Health Economics Policy and Law最新文献_第2页

Procedural fairness to recalibrate the power imbalance in health decision-making: comment on the report: 'Open and inclusive: Fair processes for financing universal health coverage'. 以程序公平重新调整卫生决策中的权力失衡：对报告的评论：开放和包容：为全民医保筹资的公平程序 "的评论。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-21 DOI: 10.1017/S1744133124000197

Dheepa Rajan, Benjamin Rouffy-Ly

引用次数: 0

Including carer health-related quality of life in NICE health technology assessments in the United Kingdom. 将护理人员与健康相关的生活质量纳入英国 NICE 健康技术评估。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-08 DOI: 10.1017/S1744133124000124

Tim A Kanters, Valérie van Hezik-Wester, Andy Boateng, Holly Cranmer, Ingelin Kvamme, Irene Santi, Hareth Al-Janabi, Job van Exel

{"title":"Including carer health-related quality of life in NICE health technology assessments in the United Kingdom.","authors":"Tim A Kanters, Valérie van Hezik-Wester, Andy Boateng, Holly Cranmer, Ingelin Kvamme, Irene Santi, Hareth Al-Janabi, Job van Exel","doi":"10.1017/S1744133124000124","DOIUrl":"https://doi.org/10.1017/S1744133124000124","url":null,"abstract":"The impact of health technologies may extend beyond the patient and affect the health of people in their network, like their informal carers. The National Institute for Health and Care Excellence (NICE) methods guide explicitly allows the inclusion of health-related quality of life (HRQoL) effects on carers in economic evaluations when these effects are substantial, but the proportion of NICE appraisals that includes carer HRQoL remains small. This paper discusses when inclusion of carer HRQoL is justified, how inclusion can be substantiated, and how carer HRQoL can be measured and included in health economic models. Inclusion of HRQoL in economic evaluations can best be substantiated by data collected in (carers for) patients eligible for receiving the intervention. To facilitate combining patient and carer utilities on the benefit side of economic evaluations, using EQ-5D to measure impacts on carers seems the most successful strategy in the UK context. Alternatives to primary data collection of EQ-5D include vignette studies, using existing values, and mapping algorithms. Carer HRQoL was most often incorporated in economic models in NICE appraisals by employing (dis)utilities as a function of the patient's health state or disease severity. For consistency and comparability, economic evaluations including carer HRQoL should present analyses with and without carer HRQoL.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394184","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: 0

Genomics and insurance in the United Kingdom: increasing complexity and emerging challenges. 英国的基因组学与保险：日益复杂和新出现的挑战。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-01 Epub Date: 2024-05-16 DOI: 10.1017/S1744133124000070

Padraig Dixon, Rachel H Horton, William G Newman, John H McDermott, Anneke Lucassen

引用次数: 0

Navigating conflicting expectations in addressing healthcare scarcity: a q-methodology study on the Dutch National Health Care Institute. 在解决医疗保健稀缺问题时驾驭相互冲突的期望：对荷兰国家医疗保健研究所的 Q 方法研究。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-01 Epub Date: 2024-10-10 DOI: 10.1017/S1744133124000136

