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European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care

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https://read.qxmd.com/read/30771033/is-rate-of-return-pricing-a-useful-approach-when-value-based-pricing-is-not-appropriate
#1
EDITORIAL
Michael Drummond, Adrian Towse
No abstract text is available yet for this article.
February 15, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30756194/the-weekend-effect-revisited-evidence-from-the-upper-austrian-stroke-registry
#2
Silvia Angerer, Klaus Buttinger, Harald Stummer
Empirical evidence on the so-called 'weekend-effect' on stroke mortality is mixed with some studies reporting significantly higher mortality for weekend admissions and others finding no difference. The aim of this paper is to enhance the evidence on the weekend-effect on stroke mortality using a rich stroke registry data set from Upper Austria and to discuss underlying reasons for the heterogeneity in results. Using logistic regressions and ordinary least squares regressions with hospital and year-fixed effects, the outcomes of weekend versus weekday admissions are compared for patients admitted to 16 hospitals in Upper Austria with transient ischemic attack (TIA), cerebral infarction or hemorrhage between 2007 and 2015...
February 12, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30739296/demand-side-determinants-of-rising-hospital-admissions-in-germany-the-role-of-ageing
#3
Jonas Krämer, Jonas Schreyögg
In this study, we investigated the relationship between changes in demand-side determinants and changes in hospital admissions. We used longitudinal market-wide data, including a novel detailed measure of population morbidity. To assess the effect of ageing, we interacted age with shifts in the population structure for both the surviving population and the population in their last year of life. We used fixed effects models and addressed the endogeneity of morbidity with instrumental variables. We found that changes in morbidity had the largest impact on changes in hospital admissions...
February 9, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30725226/cost-effectiveness-of-antidepressants-versus-active-monitoring-for-mild-to-moderate-major-depressive-disorder-a-multisite-non-randomized-controlled-trial-in-primary-care-infap-study
#4
Maria Rubio-Valera, María Teresa Peñarrubia-María, Maria Iglesias-González, Martin Knapp, Paul McCrone, Marta Roig, Ramón Sabes-Figuera, Juan V Luciano, Juan M Mendive, Ana Gabriela Murrugara-Centurión, Jordi Alonso, Antoni Serrano-Blanco
BACKGROUND: The purpose of this study was to evaluate the cost-effectiveness of antidepressants vs active monitoring (AM) for patients with mild-moderate major depressive disorder. METHODS: This was a 12-month observational prospective controlled trial. Adult patients with a new episode of major depression were invited to participate and assigned to AM or antidepressants according to General Practitioners' clinical judgment and experience. Patients were evaluated at baseline, and 6 and 12-month follow-up...
February 6, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30656482/catastrophic-long-term-care-expenditure-associated-socio-demographic-and-economic-factors
#5
Raúl Del Pozo-Rubio, Román Mínguez-Salido, Isabel Pardo-García, Francisco Escribano-Sotos
OBJECTIVE: An increasing number of persons across the world require long-term care (LTC). In Spain, access to LTC involves individuals incurring out-of-pocket (OOP) expenditure. There is a large body of literature on the incidence of catastrophic OOP payments in access and participation in health systems, but not in the field of LTC nor the determinants of these expenses. Our aim was to analyse the socio-demographic and economic factors associated with different levels of catastrophic LTC expenditure in the form of private out-of-pocket payments among dependent persons in Spain...
January 17, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30644004/hiring-subsidies-for-people-with-a-disability-do-they-work
#6
Sergi Jiménez-Martín, Arnau Juanmartí Mestres, Judit Vall Castelló
This article evaluates the effectiveness of hiring subsidies targeted to people with disabilities. By exploiting the timing of implementation among different Spanish regions of a subsidy scheme implemented in Spain during the period 1990-2014, we employed a difference-in-differences approach to estimate the impact of the scheme on the probability of disability insurance (DI) beneficiaries of transiting to employment and on the propensity of individuals of entering the DI program. Our results show that the introduction of the subsidy scheme is in general ineffective at incentivizing transitions to employment, and in some cases it is associated with an increased propensity of transiting to DI...
January 14, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30617754/assessing-capability-in-economic-evaluation-a-life-course-approach
#7
EDITORIAL
Joanna Coast
No abstract text is available yet for this article.
