Health economics最新文献_第4页

Medical Brain Drain: The Role of Job Attributes and Individual Traits. 医疗人才流失：工作属性和个人特质的作用。

IF 2 3区医学

Health economics Pub Date : 2026-08-24 DOI: 10.1002/hec.70148

Marco Bertoni, Debdeep Chattopadhyay, Yuanyuan Gu

{"title":"Medical Brain Drain: The Role of Job Attributes and Individual Traits.","authors":"Marco Bertoni, Debdeep Chattopadhyay, Yuanyuan Gu","doi":"10.1002/hec.70148","DOIUrl":"https://doi.org/10.1002/hec.70148","url":null,"abstract":"Medical brain drain poses a major challenge for health systems, reducing physician supply and undermining public investment in medical training. Prior work examined migration flows and their macroeconomic determinants. This study uses a discrete choice experiment to assess how individual background and personality traits shape medical student intentions to migrate and whether job attributes are valued differently at home and abroad. We surveyed 527 senior medical students from 12 Italian universities between November 2020 and July 2021, using Italy as a pertinent case given high physician emigration and limited inflow of foreign-trained doctors. We find that students require compensation of around 30% of physicians' average starting salary to accept a job abroad rather than at home. Those from higher-quality schools or medical families, and those who are more altruistic, competitive, and risk-tolerant, require less compensation to migrate. Valuations of several job attributes also differ by location: at home, students value permanent contracts and professional development; abroad, they are willing to accept temporary contracts but reject under-skilling. These findings suggest that emigration may disproportionately involve the best-trained students. Policy simulations show that improving working conditions, job security, or professional development opportunities each substantially increases the predicted probability of choosing a domestic job, with salary increases having the largest effects.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148808418","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 Fertility Reduction Effects of the Colorado Family Planning Initiative by Age and Parity. 按年龄和胎次划分的科罗拉多州计划生育倡议的生育率降低效果。

IF 2 3区医学

Health economics Pub Date : 2026-08-08 DOI: 10.1002/hec.70147

James Flynn, Amanda Stevenson, Sara Yeatman, Katie Genadek, Jane Menken, Stefanie Mollborn, Leslie Root

{"title":"The Fertility Reduction Effects of the Colorado Family Planning Initiative by Age and Parity.","authors":"James Flynn, Amanda Stevenson, Sara Yeatman, Katie Genadek, Jane Menken, Stefanie Mollborn, Leslie Root","doi":"10.1002/hec.70147","DOIUrl":"https://doi.org/10.1002/hec.70147","url":null,"abstract":"We use restricted-access birth records from the National Vital Statistics System (NVSS) to document the full age and parity fertility effects of the Colorado Family Planning Initiative (CFPI). The CFPI provided access to every FDA approved method of contraception for free to anyone living below approximately 200% of the federal poverty line from 2009 to 2015. Previous research has demonstrated important effects on fertility at ages 15-29. We estimate the statewide fertility effect of the CFPI for all age groups (15-44) and for all births and for first and non-first births using the synthetic control method. We find large and statistically significant reductions in birth rates for 15-24-year-olds that largely line up with other recent studies, but we find important heterogeneity across parity. For teenagers, we find reductions in first birth rates of about 9%, but much larger reductions in non-first birth rates of 17%-25%. We also find reductions in overall fertility for 20-24 and 25-29-year-olds, but these are entirely driven by reductions of 5%-9% in non-first birth rates, with no significant changes in first births. For 30-39-year-olds, we find small but statistically significant reductions in fertility of 3%-7% across parity levels, and we find a 6% reduction in fertility for 40-44-year-olds. We also conduct inference using synthetic difference-in-differences (SDID) and placebo-based methods. When we do this, our coefficient estimates are similar, though confidence intervals are wider, with specifications on older age groups no longer statistically significant.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697407","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

Time Preferences, Risk Preferences and Choices of Healthy Diet: Evidence From Mekelle City, Northern Ethiopia. 时间偏好、风险偏好和健康饮食选择：来自埃塞俄比亚北部Mekelle市的证据

IF 2 3区医学

Health economics Pub Date : 2026-08-08 DOI: 10.1002/hec.70146

Taddese Mezgebo, Zenebe Gebreegziabher, Haftom Bayray Kahsay, Abrha Megos Meressa, Lemlem Weldegerima Gebremariam, Valentino Marini Govigli, Marco Setti

