Journal of Health Economics最新文献_第6页

Born on the wrong side of the tracks: Exploring the causal effects of segregation on infant health 生不逢时：探索种族隔离对婴儿健康的因果影响

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-03-20 DOI: 10.1016/j.jhealeco.2024.102876

Hoa Vu , Tiffany L. Green , Laura E.T. Swan

{"title":"Born on the wrong side of the tracks: Exploring the causal effects of segregation on infant health","authors":"Hoa Vu , Tiffany L. Green , Laura E.T. Swan","doi":"10.1016/j.jhealeco.2024.102876","DOIUrl":"10.1016/j.jhealeco.2024.102876","url":null,"abstract":"<div><p>Prior research has found that a high level of residential racial segregation, or the degree to which racial/ethnic groups are isolated from one another, is associated with worsened infant health outcomes, particularly among non-Hispanic (NH) Black infant populations. However, because exposure to segregation is non-random, it is unclear whether and to what extent segregation is causally linked to infant health. To overcome this empirical limitation, we leverage exogenous variation in the placement of railroad tracks in the 19th century to predict contemporary segregation, an approach first introduced by Ananat (2011). In alignment with prior literature, we find that residential segregation has statistically significant associations with negative birth outcomes among Black infant populations in the area. Using OLS methods underestimates the negative impacts of segregation on infant health. We fail to detect comparable effects on health outcomes among NH White infant populations. Further, we identify several key mechanisms by which residential segregation could influence health outcomes among Black infant populations, including lower access to prenatal care during the first trimester, higher levels of anti-Black prejudice, greater transportation barriers, and increased food insecurity. Given that poor birth outcomes have adverse effects on adults’ health and well-being, the findings suggest that in-utero exposure to residential segregation could have important implications for Black–White inequality over the life course.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"95 ","pages":"Article 102876"},"PeriodicalIF":3.5,"publicationDate":"2024-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140279372","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

Analyzing health outcomes measured as bounded counts 分析以有界计数衡量的健康结果

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-03-17 DOI: 10.1016/j.jhealeco.2024.102875

John Mullahy

引用次数: 0

Pricing above value: Selling to a market with selection problems 定价高于价值：向存在选择问题的市场销售

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-03-01 DOI: 10.1016/j.jhealeco.2024.102868

Jan Boone

引用次数: 0

Effects of nurse visit copayment on primary care use: Do low-income households pay the price? 护士出诊共付额对初级保健使用的影响：低收入家庭是否付出了代价？

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-03-01 DOI: 10.1016/j.jhealeco.2024.102866

Tapio Haaga , Petri Böckerman , Mika Kortelainen , Janne Tukiainen

{"title":"Effects of nurse visit copayment on primary care use: Do low-income households pay the price?","authors":"Tapio Haaga , Petri Böckerman , Mika Kortelainen , Janne Tukiainen","doi":"10.1016/j.jhealeco.2024.102866","DOIUrl":"https://doi.org/10.1016/j.jhealeco.2024.102866","url":null,"abstract":"<div><p>Nurses are increasingly providing primary care, yet the literature on cost-sharing has paid little attention to nurse visits. We employ a staggered difference-in-differences design to examine the effects of adopting a 10-euro copayment for nurse visits on the use of public primary care among Finnish adults. We find that the copayment reduced nurse visits by 9%–10% during a one-year follow-up. There is heterogeneity by income in absolute terms, but not in relative terms. The spillover effects on general practitioner (GP) use are negative but small, with varying statistical significance. We also analyze the subsequent nationwide abolition of the copayment. However, we refrain from drawing causal conclusions from this due to the lack of credibility in the parallel trends assumption. Overall, our analysis suggests that moderate copayments can create a greater barrier to access for low-income individuals. We also provide an example of using a pre-analysis plan for retrospective observational data.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"94 ","pages":"Article 102866"},"PeriodicalIF":3.5,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000110/pdfft?md5=f90765e39ac888abea9a4bef3e5877e3&pid=1-s2.0-S0167629624000110-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140000038","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

Safer sex? The effect of AIDS risk on birth rates 更安全的性行为？艾滋病风险对出生率的影响

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-03-01 DOI: 10.1016/j.jhealeco.2024.102867

Melissa K. Spencer

引用次数: 0

Optimal intertemporal curative drug expenses: The case of hepatitis C in France 最佳时际治疗药物支出：法国丙型肝炎案例

