International journal of health care finance and economics最新文献

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The impact of new drug launches on the loss of labor from disease and injury: evidence from German panel data. 新药上市对因疾病和伤害导致的劳动力损失的影响:来自德国小组数据的证据。
International journal of health care finance and economics Pub Date : 2010-12-01 Epub Date: 2010-07-11 DOI: 10.1007/s10754-010-9083-1
Van Bui, Michael Stolpe
{"title":"The impact of new drug launches on the loss of labor from disease and injury: evidence from German panel data.","authors":"Van Bui,&nbsp;Michael Stolpe","doi":"10.1007/s10754-010-9083-1","DOIUrl":"https://doi.org/10.1007/s10754-010-9083-1","url":null,"abstract":"<p><p>We study the impact of new drug launches on early retirement due to disease and injury in the German labor force between 1988 and 2004. We show that new drug launches have substantially helped to reduce the loss of labor at the disease-level over time. In Western Germany alone, each new chemical entity is estimated to have saved on average around 200 working years in every year of the observation period. Controlling for individual determinants of retirement, the 2001 reform of pension laws appears to have led to further reductions in the loss of labor from disease and injury.</p>","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-010-9083-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29116531","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: 3
On decomposing the inequality and inequity change in health care utilization: change in means, or change in the distributions? 浅谈医疗保健利用不平等与不公平的变化:是均值的变化,还是分布的变化?
International journal of health care finance and economics Pub Date : 2010-12-01 Epub Date: 2010-11-03 DOI: 10.1007/s10754-010-9085-z
Hai Zhong
{"title":"On decomposing the inequality and inequity change in health care utilization: change in means, or change in the distributions?","authors":"Hai Zhong","doi":"10.1007/s10754-010-9085-z","DOIUrl":"https://doi.org/10.1007/s10754-010-9085-z","url":null,"abstract":"<p><p>Health care financing arrangements not only have strong implications for income distribution, but also affect health care utilization. Therefore, a comparison of the equity in health care utilization for those health systems with different financing arrangements has important policy implications for health care policymakers. The concentration index (CI) and the horizontal inequity index (HI) are commonly used to measure inequality and inequity in health care utilization. In this paper, we propose simple methods to decompose the difference between two CIs and two HIs into two factors: one factor reflects the difference between the means, and the other factor reflects the difference between the distributions. The proposed decomposition method might be useful since the means are likely to be caused by factors that do not constitute unfair inequalities (inequities). We also present two empirical applications of the decomposition methods for the purpose of illustration.</p>","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-010-9085-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29443169","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
The effects of residential proximity to bars on alcohol consumption. 住所离酒吧近对酒精消费的影响。
International journal of health care finance and economics Pub Date : 2010-12-01 Epub Date: 2010-11-13 DOI: 10.1007/s10754-010-9084-0
Gabriel Picone, Joe MacDougald, Frank Sloan, Alyssa Platt, Stefan Kertesz
{"title":"The effects of residential proximity to bars on alcohol consumption.","authors":"Gabriel Picone,&nbsp;Joe MacDougald,&nbsp;Frank Sloan,&nbsp;Alyssa Platt,&nbsp;Stefan Kertesz","doi":"10.1007/s10754-010-9084-0","DOIUrl":"https://doi.org/10.1007/s10754-010-9084-0","url":null,"abstract":"<p><p>A person's decision to drink alcohol is potentially influenced by both price and availability of alcohol in the local area. This study uses longitudinal data from 1985 to 2001 to empirically assess the impact of distance from place of residence to bars on alcohol consumption in four large U.S. cities from 1985 to 2001. Density of bars within 0.5 km of a person's residence is associated with small increases in alcohol consumption as measured by: daily alcohol consumption (ml) drinks per week, and weekly consumption of beer, wine, and liquor. When person-specific fixed effects are included, the relationship between alcohol consumption and the number of bars within a 0.5 km radius of the person's place of residence disappears. Tests for endogeneity of the number of bars within the immediate vicinity of respondents' homes fail to reject the null hypothesis that the number of bars is exogenous. We conclude that bar density in the area surrounding the individuals' homes has at most a very small positive effect on alcohol consumption.</p>","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-010-9084-0","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29468566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 30
Health care costs during the last 12 months of life in Israel: estimation and implications for risk-adjustment. 以色列人生命最后12个月的保健费用:估计及其对风险调整的影响。
International journal of health care finance and economics Pub Date : 2010-09-01 Epub Date: 2010-05-22 DOI: 10.1007/s10754-010-9080-4
Amir Shmueli, David Messika, Irit Zmora, Bernice Oberman
