European Journal of Health Economics最新文献_第3页

IF 3.1 3区医学

European Journal of Health Economics Pub Date : 2025-07-24 DOI: 10.1007/s10198-025-01816-0

Eva Rodríguez-Míguez, Jacinto Mosquera

{"title":"Health-related quality of life in patients with alcohol use disorder: comparing instruments and mapping from clinical measures to preference-based measures.","authors":"Eva Rodríguez-Míguez, Jacinto Mosquera","doi":"10.1007/s10198-025-01816-0","DOIUrl":"https://doi.org/10.1007/s10198-025-01816-0","url":null,"abstract":"Background and objectives: The impact of alcohol use disorder (AUD) on quality of life can be quantified by generic and specific measures. This study's aims are to compare different preference-based instruments to measure health-related quality of life (HRQoL) in patients with AUD and to examine their relationship with alcohol-specific measures used in the clinical setting.Methods: A sample of 259 patients with AUD were recruited from a Spanish alcoholism unit. We administered EuroQoL-5Dimension -5levels (EQ-5D), ShortForm-6Dimension (SF-6D), AlcoholQuality-of-life-4Dimension (AlcQ-4D), Diagnostic and Statistical Manual of Mental Disorders (DSM-5), and Alcohol Use Disorders Identification Test (AUDIT) instruments at the beginning of treatment and 12 months thereafter. Differences in HRQoL instruments scores were estimated and their capacity to discriminate among known clinical severity groups was analysed. Several mapping functions were tested to transform scores from the clinical setting (AUDIT or DSM-5) into HRQoL scores (EQ-5D, SF-6D or AlcQ-4D).Results: HRQoL scores are sensitive to the instrument used. Mean scores are always highest using EQ-5D, followed by SF-6D and AlcQ-4D. All HRQoL instruments discriminate among clinical severity groups defined using DSM-5 or AUDIT. Although several mapping functions were estimated, those using the total score of the clinical instruments were selected.Conclusion: The results suggest that clinical measures used in the field of AUD could be adapted for use in economic evaluation. However, the incremental cost-utility ratio of AUD programs, and hence the policy decisions derived from it, may depend on the HRQoL instrument used.","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144709832","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

Willingness to pay for measures to increase use of active school transport. 愿意为增加学校交通工具使用的措施付费。

IF 3.1 3区医学

European Journal of Health Economics Pub Date : 2025-07-19 DOI: 10.1007/s10198-025-01811-5

Kristina Ek, Anna-Karin Lindqvist, Ellen Gustavsson Niemi, Stina Rutberg, Nadja Sirviö

{"title":"Willingness to pay for measures to increase use of active school transport.","authors":"Kristina Ek, Anna-Karin Lindqvist, Ellen Gustavsson Niemi, Stina Rutberg, Nadja Sirviö","doi":"10.1007/s10198-025-01811-5","DOIUrl":"https://doi.org/10.1007/s10198-025-01811-5","url":null,"abstract":"The societal gains from increased physical activity among children are substantial. This study aims to contribute with knowledge about how the benefits of increased physical activity are valued by the Swedish general public. The methodological approach is a contingent valuation survey (n = 768), which allows to capture values associated with increased physical activity that extend beyond the health domain. To our knowledge, this is the first study using a contingent valuation approach to assess the comprehensive benefits of promoting physical activity. Although almost all respondents support the idea to promote active school transport in general, slightly more than half the sample reject the idea to contribute financially, while almost half the sample state a positive willingness to pay (WTP), and only approximately 10% state a positive WTP without uncertainty. The average WTP a lump sum for the intervention is estimated to lie between SEK64-185 (approximately 6-19 Euros). Higher WTP correlates with income, perceptions that lack of physical activity as a serious problem, and regular exercise engagement. Due to limited access to cost data, a full economic evaluation is not possible. Nevertheless, even using lower-bound WTP (uncertain = 0), aggregate benefits exceed teacher-time costs, which are expected to constitute the most important part of intervention costs. Policymakers are recommended to implement low-cost interventions to increase physical activity of children, for instance by promoting the use of active school transport.","PeriodicalId":51416,"journal":{"name":"European Journal of Health Economics","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144668947","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

