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The Long-Term Health Effects of Early-Life Malaria Exposure: Evidence from Taiwan's Malaria Eradication in the 1950s 早期疟疾暴露对健康的长期影响——来自台湾20世纪50年代消灭疟疾的证据
IF 3.7 2区 经济学
American Journal of Health Economics Pub Date : 2023-01-18 DOI: 10.1086/724216
Cheng Chen, Shin-Yi Chou, Hsien-Ming Lien, Jin-Tan Liu
{"title":"The Long-Term Health Effects of Early-Life Malaria Exposure: Evidence from Taiwan's Malaria Eradication in the 1950s","authors":"Cheng Chen, Shin-Yi Chou, Hsien-Ming Lien, Jin-Tan Liu","doi":"10.1086/724216","DOIUrl":"https://doi.org/10.1086/724216","url":null,"abstract":"","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.7,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45666446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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 ELIGIBILITY FOR MEDICAID VERSUS SUBSIDIZED PRIVATE HEALTH INSURANCE ON MEDICAL SPENDING, SELF-REPORTED HEALTH, AND PUBLIC PROGRAM PARTICIPATION. 医疗补助资格与私人医疗保险补贴对医疗支出、自我报告健康和公共项目参与的影响
IF 3.7 2区 经济学
American Journal of Health Economics Pub Date : 2023-01-01 Epub Date: 2023-03-29 DOI: 10.1086/722982
Silvia Helena Barcellos, Mireille Jacobson, Helen G Levy
{"title":"THE IMPACT OF ELIGIBILITY FOR MEDICAID VERSUS SUBSIDIZED PRIVATE HEALTH INSURANCE ON MEDICAL SPENDING, SELF-REPORTED HEALTH, AND PUBLIC PROGRAM PARTICIPATION.","authors":"Silvia Helena Barcellos, Mireille Jacobson, Helen G Levy","doi":"10.1086/722982","DOIUrl":"10.1086/722982","url":null,"abstract":"<p><p>We use a regression discontinuity design to understand the impact of a sharp change in eligibility for Medicaid versus subsidized marketplace insurance at 138 percent of the federal poverty line on coverage, medical spending, health status, and other public program participation. We find a 5.5 percentage point shift from Medicaid to private insurance, with no net change in coverage. The shift increases individual health spending by $341 or 2 percent of income, with larger increases at higher points in the spending distribution. Two-thirds of the increase is from premiums and one-thirdfrom out-of-pocket medical spending. Self-rated health and other public program participation appear unchanged. We find no evidence of bunching below the eligibility threshold, which suggests either that individuals are willing to pay more for private insurance or that optimization frictions are high.</p>","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"9 1","pages":"262-295"},"PeriodicalIF":3.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11068085/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43324378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
The Long-term Impact of In-Utero Cigarette Taxes on Adult Prenatal Smoking. 子宫内香烟税对成人产前吸烟的长期影响
IF 3.1 2区 经济学
American Journal of Health Economics Pub Date : 2023-01-01 Epub Date: 2023-10-16 DOI: 10.1086/723825
Lauren Hoehn-Velasco, Michael F Pesko, Serena Phillips
{"title":"The Long-term Impact of In-Utero Cigarette Taxes on Adult Prenatal Smoking.","authors":"Lauren Hoehn-Velasco, Michael F Pesko, Serena Phillips","doi":"10.1086/723825","DOIUrl":"10.1086/723825","url":null,"abstract":"<p><p>This study examines the long-term link between in-utero cigarette taxes and adult prenatal smoking. We use U.S. birth certificate records to demonstrate that exposure to higher in-utero cigarette taxes (over 1965-2001) reduces later-life adult pre-pregnancy and prenatal smoking. We also show that higher in-utero cigarette taxes have long-lasting effects on adult health, and intergenerational consequences for infant health. Finally, we demonstrate that larger in-utero tax responsiveness correlates with smaller contemporary cigarette tax responsiveness, suggesting that higher in-utero taxes may alter the composition of remaining smokers and contribute to reductions in contemporary cigarette tax responsiveness.</p>","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":" ","pages":"605-648"},"PeriodicalIF":3.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11781754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46977178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Scaled-up nutrition services for child development: evidence from the Chilean School Meals Program 扩大儿童发展营养服务:来自智利学校供餐计划的证据
IF 3.7 2区 经济学
American Journal of Health Economics Pub Date : 2022-12-14 DOI: 10.1086/723824
J. C. Caro
{"title":"Scaled-up nutrition services for child development: evidence from the Chilean School Meals Program","authors":"J. C. Caro","doi":"10.1086/723824","DOIUrl":"https://doi.org/10.1086/723824","url":null,"abstract":"Childhood obesity is one of the major public health challenges of the 21st century. Randomized interventions have shown promising evidence of long-term effects from nutrition services on children’s health. However, it is yet unclear whether scaled-up programs, such as school meals, prevent children’s obesity risk. I implement a fuzzy regression discontinuity approach on national administrative data to estimate the short- and medium-run effects of the Chilean school meal program (SMP) on children’s body mass index (BMI) z-scores. Girls’ eligibility in first grade reduces local average obesity prevalence by 4 percentage points. Continued eligibility reduces boys’ local average obesity prevalence in fifth grade by .10 percentage points. Effects concentrate among children with high BMI z-scores and are partly driven by improvements in the nutritional quality of meals. Children attending schools providing psychosocial support exhibit larger benefits from SMP eligibility, consistent with spillover effects from the integration of stimulation and nutrition interventions.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"1 1","pages":""},"PeriodicalIF":3.7,"publicationDate":"2022-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42022947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Who Pays in Pay-for-Performance? 谁来支付绩效工资?
