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

Out-of-pocket expenditure, need, utilisation, and private health insurance in the Australian healthcare system. 澳大利亚医疗保健系统的自付支出、需求、利用率和私人医疗保险。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-03-01 Epub Date: 2023-10-11 DOI: 10.1007/s10754-023-09362-z

Timothy Ludlow, Jonas Fooken, Christiern Rose, Kam Ki Tang

{"title":"Out-of-pocket expenditure, need, utilisation, and private health insurance in the Australian healthcare system.","authors":"Timothy Ludlow, Jonas Fooken, Christiern Rose, Kam Ki Tang","doi":"10.1007/s10754-023-09362-z","DOIUrl":"10.1007/s10754-023-09362-z","url":null,"abstract":"Despite widespread public service provision, public funding, and private health insurance (PHI), 20% of all healthcare expenditure across the OECD is covered by out-of-pocket expenditure (OOPE). This creates an equity concern for the increasing number of individuals with chronic conditions and greater need, particularly if higher need coincides with lower income. Theoretically, individuals may mitigate OOPE risk by purchasing PHI, replacing variable OOPE with fixed expenditure on premiums. Furthermore, if PHI premiums are not risk-rated, PHI may redistribute some of the financial burden from less healthy PHI holders that have greater need to healthier PHI holders that have less need. We investigate if the burden of OOPE for individuals with greater need increases less strongly for individuals with PHI in the Australian healthcare system. The Australian healthcare system provides public health insurance with full, partial, or limited coverage, depending on the healthcare service used, and no risk rating of PHI premiums. Using data from the Household, Income and Labour Dynamics in Australia survey we find that individuals with PHI spend a greater share of their disposable income on OOPE and that the difference in OOPE share between PHI and non-PHI holders increases with greater need and utilisation, contrary to the prediction that PHI may mitigate OOPE. We also show that OOPE is a greater concern for poorer individuals for whom the difference in OOPE by PHI is the greatest.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"33-56"},"PeriodicalIF":2.4,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10960905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41215428","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

Are women breaking the glass ceiling? A gendered analysis of the duration of sick leave in Spain. 妇女正在打破玻璃天花板吗？对西班牙病假持续时间的性别分析。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-03-01 Epub Date: 2023-04-24 DOI: 10.1007/s10754-023-09351-2

Ángel L Martín-Román, Alfonso Moral, Sara Pinillos-Franco

引用次数: 0

Private equity and its effect on patients: a window into the future. 私募股权及其对患者的影响：通向未来的窗口。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2023-12-01 Epub Date: 2022-05-23 DOI: 10.1007/s10754-022-09331-y

Sajith Matthews, Renato Roxas

引用次数: 0

National or local infodemic? The demand for news in Italy during COVID-19. 全国性的还是地方性的?COVID-19期间意大利对新闻的需求。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2023-12-01 Epub Date: 2023-04-17 DOI: 10.1007/s10754-023-09350-3

Stefano Castriota, Marco Delmastro, Mirco Tonin

引用次数: 0

Hospital cost efficiency: an examination of US acute care inpatient hospitals. 医院成本效率:对美国急症住院医院的调查。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2023-09-01 DOI: 10.1007/s10754-023-09356-x

Sebastian Linde

引用次数: 0

Priority setting in the German healthcare system: results from a discrete choice experiment. 德国医疗保健系统的优先级设置:离散选择实验的结果。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2023-09-01 DOI: 10.1007/s10754-023-09347-y

V Meusel, E Mentzakis, P Baji, G Fiorentini, F Paolucci

{"title":"Priority setting in the German healthcare system: results from a discrete choice experiment.","authors":"V Meusel, E Mentzakis, P Baji, G Fiorentini, F Paolucci","doi":"10.1007/s10754-023-09347-y","DOIUrl":"https://doi.org/10.1007/s10754-023-09347-y","url":null,"abstract":"Worldwide, social healthcare systems must face the challenges of a growing scarcity of resources and of its inevitable distributional effects. Explicit criteria are needed to define the boundaries of public reimbursement decisions. As Germany stands at the beginning of such a discussion, more formalised priority setting procedures seem in order. Recent research identified multi-criteria decision analysis (MCDA) as a promising approach to inform and to guide decision-making in healthcare systems. In that regard, this paper aims to analyse the relative weight assigned to various criteria in setting priority interventions in Germany. A discrete choice experiment (DCE) was employed in 2015 to elicit equity and efficiency preferences of 263 decision makers, through six attributes. The experiment allowed us to rate different policy interventions based on their features in a composite league table (CLT). As number of potential beneficiaries, severity of disease, individual health benefits and cost-effectiveness are the most relevant criteria for German decision makers within the sample population, the results display an overall higher preference towards efficiency criteria. Specific high priority interventions are mental disorders and cardiovascular diseases.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"23 3","pages":"411-431"},"PeriodicalIF":2.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10462569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10116083","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

Impact of COVID-19 on hospital screening, diagnosis and treatment activities among prostate and colorectal cancer patients in Canada. COVID-19对加拿大前列腺癌和结直肠癌患者医院筛查、诊断和治疗活动的影响

