Journal of Health Economics最新文献_第6页

Contraceptive access and infant health outcomes 获得避孕药具和婴儿健康结果

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-12-01 Epub Date: 2025-11-08 DOI: 10.1016/j.jhealeco.2025.103081

James Flynn

引用次数: 0

Demand for informal caregiving and human capital accumulation: Evidence from elderly deaths in Senegal 非正式照护需求与人力资本积累：来自塞内加尔老年人死亡的证据。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-12-01 Epub Date: 2025-10-17 DOI: 10.1016/j.jhealeco.2025.103076

Thomas Thivillon

引用次数: 0

Fertility responses to tropical cyclones: Causal evidence and mechanisms 热带气旋对生育力的响应：因果证据和机制

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-12-01 Epub Date: 2025-11-20 DOI: 10.1016/j.jhealeco.2025.103083

Ha Trong Nguyen, Francis Mitrou

{"title":"Fertility responses to tropical cyclones: Causal evidence and mechanisms","authors":"Ha Trong Nguyen, Francis Mitrou","doi":"10.1016/j.jhealeco.2025.103083","DOIUrl":"10.1016/j.jhealeco.2025.103083","url":null,"abstract":"<div><div>In light of growing concerns over escalating natural disaster risks and persistently low fertility rates, this paper quantifies the causal impacts of tropical cyclones and identifies the pathways through which they influence childbearing decisions among Australians of reproductive age. Using an individual fixed effects model and exogenous variation in cyclone exposure, we find a robust and substantial decline in fertility, occurring only after the most severe category 5 cyclones, with the effect weakening as distance from the cyclone’s eye increases. We find no evidence of delayed cyclone effects, indicating that the fertility loss attributable to these most severe cyclones is permanent. Our findings are robust to extensive validity checks, including a falsification test and various randomization tests. The fertility decline is most pronounced among younger adults, individuals with lower educational attainment, those childless at baseline, and those lacking prior private health or residential insurance. While physical health, financial constraints, and migration appear unlikely to drive the effect, the evidence points to reduced family formation, increased marital breakdown, child mortality, cyclone-induced home damage, elevated psychological stress, and heightened risk perceptions as plausible mechanisms.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"104 ","pages":"Article 103083"},"PeriodicalIF":3.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145617844","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 impact of PhD studies on mental health—a longitudinal population study 博士研究对心理健康的影响——一项纵向人口研究。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-12-01 Epub Date: 2025-09-19 DOI: 10.1016/j.jhealeco.2025.103070

Sanna Bergvall , Clara Fernström , Eva Ranehill , Anna Sandberg

{"title":"The impact of PhD studies on mental health—a longitudinal population study","authors":"Sanna Bergvall , Clara Fernström , Eva Ranehill , Anna Sandberg","doi":"10.1016/j.jhealeco.2025.103070","DOIUrl":"10.1016/j.jhealeco.2025.103070","url":null,"abstract":"<div><div>Recent self-reported and cross-sectional survey evidence documents high levels of mental health problems among PhD students. We study the relationship between PhD studies and mental health care utilization using Swedish administrative records of prescriptions for psychiatric medication for the full population of PhD students. We find that prior to starting their PhD studies, prospective students use psychiatric medication at a rate similar to a matched sample of individuals with a master’s degree. However, following the start of their PhD studies, psychiatric medication use among PhD students increases substantially. This upward trend continues throughout the course of PhD studies, and by the fifth year medication use has increased by 40 percent compared to pre-PhD levels. After the fifth year, when most students in our sample graduate, the psychiatric medication use declines notably. Heterogeneity analyses indicate that the increase in medication use occurs broadly across different student subgroups and academic disciplines, with the exception of students in the medical and health sciences.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"104 ","pages":"Article 103070"},"PeriodicalIF":3.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207947","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 doctors contribute to socioeconomic inequalities in health care provision? An audit experiment in Tunisia 医生是否助长了医疗服务中的社会经济不平等？突尼斯的审计实验。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-12-01 Epub Date: 2025-09-16 DOI: 10.1016/j.jhealeco.2025.103066

Rym Ghouma , Mylène Lagarde , Timothy Powell-Jackson

{"title":"Do doctors contribute to socioeconomic inequalities in health care provision? An audit experiment in Tunisia","authors":"Rym Ghouma , Mylène Lagarde , Timothy Powell-Jackson","doi":"10.1016/j.jhealeco.2025.103066","DOIUrl":"10.1016/j.jhealeco.2025.103066","url":null,"abstract":"<div><div>In this paper, we explore an important but understudied driver of health inequalities: whether doctors treat patients from different socioeconomic backgrounds differently during a clinical encounter. We design an audit experiment in Tunisia, sending standardised patients with the same symptoms to 130 public and private primary care doctors for consultation. Informed by in-depth qualitative work, we vary the attitude and appearance of the patients so that they appear to be “poor” or “middle-class”. We find no evidence that doctors manage patients differently, but they respond to the socioeconomic profile of patients by prescribing fewer expensive drugs and giving out more free drugs to poorer patients. We also show significant differences in communication between patients: doctors are more likely to provide more explanation to richer patients about the diagnosis, the drugs prescribed and the treatment plan. These differences are not explained by time constraints as doctors spent comparable time with both types of patients. To the extent that differences in communication with patients can lead to differences in patients’ health decisions, our results suggest that doctors could contribute indirectly to health inequalities.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"104 ","pages":"Article 103066"},"PeriodicalIF":3.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214319","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

