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

The Impact of the Crisis on Poverty and Socio-Economic Inequalities in Europe 危机对欧洲贫困和社会经济不平等的影响

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-09-05 DOI: 10.22158/elp.v6n2p46

Nicola Acocella

{"title":"The Impact of the Crisis on Poverty and Socio-Economic Inequalities in Europe","authors":"Nicola Acocella","doi":"10.22158/elp.v6n2p46","DOIUrl":"https://doi.org/10.22158/elp.v6n2p46","url":null,"abstract":"We want to investigate the factors that have had an impact on poverty rates and inequalities in Europe and enquire about the possibility to reduce them in the future. Our enquiry is largely novel in the literature on the topic. The immediate causes of the increase in poverty rates and inequalities have certainly been the financial crisis, the pandemic and the increase in unemployment that derived from them in almost all European countries. In a nutshell, the underlying novel factors that we underline can be attributed to the EU institutions and policies, the ensuing asymmetries and the situation in “core” and “peripheral” countries, more specifically: 1) The “credit-led” strategy of growth pursued by peripheral countries. 2) The “export-led” strategy of growth pursued by core countries. These strategies implicated pernicious imbalances that reflected on poverty rates and inequalities. We find also that only the welfare state has succeeded in mitigating the negative impact on poverty and equity, but at the cost of further burdening public finances, especially in peripheral countries, casting a shadow on the ability to perform the same role in the future. In the future what is needed to avoid asymmetries and imbalances in the European Union is a common strategy of growth.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 3 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90063565","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

Reconsideration on the Construction of Finance Discipline and the Cultivation of College Students’ Employability in Sichuan International Studies University 四川外国语学院金融学科建设与大学生就业能力培养的再思考

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-08-23 DOI: 10.22158/elp.v6n2p35

Jingchen Xian, Xinpeng Xu

{"title":"Reconsideration on the Construction of Finance Discipline and the Cultivation of College Students’ Employability in Sichuan International Studies University","authors":"Jingchen Xian, Xinpeng Xu","doi":"10.22158/elp.v6n2p35","DOIUrl":"https://doi.org/10.22158/elp.v6n2p35","url":null,"abstract":"Based on the construction and talent cultivation of the finance discipline in industry characteristic universities, this article discusses the subject setting, professional course structure, and the model for cultivating college students’ employability to illustrate how universities with prominent industry characteristics carry out the construction of the finance discipline. It indicates that the full use of laboratories to support the construction of characteristic disciplines is the foundation, and emphasizes the internal logical connection between various courses as a clue analysis, From the simple quantity construction to the improvement of curriculum quality, from the construction of a single core curriculum to the construction of a multi curriculum system, from the internal logical extension of the core curriculum to the internal logical connection of related courses, sort out the connection, mutual support and strengthening between the Temporal logic and content order of related courses, optimize and integrate the curriculum system by using the internal logical connection of the curriculum group, In order to promote the transformation of teaching concepts and teaching methods, achieve the goal of high-quality construction of course groups, and propose corresponding future development ideas based on this.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"23 1","pages":""},"PeriodicalIF":1.7,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77852445","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

Is There a Policy That Reduces Mass Public Shooting Deaths? 有政策可以减少大规模公共枪击死亡吗?

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-07-21 DOI: 10.22158/elp.v6n2p15

Carlisle E. Moody

引用次数: 0

The Effect of Digital Finance on Rural Revitalization 数字金融对乡村振兴的影响

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-07-16 DOI: 10.22158/elp.v6n2p1

Jiatong Wang, Niancheng Tong

引用次数: 0

Exploring differences between public and private providers in primary care: findings from a large Swedish region. 探索初级保健的公立和私立提供者之间的差异:来自瑞典一个大地区的调查结果。

IF 1.7 3区医学

Health Economics Policy and Law Pub Date : 2023-07-01 DOI: 10.1017/S1744133122000251

