Abstract:
:Both incremental cost-effectiveness ratios and net benefits have been proposed as summary measures for use in cost-effectiveness analyses. We present a unifying proof of the optimality and equivalence of ICER- and net benefit-based approaches to the health resource allocation problem, including both 'fixed budget' and 'fixed price' decision rules. If internally consistent willingness-to-pay values are used, ratio- and net benefit-based decision rules identify the same optimal allocation. Because they have identical resource allocation implications, use of one or other of the two approaches must be based on other criteria, such as their behaviour under conditions of uncertainty.
journal_name
Health Econjournal_title
Health economicsauthors
Laska EM,Meisner M,Siegel C,Stinnett AAdoi
10.1002/(sici)1099-1050(199903)8:2<171::aid-hec424keywords:
subject
Has Abstractpub_date
1999-03-01 00:00:00pages
171-4issue
2eissn
1057-9230issn
1099-1050pii
10.1002/(SICI)1099-1050(199903)8:2<171::AID-HEC424journal_volume
8pub_type
杂志文章相关文献
HEALTH ECONOMICS文献大全abstract::Research assessing the relationship between government health expenditure and development assistance for health channeled to governments (DAHG) has not considered that this relationship may depend on whether DAHG is increasing or decreasing. We explore this issue using general method of moments estimation and a panel ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3016
更新日期:2014-02-01 00:00:00
abstract::The US federal government has recently made a substantial investment to enhance the US health information technology (IT) infrastructure. Previous literature on the impact of IT on firm performance across multiple industries has emphasized the importance of a process of co-invention whereby organizations develop compl...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2878
更新日期:2013-10-01 00:00:00
abstract::As the latest government effort to reform China's health care system, Urban Resident Basic Medical Insurance (URBMI) was piloted in seventy-nine cities during the summer of 2007, following State Council Policy Document 2007 No. 20's guidelines. This study presents the first economic analysis of URBMI, following a nati...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1500
更新日期:2009-07-01 00:00:00
abstract::In a previous paper, the reliability of willingness-to-pay (WTP) values was found to be an increasing function of the size of WTP expressed. Here, the results of a qualitative exercise conducted alongside this quantitative study are presented. The results of this exercise suggest that higher WTP values may require mor...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1155
更新日期:2007-02-01 00:00:00
abstract::This paper combined data collected from war time government records with survey data including background characteristics, such as factors that affected eligibility, to examine the adult depression outcomes of individuals who were evacuated from Finland to temporary foster care in Sweden during World War II. Using war...
journal_title:Health economics
pub_type: 历史文章,杂志文章
doi:10.1002/hec.2913
更新日期:2014-03-01 00:00:00
abstract::The impact of administrative decentralisation on equity in health and health care is an important unresolved issue in the health policy debate. Predictions from the limited theoretical literature and the relevant empirical research are both insufficient to draw any firm conclusions. Many countries are nevertheless exp...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1272
更新日期:2008-03-01 00:00:00
abstract::In the last few years, the price of cigarettes has increased considerably in the USA. In addition, a number of states have also imposed smoking bans. These increases in the cost and barriers to smoking have created a natural experiment to study relationships between smoking and drinking behaviors. In this study, we em...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.930
更新日期:2004-10-01 00:00:00
abstract::Panel datasets provide a rich source of information for health economists, offering the scope to control for individual heterogeneity and to model the dynamics of individual behaviour. However the qualitative or categorical measures of outcome often used in health economics create special problems for estimating econo...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.811
更新日期:2004-02-01 00:00:00
abstract::This study evaluates the welfare benefits of the New Cooperative Medical Scheme (NCMS), the main public health insurance plan for the rural population in China. The findings show that the value of the NCMS to recipients is slightly lower than the government's costs of implementation, ranging from 0.79 to 0.97 per RMB ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3985
更新日期:2020-03-01 00:00:00
abstract::This paper studies labour force participation of older individuals in 11 European countries. The data are drawn from the new Survey of Health, Ageing and Retirement in Europe (SHARE). We examine the value added of objective health indicators in relation to potentially endogenous self-reported health. We approach the e...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1285
更新日期:2008-05-01 00:00:00
abstract::In the absence of a perfect risk adjustment scheme, reimbursing health insurers' costs can reduce risk selection in community-rated health insurance markets. In this paper, we develop a model in which insurers determine the cost efficiency of health care and have incentives for risk selection. We derive the optimal co...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1614
更新日期:2011-05-01 00:00:00
abstract::Pharmacy acquisition costs for prescription (Rx ) drugs have been trending below levels implied by the Bureau of Labor Statistics' (BLS) Consumer Price Index for Rx drugs, with the divergence higher when generic approvals are high. Dropping the first 6 months of generic sales from price indices calculated from pharmac...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4165
更新日期:2020-12-01 00:00:00
abstract::Successful supply-side interdictions into illegal drug markets are predicated on the responsiveness of drug prices to enforcement and the price elasticity of demand for addictive drugs. We present causal estimates that targeted interventions aimed at methamphetamine input markets ('precursor control') can temporarily ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3213
更新日期:2016-10-01 00:00:00
abstract::With the aging of society, issues concerning the reform of the Dutch health care system are ranked high on the political agenda. Sensible reforms of the health care system for the elderly require a thorough understanding of the health status of the old and of its dynamics preceding death. The health status of the elde...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/(sici)1099-1050(199908)8:5<441::aid-hec452
