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European Journal of Health Economics最新文献

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Forward-looking Behavior in Health I nsurance. 健康保险中的前瞻性行为。
IF 3 3区 医学
European Journal of Health Economics Pub Date : 2026-05-07 DOI: 10.1007/s10198-026-01933-4
Caroline Chuard, Fabienne Loetscher, Christian P R Schmid
{"title":"Forward-looking Behavior in Health I nsurance.","authors":"Caroline Chuard, Fabienne Loetscher, Christian P R Schmid","doi":"10.1007/s10198-026-01933-4","DOIUrl":"https://doi.org/10.1007/s10198-026-01933-4","url":null,"abstract":"<p><p>We investigate whether individuals adjust their health care utilization in anticipation of forthcoming price changes. Leveraging an exogenous increase in cost-sharing in the Swiss health care system at the age of 18, we estimate the impact of future price changes on current health care demand. Results indicate that individuals expecting higher future prices augment current outpatient health care spending by approximately CHF 40 (or 5%). This behavior is confined to low-cost male individuals, who likely have the strongest incentives to engage in anticipatory spending. We find no evidence for forward-looking behavior in the inpatient sector. Our study underscores the significance of forward-looking behavior in health care demand analysis, health insurance design, and the potential welfare implications of patient cost-sharing.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Risk equalization and prevention. 风险均衡和预防。
IF 3 3区 医学
European Journal of Health Economics Pub Date : 2026-05-07 DOI: 10.1007/s10198-026-01935-2
Wynand P M M van de Ven
{"title":"Risk equalization and prevention.","authors":"Wynand P M M van de Ven","doi":"10.1007/s10198-026-01935-2","DOIUrl":"https://doi.org/10.1007/s10198-026-01935-2","url":null,"abstract":"<p><p>Many countries with a competitive health insurance market have implemented a risk equalization system with health-based risk adjusters. An often-heard argument is that health-based equalization payments create a penalty on prevention and health-improving activities, because an insurer that improves its members' health status by effective prevention and good quality care will receive lower future revenues. Eggleston et al. (Can. J. Economics/Revue Canadienne d'economique. 45(4), 1586-1607, (2012)) and Kanters et al. (Soc. Sci. Med. 76, 150-158, (2013)) conclude that perfect prospective risk equalization entirely removes an insurer's incentives for prevention. The goal of this paper is to refute their conclusion. Based on theoretical counterarguments it can be concluded that in the case of both perfect and imperfect health-based prospective risk equalization, insurers have substantial incentives for prevention and health-improving activities. While an insurer bears the full costs of prevention and health promotion activities and may miss some of the future returns, there is empirical evidence that sophisticated (but not perfect) health-based prospective risk equalization does not, in practice, prevent insurers from (1) voluntarily offering coverage for various forms of prevention, (2) voluntarily providing preventive services, and (3) offering their enrollees good quality care, and - thereby - improving the health status of their enrollees. With concurrent (or retrospective) risk equalization insurers are likely to have less incentives for prevention than with prospective risk equalization.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health inequalities and subjective wellbeing. 健康不平等和主观幸福感。
IF 3 3区 医学
European Journal of Health Economics Pub Date : 2026-05-02 DOI: 10.1007/s10198-026-01932-5
Francesco Colcerasa, Fabio Pisani
{"title":"Health inequalities and subjective wellbeing.","authors":"Francesco Colcerasa, Fabio Pisani","doi":"10.1007/s10198-026-01932-5","DOIUrl":"https://doi.org/10.1007/s10198-026-01932-5","url":null,"abstract":"<p><p>We contribute to the literature on subjective well-being by examining the relationship between life satisfaction and health inequalities, focusing on both inequality in outcomes and inequality of opportunity. The role of the latter is tested using the Human Opportunity Index. As sensitivity checks, several indexes are computed using either different health outcomes or different combinations of circumstances. Our findings indicate a negative relationship between life satisfaction and health inequalities. We also show that inequality of opportunity in health outperforms inequality in health outcomes in explaining subjective well-being. These results highlight the importance of considering non-income forms of inequality in understanding subjective well-being. They also point out the role of fairness in this relationship. Additionally, we explore the rationale behind the life satisfaction/inequality of opportunity in health nexus. By splitting the sample, we identify a prominent role for pro-social preferences, particularly the well-being of one's own offspring.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Differentiation of morbidity measurement in Germany's morbidity-based risk adjustment depending on general practitioner and specialist treatment. 德国基于发病率的风险调整中基于全科医生和专科医生治疗的发病率测量差异。
IF 3 3区 医学
European Journal of Health Economics Pub Date : 2026-05-02 DOI: 10.1007/s10198-026-01934-3
Christian Keutel, Florian Renker, Marco Papatrifon, Dennis Häckl
