Journal of Health Economics最新文献

Effects of informal caring on labour market outcomes of carers: Evidence from HILDA 非正式照顾对照顾者劳动力市场结果的影响：来自HILDA的证据

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-07-12 DOI: 10.1016/j.jhealeco.2025.103028

Pelin Akyol , Matt Nolan

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引用次数: 0

Abortion access and child protective services involvement 堕胎和儿童保护服务的参与

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-07-11 DOI: 10.1016/j.jhealeco.2025.103032

Christine Piette Durrance , Yang Wang , Barbara Wolfe

引用次数: 0

Lost in the net? Broadband internet and youth mental health 在网里迷路了？宽带互联网与青少年心理健康

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-07-04 DOI: 10.1016/j.jhealeco.2025.103017

Dante Donati , Ruben Durante , Francesco Sobbrio , Dijana Zejcirovic

引用次数: 0

Regional variation in mental healthcare utilization and suicide: Evidence from movers in Australia 心理保健利用和自杀的地区差异：来自澳大利亚搬家者的证据

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-06-25 DOI: 10.1016/j.jhealeco.2025.103029

Karinna Saxby , Thomas Buchmueller , Sonja C. de New , Dennis Petrie

{"title":"Regional variation in mental healthcare utilization and suicide: Evidence from movers in Australia","authors":"Karinna Saxby , Thomas Buchmueller , Sonja C. de New , Dennis Petrie","doi":"10.1016/j.jhealeco.2025.103029","DOIUrl":"10.1016/j.jhealeco.2025.103029","url":null,"abstract":"<div><div>Poor mental health is a major global health issue, with many countries documenting high levels of unmet need and regional disparities in mental healthcare utilization. To determine how best to address these disparities, it is important to understand what drives regional variation. Using Census-linked microdata from Australia, we exploit cross-region migration to identify the extent to which patient and place factors drive regional variation in utilization of mental healthcare services and mental health prescriptions (antidepressants, anxiolytics, antipsychotics). We find that place factors account for approximately 72 % and 19 % of the regional variation in utilization of mental healthcare services and mental health prescriptions, respectively, with the rest reflecting patient-related demand. We also find suggestive evidence that larger place effects predict fewer mental health related Emergency Department presentations, self-harm hospitalizations, and suicides. Altogether, our findings suggest there is inadequate and inequitable supply in regions with low utilization, rather than inefficiently high utilization in high utilization regions.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"102 ","pages":"Article 103029"},"PeriodicalIF":3.4,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144569056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A change of plans: Switching costs in the procurement of health insurance 计划变更：医疗保险采购中的转换成本

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-06-24 DOI: 10.1016/j.jhealeco.2025.103021

Eran Politzer

引用次数: 0

Heterogeneous peer effects and gender-based interventions for teenage obesity 青少年肥胖的异质性同伴效应和基于性别的干预

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-06-23 DOI: 10.1016/j.jhealeco.2025.103023

Margherita Comola , Rokhaya Dieye , Bernard Fortin

引用次数: 0

Responsibility-sensitive welfare weights for health 对责任敏感的健康福利权重

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-06-22 DOI: 10.1016/j.jhealeco.2025.103018

Matthew Robson , Owen O’Donnell , Tom Van Ourti

{"title":"Responsibility-sensitive welfare weights for health","authors":"Matthew Robson , Owen O’Donnell , Tom Van Ourti","doi":"10.1016/j.jhealeco.2025.103018","DOIUrl":"10.1016/j.jhealeco.2025.103018","url":null,"abstract":"<div><div>We estimate welfare weights for health to facilitate program evaluation allowing for aversion to health inequality and to health inequity by three non-health characteristics. In a UK general population sample, 569 online experiment participants distribute constrained resources to determine the health of hypothetical individuals distinguished by randomly generated resource productivity as well as sex, income and smoking (41,460 observations). We elicit beliefs about responsibility for income and smoking, and use their associations with the allocations to estimate responsibility-sensitive weights for health by those two characteristics. We find weak prioritisation of females’ health, moderate prioritisation of the health of poorer individuals and strong prioritisation of the health of non-smokers over that of smokers. Substantial aversion to health inequality lowers weights on females and non-smokers, who are health-advantaged, and raises the weight on the poor, who are health-disadvantaged. As beliefs about responsibility for income and smoking strengthen, weights on the poor decrease and weights on non-smokers significantly increase.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"102 ","pages":"Article 103018"},"PeriodicalIF":3.4,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144335818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Do for-profit hospitals cream-skim patients? Evidence from inpatient psychiatric care in California 营利性医院会对病人进行奶油脱脂吗？来自加州住院精神病治疗的证据

