Health economics最新文献_第5页

Effects of Health Shocks on Adult Children's Labor Market Outcomes and Well-Being 健康冲击对成年子女劳动力市场结果和福祉的影响。

IF 2.4 3区医学

Health economics Pub Date : 2025-06-25 DOI: 10.1002/hec.70005

Eduardo Ramirez Lizardi, Elisabeth Fevang, Knut Røed, Henning Øien

引用次数: 0

Heterogenous Mental Health Impacts of a Forced Relocation: The Red Zone in Christchurch (New Zealand) 强迫搬迁对异质心理健康的影响：基督城红区（新西兰）。

IF 2.4 3区医学

Health economics Pub Date : 2025-06-21 DOI: 10.1002/hec.70004

Thoa Hoang, Ilan Noy, Thinh Le Van

{"title":"Heterogenous Mental Health Impacts of a Forced Relocation: The Red Zone in Christchurch (New Zealand)","authors":"Thoa Hoang, Ilan Noy, Thinh Le Van","doi":"10.1002/hec.70004","DOIUrl":"10.1002/hec.70004","url":null,"abstract":"<p>People are sometimes forced to move, and it is plausible that such relocation involves significant psychological costs. The challenge in identifying the mental health consequences of moving is that most moves are (at least partly) voluntary so that the sample of movers is self-selected. We focus on a natural experiment, the government-mandated relocation of some households after all households experienced an exogenous shock. We use this experiment to identify the causal impact of moving on people's mental health, distinguishing between less severe and more severe health conditions, and between individuals with pre-existing mental health conditions and those without. The event we focus on is the 2011 Christchurch (New Zealand) earthquake, and the consequent decision of the government to relocate about 8000 households from some of the earthquake-affected areas. We use a comprehensive administrative dataset that includes health records with information on hospital attendance, specialist services, and prescribed medications for (almost) every resident in the city and compare the relocated individuals to those who lived elsewhere in the earthquake-damaged city. We examine both the likelihood of receiving mental health treatment (the extensive margin), and the intensity of treatment, measured by the number of visits to a clinic or hospital (the intensive margin). We find a statistically significant increase in the likelihood and frequency of receiving treatment for moderate mental health problems among individuals compelled to relocate, when compared to other residents of the earthquake-affected city who were allowed to remain in situ. This increase persisted to December 2013 for everyone, and remained significant for the elderly to the end of 2018. We found no such increase in health care utilisation for more severe mental health symptoms that required more acute interventions (in clinics or hospitals).</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 10","pages":"1782-1803"},"PeriodicalIF":2.4,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.70004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340044","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

Decomposing Racial Disparities in Severe Maternal Morbidity Within Insurance Groups 分解种族差异在严重产妇发病率保险组。

IF 2.4 3区医学

Health economics Pub Date : 2025-06-21 DOI: 10.1002/hec.70002

E. Kathleen Adams, Sara Markowitz, Michael R. Kramer, Peter J. Joski, Anne L. Dunlop

{"title":"Decomposing Racial Disparities in Severe Maternal Morbidity Within Insurance Groups","authors":"E. Kathleen Adams, Sara Markowitz, Michael R. Kramer, Peter J. Joski, Anne L. Dunlop","doi":"10.1002/hec.70002","DOIUrl":"10.1002/hec.70002","url":null,"abstract":"<div>\u0000 \u0000 <p>Rates of severe maternal morbidity (SMM) are related to maternal, hospital, and residential factors, but the contribution of these factors to racial disparities in SMM within Medicaid and private insured groups is largely unknown. Linked Georgia vital records/hospital discharge data for 2016–2020 are used to identify SMM during delivery or within 42 days postpartum for Medicaid and private insured. The Oaxaca-Blinder decomposition is used to describe the percentage of the Black-White SMM gap explained, based on linear probability models without and with hospital fixed-effects. While the rate of SMM is higher for Medicaid than private insured, the Black-White SMM gap is lower within Medicaid than private insured (1.15 vs. 1.40 per 100 deliveries). Including hospital fixed-effects increased the explained gap by 29.1 percentage points (from 13.8% to 42.9%) within Medicaid and by 9.4 percentage points (from 20.0% to 29.4%) within private insured. Residential factors significantly reduced the Black-White gap explained for Medicaid (−19.6%) but were insignificant (∼0%) for privately insured. According to the Oaxaca-Blinder algebraic calculation, differences in within-hospital processes by race contribute a large portion of the discriminatory Black-White SMM gap among Georgia deliveries while residential areas with greater provider access tends to reduce the gap among Medicaid insured.</p>\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 10","pages":"1749-1772"},"PeriodicalIF":2.4,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340043","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 Rurality-Based Financial Incentives Improve Equity of Primary Healthcare Access? Evidence From Australia 以农村为基础的财政激励措施能改善初级卫生保健获得的公平性吗？来自澳大利亚的证据。

