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

Time for a paradigm shift? Exploring competition regulation and its relationship with the rising global burden of industrial epidemics. 是时候转变思维模式了？探讨竞争管制及其与工业流行病日益加重的全球负担的关系。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2025-06-11 DOI: 10.1017/S1744133125000131

Benjamin Wood, Sven Gallasch, Nicholas Shaxson, Katherine Sievert, Gary Sacks

{"title":"Time for a paradigm shift? Exploring competition regulation and its relationship with the rising global burden of industrial epidemics.","authors":"Benjamin Wood, Sven Gallasch, Nicholas Shaxson, Katherine Sievert, Gary Sacks","doi":"10.1017/S1744133125000131","DOIUrl":"https://doi.org/10.1017/S1744133125000131","url":null,"abstract":"Competition regulation plays a key role in determining firm size, market structure, and what firms can do with their market power. In this paper, we explore how competition regulation in many countries has largely tolerated rising industry concentration and market power in harmful consumer product industries, which, in turn, has likely facilitated an increase in preventable death and disease associated with such industries (ie. industrial epidemics). One important reason for this tolerance has been the rise of the 'consumer welfare' standard, which contends that competition regulators should only focus on a narrow set of concerns mostly relating to consumer price and output. Yet, recent developments shed light on potential avenues through which competition regulation could work more synergistically with public health policies and programmes. While discussions on how to leverage competition regulation along these lines are invariably contested and complex, we argue that it is critical that public health advocates engage with these discussions.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267614","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

Primary care as determinant of COVID-19 and influenza vaccine uptake. 初级保健是COVID-19和流感疫苗接种的决定因素。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2025-06-11 DOI: 10.1017/S1744133125100108

Zuzana Kotherová, Christophe Premat

{"title":"Primary care as determinant of COVID-19 and influenza vaccine uptake.","authors":"Zuzana Kotherová, Christophe Premat","doi":"10.1017/S1744133125100108","DOIUrl":"https://doi.org/10.1017/S1744133125100108","url":null,"abstract":"This article examines the relationship between primary care (PC) settings and the uptake of COVID-19 and influenza vaccines in 29 European countries. Using multiple linear regression, the study evaluates whether PC settings influence vaccine uptake (VU) for these two vaccines. Based on secondary data, the study shows that people behave differently in the context of COVID-19 and influenza vaccination. Our findings suggest that health systems relied less on PC during the pandemic, not fully using its potential for COVID-19 vaccination. Even if the bivariate correlations highlight the importance of PC, the regression analysis did not verify a direct relation between PC strength and the COVID-19 VU. In contrast, for influenza vaccination, PC strength was the only significant variable. The core research message is that systematic comparative evidence regarding the relation between PC and VU is needed. Based on the belief that appropriate PC setting and adequate general practitioners (GP) involvement in vaccination could contribute to higher VU, the main policy implication of the research is that more attention needs to be paid to PC setting and the role of GPs in vaccination policy.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144267613","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

Regulated markets and rationalised myths: an institutional perspective on value-based purchasing in the Netherlands. 规范的市场和合理化的神话：荷兰基于价值的购买的制度视角。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2025-06-05 DOI: 10.1017/S174413312500012X

Gijs Steinmann, Hester van de Bovenkamp, Antoinette de Bont, Lonneke Timmers, Diana Delnoij

{"title":"Regulated markets and rationalised myths: an institutional perspective on value-based purchasing in the Netherlands.","authors":"Gijs Steinmann, Hester van de Bovenkamp, Antoinette de Bont, Lonneke Timmers, Diana Delnoij","doi":"10.1017/S174413312500012X","DOIUrl":"https://doi.org/10.1017/S174413312500012X","url":null,"abstract":"In the Dutch health care system of regulated competition, health insurers are assigned the crucial role of prudent purchasers and expected to critically contract providers based on the quality and prices of their services. Thus far, however, these organisations have struggled to fulfil this role. This study sheds new light on the purchasing behaviour of Dutch health insurers. We examine how insurers perceive the context in which the value-based purchasing of hospital care should take shape, and we draw on insights from institutional theory to frame our analysis. Our findings are based on a series of semi-structured interviews (n = 18) with employees and representatives of several insurer companies whose combined market shares add up to over 90 per cent of all premium payers. Our analysis highlights an environment in which market mechanisms are tangled up with historically rooted budgeting practices, where insurers are pressured to sustain rather than critique hospitals, and where self-regulating medical professionals are firmly supported by society's deep-seated belief in the quality of their services. Like many other organisations, Dutch health insurers tend to conform to their institutional environment. While this conformity may aid them in organisational stability and survival, it also restricts their ability to purchase prudently.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227186","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 relationship between enrollees' perceptions of health insurers' tasks and their trust in them. 参保人对健康保险公司任务的认知与对他们的信任之间的关系。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2025-05-28 DOI: 10.1017/S1744133125000039

