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Is anchoring at ‘dead’ a theoretical requirement for health state valuation? 锚定 "死亡 "是健康状态估值的理论要求吗？
IF 2 3区 医学
Health economics Pub Date : 2024-06-03 DOI: 10.1002/hec.4863
Chris Sampson, David Parkin, Nancy Devlin
{"title":"Is anchoring at ‘dead’ a theoretical requirement for health state valuation?","authors":"Chris Sampson,&nbsp;David Parkin,&nbsp;Nancy Devlin","doi":"10.1002/hec.4863","DOIUrl":"10.1002/hec.4863","url":null,"abstract":"<p>Values that accompany generic health measures are typically anchored at 1 = full health and 0 = dead. Some health states may then be considered ‘worse than dead’ (WTD) and assigned negative values, which causes fundamental measurement problems. In this paper, we challenge the assumption that anchoring values at ‘dead = 0’ is necessary for quality-adjusted life year (QALY) estimation. We summarise the role of ‘dead’ in health state valuation and consider three critical questions: (i) whether the measurement properties of health state values require ‘dead’; (ii) whether ‘dead’ needs to be valued relative to health states; and (iii) whether values for states WTD are meaningful or useful. We conclude that anchoring 0 at dead is not a requirement of health status measurement or cost-effectiveness analysis. This results from reframing QALYs as the relevant unit of measurement and reframing values as being derived from QALYs rather than the reverse.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 9","pages":"1929-1935"},"PeriodicalIF":2.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4863","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141237399","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
Training labor and treatment behavior: Evidence from physician residency programs 培训劳动与治疗行为：来自住院医师培训项目的证据。
IF 2 3区 医学
Health economics Pub Date : 2024-06-02 DOI: 10.1002/hec.4841
Brendan Rabideau, Michael R. Richards, Christopher M. Whaley
{"title":"Training labor and treatment behavior: Evidence from physician residency programs","authors":"Brendan Rabideau,&nbsp;Michael R. Richards,&nbsp;Christopher M. Whaley","doi":"10.1002/hec.4841","DOIUrl":"10.1002/hec.4841","url":null,"abstract":"<p>Public and private investments in physician human capital support a healthcare workforce to provide future medical services nationwide. Yet, little is known about how introducing training labor influences hospitals' provision of care. We leverage all-payer data and emergency medicine (EM) and obstetrics (OBGYN) residency program debuts to estimate local access and treatment intensity effects. We find that the introduction of EM programs coincides with less treatment intensity and suggestive increases in throughput. OBGYN programs adopt the pre-existing surgical tendencies of the hospital but may also relax some capacity constraints—allowing the marginal mother to avoid a riskier nearby hospital.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 9","pages":"2059-2087"},"PeriodicalIF":2.0,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199741","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 birth timing manipulation around carnival on birth indicators in Brazil 狂欢节前后的出生时间安排对巴西出生指标的影响。
IF 2 3区 医学
Health economics Pub Date : 2024-06-01 DOI: 10.1002/hec.4858
Carolina Melo, Naercio Menezes-Filho
{"title":"The effect of birth timing manipulation around carnival on birth indicators in Brazil","authors":"Carolina Melo,&nbsp;Naercio Menezes-Filho","doi":"10.1002/hec.4858","DOIUrl":"10.1002/hec.4858","url":null,"abstract":"<p>This paper studies the patterns and consequences of birth timing manipulation around the carnival holiday in Brazil. We document how births are displaced around carnival and estimate the effect of displacement on birth indicators. We show that there is extensive birth timing manipulation in the form of both anticipation and postponement that results in a net increase in gestational length and reductions in neonatal and early neonatal mortality, driven by postponed births that would otherwise happen through scheduled c-sections. We also find a reduction in birthweight for high-risk births at the bottom of the weight distribution, driven by anticipation. Therefore, restrictions on usual delivery procedures due to the carnival holiday can be both beneficial and detrimental, raising a double-sided issue to be addressed by policymakers.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 9","pages":"2013-2058"},"PeriodicalIF":2.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141185615","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
Together in sickness and in health: Spillover of physical, mental, and cognitive health among older English couples 无论疾病还是健康都在一起：英国老年夫妇身体、精神和认知健康的溢出效应。
IF 2 3区 医学
Health economics Pub Date : 2024-05-31 DOI: 10.1002/hec.4860
Urvashi Jain, Mingming Ma