{"title":"Health care costs during the last 12 months of life in Israel: estimation and implications for risk-adjustment.","authors":"Amir Shmueli,&nbsp;David Messika,&nbsp;Irit Zmora,&nbsp;Bernice Oberman","doi":"10.1007/s10754-010-9080-4","DOIUrl":"https://doi.org/10.1007/s10754-010-9080-4","url":null,"abstract":"<p><p>Accumulating research shows that decedents' costs are high, they increase towards death, and they comprise a large proportion of total lifetime costs. The objectives of this paper are (i) to examine the Israeli pattern of medical care cost during the 12 months prior to death by gender, age, and chronic conditions, and (ii) to examine the implications of the results for the Israeli risk adjustment scheme. For the first objective, we used 12 month follow-up data on a cohort of decedents. For the second objective, we supplemented the data with a cross-section of enrollees (survivors and decedents in 2004). With regard to the first objective, we found that the broad Israeli patterns of cost match previous studies from other countries. With respect to the second objective, we argue that since the cost during the last 12 months of life is very high and is concentrated among relatively few persons, in order to prevent any adverse incentives caused by the combination of age-based risk adjustment and segmentation of end-of-life health care, death should be introduced into the existing retrospective risk-sharing arrangement.</p>","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-010-9080-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29011570","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
Strategic costs and preferences revelation in the allocation of resources for health care. 卫生保健资源配置中的战略成本和偏好启示。
International journal of health care finance and economics Pub Date : 2010-09-01 Epub Date: 2010-03-23 DOI: 10.1007/s10754-010-9079-x
Laura Levaggi, Rosella Levaggi
{"title":"Strategic costs and preferences revelation in the allocation of resources for health care.","authors":"Laura Levaggi,&nbsp;Rosella Levaggi","doi":"10.1007/s10754-010-9079-x","DOIUrl":"https://doi.org/10.1007/s10754-010-9079-x","url":null,"abstract":"<p><p>This article examines the resources allocation process in the internal market for health care in an environment characterised by asymmetry of information. We analyse the strategic behaviour of the provider and show how, by misreporting its cost function and reservation utility, it might shift the allocation of resources away from the purchaser's objectives. Although the fundamental importance of equity, efficiency and risk aversion considerations which have been the traditional focus of the literature on allocation of resources should not be denied, this paper shows that contracts and internal markets are not neutral instruments and more research should be devoted to studying their effects.</p>","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-010-9079-x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28855074","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: 7
Prescription drug coverage among elderly and disabled Americans: can Medicare-Part D reduce inequities in access? 老年人和残疾人的处方药覆盖:医疗保险D部分能减少不平等吗?
International journal of health care finance and economics Pub Date : 2010-09-01 Epub Date: 2010-03-06 DOI: 10.1007/s10754-010-9077-z
Panos Kanavos, Marin Gemmill-Toyama
{"title":"Prescription drug coverage among elderly and disabled Americans: can Medicare-Part D reduce inequities in access?","authors":"Panos Kanavos,&nbsp;Marin Gemmill-Toyama","doi":"10.1007/s10754-010-9077-z","DOIUrl":"https://doi.org/10.1007/s10754-010-9077-z","url":null,"abstract":"<p><p>This paper explores the determinants of demand for prescription drug coverage among the elderly population in the United States, using data from the Medical Expenditure Panel Survey (MEPS) and seeks to analyse the impact that the Medicare prescription drug coverage bill (Medicare-Part D) has on Medicare beneficiaries. The results indicate that individuals who are Hispanic, black, or of another race or ethnicity, over the age of 74, not married, in poor health, fall into the low- to middle-income brackets, and have less than a high school degree are more likely to be covered through a public program, more likely to be uninsured for prescription medicine outlays, and less likely to have private prescription drug coverage. The paper concludes that there is cause for considerable concern for low income citizens who have significant prescription drug outlays, and, therefore, the greatest need because their prescription drug costs may not be covered beyond a certain limit unless they reach catastrophic proportions. This continues to raise equity in access concerns among elderly patients.</p>","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-010-9077-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28762300","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: 5
The impact of decentralization of health care administration on equity in health and health care in Canada. 保健行政权力下放对加拿大保健和保健公平的影响。
International journal of health care finance and economics Pub Date : 2010-09-01 Epub Date: 2010-03-10 DOI: 10.1007/s10754-010-9078-y
Hai Zhong
{"title":"The impact of decentralization of health care administration on equity in health and health care in Canada.","authors":"Hai Zhong","doi":"10.1007/s10754-010-9078-y","DOIUrl":"https://doi.org/10.1007/s10754-010-9078-y","url":null,"abstract":"<p><p>In this paper, we examine the impact of decentralization of health care administration on inequity in health care access in Canada. We extend previous studies in two ways. First, to explore the spatial dimension of inequity, we adopt a perfect decomposable inequality measure--the Theil index--in our analysis. Secondly, we conduct a before and after comparison of a change in the degree of decentralization in Canada--the introduction of the CHST in 1996/1997. This may shed some lights on the casual relationship between decentralization and health-related inequity. The results of our analysis show that the overall inequity in health care utilization is mostly explained by variations within provinces in Canada. The increase in the degree of decentralization is related to lower degree of overall and within-province inequity in the use of GP and hospital services, and lower between-province inequity in the use of all the three health care variables examined in this paper.</p>","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-010-9078-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28765295","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: 24
