Health Economics Policy and Law最新文献_第3页

Unveiling Medicaid fraud and abuse: the influence of price transparency and state political context. 揭露医疗补助欺诈和滥用：价格透明度和国家政治背景的影响。

IF 2.2 3区医学

Health Economics Policy and Law Pub Date : 2026-07-01 Epub Date: 2025-07-24 DOI: 10.1017/S1744133125100157

Ahreum Han, Christian L Janousek, Shihyun Noh

引用次数: 0

Steering health reform through policy stewardship: experience from Sanming, China. 通过政策管理引导医疗改革：来自中国三明的经验。

IF 2.2 3区医学

Health Economics Policy and Law Pub Date : 2026-07-01 Epub Date: 2025-12-05 DOI: 10.1017/S1744133125100285

Haochen Jiang, M Ramesh

{"title":"Steering health reform through policy stewardship: experience from Sanming, China.","authors":"Haochen Jiang, M Ramesh","doi":"10.1017/S1744133125100285","DOIUrl":"10.1017/S1744133125100285","url":null,"abstract":"Health policy reforms often fail due to design flaws, implementation gaps, and political barriers. This paper examines the role of government stewardship in addressing these barriers drawing on lessons from healthcare reforms in Sanming, China, a city that has become a nationally recognised model for comprehensive health system reform. Employing a qualitative approach, the analysis traces how six core stewardship functions - strategic visioning, institutional alignment, instrument design, partnership management, accountability reinforcement, and learning facilitation - enabled Sanming's government to control costs and improve service delivery and health outcomes. Sanming's experience illustrates the potential for local government stewardship to catalyse reform in the face of constraints. Interviews indicated that strengthened stewardship enabled the government to set strategic direction for the health system, mobilise stakeholders, formulate workable policies, and adapt to changing needs during implementation. However, participants identified persistent challenges, including uneven distribution of capacity across agencies, changes in the external policy environment, and deficient stakeholder feedback loops. While specific to the local context, the core stewardship competencies identified in the paper offer a generalisable framework for strengthening reform governance in other settings. As countries seek to build resilient and equitable health systems, the lessons from Sanming's stewardship model provide a timely contribution to the global health reform discourse.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"349-363"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679060","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

Market distortions in the Dutch mixed long-term care market: an exploratory analysis. 荷兰混合长期护理市场的市场扭曲：探索性分析。

IF 2.2 3区医学

Health Economics Policy and Law Pub Date : 2026-07-01 Epub Date: 2025-11-12 DOI: 10.1017/S1744133125100248

Yvonne Krabbe-Alkemade, Peter Makai, Marcel Canoy, Ron Kemp, France Portrait

{"title":"Market distortions in the Dutch mixed long-term care market: an exploratory analysis.","authors":"Yvonne Krabbe-Alkemade, Peter Makai, Marcel Canoy, Ron Kemp, France Portrait","doi":"10.1017/S1744133125100248","DOIUrl":"10.1017/S1744133125100248","url":null,"abstract":"Mixed markets can enhance welfare compared to full public or private provision. However, this welfare gain depends on the extent to which market distortions exist. Recent literature demonstrates distortions in mixed long-term care markets worldwide. Our study explores potential distortions in the Dutch institutional market. While all Dutch residential nursing homes are non-profit, for-profit organisations, including private equity (PE) firms, have increasingly entered the market, offering round-the-clock care provided in home-like settings as an alternative to non-profit residential care.We analysed claims data from 2017-2021 for dementia patients aged 70 and older using multinomial logit and Cox Proportional Hazards models. Specifically, we compared risk selection, upgrading, and care quality (measured by avoidable hospitalisations and mortality) between for-profit and non-profit providers.Our findings do not suggest increased risk selection, higher upgrading, or lower care quality by for-profit (PE-owned) providers compared to non-profit providers. Consequently, we did not find evidence of strong market distortions in the Dutch institutional long-term care market. These results contrast with the existing international literature, suggesting that adverse incentives in the Netherlands may be influenced more by the way care is provided (in home-like settings versus in residential nursing homes) and financing structures rather than ownership type alone.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"324-348"},"PeriodicalIF":2.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497087","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