{"title":"Together in sickness and in health: Spillover of physical, mental, and cognitive health among older English couples","authors":"Urvashi Jain,&nbsp;Mingming Ma","doi":"10.1002/hec.4860","DOIUrl":"10.1002/hec.4860","url":null,"abstract":"<p>Using data from eight waves of the English Longitudinal Study of Aging, we study the cross-domain and cross-spouse spillover of health among married adults aged 50 and above in England. We apply the system generalized method of moments to linear dynamic panel models for physical, mental, and cognitive health, controlling for individual heterogeneity and the influence of marriage market matching and shared environments. Our findings reveal bidirectional spillovers between memory abilities and mobility difficulty among men, as well as between depressive symptoms and mobility difficulty among women. Worsening mobility increases the risk of depression in men, but not vice versa. Additionally, gender-specific cross-spouse effects are observed. Women's mental health is significantly influenced by their spouse's mental health, while this effect is weaker for men. Conversely, men's mental health is notably affected by their spouse's physical health. These results highlight the importance of considering spillovers within families and across health domains when developing policies to promote health and reduce health disparities among the elderly population.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 9","pages":"1989-2012"},"PeriodicalIF":2.0,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141183248","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
Exposure to cigarette taxes as a teenager and the persistence of smoking into adulthood 青少年时期接触香烟税与成年后持续吸烟的关系。
IF 2 3区 医学
Health economics Pub Date : 2024-05-28 DOI: 10.1002/hec.4859
Andrew Friedson, Moyan Li, Katherine Meckel, Daniel I. Rees, Daniel W. Sacks
{"title":"Exposure to cigarette taxes as a teenager and the persistence of smoking into adulthood","authors":"Andrew Friedson,&nbsp;Moyan Li,&nbsp;Katherine Meckel,&nbsp;Daniel I. Rees,&nbsp;Daniel W. Sacks","doi":"10.1002/hec.4859","DOIUrl":"10.1002/hec.4859","url":null,"abstract":"<p>Are teenage and adult smoking causally related? Recent anti-tobacco policy is predicated on the assumption that preventing teenagers from smoking will ensure that fewer adults smoke, but direct evidence in support of this assumption is scant. Using data from three nationally representative sources and instrumenting for teenage smoking with cigarette taxes experienced at ages 14–17, we document a strong positive relationship between teenage and adult smoking: deterring 10 teenagers from smoking through raising cigarette taxes roughly translates into 5 fewer adult smokers. We conclude that efforts to reduce teenage smoking can have long-lasting consequences on smoking participation and, presumably, health.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 9","pages":"1962-1988"},"PeriodicalIF":2.0,"publicationDate":"2024-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4859","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141161866","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
Information and vaccine hesitancy: The role of broadband Internet 信息与疫苗犹豫不决：宽带互联网的作用。
IF 2 3区 医学
Health economics Pub Date : 2024-05-27 DOI: 10.1002/hec.4856
Sofia Amaral-Garcia, Mattia Nardotto, Carol Propper, Tommaso Valletti
{"title":"Information and vaccine hesitancy: The role of broadband Internet","authors":"Sofia Amaral-Garcia,&nbsp;Mattia Nardotto,&nbsp;Carol Propper,&nbsp;Tommaso Valletti","doi":"10.1002/hec.4856","DOIUrl":"10.1002/hec.4856","url":null,"abstract":"<p>We examine the effect of Internet diffusion on the uptake of an important public health intervention: the measles, mumps and rubella (MMR) vaccine. We study England between 2000 and 2011 when Internet diffusion spread rapidly and there was a high profile medical article (falsely) linking the MMR vaccine to autism. OLS estimates suggest Internet diffusion led to an increase in vaccination rates. This result is reversed after allowing for endogeneity of Internet access. The effect of Internet diffusion is sizable. A one standard deviation increase in Internet penetration led to around a 20% decrease in vaccination rates. Localities characterized by higher proportions of high skilled individuals and lower deprivation levels had a larger response to Internet diffusion. These findings are consistent with higher skilled and less-deprived parents responding faster to false information that the vaccine could lead to autism.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 9","pages":"1936-1948"},"PeriodicalIF":2.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4856","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158102","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
Do time preferences predict diabetes outcomes? A combined survey and register-based study 时间偏好能否预测糖尿病结果？一项基于调查和登记的综合研究。
IF 2 3区 医学
Health economics Pub Date : 2024-05-27 DOI: 10.1002/hec.4857
Kristoffer Panduro Madsen, Trine Kjær
{"title":"Do time preferences predict diabetes outcomes? A combined survey and register-based study","authors":"Kristoffer Panduro Madsen,&nbsp;Trine Kjær","doi":"10.1002/hec.4857","DOIUrl":"10.1002/hec.4857","url":null,"abstract":"<p>Identifying determinants of heterogeneity in health outcomes continues to be a focus in the health economic literature. In this study, we analyze whether time preferences predict health outcomes in individuals with type 1 diabetes (T1D) who use insulin pump therapy to manage their condition. We collect data on time preferences using a hypothetical matching task and estimate aggregate as well as individual-level discounting parameters using the exponential, hyperbolic, and quasi-hyperbolic discounting models. These parameters are then regressed against essential diabetes-related health outcomes obtained from registries and medical records, including glycemic control, kidney function, BMI, and number of hospital contacts. Our analyses indicate that all three discounting models fit the data equally well. Except for hospital contacts, we find robust evidence that impatience, as reflected by higher discounting, predicts worse health outcomes. Additionally, present bias is associated with worse kidney function. Our findings suggest that time preferences can explain some of the heterogeneity in health among individuals with T1D and call for increased attention on the role of time preferences in the design of disease management programs for individuals with chronic conditions.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 9","pages":"1949-1961"},"PeriodicalIF":2.0,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4857","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141158085","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 the 2014 Medicaid expansion on the health, health care access, and financial well-being of low-income young adults 2014 年《医疗补助计划》的扩展对低收入年轻成年人的健康、医疗保健获取和经济福祉的影响。