Privatization of local public hospitals: effect on budget, medical service quality, and social welfare. 地方公立医院私有化:对预算、医疗服务质量和社会福利的影响。
International journal of health care finance and economics Pub Date : 2010-09-01 Epub Date: 2010-06-16 DOI: 10.1007/s10754-010-9081-3
Hiroshi Aiura, Yasuo Sanjo
{"title":"Privatization of local public hospitals: effect on budget, medical service quality, and social welfare.","authors":"Hiroshi Aiura,&nbsp;Yasuo Sanjo","doi":"10.1007/s10754-010-9081-3","DOIUrl":"https://doi.org/10.1007/s10754-010-9081-3","url":null,"abstract":"<p><p>We analyze a duopolistic health care market in which a rural public hospital competes against an urban public hospital on medical quality, by using a Hotelling-type spatial competition model extended into a two-region model. We show that the rural public hospital provides excess quality for each unit of medical service as compared to the first-best quality, and the profits of the rural public hospital are lower than those of the urban public hospital because the provision of excess quality requires larger expenditure. In addition, we investigate the impact of the partial (or full) privatization of local public hospitals.</p>","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-010-9081-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29056478","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
Economic evaluation of the direct healthcare cost savings resulting from the use of walking interventions to prevent coronary heart disease in Australia. 对澳大利亚使用步行干预措施预防冠心病所节省的直接医疗保健费用进行经济评估。
International journal of health care finance and economics Pub Date : 2010-06-01 Epub Date: 2009-11-01 DOI: 10.1007/s10754-009-9074-2
Henry Zheng, Fred Ehrlich, Janaki Amin
{"title":"Economic evaluation of the direct healthcare cost savings resulting from the use of walking interventions to prevent coronary heart disease in Australia.","authors":"Henry Zheng,&nbsp;Fred Ehrlich,&nbsp;Janaki Amin","doi":"10.1007/s10754-009-9074-2","DOIUrl":"https://doi.org/10.1007/s10754-009-9074-2","url":null,"abstract":"<p><p>Coronary heart disease (CHD) is the leading cause of death in Australia. Direct healthcare costs of CHD exceed those of any other disease. The purpose of this study was to evaluate the direct healthcare cost savings resulting from walking interventions to prevent CHD in Australia. A meta-analysis was performed to quantify the efficacy of walking interventions in preventing CHD. The etiologic fraction and other mathematical models were applied to quantify the cost savings resulting from walking interventions to prevent CHD. The net direct healthcare cost savings in CHD prevention resulting from 30 min of normal walking a day for 5-7 days a week by the sufficient walking population were estimated at AU$126.73 million in 2004. The cost savings could increase to $419.90 million if all the inactive adult Australians engaged in 1 h of normal walking a day for 5-7 days a week. Given its low injury risk and high adherence, walking should be advocated as a key population-based primary intervention strategy for CHD prevention and healthcare cost reduction.</p>","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-009-9074-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28482601","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: 16
Medicare Part B reimbursement and the perceived quality of physician care. 医疗保险B部分报销和医生护理的感知质量。
International journal of health care finance and economics Pub Date : 2010-06-01 Epub Date: 2009-12-04 DOI: 10.1007/s10754-009-9075-1
Christopher S Brunt, Gail A Jensen
{"title":"Medicare Part B reimbursement and the perceived quality of physician care.","authors":"Christopher S Brunt,&nbsp;Gail A Jensen","doi":"10.1007/s10754-009-9075-1","DOIUrl":"https://doi.org/10.1007/s10754-009-9075-1","url":null,"abstract":"<p><p>The maximum amount physicians can charge Medicare patients for Part B services depends on Medicare reimbursement rates and on federal and state restrictions regarding balance billing. This study evaluates whether Part B payment rates, state restrictions on balance billing beyond the federal limit, and physician balance billing influence how beneficiaries rate the quality of their doctor's care. Using nationally representative data from the 2001 to 2003 Medicare Current Beneficiary Survey, this paper finds strong evidence that Medicare reimbursement rates, and state balance billing restrictions influence a wide range of perceived care quality measures. Lower Medicare reimbursement and restrictions on physicians' ability to balance bill significantly reduce the perceived quality of care under Part B.</p>","PeriodicalId":73453,"journal":{"name":"International journal of health care finance and economics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2010-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10754-009-9075-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"28547165","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: 8
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