P. Joranger, A. Nesbakken, H. Sorbye, G. Hoff, A. Oshaug, E. Aas
{"title":"Survival and costs of colorectal cancer treatment and effects of changing treatment strategies: a model approach","authors":"P. Joranger, A. Nesbakken, H. Sorbye, G. Hoff, A. Oshaug, E. Aas","doi":"10.1007/s10198-019-01130-6","DOIUrl":"https://doi.org/10.1007/s10198-019-01130-6","url":null,"abstract":"","PeriodicalId":22450,"journal":{"name":"The European Journal of Health Economics","volume":"1 1","pages":"321-334"},"PeriodicalIF":0.0,"publicationDate":"2019-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75012555","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}
Ines Weinhold, Christian Schindler, Nils Kossack, Benjamin Berndt, Dennis Häckl
{"title":"Economic impact of disease prevention in a morbidity-based financing system: does prevention pay off for a statutory health insurance fund in Germany?","authors":"Ines Weinhold, Christian Schindler, Nils Kossack, Benjamin Berndt, Dennis Häckl","doi":"10.1007/s10198-019-01086-7","DOIUrl":"10.1007/s10198-019-01086-7","url":null,"abstract":"<p><p>Preventable chronic diseases account for the greatest burden in the German health system and statutory health insurance (SHI) funds play a crucial role in implementing and financing prevention strategies. On the contrary, the morbidity-based scheme to distribute financial resources from the Central Reallocation Pool among the different sickness funds may counteract efforts of effective prevention from an economic perspective. We assessed financial impacts of prevention from a sickness funds perspective in a retrospective controlled study. Claims data of 6,247,275 persons were analyzed and outcomes between two propensity-matched groups (n = 852,048) of prevention users and non-users were compared in a 4-year follow-up. Using a difference-in-differences approach, we analyzed healthcare expenditures, the development of morbidity, financial transfers from the Central Reallocation Pool, and contribution margins. The group of prevention users develops less morbidity (incidences and disease aggravations) compared to the control group. Healthcare expenditures increase in both groups within 4 years, whereas the increase is lower for prevention users compared to non-users (€568.04 vs. €640.60, p < 0.0001). Taking morbidity-based financial transfers into account, the decrease in contribution margins is stronger for prevention users (- €188.44 vs. - €138.73, p < 0.0001). This study demonstrates an economic disincentive from a sickness funds' perspective. In the semi-competitive SHI market, sickness funds will be discouraged from effective prevention strategies if investments are not worth it financially. Their efforts and knowledge are, however, crucial for joint action to foster prevention over cure in the health system.</p>","PeriodicalId":22450,"journal":{"name":"The European Journal of Health Economics","volume":"13 1","pages":"1181-1193"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74198794","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}
{"title":"The effects of copayment in primary health care: evidence from a natural experiment.","authors":"Laia Maynou, Gabriel Coll-de-Tuero, Marc Saez","doi":"10.1007/s10198-019-01089-4","DOIUrl":"10.1007/s10198-019-01089-4","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate the effects of the 'euro per prescription' on primary health care services (number of doctor visits), through a retrospective cohort study of health care users in Catalonia (Spain). This policy, implemented in Catalonia on 23 June 2012, only lasted 6 months. This policy was introduced to improve budgetary imbalances in Spain and boost the regional and national governments' budgets.</p><p><strong>Methods: </strong>We used a retrospective cohort, composed of individuals who had had contact with primary healthcare services between January 1, 2005 and December 31, 2012. The econometric specification followed is a hurdle model.</p><p><strong>Results: </strong>Our results show that from October 2012 onwards there was a decrease in the average number of overall visits, particularly for individuals aged 65 years or more. However, this decline cannot be entirely attributed to the introduction of the euro per prescription policy as in October of that same year the Spanish government introduced its pharmaceutical copayment for pensioners.</p><p><strong>Conclusions: </strong>The policies appraised in this paper reveal a clear deterrent effect among vulnerable individuals such as those with the highest probability of being unemployed and/or those individuals with chronic conditions.</p>","PeriodicalId":22450,"journal":{"name":"The European Journal of Health Economics","volume":"64 1","pages":"1237-1248"},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84802720","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}
{"title":"Cognitive ability and teen smoking","authors":"Hendrik Jürges, S. Meyer","doi":"10.1007/s10198-019-01127-1","DOIUrl":"https://doi.org/10.1007/s10198-019-01127-1","url":null,"abstract":"","PeriodicalId":22450,"journal":{"name":"The European Journal of Health Economics","volume":"51 1","pages":"287-296"},"PeriodicalIF":0.0,"publicationDate":"2019-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83965841","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}