Frank J P van der Hulst, Berdien A Prins, Anne E M Brabers, Rob Timans, Judith D de Jong

{"title":"The relationship between enrollees' perceptions of health insurers' tasks and their trust in them.","authors":"Frank J P van der Hulst, Berdien A Prins, Anne E M Brabers, Rob Timans, Judith D de Jong","doi":"10.1017/S1744133125000039","DOIUrl":"https://doi.org/10.1017/S1744133125000039","url":null,"abstract":"Background: Health insurers' role in healthcare systems based on managed competition comprises various tasks. Misconceptions about these tasks may result in low public trust, which may hamper health insurers in performing their tasks. This study examines the relationship between enrollees' perceptions of health insurers' tasks and their trust in them.Methods: A questionnaire in November 2021 asked respondents to indicate to what extent health insurers have to perform certain tasks, whether they actually perform them, and whether they think these tasks are important. Trust was measured using a validated multiple-item scale. The results from 837 respondents (56 per cent response rate) were analysed using multivariate regression models.Results: A larger mismatch between enrollees' expectations about health insurers' tasks and their actual statutory tasks is related to less trust regarding the categories 'controlling healthcare costs' and 'mediation and quality of care'. Second, a larger mismatch between expectations and actually performed tasks is related to less trust for all categories. Importance of tasks only affects this relationship concerning 'informing about price and availability of care'.Conclusions: This study emphasises the importance of reducing enrollees' misconceptions as trust in health insurers is necessary to fulfil their role as purchaser of care.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-25"},"PeriodicalIF":3.0,"publicationDate":"2025-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144162838","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

Reforming the funding of long-term care for older people: costs and distributional impacts of planned changes in England. 改革老年人长期护理的资金：英格兰计划变化的成本和分配影响。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2025-05-14 DOI: 10.1017/S1744133125000088

Bo Hu, Ruth Hancock, Raphael Wittenberg, Derek King, Marcello Morciano

{"title":"Reforming the funding of long-term care for older people: costs and distributional impacts of planned changes in England.","authors":"Bo Hu, Ruth Hancock, Raphael Wittenberg, Derek King, Marcello Morciano","doi":"10.1017/S1744133125000088","DOIUrl":"https://doi.org/10.1017/S1744133125000088","url":null,"abstract":"Reforms to the means tests in England for state-financed long-term care were planned for implementation in 2025. They included a lifetime limit (cap) on how much an individual must contribute to their care, with the state meeting subsequent care costs. We present projections of the costs and distributional impacts of these reforms for older people, using two linked simulation models which draw on a wide range of data. We project that by 2038 public spending on long-term care for older people in England would be about 14% higher than without the reforms. While the main direct beneficiaries of the lifetime cap would have been the better off who currently receive no state help with their care costs, the reforms also treated capital assets more generously than the current system, helping people with more modest incomes and wealth. When analysing the impacts of the reforms it is therefore important to consider the whole reform package. Our results depend on a range of assumptions, and the impacts of the reforms would be sensitive to the levels of the cap and other reformed parameters of the means test on implementation.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-21"},"PeriodicalIF":3.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003878","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

Safety of scientific medical research is a State obligation. 医学科学研究的安全是国家的义务。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2025-05-13 DOI: 10.1017/S174413312500009X

