Abstract:
:This paper focuses on the contrast between describing the benefit of a healthcare intervention as gain in health (QALY-type ideas) or a disability reduction (DALY-type ideas). The background is an apparent convergence in practice of the work conducted under both traditions. In the light of these methodological developments, we contrast a health planner who wants to maximise health and one who wants to minimise disability. To isolate the effect of framing the problem from a health or a disability perspective, we do not use age-weighting in calculating DALY and employ a common discounting methodology and the same set of quality of life weights. We find that interventions will be ranked in a systematically different way. The difference, however, is not determined by the use of a health or a disability perspective but by the use of life expectancy tables to determine the years of life lost. We show that this feature of the DALY method is problematic and we suggest its dismissal in favour of a fixed reference age rendering the use of a health or a disability perspective merely stylistic.
journal_name
Health Econjournal_title
Health economicsauthors
Airoldi M,Morton Adoi
10.1002/hec.1424subject
Has Abstractpub_date
2009-11-01 00:00:00pages
1237-47issue
11eissn
1057-9230issn
1099-1050journal_volume
18pub_type
杂志文章相关文献
HEALTH ECONOMICS文献大全abstract::We assess the impact on teenage childbearing as well as student knowledge, attitudes, and behavior of a typical HIV/AIDS teacher training program in the Cameroon. Applying a regression discontinuity design identification strategy based on the key administrative criterion that determined program deployment, we find tha...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1643
更新日期:2010-09-01 00:00:00
abstract::The objective of this paper is to provide two-stage game models explaining the 'Generic Competition Paradox' that demonstrates an increase of brand-name drug price in response to generic entry. Under the assumption that there are two groups of consumers who are segmented by their insurance status, high insurance cover...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1392
更新日期:2009-05-01 00:00:00
abstract::Although the relationship between socioeconomic status (SES) and health is well documented for developed countries, less evidence has been presented for developing countries. The aim of this paper is to analyse this relationship at the household level for Fiji, a developing country in the South Pacific, using original...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1703
更新日期:2012-02-01 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::Gender differences in drinking patterns are potentially important for public policies, especially policies that rely extensively on higher alcohol taxes and prices. This paper presents a systematic review of alcohol prices and gender differences in drinking and heavy drinking by adults and young adults. Starting with ...
journal_title:Health economics
pub_type: 杂志文章,评审
doi:10.1002/hec.2974
更新日期:2014-10-01 00:00:00
abstract::In economic evaluations of health technologies, health outcomes are commonly measured in terms of quality-adjusted life years (QALYs). QALYs are the product of time and health-related quality of life. Health-related quality of life, in turn, is determined by a social tariff, which is supposed to reflect the public's p...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4179
更新日期:2021-01-01 00:00:00
abstract::There has been recent controversy about whether aid directed specifically to health has caused recipient governments to reallocate their own funds to non-health areas. At the same time, general budget support (GBS) has been increasing. GBS allows governments to set their own priorities, but little is known about how t...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2895
更新日期:2013-12-01 00:00:00
abstract::Congress passed the Emergency Medical Treatment and Active Labor Act (EMTALA) in 1986, guaranteeing a standard of medical care to anyone who entered an emergency room. This guarantee made default a more reliable substitute for medical insurance. I construct a tractable structural model of the medical insurance market ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2985
更新日期:2014-11-01 00:00:00
abstract::Willan and Eckermann describe a method for dealing with heterogeneity in value of information (VOI) calculations for prioritising and designing new research. Their article raises three fundamental (inter-related) issues for VOI methods: (1) how to make sense of the concept of uncertainty in a cost-effectiveness analys...
