International Journal of Health Economics and Management最新文献_第4页

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 1.7 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-06-01 Epub Date: 2025-05-16 DOI: 10.1007/s10754-025-09396-5

Boris Kaiser, Andreas Kohler, Christian P R Schmid

引用次数: 0

Demand side financing for promoting institutional delivery: experiences of Janani Suraksha Yojana in Indian states. 促进机构交付的需求侧融资：Janani Suraksha Yojana在印度各邦的经验。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-06-01 Epub Date: 2025-01-22 DOI: 10.1007/s10754-025-09391-w

J Krishna Nair, Pulak Mishra

{"title":"Demand side financing for promoting institutional delivery: experiences of Janani Suraksha Yojana in Indian states.","authors":"J Krishna Nair, Pulak Mishra","doi":"10.1007/s10754-025-09391-w","DOIUrl":"10.1007/s10754-025-09391-w","url":null,"abstract":"Public expenditure for the improvement of maternal health is crucial in addressing the major social and demographic challenges in developing countries like India. Accordingly, the Government of India initiated the Janani Suraksha Yojana (JSY) in 2005 as a flagship conditional cash transfer scheme to encourage institutional delivery in the country. While the provisions under the JSY remain uniform throughout the country, there are apprehensions that the impact would differ across the states as well as between the rural and urban setups depending on varied socio-economic conditions and local level dynamics. Besides, households' choice of the type of institution (i.e., government versus private healthcare centres) may also change following the implementation of the JSY. This paper examines these two critical but interrelated aspects. Using secondary data compiled mainly from the last two rounds of the National Family Health Survey and estimating panel data econometric models, the paper finds that interactions with health facilitators during pregnancy, and per capita income contribute positively to the increase in institutional delivery in India irrespective of whether the households are located in rural or urban areas. Importantly, the paper does not find any significant role of the JSY in this regard. On the contrary, the JSY encourages households to prefer public to private hospitals in both rural and urban areas, whereas preference for private hospitals is positively associated with the household head literacy rate in urban area and health insurance coverage and per capita income in rural areas. The findings suggest greater emphasis on quality enhancement of the government healthcare centres. Besides, active engagement of the health workers should also be encouraged, particularly in mobilising the community towards institutional delivery and linking them effectively with the related initiatives of the government.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"245-270"},"PeriodicalIF":1.5,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143013800","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

Baumol's cost disease in acute versus long-term care: Do the differences loom large? 鲍莫尔病在急性和长期护理中的成本：差异会很大吗？

IF 1.7 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-06-01 Epub Date: 2025-02-24 DOI: 10.1007/s10754-025-09392-9

Kaan Celebi, Jochen Hartwig, Anna Pauliina Sandqvist

{"title":"Baumol's cost disease in acute versus long-term care: Do the differences loom large?","authors":"Kaan Celebi, Jochen Hartwig, Anna Pauliina Sandqvist","doi":"10.1007/s10754-025-09392-9","DOIUrl":"10.1007/s10754-025-09392-9","url":null,"abstract":"Baumol's (Am Econ Rev 57: 415-426, 1967) model of 'unbalanced growth' yields a supply-side explanation for the 'cost explosion' in health care. Applying a testing strategy suggested by Hartwig (J Health Econ 27: 603-623, 2008), a sprawling literature affirms that the 'Baumol effect' has both a statistically and economically significant impact on health care expenditure growth. Skeptics maintain, however, that the proliferation of hi-tech medicine in acute care is clearly at odds with the assumption underlying Baumol's model that productivity-enhancing machinery and equipment is only installed in the 'progressive' (i.e. manufacturing) sector of the economy. They argue that Baumol's cost disease may affect long-term care, but not acute care. Our aim in this paper is to test whether Baumol's cost disease affects long-term care and acute care differently. Our testing strategy consists in combining Extreme Bounds Analysis (EBA) with an outlier-robust MM estimator. Using panel data for 23 OECD countries, our results provide robust and statistically significant evidence that expenditures on both acute care and long-term care are driven by Baumol's cost disease, even though the effect on long-term care expenditures is more pronounced.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"159-191"},"PeriodicalIF":1.7,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12361285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484357","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

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

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

Vaccination strategies for different contact patterns: weighing epidemiological against economic outcomes. 针对不同接触模式的疫苗接种策略：权衡流行病学和经济结果。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2025-03-01 Epub Date: 2024-09-24 DOI: 10.1007/s10754-024-09384-1

Rikard Forslid, Mathias Herzing

{"title":"Vaccination strategies for different contact patterns: weighing epidemiological against economic outcomes.","authors":"Rikard Forslid, Mathias Herzing","doi":"10.1007/s10754-024-09384-1","DOIUrl":"10.1007/s10754-024-09384-1","url":null,"abstract":"The aim of this paper is to shed light on the economic and epidemiological trade-offs that emerge when choosing between different vaccination strategies. For that purpose we employ a setting with three age groups that differ with respect to their fatality rates. The model also accounts for heterogeneity in the transmission rates between and within these age groups. We compare the results for two different contact patterns, in terms of the total number of deceased, the total number of infected, the peak infection rate and the economic gains from different vaccination strategies. We find that fatalities are minimized by first vaccinating the elderly, except when vaccination is slow and the general transmission rate is relatively low. In this case deaths are minimized by first vaccinating the group that is mainly responsible for spreading of the virus. With regard to the other outcome variables it is best to vaccinate the group that drives the pandemic first. A trade-off may therefore emerge between reducing fatalities on the one hand and lowering the number of infected as well as maximizing the economic gains from vaccinations on the other hand.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"131-157"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12003614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142308731","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 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 : 2025-03-01 Epub 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":"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":"51-65"},"PeriodicalIF":1.5,"publicationDate":"2025-03-01","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