Non-compensatory aggregation method to measure social and material deprivation in an urban area: relationship with premature mortality
This study aims to measure accurately two different conceptions of deprivation by developing two different indexes using non-compensatory among sub-indicators aggregation methods. The proposed indicators are compared with premature mortality to verify deprivation ’s effect on health status. The results show that materially deprived areas are not necessarily socially deprived and vice versa. Material deprivation has a positive statistical co-graduation with premature mortality, while social deprivation has no association with premature mortality. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - December 6, 2019 Category: Health Management Source Type: research

Correction to: Cost –consequence analysis of fluticasone furoate/vilanterol for asthma management in Spain: an analysis based on the Salford Lung Study in asthma
In the published article, the Table  1 was published incorrectly. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - December 4, 2019 Category: Health Management Source Type: research

The societal monetary value of a QALY associated with EQ-5D-3L health gains
In this study, we explore the extent to which the MVQALY varies when it is associated with different types and magnitudes of quality of life (QoL) improvements. To allow for a comprehensive assessment, we derive the MVQALY corresponding to the full spectrum of health gains defined by the EQ-5D-3L instrument. The analysis was based on a large and representative sample of the population in Spain. A discrete choice experiment and a time trade-off exercise were used to derive a value set for utilities, followed by a willingness to pay questionnaire. The data were jointly analysed using regression analyses and bootstrapping tec...
Source: The European Journal of Health Economics - November 28, 2019 Category: Health Management Source Type: research

Economic evaluation of meningococcal vaccines: considerations for the future
AbstractIn 2018, a panel of health economics and meningococcal disease experts convened to review methodologies, frameworks, and decision-making processes for economic evaluations of vaccines, with a focus on evaluation of vaccines targeting invasive meningococcal disease (IMD). The panel discussed vaccine evaluation methods across countries; IMD prevention benefits that are well quantified using current methods, not well quantified, or missing in current cost-effectiveness methodologies; and development of recommendations for future evaluation methods. Consensus was reached on a number of points and further consideration ...
Source: The European Journal of Health Economics - November 21, 2019 Category: Health Management Source Type: research

Unfolding the relationship between mortality, economic fluctuations, and health in Italy
AbstractDespite the long-run strong negative association between economic development and mortality, their short-run relationship remains controversial. In the present work, we study co-movement between mortality growth (overall, gender- and cause-specific) and economic fluctuations in Italy over the period 1862 –2013. To this aim, we use Johansen (Econometrica 59:1551–1580, 1991) procedure to jointly estimate the short- and long-run dynamics of the two variables, avoiding omitted variable bias in the cyclical co-movement extraction or spurious association attributable to trends. We also take into accou nt poss...
Source: The European Journal of Health Economics - November 20, 2019 Category: Health Management Source Type: research

The impact of tobacco control policies on smoking initiation in eleven European countries
AbstractWe investigate the effect of tobacco control policies on smoking initiation in eleven European countries. Based on individual data about age of onset of smoking, we use hazard rate models to study smoking initiation. Thus, we are able to take into account observed and unobserved personal characteristics as well as the effect of the introduction of a variety of tobacco control policies including price and and non-price policies, i.e., bans on tobacco advertisements, smoke-free air regulation, health warnings on packages of cigarettes, and treatment programs to help smokers quit smoking. We find that higher tobacco p...
Source: The European Journal of Health Economics - November 14, 2019 Category: Health Management Source Type: research

Cost-effectiveness analysis of the Neuropad device as a screening tool for early diabetic peripheral neuropathy
ConclusionsUsing both screening tools (Neuropad  + monofilament) is a cost-effective strategy and the dominant alternative, when compared against using the 10-g monofilament alone. The results would be of special relevance in the early detection of diabetic peripheral neuropathy and to ensure the efficient allocation of resources and, thus, t he sustainability of healthcare systems. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - November 12, 2019 Category: Health Management Source Type: research

Trends in rates of orthopedic surgery in Germany: the good, the bad, and the ugly
(Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - November 11, 2019 Category: Health Management Source Type: research

