ERN: Microeconometric Studies of Health Markets (Topic)最新文献

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Death and the Media: Asymmetries in Infectious Disease Reporting During the Health Transition 死亡与媒体:健康转型期间传染病报道的不对称
ERN: Microeconometric Studies of Health Markets (Topic) Pub Date : 2015-04-01 DOI: 10.2139/SSRN.2753673
Dora L. Costa, Matthew E. Kahn
{"title":"Death and the Media: Asymmetries in Infectious Disease Reporting During the Health Transition","authors":"Dora L. Costa, Matthew E. Kahn","doi":"10.2139/SSRN.2753673","DOIUrl":"https://doi.org/10.2139/SSRN.2753673","url":null,"abstract":"In the late 19th Century, cities in Western Europe and the United States suffered from high levels of infectious disease. Over a 40 year period, there was a dramatic decline in infectious disease deaths in cities. As such objective progress in urban quality of life took place, how did the media report this trend? At that time newspapers were the major source of information educating urban households about the risks they faced. By constructing a unique panel data base, we find that news reports were positively associated with government announced typhoid mortality counts and the size of this effect actually grew after the local governments made large investments in public goods intended to reduce typhoid rates. News coverage was more responsive to unexpected increases in death rates than to unexpected decreases in death rates. Together, these facts suggest that consumers find bad news is more useful than good news.","PeriodicalId":243720,"journal":{"name":"ERN: Microeconometric Studies of Health Markets (Topic)","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114718012","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: 4
Public Health Measures and Child Health in Sub-Saharan Africa: Accessing the Impact of the Millennium Development Goal 撒哈拉以南非洲的公共卫生措施和儿童健康:实现千年发展目标的影响
ERN: Microeconometric Studies of Health Markets (Topic) Pub Date : 2015-01-25 DOI: 10.2139/ssrn.2555252
Oluwatomisin M. Ogundipe, O. Olurinola, Adeyemi A. Ogundipe
{"title":"Public Health Measures and Child Health in Sub-Saharan Africa: Accessing the Impact of the Millennium Development Goal","authors":"Oluwatomisin M. Ogundipe, O. Olurinola, Adeyemi A. Ogundipe","doi":"10.2139/ssrn.2555252","DOIUrl":"https://doi.org/10.2139/ssrn.2555252","url":null,"abstract":"The study investigates the role of public health measures on child health in developing Africa for the period 1990-2013 using a dynamic panel approach. Among others, the study examines the effect of millennium development intervention programme on child health outcomes. Our analysis reveals MDG intervention as extremely pertinent in reducing the incidence of child mortality in Africa. It implies that introduction of MDGs culminates into increasing the rate of child survival in Africa. Similarly, maternal literacy, maternal health and other child protective measures adopted were found to be statistically significant in improving child health outcomes. The proportion of under-five mortality (proxy for child health) responds more strongly and negatively to immunization coverage, exclusive breastfeeding and DPT vaccines. On the other hand, the quality of institution contributively impact under-five mortality in Africa. Finally, there is need to strengthen institutional arrangement, ensure compulsory basic education for women and strengthen the health system to achieve full packages of intervention, curtain the rising incidence of child deaths and attain the MDGs.","PeriodicalId":243720,"journal":{"name":"ERN: Microeconometric Studies of Health Markets (Topic)","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126512934","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
Does Convergence of Conditional Cash Transfer and Socialized Health Insurance Induce Outpatient Care Utilization for Illness/Injury? Philippine Case 有条件现金转移和社会化医疗保险的趋同是否会导致门诊治疗的使用?菲律宾的情况
ERN: Microeconometric Studies of Health Markets (Topic) Pub Date : 2015-01-15 DOI: 10.2139/SSRN.2550075
Mel Lorenzo Mabazza Accad
{"title":"Does Convergence of Conditional Cash Transfer and Socialized Health Insurance Induce Outpatient Care Utilization for Illness/Injury? Philippine Case","authors":"Mel Lorenzo Mabazza Accad","doi":"10.2139/SSRN.2550075","DOIUrl":"https://doi.org/10.2139/SSRN.2550075","url":null,"abstract":"This study investigates whether there’s considerable impact from complemented/converged Conditional Cash Transfer (which is Pantawid Pamilyang Pilipino Program or 4Ps) and Socialized Health Insurance (which is PhilHealth Sponsored Program (SP)) than compared to having 4Ps alone or SP alone on the outpatient care utilization for illness/injury of beneficiaries. This study computed the Average Treatment Effect on the Treated (ATT) using