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Tax incidence for menthol cigarettes by race: Evidence from Nielsen Homescan data 按种族划分的薄荷醇香烟的纳税率：尼尔森家庭调查数据的证据。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-10-06 DOI: 10.1016/j.jhealeco.2023.102829
Hyunchul Kim, Dongwon Lee
{"title":"Tax incidence for menthol cigarettes by race: Evidence from Nielsen Homescan data","authors":"Hyunchul Kim,&nbsp;Dongwon Lee","doi":"10.1016/j.jhealeco.2023.102829","DOIUrl":"10.1016/j.jhealeco.2023.102829","url":null,"abstract":"<div><p>We use Nielsen Homescan data to examine whether the incidence of cigarette taxes on menthol products varies with race. We find that taxes are shifted at significantly lower rates to Black smokers of menthol cigarettes than any other smokers. One possible explanation is that the industry targets price promotions to Black menthol smokers because they tend to be more responsive to cigarette prices relative to other smokers. We find evidence that Black smokers receive significantly more price discounts for menthol products than white menthol smokers. Our findings indicate that increasing cigarette taxes would effectively reduce menthol smoking among Black Americans because tax pass-through rate for Black menthol smokers is still substantially above zero.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684399","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
Physician-patient race-match reduces patient mortality 医患种族匹配可降低患者死亡率。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-10-04 DOI: 10.1016/j.jhealeco.2023.102821
Andrew J. Hill , Daniel B. Jones , Lindsey Woodworth
{"title":"Physician-patient race-match reduces patient mortality","authors":"Andrew J. Hill ,&nbsp;Daniel B. Jones ,&nbsp;Lindsey Woodworth","doi":"10.1016/j.jhealeco.2023.102821","DOIUrl":"10.1016/j.jhealeco.2023.102821","url":null,"abstract":"<div><p>This paper assesses the impacts of physician-patient race-match, especially Black patients paired with Black physicians, on patient mortality. We draw on administrative data from Florida, linking hospital encounters from mid-2011 through 2014 to information from the Florida Physician Workforce Survey. Focusing on uninsured patients experiencing unscheduled hospital admissions who are conditionally randomly assigned to physicians, we find that physician-patient race-match for Black patients reduces the likelihood of within-hospital mortality by 0.28 percentage points, a 27 % reduction relative to the overall mortality rate. An alternative identification strategy relying on instrumental variables provides a similar finding.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49693505","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: 11
Consequences of a shortage and rationing: Evidence from a pediatric vaccine 短缺和定量配给的后果：来自儿科疫苗的证据。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-29 DOI: 10.1016/j.jhealeco.2023.102819
Eli Liebman , Emily C. Lawler , Abe Dunn , David B. Ridley
{"title":"Consequences of a shortage and rationing: Evidence from a pediatric vaccine","authors":"Eli Liebman ,&nbsp;Emily C. Lawler ,&nbsp;Abe Dunn ,&nbsp;David B. Ridley","doi":"10.1016/j.jhealeco.2023.102819","DOIUrl":"10.1016/j.jhealeco.2023.102819","url":null,"abstract":"<div><p><span>Shortages and rationing are common in health care<span>, yet we know little about the consequences. We examine an 18-month shortage of the pediatric<span> Haemophilus Influenzae Type B (Hib) vaccine. Using insurance claims data and variation in shortage exposure across birth cohorts, we find that the shortage reduced uptake of high-value primary doses by 4 percentage points and low-value booster doses by 26 percentage points. This suggests providers largely complied with rationing recommendations. In the long-run, catch-up vaccination occurred but was incomplete: shortage-exposed cohorts were 4 percentage points less likely to have received the ir booster dose years later. We also find that the shortage and rationing caused provider switches, extra provider visits, and negative </span></span></span>spillovers to other care.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684397","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 a long-term care information campaign on insurance coverage 长期护理信息宣传活动对保险范围的影响。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-26 DOI: 10.1016/j.jhealeco.2023.102822
Jessica H. Brown