Survival and costs of colorectal cancer treatment and effects of changing treatment strategies: a model approach
The objectives of this article were to estimate the expected lifetime treatment cost of CRC for an average 70-year-old patient and to test the applicability and flexibility of a model in predicting survival and costs of changing treatment scenarios. The analyses were based on a validated semi-Markov model using data from a Norwegian observational study (2049 CRC patients) to estimate transition probabilities and the proportion resected. In addition, inputs from the Norwegian Patient Registry, guidelines, literature, and expert opinions were used to estimate resource use. We found that the expected lifetime treatment cost f...
Source: The European Journal of Health Economics - November 9, 2019 Category: Health Management Source Type: research

The impact of prescription drug co-payments for publicly insured families
AbstractCo-payments for prescription drugs are a common feature of many healthcare systems, although often with exemptions for vulnerable population groups. International evidence demonstrates that cost-sharing for medicines may delay necessary care, increase use of other forms of healthcare and result in poorer health outcomes. Existing studies concentrate on adults and older people, particularly in the US, with relatively less attention afforded to paediatric and European populations. In Ireland, prescription drug co-payments were introduced for the first time for medical cardholders (i.e. those with public health insura...
Source: The European Journal of Health Economics - November 8, 2019 Category: Health Management Source Type: research

Methodology and results of real-world cost-effectiveness of carfilzomib in combination with lenalidomide and dexamethasone in relapsed multiple myeloma using registry data
ConclusionsCombining the strengths of randomised controlled trials and observational databases in cost-effectiveness models can generate policy-relevant results to allow well-informed decision-making. The current model showed that KRd is likely to be cost-effective versus Rd in the RW and, therefore, the reimbursement of KRd represents an efficient allocation of resources within the healthcare system. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - October 31, 2019 Category: Health Management Source Type: research

The company you keep: health behavior among work peers
AbstractThere is widespread agreement that behavior crucially influences one ’s health. However, little is known about what actually determines health-related behavior. We explore the impact of the place where many people spend most of their time, at work, and analyze whether an individual’s decision to participate in health screening is related to the observed behavior of peers at work. We use linked employer–employee data and exploit the transitions of workers to new jobs. We find that the health behavior of co-workers highly correlated. A comparison of individuals moving into new firms shows that parti...
Source: The European Journal of Health Economics - October 29, 2019 Category: Health Management Source Type: research

Cognitive ability and teen smoking
AbstractWe use data on 11 –15-year-old boys in the West Bank to study the empirical link between cognitive ability and health behavior, specifically (teen) smoking. Adjusting for both age in months and grade level allows us to effectively shut down any simultaneous effect of maturation and schooling on cognitive ability an d smoking. We find that those at the lower end of the cognitive ability distribution are more than twice as likely to smoke than those at the upper end (approximately 25 versus 10%) also after adjusting for parental background and peer composition in a generalized propensity score approach. Further...
Source: The European Journal of Health Economics - October 28, 2019 Category: Health Management Source Type: research

Correction to: Cost ‑effectiveness analysis of stand‑alone or combined non‑invasive imaging tests for the diagnosis of stable coronary artery disease: results from the EVINCI study
In the Published article, the value in the abstract has been published incorrectly. The correct abstract section is as follows. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - October 25, 2019 Category: Health Management Source Type: research

Why are there long waits at English emergency departments?
AbstractA core performance target for the English National Health Service (NHS) concerns waiting times at Emergency Departments (EDs), with the aim of minimising long waits. We investigate the drivers of long waits. We analyse weekly data for all major EDs in England from April 2011 to March 2016. A Poisson model with ED fixed effects is used to explore the impact on long (>  4 h) waits of variations in demand (population need and patient case-mix) and supply (emergency physicians, introduction of a Minor Injury Unit (MIU), inpatient bed occupancy, delayed discharges and long-term care). We assess overall ED...
Source: The European Journal of Health Economics - October 24, 2019 Category: Health Management Source Type: research

How averse are the UK general public to inequalities in health between socioeconomic groups? A systematic review
AbstractThere is growing interest in the use of “distributionally-sensitive” forms of economic evaluation that capture both the impact of an intervention upon average population health and the distribution of that health amongst the population. This review aims to inform the conduct of distributionally sensitive evaluations in the UK by answe ring three questions: (1) How averse are the UK public towards inequalities in lifetime health between socioeconomic groups? (2) Does this aversion differ depending upon the type of health under consideration? (3) Are the UK public as averse to inequalities in health betwe...
Source: The European Journal of Health Economics - October 24, 2019 Category: Health Management Source Type: research

