International Journal of Health Economics and Management最新文献_第6页

The effect of performance pay incentives on market frictions: evidence from medicare. 绩效薪酬激励对市场摩擦的影响:来自医疗保险的证据。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2023-03-01 DOI: 10.1007/s10754-022-09339-4

Atul Gupta, Guy David, Lucy Kim

引用次数: 0

Pricing behavior in long term care markets: evidence from provider-level data for home help services. 长期护理市场的定价行为:来自家庭帮佣服务提供者层面数据的证据。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2023-03-01 DOI: 10.1007/s10754-022-09334-9

Remco van Eijkel, Mark Kattenberg, Ab van der Torre

引用次数: 0

The influence of strong and weak ties in physician peer networks on new drug adoption. 医师同行网络中强弱关系对新药采用的影响。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2023-03-01 DOI: 10.1007/s10754-022-09335-8

Yong Cai, Mohamed Abouzahra

{"title":"The influence of strong and weak ties in physician peer networks on new drug adoption.","authors":"Yong Cai, Mohamed Abouzahra","doi":"10.1007/s10754-022-09335-8","DOIUrl":"https://doi.org/10.1007/s10754-022-09335-8","url":null,"abstract":"Physicians interact and exchange information through various social networks. Understanding peer effects through different networks can help accelerate new medical technology and innovative treatment adoption. In this research, we measure the influence of strong-tie and weak-tie connections on new drug adoption and study the overlap between advice-discussion and patient-sharing network. We construct two physician networks with strong and weak ties from peer nomination surveys and commercial medical claims data. We design a dynamic system to define peer adoption status and build patient-level hierarchical logistic models to measure the peer influence on new product adoption for treating new-to-therapy patients. Our results show that A strong-tie early adoption peer has six times more influence on new drug adoption than a weak-tie peer. Weak tie peers collectively exert as much or higher influence than strong-tie peers because of the larger network size. In the case of inaccessibility to strong-tie data, researchers can still reliably use the influence of the weak tie data only even though they will lose the effect of the omitted strong ties.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"23 1","pages":"133-147"},"PeriodicalIF":2.4,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10839548","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: 1

Exploring the effectiveness of demand-side retail pharmaceutical expenditure reforms : Cross-country evidence from weighted-average least squares estimation. 探索需求侧零售药品支出改革的有效性:来自加权平均最小二乘估计的跨国证据。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2023-03-01 DOI: 10.1007/s10754-022-09337-6

Michael Berger, Markus Pock, Miriam Reiss, Gerald Röhrling, Thomas Czypionka

{"title":"Exploring the effectiveness of demand-side retail pharmaceutical expenditure reforms : Cross-country evidence from weighted-average least squares estimation.","authors":"Michael Berger, Markus Pock, Miriam Reiss, Gerald Röhrling, Thomas Czypionka","doi":"10.1007/s10754-022-09337-6","DOIUrl":"https://doi.org/10.1007/s10754-022-09337-6","url":null,"abstract":"Increasing expenditures on retail pharmaceuticals bring a critical challenge to the financial stability of healthcare systems worldwide. Policy makers have reacted by introducing a range of measures to control the growth of public pharmaceutical expenditure (PPE). Using panel data on European and non-European OECD member countries from 1990 to 2015, we evaluate the effectiveness of six types of demand-side expenditure control measures including physician-level behaviour measures, system-level price-control measures and substitution measures, alongside a proxy for cost-sharing and add a new dimension to the existing empirical evidence hitherto based on national-level and meta-studies. We use the weighted-average least squares regression framework adapted for estimation with panel-corrected standard errors. Our empirical analysis suggests that direct patient cost-sharing and some-but not all-demand-side measures successfully dampened PPE growth in the past. Cost-sharing schemes stand out as a powerful mechanism to curb PPE growth, but bear a high risk of adverse effects. Other demand-side measures are more limited in effect, though may be more equitable. Due to limitations inherent in the study approach and the data, the results are only explorative.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"23 1","pages":"149-172"},"PeriodicalIF":2.4,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9968684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10854308","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

Discontinuation of performance-based financing in primary health care: impact on family planning and maternal and child health. 停止在初级保健方面按业绩供资:对计划生育和妇幼保健的影响。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2023-03-01 DOI: 10.1007/s10754-022-09333-w

Amira El-Shal, Patricia Cubi-Molla, Mireia Jofre-Bonet

{"title":"Discontinuation of performance-based financing in primary health care: impact on family planning and maternal and child health.","authors":"Amira El-Shal, Patricia Cubi-Molla, Mireia Jofre-Bonet","doi":"10.1007/s10754-022-09333-w","DOIUrl":"https://doi.org/10.1007/s10754-022-09333-w","url":null,"abstract":"Performance-based financing (PBF) is advocated as an effective means to improve the quality of care by changing healthcare providers' behavior. However, there is limited evidence on its effectiveness in low- and middle-income countries and on its implementation in primary care settings. Evidence on the effect of discontinuing PBF is even more limited than that of introducing PBF schemes. We estimate the effects of discontinuing PBF in Egypt on family planning, maternal health, and child health outcomes. We use a difference-in-differences (DiD) model with fixed effects, exploiting a unique dataset of six waves of spatially constructed facility-level health outcomes. We find that discontinuing performance-based incentives to providers had a negative effect on the knowledge of contraceptive methods, iron supplementation during pregnancy, the prevalence of childhood acute respiratory infection, and, more importantly, under-five child mortality, all of which were indirectly targeted by the PBF scheme. No significant effects are reported for directly targeted outcomes. Our findings suggest that PBF can induce permanent changes in providers' behavior, but this may come at the expense of non-contracted outcomes.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"23 1","pages":"109-132"},"PeriodicalIF":2.4,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9115741/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10802582","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: 2

