International Journal of Health Care Finance and Economics This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Reasons for unmet needs for health care: the role of social capital and social support in some western EU countries
AbstractThis paper focuses on the demand side factors that determine access to health care and analyses the issues of unmet needs for health care and the reasons thereof in western EU countries. A probit model is estimated from a sample of the whole population, accounting for the possibility of individual selection in unmet needs for health care (UN) (selection equation). Expanded probit models (including the inverse Mills ratio) are then used on the reasons for unmet needs (RUN) with social capital and social support as determinants and using the European Union Statistics on Income and Living Conditions dataset from 2006....
Source: International Journal of Health Care Finance and Economics - July 10, 2019 Category: Health Management Source Type: research

Motivation structures of blood donation: a means-end chain approach
AbstractUnderstanding blood donation behaviours is pivotal to recruiting and retaining blood donors. Despite rich literature, this is the first study investigating the content and structure of motivations that underlie blood donation using a means-end chain approach. Based on soft laddering interviews with 227 respondents (31 first-time blood donors and 196 repeat blood donors) in the Klang Valley of Malaysia, we identified that their blood donation was primarily driven by the attribute ‘help people’, the consequences ‘increase blood supply’ (as perceived by first-time blood donors) and ‘indirect downstream recip...
Source: International Journal of Health Care Finance and Economics - June 23, 2019 Category: Health Management Source Type: research

The distributive fairness of out-of-pocket healthcare expenditure in the Russian Federation
This article examines the effects of socioeconomic position and urban –rural settlement on the distribution of out-of-pocket expenditure (OPE) for health in the Russian Federation. Data comes from 2005 to 2016 waves of the Russian Longitudinal Monitoring Survey. Concentration index reflects changes in the distribution of OPE between the worse-off and the better-off Russians over a 12-year period. Finally, unconditional quantile regression—a recentred influence function approach estimates differential impacts of covariates along the distribution of OPE. OPE is concentrated amongst the better-off Russians in 2016. Urban ...
Source: International Journal of Health Care Finance and Economics - June 12, 2019 Category: Health Management Source Type: research

The impact of hospital-acquired infections on the patient-level reimbursement-cost relationship in a DRG-based hospital payment system
AbstractHospital-acquired infections (HAIs) are a common complication in inpatient care. We investigate the incentives to prevent HAIs under the German DRG-based reimbursement system. We analyze the relationship between resource use and reimbursements for HAI in 188,731 patient records from the University Medical Center Freiburg (2011 –2014), comparing cases to appropriate non-HAI controls. Resource use is approximated using national standardized costing system data. Reimbursements are the actual payments to hospitals under the G-DRG system. Timing of HAI exposure, cost-clustering within main diagnoses and risk-adjustmen...
Source: International Journal of Health Care Finance and Economics - June 4, 2019 Category: Health Management Source Type: research

Using disability adjusted life years to value the treatment of thirty chronic conditions in the U.S. from 1987 to 2010: a proof of concept
AbstractHealth care spending in the U.S. grew two trillion dollars from 1987 to 2010, a 400% increase, but our understanding of the value of that increase is limited. In this paper we estimate the net value of spending for thirty chronic diseases between 1987 and 2010 by assigning a monetary value to changes in health outcomes and relating it to the costs of treating each disease. Changes in health outcomes are measured using a newly-available time series of disability adjusted life years (DALYs) data from the Institute for Health Metrics and Evaluation. Spending on treatments are determined using health care expenditure d...
Source: International Journal of Health Care Finance and Economics - April 7, 2019 Category: Health Management Source Type: research

Who cares about a label? The effect of pediatric labeling changes on prescription drug utilization
AbstractOff-label drug use is common, particularly in pediatric populations. In response, legislation requires and/or provides financial incentives for drug manufacturers to perform pediatric clinical trials. Using New Hampshire ’s all-payer claims database, we examine the impact of subsequent changes to drug labeling on pediatric drug utilization. To separate changes in utilization induced by labeling changes from other temporal factors, we estimate difference-in-differences models that compare utilization trends for ped iatric patients to those of adults. We estimate that establishing safety and efficacy increases a dr...
Source: International Journal of Health Care Finance and Economics - March 17, 2019 Category: Health Management Source Type: research

Impact of medicaid policy changes on immigrant parents
AbstractDuring the 1990s and early 2000s many states expanded Medicaid eligibility for parents particularly after the 1996 welfare reform. At the same time, welfare reform also put in place policies that limited the eligibility of recent immigrants for public programs including Medicaid. This paper evaluates the effects of these changes in Medicaid eligibility policy on the private and public health insurance coverage of immigrants as well as the overall insurance rate. It also looks at the effect on health care use and measures of health status. The findings indicate a significant increase in Medicaid coverage and an incr...
Source: International Journal of Health Care Finance and Economics - January 31, 2019 Category: Health Management Source Type: research

