A nonparametric elicitation of the equity-efficiency trade-off in cost-utility analysis.

Abstract:

:We performed an empirical elicitation of the equity-efficiency trade-off in cost-utility analysis using the rank-dependent quality-adjusted life-year (QALY) model, a model that includes as special cases many of the social welfare functions that have been proposed in the literature. Our elicitation method corrects for utility curvature and, therefore, our estimated equity weights are not affected by diminishing marginal utility. We observed a preference for equality in the allocation of health. The data suggest that the elicited equity weights were jointly determined by preferences for equality and by insensitivity to group size. A procedure is proposed to correct the equity weights for insensitivity to group size. Finally, we give an illustration how our method can be implemented in health policy.

journal_name

J Health Econ

authors

Bleichrodt H,Doctor J,Stolk E

doi

10.1016/j.jhealeco.2004.10.001

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

655-78

issue

4

eissn

0167-6296

issn

1879-1646

pii

S0167-6296(04)00119-5

journal_volume

24

pub_type

杂志文章
  • Behavioral impact of graduated driver licensing on teenage driving risk and exposure.

    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

    authors: Karaca-Mandic P,Ridgeway G

    更新日期:2010-01-01 00:00:00

  • The causal effect of income on health: evidence from German reunification.

    abstract::We investigate whether there was a causal effect of income changes on the health satisfaction of East and West Germans in the years following reunification. Our data source is the German Socio-Economic Panel (GSOEP) between 1984 and 2002, and we fit a recently proposed fixed-effects ordinal estimator to our health mea...

    journal_title:Journal of health economics

    pub_type: 杂志文章,评审

    doi:10.1016/j.jhealeco.2005.01.004

    authors: Frijters P,Haisken-DeNew JP,Shields MA

    更新日期:2005-09-01 00:00:00

  • Monopsony power and relative wages in the labor market for nurses.

    abstract::This paper examines the thesis that monopsony power is an important determinant of wages in nursing labor markets. Using data from the 1985-93 Current Population Surveys, measures of relative nurse/non-nurse wage rates for 252 labor markets are constructed. Contrary to predictions from the monopsony model, no positive...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(95)00013-8

    authors: Hirsch BT,Schumacher EJ

    更新日期:1995-10-01 00:00:00

  • The predictive validity of prospect theory versus expected utility in health utility measurement.

    abstract::Most health care evaluations today still assume expected utility even though the descriptive deficiencies of expected utility are well known. Prospect theory is the dominant descriptive alternative for expected utility. This paper tests whether prospect theory leads to better health evaluations than expected utility. ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2009.09.002

    authors: Abellan-Perpiñan JM,Bleichrodt H,Pinto-Prades JL

    更新日期:2009-12-01 00:00:00

  • An evaluation of Medicaid selective contracting in California.

    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

    authors: Robinson JC,Phibbs CS

    更新日期:1989-01-01 00:00:00

  • The value of a statistical life: a meta-analysis with a mixed effects regression model.

    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

    authors: Bellavance F,Dionne G,Lebeau M

    更新日期:2009-03-01 00:00:00

  • Excise tax avoidance: the case of state cigarette taxes.

    abstract::We conduct an applied welfare economics analysis of cigarette tax avoidance. We develop an extension of the standard formula for the optimal Pigouvian corrective tax to incorporate the possibility that consumers avoid the tax by making purchases in nearby lower tax jurisdictions. To provide a key parameter for our for...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2013.08.005

    authors: DeCicca P,Kenkel D,Liu F

    更新日期:2013-12-01 00:00:00

  • Useful beautiful minds-an analysis of the relationship between schizophrenia and employment.

    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

    authors: Greve J,Nielsen LH

    更新日期:2013-12-01 00:00:00

  • Worker sorting, compensating differentials and health insurance: evidence from displaced workers.

    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

    authors: Lehrer SF,Pereira NS

    更新日期:2007-09-01 00:00:00

  • Managing imperfect competition by pay for performance and reference pricing.

    abstract::I study a managed health service market where differentiated providers compete for consumers by choosing multiple service qualities, and where copayments that consumers pay and payments that providers receive for services are set by a payer. The optimal regulation scheme is two-sided. On the demand side, it justifies ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2017.11.002

    authors: Mak HY

    更新日期:2018-01-01 00:00:00

  • Provider practice style and patient health outcomes: The case of heart attacks.

    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

    authors: Currie J,MacLeod WB,Van Parys J

    更新日期:2016-05-01 00:00:00

  • The economics of patient-centered care.

    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

    authors: David G,Saynisch PA,Smith-McLallen A

    更新日期:2018-05-01 00:00:00

  • Rising inequalities in income and health in China: who is left behind?