{"title":"Time Preferences, Risk Preferences and Choices of Healthy Diet: Evidence From Mekelle City, Northern Ethiopia.","authors":"Taddese Mezgebo, Zenebe Gebreegziabher, Haftom Bayray Kahsay, Abrha Megos Meressa, Lemlem Weldegerima Gebremariam, Valentino Marini Govigli, Marco Setti","doi":"10.1002/hec.70146","DOIUrl":"https://doi.org/10.1002/hec.70146","url":null,"abstract":"Diet-related morbidity and mortality now exceed those associated with hunger worldwide. Although risk and time preferences are correlated with dietary behavior, evidence from the Global South remains limited. In particular, the role of human-capital risk-distinct from health risk-in shaping dietary choices has not been systematically examined. This study addresses this gap using incentivized lab-in-the-field experiments and 2024 survey data from Mekelle city, northern Ethiopia. A control-function approach accounts for potential health-status endogeneity, Oster's coefficient stability test assesses sensitivity to unobserved heterogeneity, and double Lasso tests the exclusion of insignificant variables while controlling for structural errors. Results show that impatience, impulsivity, and risk aversion are generally negatively associated with demand for healthy dietary components, although associations vary by outcome. Risk-averse subjects report stronger healthy-eating intentions but exhibit comparatively lower observed investment in healthy foods, consistent with concerns about human-capital risk.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697397","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

Health and Economic Impacts of an Early Labor Induction Policy for High-BMI Mothers. 早期引产政策对高bmi母亲的健康和经济影响

IF 2 3区医学

Health economics Pub Date : 2026-08-05 DOI: 10.1002/hec.70143

Louis Freget, Maria Koch Gregersen

引用次数: 0

The Unintended Consequences of Sugar-Sweetened Beverage Taxes on Sales and Prices of Beer Beverages. 含糖饮料税对啤酒饮料销售和价格的意外影响。

IF 2 3区医学

Health economics Pub Date : 2026-08-03 DOI: 10.1002/hec.70145

Lei Pan, Xiaoyong Zheng

引用次数: 0

What Can Providers' Motivations Tell Us About Healthcare Quality? 提供者的动机能告诉我们什么关于医疗质量？

IF 2 3区医学

Health economics Pub Date : 2026-08-03 DOI: 10.1002/hec.70144

Lucy Margaret Poole, Line Bjørnskov Pedersen, Anne Sophie Oxholm

{"title":"What Can Providers' Motivations Tell Us About Healthcare Quality?","authors":"Lucy Margaret Poole, Line Bjørnskov Pedersen, Anne Sophie Oxholm","doi":"10.1002/hec.70144","DOIUrl":"10.1002/hec.70144","url":null,"abstract":"Agency theory suggests that variation in providers' quality of care may be explained by their heterogeneous motivations. We provide novel empirical evidence on the links between different sources of provider motivation and quality of care by combining a unique 4-year survey dataset on Danish general practitioners' motivations with quality indicators and control variables from rich register data. Using a within-between regression specification, we estimate the associations between two key sources of motivation (financial motivation and non-paternalistic altruism toward patients) and seven quality indicators related to accreditation standards in general practice. We find that providers' financial motivation is associated with high-quality care that relates to remunerated services. We further find that non-paternalistic altruism toward patients associates with lower-quality prescribing for drugs that may be highly demanded by patients and fewer annual control visits for chronic disease. These links are mostly found when we compare heterogeneously motivated practices (between estimates) rather than when we look at changes within the same practices over time (within estimates). The findings can help policymakers address agency problems that may arise from patient demands and design policies that motivate delivery of high-quality care.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669228","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 Nutrition-Led Multifaceted Program Impact Adolescent Girls' Educational and Learning Outcomes? Evidence From India 营养主导的多方面计划是否会影响青春期女孩的教育和学习成果？来自印度的证据。

IF 2 3区医学

Health economics Pub Date : 2026-08-01 Epub Date: 2026-06-03 DOI: 10.1002/hec.70114

Narbadeshwar Mishra, Jyoti Prasad Mukhopadhyay

{"title":"Does Nutrition-Led Multifaceted Program Impact Adolescent Girls' Educational and Learning Outcomes? Evidence From India","authors":"Narbadeshwar Mishra, Jyoti Prasad Mukhopadhyay","doi":"10.1002/hec.70114","DOIUrl":"10.1002/hec.70114","url":null,"abstract":"<div>\u0000 \u0000 While extensive literature is available on the impact of early childhood nutritional food program on human capital gains, little we know about the impact of targeted nutritious food provisioning at a later stage on human capital gains. This paper fills this gap in the literature. We examine the causal impact of the Rajiv Gandhi Scheme for Empowerment of Adolescent Girls (SABLA), a nutrition-led multifaceted program for adolescent girls aged 11–18 years introduced by the central government in India in 2010, on girls' educational and learning outcomes. The implementation of this program provides us with enough variation in treatment. We glean data from multiple nationally representative datasets and employ difference-in-differences framework to estimate the causal impact of the SABLA program. Our results indicate that the program significantly improved enrollment and basic learning outcomes, including reading ability and math skills. We attribute the salutary effects of the program to significant improvement in health status (BMI and weight) of the adolescent girls exposed to the program and increased child-specific educational expenditure. Our findings are consistent across different datasets, and robust to potential confounding factors, and alternative empirical specifications.\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"35 9","pages":"1306-1324"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148156343","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

