International Journal of Health Economics and Management最新文献

The causal effects of mandatory health insurance coverage expansion in Switzerland. 瑞士强制性医疗保险覆盖面扩大的因果效应。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-05-16 DOI: 10.1007/s10754-025-09396-5

Boris Kaiser, Andreas Kohler, Christian P R Schmid

引用次数: 0

The impact of periodic updates to health benefits plan: access gains without cost savings? 定期更新健康福利计划的影响：在不节省成本的情况下获得收益？

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-04-09 DOI: 10.1007/s10754-025-09394-7

Oscar Espinosa, Paul Rodríguez-Lesmes, Jhonathan Rodríguez, Diego Ávila, Sergio Basto, Giancarlo Romano, Lorena Mesa, Hernán Enríquez

{"title":"The impact of periodic updates to health benefits plan: access gains without cost savings?","authors":"Oscar Espinosa, Paul Rodríguez-Lesmes, Jhonathan Rodríguez, Diego Ávila, Sergio Basto, Giancarlo Romano, Lorena Mesa, Hernán Enríquez","doi":"10.1007/s10754-025-09394-7","DOIUrl":"https://doi.org/10.1007/s10754-025-09394-7","url":null,"abstract":"Expanding explicit Health Benefit Plans (HBP) is a key strategy for achieving universal health coverage while maintaining financial sustainability. However, little is known about the broader effects of periodic updates to these plans on healthcare utilization, expenditures, and market dynamics. This study examines the impact of including new health technologies in Colombia's HBP covered by the Capitation Payment Unit (CPU) between 2012 and 2019, using administrative data and a difference-in-differences approach with multiple periods. Our results indicate that inclusion in the HBP-CPU led to a substantial increase in utilization and access, particularly in remote areas, but had mixed effects on expenditures. While the number of unique users and prescription frequency rose significantly, the cost per user remained stable for procedures but increased for medications, likely due to higher demand and market structures. These findings suggest that although periodic HBP updates enhance access and effective coverage, they do not necessarily generate cost savings. Strengthening health technology assessment processes, integrating price regulation policies, and implementing cost-containment mechanisms are essential for ensuring the financial sustainability of health systems that regularly update benefit plans.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040686","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

Influence of prior knowledge and experience on willingness to pay for home hospice services: a contingent valuation study. 先前知识与经验对家庭安宁疗护服务付费意愿的影响：条件评估研究。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-03-25 DOI: 10.1007/s10754-025-09393-8

Caroline Steigenberger, Andrea M Leiter, Uwe Siebert, Claudia Schusterschitz, Magdalena Flatscher-Thoeni

{"title":"Influence of prior knowledge and experience on willingness to pay for home hospice services: a contingent valuation study.","authors":"Caroline Steigenberger, Andrea M Leiter, Uwe Siebert, Claudia Schusterschitz, Magdalena Flatscher-Thoeni","doi":"10.1007/s10754-025-09393-8","DOIUrl":"https://doi.org/10.1007/s10754-025-09393-8","url":null,"abstract":"Home hospice services contribute to dying in dignity by addressing medical and social needs at the end of life. The respective monetary valuation in a sense of willingness to pay is not available yet. We aim to quantify the benefits of home hospice services to society using society's monetary valuation and examine the influence of prior knowledge and experience on willingness to pay for home hospice services. A nationwide cross-sectional contingent valuation study was conducted in Austria. We analyzed the impact of the determinants of interest on having a positive willingness to pay for home hospice services via multivariate Probit regression. Stated willingness to pay was analyzed using interval regression. Variable selection of potential influence factors and confounders was based on the literature. The variables of interest, prior knowledge of and experience with home hospice services, were represented by twelve related variables. We included 1262 respondents in the analysis. The two-part regression analysis showed a statistically significant positive impact on the probability of having a positive willingness to pay by prior knowledge of home hospice services, prior donations, and the wish of not dying alone. Prior donations also increase the level of willingness to pay. The probability of a positive willingness to pay was statistically significantly lower for respondents that stated to have experienced the death of more than ten close persons and perceived spending time with dying persons as burden than their respective counterparts. Our study provides evidence that information campaigns to increase the recognition and awareness of existing home hospice services could increase their perceived value in society.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143711502","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 predicted impact of the proposed alcohol production deregulation policy on consumption in Thailand. 拟议的酒精生产放松管制政策对泰国消费的预测影响。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-03-19 DOI: 10.1007/s10754-025-09395-6

Sukampon Chongwilaikasaem, Eva Ayaragarnchanakul, Chaleampong Kongcharoen, Chalermpat Pongajarn, Jürgen Rehm

