Health Economics Policy and Law最新文献_第9页

Effects of public long-term care insurance on the medical service use by older people in South Korea. 公共长期护理保险对韩国老年人医疗服务使用的影响。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-04-01 DOI: 10.1017/S174413312200024X

Yoon-Min Cho, Soonman Kwon

{"title":"Effects of public long-term care insurance on the medical service use by older people in South Korea.","authors":"Yoon-Min Cho, Soonman Kwon","doi":"10.1017/S174413312200024X","DOIUrl":"https://doi.org/10.1017/S174413312200024X","url":null,"abstract":"Public long-term care insurance (LTCI), which provides home and institutional care benefits, was introduced in July 2008 in South Korea. This study aims to evaluate the effects of the introduction of LTCI on older people's medical service use, including outpatient visits, inpatient services and longer stays (181 days or longer) in hospitals by implementing a quasi-experiment design with a generalised difference-in-difference method. The results showed that the introduction of LTCI did not change the use of outpatient medical services, although the medical costs of older people who used medical services at least once decreased by 9.4%. For the inpatient services, hospitalisation rates declined by 2.7% as a result of the LTCI. Length of stay and inpatient expenses decreased by 15.6 and 9.5%, respectively. For older people of LTC grade 2, eligible for long-term care facilities (LTCF), prolonged hospitalisation rates decreased by 1.6% due to the LTCI. In conclusion, the introduction of LTCI in South Korea has contributed to decreasing the use of inpatient services and longer stays in hospitals, which suggests that the utilisation of LTCF has become a substitute for some social admissions in hospitals.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 2","pages":"154-171"},"PeriodicalIF":1.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9903931","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: 2

Saving children's lives through interventions: a quasi-experimental analysis of GAVI. 通过干预拯救儿童生命:对全球疫苗和免疫联盟的准实验分析。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-04-01 DOI: 10.1017/S1744133122000226

Admasu Asfaw Maruta, Clifford Afoakwah

引用次数: 0

Neighborhood inequalities and the decline of infant mortality in São Paulo. <s:1>圣保罗州的邻里不平等与婴儿死亡率下降。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-04-01 DOI: 10.1017/S1744133122000111

Michael K Gusmano, Irina Grafova, Rafael Ayoub, Daniel Weisz, Victor G Rodwin

{"title":"Neighborhood inequalities and the decline of infant mortality in São Paulo.","authors":"Michael K Gusmano, Irina Grafova, Rafael Ayoub, Daniel Weisz, Victor G Rodwin","doi":"10.1017/S1744133122000111","DOIUrl":"https://doi.org/10.1017/S1744133122000111","url":null,"abstract":"This paper documents changes in infant mortality (IM) rates in São Paulo, Brazil, between 2003 and 2013 and examines the association among neighborhood characteristics and IM. We investigate the extent to which increased use of health care services and improvements in economic and social conditions are associated with reductions in IM. Using data from the Brazilian Census and the São Paulo Secretaria Municipal da Saúde/SMS, we conducted a longitudinal analysis of panel data in all 96 districts of São Paulo for every year between 2003 and 2013. Our regression model includes district level measures that reflect economic, health care and social determinants of IM. We find that investments in health care have contributed to lower IM rates in the city, but the direct effect of increased spending is most evident for people living in São Paulo's middle- and high-income neighborhoods. Improvements in social conditions were more strongly associated with IM declines than increases in the use of health care among São Paulo's low-income neighborhoods. To reduce health inequalities, policies should target benefits to lower-income neighborhoods. Subsequent research should document the consequences of recent changes in Brazil's economic capacity and commitment to public health spending for population health.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 2","pages":"111-120"},"PeriodicalIF":1.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9541512","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

Understanding public procurement within the health sector: a priority in a post-COVID-19 world. 了解卫生部门内的公共采购:后covid -19世界的优先事项

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-04-01 DOI: 10.1017/S1744133122000184

