Journal of Health Economics最新文献_第2页

Reform-induced competition: Evaluating the impact on Swiss pharmacies and total drug costs 改革引发的竞争：评估对瑞士药房和药品总成本的影响

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-01-22 DOI: 10.1016/j.jhealeco.2026.103111

Marc Anderes

引用次数: 0

Shared Stakes in English General Practice: The Impact of Practice Managers as Partners on Outcomes 英语全科实践中的共同利益：实践管理者作为合作伙伴对结果的影响。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-02-26 DOI: 10.1016/j.jhealeco.2026.103122

Sean Urwin , Ben Walker , Michael Anderson

{"title":"Shared Stakes in English General Practice: The Impact of Practice Managers as Partners on Outcomes","authors":"Sean Urwin , Ben Walker , Michael Anderson","doi":"10.1016/j.jhealeco.2026.103122","DOIUrl":"10.1016/j.jhealeco.2026.103122","url":null,"abstract":"<div><div>Ownership of English general practices by physicians has been declining for many years and concentrated among fewer physicians. Non-clinical ownership may provide a sustainable alternative structure for general practice. In this study, we provide the first formal evaluation of non-clinical ownership in an English general practice setting. We compile a comprehensive dataset of general practices across eight years between 2015/16 and 2022/23 from a range of sources to investigate the impact of non-clinical ownership stakes on key primary care outcomes, including staffing levels and turnover, patient satisfaction, access, quality of care, reimbursement for non-core services and total patient list size. Employing a dynamic event study design combined with propensity-score weighting, we find practice manager partners increase direct patient care (excluding physicians and nurses), administrative staff numbers, reimbursement for non-core services and total patient list size. However, we find no statistically significant effect on any other outcome. Offering equity stakes to non-physician staff may support practice sustainability by allowing alternative ownership structures.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"106 ","pages":"Article 103122"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147312057","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

What happens to population health when the doctors leave? Evidence from the exit of Cuban doctors in Brazil 当医生离开后，人们的健康会发生什么？来自古巴医生离开巴西的证据

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-01-05 DOI: 10.1016/j.jhealeco.2025.103099

Stefan Sliwa Ruiz , Malte Becker , Thomas Hone , Rudi Rocha

引用次数: 0

Learner driving experience and motor vehicle accidents 学习驾驶经验及机动车辆事故。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-02-03 DOI: 10.1016/j.jhealeco.2026.103113

Nathan Kettlewell, Peter Siminski

引用次数: 0

The impact of mining-induced earthquakes on mental health: Evidence from the Dutch Lifelines Cohort Study and Biobank 采矿引起的地震对心理健康的影响：来自荷兰生命线队列研究和生物银行的证据。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-02-04 DOI: 10.1016/j.jhealeco.2026.103118

Ailun Shui , Gerard J. van den Berg , Jochen O. Mierau , Laura Viluma

引用次数: 0

Corrigendum to “Religious proximity and misinformation: Experimental evidence from a mobile phone-based campaign in India” [Journal of Health Economics Volume 96, June 2024, 102883] 对“宗教接近和错误信息：来自印度移动电话运动的实验证据”的更正[卫生经济学杂志第96卷，2024年6月，102883]。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-01-29 DOI: 10.1016/j.jhealeco.2026.103117

Alex Armand , Britta Augsburg , Antonella Bancalari , Kalyan Kumar Kameshwara

引用次数: 0

Nurse practitioner training and local medical provider supply 护士执业培训和当地医疗提供者供应。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-02-15 DOI: 10.1016/j.jhealeco.2026.103121

Anja F. Gruber , Anders Van Sandt , Craig W. Carpenter , Scott Loveridge

{"title":"Nurse practitioner training and local medical provider supply","authors":"Anja F. Gruber , Anders Van Sandt , Craig W. Carpenter , Scott Loveridge","doi":"10.1016/j.jhealeco.2026.103121","DOIUrl":"10.1016/j.jhealeco.2026.103121","url":null,"abstract":"<div><div>The Nurse Practitioner (NP) workforce expanded rapidly from 2010-2023, especially in rural counties, where patients today are nearly as likely to receive care from an NP as from a physician. At the same time, rural health outcomes and access to health care continue to worsen relative to urban areas. Empirical research on how NPs interact with or substitute for physicians remains limited. This paper exploits county-level openings of graduate nursing programs to test how they impact the local supply of NPs and primary care physicians. Using data from the Integrated Postsecondary Education Data System and Area Health Resource Files, we estimate staggered difference-in-differences frameworks. We show that new graduate programs lead to large increases in the local NP supply and find positive spillover effects for nearby rural counties and counties with low provider to population ratios. We find that over the decade after a program first graduates students, up to 30% of students become licensed NPs in the same county, and for rural programs, the majority of graduates add to the regional supply of NPs. We find no adverse impact of local NP increases on the number of primary care physicians, suggesting that broader access to NP education boosts the local supply of providers overall. This paper illustrates the importance of rural medical education in increasing local access to primary care providers and in addressing existing inequities in access to care.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"106 ","pages":"Article 103121"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147272673","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