{"title":"The predicted impact of the proposed alcohol production deregulation policy on consumption in Thailand.","authors":"Sukampon Chongwilaikasaem, Eva Ayaragarnchanakul, Chaleampong Kongcharoen, Chalermpat Pongajarn, Jürgen Rehm","doi":"10.1007/s10754-025-09395-6","DOIUrl":"https://doi.org/10.1007/s10754-025-09395-6","url":null,"abstract":"Alcohol deregulation has recently been a topic of debate in Thailand, with policymakers weighing the potential economic benefits against public health harms and social concerns. This study estimates the impact on alcohol consumption levels in Thailand if barriers to producing alcoholic beverages are removed. Since the deregulation has not yet been implemented, we employed a randomized survey design for a Volumetric Choice Experiment administered to 1220 individuals, both drinkers and non-drinkers. The \"treatment\" group (with deregulation) was compared to the \"control\" group (without deregulation). While respondents in the control group were presented with existing drinks supplied by large producers, respondents in the treatment group were presented with new drinks supplied by small local producers alongside the existing options. Deregulation would introduce a wider variety of drinks, including cheaper local craft beer, white spirits, and brown spirits. Various scenarios of product availability and pricing were validated by experts. Our analysis reveals a 19.93% rise in total annual alcohol per capita consumption (APC), with a statistically significant difference between the treatment and control groups at a 90% confidence level. Further exploration into cross-price elasticities of demand suggests new drinks would partly substitute current options. Policymakers should carefully consider the public health implications, including increased risks of alcohol-related harms, as well as potential economic benefits from market liberalization. Regulatory measures, such as taxation, age restrictions, and public awareness campaigns, may be necessary to mitigate the projected consumption increase and associated social costs.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143658270","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

Physicians' incentives, patients' characteristics, and quality of care: a systematic experimental comparison of performance-pay systems. 医生的激励、病人的特点和护理质量：绩效薪酬系统的系统实验比较。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-03-19 DOI: 10.1007/s10754-025-09390-x

Jeannette Brosig-Koch, Mona Groß, Heike Hennig-Schmidt, Nadja Kairies-Schwarz, Daniel Wiesen

{"title":"Physicians' incentives, patients' characteristics, and quality of care: a systematic experimental comparison of performance-pay systems.","authors":"Jeannette Brosig-Koch, Mona Groß, Heike Hennig-Schmidt, Nadja Kairies-Schwarz, Daniel Wiesen","doi":"10.1007/s10754-025-09390-x","DOIUrl":"https://doi.org/10.1007/s10754-025-09390-x","url":null,"abstract":"How performance pay affects physicians' medical service provision and the quality of care is relevant for researchers and policy-makers alike. This paper systematically studies how performance pay, complementing either fee-for-service or capitation, affects physicians' medical service provision and the quality of care for heterogeneous patients. Using a series of controlled behavioral experiments with physicians and students, we test the incentive effect of performance pay at a within-subject level. We consider a performance pay scheme which grants a discrete bonus if a quality threshold is reached, which varies with the patients' severity of illness. We find that performance pay significantly reduces non-optimal service provision and enhances the quality of care. Effect sizes depend on the patients' severity of illness and whether performance pay is blended with fee-for-service or capitation. Health policy implications, including a cost benefit analysis of introducing performance pay, are discussed.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665052","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

Informal and formal long-term care utilization and unmet needs in Europe: examining socioeconomic disparities and the role of social policies for older adults. 欧洲非正规和正规长期护理的使用情况和未满足的需求：研究社会经济差异和老年人社会政策的作用。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-03-01 Epub Date: 2024-05-21 DOI: 10.1007/s10754-024-09378-z

Viktoria Szenkurök, Daniela Weber, Marcel Bilger

{"title":"Informal and formal long-term care utilization and unmet needs in Europe: examining socioeconomic disparities and the role of social policies for older adults.","authors":"Viktoria Szenkurök, Daniela Weber, Marcel Bilger","doi":"10.1007/s10754-024-09378-z","DOIUrl":"10.1007/s10754-024-09378-z","url":null,"abstract":"The rising number of older adults with limitations in their daily activities has major implications for the demands placed on long-term care (LTC) systems across Europe. Recognizing that demand can be both constrained and encouraged by individual and country-specific factors, this study explains the uptake of home-based long-term care in 18 European countries with LTC policies and pension generosity along with individual factors such as socioeconomic status. Using data from the Survey of Health, Ageing and Retirement in Europe conducted in 2019, we apply a two-part multilevel model to assess if disparities in use of LTC are driven by disparities in needs or disparities in use of care when in need. While individual characteristics largely affect the use of care through its association with disparities in need, country-level characteristics are important for the use of care when in need. In particular, the better health of wealthier and more educated individuals makes them less likely to use any type of home-based personal care. At the country level, results show that the absence of a means-tested benefit scheme and the availability of cash-for-care benefits (as opposed to in-kind) are strongly associated with the use of formal care, whether it is mixed (with informal care) or exclusive. LTC policies are, however, shown to be insufficient to significantly reduce unmet needs for personal care. Conversely, generous pensions are significantly associated with lower unmet needs, underscoring the importance of considering the likely adverse effects of future pension reforms.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"87-106"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141077158","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

The pharmaceutical distributors' efficiency in Italy: an assessment of the impact of the 2010 reimbursable drug pricing reform. 意大利药品分销商的效率：2010 年有偿药品定价改革的影响评估。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-03-01 Epub Date: 2024-11-08 DOI: 10.1007/s10754-024-09387-y

