Abstract:
:Despite twenty years of work on supplier-induced demand (SID) there has been little discussion or investigation of how inducement affects the health of patients. We develop a conceptual framework for SID which includes the clinical effectiveness of the health services utilized as well as the effectiveness of the agency relationship between the physician and the patient. The framework is used to identify several conceptually distinct types of utilization--each with its own policy implications--which have been intermingled in the SID literature. After examining each type of utilization, we conclude that a continued focus by health economists on the phenomenon of inducement (even within an extended conceptual framework) may be too limited for the development of policies regarding health service utilization.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Labelle R,Stoddart G,Rice Tdoi
10.1016/0167-6296(94)90036-1subject
Has Abstractpub_date
1994-10-01 00:00:00pages
347-68issue
3eissn
0167-6296issn
1879-1646pii
0167-6296(94)90036-1journal_volume
13pub_type
杂志文章abstract::In this paper, we examine the relationships between health care visits to general practitioners, public and private sector specialists using data from Italy, which has a mixed public-private health care system. We develop a simultaneous equations model that allows for the discreteness of measures of utilization and es...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2007.10.006
更新日期:2008-05-01 00:00:00
abstract::Understanding how physicians respond to incentives from payment schemes is a central concern in health economics research. We introduce a controlled laboratory experiment to analyse the influence of incentives from fee-for-service and capitation payments on physicians' supply of medical services. In our experiment, ph...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2011.05.001
更新日期:2011-07-01 00:00:00
abstract::We study an enhanced fee-for-service model for primary care physicians in the Family Health Groups (FHG) in Ontario, Canada. In contrast to the traditional fee-for-service (FFS) model, the FHG model includes targeted fee increases, extended hours, performance-based initiatives, and patient enrolment. Using a long pane...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.10.005
更新日期:2011-01-01 00:00:00
abstract::We examine how different welfarist frameworks evaluate the social value of mortality risk reduction. These frameworks include classical, distributively unweighted cost-benefit analysis--i.e., the "value per statistical life" (VSL) approach-and various social welfare functions (SWFs). The SWFs are either utilitarian or...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.02.001
更新日期:2014-05-01 00:00:00
abstract::The US health insurance industry is highly concentrated, and health insurance premiums are high and rising rapidly. Policymakers have focused on the possible link between the two, leading to ACA provisions to increase insurer competition. However, while market power may enable insurers to include higher profit margins...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2015.03.009
更新日期:2015-07-01 00:00:00
abstract::During the 1990s, a record number of U.S. hospitals entered into some form of vertical combination with physicians. During the same period, many integrated hospital-physician arrangements broke up. Using data from California, we investigate whether such vertical activity affected hospital pricing. We find that neither...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2005.04.008
更新日期:2006-01-01 00:00:00
abstract::We analyze the effect of an individual insurance mandate (Medicare Levy Surcharge) on the demand for private health insurance (PHI) in Australia. With administrative income tax return data, we show that the mandate has several distinct effects on taxpayers' behavior. First, despite the large tax penalty for not having...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.01.001
更新日期:2014-03-01 00:00:00
abstract::We analyse the properties of optimal price adjustment to hospitals when no lump-sum transfers are allowed and when prices differ to reflect observable exogenous differences in costs. We find that: (a) when the marginal benefit from treatment is decreasing and the cost function is the power function, price adjustment f...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.09.001
更新日期:2011-01-01 00:00:00
abstract::Economists often estimate models with a log-transformed dependent variable. The results from the log-transformed model are often retransformed back to the unlogged scale. Other studies have shown how to obtain consistent estimates on the original scale but have not provided variance equations for those estimates. In t...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(00)00046-1
更新日期:2000-09-01 00:00:00
abstract::This paper examines the effects of the reference pricing program implemented by the California Public Employees Retirement System (CalPERS) in 2012. The program uses targeted cost-sharing to incentivize patient price shopping. We find that the program leads to a 10.3% increase in the use of low-price providers and red...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.09.012
更新日期:2017-12-01 00:00:00
abstract::This paper responds to Culyer and Wagstaff's (CW) and Buckingham's (B) arguments. We refute their claim about the equivalence of HYEs and QALYs; they fail to distinguish between choice under uncertainty and under certainty. CW assume that all individuals have a specific form of utility function, which yields their con...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(93)90015-7
更新日期:1993-10-01 00:00:00
abstract::This paper empirically evaluates whether government ideology and electoral motives influenced the growth of public health expenditures in 18 OECD countries over the 1971-2004 period. The results suggest that incumbents behaved opportunistically and increased the growth of public health expenditures in election years. ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.07.008
更新日期:2010-12-01 00:00:00
abstract::In recent decades, China has experienced double-digit economic growth rates and rising inequality. This paper implements a new decomposition approach using the China Health and Nutrition Survey (1991-2006) to examine the extent to which changes in level and distribution of incomes and in income mobility are related to...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2013.10.002
更新日期:2013-12-01 00:00:00
abstract::Do urban hospital closures affect health care access or health outcomes? We study closures in Los Angeles County between 1997 and 2003, through their effect on distance to the nearest hospital. We find that increased distance to the closest hospital increases deaths from heart attacks and unintentional injuries. This ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2005.10.006