Whose system is it, anyway? Political economy and the contested space of health reform. 这到底是谁的系统？政治经济和医疗改革的竞争空间。

IF 2.2 3区医学

Health Economics Policy and Law Pub Date : 2026-07-01 Epub Date: 2026-07-21 DOI: 10.1017/S1744133126100656

Rocco Friebel, Iris Wallenburg

引用次数: 0

Capitulating to populism: how American institutions enabled authoritarian drift. 向民粹主义投降：美国制度是如何让威权主义随波逐流的。

IF 2.2 3区医学

Health Economics Policy and Law Pub Date : 2026-06-22 DOI: 10.1017/S1744133126100577

Martin Mckee, Christina Pagel

{"title":"Capitulating to populism: how American institutions enabled authoritarian drift.","authors":"Martin Mckee, Christina Pagel","doi":"10.1017/S1744133126100577","DOIUrl":"https://doi.org/10.1017/S1744133126100577","url":null,"abstract":"This paper contributes to this special issue by exploring the act of capitulation to populist authoritarianism, focusing on American universities under Donald Trump's second administration. Despite threats to funding and autonomy, especially around health-related issues, many universities capitulated. Yet, while universities might be seen as especially vulnerable due to their dependence on federal funds and international students, we show that actors with far greater power exhibited similar behaviour. Elements of the legal profession enabled authoritarian legalism, while corporations, once defenders of democratic norms, largely retreated into silence or complicity. Drawing on contemporary and historical examples, we situate these responses within broader patterns of democratic backsliding. Institutions are shown to be vulnerable to legal manipulation, financial coercion, and ideological alignment. Yet, resistance persists. Some universities have fought back through litigation, and judges have blocked unconstitutional orders despite personal risk. The paper reframes institutions not as passive structures but as active agents that can either resist or enable authoritarianism. It argues that democratic commitment is not inherent but must be cultivated and defended. Ultimately, democracy requires ongoing engagement, ethical leadership, and a willingness to bear short-term costs for long-term preservation.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296919","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

Theories of financialisation and health systems governance: a critical interpretative synthesis. 金融化和卫生系统治理理论：一个关键的解释性综合。

IF 3.3 3区医学

Health Economics Policy and Law Pub Date : 2026-06-04 DOI: 10.1017/S1744133126100474

Matthew J T Tracey, Douglas Hanes, Stephen Maher, Quinn Grundy, Sara Allin

{"title":"Theories of financialisation and health systems governance: a critical interpretative synthesis.","authors":"Matthew J T Tracey, Douglas Hanes, Stephen Maher, Quinn Grundy, Sara Allin","doi":"10.1017/S1744133126100474","DOIUrl":"https://doi.org/10.1017/S1744133126100474","url":null,"abstract":"Strong health system governance requires effective stewardship of private actors operating within health systems and ensuring that their activities align with a government's strategic health goals. Financialisation, defined as the expanding role of financial actors, instruments, and ideas, has been identified as a potential opportunity, but also challenge to health systems and their governance. There is a need to comprehensively understand how financialisation impacts both health systems and their governance. We initiated a critical interpretative synthesis of literature theorising financialisation of health systems or health system governance. A search was conducted to identify English-language, peer-reviewed and grey articles that (1) contains definitions or conceptual frameworks of financialisation; and (2) relates this concept to health systems or health-system governance. We found that articles defined financialisation as a transformative process characterised by the advent of private investors and financial instruments within health systems. We identified several emergent themes in the literature, such as the role of profits and competition in financialised health systems. Finally, most articles addressed potential challenges that financialisation raises for health system governance, especially accountability and transparency challenges. We conclude by considering how future research might address the remaining gaps within the literature.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-20"},"PeriodicalIF":3.3,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148158512","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

