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

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

Estimating price elasticities of demand for pain relief drugs: evidence from Medicare Part D. 估计止痛药物需求的价格弹性：来自医疗保险 D 部分的证据。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-12-01 Epub Date: 2024-08-02 DOI: 10.1007/s10754-024-09382-3

Aparna Soni

引用次数: 0

Can health financing programmes reduce food insecurity in a developing country? 卫生筹资方案能否减轻发展中国家的粮食不安全状况？

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-12-01 Epub Date: 2024-06-03 DOI: 10.1007/s10754-024-09380-5

Raymond Elikplim Kofinti, Isaac Koomson, Josephine Baako-Amponsah

{"title":"Can health financing programmes reduce food insecurity in a developing country?","authors":"Raymond Elikplim Kofinti, Isaac Koomson, Josephine Baako-Amponsah","doi":"10.1007/s10754-024-09380-5","DOIUrl":"10.1007/s10754-024-09380-5","url":null,"abstract":"Despite the devastating effects of out-of-pocket healthcare expenditures on households' financial outlays, which potentially stifle household resources needed for food consumption, the health financing program-food insecurity nexus is yet to receive much needed attention in the literature. This study makes a significant contribution by investigating the effect of health financing program, conceptualised as membership of a National Health Insurance Scheme, on household food insecurity using the food insecurity experience scale (FIES) and several quasi-experimental methods. Using data from the seventh round of the Ghana Living Standards Survey, our endogeneity-corrected results indicate that membership of a health financing program can contribute to reduction in household food insecurity. The results are robust to alternative conceptualisations of food insecurity and different quasi-experimental methods. The effect of health financing programme membership on food insecurity is more pronounced among urban and female-headed households. Our findings further point to household savings as an important channel through which membership of health financing program reduces food insecurity.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"595-621"},"PeriodicalIF":1.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200744","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 ownership on perceived healthcare quality: evidence from Ghana 医疗设施所有权对医疗质量感知的影响：来自加纳的证据

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-09-16 DOI: 10.1007/s10754-024-09385-0

Alex Bawuah, Simon Appleton, Yang Li

{"title":"The effect of health facility ownership on perceived healthcare quality: evidence from Ghana","authors":"Alex Bawuah, Simon Appleton, Yang Li","doi":"10.1007/s10754-024-09385-0","DOIUrl":"https://doi.org/10.1007/s10754-024-09385-0","url":null,"abstract":"Whether private healthcare providers should be encouraged over public providers remains unclear. On the one hand, because private providers are profit-driven, they are more motivated to compete for demand by enhancing quality if demand is elastic. However, because they are more motivated to maximize revenue, they may sacrifice quality to maximize profit. A crucial factor in determining whether private providers should be encouraged is the extent to which their quality exceeds or falls short of that of the public provider. This study, therefore, investigates whether the public and private differ in providing quality healthcare services using the 2014 Ghana Demographic and Health Survey. Our measure of healthcare quality is based on patient satisfaction level with nine healthcare services (cleanliness, waiting time, comfort and safety, consultation time, privacy, listening, explanation, treatment advice and confidentiality) provided by public and private healthcare facilities. We applied an instrumental variable approach to account for endogeneity issues related to the patient’s choice of healthcare provider. We find that private facility users have a higher probability of being very satisfied with “waiting time”, “consultation time”, “listening”, “cleanliness”, “comfort and safety”, “confidentiality”, and “privacy” than public users, thus suggesting that private facilities provide better service than public. We thus recommend encouraging the private sector to enter the healthcare market. We also find that failing to account for endogeneity in provider choice when estimating the effect of healthcare facility ownership on healthcare service quality underestimates the effects.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"12 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142247949","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

Analyzing the 20-year declining trend of hospital length-of-stay in European countries with different healthcare systems and reimbursement models. 分析不同医疗体系和报销模式的欧洲国家 20 年来住院时间的下降趋势。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-09-01 Epub Date: 2024-03-21 DOI: 10.1007/s10754-024-09369-0

Davide Golinelli, Francesco Sanmarchi, Fabrizio Toscano, Andrea Bucci, Nicola Nante

{"title":"Analyzing the 20-year declining trend of hospital length-of-stay in European countries with different healthcare systems and reimbursement models.","authors":"Davide Golinelli, Francesco Sanmarchi, Fabrizio Toscano, Andrea Bucci, Nicola Nante","doi":"10.1007/s10754-024-09369-0","DOIUrl":"10.1007/s10754-024-09369-0","url":null,"abstract":"The study aims to investigate the last 20-year (2000-2019) of hospital length of stay (LOS) trends and their association with different healthcare systems (HS) among 25 European countries. A panel dataset was created using secondary data from Eurostat and Global Burden of Disease study databases, with dependent and control variables aggregated at the national level over a period of 20 years. A time trend analysis was conducted using a weighted least squares model for panel data to investigate the association between LOS, HS models [National Health Service (NHS), National Health Insurance, Social Health Insurance (SHI), and Etatist Social Health Insurance], healthcare reimbursement schemes [Prospective Global Budget (PGB), Diagnosis Related Groups (DRG), and Procedure Service Payment (PSP)], and control variables. The study showed a reduction of average LOS from 9.20 days in 2000 to 7.24 in 2019. SHI was associated with a lower LOS compared to NHS (b = - 0.6327, p < 0.05). Both DRG (b = 1.2399, p < 0.05) and PSP (b = 1.1677, p < 0.05) reimbursement models were positively associated with LOS compared to PGB. Our results confirmed the downward trend of LOS in the last 20 years, its multifactorial nature, and the influence of the SHI model of HS. This could be due to the financial incentives present in fee-for-service payment models and the role of competition in creating a market for healthcare services. These results offer insight into the factors influencing healthcare utilization and can inform the design of more effective, efficient, and sustainable HS.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"375-392"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11457716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140185873","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

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":"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.","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

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

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