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How do dental practices respond to changes in scope of practice regulations? 牙科诊所如何应对执业范围规定的变化？
IF 2 3区 医学
Health economics Pub Date : 2024-07-17 DOI: 10.1002/hec.4878
Kamyar Nasseh, John R. Bowblis, Coady Wing
{"title":"How do dental practices respond to changes in scope of practice regulations?","authors":"Kamyar Nasseh,&nbsp;John R. Bowblis,&nbsp;Coady Wing","doi":"10.1002/hec.4878","DOIUrl":"10.1002/hec.4878","url":null,"abstract":"<p>Regulations that restrict the tasks that credentialed workers are allowed to perform may affect a firm's input choices, output, and which part of the market the firm serves. Using dental practice survey data from 1989 to 2014 and a stacked difference-in-differences design, this paper examines the effects of state-level scope of practice regulations on the behavior of dental practices. Results suggest that scope of practice deregulation in regards to dental hygienists' ability to administer nitrous oxide or local anesthesia is associated with fewer dentist visits per week in the short-term, lower patient wait times, and an increased likelihood of treating lower revenue generating publicly insured patients. There is weak evidence that scope of practice deregulation alters a practice's labor inputs.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 11","pages":"2508-2524"},"PeriodicalIF":2.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4878","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633209","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 vertical identification card laws on teenage tobacco and alcohol use 垂直身份证法对青少年烟酒使用的影响。
IF 2 3区 医学
Health economics Pub Date : 2024-07-17 DOI: 10.1002/hec.4881
Erica Louis Mtenga, Michael F. Pesko
{"title":"The effect of vertical identification card laws on teenage tobacco and alcohol use","authors":"Erica Louis Mtenga,&nbsp;Michael F. Pesko","doi":"10.1002/hec.4881","DOIUrl":"10.1002/hec.4881","url":null,"abstract":"<p>We study the impact of vertical identification card laws, which changed the orientation of driver's licenses and state identification cards from horizontal to vertical for those under 21 years, on teenage tobacco and alcohol use. We study this question using four national datasets (pooled national and state Youth Risk Behavior Surveillance System, National Youth Tobacco Survey, Current Population Survey to Tobacco Use Supplements, and Behavioral Risk Factor Surveillance System). We improve previous databases of vertical ID law implementation by using original archival research to identify the exact date of the law change. We estimate models using standard two-way fixed effects and stacked difference-in-differences that avoid bias from dynamic and heterogeneous treatment effects. Using data through 2021, we do not find evidence of reductions in teenage tobacco and alcohol use. While these laws reduce retail-based purchasing, they also increase social sourcing, thus leading to no net impact on use.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 11","pages":"2525-2557"},"PeriodicalIF":2.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141633173","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
A welfare analysis of Medicaid and recidivism 对医疗补助和累犯进行福利分析。
IF 2 3区 医学
Health economics Pub Date : 2024-07-15 DOI: 10.1002/hec.4876
Erkmen G. Aslim, Murat C. Mungan, Han Yu
{"title":"A welfare analysis of Medicaid and recidivism","authors":"Erkmen G. Aslim,&nbsp;Murat C. Mungan,&nbsp;Han Yu","doi":"10.1002/hec.4876","DOIUrl":"10.1002/hec.4876","url":null,"abstract":"<p>We present conservative estimates for the marginal value of public funds (MVPF) associated with providing Medicaid to inmates exiting prison. The MVPF measures the ratio between a policy's social benefits and its governmental costs. Our MVPF estimates suggest that every additional $1 the government spends on providing inmates exiting prison with Medicaid coverage can result in social benefits ranging between $3.45 and $10.62. A large proportion of the benefits we consider stems from the reduced future criminal involvement among former inmates who receive Medicaid. Employing a difference-in-differences approach, we find that Medicaid expansions reduce the average number of times a released inmate is reimprisoned within 1 year by approximately 11.5%. By combining this estimate with key values reported elsewhere (e.g., victimization costs, data on victimization and incarceration), we quantify specific benefits arising from the policy. These encompass diminished criminal harm due to lower reoffense rates, direct benefits to former inmates through Medicaid coverage, increased employment opportunities, and reduced loss of liberty resulting from fewer future reimprisonments. Net-costs consist of the cost of providing Medicaid net of changes in the governmental cost of imprisonment, changes in the tax revenue due to increased employment, and changes in spending on other public assistance programs. We interpret our estimates as conservative since we deliberately err on the side of under-estimating benefits and over-estimating costs when data on specific items are imprecise or incomplete. Our findings align closely with others in the sparse literature investigating the crime-related welfare impacts of Medicaid access, underscoring the substantial indirect benefits public health insurance programs can offer through crime reduction, in addition to their direct health-related advantages.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 11","pages":"2463-2507"},"PeriodicalIF":2.0,"publicationDate":"2024-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619836","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 impact of surprise billing laws on emergency services 突击收费法对急救服务的影响。