V. Lorenzoni, S. Bellelli, C. Caselli, J. Knuuti, S. Underwood, D. Neglia, G. Turchetti, Mikko Maija Anna Santiago Maria Nazarena Giancarlo Aless Pietila Mäki Teresinska Aguadé-Bruix Pizzi Todiere, Mikko Pietila, M. Mäki, A. Teresińska, S. Aguadé-Bruix, M. N. Pizzi, G. Todiere, A. Gimelli, M. Lombardi, S. Puzzuoli, M. Mangione, P. Marcheschi, S. Schroeder, T. Drosch, R. Poddighe, G. Casolo, C. Anagnostopoulos, F. Pugliese, F. Rouzet, D. Le Guludec, F. Cappelli, S. Valente, G. Gensini, C. Zawaideh, S. Capitanio, G. Sambuceti, F. Marsico, P. Filardi, C. Fernández-Golfín, L. M. Rincón, J. Zamorano, F. Graner, S. Nekolla, M. D. de Graaf, A. Scholte, Michael Fiechter, J. Stehli, O. Gaemperli, P. Kaufmann, E. Reyes, S. Nkomo, C. Carpeggiani, D. Giannessi, F. Mariani, M. Marinelli, R. Sicari
{"title":"Correction to: Cost‑effectiveness analysis of stand‑alone or combined non‑invasive imaging tests for the diagnosis of stable coronary artery disease: results from the EVINCI study","authors":"V. Lorenzoni, S. Bellelli, C. Caselli, J. Knuuti, S. Underwood, D. Neglia, G. Turchetti, Mikko Maija Anna Santiago Maria Nazarena Giancarlo Aless Pietila Mäki Teresinska Aguadé-Bruix Pizzi Todiere, Mikko Pietila, M. Mäki, A. Teresińska, S. Aguadé-Bruix, M. N. Pizzi, G. Todiere, A. Gimelli, M. Lombardi, S. Puzzuoli, M. Mangione, P. Marcheschi, S. Schroeder, T. Drosch, R. Poddighe, G. Casolo, C. Anagnostopoulos, F. Pugliese, F. Rouzet, D. Le Guludec, F. Cappelli, S. Valente, G. Gensini, C. Zawaideh, S. Capitanio, G. Sambuceti, F. Marsico, P. Filardi, C. Fernández-Golfín, L. M. Rincón, J. Zamorano, F. Graner, S. Nekolla, M. D. de Graaf, A. Scholte, Michael Fiechter, J. Stehli, O. Gaemperli, P. Kaufmann, E. Reyes, S. Nkomo, C. Carpeggiani, D. Giannessi, F. Mariani, M. Marinelli, R. Sicari","doi":"10.1007/s10198-019-01128-0","DOIUrl":"https://doi.org/10.1007/s10198-019-01128-0","url":null,"abstract":"","PeriodicalId":22450,"journal":{"name":"The European Journal of Health Economics","volume":"27 1","pages":"1451 - 1451"},"PeriodicalIF":0.0,"publicationDate":"2019-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73433792","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}
James Gaughan, Panagiotis Kasteridis, A. Mason, A. Street
{"title":"Why are there long waits at English emergency departments?","authors":"James Gaughan, Panagiotis Kasteridis, A. Mason, A. Street","doi":"10.1007/s10198-019-01121-7","DOIUrl":"https://doi.org/10.1007/s10198-019-01121-7","url":null,"abstract":"","PeriodicalId":22450,"journal":{"name":"The European Journal of Health Economics","volume":"110 1","pages":"209 - 218"},"PeriodicalIF":0.0,"publicationDate":"2019-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81216937","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}
{"title":"Corruption and health outcomes within an economic and cultural framework","authors":"M. Achim, V. Văidean, S. Borlea","doi":"10.1007/s10198-019-01120-8","DOIUrl":"https://doi.org/10.1007/s10198-019-01120-8","url":null,"abstract":"","PeriodicalId":22450,"journal":{"name":"The European Journal of Health Economics","volume":"34 1","pages":"195-207"},"PeriodicalIF":0.0,"publicationDate":"2019-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84106373","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}
L. Vallejo-Aparicio, J. Molina, I. Ojanguren, A. Viejo Casas, A. Huerta, H. Svedsater
{"title":"Cost–consequence analysis of fluticasone furoate/vilanterol for asthma management in Spain: an analysis based on the Salford Lung Study in asthma","authors":"L. Vallejo-Aparicio, J. Molina, I. Ojanguren, A. Viejo Casas, A. Huerta, H. Svedsater","doi":"10.1007/s10198-019-01101-x","DOIUrl":"https://doi.org/10.1007/s10198-019-01101-x","url":null,"abstract":"","PeriodicalId":22450,"journal":{"name":"The European Journal of Health Economics","volume":"21 1","pages":"7 - 17"},"PeriodicalIF":0.0,"publicationDate":"2019-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81302901","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}
{"title":"Sustainability of public finances: inclusion of unrelated medical cost only part of the story","authors":"M. Connolly, N. Kotsopoulos, A. Bhatt, M. Postma","doi":"10.1007/s10198-019-01109-3","DOIUrl":"https://doi.org/10.1007/s10198-019-01109-3","url":null,"abstract":"","PeriodicalId":22450,"journal":{"name":"The European Journal of Health Economics","volume":"24 1","pages":"1281-1282"},"PeriodicalIF":0.0,"publicationDate":"2019-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86681533","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}
K. Gaspar, F. Portrait, E. V. D. van der Hijden, X. Koolman
{"title":"Global budget versus cost ceiling: a natural experiment in hospital payment reform in the Netherlands","authors":"K. Gaspar, F. Portrait, E. V. D. van der Hijden, X. Koolman","doi":"10.1007/s10198-019-01114-6","DOIUrl":"https://doi.org/10.1007/s10198-019-01114-6","url":null,"abstract":"","PeriodicalId":22450,"journal":{"name":"The European Journal of Health Economics","volume":"3 1","pages":"105 - 114"},"PeriodicalIF":0.0,"publicationDate":"2019-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78558282","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}