Abstract:
:In this paper, we examine the relationships between health care visits to general practitioners, public and private sector specialists using data from Italy, which has a mixed public-private health care system. We develop a simultaneous equations model that allows for the discreteness of measures of utilization and estimate this model using maximum simulated likelihood. Once common unobserved heterogeneity is properly accounted for, general practitioners, public and private specialists are found to be substitute sources of medical care. In contrast, a naive model finds they are complements.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Atella V,Deb Pdoi
10.1016/j.jhealeco.2007.10.006subject
Has Abstractpub_date
2008-05-01 00:00:00pages
770-85issue
3eissn
0167-6296issn
1879-1646pii
S0167-6296(07)00089-6journal_volume
27pub_type
杂志文章abstract::EQ-5D is used in cost-effectiveness studies underlying many important health policy decisions. It comprises a survey instrument describing health states across five domains, and a system of utility values for each state. The original 3-level version of EQ-5D is being replaced with a more sensitive 5-level version but ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.06.013
更新日期:2017-09-01 00:00:00
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
更新日期:2013-12-01 00:00:00
abstract::Using the theory of multiproduct cost functions, a treatment cost function is derived for diseases which progress through a number of stages. The output classes are conceived as the stages at detection of the disease, with the unit of output within each class being the treated case. The derivation clarifies the assump...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(95)00007-5
更新日期:1995-08-01 00:00:00
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
更新日期:1995-10-01 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::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::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
更新日期:2002-05-01 00:00:00
abstract::As health care costs increase, cost-control mechanisms become more widespread and it is crucial to understand their implications for the health care market. This paper examines the effect that managed care activity (based on the aim to control health care expenditure) has on the adoption of technologies by hospitals. ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2008.02.009
更新日期:2008-07-01 00:00:00
abstract::The US health insurance industry is highly concentrated, and health insurance premiums are high and rising rapidly. Policymakers have focused on the possible link between the two, leading to ACA provisions to increase insurer competition. However, while market power may enable insurers to include higher profit margins...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2015.03.009
更新日期:2015-07-01 00:00:00
abstract::The price effects of the Swedish pharmaceutical substitution reform are analyzed using data for a panel of all pharmaceutical product sold in Sweden in 1997-2007. The price reduction due to the reform was estimated to average 10% and was found to be significantly larger for brand-name pharmaceuticals than for generics...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2010.08.003
更新日期:2010-12-01 00:00:00
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...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2003.10.004
更新日期:2004-05-01 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
doi:10.1016/j.jhealeco.2010.02.001
更新日期:2010-05-01 00:00:00
abstract::Average wages from 2,275 general hospitals in metropolitan areas across the U.S. were used to test for a wage gradient descending from hospitals in the central city through those in urbanized and finally non-urbanized areas of each county-defined metropolitan area. Significant gradients were found in MSAs of all sizes...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/0167-6296(89)90005-2
更新日期:1989-06-01 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::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::This study seeks to simulate the portion of moral hazard that is due to the income transfer contained in the coinsurance price reduction. Healthcare spending of uninsured individuals from the MEPS with a priority health condition is compared with the predicted counterfactual spending of those same individuals if they ...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2017.12.003
更新日期:2018-01-01 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::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::We conducted a field experiment comparing hypothetical and real purchase decisions for a pharmacist provided asthma management program among 172 subjects with asthma. Subjects received either a dichotomous choice contingent valuation question or were given the opportunity to actually enroll in the program. Three diffe...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/s0167-6296(01)00075-3
更新日期:2001-05-01 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 paper presents an application of the Duclos et al. [Duclos, J.-Y., Jalbert, V., Araar A., 2003. Classical horizontal inequity and reranking: an integrated approach. Research on Economic Inequality 10, 65-100] decomposition to an analysis of the 1998 Swiss health system financing. We see that in addition to measur...
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
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 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::This paper examines the impact of parental illness on children's education. We find that only father's illness decreases children's school attendance. Father's illness also has long-term impacts on child education, as it decreases children's likelihood of completing primary school and leads to fewer years of schooling...
journal_title:Journal of health economics
pub_type: 杂志文章
doi:10.1016/j.jhealeco.2015.09.004
更新日期:2015-12-01 00:00:00
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
更新日期:2000-09-01 00:00:00
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::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::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::Despite the growing literature on economic evaluation of health care programmes, little attention has been paid to the theoretical foundations of cost-effectiveness and cost utility analyses and the validity of the decision rules adopted as methods of achieving the stated goals. We show that although applications of t...
journal_title:Journal of health economics
pub_type: 杂志文章,评审
doi:10.1016/0167-6296(92)90004-k
更新日期:1992-10-01 00:00:00
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
更新日期:2015-05-01 00:00:00