Jolien van de Sande, Bert de Graaff, Diana Delnoij, Antoinette de Bont

{"title":"Navigating conflicting expectations in addressing healthcare scarcity: a q-methodology study on the Dutch National Health Care Institute.","authors":"Jolien van de Sande, Bert de Graaff, Diana Delnoij, Antoinette de Bont","doi":"10.1017/S1744133124000136","DOIUrl":"10.1017/S1744133124000136","url":null,"abstract":"In many European countries, semi-autonomous agencies have been created in health policy to safeguard general public interests. In executing their tasks, these agencies need to deal with conflicting expectations. Particularly avoiding the risk of regulatory capture and aligning with parent ministries are frequently studied challenges, even more so when complex issues such as scarcity are at stake. In this paper, we use q-methodology to provide a thorough overview of the debate regarding the role of an important agency in the Dutch healthcare system; the National Health Care Institute (Zorginstituut Nederland). We conducted 41 q-interviews with agency employees, evaluators, regulatees, ministry employees, health policy experts, members of its advisory committees, and peer agencies. We identify three viewpoints on what the agency should focus on. These are on societally relevant issues, strict package management, and efficient organisation of care. In doing so, our study shows how agencies are pulled in different directions by conflicting expectations. We show that this can be problematic because it complicates a clear role of the agency that allows addressing such issues. We thereby contribute to theories on agencies' complex relations with their external environment such as regulatory capture, tripartism, reflexive regulation, legal boundaries, and stewardship theory.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"498-516"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394185","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: 0

Pandemic preparedness and response: a new mechanism for expanding access to essential countermeasures. 大流行病的准备和应对：扩大获得基本应对措施的新机制。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-01 Epub Date: 2024-05-31 DOI: 10.1017/S1744133124000094

Nicole Hassoun, Kaushik Basu, Lawrence Gostin

{"title":"Pandemic preparedness and response: a new mechanism for expanding access to essential countermeasures.","authors":"Nicole Hassoun, Kaushik Basu, Lawrence Gostin","doi":"10.1017/S1744133124000094","DOIUrl":"10.1017/S1744133124000094","url":null,"abstract":"As the world comes together through the WHO design and consultation process on a new medical counter-measures platform, we propose an enhanced APT-A (Access to Pandemic Tools Accelerator) that builds on the previous architecture but includes two new pillars - one for economic assistance and another to combat structural inequalities for future pandemic preparedness and response. As part of the APT-A, and in light of the Independent Panel on Pandemic Preparation & Response's call for an enhanced end-to-end platform for access to essential health technologies, we propose a new mechanism that we call the Pandemic Open Technology Access Accelerator (POTAX) that can be implemented through the medical countermeasures platform and the pandemic accord currently under negotiation through the World Health Assembly and supported by the High-Level Meeting review on Pandemic Prevention, Preparedness, and Response at the United Nations. This mechanism will provide (1) conditional financing for new vaccines and other essential health technologies requiring companies to vest licenses in POTAX and pool intellectual property and other data necessary to allow equitable access to the resulting technologies. It will also (2) support collective procurement as well as measures to ensure equitable distribution and uptake of these technologies.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"474-497"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141180898","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: 0

Navigating health systems in times of inequality and uncertainty… And how we go from here.

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-01 Epub Date: 2025-02-03 DOI: 10.1017/S1744133125000015

Iris Wallenburg, Rocco Friebel

引用次数: 0

Virtual reality evidence on the impact of physicians' open versus defensive communication on patients. 虚拟现实证据对医生的开放与防御沟通对患者的影响。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-01 Epub Date: 2023-12-01 DOI: 10.1017/S1744133123000300

Lotte Daniels, Wim Marneffe, Samantha Bielen

{"title":"Virtual reality evidence on the impact of physicians' open versus defensive communication on patients.","authors":"Lotte Daniels, Wim Marneffe, Samantha Bielen","doi":"10.1017/S1744133123000300","DOIUrl":"10.1017/S1744133123000300","url":null,"abstract":"Using virtual reality (VR) in an experimental setting, we analyse how communicating more openly about a medical incident influences patients' feelings and behavioural intentions. Using VR headsets, participants were immersed in an actual hospital room where they were told by a physician that a medical incident had occurred. In a given scenario, half of the participants were confronted by a physician who communicated openly about the medical incident, while the other half were confronted with the exact same scenario except that the physician employed a very defensive communication strategy. The employed technology allowed us to keep everything else in the environment constant. Participants exposed to open disclosure were significantly more likely to take further steps (such as contacting a lawyer to discuss options and filing a complaint against the hospital) and express more feelings of blame against the physician. At the same time, these participants rated the physician's communication skills and general impression more highly than those who were confronted with a defensive physician. Nevertheless, communicating openly about the medical incident does not affect trust in the physician and his competence, perceived incident severity and likelihood of changing physician and filing suit.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"517-536"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463525","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: 0

