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Nudging the nudger: Performance feedback and organ donor registrations 点拨点拨者：绩效反馈与器官捐献登记
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-07-03 DOI: 10.1016/j.jhealeco.2024.102914
Julian House , Nicola Lacetera , Mario Macis , Nina Mazar
{"title":"Nudging the nudger: Performance feedback and organ donor registrations","authors":"Julian House ,&nbsp;Nicola Lacetera ,&nbsp;Mario Macis ,&nbsp;Nina Mazar","doi":"10.1016/j.jhealeco.2024.102914","DOIUrl":"10.1016/j.jhealeco.2024.102914","url":null,"abstract":"<div><p>In a randomized controlled trial conducted in three waves over 2.5 years and involving nearly 700 customer-service representatives (CSRs) from a Canadian government service agency, we studied how providing CSRs with repeated performance feedback, with or without peer comparison, affected their subsequent organ donor registration rates. The feedback resulted in a 25 % increase in daily signups compared to otherwise equivalent encouragements and reminders. Adding benchmark information about peer performance did not amplify or diminish this effect. We observed increased registration rates for both high and low performers. A post-intervention survey indicates that CSRs in all conditions found the information included in the treatments helpful and motivating, and that signing up organ donors makes their job more meaningful. We also found suggestive evidence that performance feedback with benchmark information was the most motivating and created the least pressure to perform.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"97 ","pages":"Article 102914"},"PeriodicalIF":3.4,"publicationDate":"2024-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000596/pdfft?md5=eb49cf4f3447da7e15740335feecb0d5&pid=1-s2.0-S0167629624000596-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141713307","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 effects of alcohol sale bans on children: The case of Russia 禁酒令对儿童的影响：俄罗斯的案例。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-06-26 DOI: 10.1016/j.jhealeco.2024.102913
Margarita Petrusevich
{"title":"The effects of alcohol sale bans on children: The case of Russia","authors":"Margarita Petrusevich","doi":"10.1016/j.jhealeco.2024.102913","DOIUrl":"10.1016/j.jhealeco.2024.102913","url":null,"abstract":"<div><p>Alcohol control policies are implemented to reduce alcoholism and related harms around the globe. This work examines the effects of a policy that restricted when alcohol could be purchased on child outcomes in Russia. To identify causal impacts, I exploit variation in the timing and severity of the restriction, which was implemented in Russian states between 2005 and 2010. Utilizing household survey data and a difference-in-differences estimation approach, I find that the policy has improved children’s physical health, with younger children being more affected, and additionally has decreased a variety of risky behavior indicators. Potential mechanisms for these effects include alcohol consumption, parental employment, household income, family stability, and time use. This work demonstrates that policies controlling parental substance access can have important effects on child health.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"97 ","pages":"Article 102913"},"PeriodicalIF":3.4,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141581420","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
Getting the right tail right: Modeling tails of health expenditure distributions 正确处理尾部：建立医疗支出分布尾部模型
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-06-25 DOI: 10.1016/j.jhealeco.2024.102912
Martin Karlsson , Yulong Wang , Nicolas R. Ziebarth
{"title":"Getting the right tail right: Modeling tails of health expenditure distributions","authors":"Martin Karlsson ,&nbsp;Yulong Wang ,&nbsp;Nicolas R. Ziebarth","doi":"10.1016/j.jhealeco.2024.102912","DOIUrl":"10.1016/j.jhealeco.2024.102912","url":null,"abstract":"<div><p>Health expenditure data almost always include extreme values, implying that the underlying distribution has heavy tails. This may result in infinite variances as well as higher-order moments and bias the commonly used least squares methods. To accommodate extreme values, we propose an estimation method that recovers the right tail of health expenditure distributions. It extends the popular two-part model to develop a novel three-part model. We apply the proposed method to claims data from one of the biggest German private health insurers. Our findings show that the estimated age gradient in health care spending differs substantially from the standard least squares method.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"97 ","pages":"Article 102912"},"PeriodicalIF":3.4,"publicationDate":"2024-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000572/pdfft?md5=7997fe9f6d9d69ec51c8f3beed9be913&pid=1-s2.0-S0167629624000572-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141623623","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 education-health gradient: Revisiting the role of socio-emotional skills 教育-健康梯度：重新审视社会情感技能的作用。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-06-19 DOI: 10.1016/j.jhealeco.2024.102911
Miriam Gensowski , Mette Gørtz
