International journal of health care finance and economics最新文献_第6页

Medicare spending, mortality rates, and quality of care. 医疗保险支出、死亡率和护理质量。

International journal of health care finance and economics Pub Date : 2012-03-01 Epub Date: 2012-03-08 DOI: 10.1007/s10754-012-9107-0

Jack Hadley, James D Reschovsky

引用次数: 14

Does employment-based private health insurance increase the use of covered health care services? A matching estimator approach. 以就业为基础的私人医疗保险是否增加了所涵盖医疗保健服务的使用?一种匹配估计方法。

International journal of health care finance and economics Pub Date : 2012-03-01 Epub Date: 2012-02-26 DOI: 10.1007/s10754-012-9104-3

Astrid Kiil

{"title":"Does employment-based private health insurance increase the use of covered health care services? A matching estimator approach.","authors":"Astrid Kiil","doi":"10.1007/s10754-012-9104-3","DOIUrl":"https://doi.org/10.1007/s10754-012-9104-3","url":null,"abstract":"This study estimates the effect of employment-based private health insurance (EPHI) on the use of covered health care services based on Danish survey data collected in 2009. The paper provides some of the first estimates of how EPHI affects the use of health care services in a Scandinavian context. The effect of EPHI is estimated using propensity score matching. This method is shown to provide plausible estimates given the institutional setting of EPHI in Denmark and a wide set of relevant covariates. Considering the full sample of occupationally active, it is found that EPHI does not significantly affect the probability of having had any hospitalisations, physiotherapist, chiropractor, psychologist, specialist, or ambulatory contacts within a 12 month period. Restricting the analysis to the subsample of privately employed, the estimated effects for ambulatory contacts and hospitalisation are somewhat higher and statistically significant. More precisely, it is found that EPHI increases the probability of hospitalisation from 5.1 to 8.5% and the probability of having had any ambulatory contacts from 17.9 to 23.3% among the privately employed.","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-012-9104-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30487482","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: 14

Measuring incidence of catastrophic out-of-pocket health expenditure: with application to India. 灾难性自费医疗支出发生率的测量:在印度的应用。

International journal of health care finance and economics Pub Date : 2012-03-01 Epub Date: 2012-02-18 DOI: 10.1007/s10754-012-9103-4

Rama Pal

{"title":"Measuring incidence of catastrophic out-of-pocket health expenditure: with application to India.","authors":"Rama Pal","doi":"10.1007/s10754-012-9103-4","DOIUrl":"https://doi.org/10.1007/s10754-012-9103-4","url":null,"abstract":"The present paper attempts to provide a new measure of catastrophic out-of-pocket health expenditure based on consumption of necessities. In literature, catastrophic expenditure is measured as out-of-pocket health expenditure that exceeds some fixed proportion of household income or household's capacity to pay. According the new measure proposed in this paper, OOP health expenditure is catastrophic if it reduces the non-health expenditure to a level where household is unable to maintain consumption of necessities. Based on this measure of catastrophic health expenditure, the paper examines determinants of catastrophic out-of-pocket health expenditure in India. The results show that, incidence of catastrophic OOP health expenditure increases with income, when we use the earlier measures. However, results based on the revised measure show that, the incidence of catastrophic payments goes down as income increases. Therefore, the analysis suggests that the findings are sensitive to the method used. The findings from multivariate analysis show economic and social status of Indian households are important determinants of incidence of catastrophic health expenditure. Education reduces the probability of incurring catastrophic health expenditure. Moreover, these findings are sensitive to measure of catastrophic OOP health expenditure and therefore, it is important to consider appropriate measure of catastrophic OOP health expenditure.","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-012-9103-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30473688","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: 77

Market conditions and general practitioners' referrals. 市场情况及全科医生的转介。

International journal of health care finance and economics Pub Date : 2011-12-01 Epub Date: 2011-10-19 DOI: 10.1007/s10754-011-9101-y

Tor Iversen, Ching-to Albert Ma

引用次数: 33

The effects of medical factors on transfer deficits in Public Assistance in Japan: a quantile regression analysis. 医疗因素对日本公共援助转移赤字的影响:分位数回归分析。

International journal of health care finance and economics Pub Date : 2011-12-01 Epub Date: 2011-09-14 DOI: 10.1007/s10754-011-9098-2

Masayoshi Hayashi

{"title":"The effects of medical factors on transfer deficits in Public Assistance in Japan: a quantile regression analysis.","authors":"Masayoshi Hayashi","doi":"10.1007/s10754-011-9098-2","DOIUrl":"https://doi.org/10.1007/s10754-011-9098-2","url":null,"abstract":"In countries where local governments are heavily involved in financing health care for the indigent, regional disparities in local revenues may adversely affect the access of the poor to medical care. It is thus important to examine how central governments provide funds for such local medical needs. In Japan, local governments finance all medical costs for the poor through their Public Assistance (PA) programs. Using the unique mechanism of the Japanese system of central grants, I construct a measure of \"transfer deficit\" which shows the portion of the PA expenditures that fails to be secured by the central grants. The distribution of such a measure provides important information to assess the regional equity in financing local programs. The results suggest a compromise on the regional equity in financing medical care for the indigent. Then, I explore the determinants of the deficit measure by performing a quantile regression analysis. Since no effects of potential determinants imply that the central grants well accommodate changes in local needs, finding such effects helps evaluate the performance of the transfer system. The results shows that, among others, the number of PA households and the factors related to mental illness of PA recipients have positive impacts that attenuate toward the top of the conditional quantile of the transfer deficit. I elaborate on plausible causes of such attenuating responses.","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-011-9098-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30141302","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: 9

Has the European union achieved a single pharmaceutical market? 欧盟实现了单一医药市场吗?

