Abstract：
:Measuring the lifetime costs and benefits of medical technologies is essential in evaluating technological change and determining the productivity of medical care. Using data on Medicare beneficiaries with a heart attack in the late 1980s and 17 years of follow up data, I evaluate the long-term costs and benefits of revascularization after a heart attack. I account for non-random selection into treatment with instrumental variables; following McClellan, McNeil, and Newhouse, the instrument is the differential distance to a hospital capable of providing revascularization. The results show that revascularization is associated with over 1 year of additional life expectancy, at a cost of about $40,000. Revascularization, or other treatments correlated with it, appears to be highly cost-effective.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Cutler DMdoi
10.1016/j.jhealeco.2007.09.003subject
Has Abstractpub_date
2007-12-01 00:00:00pages
1081-100issue
6eissn
0167-6296issn
1879-1646pii
S0167-6296(07)00058-6journal_volume
26pub_type
杂志文章abstract：:Post-war expansion of education in France transformed the distribution of schooling for the cohorts born between the 1940s and the 1970s. However, throughout this expansion the proportion with the highest levels of qualifications remained stable, providing a natural control group. We evaluate the impact of schooling o...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2011.05.002
更新日期：2011-07-01 00:00:00
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：: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：: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：:Understanding how physicians respond to incentives from payment schemes is a central concern in health economics research. We introduce a controlled laboratory experiment to analyse the influence of incentives from fee-for-service and capitation payments on physicians' supply of medical services. In our experiment, ph...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2011.05.001
更新日期：2011-07-01 00:00:00
abstract：:The magnitude of the value of a statistical life (VSL) is critical to the evaluation of many health and safety initiatives. To date, the large and rigorous VSL research literature has not explicitly accommodated publication selectivity bias (i.e., the reduced probability that insignificant or negative VSL values are r...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2011.10.001
更新日期：2012-01-01 00:00:00
abstract：:A new method is proposed to assess and improve the performance of risk equalization models in competitive markets for individual health insurance, where compensation is intended for variation in observed expenditures due to so-called S(ubsidy)-type risk factors but not for variation due to other, so-called N(on-subsid...
journal_title：Journal of health economics
pub_type： 杂志文章
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更新日期：2010-05-01 00:00:00
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journal_title：Journal of health economics
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jhealeco.2012.05.004
更新日期：2012-07-01 00:00:00
abstract：:Between 1991 and 1998 English general practices had the option of holding budgets for prescribing and elective secondary care. Fundholding was reintroduced in 2005. We examine the effect of fundholding on patients' satisfaction with their practice, using a cross section of 4441 patients from 60 practices in the last y...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2006.12.003
更新日期：2007-07-01 00:00:00
abstract：:The conventional theory of optimal coinsurance rates for health insurance with moral hazard indicates that coinsurance should vary with the price responsiveness or price-elasticity of demand for different medical services. An alternative theory called "value-based cost sharing" indicates that coinsurance should be low...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2008.07.003
更新日期：2008-12-01 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 present findings from a field experiment conducted at 40 elementary schools involving 8000 children and 400,000 child-day observations, which tested whether providing short-run incentives can create habit formation in children. Over a 3- or 5-week period, students received an incentive for eating a serving of fruit...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2015.11.004
更新日期：2016-01-01 00:00:00
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journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2008.07.009
更新日期：2008-12-01 00:00:00
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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：:Evaluating Accountable Care Organizations is difficult because there is a great deal of heterogeneity in terms of their reimbursement incentives and other programmatic features. We examine how variation in reimbursement incentives and administration among two Medicaid managed care plans impacts utilization and spendin...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2014.03.001
更新日期：2014-07-01 00:00:00
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journal_title：Journal of health economics
pub_type： 杂志文章
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更新日期：2020-03-01 00:00:00
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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：:Youth smoking is an important target for public policy. The implicit assumption behind targeting youth is that policies that reduce youth smoking initiation will reduce lifetime smoking propensities. This assumption has never been tested empirically. I use data from the National Longitudinal Survey of Youth (NLSY) to ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(01)00118-7
更新日期：2002-01-01 00:00:00
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journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2008.05.009
更新日期：2008-09-01 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
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更新日期：2018-03-01 00:00:00
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journal_title：Journal of health economics
pub_type： 杂志文章
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journal_title：Journal of health economics
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journal_title：Journal of health economics
pub_type： 杂志文章
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更新日期：2018-01-01 00:00:00
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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：: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：:Recent analyses suggest that cigarette excise taxes lower prenatal smoking. It is unclear, however, whether the association between taxes and prenatal smoking represents a decline among women of reproductive age or a particular response by pregnant women. We address this question directly with an analysis of quit and ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2003.06.003
更新日期：2003-11-01 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：:Despite the rapidly aging population, relatively little is known about how cost sharing affects the elderly's medical spending. Exploiting longitudinal claims data and the drastic reduction of coinsurance from 30% to 10% at age 70 in Japan, we find that the elderly's demand responses are heterogeneous in ways that hav...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2015.10.005
更新日期：2016-01-01 00:00:00
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journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(95)00033-x
更新日期：1996-02-01 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
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更新日期：1999-04-01 00:00:00