{"title":"Differentiation of morbidity measurement in Germany's morbidity-based risk adjustment depending on general practitioner and specialist treatment.","authors":"Christian Keutel, Florian Renker, Marco Papatrifon, Dennis Häckl","doi":"10.1007/s10198-026-01934-3","DOIUrl":"https://doi.org/10.1007/s10198-026-01934-3","url":null,"abstract":"<p><p>Morbidity-based risk adjustment schemes are of central importance to prevent incentives for risk selection and to ensure fair competition in health insurance systems with regulated competition, including in Germany. However, systematic under- and overcompensation for certain insured groups persists. This study is based on the hypothesis that individuals treated by specialists tend to be undercompensated, whereas those treated by general practitioners tend to be overcompensated. Using routine data from a nationwide sickness fund, we show that this is true and model an approach that extends the classification model of the German risk adjustment scheme by a differentiation criterion depending on general practitioner/specialist treatment. We demonstrate on the basis of three selected morbidity groups, that the introduction of such a split eliminates the misallocation and improves slightly model performance at the individual level. However, and more important, the effects at the group level vary depending on the type of morbidity group included. The findings suggest that in some cases a general practitioner/specialist differentiation can enhance the model performance by reducing risk selection incentives but raises questions regarding administrative complexity, neutrality of care and policy feasibility.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","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 Health Technology Assessment on Pharmaceutical Prices: Evidence from Germany. 卫生技术评价对药品价格的影响：来自德国的证据。
IF 3 3区 医学
European Journal of Health Economics Pub Date : 2026-04-25 DOI: 10.1007/s10198-026-01924-5
Giovanni Righetti
{"title":"The Impact of Health Technology Assessment on Pharmaceutical Prices: Evidence from Germany.","authors":"Giovanni Righetti","doi":"10.1007/s10198-026-01924-5","DOIUrl":"https://doi.org/10.1007/s10198-026-01924-5","url":null,"abstract":"","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Paid and unpaid productivity losses across 28 European countries due to excess deaths and COVID-19 deaths from 2020 to 2023. 2020年至2023年期间，28个欧洲国家因死亡人数和COVID-19死亡人数过多而造成的有偿和无偿生产力损失。
IF 3 3区 医学
European Journal of Health Economics Pub Date : 2026-04-24 DOI: 10.1007/s10198-026-01916-5
Paweł Niewiadomski, Marta Ortega-Ortega, Błażej Łyszczarz
{"title":"Paid and unpaid productivity losses across 28 European countries due to excess deaths and COVID-19 deaths from 2020 to 2023.","authors":"Paweł Niewiadomski, Marta Ortega-Ortega, Błażej Łyszczarz","doi":"10.1007/s10198-026-01916-5","DOIUrl":"https://doi.org/10.1007/s10198-026-01916-5","url":null,"abstract":"","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cancer specific health utilities - QLU-C10D country value sets for Belgium, Hungary, Portugal and the Republic of Korea - an international valuation study. 针对癌症的保健设施-比利时、匈牙利、葡萄牙和大韩民国的qu - c10d国家价值集-一项国际评估研究。
IF 3 3区 医学
European Journal of Health Economics Pub Date : 2026-04-22 DOI: 10.1007/s10198-026-01921-8
Micha J Pilz, Georg Kemmler, Jonas Dreher, Madeleine T King, Richard Norman, Bernhard Holzner, Jens Lehmann
{"title":"Cancer specific health utilities - QLU-C10D country value sets for Belgium, Hungary, Portugal and the Republic of Korea - an international valuation study.","authors":"Micha J Pilz, Georg Kemmler, Jonas Dreher, Madeleine T King, Richard Norman, Bernhard Holzner, Jens Lehmann","doi":"10.1007/s10198-026-01921-8","DOIUrl":"https://doi.org/10.1007/s10198-026-01921-8","url":null,"abstract":"","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The add-on list cannot do it all: a comparative economic evaluation of equity impacts in the German and French inpatient care sectors. 附加清单并不能解决所有问题：对德国和法国住院护理部门的公平影响进行比较经济评估。
IF 3 3区 医学
European Journal of Health Economics Pub Date : 2026-04-22 DOI: 10.1007/s10198-026-01923-6
Mira Hartmann, Baptiste Haon, Lise Rochaix, Jonas Schreyögg, Lasse Falk, Esra Eren Bayindir
{"title":"The add-on list cannot do it all: a comparative economic evaluation of equity impacts in the German and French inpatient care sectors.","authors":"Mira Hartmann, Baptiste Haon, Lise Rochaix, Jonas Schreyögg, Lasse Falk, Esra Eren Bayindir","doi":"10.1007/s10198-026-01923-6","DOIUrl":"https://doi.org/10.1007/s10198-026-01923-6","url":null,"abstract":"","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Price development of orphan drugs in Germany after market access and subsequent assessments: a descriptive analysis. 市场准入后德国孤儿药价格发展及后续评估：描述性分析。
IF 3 3区 医学
European Journal of Health Economics Pub Date : 2026-04-22 DOI: 10.1007/s10198-026-01926-3
C Balg, K Frangen, A C Brockhaus, S Sturtz, A Schwalm, S Mostardt
{"title":"Price development of orphan drugs in Germany after market access and subsequent assessments: a descriptive analysis.","authors":"C Balg, K Frangen, A C Brockhaus, S Sturtz, A Schwalm, S Mostardt","doi":"10.1007/s10198-026-01926-3","DOIUrl":"https://doi.org/10.1007/s10198-026-01926-3","url":null,"abstract":"","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is EQ-5D-5L better than EQ-5D-3L? A comparison of descriptive systems and utility scores in patients with kidney chronic disease. EQ-5D-5L比EQ-5D-3L好吗？肾脏慢性疾病患者描述性系统和效用评分的比较。
IF 3 3区 医学
European Journal of Health Economics Pub Date : 2026-04-22 DOI: 10.1007/s10198-026-01929-0
Carmen Selva-Sevilla, Agustín Ortega-Cerrato, Juan Pérez-Martínez, Manuel Gerónimo-Pardo
{"title":"Is EQ-5D-5L better than EQ-5D-3L? A comparison of descriptive systems and utility scores in patients with kidney chronic disease.","authors":"Carmen Selva-Sevilla, Agustín Ortega-Cerrato, Juan Pérez-Martínez, Manuel Gerónimo-Pardo","doi":"10.1007/s10198-026-01929-0","DOIUrl":"https://doi.org/10.1007/s10198-026-01929-0","url":null,"abstract":"","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","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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