International journal of health care finance and economics最新文献_第3页

Health expenses and economic growth: convergence dynamics across the Indian States. 医疗费用和经济增长:印度各邦的趋同动态。

International journal of health care finance and economics Pub Date : 2013-12-01 Epub Date: 2013-09-14 DOI: 10.1007/s10754-013-9130-9

Nicholas Apergis, Puja Padhi

引用次数: 11

Sleeping money: investigating the huge surpluses of social health insurance in China. 沉睡的金钱:调查中国社会医疗保险的巨额盈余。

International journal of health care finance and economics Pub Date : 2013-12-01 Epub Date: 2013-10-02 DOI: 10.1007/s10754-013-9134-5

JunQiang Liu, Tao Chen

引用次数: 8

Awareness and utilization of preventive care services among the elderly under National Health Insurance. 根据国家健康保险，老年人对预防保健服务的认识和利用情况。

International journal of health care finance and economics Pub Date : 2013-12-01 Epub Date: 2013-06-11 DOI: 10.1007/s10754-013-9128-3

Chun-Chih Chen, Yen-Ju Lin, Ying-Tzu Lin

{"title":"Awareness and utilization of preventive care services among the elderly under National Health Insurance.","authors":"Chun-Chih Chen, Yen-Ju Lin, Ying-Tzu Lin","doi":"10.1007/s10754-013-9128-3","DOIUrl":"https://doi.org/10.1007/s10754-013-9128-3","url":null,"abstract":"This empirical study investigates the factors affecting the awareness and the utilization of preventive care among the elderly in Taiwan. We use data obtained from the 2005 National Health Interview Survey. A recursive bivariate probit model is adopted to analyze the factors affecting the awareness and the utilization of preventive care. The probability of awareness of free preventive care under the National Health Insurance is higher for those who are younger, Mainlanders, have received more education, have a spouse, exercise regularly, have better self-rated health status, and have chronic diseases; the probability of awareness is lower for those who are aborigines and who live in the south and the east. Awareness of preventive care services, having a spouse, living alone, having better health status, and the existence of chronic diseases increase the probability of preventive care utilization; working reduces the probability of preventive care utilization. Our result supports the views in Arrow (Am Econ Rev 53(5):941-973, 1963) that health information is an important factor determining the demand for medical care. Policymakers may enhance such preventive care service utilization by increasing the awareness of such services among the elderly. ","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-013-9128-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31495830","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: 21

Does healthcare financing converge? Evidence from eight OECD countries. 医疗融资会趋同吗?来自八个经合组织国家的证据。

International journal of health care finance and economics Pub Date : 2013-12-01 Epub Date: 2013-09-15 DOI: 10.1007/s10754-013-9132-7

Wen-Yi Chen

引用次数: 10

Regulated medical fee schedule of the Japanese health care system. 日本医疗保健系统的医疗收费标准。

International journal of health care finance and economics Pub Date : 2013-12-01 Epub Date: 2013-09-26 DOI: 10.1007/s10754-013-9133-6

Makoto Kakinaka, Ryuta Ray Kato

引用次数: 4

Between two beds: inappropriately delayed discharges from hospitals. 两张病床之间:医院不适当地延迟出院。

International journal of health care finance and economics Pub Date : 2013-12-01 DOI: 10.1007/s10754-013-9135-4

Tor Helge Holmås, Mohammad Kamrul Islam, Egil Kjerstad

{"title":"Between two beds: inappropriately delayed discharges from hospitals.","authors":"Tor Helge Holmås, Mohammad Kamrul Islam, Egil Kjerstad","doi":"10.1007/s10754-013-9135-4","DOIUrl":"https://doi.org/10.1007/s10754-013-9135-4","url":null,"abstract":"Acknowledging the necessity of a division of labour between hospitals and social care services regarding treatment and care of patients with chronic and complex conditions, is to acknowledge the potential conflict of interests between health care providers. A potentially important conflict is that hospitals prefer comparatively short length of stay (LOS) at hospital, while social care services prefer longer LOS all else equal. Furthermore, inappropriately delayed discharges from hospital, i.e. bed blocking, is costly for society. Our aim is to discuss which factors that may influence bed blocking and to quantify bed blocking costs using individual Norwegian patient data, merged with social care and hospital data. The data allow us to divide hospital LOS into length of appropriate stay (LAS) and length of delay (LOD), the bed blocking period. We find that additional resources allocated to social care services contribute to shorten LOD indicating that social care services may exploit hospital resources as a buffer for insufficient capacity. LAS increases as medical complexity increases indicating hospitals incentives to reduce LOS are softened by considerations related to patients’ medical needs. Bed blocking costs constitute a relatively large share of the total costs of inpatient care.","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-013-9135-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31805521","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: 25

Willingness-to-pay to prevent Alzheimer's disease: a contingent valuation approach. 预防阿尔茨海默病的付费意愿:一种条件评估方法。

International journal of health care finance and economics Pub Date : 2013-12-01 Epub Date: 2013-08-31 DOI: 10.1007/s10754-013-9129-2

