Geographic Health Economics eJournal最新文献

Adoption of Mobile Money for Healthcare Utilisation and Spending in Rural Ghana 在加纳农村采用移动货币进行医疗保健利用和支出

Geographic Health Economics eJournal Pub Date : 2020-04-27 DOI: 10.2139/ssrn.3586449

Chei Bukari, Isaac Koomson

引用次数: 1

The Determinants of Physicians’ Location Choice: Understanding the Rural Shortage 医生区位选择的决定因素:对农村短缺的认识

Geographic Health Economics eJournal Pub Date : 2019-06-25 DOI: 10.2139/ssrn.3493178

Elena Falcettoni

{"title":"The Determinants of Physicians’ Location Choice: Understanding the Rural Shortage","authors":"Elena Falcettoni","doi":"10.2139/ssrn.3493178","DOIUrl":"https://doi.org/10.2139/ssrn.3493178","url":null,"abstract":"A long-standing challenge in the US health care system is the provision of medical services to rural areas. This paper develops a structural spatial equilibrium model with heterogeneous physicians and uses it to explore the impact of policies, namely loan forgiveness and salary incentives, on the geographical distribution of physicians. I collect micro data from physicians’ directories on their medical school, residency, and first-job choices and use this new dataset to both allow for physicians’ preference to remain close to their residency location and to implement an instrumental-variable approach to overcome endogeneity issues caused by the correlation between wages and unobserved amenities. I find that residents strongly prefer remaining close to their residency location. The combination of loan forgiveness and salary incentives has led to 1.2 percent more physicians choosing rural areas. Using the government spending currently allocated to loan forgiveness to further increase salary incentives would lead to 6 times more primary care physicians choosing rural areas and a higher average quality of rural physicians compared to the impact of current policies.","PeriodicalId":441838,"journal":{"name":"Geographic Health Economics eJournal","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133475567","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: 9

Does Universal Health Coverage at Early Age Reduce Medical Needs at Later Age? Evidence from Vietnam 早期全民健康保险会减少晚年的医疗需求吗?来自越南的证据

Geographic Health Economics eJournal Pub Date : 2019-06-24 DOI: 10.2139/ssrn.3409107

K. Vu

{"title":"Does Universal Health Coverage at Early Age Reduce Medical Needs at Later Age? Evidence from Vietnam","authors":"K. Vu","doi":"10.2139/ssrn.3409107","DOIUrl":"https://doi.org/10.2139/ssrn.3409107","url":null,"abstract":"This study examines the impacts of exposure to a universal health coverage policy at early age on utilization of health services at later age. Our empirical strategy identifies the effects of the program by exploiting cross-cohort variation in exposure, generated by the age eligibility of the policy, and cross-province variation in the policy's intensity, generated by differences in provincial geographic characteristics. We find that exposure to the program at early age reduces probability of visit for treatment, mainly hospitalization, but does not affect preventive care and outpatient treatment at later age. Our results are robust to various controls for cohort-varying factors and ongoing poverty-reduction policies. \u0000 \u0000We document larger impacts among individuals from low-income and low-education households, and those living in areas with higher risks from natural disasters. These results imply that the program benefited the most vulnerable population. Exploring potential mechanisms, we find no substantial change in household's financial well-being and household's labor market decisions associated with exposure at early age. Combining with results from previous studies, these findings suggest that the main mechanism is through increases in utilization at early age.","PeriodicalId":441838,"journal":{"name":"Geographic Health Economics eJournal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127234749","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

How Reliable Are the Health Responses of Elders? Evidence from India 长者的健康反应有多可靠?来自印度的证据

Geographic Health Economics eJournal Pub Date : 2019-04-09 DOI: 10.2139/ssrn.3368976

D. Ghosh

{"title":"How Reliable Are the Health Responses of Elders? Evidence from India","authors":"D. Ghosh","doi":"10.2139/ssrn.3368976","DOIUrl":"https://doi.org/10.2139/ssrn.3368976","url":null,"abstract":"Purpose – This paper explored the reliability of self-reported health and the impact of the social position in determining the inconsistent health response, in late life. Methodology – The study uses nationally representative unit level data from the National Sample Survey of India. Using the bivariate probit model, joint estimation of reported health and inconsistent health responses are determined for all factors that manifest social injustice and constitutes individual characteristics. Findings – The study has two significant results: firstly, in the privileged socioeconomic segment, reported health underestimates the presence of morbidity might because it can be controlled by the treatment due to greater access to healthcare services, economic resources, and health awareness; and secondly, among the deprived elderly the reported health pulls down the redundancy of chronicle ailment. Therefore, the factors, responsible for social justice like social caste, economic status, and attainment of education have a significant impact on reporting inconsistent health responses. Social implications – Results from bivariate-probit model offer deeper understandings about the reliability of self-reported health and provide further insights to improve policy design designed to mitigate the health inequality among the elders. Originality/value – The study identifies, the type of inconsistent health responses, and the factors responsible for the inconsistency of self-reported health with the existence of chronicle morbidity among the elderly population.","PeriodicalId":441838,"journal":{"name":"Geographic Health Economics eJournal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128272625","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

Mortality in Midlife for Subgroups in Germany 德国中年亚群死亡率

Geographic Health Economics eJournal Pub Date : 2019-01-28 DOI: 10.2139/ssrn.3339179

P. Haan, Anna Hammerschmid, Julia Schmieder

引用次数: 5

What Comprises Effective Formal Elder Care at Home? Estimating Effects for Combinations of Multiple Services 什么是有效的正规居家长者护理?多业务组合效应估计