Anna Häger Glenngård

{"title":"Exploring differences between public and private providers in primary care: findings from a large Swedish region.","authors":"Anna Häger Glenngård","doi":"10.1017/S1744133122000251","DOIUrl":"https://doi.org/10.1017/S1744133122000251","url":null,"abstract":"This study contributes to the sparse literature on differences between public and private primary care practices (PCCs). The purpose was to explore if differences in performance and characteristics between public and PCCs persist over time in a welfare market with patient choice and provider competition, where public and private providers operate under similar conditions. The analysis is based on data from a national patient survey and administrative registries in a large Swedish region, covering PCC observations in 2010 and 2019, i.e., the year after and 10 years after introducing choice and competition in the region. The findings suggest that differences across owner types tend to decrease over time in welfare markets. Differences in patients' experiences, PCC size, patient mix and the division of labour have decreased or disappeared between 2010 and 2019. There were small but significant differences in process measures of quality in 2019; public PCCs complied better with prescription guidelines. While the results demonstrate a convergence between public and private PCCs in regards to their characteristics and performance, differences in patients' experiences in regards to socioeconomic conditions persisted. Such unwarranted variation calls for continued attention from policy makers and further research about causes.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 3","pages":"219-233"},"PeriodicalIF":1.7,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9606752","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: 1

Political determinants of health: (re) examining the role of governance in reducing maternal mortality. 健康的政治决定因素：（重新）研究治理在降低孕产妇死亡率方面的作用。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2023-07-01 Epub Date: 2023-03-30 DOI: 10.1017/S1744133123000026

Chhavi Tiwari, Neha Jain, Srinivas Goli, Parul Puri

{"title":"Political determinants of health: (re) examining the role of governance in reducing maternal mortality.","authors":"Chhavi Tiwari, Neha Jain, Srinivas Goli, Parul Puri","doi":"10.1017/S1744133123000026","DOIUrl":"10.1017/S1744133123000026","url":null,"abstract":"Given change in the universal developmental agenda and the quality of governance in the last two decades, this paper re-examines the relationship between governance, health expenditure and maternal mortality using panel data for 184 countries from 1996 to 2019. By employing the 'dynamic panel data regression model', the study reveals that a one-point improvement in the governance index decreases maternal mortality by 10-21%. We also find that good governance can better translate health expenditure into improved maternal health outcomes through effective allocation and equitable distribution of available resources. These results are robust to alternative instruments, alternative dependent variables (such as infant mortality rate and life expectancy), estimation by different governance dimensions and at the sub-national level. Additional findings using 'Quantile regression' estimates show that the quality of governance matters more than the health expenditure in countries with a higher level of maternal mortality. While the 'Path regression' analysis exhibits the specific direct and indirect mechanisms through which the causal inference operates between governance and maternal mortality.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 3","pages":"248-273"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9608334","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

Health care reform and financial crisis in the Netherlands: consequences for the financial arena of health care organizations. 荷兰的医疗改革和金融危机：对医疗机构财务领域的影响。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2023-07-01 DOI: 10.1017/S1744133123000075

T S van Dijk, W K van der Scheer, M Felder, R T J M Janssen

{"title":"Health care reform and financial crisis in the Netherlands: consequences for the financial arena of health care organizations.","authors":"T S van Dijk, W K van der Scheer, M Felder, R T J M Janssen","doi":"10.1017/S1744133123000075","DOIUrl":"10.1017/S1744133123000075","url":null,"abstract":"Over the past decade, many health care systems across the Global North have implemented elements of market mechanisms while also dealing with the consequences of the financial crisis. Although effects of these two developments have been researched separately, their combined impact on the governance of health care organizations has received less attention. The aim of this study is to understand how health care reforms and the financial crisis together shaped new roles and interactions within health care. The Netherlands - where dynamics between health care organizations and their financial stakeholders (i.e., banks and health insurers) were particularly impacted - provides an illustrative case. Through semi-structured interviews, additional document analysis and insights from institutional change theory, we show how banks intensified relationship management, increased demands on loan applications and shifted financial risks onto health care organizations, while health insurers tightened up their monitoring and accountability practices towards health care organizations. In return, health care organizations were urged to rearrange their operations and become more risk-minded. They became increasingly dependent on banks and health insurers for their existence. Moreover, with this study, we show how institutional arenas come about through both the long-term efforts of institutional agents and unpredictable implications of economic and societal crises.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 3","pages":"305-320"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9608862","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

Successfully changing the mode of regulation in clinical priority setting: how organisational factors contributed to establishing the Norwegian priority guidelines for specialist health care services. 成功改变确定临床优先事项的监管模式：组织因素如何促进制定挪威专科医疗服务优先事项指南。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2023-07-01 Epub Date: 2023-02-08 DOI: 10.1017/S1744133123000014

