Health Economics Policy and Law最新文献_第10页

Implementation of Inclusive Education Policy for Disabled Children in Primary Schools in Vietnam 越南小学残疾儿童全纳教育政策的实施

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-09-29 DOI: 10.22158/elp.v5n2p1

Do Thi Bich Thao

引用次数: 0

HEP volume 17 issue 4 Cover and Back matter HEP第17卷第4期封面和封底

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-09-12 DOI: 10.1017/s1744133122000202

引用次数: 0

HEP volume 17 issue 4 Cover and Front matter HEP第17卷第4期封面和封面问题

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-09-12 DOI: 10.1017/s1744133122000196

引用次数: 0

The Laws of Search, Seizure, and Custodial Interrogation: Searching the Orchard of American Constitution 搜查、扣押和拘留审讯的法律:搜查美国宪法果园

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-07-07 DOI: 10.22158/elp.v5n1p48

Md Abdul Alim

引用次数: 0

Physician behaviour, malpractice risk and defensive medicine: an investigation of cesarean deliveries. 医生行为，医疗事故风险和防御医学:剖宫产分娩的调查。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-07-01 Epub Date: 2021-02-01 DOI: 10.1017/S1744133120000432

David Mushinski, Sammy Zahran, Aanston Frazier

{"title":"Physician behaviour, malpractice risk and defensive medicine: an investigation of cesarean deliveries.","authors":"David Mushinski, Sammy Zahran, Aanston Frazier","doi":"10.1017/S1744133120000432","DOIUrl":"https://doi.org/10.1017/S1744133120000432","url":null,"abstract":"Analyzing whether physicians use cesarean sections (c-sections) as defensive medicine (DM) has proven difficult. Using natural experiments arising out of Oregon court decisions overturning a state legislative cap on non-economic damages in tort cases, we analyze the impact of patient conditions on estimates of DM. Consistent with theory, we find heterogeneous impacts of tort laws across patient conditions. When medical exigencies dictate a c-section, tort laws have no impact on physician decisions. When physicians have latitude in their decision making, we find evidence of DM. When we estimate a model combining all women and not accounting for patient conditions (such as models estimated in previous studies) we obtain a result which is the opposite of DM, which we call offensive medicine (OM). The OM result appears to arise out of a bias in the difference-in-differences estimator associated with changes in the marginal distributions of patient conditions in control and treatment groups. The changes in the marginal distributions appear to arise from the impact of tort law on the market for midwives (substitutes for physicians for low-risk women). Our analysis suggests that not accounting for theoretically expected heterogeneity in physician reactions to changes in tort laws may produce biased estimates of DM.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1744133120000432","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25313555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Do patients benefit from legislation regulating step therapy? 病人是否从立法规范阶梯疗法中获益?

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-07-01 Epub Date: 2021-04-12 DOI: 10.1017/S1744133121000153

Louis Tharp, Zoe Rothblatt

{"title":"Do patients benefit from legislation regulating step therapy?","authors":"Louis Tharp, Zoe Rothblatt","doi":"10.1017/S1744133121000153","DOIUrl":"https://doi.org/10.1017/S1744133121000153","url":null,"abstract":"Step therapy, also termed fail-first policy, describes a practice of insurance and pharmacy benefit management companies denying reimbursement for a specific treatment until after other treatments have first been found ineffective (i.e. failed). Laws to limit step therapy have been passed in 29 states of the United States. Using extrapolated data on fully insured employees, we find that except for New York and New Mexico, enacted State laws don't apply to even one-third of a state's population. Using the more robust Kaiser Family Foundation (KFF) data, which do not include fully insured employees, we find that only 2-10% of a state's population is covered. Advocating for these laws has been an expensive and time-consuming process, likely to become more so for the 21 states without such laws. The laws that have been enacted can be near impossible, to enforce, and loopholes exist. As a result, using KFF data, more than 90% of people in the United States with health insurance may still be unable to access the treatment chosen as most appropriate for them with their physician. Based on these data, we conclude federal step-therapy legislation is needed.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1744133121000153","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"25583707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Clinical negligence cases in the English NHS: uncertainty in evidence as a driver of settlement costs and societal outcomes. 在英国国家医疗服务体系的临床疏忽案件:证据的不确定性作为解决成本和社会结果的驱动程序。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-07-01 Epub Date: 2021-07-02 DOI: 10.1017/S1744133121000177

