Journal of Health Economics最新文献_第9页

The impact of neonatal care on moderate-risk infants: Evidence from healthcare use in the first two years of life 新生儿护理对中等风险婴儿的影响：来自生命头两年医疗保健使用的证据

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-08-01 Epub Date: 2025-04-11 DOI: 10.1016/j.jhealeco.2025.102995

Serena Yu , Kei Lui , Denzil G Fiebig , Javeed Travadi , Caroline SE Homer , Lynn Sinclair , Vanessa Scarf , Rosalie Viney

{"title":"The impact of neonatal care on moderate-risk infants: Evidence from healthcare use in the first two years of life","authors":"Serena Yu , Kei Lui , Denzil G Fiebig , Javeed Travadi , Caroline SE Homer , Lynn Sinclair , Vanessa Scarf , Rosalie Viney","doi":"10.1016/j.jhealeco.2025.102995","DOIUrl":"10.1016/j.jhealeco.2025.102995","url":null,"abstract":"<div><div>Advances in evidence-based neonatal care have led to large improvements in the survival rates of high-risk newborns. Yet studies have documented wide variation in the care of more prevalent moderate-risk infants, who comprise a much larger proportion of admissions to neonatal care. In this study, we build on a small literature which uses quasi-experimental design to understand the impact of neonatal care, and for the first time, examine this moderate-risk cohort of infants. We use individual-level data on the full population of births in the state of New South Wales, Australia to examine the impact of neonatal care on the healthcare use of moderate-risk infants in the first two years of life. We implement a regression discontinuity design exploiting admission protocols based on birthweight among neonatal units of three different and explicit levels of capability. Unlike previous studies, which examine differences in outcomes across the high-risk cut-off at 1500 g, our study examines differences for moderate-risk infants born near birthweight cut-offs closer to normal birth weight (2500 g). While admission to the neonatal unit jumps across the cut-off, we find modest impacts on downstream healthcare use, including both in-hospital and out-of-hospital care. However, we identify heterogeneous effects across varying capability levels. Moderate risk infants admitted to lower capability neonatal units received more cost-intensive care, resulting in reduced healthcare use following discharge from hospital, while the same was not observed for those admitted to the highest capability units. We suggest that this is due to more aggressive clinical management at lower capability units, and leave this as a priority for future research.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"102 ","pages":"Article 102995"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090188","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

Regression and decomposition with ordinal health outcomes 有序健康结果的回归和分解

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-08-01 Epub Date: 2025-06-04 DOI: 10.1016/j.jhealeco.2025.103012

Qian Wu , David M. Kaplan

{"title":"Regression and decomposition with ordinal health outcomes","authors":"Qian Wu , David M. Kaplan","doi":"10.1016/j.jhealeco.2025.103012","DOIUrl":"10.1016/j.jhealeco.2025.103012","url":null,"abstract":"<div><div>Although ordinal health outcome values are categories like “poor” health or “moderate” depression, they are often assigned values <span><math><mrow><mn>1</mn><mo>,</mo><mn>2</mn><mo>,</mo><mn>3</mn><mo>,</mo><mo>…</mo></mrow></math></span> for convenience. We provide results on interpretation of subsequent analysis based on ordinary least squares (OLS) regression. For description, unlike for prediction, the OLS estimand’s interpretation does not require that the <span><math><mrow><mn>1</mn><mo>,</mo><mn>2</mn><mo>,</mo><mn>3</mn><mo>,</mo><mo>…</mo></mrow></math></span> are cardinal values: it is always the “best linear approximation” of a summary of the conditional survival functions. Further, for Blinder–Oaxaca-type decomposition, the OLS-based estimator is numerically equivalent to a certain counterfactual-based decomposition of the survival function, again regardless of any cardinal values. Empirically, with 2022 U.S. data for working-age adults, we estimate a higher incidence of depression in the rural population, and we decompose the rural–urban difference. Including a nonparametric estimator that we describe, estimators agree that 33%–39% of the rural–urban difference is statistically explained by income, education, age, sex, and geographic region. The OLS-based detailed decomposition shows this is mostly from income.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"102 ","pages":"Article 103012"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144243515","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

