Health economics最新文献

The Impact of Social Health Insurance on Student Performance: Evidence From an RDD in Peru. 社会健康保险对学生表现的影响：来自秘鲁RDD的证据。

IF 2 3区医学

Health economics Pub Date : 2025-03-27 DOI: 10.1002/hec.4961

Miguel Angel Carpio, Lucero Gomez, Pablo Lavado

引用次数: 0

Opioid Control Policies Can Also Reduce Domestic Violence. 阿片类药物管制政策也可以减少家庭暴力。

IF 2 3区医学

Health economics Pub Date : 2025-03-22 DOI: 10.1002/hec.4960

Andrei Barbos, Minglu Sun

引用次数: 0

Investigating the Spillover Mechanisms of Payment Incentives on the Outcomes for Non-Targeted Patients. 非目标患者支付激励对结果的溢出机制研究。

IF 2 3区医学

Health economics Pub Date : 2025-03-21 DOI: 10.1002/hec.4956

Philip Britteon, Søren Rud Kristensen, Yiu-Shing Lau, Ruth McDonald, Matt Sutton

{"title":"Investigating the Spillover Mechanisms of Payment Incentives on the Outcomes for Non-Targeted Patients.","authors":"Philip Britteon, Søren Rud Kristensen, Yiu-Shing Lau, Ruth McDonald, Matt Sutton","doi":"10.1002/hec.4956","DOIUrl":"https://doi.org/10.1002/hec.4956","url":null,"abstract":"Payment reforms in healthcare can have spillover effects on the care experienced by non-targeted patients treated by the same provider. Few empirical studies have quantitatively investigated the mechanisms behind these effects. We formulate theory-driven hypotheses to investigate the spillover mechanisms of a regional payment reform in the English National Health Service, using linked patient-physician data and difference-in-differences methods. We show that regional payment changes were associated with an increase in mortality of 0.321 percentage points (S.E. 0.114) for non-targeted emergency patients who were treated by physicians with no exposure to the incentives, compared to control regions. In contrast, the mortality rate for non-targeted patients reduced by 0.008 percentage points (S.E. 0.002) for every additional targeted patient treated per quarter by their physician. These findings were consistent across a range of sensitivity analyses. The findings suggest that providers diverted resources away from non-targeted patients but that patients benefitted from physicians learning from the incentives. We demonstrate how the formulation of theory-driven hypotheses about spillover mechanisms can improve the understanding of how and where spillover effects may occur, contributing to research design and policymaking.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669689","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

Wholesome Lunch to the Whole Classroom: Short- and Longer-Term Effects on Early Teenagers' Weight. 健康午餐给整个教室：对青少年早期体重的短期和长期影响。

IF 2 3区医学

Health economics Pub Date : 2025-03-18 DOI: 10.1002/hec.4959

Shiko Maruyama, Sayaka Nakamura

{"title":"Wholesome Lunch to the Whole Classroom: Short- and Longer-Term Effects on Early Teenagers' Weight.","authors":"Shiko Maruyama, Sayaka Nakamura","doi":"10.1002/hec.4959","DOIUrl":"https://doi.org/10.1002/hec.4959","url":null,"abstract":"Previous studies on the effect of school lunch programs on child obesity have been hampered by effect heterogeneity, self-selection, and stigma-induced under-reporting, having produced mixed findings. Its potential long-lasting effect has also been debated. We study the body-weight effect of a Japanese school lunch program, which provides nutritional lunch to all students at participating municipal junior highs. The lack of means testing and individual participation choice offers causal estimates of actual participation for a diverse and representative group of children. By exploiting almost universal school lunch coverage for elementary school children nationwide, we construct a difference-in-differences (DID) framework. Using the 1975-1994 National Nutrition Survey, a nationally representative household survey with measured height and weight, we find a regressive benefit of school lunch: while no statistically significant effect is found for the full sample, we find significant obesity-reducing effects for the subsamples of children with low socioeconomic backgrounds. This obesity-reducing effect remains at least a few years after graduation, implying effect through not only nutritional contents but also guiding healthy eating behavior. We find little evidence that school lunch reduces underweight. Propensity score weighting, the DID analysis for percentiles, and various falsification tests confirm the robustness of our estimates.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657009","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

Does Publicly-Funded Adult Social Care Impact Informal and Unpaid Carers' Quality of Life in England? 在英格兰，公共资助的成人社会关怀是否影响非正式和无偿照顾者的生活质量？

