Health economics最新文献_第10页

The effect of birth timing manipulation around carnival on birth indicators in Brazil 狂欢节前后的出生时间安排对巴西出生指标的影响。

IF 2 3区医学

Health economics Pub Date : 2024-06-01 DOI: 10.1002/hec.4858

Carolina Melo, Naercio Menezes-Filho

引用次数: 0

Together in sickness and in health: Spillover of physical, mental, and cognitive health among older English couples 无论疾病还是健康都在一起：英国老年夫妇身体、精神和认知健康的溢出效应。

IF 2 3区医学

Health economics Pub Date : 2024-05-31 DOI: 10.1002/hec.4860

Urvashi Jain, Mingming Ma

{"title":"Together in sickness and in health: Spillover of physical, mental, and cognitive health among older English couples","authors":"Urvashi Jain, Mingming Ma","doi":"10.1002/hec.4860","DOIUrl":"10.1002/hec.4860","url":null,"abstract":"Using data from eight waves of the English Longitudinal Study of Aging, we study the cross-domain and cross-spouse spillover of health among married adults aged 50 and above in England. We apply the system generalized method of moments to linear dynamic panel models for physical, mental, and cognitive health, controlling for individual heterogeneity and the influence of marriage market matching and shared environments. Our findings reveal bidirectional spillovers between memory abilities and mobility difficulty among men, as well as between depressive symptoms and mobility difficulty among women. Worsening mobility increases the risk of depression in men, but not vice versa. Additionally, gender-specific cross-spouse effects are observed. Women's mental health is significantly influenced by their spouse's mental health, while this effect is weaker for men. Conversely, men's mental health is notably affected by their spouse's physical health. These results highlight the importance of considering spillovers within families and across health domains when developing policies to promote health and reduce health disparities among the elderly population.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 9","pages":"1989-2012"},"PeriodicalIF":2.0,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141183248","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}

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Exposure to cigarette taxes as a teenager and the persistence of smoking into adulthood 青少年时期接触香烟税与成年后持续吸烟的关系。

IF 2 3区医学

Health economics Pub Date : 2024-05-28 DOI: 10.1002/hec.4859

Andrew Friedson, Moyan Li, Katherine Meckel, Daniel I. Rees, Daniel W. Sacks

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Information and vaccine hesitancy: The role of broadband Internet 信息与疫苗犹豫不决：宽带互联网的作用。

IF 2 3区医学

Health economics Pub Date : 2024-05-27 DOI: 10.1002/hec.4856

Sofia Amaral-Garcia, Mattia Nardotto, Carol Propper, Tommaso Valletti

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Do time preferences predict diabetes outcomes? A combined survey and register-based study 时间偏好能否预测糖尿病结果？一项基于调查和登记的综合研究。

IF 2 3区医学

Health economics Pub Date : 2024-05-27 DOI: 10.1002/hec.4857

Kristoffer Panduro Madsen, Trine Kjær

{"title":"Do time preferences predict diabetes outcomes? A combined survey and register-based study","authors":"Kristoffer Panduro Madsen, Trine Kjær","doi":"10.1002/hec.4857","DOIUrl":"10.1002/hec.4857","url":null,"abstract":"Identifying determinants of heterogeneity in health outcomes continues to be a focus in the health economic literature. In this study, we analyze whether time preferences predict health outcomes in individuals with type 1 diabetes (T1D) who use insulin pump therapy to manage their condition. We collect data on time preferences using a hypothetical matching task and estimate aggregate as well as individual-level discounting parameters using the exponential, hyperbolic, and quasi-hyperbolic discounting models. These parameters are then regressed against essential diabetes-related health outcomes obtained from registries and medical records, including glycemic control, kidney function, BMI, and number of hospital contacts. Our analyses indicate that all three discounting models fit the data equally well. Except for hospital contacts, we find robust evidence that impatience, as reflected by higher discounting, predicts worse health outcomes. Additionally, present bias is associated with worse kidney function. Our findings suggest that time preferences can explain some of the heterogeneity in health among individuals with T1D and call for increased attention on the role of time preferences in the design of disease management programs for individuals with chronic conditions.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 9","pages":"1949-1961"},"PeriodicalIF":2.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4857","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158085","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

The impact of the 2014 Medicaid expansion on the health, health care access, and financial well-being of low-income young adults 2014 年《医疗补助计划》的扩展对低收入年轻成年人的健康、医疗保健获取和经济福祉的影响。