Publicly funded health insurance schemes and demand for health services: evidence from an Indian state using a matching estimator approach. 公共资助的医疗保险计划与医疗服务需求：印度一个邦使用匹配估算器方法得出的证据。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-01 Epub Date: 2024-03-04 DOI: 10.1017/S174413312400001X

Vanita Singh

{"title":"Publicly funded health insurance schemes and demand for health services: evidence from an Indian state using a matching estimator approach.","authors":"Vanita Singh","doi":"10.1017/S174413312400001X","DOIUrl":"10.1017/S174413312400001X","url":null,"abstract":"Using Demographic and Health Survey data (2015-16) from the state of Andhra Pradesh, we estimate the differential probability of hysterectomy (removal of uterus) for women (aged 15-49 years) covered under publicly funded health insurance (PFHI) schemes relative to those not covered. To reduce the extent of selection bias into treatment assignment (PFHI coverage) we use matching methods, propensity score matching, and coarsened exact matching, achieving a comparable treatment and control group. We find that PFHI coverage increases the probability of undergoing a hysterectomy by 7-11 percentage points in our study sample. Sub-sample analysis indicates that the observed increase is significant for women with lower education levels and higher order parity. Additionally, we perform a test of no-hidden bias by estimating the treatment effect on placebo outcomes (doctor's visit, health check-up). The robustness of the results is established using different matching specifications and sensitivity analysis. The study results are indicative of increased demand for surgical intervention associated with PFHI coverage in our study sample, suggesting a need for critical evaluation of the PFHI scheme design and delivery in the context of increasing reliance on PFHI schemes for delivering specialised care to poor people, neglect of preventive and primary care, and the prevailing fiscal constraints in the healthcare sector.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"429-445"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140022960","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: 0

An examination of health care efficiency in Canada: a two-stage semi-parametric approach. 加拿大医疗保健效率研究：两阶段半参数法。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-01 Epub Date: 2024-06-03 DOI: 10.1017/S1744133124000100

Barry Watson, Gholam R Amin

{"title":"An examination of health care efficiency in Canada: a two-stage semi-parametric approach.","authors":"Barry Watson, Gholam R Amin","doi":"10.1017/S1744133124000100","DOIUrl":"10.1017/S1744133124000100","url":null,"abstract":"Using data envelopment analysis, we examine the efficiency of Canada's universal health care system by considering a set of labour (physicians) and capital (beds) inputs, which produce a level of care (measured in terms of health quality and quantity) in a given region. Data from 2013-2015 were collected from the Canadian Institute for Health Information regarding inputs and from the Canadian Community Health Survey and Statistics Canada regarding our output variables, health utility (quality) and life expectancy (quantity). We posit that variation in efficiency scores across Canada is the result of regional heterogeneity regarding socioeconomic and demographic disparities. Regressing efficiency scores on such covariates suggests that regional unemployment and an older population are quite impactful and associated with less efficient health care production. Moreover, regional variation indicates the Atlantic provinces (Newfoundland, Prince Edward Island, Nova Scotia, New Brunswick) are quite inefficient, have poorer economic prospects, and tend to have an older population than the rest of Canada. Oaxaca-Blinder decompositions suggest that the latter two factors explain about one-third of this efficiency gap. Based on our two-stage semi-parametric analysis, we recommend Canada adjust their transfer payments to reflect these disparities, thereby potentially reducing inequality in regional efficiency.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"409-428"},"PeriodicalIF":3.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200980","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: 0

The inefficient effects of non-clinical factors on health care costs. 非临床因素对医疗成本的低效影响。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-10-01 Epub Date: 2024-09-24 DOI: 10.1017/S174413312400015X

Shawn McFarland, Jonathan Miller

引用次数: 0