{"title":"The education-health gradient: Revisiting the role of socio-emotional skills","authors":"Miriam Gensowski ,&nbsp;Mette Gørtz","doi":"10.1016/j.jhealeco.2024.102911","DOIUrl":"10.1016/j.jhealeco.2024.102911","url":null,"abstract":"<div><p>Is the education-health gradient inflated because both education and health are associated with unobserved socio-emotional skills? We find that the gradient in health behaviors and outcomes is reduced by about 15 to 50% from accounting for fine-grained personality facets and up to another 50% from Locus of Control. Traditional aggregated Big-Five scales, however, have a much smaller contribution to the gradient. We use sibling-fixed effects to net out the contribution from genes and shared childhood environment, decomposing the gradient into its components with an order-invariant method. We rely on a large survey (N = 28,261) linked to high-quality Danish administrative registers with information on parental background and objectively measured diagnoses and care use. Accounting for Locus of Control yields the strongest gradient reduction in self-rated health status and objective diagnoses (30%–50%), and in health behaviors the most important factor is Extraversion, a skill that has been shown to be malleable in interventions.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"97 ","pages":"Article 102911"},"PeriodicalIF":3.4,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460490","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
Adverse selection and network design under regulated plan prices: Evidence from Medicaid 受管制计划价格下的逆向选择和网络设计：来自医疗补助的证据。
IF 3.4 2区 经济学
Journal of Health Economics Pub Date : 2024-06-06 DOI: 10.1016/j.jhealeco.2024.102901
Amanda R. Kreider , Timothy J. Layton , Mark Shepard , Jacob Wallace
{"title":"Adverse selection and network design under regulated plan prices: Evidence from Medicaid","authors":"Amanda R. Kreider ,&nbsp;Timothy J. Layton ,&nbsp;Mark Shepard ,&nbsp;Jacob Wallace","doi":"10.1016/j.jhealeco.2024.102901","DOIUrl":"10.1016/j.jhealeco.2024.102901","url":null,"abstract":"<div><p>Health plans for the poor increasingly limit access to specialty hospitals. We investigate the role of adverse selection in generating this equilibrium among private plans in Medicaid. Studying a network change, we find that covering a top cancer hospital causes severe adverse selection, increasing demand for a plan by 50% among enrollees with cancer versus no impact for others. Medicaid’s fixed insurer payments make offsetting this selection, and the contract distortions it induces, challenging, requiring either infeasibly high payment rates or near-perfect risk adjustment. By contrast, a small explicit bonus for covering the hospital is sufficient to make coverage profitable.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"97 ","pages":"Article 102901"},"PeriodicalIF":3.4,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141472158","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
Persistence and heterogeneity of the effects of educating mothers to improve child immunisation uptake: Experimental evidence from Uttar Pradesh in India 教育母亲提高儿童免疫接种率效果的持续性和异质性：印度北方邦的实验证据
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2024-06-01 DOI: 10.1016/j.jhealeco.2024.102899
Stephen O'Neill , Richard Grieve , Kultar Singh , Varun Dutt , Timothy Powell-Jackson
{"title":"Persistence and heterogeneity of the effects of educating mothers to improve child immunisation uptake: Experimental evidence from Uttar Pradesh in India","authors":"Stephen O'Neill ,&nbsp;Richard Grieve ,&nbsp;Kultar Singh ,&nbsp;Varun Dutt ,&nbsp;Timothy Powell-Jackson","doi":"10.1016/j.jhealeco.2024.102899","DOIUrl":"10.1016/j.jhealeco.2024.102899","url":null,"abstract":"<div><p>Childhood vaccinations are among the most cost-effective health interventions. Yet, in India, where immunisation services are widely available free of charge, a substantial proportion of children remain unvaccinated. We revisit households 30 months after a randomised experiment of a health information intervention designed to educate mothers on the benefits of child vaccination in Uttar Pradesh, India. We find that the large short-term effects on the uptake of diphtheria–pertussis–tetanus and measles vaccination were sustained at 30 months, suggesting the intervention did not simply bring forward vaccinations. We apply causal forests and find that the intervention increased vaccination uptake, but that there was substantial variation in the magnitude of the estimated effects. We conclude that characterising those who benefited most and conversely those who benefited least provides policy-makers with insights on how the intervention worked, and how the targeting of households could be improved.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"96 ","pages":"Article 102899"},"PeriodicalIF":3.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000444/pdfft?md5=2cc7edb1566551a9e805086f846c19ba&pid=1-s2.0-S0167629624000444-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141134038","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
Who responds to longer wait times? The effects of predicted emergency wait times on the health and volume of patients who present for care 谁会对更长的等待时间做出反应？预测的急诊等候时间对就诊病人的健康和数量的影响
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2024-06-01 DOI: 10.1016/j.jhealeco.2024.102898
Stephenson Strobel
{"title":"Who responds to longer wait times? The effects of predicted emergency wait times on the health and volume of patients who present for care","authors":"Stephenson Strobel","doi":"10.1016/j.jhealeco.2024.102898","DOIUrl":"10.1016/j.jhealeco.2024.102898","url":null,"abstract":"<div><p>Healthcare is often free at the point-of-care so that price does not deter patients. However, the dis-utility from waiting for care that often occurs could also lead to deterrence. I investigate responses in the volume and types of patients that demand emergency care when predicted waiting times quasi-randomly change. I leverage a discontinuity to compare emergency sites with similar predicted wait times but with different apparent wait times displayed to patients. I use impulse response functions estimated by local projections to estimate effects of predicted wait times on patient demand for care. An additional thirty minutes of predicted wait time results in 15% fewer waiting patients at urgent cares and 2% fewer waiting patients at emergency departments within three hours of display. Patients that stop using emergency care are also triaged as healthier. However, at very high predicted wait times, there are reductions in demand for all patients including sicker patients.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"96 ","pages":"Article 102898"},"PeriodicalIF":3.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141139741","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
