International Journal of Health Economics and Management最新文献

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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
{"title":"The incidence of the healthcare costs of chronic conditions.","authors":"Kyung Min Lee,&nbsp;Chanup Jeung","doi":"10.1007/s10754-021-09305-6","DOIUrl":"https://doi.org/10.1007/s10754-021-09305-6","url":null,"abstract":"<p><p>Who pays for the costs of chronic conditions? In this paper, we examine whether 50-64-year old workers covered by employer-sponsored insurance bear healthcare costs of chronic conditions in the form of lower wages. Using a difference-in-differences approach with data from the Health and Retirement Study, we find that workers with chronic diseases receive significantly lower wages than healthy workers when they are covered by employer-sponsored insurance. Our findings suggest that higher healthcare costs of chronic conditions can explain the substantial part of the wage gap between workers with and without chronic diseases.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 4","pages":"473-493"},"PeriodicalIF":2.4,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09305-6","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38945423","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 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,&nbsp;Ryan McKenna,&nbsp;Angela T Chen,&nbsp;Guy David,&nbsp;Aaron Smith-McLallen","doi":"10.1007/s10754-021-09302-9","DOIUrl":"https://doi.org/10.1007/s10754-021-09302-9","url":null,"abstract":"<p><p>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.</p>","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
{"title":"Non-profit hospital mergers: the effect on healthcare costs and utilization.","authors":"Maysam Rabbani","doi":"10.1007/s10754-021-09303-8","DOIUrl":"https://doi.org/10.1007/s10754-021-09303-8","url":null,"abstract":"<p><p>I use a 2010 non-profit hospital merger in Ohio to study the effect of market concentration on market outcomes. Using the Synthetic Control Method and Truven MarketScan data, I document three findings. First, courts are lenient to non-profit mergers, and I cast doubt on this practice by showing that the studied merger led to a 123% increase in the payments for inpatient childbirth services. Second, I provide the first empirical evidence for the conjecture that mergers increase out-of-pocket payments and reduce the utilization of care. Last, I show that the effect of market power on market outcomes is asymmetric: the increase in payments and welfare loss created by a merger persist after the merger is rescinded. Thus, even successful FTC challenges may not revert the effect of harmful mergers, and it is essential to deny such mergers before they proceed.</p>","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"21 4","pages":"427-455"},"PeriodicalIF":2.4,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-021-09303-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25571963","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: 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
{"title":"The consultation of patients in choosing phytopreparations and food supplements","authors":"Denitsa Grozdeva, Yoana Rosenova","doi":"10.14748/hem.v21i1.8095","DOIUrl":"https://doi.org/10.14748/hem.v21i1.8095","url":null,"abstract":"","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"152 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76581168","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
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
{"title":"Management of the process of blood and blood components supply in a pandemic situation in the Northeast region","authors":"J. Ivanova","doi":"10.14748/hem.v21i1.8092","DOIUrl":"https://doi.org/10.14748/hem.v21i1.8092","url":null,"abstract":"","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"44 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89905925","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
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
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
{"title":"On the need for legal regulation of acupuncture practice in the Bulgarian context","authors":"P. Mancheva, Denitsa Grozdeva","doi":"10.14748/hem.v21i1.8093","DOIUrl":"https://doi.org/10.14748/hem.v21i1.8093","url":null,"abstract":"","PeriodicalId":44403,"journal":{"name":"International Journal of Health Economics and Management","volume":"35 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2021-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77744487","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
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,&nbsp;Tin Aung,&nbsp;Dominic Montagu,&nbsp;David Bishai","doi":"10.1007/s10754-021-09298-2","DOIUrl":"https://doi.org/10.1007/s10754-021-09298-2","url":null,"abstract":"<p><p>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.</p>","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,&nbsp;Marwân-Al-Qays Bousmah,&nbsp;Mohammad Abu-Zaineh","doi":"10.1007/s10754-021-09300-x","DOIUrl":"https://doi.org/10.1007/s10754-021-09300-x","url":null,"abstract":"<p><p>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.</p>","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
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