{"title":"The impact of a long-term care information campaign on insurance coverage","authors":"Jessica H. Brown","doi":"10.1016/j.jhealeco.2023.102822","DOIUrl":"10.1016/j.jhealeco.2023.102822","url":null,"abstract":"<div><p>I estimate the impact of an information campaign on long-term care planning behaviors. I identify this effect using the staggered timing of the federal-state “Own Your Future” campaign, which urged individuals to plan ahead for long-term care needs and reached 26 states over five years. I find the campaign increased long-term care insurance coverage for individuals in the top quintile of the asset distribution by four percentage points, or seventeen percent. A back-of-the-envelope calculation indicates Medicaid savings of $483 million in present value.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41180397","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
Living with particles: Disclosure of pollution information, individual responses, and health consequences 与颗粒物共存：披露污染信息、个人反应和健康后果。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-26 DOI: 10.1016/j.jhealeco.2023.102824
Xinjie Shi , Yu Shen , Ran Song
{"title":"Living with particles: Disclosure of pollution information, individual responses, and health consequences","authors":"Xinjie Shi ,&nbsp;Yu Shen ,&nbsp;Ran Song","doi":"10.1016/j.jhealeco.2023.102824","DOIUrl":"10.1016/j.jhealeco.2023.102824","url":null,"abstract":"<div><p>Drawing on a panel dataset—the China Health and Retirement Longitudinal Survey (CHARLS)—and other city- and individual-level datasets, this study examines the causal impact of pollution information disclosure on individual outdoor activities and the health status of the middle-aged and elderly. Using city-level variations in disclosure timing, we found that the adoption of pollution information disclosure (PID) significantly reduces the probability of outdoor exercise, especially for those living in more polluted cities. This occurs mainly through enhanced awareness of environmental pollution, particularly for those who are more educated. However, the adoption of PID does not lead to an improvement in health status.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41118410","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
Inequality in the golden years: Wealth gradients in disability-free and work-free longevity in the United States 黄金年代的不平等：美国无残疾和无工作寿命的财富梯度。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-26 DOI: 10.1016/j.jhealeco.2023.102820
Hessam Bavafa , Anita Mukherjee , Tyler Q. Welch
{"title":"Inequality in the golden years: Wealth gradients in disability-free and work-free longevity in the United States","authors":"Hessam Bavafa ,&nbsp;Anita Mukherjee ,&nbsp;Tyler Q. Welch","doi":"10.1016/j.jhealeco.2023.102820","DOIUrl":"10.1016/j.jhealeco.2023.102820","url":null,"abstract":"<div><p><span>We study the relationship of wealth with the “quality” of longevity as measured by years after age 65 containing disability or work. By comparing cohorts turning 65 in 1996 and 2006, we observe strong within-cohort gradients of wealth in which the more wealthy live more years disability-free and work more years, yet also experience more work-free years. We document that these gradients steepened over the decade we study. We explore robustness using education as an alternative indicator for socioeconomic status, and rule out certain explanations for these trends by analyzing the effect of health </span>shocks on wealth accumulation.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49684398","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 health effects of nursing home specialization in post-acute care 疗养院在急性后护理中的专业化对健康的影响。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-25 DOI: 10.1016/j.jhealeco.2023.102823
Zachary S. Templeton , Nate C. Apathy , R. Tamara Konetzka , Meghan M. Skira , Rachel M. Werner
{"title":"The health effects of nursing home specialization in post-acute care","authors":"Zachary S. Templeton ,&nbsp;Nate C. Apathy ,&nbsp;R. Tamara Konetzka ,&nbsp;Meghan M. Skira ,&nbsp;Rachel M. Werner","doi":"10.1016/j.jhealeco.2023.102823","DOIUrl":"10.1016/j.jhealeco.2023.102823","url":null,"abstract":"<div><p>Nursing homes serve both long-term care and post-acute care (PAC) patients, two groups with distinct financing mechanisms and requirements for care. We examine empirically the effect of nursing home specialization in PAC using 2011–2018 data for Medicare patients admitted to nursing homes following a hospital stay. To address patient selection into specialized nursing homes, we use an instrumental variables approach that exploits variation over time in the distance from the patient's residential ZIP code to the closest nursing home with different levels of PAC specialization. We find that patients admitted to nursing homes more specialized in PAC have lower hospital readmissions and mortality, longer nursing home stays, and higher Medicare spending for the episode of care, suggesting that specialization improves patient outcomes but at higher costs.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41240475","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 tobacco 21 laws work? 烟草法律有效吗?