Irene Aase-Kvåle

{"title":"Successfully changing the mode of regulation in clinical priority setting: how organisational factors contributed to establishing the Norwegian priority guidelines for specialist health care services.","authors":"Irene Aase-Kvåle","doi":"10.1017/S1744133123000014","DOIUrl":"10.1017/S1744133123000014","url":null,"abstract":"This article investigates factors that contributed to the successful introduction of 33 priority guidelines for Norwegian specialist health care from 2008 to 2012. The guidelines constituted an important step in changing the regulation of clinical priority setting from largely self-regulation by medical professionals to a more centralised and hierarchical form, and therefore, resistance from the medical profession was expected. My focus is on organisational factors within the project that developed the guidelines, using policy documents and project documents as the main source of data. I find that the project was characterised by a high level of autonomy in terms of how it was organised and the actors included, with significant capacity for action in terms of both structure and personnel, and a broad inclusion of affected actors. The priority guideline project was dominated by medical professionals, and its organisation did not represent a radical break with established traditions of medical professional self-regulation. Although organisational autonomy, action capacity and broad inclusion were clearly of importance, the project's compliance with historical traditions and norms of medical governance stands out as the key factor in understanding the successful establishment of the priority guidelines.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 3","pages":"234-247"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9595631","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

Spillover effects of financial incentives for providers onto non-targeted patients: daycase surgery in English hospitals. 对医疗服务提供者的经济激励对非目标患者的溢出效应：英国医院的日间手术。

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2023-07-01 Epub Date: 2023-05-16 DOI: 10.1017/S1744133123000063

Philip Britteon, Søren Rud Kristensen, Yiu-Shing Lau, Ruth McDonald, Matt Sutton

{"title":"Spillover effects of financial incentives for providers onto non-targeted patients: daycase surgery in English hospitals.","authors":"Philip Britteon, Søren Rud Kristensen, Yiu-Shing Lau, Ruth McDonald, Matt Sutton","doi":"10.1017/S1744133123000063","DOIUrl":"10.1017/S1744133123000063","url":null,"abstract":"Background: Incentives for healthcare providers may also affect non-targeted patients. These spillover effects have important implications for the full impact and evaluation of incentive schemes. However, there are few studies on the extent of such spillovers in health care. We investigated whether incentives to perform surgical procedures as daycases affected whether other elective procedures in the same specialties were also treated as daycases.Data: 8,505,754 patients treated for 92 non-targeted procedures in 127 hospital trusts in England between April and March 2016.Methods: Interrupted time series analysis of the probability of being treated as a daycase for non-targeted patients treated in six specialties where targeted patients were also treated and three specialties where they were not.Results: The daycase rate initially increased (1.04 percentage points, SE: 0.30) for patients undergoing a non-targeted procedure in incentivised specialties but then reduced over time. Conversely, the daycase rate gradually decreased over time for patients treated in a non-incentivised specialty.Discussion: Spillovers from financial incentives have variable effects over different activities and over time. Policymakers and researchers should consider the possibility of spillovers in the design and evaluation of incentive schemes.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 3","pages":"289-304"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9598281","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

Public health by organizational fix? 公共卫生靠组织修复？

IF 3 3区医学

Health Economics Policy and Law Pub Date : 2023-07-01 Epub Date: 2023-04-13 DOI: 10.1017/S1744133123000051

Albert Weale, David J Hunter, Peter Littlejohns, Toslima Khatun, Jacqueline Johnson

{"title":"Public health by organizational fix?","authors":"Albert Weale, David J Hunter, Peter Littlejohns, Toslima Khatun, Jacqueline Johnson","doi":"10.1017/S1744133123000051","DOIUrl":"10.1017/S1744133123000051","url":null,"abstract":"In August 2020 the UK government announced without warning the abolition of Public Health England (PHE), the principal UK agency for the promotion and protection of public health. We undertook a research programme seeking to understand the factors surrounding this decision. While the underlying issues are complex two competing interpretations have emerged: an 'official' explanation, which highlights the failure of PHE to scale up its testing capacity in the early weeks of the COVID-19 pandemic as the fundamental reason for closing it down and a 'sceptical' interpretation, which ascribes the decision to blame-avoidance behaviour on the part of leading government figures. This paper reviews crucial claims in these two competing explanations exploring the arguments for and against each proposition. It concludes that neither is adequate and that the inability adequately to address the problem of testing (which triggered the decision to close PHE) lies deeper in the absence of the norms of responsible government in UK politics and the state. However our findings do provide some guidance to the two new organizations established to replace PHE to maximize their impact on public health. We hope that this information will contribute to the independent national COVID inquiry.","PeriodicalId":46836,"journal":{"name":"Health Economics Policy and Law","volume":"18 3","pages":"274-288"},"PeriodicalIF":3.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9960333","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