghanibehambari, Jason Fletcher

{"title":"Walking With Feet Tied to the Past: Childhood Exposure to the 1918 Influenza Pandemic and Later-Life Male Mortality","authors":"Hamid Noghanibehambari, Jason Fletcher","doi":"10.1002/hec.70141","DOIUrl":"10.1002/hec.70141","url":null,"abstract":"<div>\u0000 \u0000 Many previous studies have used cross-cohort comparisons and a focus on in utero exposure to document the lingering effects of the 1918 influenza pandemic on survivors' outcomes later in life. A subset has examined impacts on old-age health and mortality, finding mixed results. This paper contributes to the literature by extending the analysis to evaluate early-life and childhood exposure to the pandemic on old-age longevity along with a set of candidate mechanisms. We employ Social Security Administration death records linked to the full-count 1940 census and employ event-study and difference-in-difference regressions to compare longevity of cohorts with different age-at-exposure who were born in cities with high versus low exposure based on 1918 influenza-related mortality. Our treatment-on-treated calculations suggest that cohorts with age-at-exposure of 0–5 and 6–11 experience 7.2 and 10.9 months reductions in old age longevity; importantly, we note that these cohorts are often used as “controls” in the broader literature. While our main analysis focuses on males due to data constraints, supplementary results suggest similar effects for females. An analysis of census data suggests reductions in health, education and socioeconomic scores as potential mechanisms. The findings of this paper have important policy implications for interventions and identifying the populations at higher risks of adverse long-term outcomes during major pandemics.\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"35 11","pages":"1648-1677"},"PeriodicalIF":2.0,"publicationDate":"2026-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630399","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}

引用次数: 0

New Medical Schools, Access to Physicians, and Health Outcomes: Evidence From Japan 新医学院、获得医生和健康结果：来自日本的证据。

IF 2 3区医学

Health economics Pub Date : 2026-10-02 Epub Date: 2026-08-03 DOI: 10.1002/hec.70132

Kisho Hoshi

引用次数: 0

Economic Preferences Predict COVID-19 Vaccination Intentions and Behavior 经济偏好预测COVID-19疫苗接种意图和行为。

IF 2 3区医学

Health economics Pub Date : 2026-10-02 Epub Date: 2026-07-30 DOI: 10.1002/hec.70136

Silvia Angerer, Helena Antonie Baier, Daniela Glätzle-Rützler, Philipp Lergetporer, Thomas Rittmannsberger

引用次数: 0