Health economics最新文献_第7页

Asymmetry and Spillover Effects in the Relationship Between Stock Markets and Mental Health: An Alternative Approach 股票市场与心理健康关系的不对称与溢出效应：一种替代方法。

IF 2 3区医学

Health economics Pub Date : 2025-04-14 DOI: 10.1002/hec.4968

Ruben Ruf, Jenny Berrill, Damien Cassells

引用次数: 0

Inequality of Opportunity in Body Mass: Evidence From Australia 体重的机会不平等：来自澳大利亚的证据。

IF 2 3区医学

Health economics Pub Date : 2025-04-12 DOI: 10.1002/hec.4966

Anushiya Vijayasivajie, Pundarik Mukhopadhaya, Chris Heaton

{"title":"Inequality of Opportunity in Body Mass: Evidence From Australia","authors":"Anushiya Vijayasivajie, Pundarik Mukhopadhaya, Chris Heaton","doi":"10.1002/hec.4966","DOIUrl":"10.1002/hec.4966","url":null,"abstract":"<p>This paper extends current knowledge about inequality of opportunity in body mass in Australia. Drawing on 2013 and 2017 Household, Income, and Labour Dynamics in Australia survey data, our empirical strategy comprises of mean-based and unconditional quantile regression techniques. We find that inequality of opportunity accounts for a non-trivial share of body mass inequality. Our results based on waist-to-height ratio reveal estimates of 10%–14%, which are much larger than previously published estimates based on body mass index (BMI). Our estimates are lower-bound values based on 13 observable circumstance variables. Relaxing the homogeneity assumption, for instance, increases estimates by 1.7–3 percentage points. Applying the Shapley–Shorrocks decomposition procedure, age and parents' socio-economic status are identified as leading circumstance factors. This finding is refined when quantiles of the body mass distribution are evaluated. Age's role is diminished at the clinically risky upper quantiles. By contrast, parents' socio-economic status is the single most important circumstance factor at the upper quantiles. Investigating by gender groups, inequality of opportunity is greater among women than men, with parents' socio-economic status playing a critical role in this disparity. Taking a life course perspective, circumstances' influence shows weakening over time, while effort is more impactful at later life stages. Overall, our findings underscore that anti-obesity campaigns should tackle early life social inequality, in addition to empowering personal responsibility later in life.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 7","pages":"1365-1381"},"PeriodicalIF":2.0,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4966","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007879","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

Fair Innings: An Empirical Test 公平回合：一个实证检验。

IF 2 3区医学

Health economics Pub Date : 2025-04-10 DOI: 10.1002/hec.4963

Matthew D. Adler, Maddalena Ferranna, James K. Hammitt, Eugénie de Laubier, Nicolas Treich

{"title":"Fair Innings: An Empirical Test","authors":"Matthew D. Adler, Maddalena Ferranna, James K. Hammitt, Eugénie de Laubier, Nicolas Treich","doi":"10.1002/hec.4963","DOIUrl":"10.1002/hec.4963","url":null,"abstract":"<div>\u0000 \u0000 <p>The fair innings principle states that fairness requires allocating life-saving treatments to younger rather than older patients when each would gain the same extension in longevity. It is motivated by the notion that older patients have already benefited from a longer life and so have less claim to scarce treatment resources than younger patients who have not yet lived their “fair innings.” The principle can be theoretically justified by a prioritarian social welfare function applied to lifetime wellbeing. We conducted an online survey to test whether there is support for the principle in the general population (in France). We find substantial but not universal support. When choosing to allocate a treatment that would provide the same life extension to an older or a younger patient, about one-half the respondents would allocate the treatment to the younger patient while about one-third are indifferent to which patient is treated and about one-fifth would allocate treatment to the older patient. Holding the life extension to the older patient fixed, decreasing the life extension to the younger patient decreases (increases) the fraction of respondents that would allocate treatment to the younger (older) patient. These results highlight the tension between principles of equal treatment and of giving priority to those who are worse off that confound healthcare policy.</p>\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 7","pages":"1350-1364"},"PeriodicalIF":2.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002763","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

Anxious Dads and Depressed Moms: Child Disability and the Mental Health of Parents 焦虑的父亲和抑郁的母亲：儿童残疾和父母的心理健康。

IF 2 3区医学

Health economics Pub Date : 2025-04-10 DOI: 10.1002/hec.4962

Derek Asuman, Tinna Laufey Ásgeirsdóttir, Johan Jarl

引用次数: 0

The Impact of Social Health Insurance on Student Performance: Evidence From an RDD in Peru 社会健康保险对学生表现的影响：来自秘鲁RDD的证据。

IF 2 3区医学

Health economics Pub Date : 2025-03-27 DOI: 10.1002/hec.4961

Miguel Angel Carpio, Lucero Gomez, Pablo Lavado

引用次数: 0

Opioid Control Policies Can Also Reduce Domestic Violence 阿片类药物管制政策也可以减少家庭暴力。

IF 2 3区医学

Health economics Pub Date : 2025-03-22 DOI: 10.1002/hec.4960

Andrei Barbos, Minglu Sun

引用次数: 0

Investigating the Spillover Mechanisms of Payment Incentives on the Outcomes for Non-Targeted Patients 非目标患者支付激励对结果的溢出机制研究。

