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Impacts of Housing Costs on Health and Satisfaction With Life Circumstances: Evidence From Australia 住房成本对健康和生活环境满意度的影响：来自澳大利亚的证据。
IF 2 3区 医学
Health economics Pub Date : 2025-01-12 DOI: 10.1002/hec.4934
Ashani Abayasekara, Jun Sung Kim, Liang Choon Wang
{"title":"Impacts of Housing Costs on Health and Satisfaction With Life Circumstances: Evidence From Australia","authors":"Ashani Abayasekara,&nbsp;Jun Sung Kim,&nbsp;Liang Choon Wang","doi":"10.1002/hec.4934","DOIUrl":"10.1002/hec.4934","url":null,"abstract":"<div>\u0000 \u0000 <p>This paper examines the causal impacts of rising housing costs on individual health and satisfaction with life circumstances, using a fixed-effects instrumental variable approach and individual-level panel data from Australia. Relying on the historical patterns of immigrant settlement, we construct an instrumental variable that exploits exogenous variation in housing costs driven by foreign investments that flow differentially into localities. We find that rising housing costs—as measured by composite housing costs faced by homeowners and renters living in an area—have a significant positive impact on individuals' self-assessed physical health and a significant negative impact on satisfaction ratings, but no significant impact on self-assessed emotional health. Heterogeneity analysis suggests that the positive effects on physical health are mainly concentrated among homeowners, the well-educated, and older individuals.</p>\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 4","pages":"741-757"},"PeriodicalIF":2.0,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142970365","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
Cash-Out Puzzle and Long-Term Care Insurance: Welfare of the Elderly 套现难题与长期护理保险：老年人福利。
IF 2 3区 医学
Health economics Pub Date : 2025-01-08 DOI: 10.1002/hec.4935
Xiaoyan Lei, Chunfeng Zhang
{"title":"Cash-Out Puzzle and Long-Term Care Insurance: Welfare of the Elderly","authors":"Xiaoyan Lei,&nbsp;Chunfeng Zhang","doi":"10.1002/hec.4935","DOIUrl":"10.1002/hec.4935","url":null,"abstract":"<div>\u0000 \u0000 <p>This study investigates the effects of diverse payment methods within long-term care insurance (LTCI) on the well-being of elderly individuals, encompassing both in-kind and cash payments. Utilizing panel data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS), we leverage a generalized difference-in-differences (DID) approach and the LTCI pilots across various Chinese cities to identify the impacts of different LTCI payment methods. Our findings indicate that an in-kind LTCI policy significantly decreases the one-year mortality of older adults, with significant improvements on ADL-related care receipt as well as health status. Conversely, no significant impacts are observed under the framework of a cash LTCI policy. We term the weaker effects regarding older adults in cash LTCI policy versus in-kind LTCI policy as “the cash-out puzzle”. Our findings emphasize the critical importance of developing right incentives of LTCI payment schemes thoughtfully worldwide.</p>\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 4","pages":"714-726"},"PeriodicalIF":2.0,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947781","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
Economic Value of Informal Care: Contingent Valuation From the Perspective of Caregivers and Care Recipients in China 非正式照护的经济价值：中国照护者与受护者视角下的条件评估
IF 2 3区 医学
Health economics Pub Date : 2025-01-07 DOI: 10.1002/hec.4927
Hongli Fan, Jinyan Gao, Lu Chen, Zixuan Peng, Peter C. Coyte
{"title":"Economic Value of Informal Care: Contingent Valuation From the Perspective of Caregivers and Care Recipients in China","authors":"Hongli Fan,&nbsp;Jinyan Gao,&nbsp;Lu Chen,&nbsp;Zixuan Peng,&nbsp;Peter C. Coyte","doi":"10.1002/hec.4927","DOIUrl":"10.1002/hec.4927","url":null,"abstract":"<div>\u0000 \u0000 <p>We estimated the monetary value of informal care from the perspectives of informal caregivers and care recipients in China using the contingent valuation method. Data were obtained from a specially designed survey of 1458 informal caregivers and 972 care recipients. The mean for caregivers' willingness to pay (WTP) for reducing informal care by 1 h per week was CNY32.37 (€4.11), while the mean for willingness to accept (WTA) increasing informal care by 1 h was CNY46.21 (€5.87). The mean for care recipients' WTP (WTA) values for increasing or reducing informal care by 1 h per week were CNY28.74 (€3.65) and CNY44.78 (€5.69), respectively. The WTP and WTA values varied according to care hours and tasks, kinship, and living arrangements, and correlated with the characteristics of both caregivers and care recipients. The WTP and WTA values were also sensitive to a broad range of factors such as health, level of education, employment status, and household income. We highlight the contribution made by informal caregivers to elderly care and recommend the promotion of informal care activities to support and incentivize them.</p>\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 4","pages":"699-713"},"PeriodicalIF":2.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947782","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
Impacts of City Life on Nutrition: Evidence From Resettlement Lotteries in China 城市生活对营养的影响：来自中国移民彩票的证据。
IF 2 3区 医学
Health economics Pub Date : 2025-01-05 DOI: 10.1002/hec.4925
Ganxiao Leng, Huanguang Qiu, Mateusz Filipski