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-02-16 DOI: 10.1016/j.jhealeco.2024.102861

Pierre Dubois, Thierry Magnac

引用次数: 0

A new look at physicians’ responses to financial incentives: Quality of care, practice characteristics, and motivations 重新审视医生对经济激励措施的反应：医疗质量、业务特点和动机

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-02-15 DOI: 10.1016/j.jhealeco.2024.102862

Jeannette Brosig-Koch , Heike Hennig-Schmidt , Nadja Kairies-Schwarz , Johanna Kokot , Daniel Wiesen

{"title":"A new look at physicians’ responses to financial incentives: Quality of care, practice characteristics, and motivations","authors":"Jeannette Brosig-Koch , Heike Hennig-Schmidt , Nadja Kairies-Schwarz , Johanna Kokot , Daniel Wiesen","doi":"10.1016/j.jhealeco.2024.102862","DOIUrl":"10.1016/j.jhealeco.2024.102862","url":null,"abstract":"<div><p>There is considerable controversy about what causes (in)effectiveness of physician performance pay in improving the quality of care. Using a behavioral experiment with German primary-care physicians, we study the incentive effect of performance pay on service provision and quality of care. To explore whether variations in quality are based on the incentive scheme and the interplay with physicians’ real-world profit orientation and patient-regarding motivations, we link administrative data on practice characteristics and survey data on physicians’ attitudes with experimental data. We find that, under performance pay, quality increases by about 7pp compared to baseline capitation. While the effect increases with the severity of illness, the bonus level does not significantly affect the quality of care. Data linkage indicates that primary-care physicians in high-profit practices provide a lower quality of care. Physicians’ other-regarding motivations and attitudes are significant drivers of high treatment quality.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"94 ","pages":"Article 102862"},"PeriodicalIF":3.5,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000079/pdfft?md5=d933d7930a44452363910b6bbc41cf32&pid=1-s2.0-S0167629624000079-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139830941","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 value of improving insurance quality: Evidence from long-run Medicaid attrition 提高保险质量的价值：来自长期医疗补助自然减员的证据

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-02-10 DOI: 10.1016/j.jhealeco.2024.102865

Ajin Lee , Boris Vabson

引用次数: 0

The causal effect of a health treatment on beliefs, stated preferences and memories 健康治疗对信念、既定偏好和记忆的因果效应

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-02-06 DOI: 10.1016/j.jhealeco.2024.102864

Alberto Prati , Charlotte Saucet

{"title":"The causal effect of a health treatment on beliefs, stated preferences and memories","authors":"Alberto Prati , Charlotte Saucet","doi":"10.1016/j.jhealeco.2024.102864","DOIUrl":"https://doi.org/10.1016/j.jhealeco.2024.102864","url":null,"abstract":"<div><p>The paper estimates the causal effect of a health treatment on patients’ beliefs, preferences and memories about the treatment. It exploits a natural experiment which occurred in the United Kingdom during the COVID-19 vaccination campaign. UK residents could choose to opt into the vaccination program, but not which vaccine they received. The assignment to a vaccine offered little objective information for learning about its qualities, but triggered strong psychological demand for reassuring beliefs. We surveyed a sample of UK residents about their beliefs on the different COVID-19 vaccines <em>before</em> and <em>after</em> receiving their jab. <em>Before</em> vaccination, individuals exhibit similar prior beliefs and stated preferences about the different vaccines. <em>After</em> vaccination, however, they update their beliefs overly optimistically about the safety and effectiveness of the vaccine they received, state that they would have chosen it if they could, and have distorted memories about their past beliefs. These results cannot be explained by conventional experience effects. At the aggregated level, they show that random assignment to a health treatment predicts a polarization of opinions about its quality. At the individual level, these findings provide evidence in line with the predictions of motivated beliefs and over-inference from weak signals in a real-world health setting.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"94 ","pages":"Article 102864"},"PeriodicalIF":3.5,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S0167629624000092/pdfft?md5=c7a46500a516ba9d4c412c5ac72bf185&pid=1-s2.0-S0167629624000092-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139731609","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

Financial incentives and private health insurance demand on the extensive and intensive margins 财政激励和私人医疗保险需求的广度和深度边际

IF 3.5 2区经济学

Journal of Health Economics Pub Date : 2024-02-06 DOI: 10.1016/j.jhealeco.2024.102863

Nathan Kettlewell , Yuting Zhang

引用次数: 0