The contribution of real-world evidence to cost-effectiveness analysis: case study of Dabigatran etexilate in France
ConclusionThe reassessment of outcomes and cost data had an impact on results, improving the efficiency of Dabigatran. We identify methodological issues which should be discussed if post-launch RWE based cost-effectiveness data become a standard in HTA decision making. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - October 24, 2019 Category: Health Management Source Type: research

Corruption and health outcomes within an economic and cultural framework
This study may have important implications f or national or international policy makers who need to acknowledge that anti-corruption policies play an important role in increasing population health, but they also need to adopt them according to the economic and cultural context of each nation. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - October 5, 2019 Category: Health Management Source Type: research

Does external reference pricing deliver what it promises? Evidence on its impact at national level
ConclusionsERP has not regulated prices efficiently and has unintended consequences that reduce the benefits arising from it. If ERP is carefully designed with minimal price revisions, prudent selection of basket size and countries, and consideration of transaction prices, it could be a more effective mechanism enhancing welfare, equitable access to medicines within countries and help  promote industry innovation. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - October 3, 2019 Category: Health Management Source Type: research

The economic burden of chronic obstructive pulmonary disease (COPD) in Europe: results from a systematic review of the literature
ConclusionMinimizing the COPD exacerbations and controlling the worsening of symptoms may potentially reduce the cost of COPD management at any stage. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - September 28, 2019 Category: Health Management Source Type: research

Cost –consequence analysis of fluticasone furoate/vilanterol for asthma management in Spain: an analysis based on the Salford Lung Study in asthma
ConclusionsThe improved asthma control for FF/VI compared with UC observed in SLS asthma could be translated into potential savings for the Spanish NHS. These results may be useful for decision makers. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - September 23, 2019 Category: Health Management Source Type: research

Measuring horizontal inequity in healthcare utilisation: a review of methodological developments and debates
AbstractEquity in healthcare is an overarching goal of many healthcare systems around the world. Empirical studies of equity in healthcare utilisation primarily rely on the horizontal inequity (HI) approach which measures unequal utilisation of healthcare services by socioeconomic status  (SES) for equal medical need. The HI method examines, quantifies, and explains inequity which is based on regression analysis, the concentration index, and the decomposition technique. However, this method is not beyond limitations and criticisms, and it has been subject to several methodological challenges in the past decade. This r...
Source: The European Journal of Health Economics - September 21, 2019 Category: Health Management Source Type: research

Sustainability of public finances: inclusion of unrelated medical cost only part of the story
(Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - September 21, 2019 Category: Health Management Source Type: research

Cost-effectiveness analysis of the first-line EGFR-TKIs in patients with non-small cell lung cancer harbouring EGFR mutations
ConclusionsOsimertinib has a better effectiveness compared to all other TKIs. However, at a Dutch threshold of €80,000/QALY, osimertinib appears not to be cost-effective. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - September 20, 2019 Category: Health Management Source Type: research

Global budget versus cost ceiling: a natural experiment in hospital payment reform in the Netherlands
AbstractGlobal budget (GB) arrangements have become a popular method worldwide to control the rise in healthcare expenditures. By guaranteeing hospital funding, payers hope to eliminate the drive for increased production, and incentivize providers to deliver more efficient care and lower utilization. We evaluated the introduction of GB contracts by certain large insurers in Dutch hospital care in 2012 and compared health care utilization to those insurers who continued with more traditional production-based contracts, i.e., cost ceiling  (CC) contracts. We used the share of GB hospital funding per postal code region t...
Source: The European Journal of Health Economics - September 16, 2019 Category: Health Management Source Type: research

The value of persistence in treatment with subcutaneous TNF-alpha inhibitors for ankylosing spondylitis
ConclusionIn conclusion, this study shows that, all else equal, higher SC-TNFi treatment persistence in AS is cost effective from a health care perspective and dominant from a societal perspective. Hence, all else equal, prescribing the SC-TNFi with the highest persistence may be considered a cost-effective strategy. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - September 14, 2019 Category: Health Management Source Type: research