propensity score matching (PSM) methods to address the non-random selection of beneficiaries and using post-intervention observational data, which is the Family Health Survey 2011 data. Ordinary least squares (OLS) is also applied on the resulting matched samples to further confirm technique-robustness of the estimates. The findings show statistically significant and techniques-robust positive impact on outpatient care utilization for illness/injury from the convergence of 4Ps and SP compared to 4Ps alone or SP alone, suggesting that there’s income effect from 4Ps, price effect from SP, in addition to information spillover from 4Ps Family Development Sessions and health grant requirements for the beneficiaries to utilize outpatient care for illness/injury.","PeriodicalId":243720,"journal":{"name":"ERN: Microeconometric Studies of Health Markets (Topic)","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124114416","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: 1
Impact of China's Urban Employee Basic Medical Insurance on Health Care Expenditure and Health Outcomes 中国城镇职工基本医疗保险对医疗费用和健康结局的影响
ERN: Microeconometric Studies of Health Markets (Topic) Pub Date : 2015-01-01 DOI: 10.3386/w20873
Feng Huang, L. Gan
{"title":"Impact of China's Urban Employee Basic Medical Insurance on Health Care Expenditure and Health Outcomes","authors":"Feng Huang, L. Gan","doi":"10.3386/w20873","DOIUrl":"https://doi.org/10.3386/w20873","url":null,"abstract":"At the end of 1998, China launched a government-run mandatory insurance program, the Urban Employee Basic Medical Insurance (UEBMI), to replace the previous medical insurance system. Using the UEBMI reform in China as a natural experiment, this study identify variations in patient cost sharing that were imposed by the UEBMI reform and examine their effects on the demand for health-care services. Using data from the 1991-2006 waves of the China Health and Nutrition Survey, we find that the increased cost sharing is associated with decreased outpatient medical care utilization and expenditures but not with decreased inpatient care utilization and expenditures. Patients from low- and middle-income households, or in less-serious medical situations are found to be more sensitive to prices. We observe little impact on patient health, as measured by self-reported poor health status.","PeriodicalId":243720,"journal":{"name":"ERN: Microeconometric Studies of Health Markets (Topic)","volume":"48 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114691629","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: 3
A New Look at the Corporate Capability of Personalized Medicine Development in the Pharmaceutical Industry 制药行业企业个性化医疗开发能力的新视角
ERN: Microeconometric Studies of Health Markets (Topic) Pub Date : 2015-01-01 DOI: 10.1111/radm.12072
M. Haruya, Shingo Kano
{"title":"A New Look at the Corporate Capability of Personalized Medicine Development in the Pharmaceutical Industry","authors":"M. Haruya, Shingo Kano","doi":"10.1111/radm.12072","DOIUrl":"https://doi.org/10.1111/radm.12072","url":null,"abstract":"Despite the recent rise in academic and practitioner interest in the development of personalized medicine in the pharmaceutical industry, no study has yet assessed the corporate capability of such development. This study thus develops a model to illustrate the corporate capability of personalized medicine development (PMD capability) in the pharmaceutical industry. First, we define three key influencing factors for PMD capability, namely new product development (NPD) capability, External drug–CoDx co‐development (CoDxD) capability [i.e. the capability of drug–CoDx (companion diagnostics) co‐development with external companies], and Internal CoDxD capability (i.e. the capability of drug–CoDx co‐development with an internal organization). Then, a research model is developed, and by carrying out a structural equation modeling analysis, we successfully find a good fit of the model and that the critical path to contribute to PMD capability runs from NPD capability via External CoDxD capability rather than via Internal CoDxD capability.","PeriodicalId":243720,"journal":{"name":"ERN: Microeconometric Studies of Health Markets (Topic)","volume":"435 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131579484","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: 4
New Findings from the TTO for Income Approach to Elicit Willingness to Pay for a QALY 从收入的TTO方法的新发现,以引出愿意支付的质量
ERN: Microeconometric Studies of Health Markets (Topic) Pub Date : 2014-12-17 DOI: 10.2139/ssrn.2540118
A. Attema, M. Krol, J. van Exel, W. Brouwer