Valuing health states for infants and toddlers: challenges and methodological considerations in EQ-TIPS preference elicitation. 评价婴幼儿的健康状况：EQ-TIPS偏好诱导中的挑战和方法考虑。

IF 3.1 3区医学

European Journal of Health Economics Pub Date : 2025-07-18 DOI: 10.1007/s10198-025-01789-0

Nancy Devlin, Bram Roudijk, Michael Herdman, Elly Stolk, Richard Norman, Simone Kreimeier, Janine Verstraete

{"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":"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.","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}

引用次数: 0

Nexus among health expenditures, ICTs and sustainable economic growth: Insights from South Asian Nationals health and economic issues. 卫生支出、信通技术和可持续经济增长之间的联系：来自南亚国民卫生和经济问题的见解。

IF 3.1 3区医学

European Journal of Health Economics Pub Date : 2025-07-14 DOI: 10.1007/s10198-025-01799-y

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

引用次数: 0

Health economic outcomes and national economic impacts associated with Long COVID in England and Scotland. 英格兰和苏格兰与长期COVID相关的卫生经济成果和国民经济影响。

IF 3.1 3区医学

European Journal of Health Economics Pub Date : 2025-07-09 DOI: 10.1007/s10198-025-01788-1

Joseph Kwon, Joseph Mensah, Ruairidh Milne, Clare Rayner, Román Rocha Lawrence, Johannes De Kock, Manoj Sivan, Stavros Petrou

{"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":"Background: 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.Methods: 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.Results: 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.Conclusion: The effectiveness of LC specialist clinic services warrants further research. The substantial national economic impact of LC warrants a nationwide LC care strategy.","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}

引用次数: 0

Measuring hospital care resilience: a systematic literature review. 测量医院护理弹性：系统的文献综述。

IF 3.1 3区医学

European Journal of Health Economics Pub Date : 2025-07-09 DOI: 10.1007/s10198-025-01807-1

Marina Cavalieri, Stefania Fontana, Calogero Guccio, Domenico Lisi, Marco Ferdinando Martorana, Giacomo Pignataro, Domenica Romeo

{"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":"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.","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}

引用次数: 0

Pharmacy cost groups for the German morbidity-based risk compensation scheme. 药房成本组为德国基于发病率的风险补偿方案。

IF 3.1 3区医学

European Journal of Health Economics Pub Date : 2025-07-08 DOI: 10.1007/s10198-025-01809-z

Christian J A Schindler, Benjamin Berndt, Dennis Häckl

{"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":"Introduction: 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.Methods: 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.Results: 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.Conclusion: 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.","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}

引用次数: 0

Trends in physical and mental health needs across generations in Australia. 澳大利亚各代人的身心健康需求趋势。

IF 3.1 3区医学

European Journal of Health Economics Pub Date : 2025-07-03 DOI: 10.1007/s10198-025-01791-6

Sabrina Lenzen, Luke Connelly, William Whittaker, Stephen Birch

{"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":"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.","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}

引用次数: 0

A model-based cost-effectiveness analysis of prescribing by dietitians and therapeutic radiographers in England. 英国营养师和放射治疗医师处方的基于模型的成本效益分析。

IF 3.1 3区医学

European Journal of Health Economics Pub Date : 2025-07-03 DOI: 10.1007/s10198-025-01813-3

Saeideh Babashahi, Nicola Carey, Karen Stenner, Kath Hart, Yogini Jani, Judith Edwards, Natalia Hounsome

引用次数: 0

The economic costs and consequences of (insufficient) sleep: a case study from Latin America. 睡眠（不足）的经济成本和后果：拉丁美洲案例研究》。

IF 3.1 3区医学

European Journal of Health Economics Pub Date : 2025-07-01 Epub Date: 2024-11-09 DOI: 10.1007/s10198-024-01733-8

María Victoria Anauati, Matías Gómez Seeber, Sebastián Campanario, Walter Sosa Escudero, Diego A Golombek

{"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":"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.","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}

引用次数: 0