Abstract：
:Data from 166 general hospitals in New York State (1981) is used to estimate a quadratic and logarithmic long-run cost function. Both equations fit the data very well but give very different results. The quadratic appears in confirm the commonly-held view of a shallow U-shaped average cost curve, whereas the log function indicates significant economies of scale: a total and average cost elasticity of 0.9 and -0.10, respectively (using beds or patient days to measure output). Ramsey's RESET test is used to discriminate between the two models and the quadratic is clearly rejected as a misspecification. Scale economies thus exist even where the usual quadratic suggests otherwise.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Vitaliano DFdoi
10.1016/0167-6296(87)90018-xsubject
Has Abstractpub_date
1987-12-01 00:00:00pages
305-18issue
4eissn
0167-6296issn
1879-1646pii
0167-6296(87)90018-Xjournal_volume
6pub_type
杂志文章abstract：:This paper investigates the relationship between health care expenditure, income, and other factors that are not related to income for China with pooled cross-section and time series data. To study the stationarity property of these variables, we use panel Lagrange Multiplier (LM) unit root tests that allow for struct...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2006.12.002
更新日期：2007-07-01 00:00:00
abstract：:In this paper, we propose a flexible "two-part" random effects model (Olsen and Schafer, 2001; Tooze et al., 2002) for correlated medical cost data. Typically, medical cost data are right-skewed, involve a substantial proportion of zero values, and may exhibit heteroscedasticity. In many cases, such data are also obta...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2009.11.010
更新日期：2010-01-01 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：:Prenatal care should improve infant health, yet research frequently finds only weak effects. If there are two kinds of pregnancies, 'complicated' and 'normal' ones, then combining these pregnancies may lead prenatal care to appear ineffective. Data from the National Maternal and Infant Health Survey (NMIHS) offers com...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2004.09.012
更新日期：2005-05-01 00:00:00
abstract：:Medical researchers are rapidly identifying the genetic causes of many diseases. Genes that increase the risk of contracting Alzheimer's, colon and breast cancer, Huntington's, cystic fibrosis and numerous other diseases have been identified. Genetic tests can reveal an individual's probable health status many years i...
journal_title：Journal of health economics
pub_type： 杂志文章,评审
doi：10.1016/0167-6296(94)90005-1
更新日期：1994-03-01 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：:When a patient arrives at the Emergency Room with acute myocardial infarction (AMI), the provider on duty must quickly decide how aggressively the patient should be treated. Using Florida data on all such patients from 1992 to 2014, we decompose practice style into two components: The provider's probability of conduct...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2016.01.013
更新日期：2016-05-01 00:00:00
abstract：:Graduated driver licensing (GDL) is a critical policy tool for potentially improving teenage driving while reducing teen accident exposure. While previous studies demonstrated that GDL reduces teenage involvement in fatal crashes, much remains unanswered. We explore the mechanisms through which GDL influences accident...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2009.10.002
更新日期：2010-01-01 00:00:00
abstract：:The fatality risk-money tradeoff that is the value of a statistical life (VSL) may vary with the nature of the fatality event. While all fatalities involve loss of future life expectancy, the morbidity effects and their duration may differ. This article analyzes fatality risks accompanied by morbidity effects of diffe...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2016.01.011
更新日期：2016-03-01 00:00:00
abstract：:Tiered and narrow provider networks are mechanisms implemented by health plans to reduce health care costs. The benefits of narrow networks for consumers usually come in the form of lower premiums in exchange for access to fewer providers. Narrow networks may disrupt continuity of care and access to usual sources of c...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2018.06.006
更新日期：2018-07-01 00:00:00
abstract：:We exploit exogenous variation in years of completed college induced by draft-avoidance behavior during the Vietnam War to examine the impact of college on adult mortality. Our estimates imply that increasing college attainment from the level of the state at the 25th percentile of the education distribution to that of...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2016.08.002
更新日期：2016-12-01 00:00:00
abstract：:We propose a measure of household exposure to particularly onerous medical expenses. The measure can be decomposed into the probability that medical expenditure exceeds a threshold, the loss due to predictably low consumption of other goods if it does and the further loss arising from the volatility of medical expense...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2016.01.004
更新日期：2016-03-01 00:00:00
abstract：:This paper is concerned with the pricing behaviour of providers of residential care for people with mental health problems. Two aspects of pricing were considered. First, are there differences between providers' market power and their actual mark-up rates (e.g. due to differences in motivation)? Second, do the differe...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(00)00040-0
更新日期：2000-11-01 00:00:00
