Developments in health economics and public policy最新文献

{"title":"Hospital cost analysis.","authors":"Avi Dor, James R. G. Butler","doi":"10.2307/253483","DOIUrl":"https://doi.org/10.2307/253483","url":null,"abstract":"List of Figures. List of Tables. Preface. 1. Introduction. Part A: Theoretical Considerations. 2. The Economic Theory of Production and Cost in the Multiproduct Firm. 3. The Concept, Measurement and Classification of Hospital Output. Part B: Empirical Results. 4. The Queensland Public Hospital System -- an Overview. 5. The Effect of Case Mix on Hospital Costs -- Evidence from Queensland. 6. The Effects of Scale, Utilisation and Input Prices on Hospital Costs -- Evidence from Queensland. 7. A Comparison of the Costs of Teaching and Non-Teaching Public Hospitals in Queensland. 8. A Comparison of Public and Private Hospital Costs in Queensland. 9. A Comparison of Public Hospital Costs in Queensland and New South Wales. Part C: Hospital Cost Analysis and Hospital Payment Schemes. 10. A Hospital Performance Appraisal and Payment Scheme based on Estimated Cost Functions. 11. The DRG Hospital Payment Scheme: Some Economic Aspects. References. Index of Names. Index of Subjects.","PeriodicalId":79866,"journal":{"name":"Developments in health economics and public policy","volume":"3 1","pages":"vii-xxii, 1-393"},"PeriodicalIF":0.0,"publicationDate":"1995-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.2307/253483","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69081157","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}

{"title":"Hospital cost analysis.","authors":"J R Butler","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79866,"journal":{"name":"Developments in health economics and public policy","volume":"3 ","pages":"vii-xxii, 1-393"},"PeriodicalIF":0.0,"publicationDate":"1995-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21024361","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}

{"title":"Bonus options in health insurance.","authors":"P. Zweifel, Otto Waser","doi":"10.1007/978-94-011-2530-7","DOIUrl":"https://doi.org/10.1007/978-94-011-2530-7","url":null,"abstract":"","PeriodicalId":79866,"journal":{"name":"Developments in health economics and public policy","volume":"2 1","pages":"v-xxi, 1-141"},"PeriodicalIF":0.0,"publicationDate":"1992-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"51678098","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}

{"title":"Excess demand and patient selection for heart and liver transplantation.","authors":"B Friedman, R J Ozminkowski, Z Taylor","doi":"10.1007/978-94-011-2392-1_8","DOIUrl":"https://doi.org/10.1007/978-94-011-2392-1_8","url":null,"abstract":"","PeriodicalId":79866,"journal":{"name":"Developments in health economics and public policy","volume":"1 ","pages":"161-86"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21024235","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}

{"title":"Cost containment in health care: justification and consequences.","authors":"K D Henke","doi":"10.1007/978-94-011-2392-1_12","DOIUrl":"https://doi.org/10.1007/978-94-011-2392-1_12","url":null,"abstract":"","PeriodicalId":79866,"journal":{"name":"Developments in health economics and public policy","volume":"1 ","pages":"245-65"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21024240","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}

{"title":"The normative and positive economics of minimum health benefits.","authors":"M V Pauly","doi":"10.1007/978-94-011-2392-1_4","DOIUrl":"https://doi.org/10.1007/978-94-011-2392-1_4","url":null,"abstract":"","PeriodicalId":79866,"journal":{"name":"Developments in health economics and public policy","volume":"1 ","pages":"63-78"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21022856","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}

{"title":"Bonus options in health insurance.","authors":"P Zweifel, O Waser","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79866,"journal":{"name":"Developments in health economics and public policy","volume":"2 ","pages":"v-xxi, 1-141"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21024624","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}

{"title":"The impact of utilization review on costs and utilization.","authors":"R K Khandker,&nbsp;W G Manning","doi":"10.1007/978-94-011-2392-1_3","DOIUrl":"https://doi.org/10.1007/978-94-011-2392-1_3","url":null,"abstract":"<p><p>This paper examines the performance of a utilization review program using data from Aetna's utilization review (UR) customers compared to a representative sample of its customers which had no utilization review during the study period. Statistical adjustments were made for the utilization management status, employee demographics, plan benefits, group size, year effects and seasonality. The study period covered from the first quarter of 1987 through the last quarter of 1988. The data suggest that UR reduces overall medical expenses by 4.4 percent, and inpatient expenses by 8.1 percent after a year of experience, largely by reducing length of stay.</p>","PeriodicalId":79866,"journal":{"name":"Developments in health economics and public policy","volume":"1 ","pages":"47-62"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/978-94-011-2392-1_3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21022855","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}

{"title":"Health economics worldwide.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79866,"journal":{"name":"Developments in health economics and public policy","volume":"1 ","pages":"1-365"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21024232","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}

{"title":"The validity of the MIMIC (Multiple Indicators/MultIple Causes) health index--some empirical evidence.","authors":"R E Leu,&nbsp;M Gerfin,&nbsp;S Spycher","doi":"10.1007/978-94-011-2392-1_6","DOIUrl":"https://doi.org/10.1007/978-94-011-2392-1_6","url":null,"abstract":"<p><p>This study evaluates the potential of econometric models with latent (unobservable) variables for measuring health or health impairment due to a specific disease. A MIMIC disability index is estimated for a sample of 145 adults with chronic bronchitis, expressing their self-reported disability caused by the disease on a one-dimensional scale. The index is determined up to a linear transformation. Disability is thus measured on an interval scale. The data were collected by interviews. The questionnaire used for this purpose is based on a number of in-depth interviews with selected bronchitis patients conducted beforehand. The study therefore focuses directly on the patients' perceptions of their disease. The validity of the index is evaluated in three different ways. First, construct validity is assessed performing groupwise analysis and testing for differences in the index values by subgroup. To a large extent, the index is consistent with a priori expectations. Therefore, we conclude that it has high construct validity. Second, validity of the index is assessed by comparing its results to a direct rating scale produced by 21 physicians with various medical backgrounds. The MIMIC index turns out to be related in a systematic, but nonlinear way to this direct rating scale. This can be interpreted in two different ways. If one accepts the preferences of health providers as the ultimate yardstick when it comes to ranking health or chronic states the result suggests that the MIMIC index estimated in this way is not a valid measure of treatment success. By contrast, if patients' preferences are considered to be decisive, it suggests that physician-based ratings should be substituted for or at least complemented with patient-based indices (such as the MIMIC disability index estimated here) when evaluating medical services in terms of cost-effectiveness. Third we explore the extent to which the MIMIC index reflects utility associated with different states of disability, using a modified Torrance Standard Gamble approach. The above-mentioned physicians are used as experts in this procedure. The results indicate that the MIMIC index as estimated here is related in a systematic, but nonlinear way to the Standard Gamble risk index as well. The fact that this relationship is nonlinear indicates that the MIMIC index does not measure utility as derived from the experts' preferences directly. How this index would fare compared to a Standard Gamble risk index provided by patients (bronchitis subjects) is a question which remains open.(ABSTRACT TRUNCATED AT 400 WORDS)</p>","PeriodicalId":79866,"journal":{"name":"Developments in health economics and public policy","volume":"1 ","pages":"109-42"},"PeriodicalIF":0.0,"publicationDate":"1992-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21024233","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}