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2023-09-01 DOI: 10.1007/s10754-023-09342-3

Shin-Haw Lee, Andrew Toye Ojo, Matthew Halat, Nataly Bleibdrey, Steven Zhang, Rob Chalmers, Dan Zimskind

{"title":"Impact of COVID-19 on hospital screening, diagnosis and treatment activities among prostate and colorectal cancer patients in Canada.","authors":"Shin-Haw Lee, Andrew Toye Ojo, Matthew Halat, Nataly Bleibdrey, Steven Zhang, Rob Chalmers, Dan Zimskind","doi":"10.1007/s10754-023-09342-3","DOIUrl":"https://doi.org/10.1007/s10754-023-09342-3","url":null,"abstract":"Background: Suspension of cancer screening and treatment programs were instituted to preserve medical resources and protect vulnerable populations. This research aims to investigate the implications of COVID-19 on cancer management and clinical outcomes for patients with prostate and colorectal cancer in Canada.Methods: We examined hospital cancer screening, diagnosis, treatment, length of stay, and mortality data among prostate and colorectal cancer patients between April 2017 and March 2021. Baseline trends were established with data between April 2017 and March 2020 for comparison with data collected between April 2020 and March 2021. Scenario analyses were performed to assess the incremental capacity requirements needed to restore hospital cancer care capacities to the pre-pandemic levels.Results: For prostate cancer, A 12% decrease in diagnoses and 5.3% decrease in treatment activities were observed during COVID-19 between April 2020 and March 2021. Similarly, a 43% reduction in colonoscopies, 11% decrease in diagnoses and 10% decrease in treatment activities were observed for colorectal cancers. An estimated 1,438 prostate and 2,494 colorectal cancer cases were undiagnosed, resulting in a total of 620 and 1,487 unperformed treatment activities for prostate and colorectal cancers, respectively, across nine provinces in Canada. To clear the backlogs of unperformed treatment procedures will require an estimated 3%-6% monthly capacity increase over the next 6 months.Interpretation: A concerted effort from all stakeholders is required to immediately ameliorate the backlogs of cancer detection and treatment activities. Mitigation measures should be implemented to minimize future interruptions to cancer care in Canada.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"23 3","pages":"345-360"},"PeriodicalIF":2.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10067511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10089254","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

How does the quality of care for type 2 diabetic patients benefit from GPs-nurses' teamwork? A staggered difference-in-differences design based on a French pilot program. 全科医生和护士的团队合作如何提高2型糖尿病患者的护理质量?基于法国试点项目的交错差分设计。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2023-09-01 DOI: 10.1007/s10754-023-09354-z

Julie Gilles de la Londe, Anissa Afrite, Julien Mousquès

{"title":"How does the quality of care for type 2 diabetic patients benefit from GPs-nurses' teamwork? A staggered difference-in-differences design based on a French pilot program.","authors":"Julie Gilles de la Londe, Anissa Afrite, Julien Mousquès","doi":"10.1007/s10754-023-09354-z","DOIUrl":"https://doi.org/10.1007/s10754-023-09354-z","url":null,"abstract":"In many countries, policies have explicitly encouraged primary care teams and inter-professional cooperation and skill mix, as a way to improve both productive efficiency gains and quality improvement. France faces barriers to developing team working as well as new and more advanced roles for health care professionals including nurses. We aim to estimate the impact of a national pilot experiment of teamwork between general practitioners (GPs) and advance practitioners nurses (APN)-who substitute and complement GPs-on yearly quality of care process indicators for type two diabetes patients (T2DP). Implemented by a not-for-profit meso-tier organisation and supported by the Ministry of Health, the pilot relied on the voluntary enrolment of newly GPs from 2012 to 2015; the staffing and training of APNs; skill mixing and new remuneration schemes. We use latent-response formulation models, control for endogeneity and selection bias by using controlled before-after and quasi-experimental design combining coarsened exact matching-prior to the treatment, at both GPs (435 treated vs 973 control) and T2DP levels -, with intention to treat (ITT; 18,310 in each group) and per protocol (PP, 2943 in each group) perspectives, as well as difference-in-differences estimates on balanced panel claims data from the National Health Insurance Fund linked to clinical data over the period 2010-2017. We show evidence of a positive and significant positive impact for T2DP followed-up by newly enrolled GPs in the pilot compared to the pretreatment period and the control group. The effect magnitudes were larger for PP than for ITT subsamples.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"23 3","pages":"433-466"},"PeriodicalIF":2.4,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10098692","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

Finding fraud: enforcement, detection, and recoveries after the ACA. 发现欺诈:ACA实施后的执法、侦查和追回。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2023-09-01 DOI: 10.1007/s10754-023-09357-w

Victoria Perez, Julio A Ramos Pastrana

引用次数: 0

Does the market reward quality? Evidence from India. 市场奖励质量吗?来自印度的证据。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2023-09-01 DOI: 10.1007/s10754-022-09341-w

Zachary Wagner, Somalee Banerjee, Manoj Mohanan, Neeraj Sood

引用次数: 5