Giorgio Matteucci, Daniele De Santis

{"title":"The pharmaceutical distributors' efficiency in Italy: an assessment of the impact of the 2010 reimbursable drug pricing reform.","authors":"Giorgio Matteucci, Daniele De Santis","doi":"10.1007/s10754-024-09387-y","DOIUrl":"10.1007/s10754-024-09387-y","url":null,"abstract":"To assess the impact on pharmaceutical wholesalers' financial viability and efficiency of the reform of the wholesalers' and pharmacies' margins on reimbursable drugs enacted in 2010 that halved the distributors' margins. We perform a stochastic frontier analysis on a large original dataset comprising financial and production data from 2009, a year prior to the reform, to 2019 gathered in order to assess the impact of the reform on firms' profitability and efficiency. The implemented policies have not been successful in fostering the development of a more efficient market that would ultimately benefit social welfare. Overall, our findings indicate that bigger firms lag behind their smaller counterparts in terms of efficiency, even in the long run. Our findings also suggest that an efficient pharmaceutical wholesaler is currently unable to generate normal profit from the distribution of reimbursable drugs. Compared to the other European countries, that seem to have a cost oriented approach, Italy provides one of the lowest margins to pharmaceutical wholesalers without properly considering the costs of the drugs' distribution. A new regulatory approach to wholesaling margins is needed in order to improve efficiency and welfare.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"1-26"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606689","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

Do depressive symptoms influence nonattendance at work? A semiparametric approach. 抑郁症状会影响旷工吗？半参数方法。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-03-01 Epub Date: 2025-03-04 DOI: 10.1007/s10754-025-09389-4

Patricia Moreno-Mencia, Ana Fernández-Sainz, Juan M Rodríguez-Póo

{"title":"Do depressive symptoms influence nonattendance at work? A semiparametric approach.","authors":"Patricia Moreno-Mencia, Ana Fernández-Sainz, Juan M Rodríguez-Póo","doi":"10.1007/s10754-025-09389-4","DOIUrl":"10.1007/s10754-025-09389-4","url":null,"abstract":"Depression is a common disorder that impacts on individuals' ability to perform daily activities, including those required for working. People with poor health tend to have problems needing medical care and therefore need time away from their work. This paper considers a structural model of labor absenteeism, considering the effect of depression. Our objective is to estimate the effects that depressive symptoms (among other factors) have on absenteeism while avoiding inconsistency in estimators due to sample selection and endogenous regressor. We are unwilling to impose strong assumptions, which are sometimes not required by theory, so our model is semiparametric. Based on microdata from the European Health Survey in Spain, our results indicate that depressive symptoms have a negative effect on working time and increase absenteeism. We conclude that depressed workers lose on average around 12 more days per year than non depressed ones. Levels of absenteeism are also estimated to be higher on average among obese people and among older people (the effect of age is positive). On the other hand, non-college education, being male and being self-employed are factors related to lower levels of absenteeism.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"67-85"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543896","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

Equity and efficiency effects of flat premiums. 统一保费的公平和效率效应。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-03-01 Epub Date: 2024-12-19 DOI: 10.1007/s10754-024-09388-x

Cristian Pardo, Jorge Sabat

引用次数: 0

Feeling discriminated means poor self-perceived health: a gender analysis using SHARE. 感觉受歧视意味着自我感觉健康不佳：利用 SHARE 进行的性别分析。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-03-01 Epub Date: 2024-09-26 DOI: 10.1007/s10754-024-09383-2

Sara Pinillos-Franco, David Cantarero-Prieto, Javier Lera

{"title":"Feeling discriminated means poor self-perceived health: a gender analysis using SHARE.","authors":"Sara Pinillos-Franco, David Cantarero-Prieto, Javier Lera","doi":"10.1007/s10754-024-09383-2","DOIUrl":"10.1007/s10754-024-09383-2","url":null,"abstract":"Most part of the literature has highlighted the detrimental effects of discrimination on health. However, the influence of past and perceived discrimination on older workers' self-assessed health has been understudied. Firstly, we aim at studying whether reported discrimination is associated with self-assessed health among adults of working ages (50-65 years of age). Secondly, we analyze the existence of differences by gender. Data was retrieved from the seventh wave of the Survey of Health, Ageing and Retirement in Europe (SHARE) to obtain the regular panel of questions, and the third and seventh waves of the SHARELIFE questionnaire, that includes information about discrimination (n = 30,019). We develop logistic regression models to determine the relationship of discrimination on male and female workers' self-assessed health separately. Our results show that 49.0% of our sample was composed of highly discriminated women, while the remaining percentage covered men and women (42.3% males and 8.7% females) that reported lower levels of discrimination. Our estimations reveal a significant association between discrimination and poor health status, especially in the case of men ranging from OR = 1.802 (95% CI 1.502-2.163) to OR = 1.565 (95% CI 1.282-1.910). In the case of women our results range from OR = 1.728 (95% CI 1.463-2.040) to OR = 1.196 (95% CI 0.992-1.442). These findings are essential to highlight the importance of tackling discrimination as a determinant of health that negatively affects both sexes, men and women.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"107-129"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142356047","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