International Journal of Health Economics and Management最新文献

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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
{"title":"Strategic behaviour and decision making in competitive hospital markets: an experimental investigation.","authors":"Johann Han, Nadja Kairies-Schwarz, Markus Vomhof","doi":"10.1007/s10754-024-09366-3","DOIUrl":"10.1007/s10754-024-09366-3","url":null,"abstract":"<p><p>We investigate quality provision and the occurrence of strategic behaviour in competitive hospital markets where providers are assumed to be semi-altruistic towards patients. For this, we employ a laboratory experiment with a hospital market framing. Subjects decide on the quality levels for one of three competing hospitals respectively. We vary the organizational aspect of whether quality decisions within hospitals are made by individuals or teams. Realized monetary patient benefits go to real patients outside the lab. In both settings, we find that degrees of cooperation quickly converge towards negative values, implying absence of collusion and patient centred or competitive quality choices. Moreover, hospitals treat quality as a strategic complement and adjust their quality choice in the same direction as their competitors. The response magnitude for team markets is weaker; this is driven by non-cooperative or altruistic teams, which tend to set levels of quality that are strategically independent.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"333-355"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11445323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140137300","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
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":"<p><p>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.</p>","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":"<p><p>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.</p>","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
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
{"title":"How to increase acceptance of the COVID-19 vaccine among poor people in Africa?","authors":"Mathieu Juliot Mpabe Bodjongo","doi":"10.1007/s10754-024-09370-7","DOIUrl":"10.1007/s10754-024-09370-7","url":null,"abstract":"<p><p>This study aims to analyze whether good government management of the COVID-19 pandemic can increase the likelihood of vaccine uptake among poor people in Africa. The analysis is based on a sample of 18,010 people living in 34 African countries, drawn from data collected by Afrobarometer (Merged Round 8 data (34 countries), database, 2022). The econometric results, obtained using a bivariate probit regression, show that poverty significantly reduces the odds of accepting the said COVID-19 vaccine. However, acceptance of the vaccine increases among poor individuals when there is (i) trust in the government's published statistics on COVID-19, (ii) control of corruption by the government in managing the pandemic, (iii) individual confidence in the government's ability to ensure the safety of the COVID-19 vaccine, and (iv) belief that the Covid 19 vaccine will be more effective than religious prayer in the fight against this pandemic.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"173-210"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050670","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 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
{"title":"The introduction of a minimum wage in Germany and the effects on physical activity participation.","authors":"Sören Dallmeyer, Christoph Breuer","doi":"10.1007/s10754-024-09375-2","DOIUrl":"10.1007/s10754-024-09375-2","url":null,"abstract":"<p><p>The relationship between income and physical activity has been extensively studied. This paper utilizes the introduction of the minimum wage in Germany in 2015 as a quasi-experiment to determine the causal effect of minimum wages on the frequency of physical activity participation. Employing survey data from the German Socio-Economic Panel between 2013 and 2017, regression-adjusted difference-in-difference models combined with matching techniques are estimated. Our findings reveal a notable negative effect immediately after the minimum wage implementation on physical activity frequency. Given that the introduction of the minimum wage did not increase monthly gross income but reduced working hours, it appears that affected individuals exhibit preferences and engage in utility maximization that do not emphasize healthy behaviors. This effect is particularly pronounced among older females in white-collar occupations.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"211-229"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11108941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307275","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
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":"<p><p>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.</p>","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
Women's empowerment, modern energy, and demand for maternal health services in Benin. 贝宁妇女赋权、现代能源和孕产妇保健服务需求。
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/s10754-024-09368-1
Alastaire Sèna Alinsato, Calixe Bidossessi Alakonon, Nassibou Bassongui
{"title":"Women's empowerment, modern energy, and demand for maternal health services in Benin.","authors":"Alastaire Sèna Alinsato, Calixe Bidossessi Alakonon, Nassibou Bassongui","doi":"10.1007/s10754-024-09368-1","DOIUrl":"10.1007/s10754-024-09368-1","url":null,"abstract":"<p><p>One of the major concerns for developing countries is improving the use of health services by the general population, and in particular, maternal and child health services. This concern reflects the Sustainable Development Goals 3, which aim to ensure the health and well-being of all by improving reproductive health, and especially maternal and child health. This study analyses the extent to which modern energies improve women's empowerment and the demand for maternal health services in a low income country. The empirical estimations were based on the 2017 Benin Demographic Health Survey data. We adopted the trivariate recursive probit modelling to find out the extent to which modern energies improve women's empowerment and the demand for maternal health services. The results revealed that the demand for maternal health services was significantly and positively associated with women's empowerment. Notably, being an empowered woman (social independence and decision-making) increases the chance of completing antenatal care visits. We further highlighted the importance of women's wealth in accessing maternal health services. To address maternal mortality in sub-Saharan African countries, policymakers should improve women's social independence, decision making power and attitude to violence by promoting access to modern energies such as electricity, Liquefied petroleum gas, and bio gas.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"279-299"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050672","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