更新日期:1999-08-01 00:00:00
abstract::The EQ-5D general population valuation set (or 'tariff') is increasingly being used in the evaluation of health care interventions and has been recommended by the National Institute for Clinical Excellence (NICE) for use in cost-utility analyses of health technologies. To be of use to decision-makers, the health gain ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.875
更新日期:2004-07-01 00:00:00
abstract::This paper uses a full-information maximum likelihood estimation procedure, the Discrete Factor Method, to estimate the relationship between birthweight and prenatal care. This technique controls for the potential biases surrounding both the sample selection of the pregnancy-resolution decision and the endogeneity of ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.801
更新日期:2004-03-01 00:00:00
abstract::Using data from a survey of 800 managers in 12 industries, we find empirical support for the hypothesis that the cost associated with missed work varies across jobs according to the ease with which a manager can find a perfect replacement for the absent worker, the extent to which the worker functions as part of a tea...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1052
更新日期:2006-02-01 00:00:00
abstract::In 2011, the USA had the second highest teen birth rate of any developed nation, according to the World Bank, . In an effort to lower teen pregnancy rates, several states have enacted policies requiring abstinence-based sex education. In this study, we utilize a difference-in-differences research design to analyze the...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3315
更新日期:2017-04-01 00:00:00
abstract::In this study we used stochastic frontier cost functions to estimate the teaching and research costs of Finnish hospitals. Average and marginal cost estimates were used to evaluate the current reimbursement system as well as to calculate the total expenditure on teaching and research in hospitals. The efficiency adjus...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/(sici)1099-1050(199806)7:4<291::aid-hec343
更新日期:1998-06-01 00:00:00
abstract::We evaluate the causal impact of an improvement in insurance coverage on patients' decisions to consult physicians who charge more than the regulated fee. We use a French panel data set of 43,111 individuals observed from 2010 to 2012. At the beginning of the period, none of them were covered for balance billing; by t...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3347
更新日期:2016-09-01 00:00:00
abstract::The National Health Service (NHS) in England distributes substantial funds to health-care providers in different geographical areas to pay for the health care required by the populations they serve. The formulae that determine this distribution reflect populations' health needs and local differences in the prices of i...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1489
更新日期:2010-05-01 00:00:00
abstract::In the "basic" approach, medical expenses are catastrophic if they exceed a prespecified percentage of consumption or income; the approach tells us if expenses cause a large percentage reduction in living standards. The ability-to-pay (ATP) approach defines expenses as catastrophic if they exceed a prespecified percen...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3881
更新日期:2019-06-01 00:00:00
abstract::Few countries are immune to the international health care 'virus' of reform, with many countries regularly re-cycling changes that shift costs and benefits in ways that are arbitrary, inefficient and offer short term political palliation. Much of this activity has little evidence base and reveals lack of clarity in de...
journal_title:Health economics
pub_type: 杂志文章,评审
doi:10.1002/hec.1048
更新日期:2005-09-01 00:00:00
abstract::Using primary data from Laos, we compare a broad range of different types of shocks in terms of their incidence, distribution between the poor and the better off, idiosyncrasy, costs, coping responses, and self-reported impacts on well-being. Health shocks are more common than most other shocks, more concentrated amon...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2944
更新日期:2014-06-01 00:00:00
abstract::This paper focuses on the effects of a 2005 health insurance reform in Vietnam. Through this reform, public health insurance was newly offered to nonpoor children under 6 years old, but it required the use of community health facilities. This requirement potentially limited the value of the insurance. Employing differ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3980
更新日期:2020-03-01 00:00:00
abstract::In a large number of situations, activities in health care have to be measured in terms of outcome and cost. However, the cases where outcome is fully captured by a single measure are rather few, so that one uses some index for outcome, computed by weighing together several outcome measures using subjective and somewh...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.900
更新日期:2004-12-01 00:00:00
abstract::The goal of this paper is to measure the marginal change in facility-level costs of medical care for children under five due to an increase in service quality achieved through the integrated management of childhood illness (IMCI) strategy. Since the beneficial effects of IMCI training on child health outcomes are due ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1231
更新日期:2008-01-01 00:00:00
abstract::This paper is the first to investigate both the technical and cost efficiency of more than 1500 German general hospitals. More specifically, it deals with the question how hospital efficiency varies with ownership, patient structure, and other exogenous factors, which are neither inputs to nor outputs of the productio...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1388
更新日期:2008-09-01 00:00:00
abstract::Successive UK governments have pursued a policy of community care for people with learning disabilities which, in the past ten years, has led to a marked change in the nature of residential provision. Research evidence on the costs and quality of alternative forms of community provision is inconclusive and contradicto...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4730020308
更新日期:1993-10-01 00:00:00
abstract::The recently acquired ability to identify 97% of CF carriers in an Israeli Ashkenazi population, prompts an evaluation of a nationwide screening programme. In 1993, the programme would first screen and counsel 9,261 parents, then 396 spouses of carrier parents and finally screen 16.5 fetuses where both parents are car...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4730030104
更新日期:1994-01-01 00:00:00