International journal of health care finance and economics最新文献

Changing healthcare capital-to-labor ratios: evidence and implications for bending the cost curve in Canada and beyond. 不断变化的医疗保健资本与劳动力比率:扭曲加拿大及其他地区成本曲线的证据和影响。

International journal of health care finance and economics Pub Date : 2014-12-01 Epub Date: 2014-08-17 DOI: 10.1007/s10754-014-9154-9

Eric Nauenberg

{"title":"Changing healthcare capital-to-labor ratios: evidence and implications for bending the cost curve in Canada and beyond.","authors":"Eric Nauenberg","doi":"10.1007/s10754-014-9154-9","DOIUrl":"https://doi.org/10.1007/s10754-014-9154-9","url":null,"abstract":"Healthcare capital-to-labor ratios are examined for the 10 provincial single-payer health care plans across Canada. The data show an increasing trend-particularly during the period 1997-2009 during which the ratio as much as doubled from 3 to 6 %. Multivariate analyses indicate that every percentage point uptick in the rate of increase in this ratio is associated with an uptick in the rate of increase of real per capita provincial government healthcare expenditures by approximately $31 ([Formula: see text] 0.01). While the magnitude of this relationship is not large, it is still substantial enough to warrant notice: every percentage point decrease in the upward trend of the capital-to-labor ratio might be associated with a one percentage point decrease in the upward trend of per capita government healthcare expenditures. An uptick since 1997 in the rate of increase in per capita prescription drug expenditures is also associated with a decline in the trend of increasing per capita healthcare costs. While there has been some recent evidence of a slowing in the rate of health care expenditure increase, it is still unclear whether this reflects just a pause, after which the rate of increase will return to its baseline level, or a long-term shift; therefore, it is important to continue to explore various policy avenues to affect the rate of change going forward.","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-014-9154-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32590127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

The effect of social health insurance on prenatal care: the case of Ghana. 社会健康保险对产前护理的影响:以加纳为例。

International journal of health care finance and economics Pub Date : 2014-12-01 Epub Date: 2014-08-21 DOI: 10.1007/s10754-014-9155-8

Stephen O Abrokwah, Christine M Moser, Edward C Norton

{"title":"The effect of social health insurance on prenatal care: the case of Ghana.","authors":"Stephen O Abrokwah, Christine M Moser, Edward C Norton","doi":"10.1007/s10754-014-9155-8","DOIUrl":"https://doi.org/10.1007/s10754-014-9155-8","url":null,"abstract":"Many developing countries have introduced social health insurance programs to help address two of the United Nations' millennium development goals-reducing infant mortality and improving maternal health outcomes. By making modern health care more accessible and affordable, policymakers hope that more women will seek prenatal care and thereby improve health outcomes. This paper studies how Ghana's social health insurance program affects prenatal care use and out-of-pocket expenditures, using the two-part model to model prenatal care expenditures. We test whether Ghana's social health insurance improved prenatal care use, reduced out-of-pocket expenditures, and increased the number of prenatal care visits. District-level differences in the timing of implementation provide exogenous variation in access to health insurance, and therefore strong identification. Those with access to social health insurance have a higher probability of receiving care, a higher number of prenatal care visits, and lower out-of-pocket expenditures conditional on spending on care. ","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-014-9155-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32602332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 31

Payment generosity and physician acceptance of Medicare and Medicaid patients. 医疗保险和医疗补助病人的支付慷慨度和医生接受度。

International journal of health care finance and economics Pub Date : 2014-12-01 Epub Date: 2014-07-09 DOI: 10.1007/s10754-014-9152-y

Christopher S Brunt, Gail A Jensen

{"title":"Payment generosity and physician acceptance of Medicare and Medicaid patients.","authors":"Christopher S Brunt, Gail A Jensen","doi":"10.1007/s10754-014-9152-y","DOIUrl":"https://doi.org/10.1007/s10754-014-9152-y","url":null,"abstract":"Using 2008 physician survey data, we estimate the relationship between the generosity of fees paid to primary care physicians under Medicaid and Medicare and his/her willingness to accept new patients covered by Medicaid, Medicare, or both programs (i.e., dually enrolled patients). Findings reveal physicians are highly responsive to fee generosity under both programs. Also, their willingness to accept patients under either program is affected by the generosity of fees under the other program, i.e., there are significant spillover effects between Medicare and Medicare fee generosity. We also simulate how physicians in 2008 would have likely responded to Medicaid and Medicare payment reforms similar to those embodied in the 2010 Affordable Care Act, had they been permanently in place in 2008. Our findings suggest that \"Medicaid Parity\" for primary care physicians would have likely dramatically improved physician willingness to accept new Medicaid patients while only slightly reducing their willingness to accept new Medicare patients. Also, many more primary care physicians would have been willing to treat dually enrolled patients. ","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-014-9152-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32490778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 27

