Abstract:
:The relationship between health care expenditure and health outcomes has been the subject of recent academic inquiry in order to inform cost-effectiveness thresholds for health technology assessment agencies. Previous studies in public health systems have relied upon data aggregated at the national or regional level; however, there remains debate about whether the supply side effect of changes to expenditure are identifiable using data at this level of aggregation. We use detailed patient data derived from electronic neonatal records across England along with routinely available cost data to estimate the effect of changes to patient expenditure on clinical health outcomes in a well-defined patient population. A panel of 32 neonatal intensive care units for the period 2009-2013 was constructed. Accounting for the potential endogeneity of expenditure a £100 increase in the cost per intensive care cot day (sample average cost: £1,127) is estimated to reduce the risk of mortality of 0.38 percentage points (sample average mortality: 11.0%) in neonatal intensive care. This translates into a cost per life saved in neonatal intensive care of approximately £420,000.
journal_name
Health Econjournal_title
Health economicsauthors
Watson S,Arulampalam W,Petrou S,NESCOP.doi
10.1002/hec.3503subject
Has Abstractpub_date
2017-12-01 00:00:00pages
e274-e284issue
12eissn
1057-9230issn
1099-1050journal_volume
26pub_type
杂志文章相关文献
HEALTH ECONOMICS文献大全abstract::Health production models include participation in physical activity as an input. We investigate the relationship between participation in physical activity and health using a bivariate probit model. Participation is identified with an exclusion restriction on a variable reflecting sense of belonging to the community. ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2900
更新日期:2014-01-01 00:00:00
abstract::In health economics, the use of patient recall of health care utilisation information is common, including in national health surveys. However, the types and magnitude of measurement error that relate to different recall periods are not well understood. This study assessed the accuracy of recalled doctor visits over 2...
journal_title:Health economics
pub_type: 杂志文章,随机对照试验
doi:10.1002/hec.3794
更新日期:2018-11-01 00:00:00
abstract::Excess demand is a pervasive feature of health care systems that use global budgets to pay for hospital care, regardless of the amount of money spent by those systems. This paper presents a theory that explains this feature of global budgets. The theory emphasizes that hospital administrators control the allocation of...
journal_title:Health economics
pub_type: 杂志文章,评审
doi:10.1002/(sici)1099-1050(199703)6:2<187::aid-hec259
更新日期:1997-03-01 00:00:00
abstract::Cost-effectiveness acceptability curves (CEACs) have become widely used in applied health technology assessment and at the same time are criticized as unreliable decision-making tool. In this paper we show how using CEACs differs from maximizing expected net benefit (NB) and when it can lead to inconsistent decisions....
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1534
更新日期:2010-08-01 00:00:00
abstract::There is an increasing use of the discrete choice experiment (DCE) method in health care to estimate preferences of individuals and the public for different services. Despite this increasing use, there are few studies that investigate the validity of the DCE in health. This study investigates the external validity of ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3076
更新日期:2015-08-01 00:00:00
abstract::The problem of estimating expected outcomes for the economic evaluation of treatments for which the outcome of principal interest is (quality adjusted) survival time has so far not received sufficient attention in the literature. The best estimate of expected survival is mean survival time, but with censored survival ...
journal_title:Health economics
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1002/hec.662
更新日期:2002-04-01 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::There is growing interest in the role of social relationships in explaining patterns of health. We contribute to this debate by investigating the impact of social capital on self-reported health for eight countries from the Commonwealth of Independent States. We rely on three indicators of social capital at the indivi...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1445
更新日期:2010-01-01 00:00:00
abstract::This paper analyses the impact of sugar availability/intake on diabetes expenditure and on total health care expenditure. Building this macroeconomic analysis upon the literature on the determinants of health care expenditure, we estimate a dynamic panel data model over a sample of 156 countries for the period 1995-20...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3462
更新日期:2017-12-01 00:00:00
abstract::I have developed a random effects probit model in which the distribution of the random intercept is approximated by a discrete density. Monte Carlo results show that only three to four points of support are required for the discrete density to closely mimic normal and chi-squared densities and provide unbiased estimat...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.627
更新日期:2001-07-01 00:00:00
abstract::Consumer dissatisfaction with the quality and limitations of managed health care led to rapid disenrollment from managed care plans and demands for regulation between 1998 and 2003. Managed care organizations, particularly health maintenance organizations (HMOs), now face quality and coverage mandates that restrict th...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3115
更新日期:2015-12-01 00:00:00
abstract::Using 11 years of county-level panel data, fixed effect models are estimated to evaluate the impact of the Safe Motherhood (SM) Program in China. Propensity score matching is used to select comparable factual and counterfactual counties. Out of 2013 counties in China, 283 are selected for the treatment group and 1051 ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1593
更新日期:2010-09-01 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::Income inequality hypotheses propose that income differentials and/or income distributions have a detrimental effect on health. This previously well accepted relationship between inequality and health has recently come under scrutiny; some claim that it is a statistical artefact, arguing that aggregate level data are ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1254
更新日期:2008-02-01 00:00:00
abstract::Decisions about the adoption of medical interventions are informed by evidence on their costs and effects. For a range of reasons, evidence relating to medical devices may be limited. The decision to adopt a device early in its life cycle when the evidence base is least mature may impact on the prospects of acquiring ...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3467
更新日期:2017-02-01 00:00:00
abstract::Each year about 20% of the 10 million hospital inpatients in Italy get admitted to hospitals outside the Local Health Authority of residence. In this paper we carefully explore this phenomenon and estimate gravity equations for 'trade' in hospital care using a Poisson pseudo-maximum likelihood method. Consistency of t...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1639
更新日期:2010-09-01 00:00:00
abstract::This paper analyses the evolution of pharmaceutical expenditure with respect to GDP for a group of the most important OECD economies. We find that this relationship is not stable across the sample considered (1960-2003), and heterogeneity is found in the temporal evolution of the variables and across countries. Furthe...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1317
更新日期:2008-10-01 00:00:00
abstract::We demonstrate that average cost-effectiveness ratios (CERs) play an important role in the evaluation of the cost-effectiveness of treatments. Criticisms of the usefulness of CERs derive mostly from the context of resource allocation under a constrained budget in which some decisions are based on incremental CERs. How...