Price transparency in healthcare: Bargaining incentives and patient responses 医疗保健价格透明度：议价激励和患者反应

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-08-01 Epub Date: 2025-04-23 DOI: 10.1016/j.jhealeco.2025.102998

Yujie Feng

引用次数: 0

Regional variation in mental healthcare utilization and suicide: Evidence from movers in Australia 心理保健利用和自杀的地区差异：来自澳大利亚搬家者的证据

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-08-01 Epub Date: 2025-06-25 DOI: 10.1016/j.jhealeco.2025.103029

Karinna Saxby , Thomas Buchmueller , Sonja C. de New , Dennis Petrie

{"title":"Regional variation in mental healthcare utilization and suicide: Evidence from movers in Australia","authors":"Karinna Saxby , Thomas Buchmueller , Sonja C. de New , Dennis Petrie","doi":"10.1016/j.jhealeco.2025.103029","DOIUrl":"10.1016/j.jhealeco.2025.103029","url":null,"abstract":"<div><div>Poor mental health is a major global health issue, with many countries documenting high levels of unmet need and regional disparities in mental healthcare utilization. To determine how best to address these disparities, it is important to understand what drives regional variation. Using Census-linked microdata from Australia, we exploit cross-region migration to identify the extent to which patient and place factors drive regional variation in utilization of mental healthcare services and mental health prescriptions (antidepressants, anxiolytics, antipsychotics). We find that place factors account for approximately 72 % and 19 % of the regional variation in utilization of mental healthcare services and mental health prescriptions, respectively, with the rest reflecting patient-related demand. We also find suggestive evidence that larger place effects predict fewer mental health related Emergency Department presentations, self-harm hospitalizations, and suicides. Altogether, our findings suggest there is inadequate and inequitable supply in regions with low utilization, rather than inefficiently high utilization in high utilization regions.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"102 ","pages":"Article 103029"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144569056","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 change of plans: Switching costs in the procurement of health insurance 计划变更：医疗保险采购中的转换成本

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-08-01 Epub Date: 2025-06-24 DOI: 10.1016/j.jhealeco.2025.103021

Eran Politzer

引用次数: 0

Responsibility-sensitive welfare weights for health 对责任敏感的健康福利权重

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-08-01 Epub Date: 2025-06-22 DOI: 10.1016/j.jhealeco.2025.103018

Matthew Robson , Owen O’Donnell , Tom Van Ourti

{"title":"Responsibility-sensitive welfare weights for health","authors":"Matthew Robson , Owen O’Donnell , Tom Van Ourti","doi":"10.1016/j.jhealeco.2025.103018","DOIUrl":"10.1016/j.jhealeco.2025.103018","url":null,"abstract":"<div><div>We estimate welfare weights for health to facilitate program evaluation allowing for aversion to health inequality and to health inequity by three non-health characteristics. In a UK general population sample, 569 online experiment participants distribute constrained resources to determine the health of hypothetical individuals distinguished by randomly generated resource productivity as well as sex, income and smoking (41,460 observations). We elicit beliefs about responsibility for income and smoking, and use their associations with the allocations to estimate responsibility-sensitive weights for health by those two characteristics. We find weak prioritisation of females’ health, moderate prioritisation of the health of poorer individuals and strong prioritisation of the health of non-smokers over that of smokers. Substantial aversion to health inequality lowers weights on females and non-smokers, who are health-advantaged, and raises the weight on the poor, who are health-disadvantaged. As beliefs about responsibility for income and smoking strengthen, weights on the poor decrease and weights on non-smokers significantly increase.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"102 ","pages":"Article 103018"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144335818","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 the Female Secondary School Stipend Program on child health 女子中学助学金方案对儿童健康的影响

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-08-01 Epub Date: 2025-06-11 DOI: 10.1016/j.jhealeco.2025.103024

Md Shahjahan, Giulia La Mattina, Padmaja Ayyagari

引用次数: 0

Heterogeneous peer effects and gender-based interventions for teenage obesity 青少年肥胖的异质性同伴效应和基于性别的干预

