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

On the need for legal regulation of acupuncture practice in the Bulgarian context 关于在保加利亚背景下针灸实践的法律法规的必要性

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-11-09 DOI: 10.14748/hem.v21i1.8093

P. Mancheva, Denitsa Grozdeva

引用次数: 0

Providers preferences towards greater patient health benefit is associated with higher quality of care. 提供者倾向于为患者带来更大的健康益处，这与更高的护理质量有关。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-09-01 Epub Date: 2021-06-04 DOI: 10.1007/s10754-021-09298-2

Seema Kacker, Tin Aung, Dominic Montagu, David Bishai

{"title":"Providers preferences towards greater patient health benefit is associated with higher quality of care.","authors":"Seema Kacker, Tin Aung, Dominic Montagu, David Bishai","doi":"10.1007/s10754-021-09298-2","DOIUrl":"https://doi.org/10.1007/s10754-021-09298-2","url":null,"abstract":"Standard theories of health provider behavior suggest that providers are motivated by both profit and an altruistic interest in patient health benefit. Detailed empirical data are seldom available to measure relative preferences between profit and patient health outcomes. Furthermore, it is difficult to empirically assess how these relative preferences affect quality of care. This study uses a unique dataset from rural Myanmar to assess heterogeneous preferences toward treatment efficacy relative to provider profit and the impact of these preferences on the quality of provider diagnosis and treatment. Using conjoint survey data from 187 providers, we estimated the marginal utilities of higher treatment efficacy and of higher profit, and the marginal rate of substitution between these outcomes. We also measured the quality of diagnosis and treatment for malaria among these providers using a previously validated observed patient simulation. There is substantial heterogeneity in providers' utility from treatment efficacy versus utility from higher profits. Higher marginal utility from treatment efficacy is positively associated with the quality of treatment among providers, and higher marginal utility from profit are negatively associated with quality of diagnosis. We found no consistent effect of the ratio of marginal utility of efficacy vs marginal utility of profit on quality of care. Our findings suggest that providers vary in their preferences towards profit and treatment efficacy, with those providers that place greater weight on treatment efficacy providing higher quality of care.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 3","pages":"271-294"},"PeriodicalIF":2.4,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09298-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39060942","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

Public-private differentials in health care delivery: the case of cesarean deliveries in Algeria. 保健服务的公私差别:阿尔及利亚剖宫产的案例。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-09-01 Epub Date: 2021-03-30 DOI: 10.1007/s10754-021-09300-x

Ahcène Zehnati, Marwân-Al-Qays Bousmah, Mohammad Abu-Zaineh

{"title":"Public-private differentials in health care delivery: the case of cesarean deliveries in Algeria.","authors":"Ahcène Zehnati, Marwân-Al-Qays Bousmah, Mohammad Abu-Zaineh","doi":"10.1007/s10754-021-09300-x","DOIUrl":"https://doi.org/10.1007/s10754-021-09300-x","url":null,"abstract":"Akin to other developing countries, Algeria has witnessed an increasing role of the private health sector in the past two decades. Our study sheds light on the public-private overlap and the phenomenon of physician dual practice in the provision of health care services using the particular case of cesarean deliveries in Algeria. Existing studies have reported that, compared to the public sector, delivering in a private health facility increases the risk of enduring a cesarean section. While confirming this result for the case of Algeria, our study also reveals the existence of public-private differentials in the effect of medical variables on the probability of cesarean delivery. After controlling for selection in both sectors, we show that cesarean deliveries in the private sector tend to be less medically justified compared with those taking place in the public sector, thus, potentially leading to maternal and neonatal health problems. As elsewhere, the contribution of the private health sector to the unmet need for health care in Algeria hinges on an appropriate legal framework that better coordinates the activities of the two sectors and reinforces their complementarity.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 3","pages":"367-385"},"PeriodicalIF":2.4,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09300-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25532805","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

Cost-efficiency in the patient centered medical home model: New evidence from federally qualified health centers. 以病人为中心的医疗家庭模式的成本效益:来自联邦合格医疗中心的新证据。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-09-01 Epub Date: 2021-02-27 DOI: 10.1007/s10754-021-09295-5