journal_title:Health economics
pub_type: 评论,杂志文章
doi:10.1002/(sici)1099-1050(199709)6:5<497::aid-hec298
更新日期:1997-09-01 00:00:00
abstract::Each year, the UK records 25,000 or more excess winter deaths, primarily among the elderly. A key policy response is the "Winter Fuel Payment" (WFP), a labelled but unconditional cash transfer to households with a member above the female state pension age. The WFP has been shown to raise fuel spending among eligible h...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3666
更新日期:2018-05-09 00:00:00
abstract::How donor organs are allocated for transplant can affect their scarcity. In 2008, Israel's Parliament passed an Organ Transplantation Law granting priority on organ donor waiting lists to individuals who had previously registered as organ donors. Beginning in November 2010, public awareness campaigns advertised the pr...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3328
更新日期:2017-04-01 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::Previous analyses of fat taxes have generally worked within an empirical framework in which it is difficult to determine whether consumers benefit from the policy. This note outlines on simple means to determine whether consumers benefit from a fat tax by comparing the ratio of expenditures on the taxed good to the we...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1789
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVES:Outpatient visit co-payments have increased in recent years. We estimate the patient response to a price change for specialty care, based on a co-payment increase from $15 to $50 per visit for veterans with hypertension. DESIGN, SETTING, AND PATIENTS:A retrospective cohort of veterans required to pay co-pay...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1759
更新日期:2012-08-01 00:00:00
abstract::This empirical study presents estimates of the impact of unemployment on psychological health using U.K. household panel data. The causal impact of unemployment is established using instrumental variable methods. Psychological health is measured using both the General Household Questionnaire measure and also self-repo...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.2831
更新日期:2013-06-01 00:00:00
abstract::China's recent and ambitious health care reform involves a shift from the reliance on markets to the reaffirmation of the central role of the state in the financing and provision of services. In collaboration with the Government of the Ningxia province, we examined the impact of two key features of the reform on healt...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.3060
更新日期:2015-06-01 00:00:00
abstract::This paper analyses the aggregate relationships between traffic accidents and real economic activity in Spain during the last 30 years. Our general approach is based on two basic assumptions: (1) the number of accidents depends on the use of cars and other exogenous variables, and (2) the level of economic activity af...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1186
更新日期:2007-06-01 00:00:00
abstract::Internal rates of return were used to examine the status of pharmacist supply in the United States between the years 1987-1991. Age-earnings profiles were estimated for pharmacists, college graduates and high school graduates. Rates of return to pharmacists and college graduates were compared and a ratio of the pharma...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4730030605
更新日期:1994-11-01 00:00:00
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 develop...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1424
更新日期:2009-11-01 00:00:00
abstract::This study focuses on Guizhou Province, a region with difficult geographical conditions and poor economic development, to examine the effect of rainfall shocks on contemporaneous infant health and long-run socioeconomic outcomes in China. The study results indicate that negative rainfall shocks are robustly correlated...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.4191
更新日期:2021-02-01 00:00:00
abstract::Heterogeneity in reporting of health by socio-economic and demographic characteristics potentially biases the measurement of health disparities. We use anchoring vignettes to identify socio-demographic differences in the reporting of health in Indonesia, India and China. Homogeneous reporting by socio-demographic grou...
journal_title:Health economics
pub_type: 杂志文章
doi:10.1002/hec.1269
更新日期:2008-03-01 00:00:00