IF 2 3区医学

Health economics Pub Date : 2025-03-18 DOI: 10.1002/hec.4957

Francesco Longo, Karl Claxton, Andrea Salas-Ortiz, James Lomas, Stephen Martin

引用次数: 0

Behavioral Responses to Healthcare Funding Decisions and Their Impact on Value for Money: Evidence From Australia. 对医疗资助决策的行为反应及其对物有所值的影响：来自澳大利亚的证据。

IF 2 3区医学

Health economics Pub Date : 2025-03-18 DOI: 10.1002/hec.4958

Peter Ghijben, Dennis Petrie, Silva Zavarsek, Gang Chen, Emily Lancsar

{"title":"Behavioral Responses to Healthcare Funding Decisions and Their Impact on Value for Money: Evidence From Australia.","authors":"Peter Ghijben, Dennis Petrie, Silva Zavarsek, Gang Chen, Emily Lancsar","doi":"10.1002/hec.4958","DOIUrl":"https://doi.org/10.1002/hec.4958","url":null,"abstract":"Value for money is fundamental to health insurance schemes given insurers must choose which treatments to fund. Assessing value for money ex ante is challenging, however, because costs and outcomes depend on how treatments are used. Estimates often rely on evidence from early randomized controlled trials conducted prior to regulatory approval, where provider and patient behaviors are tightly controlled. This approach ignores how different supply conditions and incentives in practice influence behaviors. This paper considers how provider and patient incentives can differ between trial and practice settings and analyses how healthcare use changed when new prostate cancer treatments were funded on the public health insurance scheme in Australia. We find evidence that doctors treated patients with worse prognosis compared to the trials, patients ceased prior treatment and switched to the new treatments earlier than expected, and treatment duration was longer than expected. These and other behavioral responses reduced value for money ex post. Our findings suggest that health insurers should carefully consider the supply conditions and incentives in practice when funding new treatments.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648268","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

Long-Term Care Partnership Effects on Medicaid and Private Insurance.

IF 2 3区医学

Health economics Pub Date : 2025-03-15 DOI: 10.1002/hec.4949

Joan Costa-Font, Nilesh Raut

引用次数: 0

Social Connections and COVID19 Vaccination.

IF 2 3区医学

Health economics Pub Date : 2025-03-15 DOI: 10.1002/hec.4953

Arnab K Basu, Nancy H Chau, Oleg Firsin

引用次数: 0

Copayments for Prescription Drugs: The Drivers of Demand Responses.

IF 2 3区医学

Health economics Pub Date : 2025-03-09 DOI: 10.1002/hec.4955

Jouko Verho, Jarkko Harju

引用次数: 0

For Better or Worse? Subjective Expectations and Cost-Benefit Trade-Offs in Health Behavior: An Application to Lockdown Compliance in the United Kingdom

IF 2 3区医学

Health economics Pub Date : 2025-03-07 DOI: 10.1002/hec.4942

Gabriella Conti, Pamela Giustinelli

{"title":"For Better or Worse? Subjective Expectations and Cost-Benefit Trade-Offs in Health Behavior: An Application to Lockdown Compliance in the United Kingdom","authors":"Gabriella Conti, Pamela Giustinelli","doi":"10.1002/hec.4942","DOIUrl":"10.1002/hec.4942","url":null,"abstract":"We study the determinants of voluntary compliance in the early phase of the COVID-19 pandemic. Using rich data on subjective expectations we collected during the spring 2020 lockdown in the UK, we estimate a simple model of compliance choice with uncertain costs and benefits whose estimates quantify the utility trade-offs underlying compliance. Using these estimates, we decompose group differences in compliance into components due to preferences vis-à-vis expectations and compute the monetary compensation required for different groups to comply. We find citizens face intuitive trade-offs between costs and benefits of noncompliance, with the largest costs being the disutility of passing away from COVID-19 and the psychological cost of being caught transgressing, and the largest benefit being preserving own mental health. Significant heterogeneity exists across groups, with women's higher compliance being explained by gender differences in both preferences and expectations, while vulnerables' higher compliance being mainly driven by differences in preferences. The response of individual behavior to others' behavior, too, varies across personal characteristics and circumstances. Our findings underscore the importance for public health policies to take into account behavior-relevant heterogeneity in citizens' preferences, expectations, and responses to others.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 5","pages":"992-1012"},"PeriodicalIF":2.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4942","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585269","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