Health economics最新文献_第10页

Joint effects of Medicaid eligibility and fees on recession-linked declines in healthcare access and health status 医疗补助资格和费用对与经济衰退相关的医疗服务和健康状况下降的共同影响。

IF 2.1 3区医学

Health economics Pub Date : 2024-03-11 DOI: 10.1002/hec.4823

Joseph Benitez, Kevin Callison, E. Kathleen Adams

{"title":"Joint effects of Medicaid eligibility and fees on recession-linked declines in healthcare access and health status","authors":"Joseph Benitez, Kevin Callison, E. Kathleen Adams","doi":"10.1002/hec.4823","DOIUrl":"10.1002/hec.4823","url":null,"abstract":"Whether Medicaid can function as a safety net to offset health risks created by health insurance coverage losses due to job loss is conditional on (1) the eligibility guidelines shaping the pathway for households to access the program for temporary relief, and (2) Medicaid reimbursement policies affecting the value of the program for both the newly and previously enrolled. We find states with more expansive eligibility guidelines lowered the healthcare access and health risk of coverage loss associated with rising unemployment during the 2007–2009 Great Recession. Rises in cost-related barriers to care associated with unemployment were smallest in states with expansive eligibility guidelines and higher Medicaid-to-Medicare fee ratios. Similarly, states whose Medicaid programs had expansive eligibility guidelines and higher fees saw the smallest recession-linked declines in self-reported good health. Medicaid can work to stabilize access to health care during periods of joblessness. Our findings yield important insights into the alignment of at least two Medicaid policies (i.e., eligibility and payment) shaping Medicaid's viability as a safety net.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 7","pages":"1426-1453"},"PeriodicalIF":2.1,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101443","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 infant health effects of doulas: Leveraging big data and machine learning to inform cost-effective targeting 奶妈对婴儿健康的影响：利用大数据和机器学习为具有成本效益的目标选择提供信息。

IF 2.1 3区医学

Health economics Pub Date : 2024-03-10 DOI: 10.1002/hec.4821

Evan D. Peet, Dana Schultz, Susan Lovejoy, Fuchiang (Rich) Tsui

{"title":"The infant health effects of doulas: Leveraging big data and machine learning to inform cost-effective targeting","authors":"Evan D. Peet, Dana Schultz, Susan Lovejoy, Fuchiang (Rich) Tsui","doi":"10.1002/hec.4821","DOIUrl":"10.1002/hec.4821","url":null,"abstract":"Doula services represent an underutilized maternal and child health intervention with the potential to improve outcomes through the provision of physical, emotional, and informational support. However, there is limited evidence of the infant health effects of doulas despite well-established connections between maternal and infant health. Moreover, because the availability of doulas is limited and often not covered by insurers, existing evidence leaves unclear if or how doula services should be allocated to achieve the greatest improvements in outcomes. We use unique data and machine learning to develop accurate predictive models of infant health and doula service participation. We then combine these predictive models within the double machine learning method to estimate the effects of doula services. We show that while doula services reduce risk on average, the benefits of doula services increase as the risk of negative infant health outcomes increases. We compare these benefits to the costs of doula services under alternative allocation schemes and show that leveraging the risk predictions dramatically increases the cost effectiveness of doula services. Our results show the potential of big data and novel analytic methods to provide cost-effective support to those at greatest risk of poor outcomes.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 6","pages":"1387-1411"},"PeriodicalIF":2.1,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140093683","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

Bridging the gap: Experimental evidence on information provision and health insurance choices 缩小差距：关于信息提供和医疗保险选择的实验证据。

