The European Journal of Health Economics最新文献_第2页

Projected costs of informal care for older people in England 英格兰老年人非正式护理的预计费用

The European Journal of Health Economics Pub Date : 2023-12-12 DOI: 10.1007/s10198-023-01643-1

Bo Hu, Javiera Cartagena-Farias, Nicola Brimblecombe, Shari Jadoolal, Raphael Wittenberg

{"title":"Projected costs of informal care for older people in England","authors":"Bo Hu, Javiera Cartagena-Farias, Nicola Brimblecombe, Shari Jadoolal, Raphael Wittenberg","doi":"10.1007/s10198-023-01643-1","DOIUrl":"https://doi.org/10.1007/s10198-023-01643-1","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Health economics research and economic evaluation have increasingly taken a societal perspective, accounting for the economic impacts of informal care. Projected economic costs of informal care help researchers and policymakers understand better the long-term consequences of policy reforms and health interventions. This study makes projections of the economic costs of informal care for older people in England.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>Data come from two national surveys: the English Longitudinal Study of Ageing (ELSA, <i>N</i> = 35,425) and the Health Survey for England (<i>N</i> = 17,292). We combine a Markov model with a macrosimulation model to make the projections. We explore a range of assumptions about future demographic and epidemiological trends to capture model uncertainty and take a Bayesian approach to capture parameter uncertainty.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>We estimate that the economic costs of informal care were £54.2 billion in 2019, three times larger than the expenditure on formal long-term care. Those costs are projected to rise by 87% by 2039, faster than public expenditure but slower than private expenditure on formal long-term care. These results are sensitive to assumptions about future life expectancy, fertility rates, and progression of disabilities in the population.</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>Prevention schemes aiming to promote healthy aging and independence will be important to alleviate the costs of informal care. The government should strengthen support for informal caregivers and care recipients to ensure the adequacy of care, protect the well-being of caregivers, and prevent the costs of informal care from spilling over to other sectors of the economy.</p>","PeriodicalId":22450,"journal":{"name":"The European Journal of Health Economics","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138575357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Patient-reported experience is associated with higher future revenue and lower costs of hospitals 患者报告的经验与医院未来收入增加和成本降低有关

The European Journal of Health Economics Pub Date : 2023-12-09 DOI: 10.1007/s10198-023-01646-y

Alice Giese, Rasheda Khanam, Son Nghiem, Thomas Rosemann, Michael M. Havranek

{"title":"Patient-reported experience is associated with higher future revenue and lower costs of hospitals","authors":"Alice Giese, Rasheda Khanam, Son Nghiem, Thomas Rosemann, Michael M. Havranek","doi":"10.1007/s10198-023-01646-y","DOIUrl":"https://doi.org/10.1007/s10198-023-01646-y","url":null,"abstract":"<h3 data-test=\"abstract-sub-heading\">Background</h3><p>Despite the established positive association between patient experience and patient volume, the relationship between patient experience and the financial performance of hospitals has not been studied thoroughly.</p><h3 data-test=\"abstract-sub-heading\">Methods</h3><p>To investigate this relationship, we used longitudinal data from 132 Swiss acute-care hospitals from 2016 to 2019 to examine the associations between patient experience and the proportion of elective patients, revenue, costs, and profits of hospitals. To account for a potential time lag effect, we utilized annual patient experience data and employed multilevel mixed-effects regression modeling to investigate its association with the aforementioned financial performance indicators for the following year.</p><h3 data-test=\"abstract-sub-heading\">Results</h3><p>Data for private and public hospitals were analyzed both separately and in combination, to account for the different proportions of elective patients in these types of hospitals. The resulting mixed models, revealed that for each year studied, the previous year’s patient experience was positively associated with the current year’s proportion of elective patients (β = 0.09, <i>p</i> = 0.004, all hospitals) and revenue (β = 1789.83, <i>p</i> = 0.037, private hospitals only), and negatively associated with costs (β = − 1191.13, <i>p</i> = 0.017, all hospitals); but not significantly associated with future profits (β = 629.12, <i>p</i> = 0.240, all hospitals).</p><h3 data-test=\"abstract-sub-heading\">Conclusions</h3><p>This analysis showed that better patient experience is associated with a higher proportion of elective patients, greater revenue, and lower costs. Our findings may assist hospital managers and regulators in identifying strategies to increase revenue and reduce costs.</p>","PeriodicalId":22450,"journal":{"name":"The European Journal of Health Economics","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138559759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reply to comment on “Demonstrating the value of cancer biomarkers at the population” 回复关于“展示癌症生物标志物在人群中的价值”的评论

The European Journal of Health Economics Pub Date : 2022-05-13 DOI: 10.1007/s10198-022-01475-5

Ana Beatriz D’Avó Luís, Mikyung Kelly Seo

引用次数: 0

Demonstrating the value of cancer biomarkers at the population level 证明癌症生物标志物在人群水平上的价值

The European Journal of Health Economics Pub Date : 2022-05-13 DOI: 10.1007/s10198-022-01474-6

A. Gandjour

引用次数: 0

European union regulation of health technology assessment: what is required for it to succeed? 欧盟卫生技术评估法规:要取得成功需要什么?

The European Journal of Health Economics Pub Date : 2022-03-29 DOI: 10.1007/s10198-022-01458-6

M. Drummond, R. Tarricone, A. Torbica

引用次数: 3

Seeking efficiency gains outside drugs and diagnostics 寻求药物和诊断之外的效率提升

The European Journal of Health Economics Pub Date : 2022-03-19 DOI: 10.1007/s10198-022-01456-8

Reyes Lorente, F. Antoñanzas

引用次数: 0

The attractiveness of jobs in the German care sector: results of a factorial survey 德国护理行业工作的吸引力:析因调查的结果

The European Journal of Health Economics Pub Date : 2022-03-18 DOI: 10.1007/s10198-022-01443-z

Martin Kroczek, Jochen Andreas Späth

引用次数: 4

Looking into the black box of “Medical Innovation”: rising health expenditures by illness type 透视“医疗创新”黑箱:按病种分类的医疗支出上升

The European Journal of Health Economics Pub Date : 2022-03-17 DOI: 10.1007/s10198-022-01447-9

F. Breyer, Normann Lorenz, G. Pruckner, T. Schober

引用次数: 0

A comprehensive review of official discount rates in guidelines of health economic evaluations over time: the trends and roots 长期以来卫生经济评价准则官方贴现率的全面审查:趋势和根源

The European Journal of Health Economics Pub Date : 2022-03-02 DOI: 10.1007/s10198-022-01445-x

E. Khorasani, M. Davari, A. Kebriaeezadeh, Farshad Fatemi, A. Akbari Sari, V. Varahrami

引用次数: 3

Are costs derived from diagnosis-related groups suitable for use in economic evaluations? A comparison across nine European countries in the European Healthcare and Social Cost Database 从与诊断相关的组中得出的成本是否适合用于经济评价?欧洲医疗保健和社会成本数据库中9个欧洲国家的比较

The European Journal of Health Economics Pub Date : 2022-02-26 DOI: 10.1007/s10198-022-01444-y

Z. Špacírová, D. Epstein, J. Espín

引用次数: 2