Health economics最新文献_第6页

Pharmaceutical Pricing and R&D as a Global Public Good 作为全球公共产品的药品定价和研发。

IF 2 3区医学

Health economics Pub Date : 2026-07-02 Epub Date: 2026-04-07 DOI: 10.1002/hec.70105

H. E. Frech III, Mark V. Pauly, William S. Comanor, Joseph R. Martinez

{"title":"Pharmaceutical Pricing and R&D as a Global Public Good","authors":"H. E. Frech III, Mark V. Pauly, William S. Comanor, Joseph R. Martinez","doi":"10.1002/hec.70105","DOIUrl":"10.1002/hec.70105","url":null,"abstract":"This paper examines the international variation in the prices of branded pharmaceuticals. We consider short-run profits, or quasi-rents, as representing each country's contribution toward the global public good of therapeutic information embodied in new pharmaceuticals. We characterize globally optimal contributions through the Samuelson-Lindahl criteria and contrast the resulting outcomes with the Nash noncooperative equilibrium as developed in the Olson-Zeckhauser theory of international alliances. That theory predicts both the undersupply of public goods and the “exploitation” of large countries by small ones. We calculate national contributions to the global public good with data from a recent RAND report. Other countries' contributions resulting from their prices are much lower than those in the United States, but their free riding is not complete. We also find that country size is a powerful determinant of contributions and that larger countries contribute disproportionately more. Finally, we suggest a cooperative policy approach that would move us closer to optimality with health benefits for all countries.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"35 8","pages":"1158-1174"},"PeriodicalIF":2.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.70105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627665","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 Does the Ethical Environment Matter to Hospital Performance? 道德环境对医院绩效有何影响？

IF 2 3区医学

Health economics Pub Date : 2026-07-02 Epub Date: 2026-04-27 DOI: 10.1002/hec.70106

Mengxiao Wang, Gordon G. Liu, Thomas Butt, Hanqing Zhao, Yujie Cui, Maorui Yang

{"title":"How Does the Ethical Environment Matter to Hospital Performance?","authors":"Mengxiao Wang, Gordon G. Liu, Thomas Butt, Hanqing Zhao, Yujie Cui, Maorui Yang","doi":"10.1002/hec.70106","DOIUrl":"10.1002/hec.70106","url":null,"abstract":"<div>\u0000 \u0000 This study investigates how hospital performance may be influenced by environmental ethics, measured by regional medical corruption cases. To address the endogeneity issue, we use corruption cases in non-medical sectors as instrumental variables for medical corruption in regions with hospital operations. Our analysis combines data on corruption investigations with hospital management and performance measures from the World Management Survey, covering more than 500 hospitals in China from 2014 to 2016. We found that a one-third increase in corruption cases in a region reduces management quality by 0.05 standard deviations, increases the complication rate by 3%, and increases the length of stay by 0.15 days. Subgroup analyses revealed that the negative effects of corruption are particularly pronounced for management quality in younger hospitals and for performance outcomes in older hospitals. Furthermore, we found that compared with corruption at the hospital-leader level, corruption among hospital staff has stronger negative effects on management quality and service outcomes. Our findings also show that corruption can distort the incentives and operational priorities within hospitals. Our work helps improve the understanding of the relationships between the ethical environment and hospital performance outcomes, offering insightful implications for better governance and policy settings in developing and transitional health systems.\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"35 8","pages":"1224-1246"},"PeriodicalIF":2.0,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147769787","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 Weight of Education: Nutritional Impacts of a Schooling Program in Bangladesh 教育的重要性：孟加拉国学校教育计划对营养的影响。

IF 2 3区医学

Health economics Pub Date : 2026-07-02 Epub Date: 2026-05-13 DOI: 10.1002/hec.70111

Md Shahjahan, Padmaja Ayyagari

引用次数: 0

Promoting Safe Opioid Disposal: Experimental Evidence on Behavioral Messaging With Financial Incentives 促进阿片类药物的安全处置：金融激励下行为信息传递的实验证据。

IF 2.4 3区医学

Health economics Pub Date : 2026-06-01 Epub Date: 2026-03-16 DOI: 10.1002/hec.70085

Mattie Toma, Russell Burnett, Pompa Debroy, Eugen Dimant, Jean Liu, Elana Safran, Uzaib Saya, Bill Schultz

引用次数: 0

Health Preferences and Sorting in the City 城市中的健康偏好和分类。

IF 2.4 3区医学

Health economics Pub Date : 2026-06-01 Epub Date: 2026-03-19 DOI: 10.1002/hec.70098

Manuela Puente-Beccar

引用次数: 0

Accounting for the Opportunity Cost of Children's Time in Economic Evaluation: Challenges and Frequently Asked Questions. 在经济评估中计算儿童时间的机会成本：挑战与常见问题。

IF 2 3区医学

Health economics Pub Date : 2026-06-01 Epub Date: 2026-03-10 DOI: 10.1002/hec.70089

Lazaros Andronis, Cameron Morgan, Cam Donaldson, Emily Lancsar, Stavros Petrou

引用次数: 0

The Impact of TRAP Laws on the Supply of Maternal Healthcare Providers. 陷阱法律对孕产妇保健提供者供应的影响。

IF 2 3区医学

Health economics Pub Date : 2026-06-01 Epub Date: 2026-02-25 DOI: 10.1002/hec.70087