Anna García-Altés, Martin McKee, Luigi Siciliani, Pedro Pita Barros, Lasse Lehtonen, Heather Rogers, Dionne Kringos, Jelka Zaletel, Jan De Maeseneer

{"title":"Understanding public procurement within the health sector: a priority in a post-COVID-19 world.","authors":"Anna García-Altés, Martin McKee, Luigi Siciliani, Pedro Pita Barros, Lasse Lehtonen, Heather Rogers, Dionne Kringos, Jelka Zaletel, Jan De Maeseneer","doi":"10.1017/S1744133122000184","DOIUrl":"https://doi.org/10.1017/S1744133122000184","url":null,"abstract":"Every year, over 250,000 public authorities in the European Union (EU) spend about 14% of GDP on the purchase of services, works and supplies. Many are in the health sector, a sector in which public authorities are the main buyers in many countries. When these purchases exceed threshold values, EU public procurement rules apply. Public procurement is increasingly being promoted as a tool for improving efficiency and contributing to better health outcomes, and as a policy lever for achieving other government goals, such as innovation, the development of small and medium-sized enterprises, sustainable green growth and social objectives like public health and greater inclusiveness. In this paper, we describe the challenges that arise within health care systems with public procurement and identify potential solutions to them. We examined the tendering of pharmaceuticals, health technology, and e-health. In each case we identify a series of challenges relating to the complexity of the procurement process, imbalances in power on either side of transactions and the role of procurement in promoting broader public policy objectives. Finally, we recommend several actions that could stimulate better procurement, and suggest a few areas where further EU cooperation can be pursued.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 2","pages":"172-185"},"PeriodicalIF":1.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9548792","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: 4

The effects of a sugar-sweetened beverage tax: moving beyond dental health outcomes and service utilisation. 含糖饮料税的影响:超越牙齿健康结果和服务利用。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-04-01 DOI: 10.1017/S1744133122000147

P Marcin Sowa, Stephen Birch

{"title":"The effects of a sugar-sweetened beverage tax: moving beyond dental health outcomes and service utilisation.","authors":"P Marcin Sowa, Stephen Birch","doi":"10.1017/S1744133122000147","DOIUrl":"https://doi.org/10.1017/S1744133122000147","url":null,"abstract":"Despite considerable academic and policy interest in the taxation of sugar-sweetened beverages (SSBs), its extra-health implications remain largely unexplored. We investigated the impact of an SSB tax on school absenteeism due to improved dental health, in a framework that accounted for the distribution of the benefit. We designed a quantitative, decision-analytic model that synthesised existing evidence in the areas of dental epidemiology, public health and economics, and simulated causal mechanisms that lead to changes in school attendance in Australian children and adolescents aged 6-17, in a tax vs no tax scenarios. Introducing a 20% sales tax on SSBs would result in a 0.73% (95% confidence interval: 0.38; 1.10), or 4684 (2412; 7071) days per year nationwide, reduction in school absences attributable to dental health reasons. While positive impacts would be seen across the board, the distribution of benefit was favourable towards boys, older teens and those from lower socio-economic status. Our study highlights the need for, and the viability of, quantifying distributions of direct and indirect consequences of public health policy. Despite modest effect size, the equity profile of SSB tax, the long-lasting benefits of educational gains, and potential synergies with other interventions, make it an attractive option for policymakers to consider.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 2","pages":"139-153"},"PeriodicalIF":1.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9903913","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

Coping with COVID-19: the role of hospital care structures and capacity expansion in five countries. 应对COVID-19:五个国家医院护理机构的作用和能力扩张。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-04-01 DOI: 10.1017/S1744133122000275

Mirella Cacace, Jan Böcken, Kristin Edquist, Tanja Klenk, Mario Martinez-Jimenez, Uwe Preusker, Karsten Vrangbaek, Ruth Waitzberg