Catastrophic health expenditure and its determinants among Nigerian households. 尼日利亚家庭的灾难性卫生支出及其决定因素。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-12-01 Epub Date: 2022-02-14 DOI: 10.1007/s10754-022-09323-y

Ryoko Sato

{"title":"Catastrophic health expenditure and its determinants among Nigerian households.","authors":"Ryoko Sato","doi":"10.1007/s10754-022-09323-y","DOIUrl":"https://doi.org/10.1007/s10754-022-09323-y","url":null,"abstract":"Health expenditure can be substantial, especially in countries without national health insurance schemes, and it can negatively affect people's welfare. This study uses recent data to evaluate the extent to which Nigerian households suffer from catastrophic health expenditure (CHE) and evaluates its determinants. We used the Living Standards Survey 2018-2019 to estimate the headcount of Nigerian households that experience CHE-the proportion of health expenditures exceeding a certain ratio of such expenditures to non-food expenditures. To evaluate the determinants of CHE, we used ordinary least square regression with state fixed effects. The total sample was 22,110 nationally representative households. Many households, especially poorer ones, do not have any health care expenses; only 60.6% of the poorest households had some health-related expenditure. Even with the limited health-seeking behaviors in this demographic, the percentage of households that suffered from CHE was very high: with a 15% cutoff for CHE thresholds, 34.9 to 44.2% of households experienced CHE. Lower education, higher non-food consumption, and rural residence were correlated with higher amounts of health expenditure and higher odds of CHE. Health-seeking behaviors such as clinic visits for sickness treatment and prevention are limited, especially among the poorer households. Even so, the headcount of households experiencing CHE is very high in Nigeria. Advancing the implementation of national health insurance scheme is important to reduce the burden of health expenditure, especially among the poor, as well as to remove financial barriers to their seeking adequate health services.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"22 4","pages":"459-470"},"PeriodicalIF":2.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39779025","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

Competition and physician-induced demand in a healthcare market with regulated price: evidence from Ghana. 价格管制的医疗保健市场中的竞争和医生诱导的需求:来自加纳的证据。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-09-01 DOI: 10.1007/s10754-021-09320-7

Adolf Kwadzo Dzampe, Shingo Takahashi

引用次数: 8

Predicting diagnostic coding in hospitals: individual level effects of price incentives. 预测医院诊断编码:价格激励的个体水平效应。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-06-01 Epub Date: 2021-10-06 DOI: 10.1007/s10754-021-09314-5

Kjartan Sarheim Anthun

{"title":"Predicting diagnostic coding in hospitals: individual level effects of price incentives.","authors":"Kjartan Sarheim Anthun","doi":"10.1007/s10754-021-09314-5","DOIUrl":"https://doi.org/10.1007/s10754-021-09314-5","url":null,"abstract":"The purpose of this paper is to test if implicit price incentives influence the diagnostic coding of hospital discharges. We estimate if the probability of being coded as a complicated patient was related to a specific price incentive. This paper tests empirically if upcoding can be linked to shifts in patient composition through proxy measures such as age composition, length of stay, readmission rates, mortality- and morbidity of patients. Data about inpatient episodes in Norway in all specialized hospitals in the years 1999-2012 were collected, N = 11 065 330. We examined incentives present in part of the hospital funding system. First, we analyse trends in the proxy measures of diagnostic upcoding: can hospital behavioural changes be seen over time with regards to age composition, readmission rates, length of stay, comorbidity and mortality? Secondly, we examine specific patient groups to see if variations in the price incentive are related to probability of being coded as complicated. In the first years (1999-2003) there was an observed increase in the share of episodes coded as complicated, while the level has become more stable in the years 2004-2012. The analysis showed some indications of upcoding. However, we found no evidence of widespread upcoding fuelled by implicit price incentive, as other issues such as patient characteristics seem to be more important than the price differences. This study adds to previous research by testing individual level predictions. The added value of such analysis is to have better case mix control. We observe the presence of price effects even at individual level.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"22 2","pages":"129-146"},"PeriodicalIF":2.4,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9090893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39489043","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: 2

Temporary and persistent overweight and long-term labor market outcomes. 暂时和持续的超重和长期的劳动力市场后果。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-06-01 Epub Date: 2021-11-09 DOI: 10.1007/s10754-021-09315-4

Liisa T Laine, Ari Hyytinen

引用次数: 1

State minimum wages and health insurance coverage in the United States: 2008-2018. 美国各州最低工资和医疗保险覆盖率:2008-2018年。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-06-01 Epub Date: 2021-09-08 DOI: 10.1007/s10754-021-09313-6

Masanori Kuroki

引用次数: 1