    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

    authors: Baeten S,Van Ourti T,van Doorslaer E

    更新日期:2013-12-01 00:00:00

  • Does privatisation of vocational rehabilitation improve labour market opportunities? Evidence from a field experiment in Sweden.

    abstract::This paper analyses if privatisation of vocational rehabilitation can improve labour market opportunities for individuals on long-term sickness absence. We use a field experiment performed by the Public Employment Service and the Social Insurance Agency in Sweden during 2008-2010, in which over 4000 participants were ...

    journal_title:Journal of health economics

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jhealeco.2013.12.002

    authors: Laun L,Thoursie PS

    更新日期:2014-03-01 00:00:00

  • Do hospital mergers reduce costs?

    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

    authors: Schmitt M

    更新日期:2017-03-01 00:00:00

  • Defining health inequality: why Rawls succeeds where social welfare theory fails.

    abstract::While there has been an important increase in methodological and empirical studies on health inequality, not much has been written on the theoretical foundation of health inequality measurement. We discuss several reasons why the classic welfare approach, which is the foundation of income inequality analysis, fails to...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(01)00138-2

    authors: Bommier A,Stecklov G

    更新日期:2002-05-01 00:00:00

  • A problem with consumer surplus measures of the cost of practice variations.

    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

    authors: Dranove D

    更新日期:1995-06-01 00:00:00

  • Unions and hospitals: some unresolved issues.

    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

    authors: Adamache KW,Sloan FA

    更新日期:1982-05-01 00:00:00

  • Equity in the delivery of health care: some international comparisons.

    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

    authors: van Doorslaer E,Wagstaff A,Calonge S,Christiansen T,Gerfin M,Gottschalk P,Janssen R,Lachaud C,Leu RE,Nolan B

    更新日期:1992-12-01 00:00:00

  • Standard errors for the retransformation problem with heteroscedasticity.

    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

    authors: Ai C,Norton EC

    更新日期:2000-09-01 00:00:00

  • Health insurance and imperfect competition in the health care market.

    abstract::We show that when health care providers have market power and engage in Cournot competition, a competitive upstream health insurance market results in over-insurance and over-priced health care. Even though consumers and firms anticipate the price interactions between these two markets - the price set in one market af...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2006.03.003

    authors: Vaithianathan R

    更新日期:2006-11-01 00:00:00

  • The Vaccination Kuznets Curve: Do vaccination rates rise and fall with income?

    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

    authors: Sakai Y

    更新日期:2018-01-01 00:00:00

  • The diffusion of innovations in hospitals. Some econometric considerations.

    abstract::Empirical studies of the diffusion of innovations have not addressed adequately econometric problems that are characteristic of such analyses. Reanalysis of data for five innovations using an estimator with desirable statistical properties results in a considerably revised estimate of the impact of prospective reimbur...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(85)90014-1

    authors: Lee RH,Waldman DM

    更新日期:1985-12-01 00:00:00

  • A re-examination of the meaning and importance of supplier-induced demand.

    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

    authors: Labelle R,Stoddart G,Rice T

    更新日期:1994-10-01 00:00:00

  • The effect of college education on mortality.

    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

    authors: Buckles K,Hagemann A,Malamud O,Morrill M,Wozniak A

    更新日期:2016-12-01 00:00:00

  • Heightened mortality after the death of a spouse: marriage protection or marriage selection?

    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

    authors: Espinosa J,Evans WN

    更新日期:2008-09-01 00:00:00

  • Using a discrete choice experiment to elicit the demand for a nutritious food: willingness-to-pay for orange maize in rural Zambia.

    abstract::Using a discrete choice experiment, this paper estimates the willingness to pay for biofortified orange maize in rural Zambia. The study design has five treatment arms, which enable an analysis of the impact of nutrition information, comparing the use of simulated radio versus community leaders in transmitting the nut...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2012.01.002

    authors: Meenakshi JV,Banerji A,Manyong V,Tomlins K,Mittal N,Hamukwala P

    更新日期:2012-01-01 00:00:00

  • A note on 'Economic conditions and alcohol problems'.

    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

    authors: Freeman DG

    更新日期:1999-10-01 00:00:00

  • Do maximum waiting times guarantees change clinical priorities for elective treatment? Evidence from Scotland.

    abstract::The level and distribution of patient waiting times for elective treatment are a major concern in publicly funded health care systems. Strict targets, which have specified maximum waiting times, have been introduced in the NHS over the last decade and have been criticised for distorting existing clinical priorities in...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2015.02.001

    authors: Nikolova S,Sinko A,Sutton M

    更新日期:2015-05-01 00:00:00

  • Competition and equity in health care markets.

    abstract::We provide a model where hospitals compete on quality under fixed prices to investigate how hospital competition affects (i) quality differences between hospitals, and as a result, (ii) health inequalities across hospitals and patient severities. The answer to the first question is ambiguous and depends on factors rel...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2018.12.002

    authors: Siciliani L,Straume OR

    更新日期:2019-03-01 00:00:00