IF 2.4 3区医学

Health economics Pub Date : 2025-06-18 DOI: 10.1002/hec.70000

Karinna Saxby, Yuting Zhang

{"title":"Do Rurality-Based Financial Incentives Improve Equity of Primary Healthcare Access? Evidence From Australia","authors":"Karinna Saxby, Yuting Zhang","doi":"10.1002/hec.70000","DOIUrl":"10.1002/hec.70000","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>In Australia, as in many other countries, people living in rural and remote areas experience poorer health outcomes and use less primary healthcare compared to urban populations. Aiming to reduce these inequities, in 2022 the Australian government increased rural-based financial incentives for General Practitioners (GPs) to “bulk bill” (i.e., provide care with zero patient out-of-pocket costs) children and concession card holders (low-income patients and older adults) living in rural and remote, but not urban areas. Using whole-of-population administrative data and exploiting variation in the eligibility of geographic areas to receive these incentives, we find that, compared to people living in urban areas, the reform led to a 2.7% (95% CI 2.2; 3.2) increase in the number of GP visits, a 9.0% (95% CI 8.4; 9.5) increase in the number of bulk billed GP visits, and a 13.0% (95% CI 12.4; 13.7) reduction in the out-of-pocket cost per GP visit among people living in rural areas. Effects were more pronounced for people with higher initial out-of-pocket costs—adults rather than children, people without concession cards, and people living in areas with less socioeconomic disadvantage. Altogether, while the reform has gone some way to reduce out-of-pocket costs for rural patients, benefits are unequal and inequities in access remain.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 9","pages":"1679-1690"},"PeriodicalIF":2.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.70000","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325313","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 Spillover Effects of a City-Wide Global Budget and Case-Based Payment Reform on Inbound Non-Resident Patients 城市范围内的全球预算和案例支付改革对入境非居民患者的溢出效应。

IF 2.4 3区医学

Health economics Pub Date : 2025-06-14 DOI: 10.1002/hec.4979

Yawen Jiang

{"title":"The Spillover Effects of a City-Wide Global Budget and Case-Based Payment Reform on Inbound Non-Resident Patients","authors":"Yawen Jiang","doi":"10.1002/hec.4979","DOIUrl":"10.1002/hec.4979","url":null,"abstract":"<div>\u0000 \u0000 <p>This study investigates the spillover effects of a city-wide global budget and case-based payment reform (known as the DIP reform) on non-resident patients from another city in the same province. By developing a theoretical model, I hypothesize that nontrivial deviation costs from reform-driven standard patient journeys could lead to reduced charges for patients who seek care in the reform city but are not subject to its payment reform policies. To test this hypothesis, I employ a difference-in-differences approach using discharge records to compare outcomes between patients from a non-reform outbound city hospitalized in the reform city, where DIP was implemented, and those hospitalized in other non-reform cities within the same province. The results indicate that the DIP reform significantly reduced total hospital charges for non-resident patients, without compromising care quality as measured by readmission rates. Notably, high-cost hospitals experienced more pronounced charge reductions compared to low-cost hospitals, highlighting the need to manage heterogeneous impacts on different healthcare providers to ensure equitable healthcare delivery.</p>\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 9","pages":"1663-1678"},"PeriodicalIF":2.4,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293637","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 the Risk Premium Differ Between Women Engaging in Commercial and Transactional Sex? Evidence From Urban Cameroon 从事商业性和交易性行为的女性风险溢价不同吗？来自喀麦隆城市的证据。

IF 2 3区医学

Health economics Pub Date : 2025-06-13 DOI: 10.1002/hec.4964

Rebecca G. Njuguna, Henry Cust, The POWER Team, Aurélia Lépine

{"title":"Does the Risk Premium Differ Between Women Engaging in Commercial and Transactional Sex? Evidence From Urban Cameroon","authors":"Rebecca G. Njuguna, Henry Cust, The POWER Team, Aurélia Lépine","doi":"10.1002/hec.4964","DOIUrl":"10.1002/hec.4964","url":null,"abstract":"<p>Female sex workers (FSWs) can receive a premium for engaging in unprotected and other risky sexual behaviours. Women engaging in transactional sex, defined as ‘non-commercial sexual relationships motivated by the implicit assumption that sex is exchanged for material support’, are thought to share similar economic incentives as women engaging in commercial sex. Using a panel of up to six sex acts from longitudinal datasets stratified by FSWs and women engaging in transactional sex in Cameroon, we provide evidence consistent with literature of a 30% condomless risk premium for FSWs. We then provide the first empirical evidence of a discount for condomless sex of 14% for women engaging in transactional sex. Qualitative analysis offers two explanations for this surprising finding, first a lack of HIV awareness among women engaging in transactional sex, and second, that risky sex acts are a demonstration of investment of trust in relationships and represent unobservable exchange of value. Given the larger number of women engaging in transactional relationships compared to FSWs in sub-Saharan Africa, and their lower awareness of HIV risks, this finding offers a significant explanation for the disproportionate burden of HIV incidence among adolescents and young women in sub-Saharan Africa.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 8","pages":"1474-1486"},"PeriodicalIF":2.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4964","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144283615","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