Sudip Chattopadhyay

{"title":"Cost-efficiency in the patient centered medical home model: New evidence from federally qualified health centers.","authors":"Sudip Chattopadhyay","doi":"10.1007/s10754-021-09295-5","DOIUrl":"https://doi.org/10.1007/s10754-021-09295-5","url":null,"abstract":"This research analyzes the cost-efficiency of the Patient Centered Medical Home (PCMH) model vis-à-vis the traditional care delivery model in the Federally Qualified Health Centers (FQHC). We apply the three-stage least squares modeling approach on 2014 UDS data on all FQHCs to estimate per-visit and per-patient cost functions. Log-quadratic and linear-quadratic functional forms of cost are used for the analysis. The estimated models reveal substantial scale economies and cost advantages associated with PCMH status. Aggregate cost-saving impact of PCMH across all FQHCs in 2014 is estimated to be $1.05 billion. Simulations reveal that the PCMH impact on cost savings grows with the size of the patient population. Reaching the full cost-saving potential in PCMH-recognized FQHCs hinges on expanding the health workforce at all levels of care to meet the need of the growing patient population due to aging and Medicaid expansion. For FQHCs that are not PCMH-recognized, capacity/infrastructural expansion appears to be the immediate policy choice.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 3","pages":"295-316"},"PeriodicalIF":2.4,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09295-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25417862","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: 2

Wealth and the utilization of long-term care services: evidence from the United States. 财富与长期护理服务的利用:来自美国的证据。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-09-01 Epub Date: 2021-03-30 DOI: 10.1007/s10754-021-09299-1

Jing Dong, Daifeng He, John A Nyman, R Tamara Konetzka

{"title":"Wealth and the utilization of long-term care services: evidence from the United States.","authors":"Jing Dong, Daifeng He, John A Nyman, R Tamara Konetzka","doi":"10.1007/s10754-021-09299-1","DOIUrl":"https://doi.org/10.1007/s10754-021-09299-1","url":null,"abstract":"Long-term care (LTC) provision and financing has become a major challenge for policymakers in the United States and worldwide. To inform associated policies and more efficiently allocate LTC resources, it is important to understand how demand for different types of LTC services responds to increased wealth. We use data from the United States Health and Retirement Study to examine the use of LTC services following plausibly exogenous positive shocks to wealth. We further account for time-invariant household-level characteristics, including the expectation of a wealth shock at an unknown future time, by employing household fixed effects. We find that large positive wealth shocks lead to a greater probability of purchase of paid home care but not of nursing home care. Our results imply that expanding home and community-based services and insurance coverage of home care for people without sufficient wealth is likely to be efficient and welfare improving and should be considered by policymakers.Please confirm if the author names are presented accurately and in the correct sequence (given name, middle name/initial, family name). Author 4 Given name: [R. Tamara] Last name: [Konetzka]. Also, kindly confirm the details in the metadata are correct.confirmedPlease confirm the city are correct and amend if necessary in Affiliations 1, 2, 3, 4.confirmed.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 3","pages":"345-366"},"PeriodicalIF":2.4,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09299-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25540494","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: 2

Determinants of prepaid systems of healthcare financing: a worldwide country-level perspective. 医疗融资预付系统的决定因素:全球国家层面的观点。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-09-01 Epub Date: 2021-03-31 DOI: 10.1007/s10754-021-09301-w

Andrea M Leiter, Engelbert Theurl

{"title":"Determinants of prepaid systems of healthcare financing: a worldwide country-level perspective.","authors":"Andrea M Leiter, Engelbert Theurl","doi":"10.1007/s10754-021-09301-w","DOIUrl":"https://doi.org/10.1007/s10754-021-09301-w","url":null,"abstract":"In this paper we examine determinants of prepaid modes of health care financing in a worldwide cross-country perspective. We use three different indicators to capture the role of prepaid modes in health care financing: (i) the share of total prepaid financing as percent of total current health expenditures, (ii) the share of voluntary prepaid financing as percent of total prepaid financing, and (iii) the share of compulsory health insurance as percent of total compulsory prepaid financing. In the econometric analysis, we refer to a panel data set comprising 154 countries and covering the time period 2000-2015. We apply a static as well as a dynamic panel data model. We find that the current structure of prepaid financing is significantly determined by its different forms in the past. The significant influence of GDP per capita, governmental revenues, the agricultural value added, development assistance for health, degree of urbanization and regulatory quality varies depending on the financing structure we look at. The share of the elderly and the education level are only of minor importance for explaining the variation in a country's share of prepaid health care financing. The importance of the mentioned variables as determinants for prepaid health care financing also varies depending on the countries' socio-economic development. From our analysis we conclude that more detailed information on indicators which reflect the distribution of individual characteristics (such as income, family size and structure and health risks) within a country's population would be needed to gain deeper insight into the decisive determinants for prepaid health care financing.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 3","pages":"317-344"},"PeriodicalIF":2.4,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09301-w","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25552196","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

Impact of community-based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach. 社区医疗保险对乌干达农村地区利用预防性医疗服务的影响：倾向得分匹配法。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-06-01 Epub Date: 2021-02-10 DOI: 10.1007/s10754-021-09294-6

Emmanuel Nshakira-Rukundo, Essa Chanie Mussa, Nathan Nshakira, Nicolas Gerber, Joachim von Braun