{"title":"Impacts of City Life on Nutrition: Evidence From Resettlement Lotteries in China","authors":"Ganxiao Leng,&nbsp;Huanguang Qiu,&nbsp;Mateusz Filipski","doi":"10.1002/hec.4925","DOIUrl":"10.1002/hec.4925","url":null,"abstract":"<p>Urban environments are thought to improve food security, by offering enhanced access to markets and income opportunities. Yet this idea is hard to test empirically due to an abundance of confounding factors and selection issues. This study leverages a resettlement program in China to provide the first quasi-experimental estimate of city life on food consumption and nutrition among low-income households. Lottery-determined timing of resettlement enables causal inference. We base our empirics on a 3-year panel and a range of difference-in-differences and matching methodologies. We find that those who were resettled to towns significantly increased both food consumption and diet variety, with increased intake of several macro- and micro-nutrients. Diet quality mostly improved, but we also found signs of over-consumption, notably of carbohydrates. Our evidence further suggests that our impacts are primarily due to improved market access. This stands in contrast to recent literature that finds little or no effect of living environments on food consumption. Instead, we reveal a significant impact of urban environments in shaping diets, bolstering the notion that supply-side channels do matter in some contexts.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 4","pages":"677-698"},"PeriodicalIF":2.0,"publicationDate":"2025-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4925","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142931312","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
Adding to the Woes: Heterogeneous Effects of Air Pollution on Pandemic Patients 雪上加霜的是：空气污染对流行病患者的不同影响。
IF 2 3区 医学
Health economics Pub Date : 2025-01-04 DOI: 10.1002/hec.4930
Mengdi Liu, Xin Zhao
{"title":"Adding to the Woes: Heterogeneous Effects of Air Pollution on Pandemic Patients","authors":"Mengdi Liu,&nbsp;Xin Zhao","doi":"10.1002/hec.4930","DOIUrl":"10.1002/hec.4930","url":null,"abstract":"<div>\u0000 \u0000 <p>While the direct health impacts of air pollution are widely discussed, its indirect effects, particularly during pandemics, are less explored. Utilizing detailed individual-level data from all designated hospitals in Wuhan during the initial COVID-19 outbreak, we examine the impact of air pollution exposure on treatment costs and health outcomes for COVID-19 patients. Our findings reveal that patients exposed more intensively to air pollution, identified by their residence in downwind areas of high-polluting enterprises, not only had worsened health outcomes but also consumed more medical resources. This increased demand is primarily due to their heightened vulnerability to cardiopulmonary conditions. Using a causal machine learning method called Causal Forests to estimate individual treatment effects, we uncover significant heterogeneity across demographic and socioeconomic characteristics, with older and economically disadvantaged patients showing particular vulnerability. These findings highlight the importance of considering environmental factors in pandemic preparedness and suggest the value of targeted interventions that account for demographic and socioeconomic variations in vulnerability.</p>\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 4","pages":"655-676"},"PeriodicalIF":2.0,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927078","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 Compulsory Schooling on Vaccination Against COVID 义务教育对预防COVID疫苗接种的影响。
IF 2 3区 医学
Health economics Pub Date : 2025-01-01 DOI: 10.1002/hec.4929
Daniel Monsees, Hendrik Schmitz
{"title":"The Effect of Compulsory Schooling on Vaccination Against COVID","authors":"Daniel Monsees,&nbsp;Hendrik Schmitz","doi":"10.1002/hec.4929","DOIUrl":"10.1002/hec.4929","url":null,"abstract":"<p>We study the effect of education on vaccination against COVID in Germany in a sample of individuals above the age of 60. In ordinary least squares regressions, we find that, in this age group, one more year of education goes along with a 0.7 percentage point increase in the likelihood to get a COVID vaccination. In two stage least squares regressions where changes in compulsory schooling laws are used as exogenous variation for education, the effect of an additional year of education is estimated to be zero. The results hold for the compliers to the policy change which are older individuals at the lowest margin of education.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 4","pages":"643-654"},"PeriodicalIF":2.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4929","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142914532","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
Green Cities, Healthier Children: The Effect of Expanding Urban Green Space on Body Weight for Primary School Starters 绿色城市，健康儿童：扩大城市绿地对小学新生体重的影响
IF 2 3区 医学
Health economics Pub Date : 2024-12-26 DOI: 10.1002/hec.4921
Josefine Koebe
{"title":"Green Cities, Healthier Children: The Effect of Expanding Urban Green Space on Body Weight for Primary School Starters","authors":"Josefine Koebe","doi":"10.1002/hec.4921","DOIUrl":"10.1002/hec.4921","url":null,"abstract":"<p>The discussion on tackling childhood obesity is often centered around fostering physical activity. A potential relationship yet overlooked could run from providing the proper environment for healthy lifestyles to reduced weight problems. A unique quasi-experimental setting of transforming former airport grounds to a large urban green space allows me to apply a difference-in-differences approach within an intention-to-treat framework, comparing several weight outcomes of residential children to children living further away before and after park opening. I use new administrative data on the Berlin district level from mandatory school entrance examinations and provide robust evidence of a lower probability by 4.3% points for treated children to be overweight (BMI &gt; 90 P.), driven entirely by girls, mainly by children from foreign cultural backgrounds and children with less childcare exposure. My results are robust to corrective methods of inference, including synthetic controls, and may open a new perspective for obesity policy action and prevention.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 3","pages":"573-597"},"PeriodicalIF":2.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142893999","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