IF 2 3区 医学
Health economics Pub Date : 2024-07-10 DOI: 10.1002/hec.4874
Christopher Garmon, Yiting Li, Sheldon M. Retchin, Wendy Yi Xu
{"title":"The impact of surprise billing laws on emergency services","authors":"Christopher Garmon,&nbsp;Yiting Li,&nbsp;Sheldon M. Retchin,&nbsp;Wendy Yi Xu","doi":"10.1002/hec.4874","DOIUrl":"10.1002/hec.4874","url":null,"abstract":"<p>Numerous states implemented laws to protect emergency patients from surprise out-of-network medical bills. We investigated the effects of the state laws on emergency clinician reimbursements, charges, network participation, and potential surprise billing episodes. We did not find consistent evidence of effects on prices or charges. However, the state laws resulted in increased network participation and a reduction in potential surprise billing episodes. Our results suggest that the federal No Surprises Act, which is similar to many of the state laws, is unlikely to lead to price increases, but may benefit patients through increased provider network participation and alignment.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 11","pages":"2450-2462"},"PeriodicalIF":2.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579467","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
Adaptation of the Foster-Greer-Thorbecke poverty measures for the measurement of catastrophic health expenditures 对 Foster-Greer-Thorbecke 贫困衡量标准进行调整，以衡量灾难性医疗支出。
IF 2 3区 医学
Health economics Pub Date : 2024-07-07 DOI: 10.1002/hec.4880
Tomson Ogwang, Germano Mwabu
{"title":"Adaptation of the Foster-Greer-Thorbecke poverty measures for the measurement of catastrophic health expenditures","authors":"Tomson Ogwang,&nbsp;Germano Mwabu","doi":"10.1002/hec.4880","DOIUrl":"10.1002/hec.4880","url":null,"abstract":"<p>In this paper we provide an adaptation of the Foster-Greer-Thorbecke (FGT) family of poverty measures for the measurement and analysis of catastrophic health expenditure (CHE). The adaptation entails introducing the FGT-type family of CHE measures with a single CHE aversion parameter whose value can be increased to put greater emphasis on the health expenditure proportions that overshoot the prescribed threshold proportions for CHE characterization by the greatest margins. The subgroup decomposition property of the FGT-type family of CHE measures (i.e., the ability to isolate the contributions of the various mutually exclusive population subgroups to the overall FGT-type CHE measure) is discussed along with other normative properties. We also show how the estimation and subgroup decomposition of the FGT-type family of CHE measures can be conveniently accomplished using ordinary least squares regression. An illustrative example is also provided to show how the FGT approach can provide valuable insights into the distribution of CHE among the healthcare spending units that incur CHE.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 10","pages":"2419-2436"},"PeriodicalIF":2.0,"publicationDate":"2024-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4880","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141554635","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
How do physicians respond to new medical research? 医生如何应对新的医学研究？
IF 2 3区 医学
Health economics Pub Date : 2024-07-05 DOI: 10.1002/hec.4879
Philip DeCicca, Maripier Isabelle, Natalie Malak
{"title":"How do physicians respond to new medical research?","authors":"Philip DeCicca,&nbsp;Maripier Isabelle,&nbsp;Natalie Malak","doi":"10.1002/hec.4879","DOIUrl":"10.1002/hec.4879","url":null,"abstract":"<p>What happens when the findings of a prominent medical study are overturned? Using a medical trial on breech births, we estimate the effect of the reversal of such a medical study on physician choices and infant health outcomes. Using the United States Birth Certificate Records from 1995 to 2010, we employ a difference-in-differences estimator for C-sections, low Apgar, and low birth weight measures. We find that the reversal of a multi-site, high profile, randomized control trial on the appropriate delivery of term breech births, the Term Breech Trial, led to a 15%–23% decline in C-sections for such births at a time when the overall trend in C-sections was rising. We find our largest estimated effects amongst traditionally disadvantaged groups (i.e., non-white, and minimal education). However, we do not find that such a change in practice had significant impacts on infant health. Contrary to prior studies, we find that physicians updated their beliefs quickly, and do indeed adjust to new medical research, particularly young physicians, prior to mandatory policy or professional guidelines.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 10","pages":"2206-2228"},"PeriodicalIF":2.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141544762","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
Earlier routine induction of labor—Consequences on mother and child morbidity 早期常规引产--对母婴发病率的影响。
IF 2 3区 医学
Health economics Pub Date : 2024-07-04 DOI: 10.1002/hec.4877
Maria Koch Gregersen