Rashmita Basu

{"title":"Willingness-to-pay to prevent Alzheimer's disease: a contingent valuation approach.","authors":"Rashmita Basu","doi":"10.1007/s10754-013-9129-2","DOIUrl":"https://doi.org/10.1007/s10754-013-9129-2","url":null,"abstract":"As the prevalence of Alzheimer's disease (AD) increases, the need to develop effective and well-tolerated pharmacotherapies for the prevention of AD is becoming increasingly important. Understanding determinants and magnitudes of individuals' preferences for AD prevention programs is important while estimating the benefits of any new pharmacological intervention that targets the prevention of the disease. This paper applied contingent valuation, a method frequently used for economic valuation of goods or services not transacted in the markets, to estimate the willingness-to-pay (WTP) to prevent AD based on the nationally representative Health and Retirement Survey data. The WTP was associated in predictable ways with respondent characteristics. The mean estimated WTP for preventing AD is $155 per month (95 % CI $153-$157) based on interval regression. On average, a higher WTP for the prescription drug for AD prevention was reported by respondents with higher perceived risks, and greater household wealth. The findings provide useful information about determinants and the magnitude of individuals' preferences for AD prevention drugs for healthcare payers and individual families while making decisions to prevent AD. ","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-013-9129-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31700117","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: 22

Evaluating an employee wellness program. 评估员工健康计划。

International journal of health care finance and economics Pub Date : 2013-12-01 Epub Date: 2013-06-09 DOI: 10.1007/s10754-013-9127-4

Sankar Mukhopadhyay, Jeanne Wendel

{"title":"Evaluating an employee wellness program.","authors":"Sankar Mukhopadhyay, Jeanne Wendel","doi":"10.1007/s10754-013-9127-4","DOIUrl":"https://doi.org/10.1007/s10754-013-9127-4","url":null,"abstract":"What criteria should be used to evaluate the impact of a new employee wellness program when the initial vendor contract expires? Published academic literature focuses on return-on-investment as the gold standard for wellness program evaluation, and a recent meta-analysis concludes that wellness programs can generate net savings after one or two years. In contrast, surveys indicate that fewer than half of these programs report net savings, and actuarial analysts argue that return-on-investment is an unrealistic metric for evaluating new programs. These analysts argue that evaluation of new programs should focus on contract management issues, such as the vendor's ability to: (i) recruit employees to participate and (ii) induce behavior change. We compute difference-in-difference propensity score matching estimates of the impact of a wellness program implemented by a mid-sized employer. The analysis includes one year of pre-implementation data and three years of post-implementation data. We find that the program successfully recruited a broad spectrum of employees to participate, and it successfully induced short-term behavior change, as manifested by increased preventive screening. However, the effects on health care expenditures are positive (but insignificant). If it is unrealistic to expect new programs to significantly reduce healthcare costs in a few years, then focusing on return-on-investment as the gold standard metric may lead to early termination of potentially useful wellness programs. Focusing short-term analysis of new programs on short-term measures may provide a more realistic evaluation strategy. ","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-013-9127-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31584596","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: 11

Who funds their health savings account and why? 谁为他们的健康储蓄账户提供资金，为什么?

International journal of health care finance and economics Pub Date : 2013-12-01 Epub Date: 2013-09-22 DOI: 10.1007/s10754-013-9131-8

Song Chen, Anthony T Lo Sasso, Aneesh Nandam

引用次数: 5

Measuring recession severity and its impact on healthcare expenditure. 衡量经济衰退的严重程度及其对医疗支出的影响。

International journal of health care finance and economics Pub Date : 2013-06-01 Epub Date: 2013-02-16 DOI: 10.1007/s10754-012-9121-2

Conor Keegan, Steve Thomas, Charles Normand, Conceição Portela

{"title":"Measuring recession severity and its impact on healthcare expenditure.","authors":"Conor Keegan, Steve Thomas, Charles Normand, Conceição Portela","doi":"10.1007/s10754-012-9121-2","DOIUrl":"https://doi.org/10.1007/s10754-012-9121-2","url":null,"abstract":"The financial crisis that manifested itself in late 2007 resulted in a Europe-wide economic crisis by 2009. As the economic climate worsened, Governments and households were put under increased strain and more focus was placed on prioritising expenditures. Across European countries and their heterogeneous health care systems, this paper examines the initial responsiveness of health expenditures to the crisis and whether recession severity can be considered a predictor of health expenditure growth. In measuring severity we move away from solely gross domestic product (GDP) as a metric and construct a recession severity index predicated on a number of key macroeconomic indicators. We then regress this index on measures of total, public and private health expenditure to identify potential relationships. Analysis suggests that for 2009, the Baltic States, along with Ireland, Italy and Greece, experienced comparatively severe recessions. We find, overall, an initial counter-cyclical response in health spending (both public and private) across countries. However, our analysis finds evidence of a negative relationship between recession severity and changes in certain health expenditures. As a predictor of health expenditure growth in 2009, the derived index is an improvement over GDP change alone.","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2013-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-012-9121-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31245183","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: 53