Abstract：
:This paper develops a neoclassical utility maximization model of physician behavior in which the physician determines the price of physician office and hospital visits, the utilization rates for physician office and hospital visits and hospital days, and the resources and physician time inputs in the production of visits. The model assumes that the physician acts as a perfect agent for the patient. The analysis traces substitutions between physician office visits, physician hospital visits, and hospital days in response to changes in physician supply. The analysis also traces physician supply induced changes in the input mix used to produce visits. The substitution effects of physician supply are then used to reinterpret previous statistical estimates of the physician supply elasticities of per capita utilization of physician office visits and hospital days, length of visit, waiting time, and physician workloads.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
McCombs JSdoi
10.1016/0167-6296(84)90004-3subject
Has Abstractpub_date
1984-08-01 00:00:00pages
155-71issue
2eissn
0167-6296issn
1879-1646pii
0167-6296(84)90004-3journal_volume
3pub_type
杂志文章abstract：:Using variation across geographic regions, a number of studies from the U.S. and other developed countries have found more deaths in economic upturns and less deaths in economic downturns. We use data from regions in Norway for 1977-2008 and find the same pro-cyclical patterns. Using individual-level register data for...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2014.08.005
更新日期：2015-01-01 00:00:00
abstract：:One important motive for deregulating social health insurance is to encourage product innovation. For the first time, the cost savings achieved by non-US managed care plans that are attributable to product innovation are estimated, using a novel approach. Panel data from a major Swiss health insurer permits to infer h...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2003.12.007
更新日期：2004-09-01 00:00:00
abstract：:This paper analyzes the impact of trans fat bans on cardiovascular disease (CVD) mortality rates. Several New York State jurisdictions have restricted the use of ingredients containing artificial trans fat in food service establishments. The resulting within-county variation over time and the differential timing of th...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2015.09.005
更新日期：2016-01-01 00:00:00
abstract：:This paper considers the relationship between economic conditions and health with a focus on different approaches to geographic aggregation. After reviewing the tradeoffs associated with more- and less-disaggregated analyses, I update earlier state-level analyses of mortality and infant health and then consider how th...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2014.11.009
更新日期：2015-03-01 00:00:00
abstract：:The value of a statistical life (VSL) is a very controversial topic, but one which is essential to the optimization of governmental decisions. We see a great variability in the values obtained from different studies. The source of this variability needs to be understood, in order to offer public decision-makers better...
journal_title：Journal of health economics
pub_type： 杂志文章,meta分析
doi：10.1016/j.jhealeco.2008.10.013
更新日期：2009-03-01 00:00:00
abstract：:In this paper we investigate the causal effect of years of schooling on health and health-related behavior in West Germany. We apply an instrumental variables approach using as natural experiments several changes in compulsory schooling laws between 1949 and 1969. These law changes generate exogenous variation in year...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2011.01.004
更新日期：2011-03-01 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：:This study used 1982-1986 data on 262 private community hospitals to evaluate the effects of selective contracting for inpatient services by California's Medicaid program. Selective contracting by Medicaid significantly reduced the rate of inflation in average costs per admission and per patient day, while slightly in...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(90)90025-x
更新日期：1989-01-01 00:00:00
abstract：:The measurement unit disability-adjusted life years (DALYs), used in recent years to quantify the burden of diseases, injuries and risk factors on human populations, is grounded on cogent economic and ethical principles and can guide policies toward delivering more cost-effective and equitable health care. DALYs follo...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(97)00004-0
更新日期：1997-12-01 00:00:00
abstract：:This paper analyses contracts to keep down costs while maintaining quality of health services when patient demand does not reflect quality. There is then a natural role for forms of contract that have emerged during the reforms of the NHS in Britain that differ from pure fixed price or cost reimbursement contracts. Th...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(97)00019-2
更新日期：1998-01-01 00:00:00
abstract：:Swedish cross-sectional survey data on young individuals aged 12-18-year-old was used to analyse school-class based peer effects in binge drinking, smoking and illicit-drug use. Significant and positive peer effects were found for all three activities. By introducing school/grade fixed effects, the estimated peer effe...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2005.02.001
更新日期：2006-03-01 00:00:00
abstract：:The Patient-Centered Medical Home (PCMH) is a widely-implemented model for improving primary care, emphasizing care coordination, information technology, and process improvements. However, its treatment as an undifferentiated intervention in policy evaluation obscures meaningful variation in implementation. This heter...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2018.02.012
更新日期：2018-05-01 00:00:00
abstract：:This paper empirically investigates the long-run effects of major health improvements on income growth in the United States. To isolate exogenous changes in health, the econometric model uses quasi-experimental variation in cardiovascular disease mortality across states over time. Based on data for the white populatio...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2020.102398
更新日期：2021-01-01 00:00:00