January 8, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30612221/impact-of-type-2-diabetes-on-health-expenditure-estimation-based-on-individual-administrative-data
#8
François-Olivier Baudot, Anne-Sophie Aguadé, Thomas Barnay, Christelle Gastaldi-Ménager, Anne Fagot-Campagna
Only limited data are available in France on the incidence and health expenditure of type 2 diabetes. The objective of this study, based on national health insurance administrative database, is to describe the expenditure reimbursed to patients newly treated for type 2 diabetes and the proportion of expenditure attributable to diabetes. The study is conducted over a 6-year period from 2008, the year of incidence of treated diabetes, to 2014. Type 2 diabetic patients aged 45 years and older are identified on the basis of their drug consumption...
January 5, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30607655/conflict-of-interest-disclosure-striking-a-balance
#9
EDITORIAL
Livio Garattini, Anna Padula
No abstract text is available yet for this article.
January 3, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30604311/employment-pathways-of-cancer-survivors-analysis-from-administrative-data
#10
Joan C Lo
The incidence of cancer and its survival rate have been increasing worldwide, resulting in a greater number of cancer survivors. Since one's job often forms a central basis for self-esteem and provides financial security, knowing whether and how cancer can affect the employment of employed cancer survivors are important issues. While the past studies generally used survey data, this study utilizes pre-existing administrative data and employs the difference-in-differences model. We take newly diagnosed cancer patients in 2012, aged from 15 to 60 years and employed upon diagnosis, as the study group (N = 12694) and the propensity-score matching-adjusted non-cancer employed population as the control group...
January 2, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30600469/a-head-to-head-comparison-of-five-level-eq-5d-5l-y-and-three-level-eq-5d-y-questionnaires-in-paediatric-patients
#11
Carlos King Ho Wong, Prudence Wing Hang Cheung, Nan Luo, Jason Pui Yin Cheung
PURPOSE: The aim of this study was to assess the psychometric properties of a youth version of the EQ-5D five-level questionnaire (5LY) and its three-level version (3LY) in a sample of Chinese paediatric patients. METHODS: A consecutive sample of idiopathic scoliosis patients were recruited from a referral outpatient scoliosis center at Hong Kong, China in October 2017 and completed the two versions of EQ-5D-Y. Redistribution properties in each dimension of EQ-5D-Y were analyzed between 5LY and 3LY by logistics regressions...
January 2, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30600468/impact-of-early-primary-care-follow-up-after-discharge-on-hospital-readmissions
#12
Damien Bricard, Zeynep Or
Reducing repeated hospitalizations of patients with chronic conditions is a policy objective for improving system efficiency. We test the hypothesis that the risk of readmission is associated with the timing and intensity of primary care follow-up after discharge, focusing on patients hospitalized for heart failure in France. We propose a discrete-time model which takes into account that primary care treatments have a lagged and cumulative effect on readmission risk, and an instrumental variable approach, exploiting geographical differences in availability of generalists...
January 2, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30600467/estimating-the-additional-costs-per-life-saved-due-to-transcatheter-aortic-valve-replacement-a-secondary-data-analysis-of-electronic-health-records-in-germany
#13
Klaus Kaier, Constantin von Zur Mühlen, Andreas Zirlik, Wolfgang Bothe, Philip Hehn, Manfred Zehender, Christoph Bode, Peter Stachon
Aortic stenosis (AS) is the most common valvular heart disease, with a dismal prognosis when untreated. Recommended therapy is surgical (SAVR) or transcatheter (TAVR) aortic valve replacement. Based on a retrospective cohort of isolated SAVR and TAVR procedures performed in Germany in 2015 (N = 17,826), we examine the impact of treatment selection on in-hospital mortality and total in-hospital costs for a variety of at-risk populations. Since patients were not randomized to the two treatment options, the two endpoints in-hospital mortality and reimbursement are analyzed using logistic and linear regression models with 20 predefined patient characteristics as potential confounders...