IF 2 3区医学

Health economics Pub Date : 2024-05-23 DOI: 10.1002/hec.4839

Christal Hamilton

{"title":"The impact of the 2014 Medicaid expansion on the health, health care access, and financial well-being of low-income young adults","authors":"Christal Hamilton","doi":"10.1002/hec.4839","DOIUrl":"10.1002/hec.4839","url":null,"abstract":"Prior to the 2014 Affordable Care Act (ACA) expansion, 37% of young adults ages 19–25 in the United States were low-income and a third lacked health insurance coverage—both the highest rates for any age group in the population. The ACA's Medicaid eligibility expansion, therefore, would have been significantly beneficial to low-income young adults. This study evaluates the effect of the ACA Medicaid expansion on the health, health care access and utilization, and financial well-being of low-income young adults ages 19–25. Using 2010–2017 National Health Interview Survey data, I estimate policy effects by applying a difference-in-differences design leveraging the variation in state implementation of the expansion policy. I show that Medicaid expansion improved health insurance coverage, health care access, and financial well-being for low-income young adults in expansion states, but had no effect on their health status and health care utilization. I also find that the policy was associated with larger gains in health coverage for racial minorities relative to their Non-Hispanic White counterparts. With the continued health policy reform debates at the state and federal levels, the empirical evidence from this study can help inform policy decisions that aim to improve health care access and utilization among disadvantaged groups.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 8","pages":"1895-1925"},"PeriodicalIF":2.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141087466","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

Drink…then drive away: The effects of lowering the blood alcohol concentration in Utah 饮酒......然后驾车离开：降低犹他州血液中酒精浓度的效果。

IF 2 3区医学

Health economics Pub Date : 2024-05-21 DOI: 10.1002/hec.4842

Javier E. Portillo, Wisnu Sugiarto, Kevin Willardsen

引用次数: 0

Effect of patient death on referrals to cardiac specialists 病人死亡对心脏专科医生转诊的影响。

IF 2 3区医学

Health economics Pub Date : 2024-05-19 DOI: 10.1002/hec.4840

Sidra Haye

引用次数: 0

Do physicians' attitudes toward prioritization predict poor-health patients' access to care? 医生对优先顺序的态度是否预示着健康状况不佳的患者能否获得医疗服务？

IF 2 3区医学

Health economics Pub Date : 2024-05-14 DOI: 10.1002/hec.4843

Anne Sophie Oxholm, Dorte Gyrd-Hansen

{"title":"Do physicians' attitudes toward prioritization predict poor-health patients' access to care?","authors":"Anne Sophie Oxholm, Dorte Gyrd-Hansen","doi":"10.1002/hec.4843","DOIUrl":"10.1002/hec.4843","url":null,"abstract":"Physicians often face tight resource constraints, meaning they have to make trade-offs between which patients they care for and the amount of care received. Studies show that patients requiring many resources disproportionately suffer a loss of care when resources are constrained. This study uncovers whether physicians' attitudes toward prioritization of healthcare predicts poor-health patients' access to care. We combine unique survey data on Danish GPs' preferred prioritization principle with register data on their patients' contacts in general practice. We consider different types of contacts as the required effort could impact the need for prioritization. Our results show variation in GPs' prioritization principles, where a majority prefers a principle that may lead to an unequal distribution of services. We further find that GPs' attitudes toward prioritization predict some poor-health patients' access to general practice. GPs who state they prefer the principle of prioritizing patients in the poorest health state when resources tightened provide more contacts to poor-health patients. The additional contacts are typically high-effort contacts such as annual status meetings and home visits, but also low-effort contacts such as emails. Our findings indicate inequity in poor-health patients' access to care across general practices.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 8","pages":"1649-1659"},"PeriodicalIF":2.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4843","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140922039","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

Efficiency and productivity gains of robotic surgery: The case of the English National Health Service 机器人手术的效率和生产力收益：英国国家医疗服务机构的案例。

IF 2 3区医学

Health economics Pub Date : 2024-05-11 DOI: 10.1002/hec.4838

Laia Maynou, Alistair McGuire, Victoria Serra-Sastre

{"title":"Efficiency and productivity gains of robotic surgery: The case of the English National Health Service","authors":"Laia Maynou, Alistair McGuire, Victoria Serra-Sastre","doi":"10.1002/hec.4838","DOIUrl":"10.1002/hec.4838","url":null,"abstract":"This paper examines the effect of new medical technology (robotic surgery) on efficiency gains and productivity changes for surgical treatment in patients with prostate cancer from the perspective of a public health sector organization. In particular, we consider three interrelated surgical technologies within the English National Health System: robotic, laparoscopic and open radical prostatectomy. Robotic and laparoscopic techniques are minimally invasive procedures with similar clinical benefits. While the clinical benefits in adopting robotic surgery over laparoscopic intervention are unproven, it requires a high initial investment cost and carries high on-going maintenance costs. Using data from Hospital Episode Statistics for the period 2000–2018, we observe growing volumes of prostatectomies over time, mostly driven by an increase in robotic-assisted surgeries, and further analyze whether hospital providers that adopted a robot see improved measures of throughput. We then quantify changes in total factor and labor productivity arising from the use of this technology. We examine the impact of robotic adoption on efficiency gains employing a staggered difference-in-difference estimator and find evidence of a 50% reduction in length of stay (LoS), 49% decrease in post-LoS and 44% and 46% decrease in postoperative visits after 1 year and 2 years, respectively. Productivity analysis shows the growth in radical prostatectomy volume is sustained with a relatively stable number of urology surgeons. The robotic technique increases total production at the hospital level between 21% and 26%, coupled with a 29% improvement in labor productivity. These benefits lend some, but not overwhelming support for the large-scale hospital investments in such costly technology.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 8","pages":"1831-1856"},"PeriodicalIF":2.0,"publicationDate":"2024-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4838","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140908552","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