European Journal of Health Economics最新文献

{"title":"Valuing health states for infants and toddlers: challenges and methodological considerations in EQ-TIPS preference elicitation.","authors":"Nancy Devlin, Bram Roudijk, Michael Herdman, Elly Stolk, Richard Norman, Simone Kreimeier, Janine Verstraete","doi":"10.1007/s10198-025-01789-0","DOIUrl":"https://doi.org/10.1007/s10198-025-01789-0","url":null,"abstract":"<p><p>Many health care interventions are aimed at very young children, including public health measures such as vaccines, and new, high-cost medicines for rare diseases. This has led to increasing interest in evidence on the effectiveness and cost effectiveness of treatments in this age group. EQ-TIPS has been developed as a concise, generic health outcomes measure in 0-3-year-olds. Preference weights for EQ-TIPS are required to facilitate its use in economic evaluation. The aim of this paper is to consider the issues likely to be encountered in attempts to elicit stated preferences for EQ-TIPS. We begin by identifying the challenges that would arise if the existing EQ-5D-Y-3L ('Y-3L') valuation protocol were used as a starting point to value EQ-TIPS states. We highlight the challenges specific to valuing EQ-TIPS over and above the challenges already noted in valuing the Y-3L. We then discuss broader issues that may arise in valuing EQ-TIPS: (a) the potential influence on values of respondents taking into account the future consequences of developmental delay arising from poor health in infants, and (b) spill-over effects of poor health in infants on parents/caregivers. Methods used in valuing other instruments in this age group are reviewed. We conclude that eliciting stated preferences for EQ-TIPS would require adapting existing valuation methods. Parent-based valuation may be a viable approach, although methodological complexities remain. Alternative means of preference weighting EQ-TIPS, including mapping to the EQ-5D-Y, may offer a way forward.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144661053","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}

{"title":"Nexus among health expenditures, ICTs and sustainable economic growth: Insights from South Asian Nationals health and economic issues.","authors":"Linmin Chen, Aysha Zamir, Malik Shahzad Shabbir, Andrei Octavian Paraschivescu, Violeta Hazaparu, Florin Radu, Mohammad Jaradat, Iancu Dorin, Gabriela Fotache, Raul Adrian Lile, Ramona Lile, Rusu Corina-Maria, Bondac Georgiana Tatiana","doi":"10.1007/s10198-025-01799-y","DOIUrl":"https://doi.org/10.1007/s10198-025-01799-y","url":null,"abstract":"<p><p>This study aims to inspect the relationship between environmental degradation, health expenditure, energy market, ICT, and sustainable economic growth in a dynamic framework using Panel VAR and GMM approaches. This investigation adopted a balanced panel of selected South Asian countries and approached data from 2005 and 2022. This research endeavors whether ICT progress moderates the effect of health expenditure on sustainable economic growth in South Asia. Furthermore, the empirical results validate the moderating impact of ICT on the relationship between health expenditure and sustainable economic growth. Further, it affirms that environmental degradation and healthcare expenditure have a significant and direct relationship.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627679","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}