IF 2 3区医学

Health economics Pub Date : 2025-03-21 DOI: 10.1002/hec.4956

Philip Britteon, Søren Rud Kristensen, Yiu-Shing Lau, Ruth McDonald, Matt Sutton

{"title":"Investigating the Spillover Mechanisms of Payment Incentives on the Outcomes for Non-Targeted Patients","authors":"Philip Britteon, Søren Rud Kristensen, Yiu-Shing Lau, Ruth McDonald, Matt Sutton","doi":"10.1002/hec.4956","DOIUrl":"10.1002/hec.4956","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <p>Payment reforms in healthcare can have spillover effects on the care experienced by non-targeted patients treated by the same provider. Few empirical studies have quantitatively investigated the mechanisms behind these effects. We formulate theory-driven hypotheses to investigate the spillover mechanisms of a regional payment reform in the English National Health Service, using linked patient-physician data and difference-in-differences methods. We show that regional payment changes were associated with an increase in mortality of 0.321 percentage points (S.E. 0.114) for non-targeted emergency patients who were treated by physicians with no exposure to the incentives, compared to control regions. In contrast, the mortality rate for non-targeted patients reduced by 0.008 percentage points (S.E. 0.002) for every additional targeted patient treated per quarter by their physician. These findings were consistent across a range of sensitivity analyses. The findings suggest that providers diverted resources away from non-targeted patients but that patients benefitted from physicians learning from the incentives. We demonstrate how the formulation of theory-driven hypotheses about spillover mechanisms can improve the understanding of how and where spillover effects may occur, contributing to research design and policymaking.</p>\u0000 </section>\u0000 </div>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 7","pages":"1274-1294"},"PeriodicalIF":2.0,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4956","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669689","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

Wholesome Lunch to the Whole Classroom: Short- and Longer-Term Effects on Early Teenagers' Weight 健康午餐给整个教室：对青少年早期体重的短期和长期影响。

IF 2 3区医学

Health economics Pub Date : 2025-03-18 DOI: 10.1002/hec.4959

Shiko Maruyama, Sayaka Nakamura

{"title":"Wholesome Lunch to the Whole Classroom: Short- and Longer-Term Effects on Early Teenagers' Weight","authors":"Shiko Maruyama, Sayaka Nakamura","doi":"10.1002/hec.4959","DOIUrl":"10.1002/hec.4959","url":null,"abstract":"<p>Previous studies on the effect of school lunch programs on child obesity have been hampered by effect heterogeneity, self-selection, and stigma-induced under-reporting, having produced mixed findings. Its potential long-lasting effect has also been debated. We study the body-weight effect of a Japanese school lunch program, which provides nutritional lunch to <i>all</i> students at participating municipal junior highs. The lack of means testing and individual participation choice offers causal estimates of actual participation for a diverse and representative group of children. By exploiting almost universal school lunch coverage for elementary school children nationwide, we construct a difference-in-differences (DID) framework. Using the 1975–1994 National Nutrition Survey, a nationally representative household survey with measured height and weight, we find a regressive benefit of school lunch: while no statistically significant effect is found for the full sample, we find significant obesity-reducing effects for the subsamples of children with low socioeconomic backgrounds. This obesity-reducing effect remains at least a few years after graduation, implying effect through not only nutritional contents but also guiding healthy eating behavior. We find little evidence that school lunch reduces underweight. Propensity score weighting, the DID analysis for percentiles, and various falsification tests confirm the robustness of our estimates.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 7","pages":"1255-1273"},"PeriodicalIF":2.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4959","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657009","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 Publicly-Funded Adult Social Care Impact Informal and Unpaid Carers' Quality of Life in England? 在英格兰，公共资助的成人社会关怀是否影响非正式和无偿照顾者的生活质量？

IF 2 3区医学

Health economics Pub Date : 2025-03-18 DOI: 10.1002/hec.4957

Francesco Longo, Karl Claxton, Andrea Salas-Ortiz, James Lomas, Stephen Martin

引用次数: 0

Behavioral Responses to Healthcare Funding Decisions and Their Impact on Value for Money: Evidence From Australia 对医疗资助决策的行为反应及其对物有所值的影响：来自澳大利亚的证据。

IF 2 3区医学

Health economics Pub Date : 2025-03-18 DOI: 10.1002/hec.4958

Peter Ghijben, Dennis Petrie, Silva Zavarsek, Gang Chen, Emily Lancsar

{"title":"Behavioral Responses to Healthcare Funding Decisions and Their Impact on Value for Money: Evidence From Australia","authors":"Peter Ghijben, Dennis Petrie, Silva Zavarsek, Gang Chen, Emily Lancsar","doi":"10.1002/hec.4958","DOIUrl":"10.1002/hec.4958","url":null,"abstract":"<p>Value for money is fundamental to health insurance schemes given insurers must choose which treatments to fund. Assessing value for money <i>ex ante</i> is challenging, however, because costs and outcomes depend on how treatments are used. Estimates often rely on evidence from early randomized controlled trials conducted prior to regulatory approval, where provider and patient behaviors are tightly controlled. This approach ignores how different supply conditions and incentives in practice influence behaviors. This paper considers how provider and patient incentives can differ between trial and practice settings and analyses how healthcare use changed when new prostate cancer treatments were funded on the public health insurance scheme in Australia. We find evidence that doctors treated patients with worse prognosis compared to the trials, patients ceased prior treatment and switched to the new treatments earlier than expected, and treatment duration was longer than expected. These and other behavioral responses reduced value for money <i>ex post</i>. Our findings suggest that health insurers should carefully consider the supply conditions and incentives in practice when funding new treatments.</p>","PeriodicalId":12847,"journal":{"name":"Health economics","volume":"34 7","pages":"1239-1254"},"PeriodicalIF":2.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hec.4958","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143648268","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