International Journal of Health Economics and Management最新文献_第9页

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

The impact of the repeal of the federal individual insurance mandate on uninsurance 废除联邦个人保险强制令对无保险人群的影响

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-03-01 DOI: 10.1007/s10754-022-09324-x

Aparna Soni

引用次数: 0

Willingness to give amid pandemics: a contingent valuation of anticipated nongovernmental immunization programs. 大流行病中的捐赠意愿：对预期非政府免疫计划的或有估价。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-03-01 Epub Date: 2021-06-11 DOI: 10.1007/s10754-021-09309-2

William F Vásquez, Jennifer M Trudeau

引用次数: 0

Impact of implementation of the Dependency Act on the Spanish economy: an analysis after the 2008 financial crisis. 实施抚养法案对西班牙经济的影响:2008年金融危机后的分析。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-03-01 Epub Date: 2021-08-04 DOI: 10.1007/s10754-021-09310-9

Raúl Del Pozo-Rubio, Fernando Bermejo-Patón, Pablo Moya-Martínez

{"title":"Impact of implementation of the Dependency Act on the Spanish economy: an analysis after the 2008 financial crisis.","authors":"Raúl Del Pozo-Rubio, Fernando Bermejo-Patón, Pablo Moya-Martínez","doi":"10.1007/s10754-021-09310-9","DOIUrl":"https://doi.org/10.1007/s10754-021-09310-9","url":null,"abstract":"The aim of this paper is to assess the industry-wide impact of Long-Term Care (LTC) spending on the Spanish economy. LTC spending includes beneficiaries' copayment and the impact is quantified in terms of output, employment and value added. To this purpose, we use an input-output model of the Spanish economy that allows us to further describe how the value added generated is distributed throughout the economy according to the existing benefit-mix (in kind services, cash benefit for informal care and cash benefit for personal assistance). Additionally, the model provides results on how the return on LTC spending would improve by using only in-kind services instead of the benefit mix currently in place. The 2012 Spanish Input-Output Table at current prices was extracted from the WIOD Database's 2016 Release. Consumption data for dependent, employed, and unemployed households were collected from the Spanish Household Budget Survey for 2012. The findings reveal that the total annual costs are 7,205.43 million €, with total costs from in-kind services being almost 71% higher than total costs from cash benefits. Each million euros invested in in-kind services and CBPA would create 41.91 jobs (68.41% direct, 9.16% indirect and 22.43% induced). However, each million euros spent on cash benefits would result in 16.88 jobs overall (53.02% direct, 24.53% indirect and 22.45% induced). The total number of jobs is 151,353 at the aggregate level, being 46,840 depending on cash-benefits and 104,513 on in-kind services.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"22 1","pages":"111-128"},"PeriodicalIF":2.4,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8336904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39277799","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

Opioid and non-opioid analgesic prescribing before and after the CDC's 2016 opioid guideline. 疾病预防控制中心 2016 年阿片类药物指南发布前后的阿片类药物和非阿片类药物镇痛处方。

IF 1.5 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-03-01 Epub Date: 2021-05-08 DOI: 10.1007/s10754-021-09307-4

William Encinosa, Didem Bernard, Thomas M Selden

{"title":"Opioid and non-opioid analgesic prescribing before and after the CDC's 2016 opioid guideline.","authors":"William Encinosa, Didem Bernard, Thomas M Selden","doi":"10.1007/s10754-021-09307-4","DOIUrl":"10.1007/s10754-021-09307-4","url":null,"abstract":"The U.S. has addressed the opioid crisis using a two-front approach: state regulations limiting opioid prescriptions for acute pain patients, and voluntary federal CDC guidelines on shifting chronic pain patients to lower opioid doses and non-opioids. No opioid policy research to date has accounted for this two-pronged approach in their research design. We develop a theory of physician prescribing behavior under this two-pronged incentive structure. Using the Medical Expenditure Panel Survey, we empirically corroborate the theory: regulations and guidelines have the intended effects of reducing opioid prescriptions for acute and chronic pain, respectively, as well as the predicted unintended effects-income effects cause regulations on acute pain treatment to increase chronic pain opioid prescriptions and the chronic pain treatment guidelines spillover to reduce opioids for acute pain. Moreover, we find that the guidelines worked as intended in terms of the reduced usage, with chronic pain patients shifting to non-opioids and also tapering opioid doses. For those who discontinued opioids under regulations and guidelines, we find no harm in terms of increased work limitations due to pain a year after discontinuing opioids. Finally, we observe an unexplained dichotomy-regulations reduce opioid use by causing fewer new starts, whereas guidelines reduce opioid use by discontinuing current users, with no impact on new starts.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"22 1","pages":"1-52"},"PeriodicalIF":1.5,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8105705/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38961875","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

Does an upward intergenerational educational spillover effect exist? The effect of children's education on Chinese parents' health. 是否存在向上的代际教育溢出效应?儿童教育对中国父母健康的影响。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2022-03-01 Epub Date: 2021-08-20 DOI: 10.1007/s10754-021-09308-3

Ning Wei, Lülin Zhou, Wenhao Huang

{"title":"Does an upward intergenerational educational spillover effect exist? The effect of children's education on Chinese parents' health.","authors":"Ning Wei, Lülin Zhou, Wenhao Huang","doi":"10.1007/s10754-021-09308-3","DOIUrl":"https://doi.org/10.1007/s10754-021-09308-3","url":null,"abstract":"Background: Research on the presence of an upward spillover effect of children's education on parental health is rapidly developing. However, there are certain differences in the conclusions of relevant studies, and no consistent viewpoint has been reached.Methods: Using the exogenous differences in education generated by the expansion of higher education enrollment that China implemented as a reform in 1999, we analyze this issue by studying the effect of children's higher education on their parents' health.Results: The instrumental variable (IV) estimation results show that children who received higher education have a significant and positive effect on the physical health of their parents. Compared with the ordinary least squares (OLS) estimation results, the coefficient of the effect of children receiving higher education is larger in the IV estimation.Conclusions: Children's education can generate a significant active effect on parental health, affecting parental physical health via its effect on parental health cognition and health behaviors. Based on heterogeneity analyses, the effect of a son's education on parental health is more significant than the effect of a daughter's education, and among rural children, higher education has a more significant effect on parental health.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"22 1","pages":"69-89"},"PeriodicalIF":2.4,"publicationDate":"2022-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09308-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39328939","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