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-08-01 Epub Date: 2025-06-23 DOI: 10.1016/j.jhealeco.2025.103023

Margherita Comola , Rokhaya Dieye , Bernard Fortin

引用次数: 0

Absence from work and lifetime smoking behavior: Evidence from European maternal leave policies 缺勤与终生吸烟行为：来自欧洲产假政策的证据

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-08-01 Epub Date: 2025-06-19 DOI: 10.1016/j.jhealeco.2025.103004

Anna-Theresa Renner , Mujaheed Shaikh , Sonja Spitzer

{"title":"Absence from work and lifetime smoking behavior: Evidence from European maternal leave policies","authors":"Anna-Theresa Renner , Mujaheed Shaikh , Sonja Spitzer","doi":"10.1016/j.jhealeco.2025.103004","DOIUrl":"10.1016/j.jhealeco.2025.103004","url":null,"abstract":"<div><div>We provide new evidence on how child-related career interruptions affect long-term health behaviors by examining the impact of maternal leave duration on smoking habits across 14 European countries. Linking data on maternity and parental leave policies from 1960 to 2010 with survey data on mothers’ health behaviors, birth, and employment histories, we identify the effects of absence from work due to child birth on lifetime smoking in an instrumental variable framework based on within- and between-country variations in policies. We find that a one-month increase in leave duration raises the probability of a mother smoking later in life by 1.2 percentage points. Additionally, a one-month increase in child-related absence from work extends the lifetime duration of smoking by 7 months, the number of cigarettes smoked per day by 0.2 cigarettes, and the number of pack years by 0.6. We document potential non-linearities in these effects, suggesting that shorter leave durations may have a protective effect, while very long absence from work could promote harmful health behaviors. Heterogeneity analyses reveal that the observed effects are mediated by the partners’ lack of financial support around childbirth, while employment status and other socio-demographic characteristics do not play a significant role.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"102 ","pages":"Article 103004"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144470441","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

Attentional processes underlying health state valuation with time trade-off and standard gamble tasks 注意过程在时间权衡和标准赌博任务中潜在的健康状态评估

IF 3.4 2区经济学

Journal of Health Economics Pub Date : 2025-08-01 Epub Date: 2025-06-11 DOI: 10.1016/j.jhealeco.2025.103026

Stefan A. Lipman , Thorsten Pachur

{"title":"Attentional processes underlying health state valuation with time trade-off and standard gamble tasks","authors":"Stefan A. Lipman , Thorsten Pachur","doi":"10.1016/j.jhealeco.2025.103026","DOIUrl":"10.1016/j.jhealeco.2025.103026","url":null,"abstract":"<div><div>Time Trade-Off (TTO) and Standard Gamble (SG) tasks are commonly used methods to measure utilities for health states (e.g., diabetes, being in a wheelchair). Importantly, however, the two methods have been shown to typically yield discrepant utilities for a given health state. Here we examine the cognitive processes underlying this <em>utility gap</em> by analyzing individuals’ attentional patterns when evaluating health states in the TTO and SG tasks. In an online experiment, each respondent completed both a TTO and an SG task and we used the process-tracing methodology Mouselab to record respondents’ attention allocation to the tasks’ attributes: health states and their durations (in both TTO and SG), and probabilities (in SG only). In the TTO task, attention was approximately balanced between the health state and duration attributes, whereas in the SG task, attention was focussed on the probability and the health state attributes. Individuals who paid more attention to the task-specific trade-off attribute (i.e., duration and probability in TTO and SG, respectively) seemed to be less willing to make those trade-offs, leading to higher utilities for the health states. Notably, the utility gap was associated with individual differences in attention allocation: respondents who adjusted their attention allocation less to the task-specific trade-offs produced more discrepant utilities between the TTO and SG tasks. Our findings underscore the key role of attentional processes in preference construction, highlighting that differences in the utilities people assign to health states could potentially be influenced by altering attention allocation.</div></div>","PeriodicalId":50186,"journal":{"name":"Journal of Health Economics","volume":"102 ","pages":"Article 103026"},"PeriodicalIF":3.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365488","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