Journal of Health Economics最新文献_第2页

The impact of neonatal care on moderate-risk infants: Evidence from healthcare use in the first two years of life 新生儿护理对中等风险婴儿的影响：来自生命头两年医疗保健使用的证据

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-04-11 DOI: 10.1016/j.jhealeco.2025.102995

Serena Yu , Kei Lui , Denzil G Fiebig , Javeed Travadi , Caroline SE Homer , Lynn Sinclair , Vanessa Scarf , Rosalie Viney

{"title":"The impact of neonatal care on moderate-risk infants: Evidence from healthcare use in the first two years of life","authors":"Serena Yu , Kei Lui , Denzil G Fiebig , Javeed Travadi , Caroline SE Homer , Lynn Sinclair , Vanessa Scarf , Rosalie Viney","doi":"10.1016/j.jhealeco.2025.102995","DOIUrl":"10.1016/j.jhealeco.2025.102995","url":null,"abstract":"<div><div>Advances in evidence-based neonatal care have led to large improvements in the survival rates of high-risk newborns. Yet studies have documented wide variation in the care of more prevalent moderate-risk infants, who comprise a much larger proportion of admissions to neonatal care. In this study, we build on a small literature which uses quasi-experimental design to understand the impact of neonatal care, and for the first time, examine this moderate-risk cohort of infants. We use individual-level data on the full population of births in the state of New South Wales, Australia to examine the impact of neonatal care on the healthcare use of moderate-risk infants in the first two years of life. We implement a regression discontinuity design exploiting admission protocols based on birthweight among neonatal units of three different and explicit levels of capability. Unlike previous studies, which examine differences in outcomes across the high-risk cut-off at 1500 g, our study examines differences for moderate-risk infants born near birthweight cut-offs closer to normal birth weight (2500 g). While admission to the neonatal unit jumps across the cut-off, we find modest impacts on downstream healthcare use, including both in-hospital and out-of-hospital care. However, we identify heterogeneous effects across varying capability levels. Moderate risk infants admitted to lower capability neonatal units received more cost-intensive care, resulting in reduced healthcare use following discharge from hospital, while the same was not observed for those admitted to the highest capability units. We suggest that this is due to more aggressive clinical management at lower capability units, and leave this as a priority for future research.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"102 ","pages":"Article 102995"},"PeriodicalIF":3.4,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090188","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

Procurement institutions and essential drug supply in low and middle-income countries 低收入和中等收入国家的采购机构和基本药物供应

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-04-10 DOI: 10.1016/j.jhealeco.2025.102996

Lucy Xiaolu Wang , Nahim Bin Zahur

引用次数: 0

Does physician-hospital vertical integration signal care-coordination? Evidence from mover-stayer analysis of commercially insured enrollees 医院垂直整合是否预示着护理协调？来自商业参保人的动态分析的证据

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-03-31 DOI: 10.1016/j.jhealeco.2025.102997

William Encinosa , Avi Dor

{"title":"Does physician-hospital vertical integration signal care-coordination? Evidence from mover-stayer analysis of commercially insured enrollees","authors":"William Encinosa , Avi Dor","doi":"10.1016/j.jhealeco.2025.102997","DOIUrl":"10.1016/j.jhealeco.2025.102997","url":null,"abstract":"<div><div>The sharp growth in physician groups being purchased by hospitals has sparked extensive policy debate, with little evidence on the merits of such integration. We fill the gap by examining care-coordination under integration. We exploit the fact that integration varies across MSAs and focus on PPO patients with employment-based moves between MSAs. We develop a mover-stayer model with heterogenous effects to examine whether vertically integrated practices treat patients differently, or whether they just treat different patients. Moving to a more integrated market causes an increase in care coordination indices. Specifically, moving to an area with more specialty care integration causes an increase in team referrals between primary and specialty care, less lab and imaging use, less out-of-network care, and reductions in spending. That is, systems are able to narrow the scope of specialty services overall, hence creating greater social efficiencies. Moving to a market with more integrated primary care causes an increase in preventive care, decreased inpatient use by women, but an increase in spending. JEL I11, L14, C22.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"101 ","pages":"Article 102997"},"PeriodicalIF":3.4,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143820780","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

COVID-19 and mortality among infants: Evidence from India COVID-19与婴儿死亡率：来自印度的证据

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-03-28 DOI: 10.1016/j.jhealeco.2025.102991

Erdal Asker , Shatakshee Dhongde , Abu S. Shonchoy

引用次数: 0

Disability insurance screening and worker health 残疾保险筛选和工人健康

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-03-26 DOI: 10.1016/j.jhealeco.2025.102986