Alexander W Carter, Elias Mossialos, Julian Redhead, Vassilios Papalois

{"title":"Clinical negligence cases in the English NHS: uncertainty in evidence as a driver of settlement costs and societal outcomes.","authors":"Alexander W Carter, Elias Mossialos, Julian Redhead, Vassilios Papalois","doi":"10.1017/S1744133121000177","DOIUrl":"https://doi.org/10.1017/S1744133121000177","url":null,"abstract":"The cost of clinical negligence claims continues to rise, despite efforts to reduce this now ageing burden to the National Health Service (NHS) in England. From a welfarist perspective, reforms are needed to reduce avoidable harm to patients and to settle claims fairly for both claimants and society. Uncertainty in the estimation of quanta of damages, better known as financial settlements, is an important yet poorly characterised driver of societal outcomes. This reflects wider limitations to evidence informing clinical negligence policy, which has been discussed in recent literature. There is an acute need for practicable, evidence-based solutions that address clinical negligence issues, and these should complement long-standing efforts to improve patient safety. Using 15 claim cases from one NHS Trust between 2004 and 2016, the quality of evidence informing claims was appraised using methods from evidence-based medicine. Most of the evidence informing clinical negligence claims was found to be the lowest quality possible (expert opinion). The extent to which the quality of evidence represents a normative deviance from scientific standards is discussed. To address concerns about the level of uncertainty involved in deriving quanta, we provide five recommendations for medico-legal stakeholders that are designed to reduce avoidable bias and correct potential market failures.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/S1744133121000177","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39138880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Does Medicaid expansion influence county health spending? A case of New York counties. 医疗补助扩张会影响县医疗支出吗?以纽约各县为例。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-07-01 Epub Date: 2021-10-05 DOI: 10.1017/S174413312100030X

Shihyun Noh, Ji-Hyung Park

引用次数: 0

HEP volume 17 issue 3 Cover and Front matter HEP第17卷第3期封面和封面问题

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-07-01 DOI: 10.1017/S1744133122000081

引用次数: 0

Past experiences with surprise medical bills drive issue knowledge, concern and attitudes toward federal policy intervention. 过去意外医疗账单的经历促使人们对问题的认识、关注和对联邦政策干预的态度。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2022-07-01 Epub Date: 2021-10-21 DOI: 10.1017/S1744133121000281

Timothy Callaghan, Simon F Haeder, Steven Sylvester

{"title":"Past experiences with surprise medical bills drive issue knowledge, concern and attitudes toward federal policy intervention.","authors":"Timothy Callaghan, Simon F Haeder, Steven Sylvester","doi":"10.1017/S1744133121000281","DOIUrl":"https://doi.org/10.1017/S1744133121000281","url":null,"abstract":"Scholars and journalists have devoted considerable attention to understanding the circumstances in which Americans receive surprise medical bills. Previous research on this issue has focused on the scope of the problem, including the conditions that are most likely to lead to surprise bills. However, the existing literature has almost exclusively relied on claims data, limiting our understanding of consumer experiences and attitudes toward policy changes to address surprise billing. Using a survey administered to a nationally representative sample of 4998 Americans, we analyze consumer experiences with surprise billing, knowledge of the issue, how concerned Americans are about receiving surprise bills and how past experiences influence policy preferences toward federal action on surprise billing. Our analysis demonstrates that knowledge and concern about surprise billing are the highest among the educated and those who have previously received a surprise bill. These factors also predict support for federal policy action, with high levels of support for federal policy action across the population, including among both liberals and conservatives. However, more detailed federal policy proposals receive significantly less support among Americans, suggesting that stand-alone policy action may not be viable. Our results show bipartisan support among American consumers for federal action on surprise billing in the abstract but no consistent views on specific policy proposals.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":null,"pages":null},"PeriodicalIF":1.7,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39534627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5