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Matching patients with therapists in culturally diverse rehabilitation services during civil unrest. 在内乱期间，为病人和治疗师匹配不同文化背景的康复服务。
IF 1.5 4区 经济学
International Journal of Health Economics and Management Pub Date : 2024-09-01 Epub Date: 2023-06-28 DOI: 10.1007/s10754-023-09359-8
Stuart B Kamenetsky, Vanessa Chen, Eyal Heled
{"title":"Matching patients with therapists in culturally diverse rehabilitation services during civil unrest.","authors":"Stuart B Kamenetsky, Vanessa Chen, Eyal Heled","doi":"10.1007/s10754-023-09359-8","DOIUrl":"10.1007/s10754-023-09359-8","url":null,"abstract":"<p><p>A primary consideration in rehabilitation is the compatibility between clinicians and patients, where cultural diversity is a defining feature for both. The intricacies of cultural considerations in patient-clinician matching are heightened in areas of conflict and civil unrest. This paper presents three perspectives of the significance of cultural considerations in such assignments: patient-centred approach - prioritizing patients' preferences; professional-centred approach - clinicians' safety, social-emotional, and training needs; and utilitarian approach - what is best for the majority. A case study from an Israeli rehabilitation clinic is presented to exhibit the multifaceted considerations in patient-clinician matching within areas of conflict and civil unrest. The reconciliation of these three approaches in the context of cultural diversity is discussed, suggesting the benefit of a case-by-case strategy involving combinations of the three. Further research could examine how this might feasibly and beneficially optimize outcomes for all in culturally diverse societies in times of unrest.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"407-418"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9746588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of health facility births on newborn mortality in Malawi. 马拉维医疗机构分娩对新生儿死亡率的影响。
IF 1.5 4区 经济学
International Journal of Health Economics and Management Pub Date : 2024-09-01 Epub Date: 2023-04-03 DOI: 10.1007/s10754-023-09348-x
Dawoon Jung, Booyuel Kim
{"title":"The effect of health facility births on newborn mortality in Malawi.","authors":"Dawoon Jung, Booyuel Kim","doi":"10.1007/s10754-023-09348-x","DOIUrl":"10.1007/s10754-023-09348-x","url":null,"abstract":"<p><p>We examine the effect of health facility delivery on newborn mortality in Malawi using data from a survey of mothers in the Chimutu district, Malawi. The study exploits labour contraction time as an instrumental variable to overcome endogeneity of health facility delivery. The results show that health facility delivery does not reduce 7-day and 28-day mortality rates. In a low-income country like Malawi where the healthcare quality is severely compromised, we conclude that encouraging health facility delivery may not guarantee positive health outcomes for newborn births.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"393-406"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9235670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Income-related inequality in obesity and its determinants in Spain: What happens beyond the obesity threshold? 西班牙与收入有关的肥胖不平等及其决定因素：肥胖临界值之后会发生什么？
IF 2.4 4区 经济学
International Journal of Health Economics and Management Pub Date : 2024-03-01 Epub Date: 2023-08-03 DOI: 10.1007/s10754-023-09360-1
Athina Raftopoulou, Joan Gil Trasfi
{"title":"Income-related inequality in obesity and its determinants in Spain: What happens beyond the obesity threshold?","authors":"Athina Raftopoulou, Joan Gil Trasfi","doi":"10.1007/s10754-023-09360-1","DOIUrl":"10.1007/s10754-023-09360-1","url":null,"abstract":"<p><p>This paper computes and decomposes income-related inequalities in three metrics of obesity, namely, status, depth and severity, for Spain, a European country characterized by a universal health care system with very high and rising obesity prevalence rates. Furthermore, this paper investigates the main determinants of the reduction in obesity inequalities observed over time among the female Spanish population. To compute these inequality indexes, we use cross-sectional and individual-level data gathered from the Spanish National Health Survey. We document income-related inequalities in obesity, that are more pronounced in depth and severity and are to the detriment of poor women in Spain. University education is the most important determinant for all three inequality indexes. We further report that inequalities in obesity tend to decline over time for women, which is explained mainly by a substantial decrease in the degree of inequality in secondary education and a large decrease in the income elasticity of obesity.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"135-153"},"PeriodicalIF":2.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10960917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9936978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Total expenditure elasticity of spending on self-treatment and professional healthcare: a case of Russia. 自我治疗和专业医疗保健支出的总支出弹性：俄罗斯案例。
IF 2.4 4区 经济学
International Journal of Health Economics and Management Pub Date : 2024-03-01 Epub Date: 2023-04-06 DOI: 10.1007/s10754-023-09353-0
Evguenii Zazdravnykh, Andrey Aistov, Ekaterina Aleksandrova
