International Journal of Health Economics and Management最新文献_第8页

Racial disparities in health care utilization, the affordable care act and racial concordance preference. 医疗保健利用中的种族差异、平价医疗法案与种族一致性偏好。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-03-01 Epub Date: 2021-08-24 DOI: 10.1007/s10754-021-09311-8

Alyson Ma, Alison Sanchez, Mindy Ma

{"title":"Racial disparities in health care utilization, the affordable care act and racial concordance preference.","authors":"Alyson Ma, Alison Sanchez, Mindy Ma","doi":"10.1007/s10754-021-09311-8","DOIUrl":"https://doi.org/10.1007/s10754-021-09311-8","url":null,"abstract":"The Affordable Care Act was implemented with the aim of increasing coverage and affordable access with hopes of improving health outcomes and reducing costs. Yet, disparities persist. Coverage and affordable access alone cannot explain the health care gap between racial/ethnic minorities and white patients. Instead, the focus has turned to other factors affecting utilization rates such as the patient-provider relationship. Data from nationally represented U.S. households in 2009-2017 were used to study the association between patient-provider social distance as measured by \"racial/ethnic concordance\" and health care utilization rates for periods covering pre- and post-ACA. Despite the reduction in financial barriers to health access with the implementation of the ACA, the correlation between racial/ethnic concordance and utilization remains positive and significant. The results suggest that while the ACA may have improved coverage and affordability, other dimensions of access, particularly acceptability, as measured by patient-provider clinical interaction experience, remains a factor in the decision to utilize care.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"22 1","pages":"91-110"},"PeriodicalIF":2.4,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09311-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39339525","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: 12

Impacts of insurance expansion on health cost, health access, and health behaviors: evidence from the medicaid expansion in the US. 扩大保险范围对医疗费用、医疗机会和健康行为的影响：美国医疗补助扩大的证据。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-12-01 Epub Date: 2021-05-02 DOI: 10.1007/s10754-021-09306-5

Prabal K De

引用次数: 0

An economic analysis of a wearable patient sensor for preventing hospital-acquired pressure injuries among the acutely ill patients. 预防急性病人医院获得性压力损伤的可穿戴病人传感器的经济分析。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-12-01 Epub Date: 2021-04-09 DOI: 10.1007/s10754-021-09304-7

Leo Nherera, Barrett Larson, Annemari Cooley, Patrick Reinhard

{"title":"An economic analysis of a wearable patient sensor for preventing hospital-acquired pressure injuries among the acutely ill patients.","authors":"Leo Nherera, Barrett Larson, Annemari Cooley, Patrick Reinhard","doi":"10.1007/s10754-021-09304-7","DOIUrl":"https://doi.org/10.1007/s10754-021-09304-7","url":null,"abstract":"More than 2.5 million people in the United States develop pressure injuries annually, which are one of the most common complications occurring in hospitals. Despite being common, hospital-acquired pressure injuries (HAPIs) are largely considered preventable by regular patient turning. Although current methodologies to prompt on-time repositioning have limited efficacy, a wearable patient sensor has been shown to optimize turning practices and improve clinical outcomes. The purpose of this study was to assess the cost-effectiveness of patient-wearable sensor in the prevention of HAPIs in acutely ill patients when compared to standard practice alone. A decision analytic model was developed to simulate the expected costs and outcomes from the payer's perspective using data from published literature, including a recently published randomized controlled trial. Both univariate and probabilistic sensitivity analysis were conducted. The patient-wearable sensor was found to be cost saving (dominant). It resulted in better clinical outcomes (77% reduction in HAPIs) compared to standard care and an expected cost savings of $6,621 per patient over a one-year period. Applying the model to a cohort of 1,000 patients, an estimated 203 HAPIs would be avoided with annualized cost reduction of $6,222,884 through all patient treatment settings. The probabilistic analysis returned similar results. In conclusion, the patient-wearable sensor was found to be cost-effective in the prevention of HAPIs and cost-saving to payers and hospitals. These results suggest that patient-wearable sensors should be considered as a cost-effective alternative to standard care in the prevention of HAPIs.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 4","pages":"457-471"},"PeriodicalIF":2.4,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09304-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25575945","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

The incidence of the healthcare costs of chronic conditions. 慢性病医疗费用的发生率。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-12-01 Epub Date: 2021-05-04 DOI: 10.1007/s10754-021-09305-6

Kyung Min Lee, Chanup Jeung

引用次数: 0

The impact of the non-essential business closure policy on Covid-19 infection rates. 非必要停业政策对新冠肺炎感染率的影响

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-12-01 Epub Date: 2021-04-01 DOI: 10.1007/s10754-021-09302-9