IF 2.1 3区医学

Health economics Pub Date : 2024-03-07 DOI: 10.1002/hec.4820

Ana Cecilia Quiroga Gutierrez, Stefan Boes

{"title":"Bridging the gap: Experimental evidence on information provision and health insurance choices","authors":"Ana Cecilia Quiroga Gutierrez, Stefan Boes","doi":"10.1002/hec.4820","DOIUrl":"10.1002/hec.4820","url":null,"abstract":"Previous research has shown that individuals do not always make rational decisions when selecting their health insurance, for example, due to the existence of information frictions or mental gaps. We study the effect of specific types of information provision for decision support on health plan choices and test their potential to improve decision quality by implementing a randomized laboratory experiment. We provide personalized and generic aids, differentiate between numerical and visual decision support, and provide one or two optional formats of personalized information. We find that generic aids have no effect on health plan choices while personalized information leads to better choices as measured by several indicators of decision quality. The largest effects were observed for those who “opted in” to visualize personalized information, with immediate and lasting improvements in health insurance decisions. By reducing information frictions, our results suggest that accessible and easy-to-use tools can positively impact health insurance navigation, improve decision-making, and reduce switching costs.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 6","pages":"1368-1386"},"PeriodicalIF":2.1,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4820","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140049204","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

Media coverage and pandemic behavior: Evidence from Sweden 媒体报道与流行病行为：来自瑞典的证据。

IF 2.1 3区医学

Health economics Pub Date : 2024-02-29 DOI: 10.1002/hec.4814

Marcel Garz, Maiting Zhuang

引用次数: 0

The effect of combat deployments on veteran opioid abuse 作战部署对退伍军人阿片类药物滥用的影响。

IF 2.1 3区医学

Health economics Pub Date : 2024-02-29 DOI: 10.1002/hec.4812

Resul Cesur, Joseph J. Sabia, W. David Bradford

引用次数: 0

Using data on biomarkers and siblings to study early-life economic determinants of type-2 diabetes 利用生物标志物和兄弟姐妹的数据研究 2 型糖尿病的早期经济决定因素

IF 2.1 3区医学

Health economics Pub Date : 2024-02-25 DOI: 10.1002/hec.4815

Rob J. M. Alessie, Viola Angelini, Gerard J. van den Berg, Jochen O. Mierau, Gianmaria Niccodemi

引用次数: 0

Air pollution and the burden of long-term care: Evidence from China 空气污染与长期护理负担：来自中国的证据。

IF 2.1 3区医学

Health economics Pub Date : 2024-02-23 DOI: 10.1002/hec.4816

Zining Liu, Cheng Wan

{"title":"Air pollution and the burden of long-term care: Evidence from China","authors":"Zining Liu, Cheng Wan","doi":"10.1002/hec.4816","DOIUrl":"10.1002/hec.4816","url":null,"abstract":"We examine the causal effects of PM2.5 exposure on the burden of long-term care (LTC) by matching a satellite-based PM2.5 (particulate matter smaller than 2.5 micrometers (μm) in diameter) dataset with a nationally representative longitudinal study in China from 2011 to 2018. We find significant adverse effects of PM2.5 exposure—instrumented by thermal inversions—on the LTC burden. A 10 μg/m3 increase in annual PM2.5 exposure increases average monthly hours of LTC and the associated financial costs by 28 h and CNY 452, respectively. The effects are greater for those who had never smoked nor experienced severe PM2.5 pollution (annual average PM2.5 > 35 μg/m3) in the previous 5 years. We also find that as PM2.5 increases, chronic diseases, particularly cardiovascular diseases, could lead to a higher likelihood of LTC dependency but reduce the total hours and costs of LTC provision. Finally, we find that PM2.5 reduces the total years of LTC need, suggesting that PM2.5 increases LTC costs by increasing the severity of LTC dependency, rather than the duration of LTC need. Our findings can assist policymakers in planning for LTC provisions and clean air policies.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 6","pages":"1241-1265"},"PeriodicalIF":2.1,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139939938","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

Compliance in the public versus the private realm: Economic preferences, institutional trust and COVID-19 health behaviors 公共领域与私人领域的遵纪守法：经济偏好、机构信任和 COVID-19 健康行为。