{"title":"Health economic outcomes and national economic impacts associated with Long COVID in England and Scotland.","authors":"Joseph Kwon, Joseph Mensah, Ruairidh Milne, Clare Rayner, Román Rocha Lawrence, Johannes De Kock, Manoj Sivan, Stavros Petrou","doi":"10.1007/s10198-025-01788-1","DOIUrl":"https://doi.org/10.1007/s10198-025-01788-1","url":null,"abstract":"<p><strong>Background: </strong>Two million people in the UK suffer from Long COVID (LC), imposing substantial health economic impacts. This study aimed to: 1) assess longitudinal changes in health utility scores and economic costs of LC, and number of services received at LC specialist clinics and clinic region to capture care intensity; 2) assess whether volume of services received responded to health needs; and 3) estimate the national economic impact of LC.</p><p><strong>Methods: </strong>LC patients from 10 specialist clinics participated in the LOCOMOTION study. Patient-reported outcomes measures (EQ-5D-5L, C19-YRS and Health Economics Questionnaire) were completed on a digital platform. Associations were assessed between changes in economic outcomes (EQ-5D-3L utility, health economic costs) and number/type of LC specialist services received and region. Per-person values of quality-adjusted life-year losses, public sector costs, productivity losses and informal care costs were multiplied by LC prevalence to estimate national economic impacts.</p><p><strong>Results: </strong>There was a statistically significant reduction in public sector costs over time. There was no significant association between the number of specialist services received and change in health utility scores. LC specialist clinic and outpatient service utilisation corresponded to health need and had significant regional variation after controlling for health need. LC is associated with a substantial economic impact nationally, estimated at £8.1 billion annually and £24.2 billion since its emergence, comparable to the annual cost of £9.4 billion for stroke.</p><p><strong>Conclusion: </strong>The effectiveness of LC specialist clinic services warrants further research. The substantial national economic impact of LC warrants a nationwide LC care strategy.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592872","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}

{"title":"Measuring hospital care resilience: a systematic literature review.","authors":"Marina Cavalieri, Stefania Fontana, Calogero Guccio, Domenico Lisi, Marco Ferdinando Martorana, Giacomo Pignataro, Domenica Romeo","doi":"10.1007/s10198-025-01807-1","DOIUrl":"https://doi.org/10.1007/s10198-025-01807-1","url":null,"abstract":"<p><p>The recent Covid-19 pandemic has shown how even high-performing healthcare systems are often unprepared to cope with sudden and unforeseen surges in demand for healthcare services, drawing further attention on crucial factors ensuring their resilience in the face of extreme disruptive events. Despite extensive efforts to define health system resilience, a lack of consensus persists, making it difficult to operationalize the existing conceptual frameworks and to guide policy makers in developing adequate response strategies. Grounded on this, the present paper aims to systematically review how hospital resilience has been measured in high-income countries. Particularly, we intend to map out the different indicators and metrics used to quantitatively assess the hospitals' capacity to proactively face sudden health shocks, which can put clinical activity under pressure and at risk of disruption. Adhering to PRISMA guidelines, a systematic literature search was conducted until March 2023, by combining three databases. The review identified 1,261 studies of which 45 studies met the eligibility criteria. We found a wide range of methodological approaches that shared a narrow focus on single aspects of hospital resilience, without being able to measure it comprehensively and systematically and without accounting for its dynamic and feedback loop nature. Specifically, most of the studies looked at how to measure hospitals' capacity to absorb the shock and adapt to it, while almost neglecting their transformative capacity as well as the legacy or enduring impact of shocks.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592873","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}

{"title":"Pharmacy cost groups for the German morbidity-based risk compensation scheme.","authors":"Christian J A Schindler, Benjamin Berndt, Dennis Häckl","doi":"10.1007/s10198-025-01809-z","DOIUrl":"https://doi.org/10.1007/s10198-025-01809-z","url":null,"abstract":"<p><strong>Introduction: </strong>To ensure fair competition and prevent risk selection by sickness funds, Germany employs a morbidity-based risk-adjustment scheme, primarily using diagnostic data to record insured persons' morbidity. However, concerns about the manipulability and quality of diagnostic coding have sparked discussions. This study proposes and evaluates an alternative risk-adjustment model based on pharmaceutical data, assessing its potential as an extension or an alternative to the diagnosis-based status quo.</p><p><strong>Methods: </strong>We adapted an existing pharmacy-based model to German conditions and simulated various models. In order to create comparability to the status quo, we constructed a representative sample for the German statutory health insurance (SHI), using claims data of about 4.5 million insured persons. We evaluated the sample by assessing the standardized differences of the weighted means of the relevant covariates. For a quantitative assessment of the models we used the coefficients of determination (R²), Cumming's Predictive Measure (CPM), and the mean absolute prediction error (MAPE). Under- and overcompensation within different risk groups were also analysed.</p><p><strong>Results: </strong>The sample closely matched SHI data (overall effect size after matching < 0.0001). Substituting diagnostic data with pharmacy cost groups (PCGs) showed comparable model quality, but worsened under- and overcompensation for groups vulnerable to risk selection. Conversely, integrating PCGs into the status quo improved nearly all performance measures.</p><p><strong>Conclusion: </strong>Introducing pharmacy-based models into the German risk compensation scheme demonstrates significant potential. Extending the current model with PCGs enhances statistical performance, improves morbidity measurement, and offers a viable approach to mitigate coding manipulation incentives.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585584","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}