journal_title:Health economics
pub_type: 评论,杂志文章
doi:10.1002/hec.1797
更新日期:2012-10-01 00:00:00
abstract::In 2008, the Rural Health Project (Health XI) was initiated in 40 Chinese counties to pilot interventions aimed at improving local health systems. Performance targets were pre-specified (results-based), and project counties were allowed to tailor their interventions (bottom-up) in recognition of the substantial region...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3935
更新日期:2019-10-01 00:00:00
abstract::Systematic violations of expected utility theory (EU) have been reported in the context of both money and health outcomes. Rank-dependent utility theory (RDU) is currently the most popular and influential alternative theory of choice under circumstances of risk. This paper reports a test of the descriptive performance...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.769
更新日期:2003-10-01 00:00:00
abstract::Non-compliance with medication therapy remains an unsolved and expensive problem for healthcare systems around the world, yet we know little about the factors that affect a patient's decision to follow treatment recommendations. In particular, there is little evidence on the extent to which doctors can influence patie...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3357
更新日期:2017-06-01 00:00:00
abstract::The rising rate of obesity has reached epidemic proportions and is now one of the most serious public health challenges facing the US. However, the underlying causes for this increase are unclear. This paper examines the effect of family income changes on body mass index (BMI) and obesity using data from the National ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1430
更新日期:2009-11-01 00:00:00
abstract::Perceived quality of private and public health care, income and insurance premium are among the determinants of demand for private health insurance (PHI). In the context of a model in which individuals are expected utility maximizers, the non purchasing choice can result in consuming either public health care or priva...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.756
更新日期:2003-07-01 00:00:00
abstract::This paper provides new empirical evidence on the employment and earning effects of the recent Medicaid expansion. Unlike most existing studies that use a conventional state and year fixed effects approach, our main identification strategy is based on the comparison of employment and wages in contiguous county-pairs i...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3976
更新日期:2020-03-01 00:00:00
abstract::Partnerships between government and non-state actors that aim to enhance the quality or efficiency of service delivery are increasingly common in today's development policy landscape. We investigate the impacts of such an approach using data from an experimental supportive intervention to India's malaria control progr...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3529
更新日期:2018-01-01 00:00:00
abstract::This article analyses the role played by childhood circumstances, especially social and family background in explaining health status among older adults. We explore the hypothesis of an intergenerational transmission of health inequalities using the French part of SHARE. As the impact of both social background and par...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1528
更新日期:2010-08-01 00:00:00
abstract::Economic theory suggests that income growth could lead to changes in consumption quantity and quality as the spending on a commodity changes. Similarly, the volume and quality of healthcare consumption could rise with incomes because of demographic changes, usage of innovative medical technologies, and other factors. ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2986
更新日期:2014-11-01 00:00:00
abstract::Social accountability programs are increasingly used to improve the performance of public service providers in low-income settings. Despite their growing popularity, evidence on the effectiveness of social accountability programs remains mixed. In this manuscript, we assess the impact of a social accountability interv...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4219
更新日期:2021-01-17 00:00:00
abstract::In this paper, we introduce a tractable social welfare function that is rich enough to disentangle attitudes towards risk in health outcomes from attitudes towards health inequalities across individuals. Given this preference specification, we evaluate how the introduction of uncertainty over the severity of illness a...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2858
更新日期:2013-06-01 00:00:00
abstract::The Future Elderly Model (FEM) is a microsimulation model designed to forecast health status, longevity, and a variety of economic outcomes. Compared to traditional actuarial models, microsimulation models provide greater opportunities for policy forecasting and richer detail, but they typically build upon smaller sam...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4169
更新日期:2020-10-07 00:00:00
abstract::Limited health care budgets have emphasized the need for providers to use resources efficiently. Accordingly, there has been a rapid increase in the number of economic evaluations of communicable disease health programmes in developing countries, as there is a need to implement evidence-based policy decisions. However...
journal_title:Health economics
pub_type: 杂志文章,评审
doi:10.1002/1099-1050(200012)9:8<681::aid-hec545>3.0.c
更新日期:2000-12-01 00:00:00
abstract::In previous work (Health Econ. 2004; 13: 417-427; Health Econ. 2006; 15: 319-322) has suggested that survivor consumption costs should be included in cost-utility analyses only if the corresponding utility gains are also included. Here, it is further argued that the welfare implications of survivor consumption are alr...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1567
更新日期:2011-01-01 00:00:00
abstract::Using the difference-in-difference-in-differences method, we examine the effect of the National Health Insurance (NHI) on mortality, self-assessed health, and functional limitations of the elderly and seek to determine whether the effect is spread equally across health classes. We find that the NHI only has an effect ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1815
更新日期:2013-01-01 00:00:00
abstract::The perception of health risks and risky health behaviors are closely associated. In this paper, we investigate the accuracy of health risk perceptions among obese individuals, aged 50-62 years. We compare subjective risk perceptions for various diseases elicited in the American Life Panel to individual's objective ri...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2933
更新日期:2014-05-01 00:00:00
abstract::This paper directly compares the relative sensitivity of time-trade-off (TTO) and willingness-to-pay (WTP) values obtained for various levels of change in health status. This was achieved by administering a TTO and WTP survey to a population of 50 subjects, assessing their valuation of various degrees of change in hea...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.604
更新日期:2001-09-01 00:00:00
abstract:RATIONALE:There are many interventions for HIV/AIDS that require that people know their status and hence require a HIV test. Testing that is driven by a desire to prevent the spread of the disease often has an indirect effect on others. These external effects need to be identified, quantified and included as part of th...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1457
更新日期:2010-02-01 00:00:00
abstract::Senegal is the only African country where sex work is legal and regulated by a health policy. Senegalese female sex workers (FSWs) are required to register with a health facility and to attend monthly routine health checks aimed at testing and treating sexually transmitted infections (STIs). Compliance to those routin...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3791
更新日期:2018-11-01 00:00:00
abstract::Since the ratification of the World Health Organization Framework Convention on Tobacco Control in 2004, Pakistan has made modest but continued progress in implementing various tobacco control measures. By 2014, substantial progress was achieved in areas of monitoring, mass media antitobacco campaigns, and advertising...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4122
更新日期:2020-10-01 00:00:00
abstract::In recent work, the concentration index has been widely used as a measure of income-related health inequality. The purpose of this note is to illustrate two different methods for decomposing the overall health concentration index using data collected from a Short Form (SF-36) survey of the general Australian populatio...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.767
更新日期:2003-06-01 00:00:00