Health economics最新文献_第3页

Effects of the Medicaid coverage cliff on low-income elderly Medicare beneficiaries 医疗补助覆盖悬崖对低收入老年医疗保险受益人的影响。

IF 2 3区医学

Health economics Pub Date : 2024-09-28 DOI: 10.1002/hec.4902

Kanghyock Koh, Sungchul Park

引用次数: 0

Going beyond randomised controlled trials to assess treatment effect heterogeneity across target populations 超越随机对照试验，评估不同目标人群的治疗效果异质性。

IF 2 3区医学

Health economics Pub Date : 2024-09-26 DOI: 10.1002/hec.4903

David G. Lugo-Palacios, Patrick Bidulka, Stephen O’Neill, Orlagh Carroll, Anirban Basu, Amanda Adler, Karla DíazOrdaz, Andrew Briggs, Richard Grieve

{"title":"Going beyond randomised controlled trials to assess treatment effect heterogeneity across target populations","authors":"David G. Lugo-Palacios, Patrick Bidulka, Stephen O’Neill, Orlagh Carroll, Anirban Basu, Amanda Adler, Karla DíazOrdaz, Andrew Briggs, Richard Grieve","doi":"10.1002/hec.4903","DOIUrl":"10.1002/hec.4903","url":null,"abstract":"Methods have been developed for transporting evidence from randomised controlled trials (RCTs) to target populations. However, these approaches allow only for differences in characteristics observed in the RCT and real-world data (overt heterogeneity). These approaches do not recognise heterogeneity of treatment effects (HTE) according to unmeasured characteristics (essential heterogeneity). We use a target trial design and apply a local instrumental variable (LIV) approach to electronic health records from the Clinical Practice Research Datalink, and examine both forms of heterogeneity in assessing the comparative effectiveness of two second-line treatments for type 2 diabetes mellitus. We first estimate individualised estimates of HTE across the entire target population defined by applying eligibility criteria from national guidelines (n = 13,240) within an overall target trial framework. We define a subpopulation who meet a published RCT's eligibility criteria (‘RCT-eligible’, n = 6497), and a subpopulation who do not (‘RCT-ineligible’, n = 6743). We compare average treatment effects for pre-specified subgroups within the RCT-eligible subpopulation, the RCT-ineligible subpopulation, and within the overall target population. We find differences across these subpopulations in the magnitude of subgroup-level treatment effects, but that the direction of estimated effects is stable. Our results highlight that LIV methods can provide useful evidence about treatment effect heterogeneity including for those subpopulations excluded from RCTs.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 1","pages":"85-104"},"PeriodicalIF":2.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345164","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

Externality and policy intervention in interregional travel with infectious diseases 传染病区域间旅行的外部性和政策干预。

IF 2 3区医学

Health economics Pub Date : 2024-09-24 DOI: 10.1002/hec.4900

Naoshi Doi, Shingo Yamazaki

引用次数: 0

Income effect of prenatal sunlight exposure: Empirical evidence from China 产前阳光照射对收入的影响：来自中国的经验证据。