Health care expenditure decisions in the presence of devolution and equalisation grants. 在权力下放和均等化拨款的情况下作出保健支出决定。

International journal of health care finance and economics Pub Date : 2014-12-01 Epub Date: 2014-07-15 DOI: 10.1007/s10754-014-9153-x

Rosella Levaggi, Francesco Menoncin

引用次数: 3

The impact of global budgeting on treatment intensity and outcomes. 全球预算编制对治疗强度和结果的影响。

International journal of health care finance and economics Pub Date : 2014-12-01 Epub Date: 2014-07-11 DOI: 10.1007/s10754-014-9150-0

Kamhon Kan, Shu-Fen Li, Wei-Der Tsai

{"title":"The impact of global budgeting on treatment intensity and outcomes.","authors":"Kamhon Kan, Shu-Fen Li, Wei-Der Tsai","doi":"10.1007/s10754-014-9150-0","DOIUrl":"https://doi.org/10.1007/s10754-014-9150-0","url":null,"abstract":"This paper investigates the effects of global budgets on the amount of resources devoted to cardio-cerebrovascular disease patients by hospitals of different ownership types and these patients' outcomes. Theoretical models predict that hospitals have financial incentives to increase the quantity of treatments applied to patients. This is especially true for for-profit hospitals. If that's the case, it is important to examine whether the increase in treatment quantity is translated into better treatment outcomes. Our analyses take advantage of the National Health Insurance of Taiwan's implementation of global budgets for hospitals in 2002. Our data come from the National Health Insurance's claim records, covering the universe of hospitalized patients suffering acute myocardial infarction, ischemic heart disease, hemorrhagic stroke, and ischemic stroke. Regression analyses are carried out separately for government, private not-for-profit and for-profit hospitals. We find that for-profit hospitals and private not-for-profit hospitals did increase their treatment intensity for cardio-cerebrovascular disease patients after the 2002 implementation of global budgets. However, this was not accompanied by an improvement in these patients' mortality rates. This reveals a waste of medical resources and implies that aggregate expenditure caps should be supplemented by other designs to prevent resources misallocation. ","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-014-9150-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32493644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 18

Does a global budget superimposed on fee-for-service payments mitigate hospitals' medical claims in Taiwan? 全球预算叠加在按服务收费的支付上，是否减轻了台湾医院的医疗索赔?

International journal of health care finance and economics Pub Date : 2014-12-01 Epub Date: 2014-05-29 DOI: 10.1007/s10754-014-9149-6

Pi-Fem Hsu

引用次数: 14

Health care expenditure disparities in the European Union and underlying factors: a distribution dynamics approach. 欧洲联盟的保健支出差距及其潜在因素:分配动态方法。

International journal of health care finance and economics Pub Date : 2014-09-01 Epub Date: 2014-05-14 DOI: 10.1007/s10754-014-9147-8

José Villaverde, Adolfo Maza, María Hierro

引用次数: 10

Does managed care reduce health care expenditure? Evidence from spatial panel data. 管理式医疗是否能减少医疗支出?证据来自空间面板数据。

International journal of health care finance and economics Pub Date : 2014-09-01 Epub Date: 2014-04-02 DOI: 10.1007/s10754-014-9145-x

Andree Ehlert, Dirk Oberschachtsiek

引用次数: 15

Do the Medicaid and Medicare programs compete for access to health care services? A longitudinal analysis of physician fees, 1998-2004. 医疗补助计划和医疗保险计划是否会为获得医疗服务而竞争?1998-2004年医师收费的纵向分析。

International journal of health care finance and economics Pub Date : 2014-09-01 Epub Date: 2014-03-30 DOI: 10.1007/s10754-014-9146-9

Larry L Howard

引用次数: 1

Socialized medicine and mortality. 社会化医疗和死亡率。

International journal of health care finance and economics Pub Date : 2014-09-01 Epub Date: 2014-07-15 DOI: 10.1007/s10754-014-9151-z

Sam Peltzman

引用次数: 2