{"title":"Trends in physical and mental health needs across generations in Australia.","authors":"Sabrina Lenzen, Luke Connelly, William Whittaker, Stephen Birch","doi":"10.1007/s10198-025-01791-6","DOIUrl":"https://doi.org/10.1007/s10198-025-01791-6","url":null,"abstract":"<p><p>Despite evidence of changes in age-specific incidence and prevalence rates for chronic conditions and disease, future health resource planning is often based on historical age- and gender-specific service use, neglecting changes in the need for care within age groups between generations. This paper studies differences in health needs by age and gender across birth cohorts in Australia and considers the implications for future health service planning. Whilst controlling for age and period effects, we find that more recent-born female birth cohorts have higher prevalence rates of long-term health conditions than earlier-born cohorts, whereas we don't find an effect for males. The increase for females corresponds with an increase in probable mental disorders, and while we also find an increase in probable mental disorders among males, decreases in physical impairment rates among both genders offset the overall rates of long-term health conditions among males but not among females, where increases in probable mental disorders are larger. Comparing projections of mental health service requirements that integrate cohort effects, as opposed to those that do not, shows that traditional planning models may underestimate health service requirements for the future. Our findings suggest that health service planners should relax assumptions about constant age-specific use.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555609","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}

{"title":"A model-based cost-effectiveness analysis of prescribing by dietitians and therapeutic radiographers in England.","authors":"Saeideh Babashahi, Nicola Carey, Karen Stenner, Kath Hart, Yogini Jani, Judith Edwards, Natalia Hounsome","doi":"10.1007/s10198-025-01813-3","DOIUrl":"https://doi.org/10.1007/s10198-025-01813-3","url":null,"abstract":"","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561885","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}

{"title":"The economic costs and consequences of (insufficient) sleep: a case study from Latin America.","authors":"María Victoria Anauati, Matías Gómez Seeber, Sebastián Campanario, Walter Sosa Escudero, Diego A Golombek","doi":"10.1007/s10198-024-01733-8","DOIUrl":"10.1007/s10198-024-01733-8","url":null,"abstract":"<p><p>Sleep, an essential physiological process, has long been recognized for its critical role in human health and well-being. Beyond its biological significance, recent research has highlighted the intricate interplay between sleep and economic outcomes. By constructing meticulous economic models that account for diverse factors and refining them based on empirical data and local characteristics, this study aims to provide an in-depth understanding of the significant economic toll stemming from inadequate sleep and its ramifications on various aspects of society. Here we calculated the effect of insufficient sleep on economic loss in Argentina, according to an Overlapping Generations (OLG) model that considers average sleeping length in terms of the recommended minimum and its effect on productivity and health outcomes. We considered different scenarios in which the population sleeps from six to nine hours every night. Our results indicate that if the whole adult population achieved the recommended sleep duration of at least 7 h/night, it would be associated with a 1.27% higher GDP compared to the baseline scenario, representing the most optimistic outcome. This equals about 3.7 times the total annual budget in science, and is approximately the same percentage as the actually implemented national budget for education. In summary, by bridging the usually distant realms of biology and economics, this study offers a comprehensive analysis that not only deepens our understanding of the mechanisms underlying these costs but also provides potential avenues for intervention and policy-making.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":"711-719"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632380","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}

