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 judgment of individual panelists and will lead to better treatment for patients. We conclude that to maximize the chance of an accurate decision, panels should be made as large as possible, adopt the smallest supermajority rule, and attract members with the highest individual competencies. Furthermore, interdependence among panelists and the goal of reaching consensus can reduce the efficacy of these panels.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Gabel MJ,Shipan CRdoi
10.1016/j.jhealeco.2003.10.004subject
Has Abstractpub_date
2004-05-01 00:00:00pages
543-64issue
3eissn
0167-6296issn
1879-1646pii
S0167-6296(04)00021-9journal_volume
23pub_type
杂志文章abstract::Most government employees have access to retiree health coverage, which provides them with group health coverage even if they retire before Medicare eligibility. We study the impact of retiree health coverage on the labor supply of public sector workers between the ages of 55 and 64. We find that retiree health covera...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.03.013
更新日期:2014-12-01 00:00:00
abstract::Using data from the National Health and Nutrition Examination Survey, we examine the relationship between nutritional status, poverty, and food insecurity for household members of various ages. Our most striking result is that, while poverty is predictive of poor nutrition among preschool children, food insecurity doe...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2003.12.008
更新日期:2004-07-01 00:00:00
abstract::Using administrative data from Norway, we examine the extent to which family doctors influence their clients' propensity to claim sick-pay. The analysis exploits exogenous switches of family doctors occurring when physicians quit, retire, or for other reasons sell their patient lists. We find that family doctors have ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2013.10.005
更新日期:2013-12-01 00:00:00
abstract::This paper reexamines the effect of the business cycle on alcohol consumption using U.S. state-level analysis introduced by Rhum [Ruhm, C.J., 1995. Economic conditions and alcohol problems. Journal of Health Economics 14, 583-603]. Using an extended panel, this analysis finds that Ruhm's estimates are biased and incon...
journal_title:Journal of health economics
pub_type: 评论,杂志文章
doi:10.1016/s0167-6296(99)00005-3
更新日期:1999-10-01 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::We study gatekeeping physicians' referrals of patients to specialty care. We derive theoretical results when competition in the physician market intensifies. First, due to competitive pressure, physicians refer patients to specialty care more often. Second, physicians earn more by treating patients themselves, so refe...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.11.005
更新日期:2015-01-01 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 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::By comparing aggregated physician utilization data in Michigan with a disaggregated measure of the intensity with which physicians treat their patients, the article shows that the availability effect found in many studies of the physician services markets is due to the larger number of providers seen by patients in ph...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(85)90029-3
更新日期:1985-09-01 00:00:00
abstract::In a game of incomplete information we analyze the consequences of giving an employer access to imperfect genetic information about his employees. The employer chooses whether to invest in the employee and the employee chooses a life style. We derive the condition for markets of information services to exist and the c...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(96)00513-9
更新日期:1997-08-01 00:00:00
abstract::This study uses data on 8561 elderly respondents from the 1991 Medicare Current Beneficiary Survey to examine adverse selection in the supplemental private insurance market. Logit models of supplemental insurance choices provided modest but mixed evidence of self-selection on the basis of observable health status. Wea...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(97)00011-8
更新日期:1997-10-01 00:00:00
abstract::In many medical care markets with limited profit potential, firms often have little incentive to innovate. These include the market for rare diseases, "neglected" tropical diseases, and personalized medicine. Governments and not-for-profit organizations promote innovation in such markets but empirical evidence on the ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.03.006
更新日期:2017-07-01 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::Late childhood and adolescence is a critical time for social and emotional development. Over the past two decades, this life stage has been hugely affected by the almost universal adoption of the internet as a source of information, communication, and entertainment. We use a large representative sample of over 6300 ch...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2019.102274
更新日期:2020-01-01 00:00:00
abstract::Observational studies of demand for mental health services showed much greater use by those with more generous insurance, but this difference may have been due to adverse selection, rather than in response to price. This paper avoids the adverse selection problem by using data from a randomized trial, the RAND Health ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(88)90021-5