Attitudes to reform: Could a cooperative health insurance scheme work in Russia?
AbstractAs for all health systems, in Russia, the demand for medical care is greater than its health system is able to guarantee the supply of. In this context, removing services from the state guaranteed package is an option that is receiving serious consideration. In this paper, we examine the attitudes of the Russian population to such a reform. Exploiting a widely-used methodology, we explore the population ’s willingness to pay for cooperative health insurance. Distinguishing between socioeconomic and demographic factors, health-related indicators and risk aversion we find, consistent with other literature, positive...
Source: International Journal of Health Care Finance and Economics - January 22, 2019 Category: Health Management Source Type: research

Do government audits reduce dengue? Estimating the impact of federal monitoring lotteries program on dengue incidence
AbstractThe paper examines the relationship between the supervision carried out in the municipalities by the main Brazilan supervisory institution (Controladoria Geral da Uni ão—CGU, in portuguese) and the incidence of dengue cases in them. Since the audited municipalities were randomized, this allows the identification of a control group that adequately represents the counterfactual of the treated group. The sample was composed of all municipalities that could be selected for that CGU inspection cycle, that is, 1520 municipalities, of which 70 were drawn and therefore belong to the study treatment group. We identified ...
Source: International Journal of Health Care Finance and Economics - December 17, 2018 Category: Health Management Source Type: research

The impact of Medicaid expansion on employer provision of health insurance
AbstractUsing the 2010 –2015 Medical Expenditure Panel Survey-Insurance Component, this study investigates the effect of the Affordable Care Act’s Medicaid eligibility expansion on four employer-sponsored insurance (ESI) outcomes: offers of health insurance, eligibility, take-up, and the out-of-pocket premium paid by employees for single coverage. Using a difference-in-differences identification strategy, we cannot reject the hypothesis of a zero effect of the Medicaid eligibility expansion on an establishment’s probability of offering ESI, the percentage of an establishment’s workforce that takes up coverag e, or ...
Source: International Journal of Health Care Finance and Economics - December 15, 2018 Category: Health Management Source Type: research

Consumption of salt rich products: impact of the UK reduced salt campaign
We present an econometric analysis of purchase data to assess the effectiveness of the Food Standard Agency’s (FSA) ‘reduced salt campaign’. We adopt a general approach to determining struct ural breaks in the time series of purchase data, using unit root tests whereby structural breaks are endogenously determined from the data. We find only limited evidence supporting the effectiveness of the FSA’s reduced salt campaign. Our results support existing findings in the literature that ha ve used alternative methodologies to examine the impact of information campaigns on consumer choice of products with high salt conte...
Source: International Journal of Health Care Finance and Economics - December 14, 2018 Category: Health Management Source Type: research

Genetic variation in health insurance coverage
AbstractWe provide the first investigation into whether and how much genes explain having health insurance coverage or not and possible mechanisms for genetic variation. Using a twin-design that compares identical and non-identical twins from a national sample of US twins from the National Survey of Midlife Development in the United States, we find that genetic effects explain over 40% of the variation in whether a person has any health coverage versus not, and nearly 50% of the variation in whether individuals younger than 65 have private coverage versus whether they have no coverage at all. Nearly one third of the geneti...
Source: International Journal of Health Care Finance and Economics - November 12, 2018 Category: Health Management Source Type: research

Private equity ownership and nursing home quality: an instrumental variables approach
AbstractSince the 2000s, private equity (PE) firms have been actively acquiring nursing homes (NH). This has sparked concerns that with stronger profit motive and aggressive use of debt financing, PE ownership may tradeoff quality for higher profits. To empirically address this policy concern, we construct a panel dataset of all for-profit NHs in Ohio from 2005 to 2010 and link it with detailed resident-level data. We compare the quality of care provided to long-stay residents at PE NHs and other for-profit (non-PE) NHs. To account for unobservable resident selection, we use differential distance to the nearest PE NH relat...
Source: International Journal of Health Care Finance and Economics - October 24, 2018 Category: Health Management Source Type: research

Health care expenditures and GDP in Latin American and OECD countries: a comparison using a panel cointegration approach
We present conclusive evidence of the cross-country dependence of the analyzed series, and consequently we used panel unit root tests, panel cointegration tests, and long-run estimates that are robust to such dependence. Specifically, we use the CIPS panel unit root te st and the panel Common Correlated Effects estimator. We also show that the results obtained by mistakenly using methods that assume cross-section independence are unstable. (Source: International Journal of Health Care Finance and Economics)
Source: International Journal of Health Care Finance and Economics - September 28, 2018 Category: Health Management Source Type: research