abstract：:This paper studies the design of long term care (LTC) insurance contracts in the presence of ex post moral hazard. While this problem bears some similarity with the study of health insurance (Blomqvist, 1997) the significance of informal LTC affects the problem in several crucial ways. It introduces the potential crow...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2016.08.008
更新日期：2016-12-01 00:00:00
abstract：:Criteria for initiation of highly active antiretroviral treatments (HAART) in HIV-infected patients remain a matter of debate world-wide because short-term benefits have to be balanced with costs of these therapies, and restrictions placed on future treatment options if resistant viral strains develop. On the other ha...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2005.09.006
更新日期：2006-05-01 00:00:00
abstract：:While social networks have been examined in the context of many economic choices and outcomes, this study is the first to investigate the effects of social networks on health service utilization decisions. Networks can affect utilization decisions in many ways. They can provide information on institutional details of ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2005.03.008
更新日期：2005-11-01 00:00:00
abstract：:This paper presents the first attempt to use a discrete choice experiment to derive distributional weights for quality adjusted life years (QALYs), based on characteristics (age and severity) of the beneficiaries. A novel approach using the Hicksian compensating variation is applied. Advantages include derivation of w...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2011.01.003
更新日期：2011-03-01 00:00:00
abstract：:In a 1975 paper, Neuhauser and Lewicki analysed a colorectal cancer screening policy approved by the American Cancer Society. Their analysis yielded an incremental cost per case detected in excess of $47 million. This vivid demonstration of the impact of marginal analysis is frequently cited by health economists and i...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(90)90004-m
更新日期：1990-01-01 00:00:00
abstract：:The purpose of this paper is to examine the effects of alcohol regulation on physical child abuse. Given the positive relationship between alcohol consumption and violence, and the negative relationship between consumption and price, the principal hypothesis to be tested is that an increase in the price of alcohol wil...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(99)00025-9
更新日期：2000-03-01 00:00:00
abstract：:The last time that federal excise taxes on alcoholic beverages were increased was 1991. The changes were larger than the typical state-level changes that have been used to study price effects, but the consequences have not been assessed due to the lack of a control group. Here we develop and implement a novel method f...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2012.11.003
更新日期：2013-01-01 00:00:00
abstract：:In clinical terms, a screening compliance rate of 100% may be deemed optimal in that the number of abnormalities detected is thereby maximized. This paper explores optimum compliance rates from the cost-effectiveness point of view by modelling the individual's decision to participate in the screening programme. Using ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(91)90004-7
更新日期：1991-07-01 00:00:00
abstract：:This paper examines the relationship between schizophrenia and employment. We use longitudinal register data and show a considerable drop in the employment rate for people with schizophrenia six years before the first treatment at a psychiatric facility. After the first treatment, the employment rate stabilizes at 18%...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2013.08.007
更新日期：2013-12-01 00:00:00
abstract：:This paper examines whether Dutch disability insurance reforms have helped or hindered employment opportunities of workers that are facing unanticipated shocks to their health. An important component of the reforms was to make employers responsible for paying sickness benefits and to strengthen their sickness monitori...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2018.09.004
更新日期：2018-11-01 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：:This article assesses the impact of dentist remuneration on the incidence of potentially harmful dental X-rays. We use unique panel data which provide details of 1.3 million treatment claims by Scottish NHS dentists made between 1998 and 2007. Controlling for unobserved heterogeneity of both patients and dentists we e...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2017.12.005
更新日期：2018-03-01 00:00:00
abstract：:Policymakers in countries around the world are faced with rising health care costs and are debating ways to reform health care to reduce expenditures. Estimates of price elasticity of expenditure are a key component for predicting expenditures under alternative policies. Using unique individual-level data compiled fro...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2012.07.002
更新日期：2012-12-01 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 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
abstract：:Medical decision analyses typically focus on one disease, that is, on one source of risk. In many medical decisions multiple sources of risk co-exist, however. This paper analyzes the effect of such comorbidities on treatment decisions. The effect of comorbidities on treatment decisions depends primarily on the way in...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/S0167-6296(03)00045-6
更新日期：2003-09-01 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