IF 2.1 3区医学

Health economics Pub Date : 2024-02-23 DOI: 10.1002/hec.4807

Henrike Sternberg, Janina Isabel Steinert, Tim Büthe

{"title":"Compliance in the public versus the private realm: Economic preferences, institutional trust and COVID-19 health behaviors","authors":"Henrike Sternberg, Janina Isabel Steinert, Tim Büthe","doi":"10.1002/hec.4807","DOIUrl":"10.1002/hec.4807","url":null,"abstract":"To what extent do economic preferences and institutional trust predict compliance with physical distancing rules during the COVID-19 pandemic? We reexamine this question by introducing the theoretical and empirical distinction between individual health behaviors in the public and in the private domain (e.g., keeping a distance from strangers vs. abstaining from private gatherings with friends). Using structural equation modeling to analyze survey data from Germany's second wave of the pandemic (N = 3350), we reveal the following major differences between compliance in both domains: Social preferences, especially (positive) reciprocity, play an essential role in predicting compliance in the public domain but are barely relevant in the private domain. Conversely, individuals' degree of trust in the national government matters predominantly for increasing compliance in the private domain. The clearly strongest predictor in this domain is the perception pandemic-related threats. Our findings encourage tailoring communication strategies to either domain-specific circumstances or factors common across domains. Tailored communication may also help promote compliance with other health-related regulatory policies beyond COVID-19.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 5","pages":"1055-1119"},"PeriodicalIF":2.1,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4807","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139939939","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

Financial protection in health revisited: Is catastrophic health spending underestimated for service- or disease-specific analysis? 重新审视健康方面的财务保护：针对服务或疾病的分析是否低估了灾难性医疗支出？

IF 2.1 3区医学

Health economics Pub Date : 2024-02-20 DOI: 10.1002/hec.4813

John E. Ataguba, Hyacinth E. Ichoku, Marie-Gloriose Ingabire, James Akazili

{"title":"Financial protection in health revisited: Is catastrophic health spending underestimated for service- or disease-specific analysis?","authors":"John E. Ataguba, Hyacinth E. Ichoku, Marie-Gloriose Ingabire, James Akazili","doi":"10.1002/hec.4813","DOIUrl":"10.1002/hec.4813","url":null,"abstract":"Economists originally developed methods to assess financial catastrophe using total or aggregate out-of-pocket health spending. Aggregate out-of-pocket health spending is financially catastrophic when it exceeds a fixed proportion (i.e., threshold) of a household's total income or expenditure in a given period. However, these methods are now applied to assess financial catastrophe in disease- or service-specific rather than aggregate out-of-pocket health spending without using disease- or service-specific thresholds. This paper argues that not using disease- or service-specific thresholds for such assessments is misleading and underestimates the burden of financial catastrophe, especially among households from poorer backgrounds. It then proposed disease- or service-specific catastrophic payment thresholds, applied them to Nigeria and found that financial catastrophe was underestimated for the five service groups considered. The paper stresses the importance of using disease- or service-specific thresholds and avoiding unadjusted thresholds, which may leave poorer households behind as financially protected.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 6","pages":"1229-1240"},"PeriodicalIF":2.1,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4813","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139912486","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

How do surrogates make treatment decisions for patients with dementia: An experimental survey study 代理如何为痴呆症患者做出治疗决定：一项实验调查研究。

IF 2.1 3区医学

Health economics Pub Date : 2024-02-15 DOI: 10.1002/hec.4810

Lauren Hersch Nicholas, Kenneth M. Langa, Scott D. Halpern, Mario Macis

{"title":"How do surrogates make treatment decisions for patients with dementia: An experimental survey study","authors":"Lauren Hersch Nicholas, Kenneth M. Langa, Scott D. Halpern, Mario Macis","doi":"10.1002/hec.4810","DOIUrl":"10.1002/hec.4810","url":null,"abstract":"Despite the growing need for surrogate decision-making for older adults, little is known about how surrogates make decisions and whether advance directives would change decision-making. We conducted a nationally representative experimental survey that cross-randomized cognitive impairment, gender, and characteristics of advance care planning among hospitalized older adults through a series of vignettes. Our study yielded three main findings: first, respondents were much less likely to recommend life-sustaining treatments for patients with dementia, especially after personal exposure. Second, respondents were more likely to ignore patient preferences for life-extending treatment when the patient had dementia, and choose unwanted life-extending treatments for patients without dementia. Third, in scenarios where the patient's wishes were unclear, respondents were more likely to choose treatments that matched their own preferences. These findings underscore the need for improved communication and decision-making processes for patients with cognitive impairment and highlight the importance of choosing a surrogate decision-maker with similar treatment preferences.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 6","pages":"1211-1228"},"PeriodicalIF":2.1,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139740865","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