Geographic Health Economics eJournal Pub Date : 2019-01-18 DOI: 10.2139/ssrn.3138435

S. Sugawara

{"title":"What Comprises Effective Formal Elder Care at Home? Estimating Effects for Combinations of Multiple Services","authors":"S. Sugawara","doi":"10.2139/ssrn.3138435","DOIUrl":"https://doi.org/10.2139/ssrn.3138435","url":null,"abstract":"I estimate the effects for combinations of multiple services in formal elder care at home on health status. As a reasonable substitute for expensive institutional care, formal care for the elderly in their own homes is gaining popularity in developed countries. Because care at home consists of many small and complementary services, the effects for combinations of multiple services need to be analyzed. However, the high dimensionality of these combinations makes estimation difficult. This research employs a regression analysis, using combinations of care services as cross-dummy explanatory variables. To reduce the dimension of the combinations, I select the combinations that are purchased jointly by a sufficient number of the elderly using a basket analysis. I apply this method to claims data for Japanese long-term care, where the social insurance program has resulted in the emergence of markets for many care services for the elderly. The empirical results show that only 200 combinations of 14 care at home services are utilized by more than 0.03% of insurance users in Japan. Of these combinations, rehabilitation services improve the health status of the elderly considerably. However, their use is limited owing to regional disparities in the location of such services.","PeriodicalId":441838,"journal":{"name":"Geographic Health Economics eJournal","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122191099","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

Medicaid Expansion – Why States Are Reevaluating Whether to Expand Eligibility? 医疗补助扩大-为什么各州要重新评估是否扩大资格?

Geographic Health Economics eJournal Pub Date : 2018-11-27 DOI: 10.2139/ssrn.3291808

Russell S. Autry

引用次数: 0

Interrelationships Between Violent Crime, Demographic and Socioeconomic Factors: A Preliminary Analysis Between Central-Northern European Countries and Mediterranean Countries 暴力犯罪、人口和社会经济因素的相互关系:中欧-北欧国家与地中海国家的初步分析

Geographic Health Economics eJournal Pub Date : 2018-07-20 DOI: 10.1453/JEST.V5I3.1679

Matteo Bellitto, M. Coccia

{"title":"Interrelationships Between Violent Crime, Demographic and Socioeconomic Factors: A Preliminary Analysis Between Central-Northern European Countries and Mediterranean Countries","authors":"Matteo Bellitto, M. Coccia","doi":"10.1453/JEST.V5I3.1679","DOIUrl":"https://doi.org/10.1453/JEST.V5I3.1679","url":null,"abstract":"Abstract. The paper here investigates possible relationships between violent crime, migration and unemployment. Results seem to show an association between some crimes - such as theft, assaults and sexual violence- and immigration but not between intentional homicides and immigration. Preliminary evidence also suggests that intentional homicides are associated with high rates of unemployment, linking this violent crime to socioeconomic and situational factors within countries. In addition, unlike commonplace opinions, statistical evidence here reveals that rich countries have levels of violent crime higher than poor countries. Especially, violent crime in central-northern European regions (geo-economic areas with high GDP per capita, e.g., Germany, Finland, Norway, etc.) is higher than Mediterranean countries with lower GDP per capita (e.g., Greece, Italy, Spain, etc.). These conclusions are of course tentative. There is need for much more detailed research into the relations between unemployment, immigration and violent crime to explain general causes of these social issues in modern economies. This study concludes with some socioeconomic implications and explanations. Keywords. Violent crime, Violence, Theft, Sexual violence, Intentional homicides, Immigrants, Migration, Unemployment, Europe, Poverty, Mediterranean countries. JEL. C10, I30, J10, J11, J15, J20, J60, J61, J62, O15.","PeriodicalId":441838,"journal":{"name":"Geographic Health Economics eJournal","volume":"321 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116295377","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

Untangling the Health Impacts of Mexico-U.S. Migration 解开美墨关系对健康的影响迁移

Geographic Health Economics eJournal Pub Date : 2018-06-30 DOI: 10.15353/rea.v10i2.1442

David L. Ortmeyer, M. Quinn

{"title":"Untangling the Health Impacts of Mexico-U.S. Migration","authors":"David L. Ortmeyer, M. Quinn","doi":"10.15353/rea.v10i2.1442","DOIUrl":"https://doi.org/10.15353/rea.v10i2.1442","url":null,"abstract":"Research has found that immigrant health has a tendency to decline with time spent in the United States. Using data from the Mexican Migration Project from 2007-2014, this paper is the first to test the impact of domestic and international migration on different types of health measures. Results find cumulative U.S. migration experience has a negative impact both on self-reported and objective health measures. By contrast, the number of trips to the United States and migrations made within Mexico impact individual’s self-assessment of their health but not objective health measures. The analyses suggest that differences in self-reported versus objective health measures may help to explain mixed results in the literature. Results suggest that individual’s health will suffer considerably more from U.S. migrations than from migration within Mexico which is consistent with the acculturation hypothesis. Not surprisingly, high levels of BMI and smoking are significant predictors of negative self-reported and objective health. There is also a troubling significant negative trend in health over time observed in the sample. Taken as a whole, these results suggest that even short trips to the United States can have a negative health effect on immigrants if they are repeated.","PeriodicalId":441838,"journal":{"name":"Geographic Health Economics eJournal","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126810047","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

Time Trends Matter: The Case of Medical Cannabis Laws and Opioid Overdose Mortality 时间趋势很重要:医用大麻法律和阿片类药物过量死亡率的案例

Geographic Health Economics eJournal Pub Date : 2018-06-06 DOI: 10.2139/ssrn.3192703

Vincent Pohl

引用次数: 6