How do income and health inequalities contribute to populist radical right voting in Europe? A scoping review. 收入和健康不平等是如何促成欧洲民粹主义激进右翼投票的？范围审查。

IF 3.3 3区医学

Health Economics Policy and Law Pub Date : 2026-06-02 DOI: 10.1017/S174413312610053X

Natasja van Gennip, Kristina Thompson, Marleen Bekker

{"title":"How do income and health inequalities contribute to populist radical right voting in Europe? A scoping review.","authors":"Natasja van Gennip, Kristina Thompson, Marleen Bekker","doi":"10.1017/S174413312610053X","DOIUrl":"https://doi.org/10.1017/S174413312610053X","url":null,"abstract":"The role of different forms of inequality in Populist Radical Right (PRR) voting, such as income and health inequalities, is not examined consistently. Therefore we conducted a scoping review aiming to examine whether and why income and health inequalities are associated with PRR voting in Europe. We systematically searched Web of Science, Scopus and ScienceDirect for publications between 2015 and 2024. Eleven studies were ultimately included in our review. Data were extracted and analysed qualitatively. We identified seven studies that support an association between income inequality in PRR voting, while two studies did not find evidence for this relationship. Although no studies examined the role of health inequalities, we found two studies that suggest a role for welfare policies and life dissatisfaction. The overall results offer a more comprehensive understanding of how income inequality is related to PRR voting, highlighting perceived risks of economic, social or cultural loss. Our findings tie theories on social hierarchies to theories on PRR voting. While social hierarchies can lead to health problems related to anxiety and stress, more research is needed to analyse whether and how pre-existing health inequalities contribute to the rise of social hierarchies, institutional distrust and PRR voting.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-15"},"PeriodicalIF":3.3,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148144989","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

Adaptive Health Technology Assessment - value and limitations to inform resource allocation in India. 适应性卫生技术评估——为印度资源分配提供信息的价值和局限性。

IF 3.3 3区医学

Health Economics Policy and Law Pub Date : 2026-06-01 DOI: 10.1017/S1744133126100504

Sajith Kumar S, Vignesh Loganathan, Tom Drake, Abha Mehndiratta, Anastassia Demeshko, C S Pramesh, Manju Sengar, Sitanshu Sekhar Kar

{"title":"Adaptive Health Technology Assessment - value and limitations to inform resource allocation in India.","authors":"Sajith Kumar S, Vignesh Loganathan, Tom Drake, Abha Mehndiratta, Anastassia Demeshko, C S Pramesh, Manju Sengar, Sitanshu Sekhar Kar","doi":"10.1017/S1744133126100504","DOIUrl":"https://doi.org/10.1017/S1744133126100504","url":null,"abstract":"Health Technology Assessment (HTA) is an essential tool for transparent decision-making and prioritisation of resources routinely used in many high-income countries. The use of HTA in resource allocation is now gaining traction in several Low- and Middle-Income Countries too. India is one such country that has taken critical steps to integrate HTA into its policymaking framework. We explore the potential role of Adaptive (aHTA) as a screening measure and a more flexible approach to optimising the capacity of HTA. Adaptive HTA, as 'a structured approach to identify and conduct the optimised full HTA analysis', offers a pragmatic way to balance the need for swift decision-making with methodological rigour. We examined the value aHTA brings to decision-makers based on the Indian experiences in conducting aHTA and further discussed the challenges involved in its methodology and implementation. Institutionalising aHTA is proposed as both a tool for topic prioritisation and optimising the full HTA for timely decision-making, integrated within the broader HTA ecosystem in India. Given the evolving nature of aHTA methods and processes, we propose that there is a need to: standardise aHTA methodologies and develop reference cases which benchmark a set of guiding principles, methodological, and reporting standards.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-14"},"PeriodicalIF":3.3,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139453","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 assetization of care? A comparative exploration of investor logic in healthcare systems in England, Canada, and the Netherlands. 护理的资产化？英国、加拿大和荷兰医疗保健系统中投资者逻辑的比较探索。