IF 3.7 2区 经济学
American Journal of Health Economics Pub Date : 2022-11-03 DOI: 10.1086/723280
Michael E Darden, Ian Paul McCarthy, E. Barrette
{"title":"Who Pays in Pay-for-Performance?","authors":"Michael E Darden, Ian Paul McCarthy, E. Barrette","doi":"10.1086/723280","DOIUrl":"https://doi.org/10.1086/723280","url":null,"abstract":"Public pay-for-performance (P4P) programs tie hospital payments to predetermined sets of quality measures and are intended to encourage or discourage certain outcomes. To the extent that financial penalties from these programs induce some response by hospitals, such penalties may translate into higher negotiated payments from commercial insurance payers. In this paper, we employ data on commercial insurance payments from a large, multi-payer database to study the extent to which penalties levied under the Hospital Readmission Reduction Program (HRRP) and the Hospital Value-Based Purchasing (HVBP) program, two major P4P components of the Affordable Care Act, caused changes in private hospital payments. We find that the bulk of any penalties resulting from HRRP and HVBP are borne by private insurance patients in the form of higher private insurance payments. Specifically, we show that HRRP and HVBP financial penalties led to increases in private payments of 1.9 percent, with effects concentrated among circulatory system procedures. These penalties were also associated with a 3.1 percent reduction in Medicare discharges. Our estimates are larger for hospitals with higher shares of privately insured patients, which suggests the importance of hospital bargaining power in facilitating higher commercial insurance payments.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"9 1","pages":"435 - 460"},"PeriodicalIF":3.7,"publicationDate":"2022-11-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45496869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
How Do “Must-Access” Prescription Drug Monitoring Programs Address Opioid Misuse? “必须访问”处方药监测计划如何解决阿片类药物滥用问题？
IF 3.7 2区 经济学
American Journal of Health Economics Pub Date : 2022-10-13 DOI: 10.1086/722979
Benjamin Ukert, D. Polsky
{"title":"How Do “Must-Access” Prescription Drug Monitoring Programs Address Opioid Misuse?","authors":"Benjamin Ukert, D. Polsky","doi":"10.1086/722979","DOIUrl":"https://doi.org/10.1086/722979","url":null,"abstract":"The opioid epidemic led to the creation of state Prescription Drug Monitoring Programs (PDMPs) that eventually mandated access. We examine how these “must-access” PDMPs influenced prescribing after an emergency department (ED) visit and in the long term for the working-age population. By using data from a large multistate commercial insurance database from 2010 to 2014 and estimating difference-in-differences models, we show that only the broadest must-access PDMPs reduced opioid prescribing after an ED visit and in the long term. We then compared changes in prescribing rates for opioid naïve relative to non–opioid naïve individuals to disentangle the influence of information from administration costs on prescriber behavior. Findings suggest that hassle cost explains the majority of the decline in initial prescribing, and that the information value drives most of the reduction in long-term outcomes.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"9 1","pages":"374 - 404"},"PeriodicalIF":3.7,"publicationDate":"2022-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47721732","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Regression Discontinuity Evidence on the Effectiveness of the Minimum Legal E-cigarette Purchasing Age 电子烟最低合法购买年龄有效性的回归不连续性证据
IF 3.7 2区 经济学
American Journal of Health Economics Pub Date : 2022-10-01 DOI: 10.1086/723401
Jeffrey S. DeSimone, D. Grossman, Nicolas R. Ziebarth
{"title":"Regression Discontinuity Evidence on the Effectiveness of the Minimum Legal E-cigarette Purchasing Age","authors":"Jeffrey S. DeSimone, D. Grossman, Nicolas R. Ziebarth","doi":"10.1086/723401","DOIUrl":"https://doi.org/10.1086/723401","url":null,"abstract":"Increases in youth vaping rates and concerns of a new generation of nicotine addicts recently prompted an increase in the federal minimum legal purchase age (MLPA) for tobacco products, including e-cigarettes, to 21 years. This study presents the first regression discontinuity evidence on the effectiveness of e-cigarette MLPA laws. Using data on 12th graders from Monitoring the Future, we obtain robust evidence that federal and state age 18 MLPAs decreased underage e-cigarette use by 15–20 percent and frequent use by 20–40 percent. These findings suggest that the age 21 federal MLPA could meaningfully reduce e-cigarette use among 18- to 20-year-olds.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"9 1","pages":"461 - 485"},"PeriodicalIF":3.7,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48940109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Learning to Work Together 学会一起工作