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-06-21 DOI: 10.1016/j.jhealeco.2025.103027

Donghoon Lee , Anirban Basu , Jerome A. Dugan , Pinar Karaca-Mandic

{"title":"Do for-profit hospitals cream-skim patients? Evidence from inpatient psychiatric care in California","authors":"Donghoon Lee , Anirban Basu , Jerome A. Dugan , Pinar Karaca-Mandic","doi":"10.1016/j.jhealeco.2025.103027","DOIUrl":"10.1016/j.jhealeco.2025.103027","url":null,"abstract":"<div><div>The paper examines whether, among inpatient psychiatric admissions in California, for-profit (FP) hospitals engage in cream skimming, i.e., selecting patients for some characteristic(s) other than their need for care, which enhances the profitability of the provider. We propose a novel approach to identifying cream skimming using cost outcomes. Naïve treatment effect estimates of hospital ownership type consist of the combined effects of differential patient case mix (selection) and hospital cost containment strategies (execution). In contrast, an instrumental variable (IV) approach can control for case mix and establish the causal effects of ownership type due to its execution. We interpret the difference between the naïve and IV treatment effects to be driven by FP hospitals’ selection based on unobserved patient case mix. Our findings on patient selection show that FP hospitals are more likely than their not-for-profit (NFP) counterparts to admit higher-cost patients (who tend to be less profitable under the existing inpatient psychiatric care payment systems), providing no evidence of cream skimming by FP hospitals. Furthermore, our estimates of hospital execution indicate that FP hospitals are more likely than NFP hospitals to deliver inpatient services at lower costs. These results may alleviate concerns about the recent proliferation of FP psychiatric hospitals, particularly regarding cream skimming in this market.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"102 ","pages":"Article 103027"},"PeriodicalIF":3.4,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144523488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Absence from work and lifetime smoking behavior: Evidence from European maternal leave policies 缺勤与终生吸烟行为：来自欧洲产假政策的证据

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-06-19 DOI: 10.1016/j.jhealeco.2025.103004

Anna-Theresa Renner , Mujaheed Shaikh , Sonja Spitzer

{"title":"Absence from work and lifetime smoking behavior: Evidence from European maternal leave policies","authors":"Anna-Theresa Renner , Mujaheed Shaikh , Sonja Spitzer","doi":"10.1016/j.jhealeco.2025.103004","DOIUrl":"10.1016/j.jhealeco.2025.103004","url":null,"abstract":"<div><div>We provide new evidence on how child-related career interruptions affect long-term health behaviors by examining the impact of maternal leave duration on smoking habits across 14 European countries. Linking data on maternity and parental leave policies from 1960 to 2010 with survey data on mothers’ health behaviors, birth, and employment histories, we identify the effects of absence from work due to child birth on lifetime smoking in an instrumental variable framework based on within- and between-country variations in policies. We find that a one-month increase in leave duration raises the probability of a mother smoking later in life by 1.2 percentage points. Additionally, a one-month increase in child-related absence from work extends the lifetime duration of smoking by 7 months, the number of cigarettes smoked per day by 0.2 cigarettes, and the number of pack years by 0.6. We document potential non-linearities in these effects, suggesting that shorter leave durations may have a protective effect, while very long absence from work could promote harmful health behaviors. Heterogeneity analyses reveal that the observed effects are mediated by the partners’ lack of financial support around childbirth, while employment status and other socio-demographic characteristics do not play a significant role.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"102 ","pages":"Article 103004"},"PeriodicalIF":3.4,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144470441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Back to school: The effect of school visits during COVID-19 on COVID-19 outcomes 重返校园：COVID-19期间学校访问对COVID-19结果的影响

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-06-15 DOI: 10.1016/j.jhealeco.2025.103025

Dena Bravata , Jonathan Cantor , Neeraj Sood , Christopher Whaley

引用次数: 0