International Journal of Health Economics and Management最新文献_第2页

Contribution of high-technology procedures to public healthcare expenditures: the case of ischemic heart disease in Portugal, 2002-2015. 高科技手术对公共医疗支出的贡献：2002-2015 年葡萄牙缺血性心脏病案例。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-09-01 Epub Date: 2024-03-29 DOI: 10.1007/s10754-024-09372-5

Wenkang Ma, Ana Timóteo, Vanessa Ribeiro, Céu Mateus, Julian Perelman

{"title":"Contribution of high-technology procedures to public healthcare expenditures: the case of ischemic heart disease in Portugal, 2002-2015.","authors":"Wenkang Ma, Ana Timóteo, Vanessa Ribeiro, Céu Mateus, Julian Perelman","doi":"10.1007/s10754-024-09372-5","DOIUrl":"10.1007/s10754-024-09372-5","url":null,"abstract":"The magnitude of the impact of technological innovations on healthcare expenditure is unclear. This paper estimated the impact of high-technology procedures on public healthcare expenditure for patients with ischemic heart disease (IHD) in Portugal. The Blinder-Oaxaca decomposition method was applied to Portuguese NHS administrative data for IHD discharges during two periods, 2008-2015 vs. 2002-2007 (N = 434,870). We modelled per episode healthcare expenditures on the introduction of new technologies, adjusting for GDP, patient age, and comorbidities. The per episode healthcare expenditure was significantly higher in 2008-2015 compared to 2002-2007 for IHD discharges. The increase in the use of high-technology procedures contributed to 28.6% of this growth among all IHD patients, and to 18.4%, 6.8%, 11.1%, and 29.2% for acute myocardial infarction, unstable angina, stable angina, and other IHDs, respectively. Changes in the use of stents and embolic protection and/or coronary brachytherapy devices were the largest contributors to expenditure growth. High-technology procedures were confirmed as a key driver of public healthcare expenditure growth in Portugal, contributing to more than a quarter of this growth.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"419-437"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11445372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327230","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

Too many cooks could spoil the broth: choice overload and the provision of ambulatory health care. 太多的厨师会把肉汤煮坏：选择过多和提供流动医疗服务。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-09-01 Epub Date: 2024-05-27 DOI: 10.1007/s10754-024-09379-y

Helmut Herwartz, Christoph Strumann

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

引用次数: 0

Strategic behaviour and decision making in competitive hospital markets: an experimental investigation. 竞争性医院市场中的战略行为和决策：一项实验研究。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-09-01 Epub Date: 2024-03-15 DOI: 10.1007/s10754-024-09366-3

Johann Han, Nadja Kairies-Schwarz, Markus Vomhof

引用次数: 0

Analyzing the impact of fiscal conditions on private health expenditures in OECD countries: a quantile ARDL investigation. 分析经合组织国家财政状况对私人医疗支出的影响：量化 ARDL 调查。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-09-01 Epub Date: 2024-05-22 DOI: 10.1007/s10754-024-09377-0

Nuno Silva, Aida Isabel Tavares, Matheus Koengkan, José Alberto Fuinhas

{"title":"Analyzing the impact of fiscal conditions on private health expenditures in OECD countries: a quantile ARDL investigation.","authors":"Nuno Silva, Aida Isabel Tavares, Matheus Koengkan, José Alberto Fuinhas","doi":"10.1007/s10754-024-09377-0","DOIUrl":"10.1007/s10754-024-09377-0","url":null,"abstract":"Organization for Economic Co-operation and Development (OECD) countries have embraced the aim of universal health coverage, as established in Sustainable Development Goal (SDG) 3.8. This goal guarantees access to quality healthcare services without financial hardship or poverty. Additionally, it requires correct and adequate financing sources. A country with weak protection for its population tends to spend less on healthcare and experiences a high share of out-of-pocket payments (OOPs), increasing the likelihood of people falling into poverty. This study aims to understand the relationship and causal effects between macroeconomic and public fiscal conditions and private health expenditure in OECD countries between 1995 and 2019. We retrieved OECD data for 26 OECD countries for the period 1995-2019. Panel AutoRegressive Distributed Lag (PARDL) and panel quantile AutoRegressive Distributed Lag (PQARDL) models were estimated to examine the relationship between private health expenditures and macroeconomic and public fiscal variables. Our results reveal a positive influence of government debt and economic freedom on private health expenditures. They also show a negative influence of the government budget balance, government health expenditures, and economic growth on private health expenditures. These results collectively suggest that public fiscal conditions will likely impact private health expenditures. The findings of this study raise concerns about the equity and financial protection objectives of universal health coverage in OECD countries.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"439-463"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11445278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141080477","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

Measuring household vulnerability to medical expenditure shock: method and its empirical application. 衡量家庭对医疗支出冲击的脆弱性：方法及其经验应用。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-09-01 Epub Date: 2024-03-07 DOI: 10.1007/s10754-024-09365-4

