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

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

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":"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.","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

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

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":"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.","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":"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.","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

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

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":"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.","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

Deprivation as a fundamental cause of morbidity and reduced life expectancy: an observational study using German statutory health insurance data 贫困是发病率和预期寿命缩短的根本原因：利用德国法定医疗保险数据进行的观察研究

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2024-04-05 DOI: 10.1007/s10754-024-09374-3

Danny Wende, Alexander Karmann, Ines Weinhold

{"title":"Deprivation as a fundamental cause of morbidity and reduced life expectancy: an observational study using German statutory health insurance data","authors":"Danny Wende, Alexander Karmann, Ines Weinhold","doi":"10.1007/s10754-024-09374-3","DOIUrl":"https://doi.org/10.1007/s10754-024-09374-3","url":null,"abstract":"Across all developed countries, there is a steep life expectancy gradient with respect to deprivation. This paper provides a theoretical underpinning for this gradient in line with the Grossman model, indicating that deprivation affects morbidity and, consequently, life expectancy in three ways: directly from deprivation to morbidity, and indirectly through lower income and a trade-off between investments in health and social status. Using rich German claims data covering 6.3 million insured people over four years, this paper illustrates that deprivation increases morbidity and reduces life expectancy. It was estimated that highly deprived individuals had approximately two more chronic diseases and a life expectancy reduced by 15 years compared to the least deprived individuals. This mechanism of deprivation is identified as fundamental, as deprived people remain trapped in their social status, and this status results in health investment decisions that affect long-term morbidity. However, in the German setting, the income and investment paths of the effects of deprivation were of minor relevance due to the broad national coverage of its SHI system. The most important aspects of deprivation were direct effects on morbidity, which accumulate over the lifespan. In this respect, personal aspects, such as social status, were found to be three times more important than spatial aspects, such as area deprivation.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"181 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140572891","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