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-22 DOI: 10.1016/j.jhealeco.2023.102818
Benjamin Hansen , Joseph J. Sabia , Drew McNichols , Calvin Bryan
{"title":"Do tobacco 21 laws work?","authors":"Benjamin Hansen ,&nbsp;Joseph J. Sabia ,&nbsp;Drew McNichols ,&nbsp;Calvin Bryan","doi":"10.1016/j.jhealeco.2023.102818","DOIUrl":"10.1016/j.jhealeco.2023.102818","url":null,"abstract":"<div><p>Tobacco 21 (T-21) laws raise the minimum legal purchasing age for all tobacco products to 21. This study is the first to examine the impact of statewide T21 laws on teenage and young adult cigarette and electronic cigarette (e-cigarette) use. Using survey data from the Behavioral Risk Factor Surveillance System (BRFSS) and a difference-in-differences approach, we find that statewide adoption of a T-21 law is associated with a 2-to-4 percentage-point decline in smoking participation among 18-to-20-year-olds. Supplemental analyses using the State Youth Risk Behavior Surveys (YRBS) show that frequent e-cigarette use among 18-year-olds also fell following the adoption of T21 laws, though this effect was partially because teens turned to informal social sources to obtain e-cigarettes (i.e., borrowing or bumming). Finally, we find that T-21 laws generate spillover effects, including (2) reductions in cigarette use among 16-to-17-year-olds, a group that relies heavily on informal social markets in high school, and (2) reductions in marijuana use and days of alcohol use among some teens.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89720334","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
Changing preferences: An experiment and estimation of market-incentive effects on altruism 偏好变化：市场激励对利他主义影响的实验和估计。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-20 DOI: 10.1016/j.jhealeco.2023.102808
Undral Byambadalai , Ching-to Albert Ma , Daniel Wiesen
{"title":"Changing preferences: An experiment and estimation of market-incentive effects on altruism","authors":"Undral Byambadalai ,&nbsp;Ching-to Albert Ma ,&nbsp;Daniel Wiesen","doi":"10.1016/j.jhealeco.2023.102808","DOIUrl":"10.1016/j.jhealeco.2023.102808","url":null,"abstract":"<div><p><span>This paper studies how altruistic preferences are changed by markets and incentives. We conduct a laboratory experiment with a within-subject design. Subjects are asked to choose health care qualities<span><span> for hypothetical patients in monopoly, </span>duopoly, and quadropoly. Prices, costs, and patient benefits are experimental incentive parameters. In monopoly, subjects choose quality by trading off between profits and altruistic patient benefits. In duopoly and quadropoly, subjects play a simultaneous-move game. Uncertain about an opponent’s </span></span>altruism, each subject competes for patients by choosing qualities. Bayes-Nash equilibria describe subjects’ quality decisions as functions of altruism. Using a nonparametric method, we estimate the population altruism distributions from Bayes-Nash equilibrium qualities in different markets and incentive configurations. Competition tends to reduce altruism, but duopoly and quadropoly equilibrium qualities are much higher than monopoly. Although markets crowd out altruism, the disciplinary powers of market competition are stronger. Counterfactuals confirm markets change preferences.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41172903","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: 3
Patient and peer: Guideline design and expert response 患者和同行：指南设计和专家反应。
IF 3.5 2区 经济学
Journal of Health Economics Pub Date : 2023-09-18 DOI: 10.1016/j.jhealeco.2023.102806
Jane Greve , Søren Rud Kristensen , Nis Lydiksen
{"title":"Patient and peer: Guideline design and expert response","authors":"Jane Greve ,&nbsp;Søren Rud Kristensen ,&nbsp;Nis Lydiksen","doi":"10.1016/j.jhealeco.2023.102806","DOIUrl":"10.1016/j.jhealeco.2023.102806","url":null,"abstract":"<div><p><span>We examine how patients’ medical expertise influences adherence to clinical guidelines for a treatment that is common, costly, and rationed by the clinical guidelines. Using administrative data on </span>prenatal diagnostic testing (PDT), we compare the testing rates of medically trained patients (experts) and non-medically trained patients (non-experts) on the margin of eligibility thresholds in clinical guidelines. We find that experts are 9 percentage points more likely to receive PDT than non-experts when they are not eligible for testing and that more than 80% of the difference can be attributed to medical expertise. Our results suggest that the design of clinical guidelines is important for adherence and that having medical expertise as a patient affects treatment, when there is room for a deviation from the guideline.</p></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":null,"pages":null},"PeriodicalIF":3.5,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41146314","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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