Religious proximity and misinformation: Experimental evidence from a mobile phone-based campaign in India 宗教亲近感与错误信息：来自印度手机宣传活动的实验证据
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2024-06-01 DOI: 10.1016/j.jhealeco.2024.102883
Alex Armand , Britta Augsburg , Antonella Bancalari , Kalyan Kumar Kameshwara
{"title":"Religious proximity and misinformation: Experimental evidence from a mobile phone-based campaign in India","authors":"Alex Armand ,&nbsp;Britta Augsburg ,&nbsp;Antonella Bancalari ,&nbsp;Kalyan Kumar Kameshwara","doi":"10.1016/j.jhealeco.2024.102883","DOIUrl":"10.1016/j.jhealeco.2024.102883","url":null,"abstract":"<div><p>We investigate how religion concordance influences the effectiveness of preventive health campaigns. Conducted during the early stages of the COVID-19 pandemic in two major Indian cities marked by Hindu–Muslim tensions, we randomly assigned a representative sample of slum residents to receive either a physician-delivered information campaign promoting health-related preventive practices, or uninformative control messages on their mobile phones. Messages, introduced by a local citizen (the sender), were cross-randomized to start with a greeting signaling either a Hindu or a Muslim identity, manipulating religion concordance between sender and receiver. We found that doctor messages increased compliance with recommended practices and beliefs in their efficacy. Our findings suggest that the campaign’s impact is primarily driven by shared religion between sender and receiver, leading to increased message engagement and compliance with recommended practices. Additionally, we observe that religion concordance helps protect against misinformation.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"96 ","pages":"Article 102883"},"PeriodicalIF":3.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000286/pdfft?md5=253dd551acfc0be2826c15780ba5a36d&pid=1-s2.0-S0167629624000286-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141037356","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
Hospital behavior over the private equity life cycle 私募股权投资生命周期中的医院行为
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2024-05-29 DOI: 10.1016/j.jhealeco.2024.102902
Michael R. Richards , Christopher M. Whaley
{"title":"Hospital behavior over the private equity life cycle","authors":"Michael R. Richards ,&nbsp;Christopher M. Whaley","doi":"10.1016/j.jhealeco.2024.102902","DOIUrl":"https://doi.org/10.1016/j.jhealeco.2024.102902","url":null,"abstract":"<div><p>Private equity is an increasing presence in US healthcare, with unclear consequences. Leveraging unique data sources and difference-in-differences designs, we examine the largest private equity hospital takeover in history. The affected hospital chain sharply shifts its advertising strategy and pursues joint ventures with ambulatory surgery centers. Inpatient throughput is increased by allowing more patient transfers, and crucially, capturing more patients through the emergency department. The hospitals also manage shorter, less treatment-intensive stays for admitted patients. Outpatient surgical care volume declines, but remaining cases focus on higher complexity procedures. Importantly, behavior changes persist even after private equity divests.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"97 ","pages":"Article 102902"},"PeriodicalIF":3.5,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141298104","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 structural microsimulation model for demand-side cost-sharing in healthcare 医疗保健需求方成本分摊的结构性微观模拟模型。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2024-05-27 DOI: 10.1016/j.jhealeco.2024.102900
Jan Boone , Minke Remmerswaal
{"title":"A structural microsimulation model for demand-side cost-sharing in healthcare","authors":"Jan Boone ,&nbsp;Minke Remmerswaal","doi":"10.1016/j.jhealeco.2024.102900","DOIUrl":"10.1016/j.jhealeco.2024.102900","url":null,"abstract":"<div><p>Demand-side cost-sharing reduces moral hazard in healthcare but increases exposure to out-of-pocket expenditure. We introduce a structural microsimulation model to evaluate both total and out-of-pocket expenditure for different cost-sharing schemes. We use a Bayesian mixture model to capture the healthcare expenditure distributions across different age–gender categories. We estimate the model using Dutch data and simulate outcomes for a number of policies. The model suggests that for a deductible of 300 euros shifting the starting point of the deductible away from zero to 400 euros leads to an average 4% reduction in healthcare expenditure and 47% lower out-of-pocket payments.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"97 ","pages":"Article 102900"},"PeriodicalIF":3.5,"publicationDate":"2024-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000456/pdfft?md5=cca448a5bebe425b1f05eee349e22718&pid=1-s2.0-S0167629624000456-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141312150","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
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