Journal of Health Economics最新文献_第7页

Lost in the net? Broadband internet and youth mental health 在网里迷路了？宽带互联网与青少年心理健康

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-07-04 DOI: 10.1016/j.jhealeco.2025.103017

Dante Donati , Ruben Durante , Francesco Sobbrio , Dijana Zejcirovic

引用次数: 0

The impact of nurse practitioner scope-of-practice laws on preventable hospitalizations 护士执业范围法对可预防住院治疗的影响

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-08-02 DOI: 10.1016/j.jhealeco.2025.103044

Benjamin J. McMichael

引用次数: 0

Nursing home payroll subsidies and the trade-off between staffing and access to care for Medicaid enrollees 养老院的工资补贴以及医疗补助计划参保者在人员配备和获得护理之间的权衡

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-08-07 DOI: 10.1016/j.jhealeco.2025.103042

Thomas A. Hegland

{"title":"Nursing home payroll subsidies and the trade-off between staffing and access to care for Medicaid enrollees","authors":"Thomas A. Hegland","doi":"10.1016/j.jhealeco.2025.103042","DOIUrl":"10.1016/j.jhealeco.2025.103042","url":null,"abstract":"<div><div>Payroll subsidies are a promising tool for increasing nursing home staffing levels. However, promoting increased staffing may come at the expense of access to care for Medicaid enrollees if it enables nursing homes to attract more lucrative, non-Medicaid residents. In this study, I examine a set of payroll subsidies offered by state Medicaid programs between 1998 and 2010, using nursing home-level variation in subsidy generosity to identify subsidy effects. I find that each additional (2010) dollar of subsidies offered per resident-day increased staffing by just over 10 min per resident-day, but decreased the Medicaid share of new nursing home admissions by about 1.8 percentage points. These figures translate into overall average treatment effects equivalent to an increase in staffing by approximately 7.4% of pre-subsidy average staffing, and a decrease in the Medicaid-share of admissions by 11.5% relative to the pre-subsidy baseline. The subsidies also increased nursing home resident turnover and decreased the average care needs of newly admitted residents. Overall, these results highlight that while nursing home payroll subsidies are effective tools for encouraging increased staffing levels, the subsidies also can lead to changes in nursing home admissions and the characteristics of admitted residents.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"103 ","pages":"Article 103042"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144831251","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 state paid sick leave mandates on parental childcare time 国家带薪病假规定对父母育儿时间的影响

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-07-11 DOI: 10.1016/j.jhealeco.2025.103033

Johanna Catherine Maclean , Sabrina Wulff Pabilonia

引用次数: 0

Corrigendum to “Ridesharing and substance use disorder treatment” [Journal of Health Economics Volume 99, January 2025, 102941] “拼车和药物使用障碍治疗”的勘误表[卫生经济学杂志，第99卷，2025年1月，102941]。

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-07-23 DOI: 10.1016/j.jhealeco.2025.103031

Conor Lennon , Johanna Catherine Maclean , Keith Teltser

引用次数: 0

Intergenerational effects of sick leave on child human capital 病假对儿童人力资本的代际影响

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-07-31 DOI: 10.1016/j.jhealeco.2025.103047

Julie Riise , Barton Willage , Alexander Willén

引用次数: 0

Nonlinear reimbursement rules for preventive and curative medical care 预防性和治疗性医疗保健的非线性报销规则

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-08-20 DOI: 10.1016/j.jhealeco.2025.103049

Helmuth Cremer , Jean-Marie Lozachmeur

{"title":"Nonlinear reimbursement rules for preventive and curative medical care","authors":"Helmuth Cremer , Jean-Marie Lozachmeur","doi":"10.1016/j.jhealeco.2025.103049","DOIUrl":"10.1016/j.jhealeco.2025.103049","url":null,"abstract":"<div><div>This study examines nonlinear reimbursement rules for secondary preventive and therapeutic care. Individuals may be healthy or ill, with illness severity determining their ex post type. Preventive care is chosen beforehand, while curative care is decided after health status is known.</div><div>In an ideal scenario where health status is observable, optimal insurance provides lump-sum payments unrelated to expenditures. However, when severity is unobservable (causing ex post moral hazard), this approach is not incentive-compatible. Instead, optimal insurance designs benefits that increase with both preventive and curative care, as higher expenditures reduce informational rents and align incentives.</div><div>Preventive care, though chosen before illness occurs, affects incentive constraints due to two factors: (1) it is more effective for severely ill individuals, and (2) they have lower marginal utility of income, meaning preventive expenditures impact them less. These effects shape the optimal reimbursement structure.</div><div>Additionally, when individuals misperceive preventive care benefits, the main results hold, but an extra corrective (Pigouvian) term appears in the reimbursement formula to adjust for this misperception.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"103 ","pages":"Article 103049"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144906952","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