Are E-Cigarettes Substitutes or Complements to Combustible Cigarettes Among Youths? Evidence From Canada 电子烟是可燃香烟的替代品还是补充？来自加拿大的证据。
IF 2 3区 医学
Health economics Pub Date : 2024-12-24 DOI: 10.1002/hec.4926
Hai V. Nguyen, Shweta Mital
{"title":"Are E-Cigarettes Substitutes or Complements to Combustible Cigarettes Among Youths? Evidence From Canada","authors":"Hai V. Nguyen,&nbsp;Shweta Mital","doi":"10.1002/hec.4926","DOIUrl":"10.1002/hec.4926","url":null,"abstract":"<div>\u0000 \u0000 <p>Existing evidence on whether e-cigarettes are substitutes or complements to combustible cigarettes is limited and mixed. We revisit this question using nationally-representative Canadian survey data over 14 years (2004–2017) and difference-in-differences methods that exploit the staggered adoption of e-cigarette Minimum Legal Age (MLA) laws in Canadian provinces between 2015 and 2017. We study the laws' effects not only on youth smoking but also on smoking initiation and cessation to shed light on the mechanisms through which these laws affect youth smoking. We find that the relationship between e-cigarette use and combustible cigarette use depends on smoking status of youths. While the MLA laws reduced smoking initiation among youth non-smokers, they made existing youth smokers less likely to quit smoking. Our results highlight the tradeoffs between lower smoking initiation and lower smoking cessation associated with policies that aim to reduce youth e-cigarette use.</p>\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 4","pages":"631-642"},"PeriodicalIF":2.0,"publicationDate":"2024-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142885632","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 Professional Shortage Area Bonus Payments and Access to Care Under Medicare 医疗专业人员短缺地区的奖金支付和医疗保险下的医疗服务。
IF 2 3区 医学
Health economics Pub Date : 2024-12-23 DOI: 10.1002/hec.4924
Christopher S. Brunt
{"title":"Health Professional Shortage Area Bonus Payments and Access to Care Under Medicare","authors":"Christopher S. Brunt","doi":"10.1002/hec.4924","DOIUrl":"10.1002/hec.4924","url":null,"abstract":"<div>\u0000 \u0000 <p>For over 3 decades, the Centers for Medicare &amp; Medicaid Services (CMS) has provided a bonus payment for outpatient physician services provided to beneficiaries under Medicare Part B in areas designated as Primary Care Health Professional Shortage Areas (HPSAs) during the previous calendar year. Despite the longstanding existence of the program, no studies have explicitly evaluated how previously established physicians practicing in areas subject to an HPSA designation respond to the bonus payments. Using 2012–2019 physician-level data with stacked event study models that control for several characteristics, including the underlying criteria used to construct HPSA scores, I find little to no statistically significant changes in access to care (as measured through total annual beneficiaries treated or services delivered to Medicare beneficiaries) in the years leading up to HPSA designation. However, once physicians become eligible for a 10% bonus payment, their annual number of beneficiaries treated and volume of services decline, consistent with recent empirical work and CMS's actuarial assumptions about how physicians respond to changes in reimbursement.</p>\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 4","pages":"601-630"},"PeriodicalIF":2.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881928","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
Incentives, Health, and Retirement: Evidence From a Finnish Pension Reform 激励、健康和退休：来自芬兰养老金改革的证据。
IF 2 3区 医学
Health economics Pub Date : 2024-12-23 DOI: 10.1002/hec.4917
Joonas Ollonqvist, Kaisa Kotakorpi, Mikko Laaksonen, Pekka Martikainen, Jukka Pirttilä, Lasse Tarkiainen
{"title":"Incentives, Health, and Retirement: Evidence From a Finnish Pension Reform","authors":"Joonas Ollonqvist,&nbsp;Kaisa Kotakorpi,&nbsp;Mikko Laaksonen,&nbsp;Pekka Martikainen,&nbsp;Jukka Pirttilä,&nbsp;Lasse Tarkiainen","doi":"10.1002/hec.4917","DOIUrl":"10.1002/hec.4917","url":null,"abstract":"<p>This paper examines, using exogenous variation generated by a Finnish pension reform implemented in 2005, the interplay between health and financial incentives to postpone retirement. Based on detailed administrative data on individual health and retirement behavior, we focus on whether individual reactions to incentives vary according to health status and analyze whether individuals with ill health are also able to take advantage of the potential monetary benefits of delayed retirement created by the reform. We find that on average, individuals react to the financial incentives created by the reform as expected. This result holds for most of the health-related subgroups we analyze. However, those with a long period of sickness absence are less likely to respond to changes in the financial incentives to postpone retirement.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 3","pages":"537-572"},"PeriodicalIF":2.0,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11786948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142881929","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
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