{"title":"Coping with COVID-19: the role of hospital care structures and capacity expansion in five countries.","authors":"Mirella Cacace, Jan Böcken, Kristin Edquist, Tanja Klenk, Mario Martinez-Jimenez, Uwe Preusker, Karsten Vrangbaek, Ruth Waitzberg","doi":"10.1017/S1744133122000275","DOIUrl":"https://doi.org/10.1017/S1744133122000275","url":null,"abstract":"This contribution examines the responses of five health systems in the first wave of the COVID-19 pandemic: Denmark, Germany, Israel, Spain and Sweden. The aim is to understand to what extent this crisis response of these countries was resilient. The study focuses on hospital care structures, considering both existing capacity before the pandemic and the management and expansion of capacity during the crisis. Evaluation criteria include flexibility in the use of existing resources and response planning, as well as the ability to create surge capacity. Data were collected from country experts using a structured questionnaire. Main findings are that not only the total number but also the availability of hospital beds is critical to resilience, as is the ability to mobilise (highly) qualified personnel. Indispensable for rapid capacity adjustment is the availability of data. Countries with more centralised hospital care structures, more sophisticated concepts for providing specialised services and stronger integration of the inpatient and outpatient sectors have clear structural advantages. A solid digital infrastructure is also conducive. Finally, a centralised governance structure is crucial for flexibility and adaptability. In decentralised systems, robust mechanisms to coordinate across levels are important to strengthen health care system resilience in pandemic situations and beyond.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 2","pages":"186-203"},"PeriodicalIF":1.7,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9602731","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

Performance of Contracts upon the Fundamental Change of Circumstances in Vietnam’s Civil Code 2015 2015年越南民法典中情况发生根本变化时合同的履行

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-03-31 DOI: 10.22158/elp.v6n1p46

Duong Quynh Hoa

引用次数: 0

Constraints and Challenges to the Legal Relationship: From the Legal Entity to the Animal and the Robot 法律关系的约束与挑战:从法律实体到动物与机器人

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-02-23 DOI: 10.22158/elp.v6n1p1

Jose Luis Bonifacio Ramos

引用次数: 0

Need, demand, supply in health care: working definitions, and their implications for defining access. 卫生保健的需要、需求和供应:工作定义及其对确定获取的影响。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-01-01 DOI: 10.1017/S1744133121000293

Idaira Rodriguez Santana, Anne Mason, Nils Gutacker, Panagiotis Kasteridis, Rita Santos, Nigel Rice

引用次数: 16

Learning lessons about lesson-learning: Covid complexity. 学习经验教训:应对复杂性。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-01-01 DOI: 10.1017/S1744133122000135

Calum Paton

{"title":"Learning lessons about lesson-learning: Covid complexity.","authors":"Calum Paton","doi":"10.1017/S1744133122000135","DOIUrl":"https://doi.org/10.1017/S1744133122000135","url":null,"abstract":"In the article, 'Learning Lessons from the Covid-19 Pandemic', Powell (2022) rightly implies that there is a profusion of confusion in the 'industry' which has grown up around lesson-learning from the pandemic. His contribution sets out a helpful framework for classifying or making attempts at lesson-learning. He combines the tripartite classification of inadequate approaches to policy-learning and policy transfer developed 30 years ago by Dolowitz and Marsh ('uninformed-incomplete-inappropriate'), which he inverts to produce a classification of approaches which are informed, complete and appropriate, with the framework of 'outcome-mechanism-context' from realistic evaluation. (I use the term realistic rather than realist, as the latter implies an epistemological stance as opposed to what was intended, which is that evaluation takes account of complexity in a realistic manner.) This produces a classification, and possibly an 'ideal type', of informed outcomes, complete mechanisms and appropriate context. Powell rightly implies that no overall conclusion is available from the literature reviewed. He does however imply that different approaches may work in different settings. This is true in one sense but misleading in another. This commentary argues that such 'relativism' is not only dangerous in practice but mistaken in theory.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 1","pages":"104-110"},"PeriodicalIF":1.7,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10609550","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