Longevity, Education, and Income: How large is the triangle? 寿命、教育和收入：三角形有多大？

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-08-27 DOI: 10.1016/j.jhealeco.2025.103052

Hoyt Bleakley

引用次数: 0

Overcoming medical overuse with AI assistance: An experimental investigation 用人工智能帮助克服医疗过度使用：一项实验调查

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-07-29 DOI: 10.1016/j.jhealeco.2025.103043

Ziyi Wang , Lijia Wei , Lian Xue

{"title":"Overcoming medical overuse with AI assistance: An experimental investigation","authors":"Ziyi Wang , Lijia Wei , Lian Xue","doi":"10.1016/j.jhealeco.2025.103043","DOIUrl":"10.1016/j.jhealeco.2025.103043","url":null,"abstract":"<div><div>This study examines the role of Artificial Intelligence (AI) in reducing medical overtreatment, a critical healthcare challenge that increases costs and patient risks. In two experiments – with 196 physicians at a hospital and 120 students at a medical school in Wuhan – we use a novel medical prescription task under three incentive schemes: <em>flat</em> (constant pay), <em>progressive</em> (pay increases with treatment quantity), and <em>regressive</em> (penalties for overtreatment) to estimate receptivity to AI assistance and its effects on overtreatment and treatment accuracy, and test whether effects vary with incentives. AI recommendation of a treatment is estimated to increase the probability a physician prescribes it by 25.7–28.4 percentage points (pp), with the largest effect under the flat scheme. Physicians are more receptive to AI recommendations in medical domains with which they are less familiar. We estimate that AI assistance reduces the probability a physician overtreats by 10.9–25.7 pp (15.2–80.3%), with significantly larger absolute and relative effects under the flat scheme compared to progressive and regressive schemes. AI assistance improves physicians’ treatment accuracy by 9.8–13.3 pp (14.6–19.9%), with the largest absolute effect under the regressive scheme. These findings are corroborated by the medical school experiment, which reveals that factors indicative of <em>insufficient ability</em> account for 34% of the explained variation in overtreatment, <em>monetary incentives</em> account for 22%, <em>patient welfare considerations</em> account for 20%, and factors related to <em>defensive medicine</em> for 10%. These results provide valuable insights for healthcare administrators considering AI integration into healthcare systems.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"103 ","pages":"Article 103043"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144779673","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

Impacts of health checkup programs standardization on working-age self-employed and unemployed: Insights from Japan’s local government response to national policy 健康检查项目标准化对工作年龄个体经营者和失业者的影响：来自日本地方政府对国家政策回应的见解

IF 3.6 2区经济学

Journal of Health Economics Pub Date : 2025-09-01 Epub Date: 2025-08-08 DOI: 10.1016/j.jhealeco.2025.103046

Masato Oikawa , Takamasa Otake , Toshihide Awatani , Haruko Noguchi , Akira Kawamura

{"title":"Impacts of health checkup programs standardization on working-age self-employed and unemployed: Insights from Japan’s local government response to national policy","authors":"Masato Oikawa , Takamasa Otake , Toshihide Awatani , Haruko Noguchi , Akira Kawamura","doi":"10.1016/j.jhealeco.2025.103046","DOIUrl":"10.1016/j.jhealeco.2025.103046","url":null,"abstract":"<div><div>This study analyzes the effects of the expansion of municipal per capita expenses on health checkup programs, following the introduction of the Specific Health Checkups and Specific Health Guidance (SHC-SHG), on the health outcomes and behaviors of self-employed and unemployed populations, which have been largely overlooked by previous research. To address this, we applied a dosing difference-in-differences (DID) estimation method, exploiting variation in treatment intensity across municipalities. The DID estimation reveals that the SHC-SHG introduction led to a reduction in the proportion of people diagnosed with lifestyle-related diseases in the municipalities that required significant increases in per-capita health checkup program expenses to comply with the new program, with a more pronounced impact on those with multiple diagnoses compared to those with a single diagnosis. A subgroup analysis indicates that health improvements following the SHC-SHG introduction were observed among self-employed workers and homeowners, whereas such improvements were not evident among the unemployed and renters. Moreover, we identify significant behavioral changes among the population in the high-expansion municipalities following the policy introduction. A back-of-the-envelope calculation demonstrates the municipal response to the SHC-SHG introduction is cost-effective.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"103 ","pages":"Article 103046"},"PeriodicalIF":3.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144866197","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