Health Economics Policy and Law最新文献_第5页

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

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

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

The state of American health coverage: the 2022 elections and the Affordable Care Act. 美国医疗保险状况：2022年大选和《平价医疗法案》。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-07-01 Epub Date: 2023-10-16 DOI: 10.1017/S1744133123000245

Mickael K Gusmano, Frank J Thompson

引用次数: 0

Why did England change its law on deceased organ donation in 2019? The dynamic interplay between evidence and values. 英格兰为何在 2019 年修改了有关死者器官捐献的法律？证据与价值观之间的动态相互作用。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-07-01 Epub Date: 2024-09-12 DOI: 10.1017/S1744133124000112

Lorraine Williams, Jennifer Bostock, Jane Noyes, Leah McLaughlin, Stephen O'Neill, Mustafa Al-Haboubi, Paul Boadu, Nicholas Mays

{"title":"Why did England change its law on deceased organ donation in 2019? The dynamic interplay between evidence and values.","authors":"Lorraine Williams, Jennifer Bostock, Jane Noyes, Leah McLaughlin, Stephen O'Neill, Mustafa Al-Haboubi, Paul Boadu, Nicholas Mays","doi":"10.1017/S1744133124000112","DOIUrl":"10.1017/S1744133124000112","url":null,"abstract":"In the three years since the law on adult deceased organ donation consent in England changed to include an opt-out system, there has been no discernible change to donation rates. The lack of a positive impact on donation rates was predicted by many of those who took part in debates before and during the passage of the Bill through Parliament. This invites the question as to why England moved to an opt-out system for organ donation despite equivocal evidence of likely benefit and opposition from expert health professional organisations. To address this question qualitative analyses of Parliamentary debates on organ donation was undertaken. This revealed a shift from a dominant position, which gave primacy to the evidence of likely effects, towards a more normative position where a deemed consent option was viewed as the 'correct thing to do' and the limited and conflicting evidence viewed in a positive light. By 2017, following Wales's move to an opt-out system, together with continued lobbying for similar changes for England by professional and patient groups, alongside sustained public popularity for organ donation, the balance of opinion had shifted towards a system where deemed consent would become the default position for most English adults.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"353-369"},"PeriodicalIF":3.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298487","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

Politics in all policies: how healthcare is shaped by political (in)action. 所有政策中的政治：政治（不）行动如何影响医疗保健。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-07-01 Epub Date: 2024-11-28 DOI: 10.1017/S1744133124000240

Rocco Friebel, Iris Wallenburg

引用次数: 0

Medical marijuana laws and mental health in the United States. 美国的医用大麻法律与精神健康。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-07-01 Epub Date: 2024-04-02 DOI: 10.1017/S1744133124000033

Jörg Kalbfuss, Reto Odermatt, Alois Stutzer

引用次数: 0

Consolidating political leadership in healthcare: a mediating institution for priority-setting as a political strategy in a local health system. 巩固医疗保健领域的政治领导力：作为地方医疗保健系统政治战略的优先事项设定中介机构。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-07-01 Epub Date: 2024-03-07 DOI: 10.1017/S1744133124000021

Emma Bergstedt, Lars Sandman, Ann-Charlotte Nedlund

{"title":"Consolidating political leadership in healthcare: a mediating institution for priority-setting as a political strategy in a local health system.","authors":"Emma Bergstedt, Lars Sandman, Ann-Charlotte Nedlund","doi":"10.1017/S1744133124000021","DOIUrl":"10.1017/S1744133124000021","url":null,"abstract":"The allocation of resources is a crucial part of political decision-making in healthcare, but explicit priorities are rarely set when resources are distributed. Two areas that have received some attention in research about legitimacy and priority-setting decisions in healthcare are the role of technical expert agencies as mediating institutions and the role of elected politicians. This paper investigates a political priority-setting advisory committee within a regional authority in Sweden. The aim is to explore how a political body can serve as a mediating institution for priority-setting in healthcare by disentangling the arrangements of its work in terms of what role it performs in the organisation and what it should do. The findings illustrate that promoting the notion of explicit priority-setting and the political aspects inherent in priority-setting in political healthcare management can contribute to consolidating political governance and leadership. There is, however, a complex tension between stability and conflicting values which has implications for the role of politicians as citizens' democratic representatives. This paper enhances our understanding of the role of mediating institutions and political properties of healthcare priority-setting, as well as our understanding of political and democratic healthcare governance in local self-government.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"337-352"},"PeriodicalIF":3.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140050600","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

From speculative to real: community attitudes towards government COVID-19 vaccine mandates in Western Australia from May 2021 to April 2022. 从推测到现实：2021 年 5 月至 2022 年 4 月西澳大利亚州社区对政府 COVID-19 疫苗任务的态度。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2024-07-01 Epub Date: 2024-05-20 DOI: 10.1017/S1744133124000069

Katie Attwell, Leah Roberts, Marco Rizzi

{"title":"From speculative to real: community attitudes towards government COVID-19 vaccine mandates in Western Australia from May 2021 to April 2022.","authors":"Katie Attwell, Leah Roberts, Marco Rizzi","doi":"10.1017/S1744133124000069","DOIUrl":"10.1017/S1744133124000069","url":null,"abstract":"Many governments employed mandates for COVID-19 vaccines, imposing consequences upon unvaccinated people. Attitudes towards these policies have generally been positive, but little is known about how discourses around them changed as the characteristics of the disease and the vaccinations evolved. Western Australia (WA) employed sweeping COVID-19 vaccine mandates for employment and public spaces whilst the state was closed off from the rest of the country and world, and mostly with no COVID-19 in the community. This article analyses WA public attitudes during the mandate policy lifecycle from speculative to real. Qualitative interview data from 151 adults were analysed in NVivo 20 via a novel chronological analysis anchored in key policy phases: no vaccine mandates, key worker vaccine mandates, vaccine mandates covering 75% of the workforce and public space mandates. Participants justified mandates as essential for border reopening and, less frequently, for goals such as protecting the health system. However, public discourse focusing on 'getting coverage rates up' may prove counter-productive for building support for vaccination; governments should reinforce end goals in public messaging (reducing suffering and saving lives) because such messaging is likely to be more meaningful to vaccination behaviour in the longer term.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":" ","pages":"387-406"},"PeriodicalIF":3.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141065789","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