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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
The effect of a peer’s teen pregnancy on sexual behavior 同伴少女怀孕对性行为的影响
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2024-05-09 DOI: 10.1016/j.jhealeco.2024.102888
Priyanka Anand , Lisa B. Kahn
{"title":"The effect of a peer’s teen pregnancy on sexual behavior","authors":"Priyanka Anand ,&nbsp;Lisa B. Kahn","doi":"10.1016/j.jhealeco.2024.102888","DOIUrl":"https://doi.org/10.1016/j.jhealeco.2024.102888","url":null,"abstract":"<div><p>We examine whether a friend or older sibling’s teen pregnancy impacts one’s own sexual behavior. Employing an event study design and rich retrospective data on sexual activity, we find that those who observe a peer’s teen pregnancy change sexual behavior after the pregnancy ends to put themselves at lower risk of their own teen pregnancy; specifically, they are less likely to have unprotected sex and have fewer sexual partners in the year following the end of the teen pregnancy. We find that females are more likely to change their sexual behavior compared to males, and the effects are primarily driven by peer live births, as opposed to other pregnancies. Ultimately, we find a slight decline in the likelihood of one’s own teen pregnancy, though estimates are noisy. Our work suggests that education campaigns that provide a realistic portrayal of teen parenthood may be an effective tool for impacting teen behavior.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"96 ","pages":"Article 102888"},"PeriodicalIF":3.5,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140947929","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
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
{"title":"Long-run consequences of informal elderly care and implications of public long-term care insurance","authors":"Thorben Korfhage ,&nbsp;Björn Fischer-Weckemann","doi":"10.1016/j.jhealeco.2024.102884","DOIUrl":"https://doi.org/10.1016/j.jhealeco.2024.102884","url":null,"abstract":"<div><p>We estimate a dynamic structural model of labor supply, retirement, and informal caregiving to study short and long-term costs of informal caregiving in Germany. Incorporating labor market frictions and the German tax and benefit system, we find that in the absence of Germany’s public long-term insurance scheme, informal elderly care has adverse and persistent effects on labor market outcomes and, thus, negatively affects lifetime earnings and future pension benefits. These consequences of caregiving are heterogeneous and depend on age, previous earnings, and institutional regulations. Policy simulations suggest that while public long-term care insurance policies are fiscally costly and induce negative labor market effects, they can largely offset the personal costs of caregiving and increase welfare, especially for low-income individuals.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"96 ","pages":"Article 102884"},"PeriodicalIF":3.5,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000298/pdfft?md5=e5f0a7cebbbab2c7d9517fffb5836f3a&pid=1-s2.0-S0167629624000298-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140917883","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
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
{"title":"Corrigendum to “Estimating the effects of tobacco-21 on youth tobacco use and sales” [Journal of Health Economics, volume 94 (2024) 102860]","authors":"Rahi Abouk ,&nbsp;Prabal K. De ,&nbsp;Michael F. Pesko","doi":"10.1016/j.jhealeco.2024.102879","DOIUrl":"10.1016/j.jhealeco.2024.102879","url":null,"abstract":"","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"95 ","pages":"Article 102879"},"PeriodicalIF":3.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000249/pdfft?md5=27dcb6907e2e91f1553c08499611db1e&pid=1-s2.0-S0167629624000249-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140777523","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 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
{"title":"The cost of influence: How gifts to physicians shape prescriptions and drug costs","authors":"Melissa Newham ,&nbsp;Marica Valente","doi":"10.1016/j.jhealeco.2024.102887","DOIUrl":"https://doi.org/10.1016/j.jhealeco.2024.102887","url":null,"abstract":"<div><p>This paper investigates the influence of gifts – monetary and in-kind payments – from drug firms to US physicians on prescription behavior and drug costs. Using causal models and machine learning, we estimate physicians’ heterogeneous responses to payments on antidiabetic prescriptions. We find that payments lead to increased prescription of brand drugs, resulting in a cost rise of $23 per dollar value of transfer received. Paid physicians show higher responses when they treat higher proportions of patients receiving a government-funded low-income subsidy that lowers out-of-pocket drug costs. We estimate that introducing a national gift ban would reduce diabetes drug costs by 2%.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"95 ","pages":"Article 102887"},"PeriodicalIF":3.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000328/pdfft?md5=df4c55d6ffa26eb0b898d96a7ee2827e&pid=1-s2.0-S0167629624000328-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140893205","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
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
{"title":"Quality- and productivity-adjusted life years: From QALYs to PALYs and beyond","authors":"Kristian S. Hansen ,&nbsp;Juan D. Moreno-Ternero ,&nbsp;Lars P. Østerdal","doi":"10.1016/j.jhealeco.2024.102885","DOIUrl":"https://doi.org/10.1016/j.jhealeco.2024.102885","url":null,"abstract":"<div><p>We develop a unified framework for the measurement and valuation of health and productivity. Within this framework, we characterize evaluation functions allowing for compromises between the classical <em>quality-adjusted life years</em> (QALYs) and its polar <em>productivity-adjusted life years</em> (PALYs). Our framework and characterization results provide a new normative basis for the economic evaluation of health care interventions, as well as occupational health and safety policies, aimed to impact both health and productivity of individuals.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"95 ","pages":"Article 102885"},"PeriodicalIF":3.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000304/pdfft?md5=177e78749fc77a7e30d98a745d7e3801&pid=1-s2.0-S0167629624000304-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140825018","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
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
{"title":"Parental health penalty on adult children’s employment: Gender differences and long-term consequences","authors":"Jiayi Wen ,&nbsp;Haili Huang","doi":"10.1016/j.jhealeco.2024.102886","DOIUrl":"https://doi.org/10.1016/j.jhealeco.2024.102886","url":null,"abstract":"<div><p>This study examines the gender-specific and enduring impacts of parental health shocks on adult children’s employment in China, where both formal care and health insurance are limited. Using an event-study approach, we establish a causal link between parental health shocks and a notable decline in female employment, which persists for at least six years following the shock. Male employment, however, exhibits minimal change on average, although this conceals an increase among poor families, indicating a channel beyond heightened informal care. Our findings underscore the consequences of “growing old before getting rich” for developing countries.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"95 ","pages":"Article 102886"},"PeriodicalIF":3.5,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140825021","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 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 ,&nbsp;Christopher Rauh ,&nbsp;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
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