A cost-utility analysis of phosphodiesterase type 5 inhibitors in the treatment of erectile dysfunction
ConclusionsSildenafil treatment of erectile dysfunction was a cost-effective alternative compared to tadalafil and vardenafil, as well as compared to a “no-treatment” option. Treating a diabetic population is less cost-effective for all PDE5 inhibitors and was associated with greater uncertainty. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - September 11, 2019 Category: Health Management Source Type: research

Inefficiencies in a healthcare system with a regulatory split of power: a spatial panel data analysis of avoidable hospitalisations in Austria
AbstractDespite generous universal social health insurance with little formal restrictions of outpatient utilisation, Austria exhibits high rates of avoidable hospitalisations, which indicate the inefficient provision of primary healthcare and might be a consequence of the strict regulatory split between the Austrian inpatient and outpatient sector. This paper exploits the considerable regional variations in acute and chronic avoidable hospitalisations in Austria to investigate whether those inefficiencies in primary care are rather related to regional healthcare supply or to population characteristics. To explicitly accou...
Source: The European Journal of Health Economics - September 9, 2019 Category: Health Management Source Type: research

Economic burden of blindness and visual impairment in Germany from a societal perspective: a cost-of-illness study
AbstractBackgroundVisual impairment and blindness cause a considerable and increasing economic burden affecting not only persons with vision loss and their families, but also societies. For the majority of countries, there is no solid database that would allow a comprehensive assessment of costs from a societal perspective. The present study was conducted to fill this gap.ObjectivesTo investigate resource utilization of blind or visually impaired people and to assess the economic burden of blindness and visual impairment in Germany.MethodsThis cross-sectional cost-of-illness study measures the economic burden of blindness ...
Source: The European Journal of Health Economics - September 6, 2019 Category: Health Management Source Type: research

Provision of health care services and regional diversity in Germany: insights from a Bayesian health frontier analysis with spatial dependencies
AbstractThe German health care system is among the most patient-oriented systems in Europe. Nevertheless, distinct utilisation patterns, access barriers due to socio-economic profiles, and potentials of misallocation of medical resources lead to disparities in the provision of health care services. We analyse how a possible over- and undersupply of services and the utilisation of and the access to the health care system relate to regional variations in the population ’s well-being. For this purpose, we employ a recent Bayesian stochastic frontier approach that allows for spatial dependence structures. Our results ind...
Source: The European Journal of Health Economics - September 6, 2019 Category: Health Management Source Type: research

The income gradient and child mental health in Australia: does it vary by assessors?
AbstractIn this paper, we examine the income gradient in child mental health using longitudinal data from a large, national cohort of Australian children. We contribute to the body of existing literature by: (i) investigating whether and to what extent a child ’s mental health levels and their relationship to income vary when a child’s mental health is assessed by the child’s parent, the child’s teacher and the child her/himself; (ii) exploring whether the reporting differences in a child’s mental health is associated systematically with househo ld income; and (iii) examining the child mental ...
Source: The European Journal of Health Economics - September 4, 2019 Category: Health Management Source Type: research

Speeding up the clinical pathways by accessing emergency departments
AbstractInappropriate emergency admissions create overcrowding and may reduce the quality of emergency care. In Italy, overcrowding is further exacerbated by patients who use emergency admissions as a shortcut to avoid the general practitioner (GP) gateway. In this paper, we investigate access to emergency departments (EDs) by patients with non-severe medical conditions and their willingness to wait. Population data for ED accesses in Liguria (an Italian administrative region) in 2016 were used to estimate the number of strategic accesses and waiting time elasticities of low-severity patients. Our results show that the pra...
Source: The European Journal of Health Economics - August 31, 2019 Category: Health Management Source Type: research

Stratified medicine in schizophrenia: how accurate would a test of drug response need to be to achieve cost-effective improvements in quality of life?
ConclusionsOur results suggest that use of any stratifier with a sensitivity and specificity over 60% is very likely to be cost-effective comparing to TAU, for psychotic patients who failed a first-line antipsychotic. This finding, however, should be interpreted with caution due to lack of evidence for clozapine as a second-line antipsychotic. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - August 28, 2019 Category: Health Management Source Type: research