Alexander Ahammer , Analisa Packham

引用次数: 0

The effects of Vietnam-era military service on the long-term health of veterans: A bounds analysis 越战时期服兵役对退伍军人长期健康的影响：一个界限分析

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-03-19 DOI: 10.1016/j.jhealeco.2025.102984

Xintong Wang , Carlos A. Flores , Alfonso Flores-Lagunes

{"title":"The effects of Vietnam-era military service on the long-term health of veterans: A bounds analysis","authors":"Xintong Wang , Carlos A. Flores , Alfonso Flores-Lagunes","doi":"10.1016/j.jhealeco.2025.102984","DOIUrl":"10.1016/j.jhealeco.2025.102984","url":null,"abstract":"<div><div>We analyze the short- and long-term effects of the U.S. Vietnam-era military service on veterans’ health outcomes using a restricted version of the National Health Interview Survey 1974–2013 and employing the draft lotteries as an instrumental variable. We conduct inference on the health effects of military service for individuals who comply with the draft-lotteries assignment (the “compliers”), as well as for those who volunteer for enlistment (the “always takers”). The causal analysis for volunteers, who represent over 70% of veterans, is novel in this literature that typically focuses on the compliers. Since the effect for volunteers is not point-identified, we employ sharp nonparametric bounds that rely on a mild mean weak monotonicity assumption. We examine a large array of health outcomes and behaviors, including mortality, up to 38 years after the end of the Vietnam War. We do not find consistent statistical evidence of detrimental health effects on compliers, in line with prior literature. For volunteers, however, we document that their estimated bounds show statistically significant detrimental health effects that appear around 10 years after the end of the conflict. As a group, veterans experience similar statistically significant detrimental health effects from military service. These findings have implications for policies regarding compensation and health care of veterans after service.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"101 ","pages":"Article 102984"},"PeriodicalIF":3.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143814955","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

How do we age? A decomposition of Gompertz law 我们是如何变老的？Gompertz定律的分解

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-03-19 DOI: 10.1016/j.jhealeco.2025.102988

Casper Worm Hansen , Holger Strulik

引用次数: 0

Effects of income on infant health: Evidence from the expanded child tax credit and pandemic stimulus checks 收入对婴儿健康的影响：来自扩大的儿童税收抵免和流行病刺激检查的证据

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-03-14 DOI: 10.1016/j.jhealeco.2025.102989

Wei Lyu , George L. Wehby , Robert Kaestner

引用次数: 0

The impact of team-based primary care on quality-related healthcare services and access to primary care: Norway's primary healthcare teams pilot program 基于团队的初级保健对与质量相关的保健服务和获得初级保健的影响：挪威初级保健团队试点方案

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-03-04 DOI: 10.1016/j.jhealeco.2025.102987

Øyvind Snilsberg, Tor Iversen

{"title":"The impact of team-based primary care on quality-related healthcare services and access to primary care: Norway's primary healthcare teams pilot program","authors":"Øyvind Snilsberg, Tor Iversen","doi":"10.1016/j.jhealeco.2025.102987","DOIUrl":"10.1016/j.jhealeco.2025.102987","url":null,"abstract":"<div><div>This study evaluates Norway's Primary Healthcare Teams (PHT) pilot program, which introduced team-based care in general practice clinics to improve care for patients with complex conditions. Practices hired nurses and chose between an activity-based or block funding model. This analysis examines the activity-based funding model, which incorporated fee-for-service (FFS) for nurses. Using a difference-in-differences (DID) approach, the study assesses the program's impact on quality-related primary care services, out-of-hours care, hospitalizations, general practitioners’ (GPs’) working hours, and patient list length. The findings show that PHTs increased quality-related services for target groups (primarily provided by nurses) without affecting GP working hours or list length, suggesting that added nurse capacity was used to enhance care for target patients, not expand primary care access. There is little evidence of changes in healthcare utilization outside primary care, except a possible reduction in hospitalizations for type 2 diabetes patients with ambulatory care-sensitive conditions.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"101 ","pages":"Article 102987"},"PeriodicalIF":3.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143593144","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

Taking the competitor’s pill: When combination therapies enter pharmaceutical markets 服用竞争对手的药片：当联合疗法进入制药市场

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-03-03 DOI: 10.1016/j.jhealeco.2025.102976

Kurt R. Brekke , Dag Morten Dalen , Odd Rune Straume

引用次数: 0