International Journal of Health Economics and Management最新文献_第10页

Non-profit hospital mergers: the effect on healthcare costs and utilization. 非营利性医院合并:对医疗成本和利用的影响。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-12-01 Epub Date: 2021-04-05 DOI: 10.1007/s10754-021-09303-8

Maysam Rabbani

引用次数: 6

Respiratory rehabilitation to improve quality of life in patients survived after COVID infection 呼吸康复改善COVID感染后存活患者的生活质量

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-11-09 DOI: 10.14748/hem.v21i1.8094

Nikolay Nedev

{"title":"Respiratory rehabilitation to improve quality of life in patients survived after COVID infection","authors":"Nikolay Nedev","doi":"10.14748/hem.v21i1.8094","DOIUrl":"https://doi.org/10.14748/hem.v21i1.8094","url":null,"abstract":"Резюме Дихателната рехабилитация е важен етап от комплексното лечение на пациентите, които са преживели ковидинфекцията, но все още не са се възстановили напълно. Нерядко протрахираните оплаквания от задух, мускулна слабост и лесна умора правят болния временно, дори и трайно неработоспособен и дългосрочно влошават качеството му на живот. Участието на специалисти по физикална терапия и по рехабилитация в общия план на медицинската грижа след ковидинфекция е от съществено значение, предвид необходимостта от съставяне на рехабилитационен план, съобразен с индивидуалните потребности. Целта на статията е да изследва и представи възможностите на дихателната рехабилитация след преживяна ковидинфекция. Извежда се положителният ефект от рехабилитацията посредством оптимизиране на физическия работен капацитет и предотвратяване на животозастрашаващи усложнения. Обучението на пациентите и техните близки в дейностите от индивидуалния рехабилитационен план гарантира ефективното продължаване на дихателната рехабилитация в дома. Ключови думи: ковидинфекция, рехабилитация, физиотерапевти, качество на живот","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"34 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76362449","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 consultation of patients in choosing phytopreparations and food supplements 患者选择植物修复剂和食物补充剂的咨询

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-11-09 DOI: 10.14748/hem.v21i1.8095

Denitsa Grozdeva, Yoana Rosenova

引用次数: 0

Management of the process of blood and blood components supply in a pandemic situation in the Northeast region 大流行情况下东北地区血液和血液成分供应过程的管理

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-11-09 DOI: 10.14748/hem.v21i1.8092

J. Ivanova

引用次数: 0

Behavioral models for enhancing health-related habits in patients and society 增强患者和社会健康相关习惯的行为模型

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-11-09 DOI: 10.14748/hem.v21i1.8096

Kristin Kaloyanova, N. Mihaylov

{"title":"Behavioral models for enhancing health-related habits in patients and society","authors":"Kristin Kaloyanova, N. Mihaylov","doi":"10.14748/hem.v21i1.8096","DOIUrl":"https://doi.org/10.14748/hem.v21i1.8096","url":null,"abstract":"Introduction: Every practicing therapist encounters varius types of barriers when attempting to influence and change the health habits of their patients. In this theoretical review we examine several theoretical models that can serve health professionals in helping patients to develop new healthy behaviors and habits. Materials and Methods: A reseach and review of theoretical and empirical literature on health behavior and interventions was performed. Three fundamental models were identified, compared, described and evaluated in the present text. Theories and Models of Changing Health Behavior: As a general trend there is an increased recognition of the value of the evidence base of health-related interventions. An important task and challenge is to understand health behavior and turn theory into effective strategies for health improvement. Ecological models posit that factors at multiple levels – intrapersonal, interpersonal, organizational, community, political – influence health behavior with varying impact. Social cognitive models focus on the interactions among behavior, personal cognitive factors, and social-ecological forces in a reciprocal system. The Transtheoretical model examines the individual decisions of an individual with regard to their health as a process of a conscious change in thinking and actions. Conclusion: The reviewed models can complement each other and in the right combinations may help the attainment of impactful changes in health-related behaviors and quality of life.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"70 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89981298","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

On the need for legal regulation of acupuncture practice in the Bulgarian context 关于在保加利亚背景下针灸实践的法律法规的必要性

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-11-09 DOI: 10.14748/hem.v21i1.8093

P. Mancheva, Denitsa Grozdeva

引用次数: 0

Providers preferences towards greater patient health benefit is associated with higher quality of care. 提供者倾向于为患者带来更大的健康益处，这与更高的护理质量有关。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-09-01 Epub Date: 2021-06-04 DOI: 10.1007/s10754-021-09298-2

Seema Kacker, Tin Aung, Dominic Montagu, David Bishai

{"title":"Providers preferences towards greater patient health benefit is associated with higher quality of care.","authors":"Seema Kacker, Tin Aung, Dominic Montagu, David Bishai","doi":"10.1007/s10754-021-09298-2","DOIUrl":"https://doi.org/10.1007/s10754-021-09298-2","url":null,"abstract":"Standard theories of health provider behavior suggest that providers are motivated by both profit and an altruistic interest in patient health benefit. Detailed empirical data are seldom available to measure relative preferences between profit and patient health outcomes. Furthermore, it is difficult to empirically assess how these relative preferences affect quality of care. This study uses a unique dataset from rural Myanmar to assess heterogeneous preferences toward treatment efficacy relative to provider profit and the impact of these preferences on the quality of provider diagnosis and treatment. Using conjoint survey data from 187 providers, we estimated the marginal utilities of higher treatment efficacy and of higher profit, and the marginal rate of substitution between these outcomes. We also measured the quality of diagnosis and treatment for malaria among these providers using a previously validated observed patient simulation. There is substantial heterogeneity in providers' utility from treatment efficacy versus utility from higher profits. Higher marginal utility from treatment efficacy is positively associated with the quality of treatment among providers, and higher marginal utility from profit are negatively associated with quality of diagnosis. We found no consistent effect of the ratio of marginal utility of efficacy vs marginal utility of profit on quality of care. Our findings suggest that providers vary in their preferences towards profit and treatment efficacy, with those providers that place greater weight on treatment efficacy providing higher quality of care.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 3","pages":"271-294"},"PeriodicalIF":2.4,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09298-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39060942","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