IF 2 3区医学

Health economics Pub Date : 2024-09-24 DOI: 10.1002/hec.4892

Guanghua Wan, Tongjin Zhang, Xiaoshan Hu

引用次数: 0

Pathways from education to mortality, mediated through income 以收入为中介，从教育到死亡的路径。

IF 2 3区医学

Health economics Pub Date : 2024-09-19 DOI: 10.1002/hec.4894

Govert E. Bijwaard, Kieron J. Barclay

{"title":"Pathways from education to mortality, mediated through income","authors":"Govert E. Bijwaard, Kieron J. Barclay","doi":"10.1002/hec.4894","DOIUrl":"10.1002/hec.4894","url":null,"abstract":"Lower levels of education are associated with higher mortality. Lower levels of education are also associated with lower income, which is also associated with higher mortality. We investigate the impact of education on mortality and the extent to which this is mediated through income over the life course. We account for both selective educational attainment and selective income over the life course, through inverse propensity weighting (IPW) of the mortality hazard. We decompose the educational gain, that is, the decrease in mortality from more education, in the hazard into an indirect effect of education, running through changes in income and a direct effect of education, running through other factors. We use Swedish conscription data (men only), linked to parental information and individual annual income for the period 1968 till 2012. Our empirical results indicate large educational gains in mortality. We also find that this educational gradient runs through changes in income, especially for the more educated, and does not run through other factors related to education. We conduct several robustness and sensitivity checks that indicate that the results are robust.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 1","pages":"18-44"},"PeriodicalIF":2.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4894","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252373","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 effect of a minor health shock on labor market outcomes: The case of concussions 轻微健康冲击对劳动力市场结果的影响：脑震荡案例。

IF 2 3区医学

Health economics Pub Date : 2024-09-18 DOI: 10.1002/hec.4897

Florian Fouquet, Lisa Meehan, Gail Pacheco, Alice Theadom

{"title":"The effect of a minor health shock on labor market outcomes: The case of concussions","authors":"Florian Fouquet, Lisa Meehan, Gail Pacheco, Alice Theadom","doi":"10.1002/hec.4897","DOIUrl":"10.1002/hec.4897","url":null,"abstract":"The literature on health shocks finds that minor injuries have only short-term labor market impacts. However, mild traumatic brain injuries (mTBIs, commonly referred to as concussions) may be different as the medical literature highlights that they can have longer-term health and cognitive effects. Moreover, TBIs are one of the most common causes of disability globally, with the vast majority being mild. Thus, it is important to understand the impact of mTBIs on labor market outcomes. We use administrative data on all medically-diagnosed mild traumatic brain injuries (mTBIs) in New Zealand linked to monthly tax records to examine the labor market effects of a mTBI. We use a comparison group of those who suffer a mTBI at a later date to overcome potential endogeneity issues, and employ a doubly-robust difference-in-differences method. We find that suffering a mTBI has negative labor market effects. Rather than dissipating over time, these negative effects grow, representing a decrease in employment of 20 percentage points and earning losses of about a third after 48 months. Our results highlight the need for timely diagnosis and treatment to mitigate the effect of mTBIs to reduce economic and social costs.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 12","pages":"2838-2853"},"PeriodicalIF":2.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4897","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142268795","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

Effect of age-related premium readjustment on health insurance cancellation in Brazil: Regression discontinuity approach 与年龄相关的保费调整对巴西取消医疗保险的影响：回归不连续法。

IF 2 3区医学

Health economics Pub Date : 2024-09-18 DOI: 10.1002/hec.4898

Aline de Souza, Mônica Viegas Andrade, Kenya Valéria Micaela de Souza Noronha, Igor Viveiros Melo Souza

{"title":"Effect of age-related premium readjustment on health insurance cancellation in Brazil: Regression discontinuity approach","authors":"Aline de Souza, Mônica Viegas Andrade, Kenya Valéria Micaela de Souza Noronha, Igor Viveiros Melo Souza","doi":"10.1002/hec.4898","DOIUrl":"10.1002/hec.4898","url":null,"abstract":"Age is one of the most relevant observable risk attributes in determining the value of health insurance premiums. Empirical evidence indicates that the cost of health insurance is the leading cause of contract switching, which can compromise access to healthcare services and potentially result in treatment discontinuities. Using data from a Health Maintenance Organization in the Southern region of Brazil, we examined the effect of health plan price readjustment resulting from changes in the beneficiary's age group on disenrollment or switches to a more limited coverage plan. The estimates were obtained using the method of regression discontinuity. The main findings indicate that for age group transitions at 59 years old, the price readjustment effect led to an increase in contract cancellations and switching to cheaper plans. These findings highlight that an important consequence of the difference in premium sensitivity among age groups is that the exit of individuals from the health insurance sector is selective in age. The results of this paper can support policymaking to improve access to health insurance.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 1","pages":"3-17"},"PeriodicalIF":2.0,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142252378","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 effect of parental health shocks on living arrangements and employment 父母健康冲击对生活安排和就业的影响。