IF 3.3 3区医学

Health Economics Policy and Law Pub Date : 2026-05-28 DOI: 10.1017/S1744133126100498

Fenna Nijboer, Syb Kuijper, Tim White, Paula Rowland, Eline Marie Linthorst, Justin Waring, Iris Wallenburg

{"title":"The assetization of care? A comparative exploration of investor logic in healthcare systems in England, Canada, and the Netherlands.","authors":"Fenna Nijboer, Syb Kuijper, Tim White, Paula Rowland, Eline Marie Linthorst, Justin Waring, Iris Wallenburg","doi":"10.1017/S1744133126100498","DOIUrl":"https://doi.org/10.1017/S1744133126100498","url":null,"abstract":"This paper examines how financial actors enter and reshape healthcare systems, building new, often transnational, social, technical, and financial infrastructures for organising and providing care. We use the concept of assetization - the transformation of 'things' into rent-generating assets for investors - to explore how financial actors appear within healthcare. Drawing on empirical case studies from England, Canada, and the Netherlands, we show how assetization unfolds differently across national contexts, shaped by political cultures, regulatory environments, and institutional legacies. Rather than deploying uniform strategies, financial actors respond strategically to systemic frictions and perceived crises, positioning themselves as problem-solvers and embedding investor logic into healthcare provision. As such, assetization is an active process that constructs new infrastructures facilitating future investment and normalising financial presence in healthcare. By tracing how an emerging investor logic reshapes the conditions that allow financial actors to turn healthcare into an asset across different socio-political and institutional contexts, and by tracing the mechanisms through which this logic is articulated and enacted, this paper reveals how care is increasingly integrated into broader circuits of financialization. In doing so, we raise critical questions about the evolving governance, valuation, and organisation of healthcare under expanding financial influence, pointing towards a future research agenda.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-18"},"PeriodicalIF":3.3,"publicationDate":"2026-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044273","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

Forging integrated care through collective policy entrepreneurship in a fragmented health system: a tale of two counties in China. 在支离破碎的卫生系统中，通过集体政策创业打造综合医疗：中国两县的故事。

IF 3.3 3区医学

Health Economics Policy and Law Pub Date : 2026-05-25 DOI: 10.1017/S1744133126100516

Alex Jingwei He, Mengjie Long, Xiaoting Liu, Na Tang

{"title":"Forging integrated care through collective policy entrepreneurship in a fragmented health system: a tale of two counties in China.","authors":"Alex Jingwei He, Mengjie Long, Xiaoting Liu, Na Tang","doi":"10.1017/S1744133126100516","DOIUrl":"https://doi.org/10.1017/S1744133126100516","url":null,"abstract":"Health system integration has been actively promoted in recent years as a promising approach to defragmentize the current delivery framework of health services and contain costs. Yet, integration often faces significant barriers from the bureaucratic sphere. Successful integration is hardly due to good technical design alone; rather, it is often explained by how the policy dimension of the reform is managed. This study embraces a policy sciences perspective to explain the micro policy dynamics of health system integration reforms in a fragmented health system. Engaging the policy entrepreneurship literature, it investigates the county medical conglomeration innovations that have flourished in China in the past few years. Two pioneer counties were selected for in-depth case studies. Qualitative methods were extensively used in data analysis. Analytical attention was specifically focused on how a small team of local policy entrepreneurs championed the reforms amidst multiple constraints. The analysis revealed the varying momentum of policy entrepreneurs and the distinctive reform pathways across the two cases. A certain degree of similarity was also observed in their use of entrepreneurial strategies to promote integration reforms. Importantly, close vertical integration combined with a bundled global budget was adopted in both cases, and this model was subsequently diffused to other localities.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"1-19"},"PeriodicalIF":3.3,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018114","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