International journal of health care finance and economics Pub Date : 2011-12-01 Epub Date: 2011-10-09 DOI: 10.1007/s10754-011-9100-z

Aysegul Timur, Gabriel Picone, Jeffrey DeSimone

引用次数: 13

Out-of-pocket expenditures for hospital care in Iran: who is at risk of incurring catastrophic payments? 伊朗医院护理的自付费用:谁面临灾难性支付的风险?

International journal of health care finance and economics Pub Date : 2011-12-01 Epub Date: 2011-09-14 DOI: 10.1007/s10754-011-9099-1

Mohammad Hajizadeh, Hong Son Nghiem

{"title":"Out-of-pocket expenditures for hospital care in Iran: who is at risk of incurring catastrophic payments?","authors":"Mohammad Hajizadeh, Hong Son Nghiem","doi":"10.1007/s10754-011-9099-1","DOIUrl":"https://doi.org/10.1007/s10754-011-9099-1","url":null,"abstract":"Since the beginning of 1980s, the Iranian health care system has undergone several reforms designed to increase accessibility of health services. Notwithstanding these reforms, out-of-pocket payments which create a barrier to access health services contribute almost half of total health are financing in Iran. This study aimed to provide a greater understanding about the inequality and determinants of the out-of-pocket expenditure (OOPE) and the related catastrophic expenditure (CE) for hospital services in Iran using a nationwide survey data, the 2003 Utilisation of Health Services Survey (UHSS). The concentration index and the Heckman selection model were used to assess inequality and factors associated with these expenditures. Inequality analysis suggests that the CE is concentrated among households in lower socioeconomic levels. The results of the Heckman selection model indicate that factors such as length of stay, admission to a hospital owned by private sector or Ministry of Health and Medical Education, and living in remote areas are positively associated with higher OOPE. Results of the ordered-probit selection model demonstrate that length of stay, lower household wealth index, and admission to a private hospital are major factors contributing to the increase in the probability of CE. Also, we find that households living in East Azarbaijan, Kordestan and Sistan and Balochestan face a higher level of CE. Based on our findings, the current employer-sponsored health insurance system does not offer equal protection against hospital expenditure in Iran. It seems that a single universal health insurance scheme that covers health services for all Iranian-regardless of their employment status-can better protect households from catastrophic health spending.","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-011-9099-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30141301","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: 76

Vertical integration and optimal reimbursement policy. 纵向一体化和最佳报销政策。

International journal of health care finance and economics Pub Date : 2011-09-01 Epub Date: 2011-08-18 DOI: 10.1007/s10754-011-9095-5

Christopher C Afendulis, Daniel P Kessler

引用次数: 0

The international transferability of human capital in nursing. 护理人力资本的国际可转移性。

International journal of health care finance and economics Pub Date : 2011-09-01 Epub Date: 2011-07-22 DOI: 10.1007/s10754-011-9094-6

Serena H Huang

引用次数: 9

The determinants of the willingness-to-pay for community-based prepayment scheme in rural Cameroon. 喀麦隆农村地区社区预付费计划支付意愿的决定因素。

International journal of health care finance and economics Pub Date : 2011-09-01 Epub Date: 2011-08-28 DOI: 10.1007/s10754-011-9097-3

Hermann Pythagore Pierre Donfouet, Ephias Makaudze, Pierre-Alexandre Mahieu, Eric Malin

{"title":"The determinants of the willingness-to-pay for community-based prepayment scheme in rural Cameroon.","authors":"Hermann Pythagore Pierre Donfouet, Ephias Makaudze, Pierre-Alexandre Mahieu, Eric Malin","doi":"10.1007/s10754-011-9097-3","DOIUrl":"https://doi.org/10.1007/s10754-011-9097-3","url":null,"abstract":"In rural Cameroon, many people have no access to quality healthcare services. This is largely attributed to lack of private out-of-pocket payment to finance healthcare services. A community-based prepayment health insurance scheme may be implemented to improve healthcare access in rural areas. This study examines the determinants of willingness-to-pay for a community-based prepayment healthcare system using a contingent valuation method conducted in rural Cameroon. To mitigate potential hypothetical bias, a consequential script is introduced in the questionnaire. The results indicate age, religion, profession, knowledge of community-based health insurance, awareness of usual practice in rural areas, involvement in association and disposable income are the key determinants of willingness to pay for a prepayment health scheme. On average, willingness to pay for the scheme by rural households is 1011 CFA francs/person/month (2.15 US dollars). The results underlie two important implications: first, there is substantial demand for a community healthcare prepayment scheme by rural poor households in Cameroon; second, rural households are averse to health shocks and hence they are willing to sacrifice monthly premium payments to protect themselves (and their households) from unforeseen health-related risks. If government could engage in social marketing strategies such as mass media campaigns and awareness, this could prove vital for encouraging participation by the rural poor in healthcare prepayment scheme in Cameroon.","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2011-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-011-9097-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30106356","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: 85