IF 2 3区医学

Health economics Pub Date : 2024-09-16 DOI: 10.1002/hec.4893

Julien Bergeot, Irene Ferrari, Ya Gao

引用次数: 0

The impact of long-term care insurance on the utilization of inpatient service: Evidence and mechanisms in China 长期护理保险对住院服务使用的影响：中国的证据与机制。

IF 2 3区医学

Health economics Pub Date : 2024-09-13 DOI: 10.1002/hec.4896

Xiao Han, Hanyang Wang, Xia Du

{"title":"The impact of long-term care insurance on the utilization of inpatient service: Evidence and mechanisms in China","authors":"Xiao Han, Hanyang Wang, Xia Du","doi":"10.1002/hec.4896","DOIUrl":"10.1002/hec.4896","url":null,"abstract":"This paper empirically investigates the impact of public long-term care insurance (LTCI) on the utilization of inpatient services and associated expenditures among disabled Chinese individuals, using data from the China Health and Retirement Longitudinal Study from 2011 to 2018. Employing a staggered difference-in-difference approach within a propensity score matching framework (PSM-DID), the study finds that the introduction of LTCI significantly reduces the likelihood of inpatient service usage by 4.2%, the annual number of inpatient admissions by 10.2%, the annual inpatient cost by 16.2%, the out-of-pocket expenses by 20.7%, and the reimbursement expenditure by the public medical insurer by 9.9%. The study further explores the mechanisms underlying these effects and identifies that the Substitution Effect, where care services in community healthcare centers and nursing homes replace hospitalizations, outweighs the Income Effect generated by LTCI benefits. By leveraging the quasi-natural experimental setting of diverse LTCI policies across cities, the study also examines the heterogeneous impacts of LTCI based on household income, eligibility criteria, and reimbursement methods. The findings underscore the positive role of LTCI in controlling medical expenses and alleviating congestion in urban hospitals, offering valuable insights for promoting “Healthy Aging”.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 12","pages":"2778-2797"},"PeriodicalIF":2.0,"publicationDate":"2024-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142284445","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

Comparing methods for estimating causal treatment effects of administrative health data: A plasmode simulation study 比较估算行政健康数据因果治疗效果的方法：质谱模拟研究

IF 2 3区医学

Health economics Pub Date : 2024-09-10 DOI: 10.1002/hec.4891

Vanessa Ress, Eva-Maria Wild

{"title":"Comparing methods for estimating causal treatment effects of administrative health data: A plasmode simulation study","authors":"Vanessa Ress, Eva-Maria Wild","doi":"10.1002/hec.4891","DOIUrl":"10.1002/hec.4891","url":null,"abstract":"Estimating the causal effects of health policy interventions is crucial for policymaking but is challenging when using real-world administrative health care data due to a lack of methodological guidance. To help fill this gap, we conducted a plasmode simulation using such data from a recent policy initiative launched in a deprived urban area in Germany. Our aim was to evaluate and compare the following methods for estimating causal effects: propensity score matching, inverse probability of treatment weighting, and entropy balancing, all combined with difference-in-differences analysis, augmented inverse probability weighting, and targeted maximum likelihood estimation. Additionally, we estimated nuisance parameters using regression models and an ensemble learner called superlearner. We focused on treatment effects related to the number of physician visits, total health care cost, and hospitalization. While each approach has its strengths and weaknesses, our results demonstrate that the superlearner generally worked well for handling nuisance terms in large covariate sets when combined with doubly robust estimation methods to estimate the causal contrast of interest. In contrast, regression-based nuisance parameter estimation worked best in small covariate sets when combined with singly robust methods.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 12","pages":"2757-2777"},"PeriodicalIF":2.0,"publicationDate":"2024-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4891","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142181534","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