abstract：:This paper studies the health effects of one of the world's largest demand-side financial incentive programmes--India's Janani Suraksha Yojana. Our difference-in-difference estimates exploit heterogeneity in the implementation of the financial incentive programme across districts. We find that cash incentives to women...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2015.07.001
更新日期：2015-09-01 00:00:00
abstract：:This study estimates the impact of the price of alcoholic beverages on latent dimensions of current alcohol dependence and abuse. A three-part econometric model is used to estimate the impact of price on three latent dimensions (factors). For heavier drinking, the estimated price elasticity is -1.325 (P = 0.027); for ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(02)00099-1
更新日期：2003-01-01 00:00:00
abstract：:This article introduces an empirical strategy to the compensating differentials literature that (i) allows both individual observed and unobserved characteristics to be rewarded differently in firms based on health insurance provision, and (ii) selection to jobs that provide benefits to operate on both sides of the la...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2007.02.001
更新日期：2007-09-01 00:00:00
abstract：:Estimates of the surplus loss due to physician practice variation measure the area under the 'shifted' demand curve. This method is valid only if the unshifted demand curve is derived form the distribution of true(ex post) values of care. If the unshifted demand curve does not reflect the true value of care, then the ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(95)00005-3
更新日期：1995-06-01 00:00:00
abstract：:In this paper we conduct the first national evaluation of the effect of malpractice liability pressure, as measured by malpractice premiums, on prenatal care utilization and infant health. Our results indicate that a decrease in malpractice premiums that would result from a feasible policy reform would lead to a decre...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(01)00082-0
更新日期：2001-07-01 00:00:00
abstract：:Flat capitation (uniform prospective payments) makes enrolling healthy enrollees profitable to health plans. Plans with relatively generous benefits may attract the sick and fail through a premium spiral. We simulate a model of idealized managed competition to explore the effect on market performance of alternatives t...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(97)00029-5
更新日期：1998-06-01 00:00:00
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 agenc...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(94)90036-1
更新日期：1994-10-01 00:00:00
abstract：:This article extends several recent contributions that have compared the physician-induced demand hypothesis to the theory of a monopoly where advertising is included as a decision variable. By introducing a standard profit-maximizing model with inducement, it derives the conditions for the optimum level of inducement...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(87)90010-5
更新日期：1987-09-01 00:00:00
abstract：:In a recent issue of this Journal, McRae and Tapon (1985) use the Canadian experience with compulsory patent licensing and three provincial drug reimbursement programs to evaluate post-patent barriers to entry in the pharmaceutical industry. In this paper we provide additional evidence on the influence of differing pr...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(87)90031-2
更新日期：1987-03-01 00:00:00
abstract：:This article investigates the impact of unions on the wages of hospital workers. Our OLS findings agree with previous OLS studies--unions increase registered nurses' (RNs) wages by five percent and by about eight to ten percent for other hospital workers. By contrast, we find (after correcting for selectivity bias in ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(82)90022-4
更新日期：1982-05-01 00:00:00
abstract：:We conducted a field experiment comparing hypothetical and real purchase decisions for a pharmacist provided asthma management program among 172 subjects with asthma. Subjects received either a dichotomous choice contingent valuation question or were given the opportunity to actually enroll in the program. Three diffe...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(01)00075-3
更新日期：2001-05-01 00:00:00
abstract：:Although the effect of time to death (TTD) on health care expenditures (HCE) has been investigated using individual level data, the most profound implications of TTD have been for the forecasting of macro-level HCE. Here we estimate the TTD model using macro-level data from the Netherlands consisting of mortality rate...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2012.08.003
更新日期：2012-12-01 00:00:00
abstract：:We estimate the effect of education on smoking. Our estimation strategy "differences out" the impact of unobserved characteristics correlated with education by exploiting education differences between similarly selected groups 1 year apart in their life cycle. Individuals with a given age, education, and student statu...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2010.03.001
更新日期：2010-05-01 00:00:00
abstract：:Using the theory of multiproduct cost functions, a treatment cost function is derived for diseases which progress through a number of stages. The output classes are conceived as the stages at detection of the disease, with the unit of output within each class being the treated case. The derivation clarifies the assump...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(95)00007-5
更新日期：1995-08-01 00:00:00
abstract：:To assess the consequences of advance medical directives--which explicitly specify a patient's preferences for one or more specific types of medical treatment in the event of a loss of competence--we analyze the medical care of elderly Medicare beneficiaries who died between 1985 and 1995. We compare the care of patie...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2003.08.006
更新日期：2004-01-01 00:00:00
abstract：:Intergenerational transmission of human capital from parents to offspring is widely documented. However, whether there are upward spillovers from children to parents remains understudied. This paper uses data from the China Health and Retirement Longitudinal Study to estimate the causal impact of educational attainmen...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2019.06.004
更新日期：2019-07-01 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