{"title":"Total expenditure elasticity of spending on self-treatment and professional healthcare: a case of Russia.","authors":"Evguenii Zazdravnykh, Andrey Aistov, Ekaterina Aleksandrova","doi":"10.1007/s10754-023-09353-0","DOIUrl":"10.1007/s10754-023-09353-0","url":null,"abstract":"<p><p>The studies on the demand for healthcare in low- and middle-income countries rarely take into consideration the fact that many people spend their income on self-treatment and professional treatment. The estimation of the income elasticity of demand for self-treatment and professional treatment can show a more precise picture of the affordability of professional care. This paper contributes to the discussion around estimates of income elasticity of health spending and discussion whether professional care and self-treatment are close to a luxury good and inferior good respectively in a middle-income country. We apply the switching regression model to explain the choice between self-treatment and professional healthcare via estimates of the income elasticity. Estimates are made with the use of the Russian Longitudinal Monitoring Survey - Higher School of Economics (RLMS-HSE), a nationally representative survey. While individual expenditure on professional treatment is higher than that on self-treatment, our estimates show that expenses on professional treatment can be income inelastic except when spending on medicines prescribed by a physician that are elastic. The results also indicate that cost of self-treatment is income elastic. In all cases, the considered income elasticities are statistically insignificant between professional and self-treatment.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"81-105"},"PeriodicalIF":2.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9258874","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Price setting in the Brazilian private health insurance sector. 巴西私营医疗保险部门的价格制定。
IF 2.4 4区 经济学
International Journal of Health Economics and Management Pub Date : 2024-03-01 Epub Date: 2023-09-10 DOI: 10.1007/s10754-023-09361-0
Mônica Viegas Andrade, Carolina Marinho, Letícia Nunes, Flavia Colares
{"title":"Price setting in the Brazilian private health insurance sector.","authors":"Mônica Viegas Andrade, Carolina Marinho, Letícia Nunes, Flavia Colares","doi":"10.1007/s10754-023-09361-0","DOIUrl":"10.1007/s10754-023-09361-0","url":null,"abstract":"<p><p>Brazil's private health insurance market is the second largest in the world, behind only the United States, making it a valuable source of real-world evidence. This paper documents how physicians' inpatient reimbursement fees vary in the country and explores the relationship between these fees and the market share of health providers and health insurance companies. We implement a fixed-effects panel regression and take advantage of an unprecedented database that contains national administrative records of inpatient procedures paid by health insurance companies in 2016. We find a positive correlation between reimbursement for ICU procedures and provider market share. Conversely, we observe a negative correlation with insurers' market share. Additionally, we document substantial variation in procedure prices, both across and within Brazilian states, and observe that more competitive markets in Brazil tend to have higher population and GDP levels. Overall, our research enhances our understanding of the price setting dynamics of physician reimbursement fees in the context of a developing country. The insights gained from this study can assist policymakers in formulating appropriate regulations to ensure appropriate access to healthcare services.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"57-80"},"PeriodicalIF":2.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10205388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Out-of-pocket expenditure, need, utilisation, and private health insurance in the Australian healthcare system. 澳大利亚医疗保健系统的自付支出、需求、利用率和私人医疗保险。
IF 2.4 4区 经济学
International Journal of Health Economics and Management Pub Date : 2024-03-01 Epub Date: 2023-10-11 DOI: 10.1007/s10754-023-09362-z
Timothy Ludlow, Jonas Fooken, Christiern Rose, Kam Ki Tang
{"title":"Out-of-pocket expenditure, need, utilisation, and private health insurance in the Australian healthcare system.","authors":"Timothy Ludlow, Jonas Fooken, Christiern Rose, Kam Ki Tang","doi":"10.1007/s10754-023-09362-z","DOIUrl":"10.1007/s10754-023-09362-z","url":null,"abstract":"<p><p>Despite widespread public service provision, public funding, and private health insurance (PHI), 20% of all healthcare expenditure across the OECD is covered by out-of-pocket expenditure (OOPE). This creates an equity concern for the increasing number of individuals with chronic conditions and greater need, particularly if higher need coincides with lower income. Theoretically, individuals may mitigate OOPE risk by purchasing PHI, replacing variable OOPE with fixed expenditure on premiums. Furthermore, if PHI premiums are not risk-rated, PHI may redistribute some of the financial burden from less healthy PHI holders that have greater need to healthier PHI holders that have less need. We investigate if the burden of OOPE for individuals with greater need increases less strongly for individuals with PHI in the Australian healthcare system. The Australian healthcare system provides public health insurance with full, partial, or limited coverage, depending on the healthcare service used, and no risk rating of PHI premiums. Using data from the Household, Income and Labour Dynamics in Australia survey we find that individuals with PHI spend a greater share of their disposable income on OOPE and that the difference in OOPE share between PHI and non-PHI holders increases with greater need and utilisation, contrary to the prediction that PHI may mitigate OOPE. We also show that OOPE is a greater concern for poorer individuals for whom the difference in OOPE by PHI is the greatest.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"33-56"},"PeriodicalIF":2.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10960905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Are women breaking the glass ceiling? A gendered analysis of the duration of sick leave in Spain. 妇女正在打破玻璃天花板吗？对西班牙病假持续时间的性别分析。
IF 2.4 4区 经济学
