Abstract:
:This paper studies life-cycle preferences over consumption and health status. We show that cost-effectiveness analysis is consistent with cost-benefit analysis if the lifetime utility function is additive over time, multiplicative in the utility of consumption and the utility of health status, and if the utility of consumption is constant over time. We derive the conditions under which the lifetime utility function takes this form, both under expected utility theory and under rank-dependent utility theory, which is currently the most important nonexpected utility theory. If cost-effectiveness analysis is consistent with cost-benefit analysis, it is possible to derive tractable expressions for the willingness to pay for quality-adjusted life-years (QALYs). The willingness to pay for QALYs depends on wealth, remaining life expectancy, health status, and the possibilities for intertemporal substitution of consumption.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Bleichrodt H,Quiggin Jdoi
10.1016/s0167-6296(99)00014-4subject
Has Abstractpub_date
1999-12-01 00:00:00pages
681-708issue
6eissn
0167-6296issn
1879-1646pii
S0167629699000144journal_volume
18pub_type
杂志文章abstract::We exploit lottery-determined admission to dental school to estimate the payoffs to the study of dentistry in the Netherlands. Using data from up to 22 years after the lottery, we find that in most years after graduation dentists earn around 50,000 Euros more than they would earn in their next-best profession. The pay...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2018.11.001
更新日期:2019-01-01 00:00:00
abstract::Each year, many pregnant Muslim women fast during Ramadan. Using Indonesian cross-sectional data and building upon work of Almond and Mazumder (2011), I show that people who were prenatally exposed to Ramadan fasting have a poorer general health than others. As predicted by medical theory, this effect is especially pr...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2011.07.014
更新日期:2011-12-01 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::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::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::Measurement of treatment costs is important in the evaluation of medical interventions. Accurate cost estimation is problematic, when cost records are incomplete. Methods from the survival analysis literature have been proposed for estimating costs using available data. In this article, we clarify assumptions necessar...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(98)00056-3
更新日期:1999-06-01 00:00:00
abstract::This paper presents the results of an eight-country comparative study of equity in the delivery of health care. Equity is taken to mean that persons in equal need of health care should be treated the same, irrespective of their income. Two methods are used to investigate inequity: an index of inequity based on standar...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(92)90013-q
更新日期:1992-12-01 00:00:00
abstract::Proponents of hospital consolidation claim that mergers lead to significant cost savings, but there is little systematic evidence backing these claims. For a large sample of hospital mergers between 2000 and 2010, I estimate difference-in-differences models that compare cost trends at acquired hospitals to cost trends...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.01.007
更新日期:2017-03-01 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::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 funct...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(87)90018-x
更新日期:1987-12-01 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::We examine whether the availability of subsidized health insurance to the non-working population in Taiwan affected the labor force participation of married women. Our empirical identification exploits the fact that such insurance was first made available to wives of government employees, before being made universally...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(00)00075-8
更新日期:2001-03-01 00:00:00
abstract::The targeting of an UK extra-cost disability benefit for older people, Attendance Allowance, is analyzed using longitudinal data from the British Household Panel Survey. First, a binary model of benefit participation is used to investigate whether receipt is responsive to the onset of disability. Second, matching esti...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2012.11.004
更新日期:2013-01-01 00:00:00
abstract::This article analyses the redistributive effect caused by health financing and the distribution of healthcare utilization in Argentina before and during the severe 2001/2002 economic crisis. Both dramatically changed during this period: the redistributive effect became much more positive and utilization shifted from p...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.03.008
更新日期:2010-07-01 00:00:00
abstract::The dynamic evolution of health and persistent relationship status pose econometric challenges to disentangling the causal effect of relationships on health from the selection effect of health on relationship choice. Using a new econometric strategy we find that marriage is not universally better for health. Rather, c...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.03.010
更新日期:2014-07-01 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::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::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 paper uses seven waves of British Household Panel Survey (BHPS) data to examine the link between health developments while smoking (both one's own and those of other smokers in the same household) and future cigarette consumption. We find those whose health worsens when smoking smoke less in the future, and are m...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(01)00140-0
更新日期:2002-07-01 00:00:00
abstract::In this paper, we investigate the effect of the out-of-pocket premium on the decision to enroll in employer health insurance and other benefits plans including dental insurance, vision care, long-term care insurance, and wellness benefits. Previous estimates of the effects of premium on takeup of health insurance coul...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2004.07.005
更新日期:2005-01-01 00:00:00
abstract::Who pays the healthcare costs associated with obesity? Among workers, this is largely a question of the incidence of the costs of employer-sponsored coverage. Using data from the National Longitudinal Survey of Youth and the Medical Expenditure Panel Survey, we find that the incremental healthcare costs associated wit...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2009.02.009
更新日期:2009-05-01 00:00:00
abstract::This paper develops a conceptual framework in which preferences about the distribution of future health gains depend on differences in four 'health streams'. These are as follows: (1) the amount of health to be gained; (2) the no-treatment profiles; (3) the amount of health experienced thus far: and (4) the amount of ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(01)00095-9
更新日期:2001-09-01 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 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 vis...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(84)90004-3
更新日期:1984-08-01 00:00:00
abstract::Recently, much research has been devoted to the question of how the conventional net national product measure should be augmented so as to cover changes in the stocks of natural resources. This paper investigates the treatment of health (capital) and the risk of 'doomsday' caused by pollution in such welfare measures....
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(94)00037-5
更新日期:1995-05-01 00:00:00
abstract::We examine selection incentives by health plans while refining the selection index of McGuire et al. (2014) to reflect not only service predictability and predictiveness but also variation in cost sharing, risk-adjusted profits, profit margins, and newly-refined demand elasticities across 26 disaggregated types of ser...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.09.006
更新日期:2017-12-01 00:00:00
abstract::While in theory the strength of preferences for equity in health can be expressed in an 'inequality aversion parameter', in practice, analysts would have to obtain them from people's choices. We are faced with a number of methodological problems when turning to this type of empirical research. This note investigates w...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(00)00035-7
更新日期:2000-07-01 00:00:00
abstract::In this paper we estimate three different discrete choice models of provider choice using data from the rural District of Ouidah in Bénin. These three model are: Multinomial Logit (ML); (2) Independent Multinomial Probit (IMP); (3) Multinomial Probit (MP). A comparison of IMP and MP allows us to reject the independenc...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(96)00492-4
更新日期:1996-08-01 00:00:00
abstract::Why do people purchase health insurance? Many economists would answer that it permits purchasers to avoid risk of financial loss. This note suggests that health insurance is also demanded because it represents a mechanism for gaining access to health care that would otherwise be unaffordable. For example, although a U...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(98)00049-6
更新日期:1999-04-01 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