{"title":"New Findings from the TTO for Income Approach to Elicit Willingness to Pay for a QALY","authors":"A. Attema, M. Krol, J. van Exel, W. Brouwer","doi":"10.2139/ssrn.2540118","DOIUrl":"https://doi.org/10.2139/ssrn.2540118","url":null,"abstract":"Willingness to pay (WTP) elicitations suffer from various methodological problems. This paper tests a recently proposed alternative approach to value WTP for health, making use of trade-offs between income and lifetime or quality of life. We apply three experimental elicitation procedures and analyze the responses under an additive and a multiplicative utility function over health and income. We report several interesting results. First, the data are highly skewed, but if we trim the 5% lowest and highest values, we obtain plausible WTP estimates. Second, the results differ considerably between procedures, indicating that WTP estimates are sensitive to the assumed utility function. Third, respondents appear to be loss averse for both health and money, which is consistent with assumptions from prospect theory. Finally, our results also indicate that respondents are more willing to trade quality of life than life years.","PeriodicalId":243720,"journal":{"name":"ERN: Microeconometric Studies of Health Markets (Topic)","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131306963","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: 2
Health Information Exchange as a Multi-Sided Platform: Adoption, Usage and Practice Involvement in Service Co-Production 作为多边平台的卫生信息交流:服务合作生产中的采用、使用和实践参与
ERN: Microeconometric Studies of Health Markets (Topic) Pub Date : 2014-08-13 DOI: 10.2139/ssrn.2480093
Niam Yaraghi, Anna Ye Du, R. Sharman, R. Gopal, R. Ramesh
{"title":"Health Information Exchange as a Multi-Sided Platform: Adoption, Usage and Practice Involvement in Service Co-Production","authors":"Niam Yaraghi, Anna Ye Du, R. Sharman, R. Gopal, R. Ramesh","doi":"10.2139/ssrn.2480093","DOIUrl":"https://doi.org/10.2139/ssrn.2480093","url":null,"abstract":"Health Information Exchanges (HIE) are becoming integral parts of the national healthcare reform efforts, chiefly owing to their potential impact on cost reduction and quality enhancement in healthcare services. However, the potential of a HIE platform can only be realized when its multiple constituent users actively participate in using its variety of services. In this research, we model HIE systems as multisided platforms that incorporate self-service technologies whose value to the users depends on both user-specific and network-specific factors. We develop a model of adoption, usage and the involvement of clinical practices in the co-production of the HIE services. This model is grounded in social network theory, service operations theory, and institutional isomorphism theory. A longitudinal study of actual adoption and usage behaviors of 2054 physicians within 430 community medical practices in Western New York over a three year period has been carried out to evaluate the proposed model. This study has been supported by HEALTHeLINK, the Regional Health Information Organization of Western New York, with an extensive database comprising of over half a million transactions on patient records by the HIE users. We extracted panel data on adoption, usage and service co-production behaviors from this database and carried out a detailed analysis using metrics derived from the foundational theories. Positioning practices within two distinct but interrelated networks of patients and practitioners, we show that adoption, usage and service co-production behaviors are influenced by the topographies of the two networks, isomorphic effects of large practices on the smaller ones, and practice labor inputs in HIE usage. Our findings provide a comprehensive view of the drivers of HIE adoption and usage at the level of medical practices. These results have implications for marketing and revenue management of HIE platforms, besides public health and national/regional healthcare policy making.","PeriodicalId":243720,"journal":{"name":"ERN: Microeconometric Studies of Health Markets (Topic)","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124460338","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: 4
Tradeoffs in the Design of Health Plan Payment Systems: Fit, Power and Balance 健康计划支付系统设计中的权衡:合适、权力和平衡
ERN: Microeconometric Studies of Health Markets (Topic) Pub Date : 2014-07-01 DOI: 10.2139/ssrn.2567957
M. Geruso, T. Mcguire