{"title":"The economic burden of asthma in Italy: evaluating the potential impact of different treatments in adult patients with severe eosinophilic asthma.","authors":"Matteo Scortichini, Francesco Saverio Mennini, Andrea Marcellusi, Martina Paoletti, Carlo Tomino, Paolo Sciattella","doi":"10.1007/s10198-024-01736-5","DOIUrl":"10.1007/s10198-024-01736-5","url":null,"abstract":"<p><strong>Introduction: </strong>Asthma is a prevalent chronic respiratory condition that significantly impacts public health, with severe asthma subtypes, such as severe eosinophilic asthma, imposing substantial socioeconomic burdens.</p><p><strong>Methods: </strong>Real-world data from the Italian Health Information System were analyzed to evaluate the economic consequences of asthma in Italy. An in-depth comparative analysis was conducted to investigate the economic implications of various asthma subtypes, focusing on severe eosinophilic asthma. Additionally, the study projected the potential cost-effectiveness of novel treatments aimed at reducing hospitalization rates, specialist visits, and oral corticosteroid use for patients with severe eosinophilic asthma in Italy.</p><p><strong>Results: </strong>The analysis revealed that severe asthma, and notably severe eosinophilic asthma, places a substantial economic burden on the Italian National Health System. Estimates demonstrated that implementing innovative treatments to mitigate the risks of hospitalization and specialist visits, as well as reducing oral corticosteroid usage in severe eosinophilic asthma patients, could lead to significant cost savings. The cost-consequence analysis indicated potential yearly reductions of €50.0 million (27%) for the treatment of severe asthma and €31.7 million (26%) for severe eosinophilic asthma.</p><p><strong>Conclusions: </strong>This study presents a comprehensive evaluation of the economic repercussions of severe asthma in Italy. The findings emphasize the necessity of identifying and developing effective therapeutic strategies to improve the management of severe asthma while simultaneously reducing the economic burden on the healthcare system. These results offer valuable insights for healthcare policymakers and practitioners, facilitating evidence-based decisions in asthma management and healthcare policy in Italy.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":"869-876"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12204866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Interprofessional team-based primary care practice and preventive cancer screening: evidence from Family Health Teams in Ontario, Canada.","authors":"Yihong Bai, Jennifer Reid, Steven Habbous, Rose Anne Devlin, Liisa Jaakkimainen, Sisira Sarma","doi":"10.1007/s10198-024-01745-4","DOIUrl":"10.1007/s10198-024-01745-4","url":null,"abstract":"<p><p>Health care reforms introduced interprofessional team-based primary care to optimize access to health care and preventive services. In this context, preventive cancer screening represents an important measure as it is essential for the early detection of cancer and treatment. We investigated the effects of Family Health Teams (FHTs), an interprofessional team-based primary care practice setting, on cancer screening rates in Ontario, Canada. By utilizing comprehensive health administrative data from April 1st 2011 to March 31st 2023, we determined the effect of FHT on screening rates for breast, cervical, and colorectal cancer while controlling for relevant physician and patient characteristics. Our analytical framework employs fractional probit models, including the Mundlak procedure, and generalized estimating equations to assess the impact of practicing in FHTs on cancer screening rates, while accounting for unobserved physician heterogeneity. Our results indicate that compared to non-FHTs, physicians practicing in FHTs have higher breast (2.4%), cervical (2%), and colon (0.8%) cancer screening rates per physician per year. The effectiveness of FHTs in promoting cancer screenings is particularly pronounced in smaller practices and among populations in rural and economically deprived areas. Our findings highlight the role of teams in enhancing preventive health care services potentially through task shifting mechanisms and suggest that such models may offer a pathway to improving access to preventive health care, especially in marginalized populations. Our research contributes to the literature by providing empirical evidence on the benefits of interprofessional team-based primary care in improving cancer screening.</p>","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":"855-868"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803082","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}