Obesity, sedentary behavior and lifestyle: A lifecycle model of eating and physical activity 肥胖、久坐行为和生活方式：饮食和身体活动的生命周期模型。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-03-01 Epub Date: 2026-01-31 DOI: 10.1016/j.jhealeco.2026.103114

Davide Dragone , Gustav Feichtinger , Dieter Grass , Richard F. Hartl , Peter M. Kort , Andrea Seidl , Stefan Wrzaczek

引用次数: 0

Has the shortened drug distribution chain cut drug prices? Evidence from the Two-Invoice System in China 药品分销链的缩短是否降低了药品价格？来自中国两票制的证据

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-01-01 Epub Date: 2025-12-11 DOI: 10.1016/j.jhealeco.2025.103097

Xiaoxi Li , Fanyu Liu , Jianye Yan , Nina Yin

{"title":"Has the shortened drug distribution chain cut drug prices? Evidence from the Two-Invoice System in China","authors":"Xiaoxi Li , Fanyu Liu , Jianye Yan , Nina Yin","doi":"10.1016/j.jhealeco.2025.103097","DOIUrl":"10.1016/j.jhealeco.2025.103097","url":null,"abstract":"<div><div>Global concerns over rising drug prices have led to regulatory efforts in the pharmaceutical industry targeting price transparency and distribution efficiency. This study examines the impact of China’s Two-Invoice System (TIS), a 2016 reform aimed at reducing drug costs by streamlining the pharmaceutical distribution chain and enhancing price transparency. With a theoretical model, we examine the decision-making for pharmaceutical manufacturers and distributors on pricing and promotion activities. We predict competing effects on drug prices: while intermediary markups inflated by double marginalization are reduced, the removal of efficient distributors may elevate supply chain expenses. Using a staggered difference-in-differences approach with procurement data from 2015 to 2019, we find that the implementation of TIS led to a 1.9% increase in average drug prices, contrary to policy expectations. Price increases were more pronounced for lower-priced drugs and in wealthier regions, for which the supply chain markups are limited and the effect of efficiency disruption might dominate. We also document a significant increase in sales and marketing expenses of the manufacturers, who are supposed to have absorbed a considerable amount of promotional costs previously borne by distributors. These findings underscore the unintended inefficiencies of regulatory reforms, highlighting the need for a balanced policy design that considers both cost control and market dynamics in healthcare.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"105 ","pages":"Article 103097"},"PeriodicalIF":3.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145884628","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

Nursing shortages and patient outcomes 护理短缺和患者预后

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2026-01-01 Epub Date: 2025-11-21 DOI: 10.1016/j.jhealeco.2025.103082

Elaine Kelly , Carol Propper , Ben Zaranko

{"title":"Nursing shortages and patient outcomes","authors":"Elaine Kelly , Carol Propper , Ben Zaranko","doi":"10.1016/j.jhealeco.2025.103082","DOIUrl":"10.1016/j.jhealeco.2025.103082","url":null,"abstract":"<div><div>This paper examines the effect of nurse shortages on healthcare production. Employing novel high-frequency data, we examine what effect the absence of nursing staff has on inpatient mortality and other outcomes associated with nursing care. We find significant adverse mortality impacts of shortages of nurses with degree-level qualifications: for the average ward, the absence of a nurse with university degree-equivalent level training increases the odds of a patient death by approximately 10%, while there is no effect of shortages of less qualified nursing assistants. For qualified nurses, there are returns to firm (hospital) specific human capital: increasing the average firm-specific experience among degree qualified nurses by one year is associated with an 8% reduction in the odds of a patient death, the equivalent to adding three-quarters of an extra qualified nurse to the ward. Adverse mortality impacts of shortages are particularly concentrated among patients of relatively low, rather than high, clinical severity. The largest impacts are for those diagnosed with sepsis, a condition where early detection is important for survival and where nurses have a central role in detection and subsequent control.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"105 ","pages":"Article 103082"},"PeriodicalIF":3.6,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145665689","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