Journal of Health Economics最新文献_第10页

Long-run consequences of informal elderly care and implications of public long-term care insurance 非正规老年护理的长期后果和公共长期护理保险的影响

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-05-03 DOI: 10.1016/j.jhealeco.2024.102884

Thorben Korfhage , Björn Fischer-Weckemann

引用次数: 0

Corrigendum to “Estimating the effects of tobacco-21 on youth tobacco use and sales” [Journal of Health Economics, volume 94 (2024) 102860] 估计烟草-21 对青少年烟草使用和销售的影响 "的更正[《卫生经济学杂志》，第 94 卷（2024 年）102860]。

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-05-01 DOI: 10.1016/j.jhealeco.2024.102879

Rahi Abouk , Prabal K. De , Michael F. Pesko

引用次数: 0

The cost of influence: How gifts to physicians shape prescriptions and drug costs 影响力的成本：给医生的礼物如何影响处方和药品成本

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-05-01 DOI: 10.1016/j.jhealeco.2024.102887

Melissa Newham , Marica Valente

引用次数: 0

Quality- and productivity-adjusted life years: From QALYs to PALYs and beyond 质量和生产率调整生命年：从 QALYs 到 PALYs 及其他

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-05-01 DOI: 10.1016/j.jhealeco.2024.102885

Kristian S. Hansen , Juan D. Moreno-Ternero , Lars P. Østerdal

引用次数: 0

Parental health penalty on adult children’s employment: Gender differences and long-term consequences 父母健康状况对成年子女就业的影响：性别差异和长期后果

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-05-01 DOI: 10.1016/j.jhealeco.2024.102886

Jiayi Wen , Haili Huang

引用次数: 0

The hidden toll of the pandemic: Excess mortality in non-COVID-19 hospital patients 大流行带来的隐性损失：非COVID-19住院病人的超额死亡率

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-05-01 DOI: 10.1016/j.jhealeco.2024.102882

Thiemo Fetzer , Christopher Rauh , Clara Schreiner

{"title":"The hidden toll of the pandemic: Excess mortality in non-COVID-19 hospital patients","authors":"Thiemo Fetzer , Christopher Rauh , Clara Schreiner","doi":"10.1016/j.jhealeco.2024.102882","DOIUrl":"10.1016/j.jhealeco.2024.102882","url":null,"abstract":"<div><p>Seasonal infectious diseases can cause demand and supply pressures that reduce the ability of healthcare systems to provide high-quality care. This may generate <em>negative spillover effects</em> on the health outcomes of patients seeking medical help for unrelated reasons. Separating these indirect burdens from the direct consequences for infected patients is usually impossible due to a lack of suitable data and an absence of population testing. However, this paper finds robust empirical evidence of excess mortality among non-COVID-19 patients in an integrated public healthcare system: the English National Health Service (NHS). Analysing the forecast error in the NHS’ model for predicted mortality, we find at least one additional excess death among patients who sought medical help for reasons unrelated to COVID-19 for every 42 COVID-19-related deaths in the population. We identify COVID-19 pressures as a key driver of non-COVID-19 excess mortality in NHS hospitals during the pandemic, and characterize the hospital populations and medical conditions that were disproportionately affected. Our findings have substantive relevance in shaping our understanding of the wider burden of COVID-19, and other seasonal diseases more generally, and can contribute to debates on optimal public health policy.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"95 ","pages":"Article 102882"},"PeriodicalIF":3.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140795706","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

Free-for-all: Does crowding impact outcomes because hospital emergency departments do not prioritise effectively? 自由散漫：医院急诊科没有有效地确定优先次序，拥挤是否会影响治疗效果？

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-04-10 DOI: 10.1016/j.jhealeco.2024.102881