Algorithmic decision-making in health care: Evidence from post-acute care in Medicare Advantage 医疗保健中的算法决策：来自医疗保险优势急症后护理的证据

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-12-01 Epub Date: 2025-09-08 DOI: 10.1016/j.jhealeco.2025.103055

Jeffrey Marr

引用次数: 0

The impact of vertical integration on health care delivery and costs: Evidence from physician–pharmacy integration 垂直整合对医疗服务提供和成本的影响：来自医药学整合的证据。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-12-01 Epub Date: 2025-11-27 DOI: 10.1016/j.jhealeco.2025.103085

Pragya Kakani

引用次数: 0

Using stock price movements to estimate the harm from collusive drug patent litigation settlements 利用股价变动估算药品专利合谋诉讼和解的危害

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-08-22 DOI: 10.1016/j.jhealeco.2025.103054

Keith M. Drake , Thomas G. McGuire

{"title":"Using stock price movements to estimate the harm from collusive drug patent litigation settlements","authors":"Keith M. Drake , Thomas G. McGuire","doi":"10.1016/j.jhealeco.2025.103054","DOIUrl":"10.1016/j.jhealeco.2025.103054","url":null,"abstract":"<div><div>The tradeoff between incentives to invest in R&D and efficient pricing takes a special form in the pharmaceutical sector. Brand drugs command high prices until generic competition begins, the timing of which usually depends on the outcome of patent infringement litigation. One potential outcome is a collusive agreement between the brand and a potential generic competitor that delays competition, with the brand sharing the profits from the delay by paying the generic challenger. Collusive patent settlements have plagued competition in pharmaceutical markets globally and especially in the U.S., the world’s largest market. This paper estimates the cost of these collusive settlements to U.S. drug purchasers using stock price movements. If the brand firm’s increase in profits from collusion is capitalized into stock prices, the change in value upon a settlement announcement can be used to estimate the new profit flows from higher prices to purchasers. We assembled data on 64 settlements reached during 2014–2023 and used the announcement descriptions and information that surfaced later to identify 17 potentially collusive settlements. We applied event study methods and found, consistent with prior research, that settlement announcements with no indication of collusion had no significant effect on the stock prices of brand firms implying that they tended to meet traders’ expectations. Stock prices increased by approximately 3.5 %, on average, after settlements with an indication of collusion, implying they increased brand profits by delaying generic entry. These increases correspond to a total increase in U.S. purchaser spending of $3.1-$3.2 billion per year during 2014–2023. Factoring up our estimate to the entire industry implies the increase in spending may be closer to $12 billion per year.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"103 ","pages":"Article 103054"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906951","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 effects of restricted abortion access on IUDs and vasectomies: Evidence from Texas 限制人工流产对宫内节育器和输精管切除术的影响：来自德克萨斯州的证据

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-07-16 DOI: 10.1016/j.jhealeco.2025.103041

Bradley Crowe , Graham Gardner , Cara Haughey

引用次数: 0

Prescribing power and equitable access to care: Evidence from pharmacists in Ontario, Canada 处方权力和公平获得护理：来自加拿大安大略省药剂师的证据

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-08-09 DOI: 10.1016/j.jhealeco.2025.103051

Alex Hoagland, Guan Wang

{"title":"Prescribing power and equitable access to care: Evidence from pharmacists in Ontario, Canada","authors":"Alex Hoagland, Guan Wang","doi":"10.1016/j.jhealeco.2025.103051","DOIUrl":"10.1016/j.jhealeco.2025.103051","url":null,"abstract":"<div><div>Allowing pharmacists to directly treat patients may increase equitable access to healthcare and improve patient outcomes, but raises concerns about supply-side moral hazard or patient substitution away from regular physician-based care. We study the effects of a 2023 policy allowing pharmacists to prescribe for minor ailments in Ontario, Canada. We use Advan foot traffic data to measure how this policy affected visits to pharmacies and generated spillover effects on visits to non-pharmacy medical facilities (<span><span>Research, 2022</span></span>). Allowing pharmacists to prescribe led to a 16% increase in total visits to pharmacies and a 3% increase in visits to other providers. These increases were concentrated in materially deprived neighborhoods and benefited non-minority, non-immigrant populations the most. We use the policy as exogenous variation to identify substitution elasticities between pharmacy visits and traffic to other medical facilities. Overall, 20% of the increase in traffic to pharmacies spills over into increased use of outpatient-based care. Pharmacy traffic is a substitute for visits to hospitals and emergency departments, potentially as patients rely on pharmacists for triaging rather than emergency care.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"103 ","pages":"Article 103051"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144831250","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