{"title":"Earlier routine induction of labor—Consequences on mother and child morbidity","authors":"Maria Koch Gregersen","doi":"10.1002/hec.4877","DOIUrl":"10.1002/hec.4877","url":null,"abstract":"<p>A growing number of birth interventions had led to a concern for potential health consequences. This study investigates the consequences of earlier routine labor induction. It exploits a natural experiment caused by the introduction of new Danish obstetric guidelines in 2011. Consequently, routine labor induction was moved forward from 14 to 10–13 days past the expected due date (EDD) and extended antenatal surveillance was introduced from 7 days past the EDD. Using administrative data, I find that affected mothers on average had a 9–11 percentage points (32%–38%) higher risk of being induced the following years. Yet, mother and child short- and medium-term morbidity were largely unaffected.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 10","pages":"2399-2418"},"PeriodicalIF":2.0,"publicationDate":"2024-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4877","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141534311","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
Inequality of opportunity in the double burden of malnutrition in Mexico 墨西哥营养不良双重负担中的机会不平等。
IF 2 3区 医学
Health economics Pub Date : 2024-06-30 DOI: 10.1002/hec.4870
Andrea Salas-Ortiz, Andrew M. Jones
{"title":"Inequality of opportunity in the double burden of malnutrition in Mexico","authors":"Andrea Salas-Ortiz,&nbsp;Andrew M. Jones","doi":"10.1002/hec.4870","DOIUrl":"10.1002/hec.4870","url":null,"abstract":"<p>This paper proposes a pseudo-birth-cohort approach to deal with a lack of longitudinal data to measure health inequities over time. Using Roemer's framework for inequality of opportunity, this study measures <i>ex-ante</i> and <i>ex-post</i> inequalities in malnutrition, a concept that spans both sides of the nutrition continuum. The total contribution of observed circumstances and the direct contribution of observed efforts to the variation of malnutrition are disentangled for people born between 1983 and 1988 in Mexico. Results indicate that inequality of opportunity has been persistent across this 30-year lifespan for that cohort. Some evidence suggests that a lack of opportunities has been transmitted from parents to children and that people's circumstances account for most of the explained variation in the double burden of malnutrition. However, stratifying the analysis by sex shows that efforts account for more of the explained variation of inequality of opportunity for women in their middle adulthood than for men in most of the outcomes analyzed.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 10","pages":"2342-2380"},"PeriodicalIF":2.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4870","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141467493","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
Drink and drive? Understanding the dynamics of youth risk-taking 酒后驾车？了解青少年冒险行为的动态。
IF 2 3区 医学
Health economics Pub Date : 2024-06-30 DOI: 10.1002/hec.4875
Stefan Boes, Steven Stillman
{"title":"Drink and drive? Understanding the dynamics of youth risk-taking","authors":"Stefan Boes,&nbsp;Steven Stillman","doi":"10.1002/hec.4875","DOIUrl":"10.1002/hec.4875","url":null,"abstract":"<p>We exploit a reduction in the minimum legal drinking age (MLDA) in New Zealand from 20 to 18 to study the dynamics of youth risk-taking. Using the universe of road accidents over 15 years and an event history approach, we find no evidence that lowering the drinking age increased alcohol-related accidents among teens. Complementary results of a cohort analysis suggest that reducing the drinking age even led to a short-term decline in risky driving among youths directly affected by the MLDA change but had no longer-run impacts on youth risky driving and drinking behaviors.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 10","pages":"2381-2398"},"PeriodicalIF":2.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4875","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141467447","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
Does college selectivity reduce obesity? A partial identification approach 大学选择性会减少肥胖吗？部分识别法
IF 2 3区 医学
Health economics Pub Date : 2024-06-27 DOI: 10.1002/hec.4869
Giorgio Brunello, Dimitris Christelis, Anna Sanz-de-Galdeano, Anastasia Terskaya
{"title":"Does college selectivity reduce obesity? A partial identification approach","authors":"Giorgio Brunello,&nbsp;Dimitris Christelis,&nbsp;Anna Sanz-de-Galdeano,&nbsp;Anastasia Terskaya","doi":"10.1002/hec.4869","DOIUrl":"10.1002/hec.4869","url":null,"abstract":"<p>We use data from the National Longitudinal Study of Adolescent to Adult Health to investigate whether the quality of tertiary education -measured by college selectivity-causally affects obesity prevalence in the medium run (by age 24–34) and in the longer run (about 10 years later). We use partial identification methods, which allow us, while relying on weak assumptions, to overcome the potential endogeneity of college selectivity as well as the potential violation of the stable unit treatment value assumption due to students interacting with each other, and to obtain informative identification regions for the average treatment effect of college selectivity on obesity. We find that attending a more selective college causally reduces obesity, both in the medium and in the longer run. We provide evidence that the mechanisms through which the impact of college selectivity on obesity operates include an increase in income, a reduction in physical inactivity and in the consumption of fast food and sweetened drinks.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 10","pages":"2306-2320"},"PeriodicalIF":2.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4869","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141467446","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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