Public-private differentials in health care delivery: the case of cesarean deliveries in Algeria. 保健服务的公私差别:阿尔及利亚剖宫产的案例。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-09-01 Epub Date: 2021-03-30 DOI: 10.1007/s10754-021-09300-x

Ahcène Zehnati, Marwân-Al-Qays Bousmah, Mohammad Abu-Zaineh

{"title":"Public-private differentials in health care delivery: the case of cesarean deliveries in Algeria.","authors":"Ahcène Zehnati, Marwân-Al-Qays Bousmah, Mohammad Abu-Zaineh","doi":"10.1007/s10754-021-09300-x","DOIUrl":"https://doi.org/10.1007/s10754-021-09300-x","url":null,"abstract":"Akin to other developing countries, Algeria has witnessed an increasing role of the private health sector in the past two decades. Our study sheds light on the public-private overlap and the phenomenon of physician dual practice in the provision of health care services using the particular case of cesarean deliveries in Algeria. Existing studies have reported that, compared to the public sector, delivering in a private health facility increases the risk of enduring a cesarean section. While confirming this result for the case of Algeria, our study also reveals the existence of public-private differentials in the effect of medical variables on the probability of cesarean delivery. After controlling for selection in both sectors, we show that cesarean deliveries in the private sector tend to be less medically justified compared with those taking place in the public sector, thus, potentially leading to maternal and neonatal health problems. As elsewhere, the contribution of the private health sector to the unmet need for health care in Algeria hinges on an appropriate legal framework that better coordinates the activities of the two sectors and reinforces their complementarity.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 3","pages":"367-385"},"PeriodicalIF":2.4,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09300-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25532805","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

Cost-efficiency in the patient centered medical home model: New evidence from federally qualified health centers. 以病人为中心的医疗家庭模式的成本效益:来自联邦合格医疗中心的新证据。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-09-01 Epub Date: 2021-02-27 DOI: 10.1007/s10754-021-09295-5

Sudip Chattopadhyay

{"title":"Cost-efficiency in the patient centered medical home model: New evidence from federally qualified health centers.","authors":"Sudip Chattopadhyay","doi":"10.1007/s10754-021-09295-5","DOIUrl":"https://doi.org/10.1007/s10754-021-09295-5","url":null,"abstract":"This research analyzes the cost-efficiency of the Patient Centered Medical Home (PCMH) model vis-à-vis the traditional care delivery model in the Federally Qualified Health Centers (FQHC). We apply the three-stage least squares modeling approach on 2014 UDS data on all FQHCs to estimate per-visit and per-patient cost functions. Log-quadratic and linear-quadratic functional forms of cost are used for the analysis. The estimated models reveal substantial scale economies and cost advantages associated with PCMH status. Aggregate cost-saving impact of PCMH across all FQHCs in 2014 is estimated to be $1.05 billion. Simulations reveal that the PCMH impact on cost savings grows with the size of the patient population. Reaching the full cost-saving potential in PCMH-recognized FQHCs hinges on expanding the health workforce at all levels of care to meet the need of the growing patient population due to aging and Medicaid expansion. For FQHCs that are not PCMH-recognized, capacity/infrastructural expansion appears to be the immediate policy choice.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 3","pages":"295-316"},"PeriodicalIF":2.4,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09295-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25417862","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: 2

Wealth and the utilization of long-term care services: evidence from the United States. 财富与长期护理服务的利用：来自美国的证据。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-09-01 Epub Date: 2021-03-30 DOI: 10.1007/s10754-021-09299-1

Jing Dong, Daifeng He, John A Nyman, R Tamara Konetzka

{"title":"Wealth and the utilization of long-term care services: evidence from the United States.","authors":"Jing Dong, Daifeng He, John A Nyman, R Tamara Konetzka","doi":"10.1007/s10754-021-09299-1","DOIUrl":"10.1007/s10754-021-09299-1","url":null,"abstract":"Long-term care (LTC) provision and financing has become a major challenge for policymakers in the United States and worldwide. To inform associated policies and more efficiently allocate LTC resources, it is important to understand how demand for different types of LTC services responds to increased wealth. We use data from the United States Health and Retirement Study to examine the use of LTC services following plausibly exogenous positive shocks to wealth. We further account for time-invariant household-level characteristics, including the expectation of a wealth shock at an unknown future time, by employing household fixed effects. We find that large positive wealth shocks lead to a greater probability of purchase of paid home care but not of nursing home care. Our results imply that expanding home and community-based services and insurance coverage of home care for people without sufficient wealth is likely to be efficient and welfare improving and should be considered by policymakers.Please confirm if the author names are presented accurately and in the correct sequence (given name, middle name/initial, family name). Author 4 Given name: [R. Tamara] Last name: [Konetzka]. Also, kindly confirm the details in the metadata are correct.confirmedPlease confirm the city are correct and amend if necessary in Affiliations 1, 2, 3, 4.confirmed.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 3","pages":"345-366"},"PeriodicalIF":1.5,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12009608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25540494","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