{"title":"Tradeoffs in the Design of Health Plan Payment Systems: Fit, Power and Balance","authors":"M. Geruso, T. Mcguire","doi":"10.2139/ssrn.2567957","DOIUrl":"https://doi.org/10.2139/ssrn.2567957","url":null,"abstract":"In many markets, including the new U.S. Marketplaces, health insurance plans are paid by risk-adjusted capitation, sometimes combined with reinsurance and other payment mechanisms. This paper proposes a framework for evaluating the de facto insurer incentives embedded in these complex payment systems. We discuss fit, power and balance, each of which addresses a distinct market failure in health insurance. We implement empirical metrics of fit, power, and balance in a study of Marketplace payment systems. Using data similar to that used to develop the Marketplace risk adjustment scheme, we quantify tradeoffs among the three classes of incentives. We show that an essential tradeoff arises between the goals of limiting costs and limiting cream skimming because risk adjustment, which is aimed at discouraging cream-skimming, weakens cost control incentives in practice. A simple reinsurance system scores better on our measures of fit, power and balance than the risk adjustment scheme in use in the Marketplaces.","PeriodicalId":243720,"journal":{"name":"ERN: Microeconometric Studies of Health Markets (Topic)","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121194312","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: 61
Could a Website Really Have Doomed the Health Exchanges? Multiple Equilibria, Initial Conditions and the Construction of the Fine 一个网站真的会毁掉医保交易吗?多重均衡,初始条件和精细的构造
ERN: Microeconometric Studies of Health Markets (Topic) Pub Date : 2014-02-01 DOI: 10.3386/W19835
Florian Scheuer, Kent A. Smetters
{"title":"Could a Website Really Have Doomed the Health Exchanges? Multiple Equilibria, Initial Conditions and the Construction of the Fine","authors":"Florian Scheuer, Kent A. Smetters","doi":"10.3386/W19835","DOIUrl":"https://doi.org/10.3386/W19835","url":null,"abstract":"Public attention has focused on how the launch of the national health exchanges could impact the types of risks who initially enroll and thereby affect future premiums and enrollment. We introduce simple dynamics into a standard model of insurance under adverse selection to show that such \"initial conditions\" can indeed matter. When firms are price-takers, the market can converge to a Pareto-inferior \"bad\" equilibrium if there are at least three equilibria, which we suggest has empirical support. Strategic pricing eliminates Pareto dominated equilibria but requires common knowledge of preference and risk distributions. Changing the fine on non-participants from a fixed amount to a fraction of equilibrium prices increases the range of initial conditions consistent with reaching the \"good\" equilibrium while reducing the \"badness\" of the bad equilibrium -- all without increasing the fine value in the good equilibrium. Allowing insurers to quickly change prices can encourage them to experiment with strategic pricing if market fundamentals are not perfectly known, increasing the chance of reaching the good equilibrium independently from initial conditions.","PeriodicalId":243720,"journal":{"name":"ERN: Microeconometric Studies of Health Markets (Topic)","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2014-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122266839","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: 13
How Statistics Can Save Your Life or End It: A Course Module 统计学如何拯救你的生命或终结你的生命:一个课程模块
ERN: Microeconometric Studies of Health Markets (Topic) Pub Date : 2013-12-04 DOI: 10.2139/ssrn.2363742
Hershey H. Friedman, M. Raphan
{"title":"How Statistics Can Save Your Life or End It: A Course Module","authors":"Hershey H. Friedman, M. Raphan","doi":"10.2139/ssrn.2363742","DOIUrl":"https://doi.org/10.2139/ssrn.2363742","url":null,"abstract":"Probability and statistics are powerful weapons that can help people make good decisions, but that can also be used to wreak havoc. This paper is the first in a series designed to provide examples to students of how statistics can be used and misused to mislead the public and result in poor decision-making. In this module, we discuss the use of statistics in evaluating healthcare decisions, and how they can mislead patients. This particular module, therefore, is also of use to patients who wish to understand how to use statistics to evaluate treatment options. A patient deciding whether to take a prescription drug or undergo a medical procedure should understand basic evaluation criteria like the number needed to treat (NNT) and number needed to harm (NNH), which are described in this paper. We also describe how information presented to consumers regarding the efficacy of drugs often focuses on the wrong statistical measures. Brochures and advertisements for medications often focus on the relative risk reduction (RRR), when NNT is more helpful in evaluating the efficacy of a treatment.","PeriodicalId":243720,"journal":{"name":"ERN: Microeconometric Studies of Health Markets (Topic)","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2013-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129450346","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
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