Pinka Chatterji, Chun-Yu Ho, Quan Qi

{"title":"The Impact of TRAP Laws on the Supply of Maternal Healthcare Providers.","authors":"Pinka Chatterji, Chun-Yu Ho, Quan Qi","doi":"10.1002/hec.70087","DOIUrl":"10.1002/hec.70087","url":null,"abstract":"This paper examines the impact of Targeted Regulation of Abortion Providers (TRAP) laws on the supply and composition of maternal healthcare providers, particularly obstetrician-gynecologists (OB/GYNs). We exploit the staggered enactment of TRAP laws across U.S. states from 2010 to 2021 using a propensity score matching and stacked difference-in-differences approach. Our analytic sample includes physician-, county- and state-level measures of OB/GYN supply, newly graduated OB/GYNs, medical school and residency program applicants, nurse practitioners (NPs) and physician assistants (PAs) who practice women's healthcare, as well as advanced practice nurse midwives. TRAP law enactment is associated with a statistically significant reduction of 2.09 in OB/GYN supply per 100,000 females aged 15-44 (6.6% relative to the baseline). This decline is particularly pronounced among OB/GYNs aged 55-64. For OB/GYNs under 34, the estimates suggest a decline but this finding should be interpreted cautiously given pre-trends. TRAP laws also are associated with a reduction in the supply of newly graduated OB/GYNs from lower-ranked medical schools. We find no evidence that NPs, PAs, or midwives substitute for the decline in OB/GYNs. Mechanism analyses provide suggestive evidence that the supply contraction operates through exit rather than relocation. These findings highlight unintended consequences of abortion restrictions on broader maternal healthcare provision.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":"866-895"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147283375","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

Domestic and International Health Expenditure and Health and Healthcare Use: Evidence From Mozambique 国内和国际卫生支出与卫生和保健使用：来自莫桑比克的证据。

IF 2.4 3区医学

Health economics Pub Date : 2026-06-01 Epub Date: 2026-03-31 DOI: 10.1002/hec.70102

Eliana Chavarría-Pino, Laura Anselmi, Matt Sutton, Sérgio Chicumbe

{"title":"Domestic and International Health Expenditure and Health and Healthcare Use: Evidence From Mozambique","authors":"Eliana Chavarría-Pino, Laura Anselmi, Matt Sutton, Sérgio Chicumbe","doi":"10.1002/hec.70102","DOIUrl":"10.1002/hec.70102","url":null,"abstract":"Evidence on the relationship between public health expenditure and health is mixed and particularly scarce for low-income countries. Existing studies overlook the subnational distribution of expenditure and rarely distinguish between sources and governance over funding. We estimated the relationship between three types of health expenditure across 121 districts in Mozambique and multiple outcomes from 2008 to 2015. We generated a unique dataset covering individual outcomes from Demographic and Health Surveys and district-level domestic and international health expenditure, channelled to local institutions via provincial budget support or earmarked projects. We related lagged expenditure to outcomes using logit regressions, controlling for time-varying mother, household, and district characteristics, and district and year fixed effects. Domestic expenditure was positively associated with institutional delivery, infant and child survival, budget support with infant and child survival, lower child anaemia, and higher vaccination, and earmarked projects with recommended antenatal care. Associations with health outcomes were driven by wealthier households, with institutional delivery by households closer to facilities and with vaccinations and antenatal care by households with lower service access. Domestic expenditure is essential to improve child health and to support international expenditure, which is more effective when managed by local governments through sustained and predictable funding schemes.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"35 7","pages":"1088-1103"},"PeriodicalIF":2.4,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.70102","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147591752","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

Guidance or Misdirection? Unpacking the Role of Feedback in Health Preference Assessments. 引导还是误导？揭示反馈在健康偏好评估中的作用。

IF 2 3区医学

Health economics Pub Date : 2026-06-01 Epub Date: 2026-03-03 DOI: 10.1002/hec.70093

Mesfin G Genie, Shelby D Reed, Semra Ozdemir

{"title":"Guidance or Misdirection? Unpacking the Role of Feedback in Health Preference Assessments.","authors":"Mesfin G Genie, Shelby D Reed, Semra Ozdemir","doi":"10.1002/hec.70093","DOIUrl":"10.1002/hec.70093","url":null,"abstract":"This study investigated the impact of providing feedback to respondents on a dominance-structured choice task on subsequent choice behavior in a discrete choice experiment (DCE). The DCE was conducted among 626 patients with heart failure. Respondents were given a dominance-structured choice task in which two devices (Device A and Device B) offered no benefits but carried risks compared to a \"No Device\" option. Among those who selected a device option (N = 340), half received feedback and an opportunity to revise their choice, while the other half did not. The effect of feedback on preference for the \"No Device\" option and choice consistency was examined using multinomial, heteroscedastic multinomial logit, and heteroscedastic latent-class logit models. Among those who received feedback (N = 170), 71% continued to choose the device options. Feedback recipients were more likely to choose the \"No Device\" option in subsequent questions (p < 0.01). Feedback led to a 25% reduction in choice consistency (p < 0.01) and an increased likelihood of choosing the \"No Device\" option. Impact on consistency varied across latent classes: feedback decreased consistency in the risk-sensitive class but increased consistency in the anti-device class, highlighting potential unintended consequences. Further research is needed to understand its effects in different contexts and samples.","PeriodicalId":12847,"journal":{"name":"Health economics","volume":" ","pages":"910-928"},"PeriodicalIF":2.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13126101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147348181","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

Long-Term Care Insurance and Catastrophic Health Spending at the End of Life Among Older Adults: Evidence From China. 老年人生命末期的长期护理保险和灾难性健康支出：来自中国的证据。

IF 2 3区医学

Health economics Pub Date : 2026-06-01 Epub Date: 2026-04-08 DOI: 10.1002/hec.70099

Zhenyu Zhu, Chen Bai

引用次数: 0