Hummy Song, Ryan McKenna, Angela T Chen, Guy David, Aaron Smith-McLallen

{"title":"The impact of the non-essential business closure policy on Covid-19 infection rates.","authors":"Hummy Song, Ryan McKenna, Angela T Chen, Guy David, Aaron Smith-McLallen","doi":"10.1007/s10754-021-09302-9","DOIUrl":"https://doi.org/10.1007/s10754-021-09302-9","url":null,"abstract":"In response to the Covid-19 pandemic, many localities instituted non-essential business closure orders, keeping individuals categorized as essential workers at the frontlines while sending their non-essential counterparts home. We examine the extent to which being designated as an essential or non-essential worker impacts one's risk of being Covid-positive following the non-essential business closure order in Pennsylvania. We also assess the intrahousehold transmission risk experienced by their cohabiting family members and roommates. Using a difference-in-differences framework, we estimate that workers designated as essential have a 55% higher likelihood of being positive for Covid-19 than those classified as non-essential; in other words, non-essential workers experience a protective effect. While members of the health care and social assistance subsector contribute significantly to this overall effect, it is not completely driven by them. We also find evidence of intrahousehold transmission that differs in intensity by essential status. Dependents cohabiting with an essential worker have a 17% higher likelihood of being Covid-positive compared to those cohabiting with a non-essential worker. Roommates cohabiting with an essential worker experience a 38% increase in likelihood of being Covid-positive. Analysis of households with a Covid-positive member suggests that intrahousehold transmission is an important mechanism driving these effects.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 4","pages":"387-426"},"PeriodicalIF":2.4,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09302-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25537311","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: 23

Non-profit hospital mergers: the effect on healthcare costs and utilization. 非营利性医院合并:对医疗成本和利用的影响。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-12-01 Epub Date: 2021-04-05 DOI: 10.1007/s10754-021-09303-8

Maysam Rabbani

引用次数: 6

Respiratory rehabilitation to improve quality of life in patients survived after COVID infection 呼吸康复改善COVID感染后存活患者的生活质量

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-11-09 DOI: 10.14748/hem.v21i1.8094

Nikolay Nedev

{"title":"Respiratory rehabilitation to improve quality of life in patients survived after COVID infection","authors":"Nikolay Nedev","doi":"10.14748/hem.v21i1.8094","DOIUrl":"https://doi.org/10.14748/hem.v21i1.8094","url":null,"abstract":"Резюме Дихателната рехабилитация е важен етап от комплексното лечение на пациентите, които са преживели ковидинфекцията, но все още не са се възстановили напълно. Нерядко протрахираните оплаквания от задух, мускулна слабост и лесна умора правят болния временно, дори и трайно неработоспособен и дългосрочно влошават качеството му на живот. Участието на специалисти по физикална терапия и по рехабилитация в общия план на медицинската грижа след ковидинфекция е от съществено значение, предвид необходимостта от съставяне на рехабилитационен план, съобразен с индивидуалните потребности. Целта на статията е да изследва и представи възможностите на дихателната рехабилитация след преживяна ковидинфекция. Извежда се положителният ефект от рехабилитацията посредством оптимизиране на физическия работен капацитет и предотвратяване на животозастрашаващи усложнения. Обучението на пациентите и техните близки в дейностите от индивидуалния рехабилитационен план гарантира ефективното продължаване на дихателната рехабилитация в дома. Ключови думи: ковидинфекция, рехабилитация, физиотерапевти, качество на живот","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"34 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76362449","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 consultation of patients in choosing phytopreparations and food supplements 患者选择植物修复剂和食物补充剂的咨询

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-11-09 DOI: 10.14748/hem.v21i1.8095

Denitsa Grozdeva, Yoana Rosenova

引用次数: 0

Management of the process of blood and blood components supply in a pandemic situation in the Northeast region 大流行情况下东北地区血液和血液成分供应过程的管理

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-11-09 DOI: 10.14748/hem.v21i1.8092

J. Ivanova

引用次数: 0

Behavioral models for enhancing health-related habits in patients and society 增强患者和社会健康相关习惯的行为模型

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-11-09 DOI: 10.14748/hem.v21i1.8096

Kristin Kaloyanova, N. Mihaylov

{"title":"Behavioral models for enhancing health-related habits in patients and society","authors":"Kristin Kaloyanova, N. Mihaylov","doi":"10.14748/hem.v21i1.8096","DOIUrl":"https://doi.org/10.14748/hem.v21i1.8096","url":null,"abstract":"Introduction: Every practicing therapist encounters varius types of barriers when attempting to influence and change the health habits of their patients. In this theoretical review we examine several theoretical models that can serve health professionals in helping patients to develop new healthy behaviors and habits. Materials and Methods: A reseach and review of theoretical and empirical literature on health behavior and interventions was performed. Three fundamental models were identified, compared, described and evaluated in the present text. Theories and Models of Changing Health Behavior: As a general trend there is an increased recognition of the value of the evidence base of health-related interventions. An important task and challenge is to understand health behavior and turn theory into effective strategies for health improvement. Ecological models posit that factors at multiple levels – intrapersonal, interpersonal, organizational, community, political – influence health behavior with varying impact. Social cognitive models focus on the interactions among behavior, personal cognitive factors, and social-ecological forces in a reciprocal system. The Transtheoretical model examines the individual decisions of an individual with regard to their health as a process of a conscious change in thinking and actions. Conclusion: The reviewed models can complement each other and in the right combinations may help the attainment of impactful changes in health-related behaviors and quality of life.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"70 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89981298","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