Hungry no More? The Joint Impact of Minimum Wages and the Earned Income Tax Credit on Food Insecurity 不再饿了吗？最低工资和劳动所得税抵免对粮食不安全的共同影响。

IF 2.4 3区医学

Health economics Pub Date : 2025-06-10 DOI: 10.1002/hec.70001

Otto Lenhart, Kalyan Chakraborty

{"title":"Hungry no More? The Joint Impact of Minimum Wages and the Earned Income Tax Credit on Food Insecurity","authors":"Otto Lenhart, Kalyan Chakraborty","doi":"10.1002/hec.70001","DOIUrl":"10.1002/hec.70001","url":null,"abstract":"<p>In this study, we provide evidence on the combined effect of state minimum wages and state Earned Income Tax Credit (EITC) benefits on food insecurity. Using data from the Current Population Survey Food Security Supplement (CPS-FSS) between 2001 and 2019 and a sample of individuals with at most a High School degree, we estimate difference-in-differences models to examine whether the policies have a joint impact on food insecurity. Our study adds to a small number of papers evaluating potential interactions between state minimum wages and EITC laws. Our analysis reveals the presence of joint effects of the two programs in terms of reducing food insecurity. We find that a $1 increase in minimum wages reducing the likelihood of households experiencing very low food security by 6.0 percent in states with state EITC laws, with the effect being even larger (9.8 percent) in states with high EITC benefits. When examining a potential mechanism through which the two policies improve food security, we provide evidence for a joint impact on reducing poverty rates. In contrast, we find no evidence that minimum wages alone impact food insecurity or poverty rates in states without state EITC laws.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 9","pages":"1509-1517"},"PeriodicalIF":2.4,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.70001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144257964","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

Socio-Economic Evolution and Tobacco Products Sales in Spain: A Long-Term Analysis of the Tobacco Kuznets Curve 西班牙社会经济发展与烟草制品销售：烟草库兹涅茨曲线的长期分析。

IF 2.4 3区医学

Health economics Pub Date : 2025-06-04 DOI: 10.1002/hec.4981

Miguel Ángel Del Arco-Osuna, Alejandro Almeida, Aida Galiano, Juan Manuel Martín-Álvarez

{"title":"Socio-Economic Evolution and Tobacco Products Sales in Spain: A Long-Term Analysis of the Tobacco Kuznets Curve","authors":"Miguel Ángel Del Arco-Osuna, Alejandro Almeida, Aida Galiano, Juan Manuel Martín-Álvarez","doi":"10.1002/hec.4981","DOIUrl":"10.1002/hec.4981","url":null,"abstract":"<p>This article examines the relationship between economic development and tobacco consumption in Spain, using the Kuznets Curve framework. Drawing on panel data from Spanish provinces (2002–2021), the findings confirm that GDP has a non-linear effect on cigarette consumption. A 1% increase in GDP initially is positively associated with an increase in cigarette sales by 2.31%, but at higher income levels, cigarettes sales decrease (−0.24%), reflecting changing consumption dynamics as economies develop, which corroborates the existence of the Tobacco Kuznets Curve (TKC). Beyond GDP, we examine the role of unemployment in shaping tobacco consumption patterns, focusing on product substitution effects. Unlike its negative impact on cigarette sales (−0.075%), unemployment has a positive effect on Roll-Your-Own (RYO), pipe tobacco, and cigars. A 1% increase in unemployment raises sales of these alternative products by 0.31%, 0.48% and 0.29%, respectively, suggesting that economic downturns push consumers toward cheaper substitutes, also perceived as less harmful, rather than leading to a complete reduction in tobacco use. The inclusion of real cigarette prices confirms that higher prices—often driven by taxation—are associated with reduced cigarette sales and a shift toward alternative tobacco products, supporting evidence of a substitution effect during periods of economic downturns. Additionally, factors such as life expectancy and demographic aging significantly influence consumption patterns across all tobacco products. These findings highlight the need for differentiated anti-smoking policies, as uniform regulations may fail to address product-specific shifts driven by economic cycles.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 9","pages":"1648-1662"},"PeriodicalIF":2.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4981","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144225273","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

Influenza Vaccination and Occupational Social Intensity: Evidence From U.S. Workers 流感疫苗接种和职业社会强度：来自美国工人的证据。

IF 2.4 3区医学

Health economics Pub Date : 2025-06-03 DOI: 10.1002/hec.4974

Yancheng Xiao, Matthew Harris, Alissa O'Halloran, Jamison Pike

引用次数: 0

Insurance Expansion During Pregnancy 孕期保险扩展。

IF 2.4 3区医学

Health economics Pub Date : 2025-05-26 DOI: 10.1002/hec.4978

Philip Hochuli, Christian P. R. Schmid

引用次数: 0