更新日期:2006-07-01 00:00:00
abstract::The Orphan Drug Act (ODA) was designed to spur the development of drugs for rare diseases. In principle, its design also incentivizes pharmaceutical firms to develop drugs for "rare" subdivisions of more prevalent diseases. I find that in response to this incentive, firms develop drugs for ODA-qualifying subdivisions ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2009.06.011
更新日期:2009-09-01 00:00:00
abstract::This study uses recent theoretical work about group decision-making to assess the quality of decision-making by expert consensus panels. We specifically examine (1) when individual members of panels will divulge their private judgments about the decision to the panel, and (2) when the group judgment is superior to the...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2003.10.004
更新日期:2004-05-01 00:00:00
abstract::Previous studies of hospital competition have found that greater competition leads to higher hospital costs. In this paper we report how the behavior of California's hospitals has changed since the introduction of programs intended to contain the rate of increase of hospital costs. Using data that cover the period pre...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(88)90018-5
更新日期:1988-12-01 00:00:00
abstract::The price effects of the Swedish pharmaceutical substitution reform are analyzed using data for a panel of all pharmaceutical product sold in Sweden in 1997-2007. The price reduction due to the reform was estimated to average 10% and was found to be significantly larger for brand-name pharmaceuticals than for generics...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.08.003
更新日期:2010-12-01 00:00:00
abstract::Despite the scarcity of transplantable organs, 45% of livers are rejected by the first surgeon to whom they are offered. I present a model in which a surgeon decides to accept or reject an organ for a patient based on the patient's current health level. Using data on transplanted patients, I show that surgeons' behavi...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(02)00077-2
更新日期:2002-11-01 00:00:00
abstract::The Food and Drug Administration has accelerated the approval of therapeutically novel drugs so that patients have faster access to innovative drug therapies. Little research, however, has examined the variation in risks among therapeutically novel and less novel drugs. Do drugs that represent greater novelty also ent...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2004.03.007
更新日期:2004-11-01 00:00:00
abstract::Average wages from 2,275 general hospitals in metropolitan areas across the U.S. were used to test for a wage gradient descending from hospitals in the central city through those in urbanized and finally non-urbanized areas of each county-defined metropolitan area. Significant gradients were found in MSAs of all sizes...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(89)90005-2
更新日期:1989-06-01 00:00:00
abstract::We examine whether patients covered by workers' compensation insurance, which covers the cost of medical care for injured workers without cost sharing and with relatively little oversight, are charged more for treatment or receive more services than patients covered by traditional insurance. Our findings indicate that...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(95)00020-8
更新日期:1995-12-01 00:00:00
abstract::This paper estimates the effect of ambulatory surgical centers (ASCs) on hospital surgical volume using hospital and year fixed effects models with several robustness checks. We show that ASC entry only appears to influence a hospital's outpatient surgical volume if the facilities are within a few miles of each other....
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.07.003
更新日期:2010-09-01 00:00:00
abstract::This article introduces a model in which individuals incur adjustment costs associated with adaptations made following changes in their health. With adjustment costs, patients' preferences for health states depend on their initial health in such a way that improvements have lower values than corresponding deterioratio...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2003.12.004
更新日期:2004-03-01 00:00:00
abstract::This study examines the impact of early life malaria exposure on cognition in sample of Mexican adults, using the nationwide introduction of malaria eradication efforts to identify causal impacts. The core findings are that birth year exposure to malaria eradication was associated with increases in Raven Progressive M...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2012.06.003
更新日期:2012-09-01 00:00:00
abstract::This paper presents a new stylized fact about the relationship between income and childhood vaccination. It shows vaccination rates first rise but then fall as income increases. This pattern is observed in WHO country-level panel data, and in US county-level panel and individual-level repeated cross-section data. This...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.12.002
更新日期:2018-01-01 00:00:00
abstract::The production of health care services has the unique feature that physicians do not face explicit costs for hospital inputs. This paper develops models of the production process given alternative hospital and medical staff relationships, and analyzes the impact of the change in hospital reimbursement under Medicare f...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(90)90016-v
更新日期:1990-09-01 00:00:00
abstract::Comparative effectiveness research (CER) is thought to identify what works and does not work in health care. We interpret CER as infusing evidence on product quality into markets, shifting the relative demand for products in CER studies. We analyze how shifts in demand affect health and health care spending and demons...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2011.05.012
更新日期:2011-07-01 00:00:00
abstract::We test whether the heightened mortality after the death of a spouse represents correlation or causation by examining the heterogeneity in the bereavement effect based on the spouse's cause of death. Some causes of death are correlated with socioeconomic characteristics while others are not. Equality in the bereavemen...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2008.04.001
更新日期:2008-09-01 00:00:00
abstract::The shortage of health workers in many low-income countries poses a threat to the quality of health services. When the number of patients per health worker grows sufficiently high, there will be insufficient time to diagnose and treat all patients adequately. This paper tests the hypothesis that high caseload reduces ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.05.006
更新日期:2010-09-01 00:00:00