Lei He, Shuyi Zhou

{"title":"Measuring household vulnerability to medical expenditure shock: method and its empirical application.","authors":"Lei He, Shuyi Zhou","doi":"10.1007/s10754-024-09365-4","DOIUrl":"10.1007/s10754-024-09365-4","url":null,"abstract":"To investigate household vulnerability for inability to cope with medical expenditure shock, we propose a method of measuring household vulnerability to medical expenditure shock by allowing for the heteroscedasticity and dependence of medical expenditure shock and income shock. Using the data from China Health and Nutrition Survey, we estimate the vulnerability of Chinese households, and further investigate crucial characteristics associated with it by comparing the vulnerability levels among groups with different characteristics and an empirical regression with Shorrocks-Shapely decomposition of R squared. Our research shows that health status contributes most to the household vulnerability, and good health helps to reduce the household's vulnerability. Households with stable income and high-education have greater ability to cope with uncertain medical expenditure, and are less vulnerable. Medical insurance plays a limited role in reducing household vulnerability, and the specific type of medical insurance has little influence. All of these findings are conducive to identifying vulnerable households and designing policies to reduce the vulnerability of households.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"465-480"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050671","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 the exit of an insurer, due to government liquidation, on access to health care: evidence from Colombia. 政府清算导致保险公司退出对获得医疗服务的影响：来自哥伦比亚的证据。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-07-13 DOI: 10.1007/s10754-024-09381-4

Cindy Chamorro, Manuel Fernández, Oscar Espinosa

{"title":"The effect of the exit of an insurer, due to government liquidation, on access to health care: evidence from Colombia.","authors":"Cindy Chamorro, Manuel Fernández, Oscar Espinosa","doi":"10.1007/s10754-024-09381-4","DOIUrl":"https://doi.org/10.1007/s10754-024-09381-4","url":null,"abstract":"Our study evaluates the liquidation effect of a health insurer from a subsidized scheme, with the largest number of members in Colombia, on restrictions to future access to user care. Based on the information regarding complaints and judicial claims about healthcare, the effect of this government decision is estimated using a dynamic econometric model of differences in differences. Our results suggest that the liquidation of the Health-Promoting Entity (EPS, its acronym in Spanish) CAPRECOM has a negative effect, specifically, it led to an increase of 0.32 and 0.21 in complaints rates per 1,000 members in the receiving EPSs during the first and second quarters after the intervention, respectively. However, this effect does not persist over time and becomes diluted in the following quarters. There is no evidence of a relationship between the magnitude of the effect and the EPSs performance ranking. Additionally, we do not find significant effects on judicial claims. Our results are important concerning the design and implementation of public policies for EPSs liquidation. We demonstrate the necessity of implementing actions to incorporate guidelines and strategic plans during the transition period. Such actions would enable safeguarding the right to health for the affected population in a liquidation insurer case.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2024-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141604338","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

How to increase acceptance of the COVID-19 vaccine among poor people in Africa? 如何提高非洲贫困人口对 COVID-19 疫苗的接受度？

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-06-01 Epub Date: 2024-03-07 DOI: 10.1007/s10754-024-09370-7

Mathieu Juliot Mpabe Bodjongo

引用次数: 0

The introduction of a minimum wage in Germany and the effects on physical activity participation. 德国最低工资的引入及其对体育活动参与的影响。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-06-01 Epub Date: 2024-03-27 DOI: 10.1007/s10754-024-09375-2

Sören Dallmeyer, Christoph Breuer

引用次数: 0

Simple economics of vaccination: public policies and incentives. 疫苗接种的简单经济学：公共政策和激励措施。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-06-01 Epub Date: 2024-03-22 DOI: 10.1007/s10754-024-09367-2

Jesús Villota-Miranda, R Rodríguez-Ibeas

{"title":"Simple economics of vaccination: public policies and incentives.","authors":"Jesús Villota-Miranda, R Rodríguez-Ibeas","doi":"10.1007/s10754-024-09367-2","DOIUrl":"10.1007/s10754-024-09367-2","url":null,"abstract":"This paper focuses on the economics of vaccination and, more specifically, analyzes the vaccination decision of individuals using a game-theoretic model combined with an epidemiological SIR model that reproduces the infection dynamics of a generic disease. We characterize the equilibrium individual vaccination rate, and we show that it is below the rate compatible with herd immunity due to the existence of externalities that individuals do not internalize when they decide on vaccination. In addition, we analyze three public policies consisting of informational campaigns to reduce the disutility of vaccination, monetary payments to vaccinated individuals and measures to increase the disutility of non-vaccination. If the public authority uses only one type of policy, herd immunity is not necessarily achieved unless monetary incentives are used. When the public authority is not limited to use only one policy, we find that the optimal public policy should consist only of informational campaigns if they are sufficiently effective, or a combination of informational campaigns and monetary incentives otherwise. Surprisingly, the requirement of vaccine passports or other restrictions on the non-vaccinated are not desirable.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"155-172"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190249","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