IF 3.7 2区 经济学
American Journal of Health Economics Pub Date : 2022-09-22 DOI: 10.1086/722605
Chad Stecher, Jonathan D. Ketcham
{"title":"Learning to Work Together","authors":"Chad Stecher, Jonathan D. Ketcham","doi":"10.1086/722605","DOIUrl":"https://doi.org/10.1086/722605","url":null,"abstract":"We study whether teams’ productivity improves as they gain experience working together. We leverage unique clinical data to observe team experience and individual physician and staff experience in coronary catheterization laboratories. Teams are composed of cardiologists, nurses, and technicians who work together synchronistically. We observe teams and individuals at hospitals across the United States from 2001 to 2009, including the rate at which they gain experience using drug-eluting stents (DES) from their introduction in the US in 2003 onward. We estimate models of productivity and clinical outcomes that account for team experience, physician experience, and staff experience conditional on each other and on time-invariant physician and staff characteristics, hospital-specific monthly effects, and an extensive set of patient-level clinical factors. Greater experience performing DES cases together improves teams’ productivity, lowering total case time, procedure time, and non-physician labor costs while leaving clinical outcomes unchanged. In contrast, physicians’ and staffs’ individual experience with DES does not improve productivity conditional on other factors. The effects of team experience with DES appears generalized, with gains from experience with competitor brands of DES about as large as those from the specific brand of DES being used for a given case.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"9 1","pages":"231 - 261"},"PeriodicalIF":3.7,"publicationDate":"2022-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41862209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Caring to Work or Working to Care 关心工作还是关心工作
IF 3.7 2区 经济学
American Journal of Health Economics Pub Date : 2022-09-20 DOI: 10.1086/722588
Gonzalo Arrieta, Jun Yu Li
{"title":"Caring to Work or Working to Care","authors":"Gonzalo Arrieta, Jun Yu Li","doi":"10.1086/722588","DOIUrl":"https://doi.org/10.1086/722588","url":null,"abstract":"We seek to understand how the labor market decisions of the family adjust in response to plausibly exogenous health shocks. Family members might work less to provide caregiving, or work more in response to medical expenditures and loss of income by the ill individual. We use records of emergency department (ED) visits and hospitalizations to empirically determine the size of these effects. Using ED events, we find evidence of intra-family insurance. By exploring how insurance varies by the severity of the health shock, we find that family labor supply responses decrease as the caregiving need increases.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"9 1","pages":"175 - 204"},"PeriodicalIF":3.7,"publicationDate":"2022-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46809967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 3
The Effect of Extended Unemployment Insurance Generosity on Population Mental Health 延长失业保险宽裕度对人口心理健康的影响
IF 3.7 2区 经济学
American Journal of Health Economics Pub Date : 2022-09-19 DOI: 10.1086/722556
Jie Chen, Xiaohui Guo, Lizhong Peng, M. Qian
{"title":"The Effect of Extended Unemployment Insurance Generosity on Population Mental Health","authors":"Jie Chen, Xiaohui Guo, Lizhong Peng, M. Qian","doi":"10.1086/722556","DOIUrl":"https://doi.org/10.1086/722556","url":null,"abstract":"This study contributes to a small but growing literature on the health effects of unemployment insurance (UI) by examining the impact of extended benefit generosity during the Great Recession on population mental health. Using data from the 2003–13 Behavioral Risk Factor Surveillance System as well as cross-state and time series variation in UI policies, we estimate that a one standard deviation (or $1,000) increase in UI generosity is associated with a 5.1 (0.5) percent improvement in self-reported mental health among the unemployed. We also provide evidence for the validity of our research design through an event study model and supplementary regressions that incorporate county or county-by-time fixed effects. However, we find no definitive evidence that UI affects general/physical health, health insurance, access to care, or health behaviors.","PeriodicalId":45056,"journal":{"name":"American Journal of Health Economics","volume":"9 1","pages":"148 - 174"},"PeriodicalIF":3.7,"publicationDate":"2022-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42192664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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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