IF 2 3区 医学
Health economics Pub Date : 2024-05-23 DOI: 10.1002/hec.4839
Christal Hamilton
{"title":"The impact of the 2014 Medicaid expansion on the health, health care access, and financial well-being of low-income young adults","authors":"Christal Hamilton","doi":"10.1002/hec.4839","DOIUrl":"10.1002/hec.4839","url":null,"abstract":"<p>Prior to the 2014 Affordable Care Act (ACA) expansion, 37% of young adults ages 19–25 in the United States were low-income and a third lacked health insurance coverage—both the highest rates for any age group in the population. The ACA's Medicaid eligibility expansion, therefore, would have been significantly beneficial to low-income young adults. This study evaluates the effect of the ACA Medicaid expansion on the health, health care access and utilization, and financial well-being of low-income young adults ages 19–25. Using 2010–2017 National Health Interview Survey data, I estimate policy effects by applying a difference-in-differences design leveraging the variation in state implementation of the expansion policy. I show that Medicaid expansion improved health insurance coverage, health care access, and financial well-being for low-income young adults in expansion states, but had no effect on their health status and health care utilization. I also find that the policy was associated with larger gains in health coverage for racial minorities relative to their Non-Hispanic White counterparts. With the continued health policy reform debates at the state and federal levels, the empirical evidence from this study can help inform policy decisions that aim to improve health care access and utilization among disadvantaged groups.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 8","pages":"1895-1925"},"PeriodicalIF":2.0,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141087466","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
Drink…then drive away: The effects of lowering the blood alcohol concentration in Utah 饮酒......然后驾车离开：降低犹他州血液中酒精浓度的效果。
IF 2 3区 医学
Health economics Pub Date : 2024-05-21 DOI: 10.1002/hec.4842
Javier E. Portillo, Wisnu Sugiarto, Kevin Willardsen
{"title":"Drink…then drive away: The effects of lowering the blood alcohol concentration in Utah","authors":"Javier E. Portillo,&nbsp;Wisnu Sugiarto,&nbsp;Kevin Willardsen","doi":"10.1002/hec.4842","DOIUrl":"10.1002/hec.4842","url":null,"abstract":"<p>In March of 2017 Utah announced its intent to lower the legal blood alcohol content (BAC) for driving from 0.08 to 0.05 g/dL. However, this change did not take effect until 2019. We employ a difference-in- differences strategy on Utah counties using neighboring states as controls to test whether this policy change significantly affected the number of traffic accidents or the severity of those accidents. Results show the policy appears to temporarily decrease the total number of accidents, limited primarily to property damage- only accidents. We believe these results may be partially explained by drivers who, after the policy is enacted, avoid reporting property damage-only accidents if possible. Using insurance claims data, we show there is no corresponding fall in insurance claims or payouts suggesting that the fall in total accidents likely comes from under-reporting.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 8","pages":"1869-1894"},"PeriodicalIF":2.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4842","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141075662","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
Effect of patient death on referrals to cardiac specialists 病人死亡对心脏专科医生转诊的影响。
IF 2 3区 医学
Health economics Pub Date : 2024-05-19 DOI: 10.1002/hec.4840
Sidra Haye
{"title":"Effect of patient death on referrals to cardiac specialists","authors":"Sidra Haye","doi":"10.1002/hec.4840","DOIUrl":"10.1002/hec.4840","url":null,"abstract":"<p>In this paper, I examine how patient death affects referrals from referring physicians to cardiac surgeons. I use Medicare data to identify pairs of referring physicians and cardiac surgeons who experience a patient death after a major surgical procedure to examine how these events affect referrals. I construct counterfactuals for affected pairs using pairs that experience a patient death but five quarters in the future. I find that there is a significant decline in the number of referrals and probability of a referral from the referring physician to the cardiac surgeon after the patient's death.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"33 8","pages":"1857-1868"},"PeriodicalIF":2.0,"publicationDate":"2024-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065221","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
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