International Journal of Health Economics and Management Pub Date : 2024-03-01 Epub Date: 2023-04-24 DOI: 10.1007/s10754-023-09351-2
Ángel L Martín-Román, Alfonso Moral, Sara Pinillos-Franco
{"title":"Are women breaking the glass ceiling? A gendered analysis of the duration of sick leave in Spain.","authors":"Ángel L Martín-Román, Alfonso Moral, Sara Pinillos-Franco","doi":"10.1007/s10754-023-09351-2","DOIUrl":"10.1007/s10754-023-09351-2","url":null,"abstract":"<p><p>We study the gender gap in the duration of sick leave in Spain by splitting this duration into two types of days - those which are related to biological characteristics and those derived from behavioral reasons. Using the Statistics of Accidents at Work for 2011-2019, we found that women presented longer standard durations (i.e., purely attached to physiological reasons) compared to men. However, when estimating individuals' efficiency as the ratio between actual and standard durations, we found that women were more inefficient at lower levels of income, whereas in case of men, this occurred at higher levels of income. These results were reinforced when considering that men and women do not recover from the same injury at the same rate. Women were more efficient than men across all the compensation distribution, especially at higher income levels.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"107-134"},"PeriodicalIF":2.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10124936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9389374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Private equity and its effect on patients: a window into the future. 私募股权及其对患者的影响：通向未来的窗口。
IF 1.5 4区 经济学
International Journal of Health Economics and Management Pub Date : 2023-12-01 Epub Date: 2022-05-23 DOI: 10.1007/s10754-022-09331-y
Sajith Matthews, Renato Roxas
{"title":"Private equity and its effect on patients: a window into the future.","authors":"Sajith Matthews, Renato Roxas","doi":"10.1007/s10754-022-09331-y","DOIUrl":"10.1007/s10754-022-09331-y","url":null,"abstract":"","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"23 4","pages":"673-684"},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9125965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41104603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
National or local infodemic? The demand for news in Italy during COVID-19. 全国性的还是地方性的?COVID-19期间意大利对新闻的需求。
IF 1.5 4区 经济学
International Journal of Health Economics and Management Pub Date : 2023-12-01 Epub Date: 2023-04-17 DOI: 10.1007/s10754-023-09350-3
Stefano Castriota, Marco Delmastro, Mirco Tonin
{"title":"National or local infodemic? The demand for news in Italy during COVID-19.","authors":"Stefano Castriota, Marco Delmastro, Mirco Tonin","doi":"10.1007/s10754-023-09350-3","DOIUrl":"10.1007/s10754-023-09350-3","url":null,"abstract":"<p><p>Information can have an important impact on health behavior and, according to the World Health Organization, an 'infodemic' has accompanied the current pandemic. Observing TV news viewership in Italy during the COVID-19 pandemic using actual consumption data, we investigate whether demand for national and local news depends on national or local epidemiological developments, as measured by the number of new positives or the number of current positives on any given day. Exploiting the fact that the impact of the pandemic displays a great deal of variation among the different regions, we find that at the regional level, demand for both national and local news responds to national epidemiological developments rather than to local ones. This has implications regarding the incentives for local politicians to take preventive action.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"507-536"},"PeriodicalIF":1.5,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10109222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9323206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Hospital cost efficiency: an examination of US acute care inpatient hospitals. 医院成本效率:对美国急症住院医院的调查。
IF 2.4 4区 经济学
International Journal of Health Economics and Management Pub Date : 2023-09-01 DOI: 10.1007/s10754-023-09356-x
Sebastian Linde
{"title":"Hospital cost efficiency: an examination of US acute care inpatient hospitals.","authors":"Sebastian Linde","doi":"10.1007/s10754-023-09356-x","DOIUrl":"https://doi.org/10.1007/s10754-023-09356-x","url":null,"abstract":"<p><p>The use of stochastic frontier models for inference on hospital efficiency is complicated by the inability to fully control for quality differences across hospitals. Additionally, the potential existence of cross-sectional dependence due to the presence of unobserved common factors leads to endogeneity problems that can bias both cost function and efficiency estimates. Using a panel consisting of 1518 hospitals for the years 1996-2013 (T = 18), I adopt techniques for dealing with long, cross-sectionally dependent panel data in order to estimate cost parameters and hospital specific efficiency. In particular, I employ the estimation technique proposed by Bai (Econometrica 77(4):1229-1279, 2009), which assumes that the unobservable heterogenous effects have a factor structure. I find evidence of considerable scale economies and that hospital cost inefficiencies have been increasing during the period of 1996-2013, and that the growth in expenditures is, in part, driven by spending that increases patient satisfaction, but that does not significantly contribute to improved patient health outcomes.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"23 3","pages":"325-344"},"PeriodicalIF":2.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10089798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","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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