Cost-effectiveness of smoking cessation programs for hospitalized patients: a systematic review
ConclusionsThis study provides robust evidence supporting the cost-effectiveness of smoking cessation programs for hospitalized patients. In addition, the results indicated that the degree of cost-effectiveness of the inpatient smoking cessation program might not be related to either the components of the program or methodological variations in the cost-effectiveness analysis. Policymakers should provide hospitals with resources and strong incentives to promote wider implementation of the smoking cessation program. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - August 26, 2019 Category: Health Management Source Type: research

Variations in external reference pricing implementation: does it matter for public policy?
ConclusionThe observed heterogeneity has policy implications for governments including globally declining pharmaceutical prices, launch delays in lower income countries, reduced incentive for continued R&D, and reduced access to medicines. Overcoming this issue to ensure that ERP is beneficial to all stakeholders will require a focus on developing sustainable, transparent, simple, and stable systems using a set of key guidelines that should maximize the benefits of the pricing policy. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - August 23, 2019 Category: Health Management Source Type: research

Variation in the methodological approach to productivity cost valuation: the case of prostate cancer
ConclusionsOur results indicate that the distributional impact of productivity costs varies by socio-economic and demographic characteristics. We advocate that: productivity loss should be reported in physical units where possible; cost estimation should be subject to sensitivity analysis, and only where this is not feasible, that the HCA and national wages be used to value productivity loss where equity concerns are paramount. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - August 23, 2019 Category: Health Management Source Type: research

HTA for pharmaceuticals in Europe: will the mountain deliver a mouse?
(Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - August 22, 2019 Category: Health Management Source Type: research

Modest risk-sharing significantly reduces health plans ’ incentives for service distortion
AbstractPublic payers often use payment mechanisms as a way to improve the efficiency of the healthcare system. One source of inefficiency is service distortion (SD) in which health plans over/underprovide services in order to affect the mix of their enrollees. Using Israeli data, we apply a new measure of SD to show that a mixed payment scheme, with a modest level of cost-sharing, yields a significant improvement over a pure risk-adjustment scheme. This observation implies that even though mixed systems induce overprovision of some services, their benefits far outweigh their costs. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - August 22, 2019 Category: Health Management Source Type: research

The effect of economic growth on obesity for the most obese countries: new evidence from the obesity Kuznets curve
In this study, the relationship between obesity and economic growth has been examined within the framework of the obesity Kuznets curve (OKC) for the top 20 obese countries from 1991 to 2016 using bounds test based on ARDL. Multiple models were used in the study, including unemployment variable instead of single model. The bounds test results show that there is a cointegration between the variables in all countries except Bahamas, Fiji, Mexico, New Zealand, Tunisia, and UK. The long-run coefficients show that OKC hypothesis is valid for Oman, Saudi Arabia, Turkey and the United Arab Emirates. The main finding of this study...
Source: The European Journal of Health Economics - August 20, 2019 Category: Health Management Source Type: research

Cost-effectiveness analysis of stand-alone or combined non-invasive imaging tests for the diagnosis of stable coronary artery disease: results from the EVINCI study
ConclusionIn patients with suspected stable CAD and low prevalence of disease, combined non-invasive strategies with CTCA and stress-imaging are cost-effective as gatekeepers to ICA and to select candidates for early revascularization. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - August 13, 2019 Category: Health Management Source Type: research

Health state utility values (QALY weights) for Huntington ’s disease: an analysis of data from the European Huntington’s Disease Network (EHDN)
AbstractBackgroundHuntington ’s Disease (HD) is a hereditary neurodegenerative disorder which affects individuals’ ability to walk, talk, think, and reason. Onset is usually in the forties, there are no therapies currently available that alter disease course, and life expectancy is 10–20 years from diagnosis. The gene ca using HD is fully penetrant, with a 50% probability of passing the disease to offspring. Although the impacts of HD are substantial, there has been little report of the quality of life of people with the condition in a manner that can be used in economic evaluations of treatments for...
Source: The European Journal of Health Economics - August 13, 2019 Category: Health Management Source Type: research