Igor Francetic, Rachel Meacock, Matt Sutton

{"title":"Free-for-all: Does crowding impact outcomes because hospital emergency departments do not prioritise effectively?","authors":"Igor Francetic, Rachel Meacock, Matt Sutton","doi":"10.1016/j.jhealeco.2024.102881","DOIUrl":"https://doi.org/10.1016/j.jhealeco.2024.102881","url":null,"abstract":"<div><p>Unexpected peaks in volumes of attendances at hospital emergency departments (EDs) have been found to affect waiting times, intensity of care and outcomes. We ask whether these effects of ED crowding on patients are caused by poor clinical prioritisation or a quality-quantity trade-off generated by a binding capacity constraint. We study the effects of crowding created by lower-severity patients on the outcomes of approximately 13 million higher-severity patients attending the 140 public EDs in England between April 2016 and March 2017. Our identification approach relies on high-dimensional fixed effects to account for planned capacity. Unexpected demand from low-severity patients has very limited effects on the care provided to higher-severity patients throughout their entire pathway in ED. Detrimental effects of crowding caused by low-severity patients materialise only at very high levels of unexpected demand, suggesting that binding resource constraints impact patient care only when demand greatly exceeds the ED's expectations. These effects are smaller than those caused by crowding induced by higher-severity patients, suggesting an efficient prioritisation of incoming patients in EDs.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"95 ","pages":"Article 102881"},"PeriodicalIF":3.5,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000262/pdfft?md5=ab502b939376982d8ab3e38ec0dc422e&pid=1-s2.0-S0167629624000262-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140555694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Politics and health care spending in the United States: A case study from the passage of the 2003 Medicare Modernization Act 美国的政治与医疗支出：2003 年《医疗保险现代化法案》通过后的案例研究

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-04-04 DOI: 10.1016/j.jhealeco.2024.102878

Zack Cooper , Amanda Kowalski , Eleanor Neff Powell , Jennifer D. Wu

{"title":"Politics and health care spending in the United States: A case study from the passage of the 2003 Medicare Modernization Act","authors":"Zack Cooper , Amanda Kowalski , Eleanor Neff Powell , Jennifer D. Wu","doi":"10.1016/j.jhealeco.2024.102878","DOIUrl":"https://doi.org/10.1016/j.jhealeco.2024.102878","url":null,"abstract":"<div><p>This paper analyzes the interplay between congressional politics, the actions of the executive branch, and hospitals’ regulated Medicare payments. We focus on the 2003 Medicare Modernization Act (MMA) and analyze a provision in the law – Section 508 – that raised certain hospitals’ regulated payments. We show, via our analysis of the Section 508 program, that Medicare payments are malleable and can be influenced by political dynamics. In the cross-section, hospitals represented by members of Congress who voted “yea” on the MMA were more likely to receive Section 508 payment increases. We interviewed the Secretary of Health and Human Services who oversaw the MMA, and he described how these payment increases were designed to win support for the law. The Section 508 payment increases raised hospitals’ activity and spending. Members of Congress representing recipient hospitals received increased campaign contributions after the Section 508 payment increases were extended. Ultimately, our analysis highlights how Medicare payment increases can serve as an appealing tool for legislative leaders working to win votes for wider pieces of legislation.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"95 ","pages":"Article 102878"},"PeriodicalIF":3.5,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140347401","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

Competition, quality and integrated health care 竞争、质量和综合医疗保健

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-03-28 DOI: 10.1016/j.jhealeco.2024.102880

Kurt R. Brekke , Luigi Siciliani , Odd Rune Straume

{"title":"Competition, quality and integrated health care","authors":"Kurt R. Brekke , Luigi Siciliani , Odd Rune Straume","doi":"10.1016/j.jhealeco.2024.102880","DOIUrl":"https://doi.org/10.1016/j.jhealeco.2024.102880","url":null,"abstract":"<div><p>Integration of health care services has been promoted in several countries to improve the quality and coordination of care. We investigate the effects of such integration in a model where providers compete on quality to attract patients under regulated prices. We identify countervailing effects of integration on quality of care. While integration makes coordination of care more profitable for providers due to bundled payments, it also softens competition as patient choice is restricted. We also identify circumstances due to asymmetries across providers and/or services under which integration either increases or reduces the quality of services provided. In the absence of synergies, integration generally leads to increases in quality for some services and reductions for others. The corresponding effect on health benefits depends largely on whether integration leads to quality dispersion or convergence across services. If the softening of competition effect is weak, integration is likely to improve quality and patient outcomes.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"95 ","pages":"Article 102880"},"PeriodicalIF":3.5,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000250/pdfft?md5=bc4cb0f07aff368f68a3ef2be3a173e5&pid=1-s2.0-S0167629624000250-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140341998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The demand for skills training among Medicaid home-based caregivers 医疗补助家庭护理人员对技能培训的需求

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-03-26 DOI: 10.1016/j.jhealeco.2024.102877

Christopher J. Cronin , Ethan M.J. Lieber

引用次数: 0