更新日期:1988-12-01 00:00:00
abstract::Acute care hospitals have long been viewed as multi-product 'firms', a characteristic which has necessitated special adjustments for cost analyses of this sector. Output mix adjustment has generally had an ad hoc flavour, with service/facility proxies and patient mix variables often being used interchangeably. Where s...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(82)90021-2
更新日期:1982-05-01 00:00:00
abstract::Over the last decade, there has been a growing interest in examining health expenditures. In this paper, we study the behaviour of health expenditures in the G3 countries (USA, the UK, and Japan) and three European countries (the UK, Switzerland and Spain) over the period 1960-2000 from a different perspective, in tha...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2005.12.001
更新日期:2006-09-01 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::In this paper we estimate long-run effects of informal care provision on female caregivers' labor market outcomes up to eight years after care provision. We compare a static version, where average effects of care provision in a certain year on later labor market outcomes are estimated, to a partly dynamic version wher...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.09.002
更新日期:2017-12-01 00:00:00
abstract::In this paper we discuss the prioritisation of healthcare projects where there is a concern about health inequalities, but the decision maker is reluctant to make explicit quantitative value judgements and the data systems only allow the measurement of health at an aggregate level. Our analysis begins with a standard ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.04.005
更新日期:2014-07-01 00:00:00
abstract::I study the interplay among competition, contractual commitment, income risk, and saving and borrowing in insuring consumers against both short-term healthcare expenses and longer-term changes in health status. Examining different combinations of firms' ability to commit to long-term contracts, consumers' access to cr...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2018.02.006
更新日期:2018-03-01 00:00:00
abstract::For decades, the US public and private sectors have committed substantial resources towards cancer research, but the societal payoff has not been well-understood. We quantify the value of recent gains in cancer survival, and analyze the distribution of value among various stakeholders. Between 1988 and 2000, life expe...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.02.006
更新日期:2010-05-01 00:00:00
abstract::Reform proposals of health care systems in several countries have advocated variations of a risk adjustment/capitation system. These proposals face a serious objection: incentives to risk selection are prevalent in the system. By now, considerable literature has been devoted to finding ways of mitigating, if not elimi...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/S0167-6296(02)00119-4
更新日期:2003-05-01 00:00:00
abstract::We evaluate the health effects of a reduction in New Zealand's minimum legal purchase age for alcohol. Difference-in-differences (DD) estimates show a substantial increase in alcohol-related hospitalizations among those newly eligible to purchase liquor, around 24.6% (s.e.=5.5%) for males and 22% (s.e.=8.1%) for femal...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2013.02.006
更新日期:2013-05-01 00:00:00
abstract::Medicare claims for elderly admitted for psychiatric care were used to estimate the impact of hospital profit status on costs, length of stay (LOS), and rehospitalizations. No evidence was found that not-for-profits (NFPs) treated sicker patients or had fewer rehospitalizations. For-profits (FPs) actually treated poor...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(00)00068-0
更新日期:2001-01-01 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::Partial expected value of perfect information (EVPI) quantifies the value of removing uncertainty about unknown parameters in a decision model. EVPIs can be computed via Monte Carlo methods. An outer loop samples values of the parameters of interest, and an inner loop samples the remaining parameters from their condit...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.03.006
更新日期:2010-05-01 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::Increasing the adoption of generic drugs has the potential to improve static efficiency in a health system without harming pharmaceutical innovation. However, very little is known about the timing of generic adoption and diffusion. No prior study has empirically examined the differential launch times of generics acros...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2014.04.004
更新日期:2014-12-01 00:00:00
abstract::Medicaid provides health insurance for 54 million Americans. Using the Census Bureau's Supplemental Poverty Measure (which subtracts out-of-pocket medical expenses from family resources), we estimated the impact of eliminating Medicaid. In our counterfactual, Medicaid beneficiaries would become uninsured or gain other...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2013.06.005
更新日期:2013-09-01 00:00:00