January 2, 2019: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30596209/do-time-trade-off-values-fully-capture-attitudes-that-are-relevant-to-health-related-choices
#14
Anne Spencer, Ewan Tomeny, Ruben E Mujica-Mota, Angela Robinson, Judith Covey, Jose Luis Pinto-Prades
Previous research has shown that demographics, beliefs, and self-reported own health influence TTO values. Our hypothesis is that attitudes towards length and quality of life influence TTO values, but should no longer affect a set of related choices that are based on respondents' own TTO scores. A representative sample of 1339 respondents was asked their level of agreement to four statements relating to the importance of quality and length of life. Respondents then went on to value 4 EQ-5D 5L states using an online interactive survey and a related set of 6 pairwise health-related choice questions, set up, so that respondents should be indifferent between choice options...
December 31, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30564918/the-great-recession-financial-strain-and-self-assessed-health-in-ireland
#15
Gintare Mazeikaite, Cathal O'Donoghue, Denisa M Sologon
In this paper, we study the effects of the 2008 economic crisis on general health in one of the most severely affected EU economies-Ireland. We examine the relationship between compositional changes in demographic and socio-economic factors, such as education, income, and financial strain, and changes in the prevalence of poor self-assessed health over a 5-year period (2008-2013). We apply a generalised Oaxaca-Blinder decomposition approach for non-linear regression models proposed by Fairlie (1999, 2005). Results show that the increased financial strain explained the largest part of the increase in poor health in the Irish population and different sub-groups...
December 19, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30564917/an-evaluation-of-the-1987-french-disabled-workers-act-better-paying-than-hiring
#16
Thomas Barnay, Emmanuel Duguet, Christine Le Clainche, Yann Videau
This paper presents the first evaluation of the French Disabled Workers Act of 1987, which aimed to promote the employment of disabled people in the private sector. We use a panel data set, which includes both the health and the labour market histories of workers. We account both for unobserved heterogeneity and for the change in the disabled population over time. We find that the law had a negative impact on the employment of disabled workers in the private sector. This counterproductive effect likely comes from the possibility to pay a fine instead of hiring disabled workers...
December 18, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30560434/the-economics-of-antibiotic-resistance-a-claim-for-personalised-treatments
#17
EDITORIAL
F Antoñanzas, H Goossens
No abstract text is available yet for this article.
December 17, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30542937/unemployment-and-suicide-in-italy-evidence-of-a-long-run-association-mitigated-by-public-unemployment-spending
#18
Giorgio Mattei, Barbara Pistoresi
From the mid-1990s on, the suicide rate in Italy declined steadily, then apparently rose again after the onset of the Great Recession, along with a sharp increase in unemployment. The aim of this study is to test the association between the suicide rate and unemployment (i.e., the unemployment rate for males and females in the period 1977-2015, and the long-term unemployment rate in the period 1983-2012) in Italy, by means of cointegration techniques. The analysis was adjusted for public unemployment spending (referring to the period 1980-2012)...
December 12, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30539335/patient-responsiveness-to-a-differential-deductible-empirical-results-from-the-netherlands
#19
Stéphanie A van der Geest, Marco Varkevisser
Health insurers may use financial incentives to encourage their enrollees to choose preferred providers for medical treatment. Empirical evidence whether differences in cost-sharing rates across providers affects patient choice behavior is, especially from Europe, limited. This paper examines the effect of a differential deductible to steer patient provider choice in a Dutch regional market for varicose veins treatment. Using individual patients' choice data and information about their out-of-pocket payments covering the year of the experiment and 1 year before, we estimate a conditional logit model that explicitly controls for pre-existing patient preferences...
December 11, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
https://read.qxmd.com/read/30511340/income-distribution-and-health-can-polarization-explain-health-outcomes-better-than-inequality
#20
Ying Yao, Guanghua Wan, Dongfang Meng
Utilizing data from the China Health and Nutrition Survey (CHNS) from 1991 to 2011, we aim to analyze the effects of income distribution on two risks for chronic diseases: body mass index (BMI) and blood pressure. Unlike the previous studies, we consider two different kinds of indicators of income distribution: inequality and polarization. Different from relative inequality indicators such as the Gini index, which measure income gaps only, the recently developed polarization indicator captures group clustering and social alienation, in addition to income gaps...
December 4, 2018: European Journal of Health Economics: HEPAC: Health Economics in Prevention and Care
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