{"title":"Impact of community-based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach.","authors":"Emmanuel Nshakira-Rukundo, Essa Chanie Mussa, Nathan Nshakira, Nicolas Gerber, Joachim von Braun","doi":"10.1007/s10754-021-09294-6","DOIUrl":"10.1007/s10754-021-09294-6","url":null,"abstract":"The effect of voluntary health insurance on preventive health has received limited research attention in developing countries, even when they suffer immensely from easily preventable illnesses. This paper surveys households in rural south-western Uganda, which are geographically serviced by a voluntary Community-based health insurance scheme, and applied propensity score matching to assess the effect of enrolment on using mosquito nets and deworming under-five children. We find that enrolment in the scheme increased the probability of using a mosquito net by 26% and deworming by 18%. We postulate that these findings are partly mediated by information diffusion and social networks, financial protection, which gives households the capacity to save and use service more, especially curative services that are delivered alongside preventive services. This paper provides more insight into the broader effects of health insurance in developing countries, beyond financial protection and utilisation of hospital-based services.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 2","pages":"203-227"},"PeriodicalIF":2.4,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8192361/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25355674","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

Choice, quality and patients' experience: evidence from a Finnish physiotherapy service. 选择、质量和患者体验:来自芬兰物理治疗服务的证据。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-06-01 Epub Date: 2021-01-19 DOI: 10.1007/s10754-020-09293-z

Visa Pitkänen, Ismo Linnosmaa

{"title":"Choice, quality and patients' experience: evidence from a Finnish physiotherapy service.","authors":"Visa Pitkänen, Ismo Linnosmaa","doi":"10.1007/s10754-020-09293-z","DOIUrl":"https://doi.org/10.1007/s10754-020-09293-z","url":null,"abstract":"We study the relationship between patient choices and provider quality in a rehabilitation service for disabled patients who receive the service frequently but do not have access to quality information. Previous research has found a positive relationship between patient choices and provider quality in health services that patients typically do not have previous experience or use frequently. We contribute by examining choices of new patients and experienced patients who were either forced to switch or actively switched their provider. In the analysis, we combine register data on patients' choices and switches with provider quality data from a competitive bidding, and estimate conditional logit choice models. The results show that all patients prefer high-quality providers within short distances. We find that the willingness to travel for quality is highest among new patients and active switchers. These results suggest that new patients and active switchers compare different alternatives more thoroughly, whereas forced switchers choose their new provider in limited time leading into poorer choices.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 2","pages":"229-245"},"PeriodicalIF":2.4,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-020-09293-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38840001","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

Geographic variation in Part B reimbursement and physician offsetting behavior: a physician matching approach. B部分报销和医生补偿行为的地域差异:医生匹配方法。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-06-01 Epub Date: 2021-03-18 DOI: 10.1007/s10754-021-09297-3

Christopher S Brunt, Joshua R Hendrickson

引用次数: 4

The association of insurance plan characteristics with physician patient-sharing network structure. 保险计划特征与医患共享网络结构的关系。

IF 2.4 4区经济学

International Journal of Health Economics and Management Pub Date : 2021-06-01 Epub Date: 2021-02-26 DOI: 10.1007/s10754-021-09296-4

Kimberley H Geissler, Benjamin Lubin, Keith M Marzilli Ericson

{"title":"The association of insurance plan characteristics with physician patient-sharing network structure.","authors":"Kimberley H Geissler, Benjamin Lubin, Keith M Marzilli Ericson","doi":"10.1007/s10754-021-09296-4","DOIUrl":"https://doi.org/10.1007/s10754-021-09296-4","url":null,"abstract":"Professional and social connections among physicians impact patient outcomes, but little is known about how characteristics of insurance plans are associated with physician patient-sharing network structure. We use information from commercially insured enrollees in the 2011 Massachusetts All Payer Claims Database to construct and examine the structure of the physician patient-sharing network using standard and novel social network measures. Using regression analysis, we examine the association of physician patient-sharing network measures with an indicator of whether a patient is enrolled in a health maintenance organization (HMO) or preferred provider organization (PPO), controlling for patient and insurer characteristics and observed health status. We find patients enrolled in HMOs see physicians who are more central and densely embedded in the patient-sharing network. We find HMO patients see PCPs who refer to specialists who are less globally central, even as these specialists are more locally central. Our analysis shows there are small but significant differences in physician patient-sharing network as experienced by patients with HMO versus PPO insurance. Understanding connections between physicians is essential and, similar to previous findings, our results suggest policy choices in the insurance and delivery system that change physician connectivity may have important implications for healthcare delivery, utilization and costs.","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 2","pages":"189-201"},"PeriodicalIF":2.4,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09296-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25415023","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