Journal of Health Economics最新文献_第4页

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

The impact of the Female Secondary School Stipend Program on child health 女子中学助学金方案对儿童健康的影响

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-06-11 DOI: 10.1016/j.jhealeco.2025.103024

Md Shahjahan, Giulia La Mattina, Padmaja Ayyagari

引用次数: 0

Attentional processes underlying health state valuation with time trade-off and standard gamble tasks 注意过程在时间权衡和标准赌博任务中潜在的健康状态评估

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-06-11 DOI: 10.1016/j.jhealeco.2025.103026

Stefan A. Lipman , Thorsten Pachur

{"title":"Attentional processes underlying health state valuation with time trade-off and standard gamble tasks","authors":"Stefan A. Lipman , Thorsten Pachur","doi":"10.1016/j.jhealeco.2025.103026","DOIUrl":"10.1016/j.jhealeco.2025.103026","url":null,"abstract":"<div><div>Time Trade-Off (TTO) and Standard Gamble (SG) tasks are commonly used methods to measure utilities for health states (e.g., diabetes, being in a wheelchair). Importantly, however, the two methods have been shown to typically yield discrepant utilities for a given health state. Here we examine the cognitive processes underlying this <em>utility gap</em> by analyzing individuals’ attentional patterns when evaluating health states in the TTO and SG tasks. In an online experiment, each respondent completed both a TTO and an SG task and we used the process-tracing methodology Mouselab to record respondents’ attention allocation to the tasks’ attributes: health states and their durations (in both TTO and SG), and probabilities (in SG only). In the TTO task, attention was approximately balanced between the health state and duration attributes, whereas in the SG task, attention was focussed on the probability and the health state attributes. Individuals who paid more attention to the task-specific trade-off attribute (i.e., duration and probability in TTO and SG, respectively) seemed to be less willing to make those trade-offs, leading to higher utilities for the health states. Notably, the utility gap was associated with individual differences in attention allocation: respondents who adjusted their attention allocation less to the task-specific trade-offs produced more discrepant utilities between the TTO and SG tasks. Our findings underscore the key role of attentional processes in preference construction, highlighting that differences in the utilities people assign to health states could potentially be influenced by altering attention allocation.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"102 ","pages":"Article 103026"},"PeriodicalIF":3.4,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365488","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

The Effect of E-Cigarette Taxes on Substance Use 电子烟税对物质使用的影响

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-06-09 DOI: 10.1016/j.jhealeco.2025.103022

Dhaval Dave , Yang Liang , Johanna Catherine Maclean , Caterina Muratori , Joseph J. Sabia

{"title":"The Effect of E-Cigarette Taxes on Substance Use","authors":"Dhaval Dave , Yang Liang , Johanna Catherine Maclean , Caterina Muratori , Joseph J. Sabia","doi":"10.1016/j.jhealeco.2025.103022","DOIUrl":"10.1016/j.jhealeco.2025.103022","url":null,"abstract":"<div><div>Public health advocates warn that the rapid growth of legal markets for electronic nicotine delivery systems (ENDS) may generate a “gateway” to marijuana and harder drug consumption, particularly among teenagers. This study explores the effects of ENDS taxes on substance use. Analyses are based on difference-in-differences and event-study methods applied to both survey (Youth Risk Behavior Surveillance System and Behavioral Risk Factor Surveillance System) and administrative (Treatment Episode Data Set) data. Our results imply that a one-dollar increase in ENDS taxes (2023$) is associated with a 1.0 to 1.5 percentage point decline in teen marijuana use and in co-use of ENDS and marijuana. This result is consistent with e-cigarettes and marijuana being economic complements. We also find that youth responses to ENDS taxes, in terms of their ENDS use and spillovers into marijuana use, appear to moderate over the longer term. We find no evidence that ENDS taxes affect drug treatment admissions or consumption of illicit drugs other than marijuana such as cocaine, methamphetamine, or opioids.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"102 ","pages":"Article 103022"},"PeriodicalIF":3.4,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144571284","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