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

The impact of state capacity on the cross-country variations in COVID-19 vaccination rates. 国家能力对COVID-19疫苗接种率跨国差异的影响。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-09-01 Epub Date: 2022-01-29 DOI: 10.1007/s10754-021-09319-0

Dragan Tevdovski, Petar Jolakoski, Viktor Stojkoski

{"title":"The impact of state capacity on the cross-country variations in COVID-19 vaccination rates.","authors":"Dragan Tevdovski, Petar Jolakoski, Viktor Stojkoski","doi":"10.1007/s10754-021-09319-0","DOIUrl":"https://doi.org/10.1007/s10754-021-09319-0","url":null,"abstract":"The initial period of vaccination shows strong heterogeneity between countries' vaccinations rollout, both in the terms of the start of the vaccination process and in the dynamics of the number of people that are vaccinated. A predominant thesis for this observation is that a key determinant of the swift and extensive vaccine rollout is state capacity. Here, we utilize two measures that quantify different aspects of the state capacity: (i) the external capacity (measured through the soft power of the country) and (ii) the internal capacity (measured via the country's government effectiveness) and provide an empirical test for their relationship with the coronavirus vaccination outcome in the initial period (up to 31st March 2021). By using data on 128 countries and a two-step Heckman approach, we find that the soft power is a robust determinant of whether a country has started with the vaccination process. In addition, the government effectiveness is a key factor that determines vaccine roll-out. Altogether, our findings are in line with the hypothesis that state capacity determines the observed heterogeneity between countries in the initial period of COVID-19 vaccines rollout. As such, they are a stark reminder for the need for transparent and fair global response regarding fair and equitable availability of vaccines to every country.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"237-255"},"PeriodicalIF":2.4,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8799438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39868599","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: 6

Provider responses to discontinuous tariffs: evidence from Dutch rehabilitation care. 提供者对不连续收费的反应:来自荷兰康复护理的证据。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-09-01 Epub Date: 2022-02-01 DOI: 10.1007/s10754-021-09322-5

Katalin Gaspar, Xander Koolman

{"title":"Provider responses to discontinuous tariffs: evidence from Dutch rehabilitation care.","authors":"Katalin Gaspar, Xander Koolman","doi":"10.1007/s10754-021-09322-5","DOIUrl":"https://doi.org/10.1007/s10754-021-09322-5","url":null,"abstract":"Abrupt jumps in reimbursement tariffs have been shown to lead to unintended effects in physicians' behavior. A sudden change in tariffs at a pre-defined point in the treatment can incentivize health care providers to prolong treatment to reach the higher tariff, and then to discharge patients once the higher tariff is reached. The Dutch reimbursement schedule in hospital rehabilitation care follows a two-threshold stepwise-function based on treatment duration. We investigated the prevalence of strategic discharges around the first threshold and assessed whether their share varies by provider type. Our findings suggest moderate response to incentives by traditional care providers (general and academic hospitals, rehabilitation centers and multicategorical providers), and strong response by profit-oriented independent treatment centers. When examining the variation in response based on the financial position of the organization, we found a higher probability of manipulation among providers in financial distress. Our findings provide multiple insights and possible indicators to identify provider types that may be more prone to strategic behavior.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":" ","pages":"333-354"},"PeriodicalIF":2.4,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9365716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39754837","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: 1

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

The weekend effect in stroke mortality: evidence from Austrian acute care hospitals. 周末对中风死亡率的影响:来自奥地利急症医院的证据。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-06-01 Epub Date: 2021-11-03 DOI: 10.1007/s10754-021-09317-2

Florian Bachner, Martin Zuba

{"title":"The weekend effect in stroke mortality: evidence from Austrian acute care hospitals.","authors":"Florian Bachner, Martin Zuba","doi":"10.1007/s10754-021-09317-2","DOIUrl":"https://doi.org/10.1007/s10754-021-09317-2","url":null,"abstract":"Many studies provide evidence for the so-called weekend effect by demonstrating that patients admitted to hospital during weekends show less favourable outcomes such as increased mortality, compared with similar patients admitted during weekdays. The underlying causes for this phenomenon are still discussed controversially. We analysed factors influencing weekend effects in inpatient care for acute stroke in Austria. The study analysed secondary datasets from all 130 public acute care hospitals in Austria between 2010 and 2014 (Austrian DRG Data). The study cohort included 86,399 patient cases admitted with acute ischaemic stroke. By applying multivariate regression analysis, we tested whether patient, treatment or hospital characteristics drove in-hospital mortality on weekends and national holidays. We found that the risk to die after an admission at weekend was significantly higher compared to weekdays, while the number of admissions following stroke was significantly lower. Adjustment for patient, treatment and hospital characteristics substantially reduced the weekend effect in mortality but did not eliminate it. We conclude that the observed weekend effect could be explained either by lower quality of health care or higher severity of stroke admissions at the weekend. In depth analyses supported the hypothesis of higher stroke severity in weekend patients as seen in other studies. While DRG data is useful to analyse stroke treatment and outcomes, adjustment for case mix and severity is essential.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"22 2","pages":"205-236"},"PeriodicalIF":2.4,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39586955","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

The sensitivity of hospital coding to prices: evidence from Indonesia. 医院编码对价格的敏感性：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 : 2022-06-01 Epub Date: 2021-09-07 DOI: 10.1007/s10754-021-09312-7

Martin Chalkley, Budi Hidayat, Royasia Viki Ramadani, María José Aragón

引用次数: 0

Eliciting relative preferences for the attributes of health insurance schemes among rural consumers in India 引起印度农村消费者对医疗保险计划属性的相对偏好

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-04-08 DOI: 10.1007/s10754-022-09327-8

Mohd. Zuhair, R. Roy

引用次数: 0

Does supplemental private health insurance incentivize household risky financial asset investment? Evidence from the China Household Financial Survey 补充私人健康保险是否激励家庭风险金融资产投资?来自中国家庭金融调查的证据

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-03-31 DOI: 10.1007/s10754-022-09326-9

Si Shi, Yawen Jiang

引用次数: 0

The heterogeneous effects of the great recession on informal care to the elderly 大衰退对老年人非正式护理的异质性影响

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-03-07 DOI: 10.1007/s10754-022-09325-w

Jesus M. Carro, Elizaveta Pronkina

引用次数: 0