Education and reproductive health: evidence from schooling expansion in Turkey. 教育与生殖健康:土耳其扩大学校教育的证据。
IF 1.5 4区 经济学
International Journal of Health Economics and Management Pub Date : 2024-06-01 Epub Date: 2024-01-05 DOI: 10.1007/s10754-023-09364-x
Prabal K De, Muhammed Tümay
{"title":"Education and reproductive health: evidence from schooling expansion in Turkey.","authors":"Prabal K De, Muhammed Tümay","doi":"10.1007/s10754-023-09364-x","DOIUrl":"10.1007/s10754-023-09364-x","url":null,"abstract":"<p><p>We investigate the role of additional years of schooling mandated by a compulsory schooling expansion law in affecting reproductive preferences and safe reproductive health behaviors in Turkey-a middle-to-high-income country with gender inequity in education but overall high levels of safe reproductive health practices at the time of passing the law. Using a fuzzy regression discontinuity design, we find that the additional schooling improved several health behaviors. However, the effects on some outcomes commonly analyzed in the existing literature, such as contraceptive use or fertility, were either weak or insignificant. Overall, our findings complement the current literature on the marginal health benefits of schooling expansion and suggest that policymakers consider the institutional and cultural factors while evaluating the scope and potential non-educational benefits of such expansions.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"301-331"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139106788","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
Does a sprawling neighborhood affect obesity? Evidence from Indonesia. 无序扩张的社区会影响肥胖吗?印度尼西亚的证据。
IF 1.5 4区 经济学
International Journal of Health Economics and Management Pub Date : 2024-06-01 Epub Date: 2024-03-30 DOI: 10.1007/s10754-024-09371-6
Yunita, Muhammad Halley Yudhistira, Yusuf Reza Kurniawan
{"title":"Does a sprawling neighborhood affect obesity? Evidence from Indonesia.","authors":"Yunita, Muhammad Halley Yudhistira, Yusuf Reza Kurniawan","doi":"10.1007/s10754-024-09371-6","DOIUrl":"10.1007/s10754-024-09371-6","url":null,"abstract":"<p><p>While the causes of obesity have been widely discussed from various perspectives, studies that examine how the physical form of a neighborhood could causally affect obesity remain limited. This study combined individual-level longitudinal data from the Indonesian Family Life Survey and subdistrict-level land cover data to investigate whether a neighborhood's physical form affects individuals' obesity status. We controlled for individual and location fixed-effect to account for individuals' sorting preferences and unobserved heterogeneity at the subdistrict level. Our results suggest that a sprawling neighborhood corresponds to a lower body mass index, particularly among males. We also show that consumption behavior can explain this mechanism.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"231-256"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140330214","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
Socioeconomic determinants of COVID-19 vaccine acceptance 接受 COVID-19 疫苗的社会经济决定因素
IF 2.4 4区 经济学
International Journal of Health Economics and Management Pub Date : 2024-04-12 DOI: 10.1007/s10754-024-09373-4
Saša Ranđelović, Svetozar Tanasković
{"title":"Socioeconomic determinants of COVID-19 vaccine acceptance","authors":"Saša Ranđelović, Svetozar Tanasković","doi":"10.1007/s10754-024-09373-4","DOIUrl":"https://doi.org/10.1007/s10754-024-09373-4","url":null,"abstract":"<p>The aim of the paper is to evaluate the relative importance of the set of socioeconomic characteristics of population on collective decision on COVID-19 vaccine acceptance. We apply cross-section OLS methods to the municipal-level non-survey data for 145 municipalities in Serbia, on the COVID-19 vaccination rate and socioeconomic characteristics of the population, to evaluate the determinants of cross-municipal variation in vaccine uptake decision. Using the estimated coefficients from the OLS regressions, we apply the standardized beta method to evaluate the relative importance of each factor. Vaccine acceptance in municipalities rises with the average level of education (especially in the female population), age and employment, while being negatively linked to religiosity of people and the proportion of rural population. We also find some evidence on the positive impact of the overall trust in government. Education level has the single largest impact, shaping around 37% of (explained) variation in the vaccination rate across municipalities, a rise in the proportion of people with higher degree by 1% being associated with increase in vaccination rate by 0.36%. Age of population explains 21%, urban–rural structure 13% and religiosity 11% of variation in vaccine acceptance, while employment status and trust in government each explain around 9% of variation in vaccine uptake across municipalities. Effective vaccination promotion strategy should be focused on younger, less-educated, unemployed cohorts, as well as on rural areas and should involve representatives of mainstream religions. Fostering education and strengthening trust in government are some of the key structural factors that may promote efficient collective behaviour in this respect.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"241 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140573081","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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