Ex-post moral hazard in the health insurance market: empirical evidence from German data
AbstractIn this paper, I analyze whether premium refunds can reduce ex-post moral hazard behavior in the health insurance market. I do so by estimating the effect of these refunds on different measures of medical demand. I use panel data from German sickness funds that cover the years 2006 –2010 and I estimate effects for the year 2010. Applying regression adjusted matching, I find that choosing a tariff that contains a premium refund is associated with a significant reduction in the probability of visiting a general practitioner. Furthermore, the probability of visiting a doctor du e to a trivial ailment such as a c...
Source: The European Journal of Health Economics - August 12, 2019 Category: Health Management Source Type: research

Effects of pay-for-performance for primary care physicians on diabetes outcomes in single-payer health systems: a systematic review
ConclusionEvidence of the effectiveness of P4P depends on whether physicians ’ incentive payments are explicitly tied to performance metrics. However, the most appropriate indicators for performance monitoring remain in question. More research with rigorous evaluation in different settings is needed. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - August 10, 2019 Category: Health Management Source Type: research

Effects of primary care cost-sharing among young adults: varying impact across income groups and gender
In conclusion, modest copayments have significant utilization effects, and even in a policy context with relatively low income  inequalities, the effect is substantially larger in low-income groups and among women. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - August 10, 2019 Category: Health Management Source Type: research

Cost differences between digital tomosynthesis and standard digital mammography in a breast cancer screening programme: results from the To-Be trial in Norway
ConclusionThe results showed lower incremental costs of DBT vs. DM, compared to what is found in previous cost analyses of DBT and DM. However, the incremental costs were still higher for DBT compared with DM after including recall costs. Further studies with long-term treatment data are needed to understand the complete costs of implementing DBT in screening. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - August 9, 2019 Category: Health Management Source Type: research

Investigating medical malpractice victim compensation: micro-level evidence from a professional liability insurer ’s files
AbstractWe examine micro-level data on medical incidents recorded by a major Belgian professional liability insurer to identify the predictors of medical malpractice victim compensation. The data allow us to track each instance of suspect medical malpractice from the moment of insurer ’s knowledge about the incident to file closure. We are, therefore, able to investigate the determinants of both the incidence and amount of indemnity payment while addressing the associated sample selection concerns. Conditional on some indemnity having been paid, provider specialty risk predicts the indemnity payment amount, but only ...
Source: The European Journal of Health Economics - August 8, 2019 Category: Health Management Source Type: research

The effects of copayment in primary health care: evidence from a natural experiment
ConclusionsThe policies appraised in this paper reveal a clear deterrent effect among vulnerable individuals such as those with the highest probability of being unemployed and/or those individuals with chronic conditions. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - July 26, 2019 Category: Health Management Source Type: research

How relevant are social costs in economic evaluations? The case of Alzheimer ’s disease
ConclusionsSocial costs can substantially modify the results of the economic  evaluations. Therefore, taking into account social costs in diseases such as Alzheimer’s can be a key element in making decisions about public financing and pricing of health interventions. (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - July 24, 2019 Category: Health Management Source Type: research

Mapping the kidney disease quality of life 36-item short form survey (KDQOL-36) to the EQ-5D-3L and the EQ-5D-5L in patients undergoing dialysis
ConclusionsThis study adds to the growing literature suggesting the better performance of the mixture models in modelling EQ-5D and produces algorithms to map the KDQOL-36 onto EQ-5D-3L (for France, Germany, Italy, and Spain) and EQ-5D-5L (for Singapore). (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - July 23, 2019 Category: Health Management Source Type: research

Economic impact of disease prevention in a morbidity-based financing system: does prevention pay off for a statutory health insurance fund in Germany?
AbstractPreventable chronic diseases account for the greatest burden in the German health system and statutory health insurance (SHI) funds play a crucial role in implementing and financing prevention strategies. On the contrary, the morbidity-based scheme to distribute financial resources from the Central Reallocation Pool among the different sickness funds may counteract efforts of effective prevention from an economic perspective. We assessed financial impacts of prevention from a sickness funds perspective in a retrospective controlled study. Claims data of 6,247,275 persons were analyzed and outcomes between two prope...
Source: The European Journal of Health Economics - July 17, 2019 Category: Health Management Source Type: research