Marjolein Timmers, Mária Éva Földes

{"title":"Safety of scientific medical research is a State obligation.","authors":"Marjolein Timmers, Mária Éva Földes","doi":"10.1017/S174413312500009X","DOIUrl":"https://doi.org/10.1017/S174413312500009X","url":null,"abstract":"Conducting scientific medical research with human subjects presents risks that raise both ethical and human rights concerns. We argue in this article that applying a human rights framework to the problems that arise in the context of scientific medical research can contribute to a better understanding of the impact on individuals, the related obligations of the State, and the avenues to make the State accountable when things go wrong. We start our analysis with a case brought to the European Court of Human Rights, which we use as an illustration throughout the article. We then discuss the relevance of human rights to the field of scientific medical research with a focus on the right to life and the right to health. The article draws on international human rights jurisprudence that deals with concrete disputes arising from the clinical reality. We use case law to highlight the role of human rights law in tackling the real-life problems that may occur during scientific medical research. Our analysis contends that human rights law can provide valuable guidance for healthcare professionals and equip them to handle concrete situations in the clinical reality when the safety of research subjects is at stake.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050945","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

Do consumers perceive and trust health insurers within a system of managed competition as prudent buyers of care? 在一个有管理的竞争体系中，消费者是否认为并信任医疗保险公司是谨慎的医疗购买者？

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2025-03-11 DOI: 10.1017/S1744133124000185

Karel C F Stolper, Izel Yildirim, Lieke H H M Boonen, Frederik T Schut, Marco Varkevisser

{"title":"Do consumers perceive and trust health insurers within a system of managed competition as prudent buyers of care?","authors":"Karel C F Stolper, Izel Yildirim, Lieke H H M Boonen, Frederik T Schut, Marco Varkevisser","doi":"10.1017/S1744133124000185","DOIUrl":"https://doi.org/10.1017/S1744133124000185","url":null,"abstract":"In health care systems based upon the principles of managed competition, health insurers are expected to act as prudent buyers of care. Consumers are expected to switch between insurers based upon the performance of insurers in this role. Yet, the Dutch experience shows that trust of consumers in health insurers is low and that switching consumers focus primarily on price. The question arises if consumers do in fact perceive and trust insurers as prudent buyers of care. We addressed this question by using a mixed-method approach. The results show that most people know that insurers buy health care and feel that the purchasing tasks suit their role. They even have reasonable, though fragile, trust in the purchasing competencies of the insurer. However, the results also revealed that consumers have insufficient information to cast a judgement about insurers as purchasers and incorrectly think that insurers are commercial organisations. Hence, improving the public information about insurers and their purchasing role seems to be crucial. Given the inherent complexity in the system, it remains to be seen if this objective can be reached in the (near) future. For that reason, policymakers should also consider additional measures to encourage that insurers will take integral purchasing responsibility.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-26"},"PeriodicalIF":3.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598125","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

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 : 2025-01-01 Epub Date: 2024-10-21 DOI: 10.1017/S1744133124000197

Dheepa Rajan, Benjamin Rouffy-Ly

引用次数: 0

Enhancing procedural fairness: a critique of the open and inclusive approach to health financing decisions. 加强程序公平：对公开和包容的卫生筹资决策方法的批评。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2025-01-01 Epub Date: 2025-02-25 DOI: 10.1017/S1744133125000027

John Kinuthia

{"title":"Enhancing procedural fairness: a critique of the open and inclusive approach to health financing decisions.","authors":"John Kinuthia","doi":"10.1017/S1744133125000027","DOIUrl":"10.1017/S1744133125000027","url":null,"abstract":"This article is a critique of a report, Open and Inclusive: Fair Processes for Financing Universal Health Coverage. The report proposes a framework that is meant to improve procedural fairness and how decisions in financing of health care can be fairer. The author of this article argues that while procedural fairness and the proposed framework are an important step in improving equity in health sector financing, the report falls short on several aspects of achieving the set objectives. First, the report does not place emphasis on the role of civic education as an important component of public education building on access to information. Therefore, there should be caution in assuming that improved dissemination of information will lead to increased civic action. Secondly, the author proposes that the report include principles that should guide how decisions are made in public deliberations when consensus cannot be achieved. Lastly, the framework in the report does not speak to the complexity of the trade-offs that have to be made between health and other sectors. The author argues that a key area of deliberations in health financing is understanding how practitioners in the sector can argue for better funding against other competing sector such as education and agriculture while still finding complementarities.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"13-18"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494234","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

Fair processes for financing universal health coverage? 为全民健康覆盖提供资金的公平程序？

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1017/S1744133124000227

Daniel M Hausman

引用次数: 0