Do Patients Value the Service Provided by Physicians Who Overbill? A Willingness-to-Pay Study Using French Survey Data 病人是否重视医生所提供的服务？使用法国调查数据的支付意愿研究。

IF 2 3区医学

Health economics Pub Date : 2026-08-01 Epub Date: 2026-06-11 DOI: 10.1002/hec.70119

Karine Lamiraud, Radu Vranceanu

{"title":"Do Patients Value the Service Provided by Physicians Who Overbill? A Willingness-to-Pay Study Using French Survey Data","authors":"Karine Lamiraud, Radu Vranceanu","doi":"10.1002/hec.70119","DOIUrl":"10.1002/hec.70119","url":null,"abstract":"Outpatient specialist physicians in France can work either in the regulated sector, where they charge the regulated fee, or in the unregulated sector, where they set their own fees above the regulated fee. This context provides a unique opportunity to estimate the extent to which patients value services provided under balance billing. In January 2021, we carried out a contingent valuation method (CVM) survey on a sample of 1051 individuals who were representative of France's adult population. Results highlighted that willingness-to-pay (WTP) for a specialist consultation in the unregulated sector was higher than for a consultation in the regulated sector, with a significant WTP difference of €4.30 (almost 15% of the regulated fee). This difference was significant across all respondent subgroups (i.e., gender, age, education level, marital status, income, health status, insurance coverage, and area of residence) and was not fully driven by differences in income. Moreover, this preference for the unregulated sector was associated with the perception that specialists in this sector provide better quality medical care, better quality non-medical services, and that making an appointment with them is easier. Finally, we estimated the patient net welfare gain generated by specialist consultations in the unregulated sector in France at approximately €165 million per year. This is the first study to provide an estimation of patients' benefits associated with balance billing.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"35 9","pages":"1366-1381"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.70119","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148224490","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 Unemployment Insurance Benefit Cuts on Mental Health: Evidence From Early Pandemic Program Expirations 失业保险福利削减对心理健康的影响：来自早期流行病计划到期的证据。

IF 2 3区医学

Health economics Pub Date : 2026-08-01 Epub Date: 2026-06-15 DOI: 10.1002/hec.70122

Xiaohui Guo, Lizhong Peng, Xuezhu Shi

引用次数: 0

Beyond Tobacco Prevention: The Effects of Tobacco 21 Laws on Young Adults' Body Weight 烟草预防之外：烟草21法律对年轻人体重的影响。

IF 2 3区医学

Health economics Pub Date : 2026-08-01 Epub Date: 2026-06-22 DOI: 10.1002/hec.70120

Qihua Qiu, Jaesang Sung

{"title":"Beyond Tobacco Prevention: The Effects of Tobacco 21 Laws on Young Adults' Body Weight","authors":"Qihua Qiu, Jaesang Sung","doi":"10.1002/hec.70120","DOIUrl":"10.1002/hec.70120","url":null,"abstract":"Tobacco 21 (T21) laws effectively reduce youth tobacco use by preventing initiation. This study examines their impact on body weight among young adults aged 18–20. Using 2009–2019 Behavioral Risk Factor Surveillance System data and a two-way fixed-effects difference-in-differences (DID) design, we find limited evidence of broad weight changes in either direction across the BMI distribution. Obesity declines due to modest weight reductions concentrated near the upper BMI threshold, with no significant changes in overweight status or average BMI. Event study shows that the obesity decline emerges in the first post-T21 year and attenuates afterward. Results are robust to alternative specifications, including an imputation DID approach addressing staggered adoption. Effects are driven by “never smokers”, consistent with a prevention-based pathway, and are more pronounced among males and non-White individuals, with heterogeneity observed across education levels in the upper BMI tail. Supplemental analyses using Youth Risk Behavior Survey data show reduced adverse weight outcomes among high schoolers aged 18+. T21 laws increase exercise, improve diets, and reduce sedentary behavior, underage drinking, marijuana use, and mental distress. Overall, T21 laws avoid the typical cessation-related weight gain and modestly improve weight outcomes among at-risk young adults, suggesting broader public health benefits beyond tobacco prevention.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"35 9","pages":"1406-1423"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.70120","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301138","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