Progressivity, horizontal inequality and reranking caused by health system financing: a decomposition analysis for Switzerland.

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 measuring horizontal inequality in the classical sense, this decomposition is more efficient and flexible than earlier ones. It is also pointed out that methods involving a nonparametric estimation lead to asymptotically biased vertical and horizontal effects. A procedure to estimate this bias is given. Finally, it is shown that despite a major reform, health system financing is still very regressive and social health insurance is more regressive than direct financing.

journal_name

J Health Econ

authors

Bilger M

doi

10.1016/j.jhealeco.2008.07.009

subject

Has Abstract

pub_date

2008-12-01 00:00:00

pages

1582-93

issue

6

eissn

0167-6296

issn

1879-1646

pii

S0167-6296(08)00096-9

journal_volume

27

pub_type

杂志文章
  • Contracting for health services when patient demand does not reflect quality.

    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

    authors: Chalkley M,Malcomson JM

    更新日期:1998-01-01 00:00:00

  • The effect of premiums on the decision to participate in health insurance and other fringe benefits offered by the employer: evidence from a real-world experiment.

    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

    authors: Royalty AB,Hagens J

    更新日期:2005-01-01 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

  • The changing effects of competition on non-profit and for-profit hospital pricing behavior.

    abstract::Has the nature of hospital competition changed from a medical arms race in which hospitals compete for patients by offering their doctors high quality services to a price war for the patients of payors? This paper uses time-series cross-sectional methods on California hospital discharge data from 1986-1994 to show the...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(98)00036-8

    authors: Keeler EB,Melnick G,Zwanziger J

    更新日期:1999-01-01 00:00:00

  • Participation and screening programmes for colorectal cancer: more would be better?

    abstract::In clinical terms, a screening compliance rate of 100% may be deemed optimal in that the number of abnormalities detected is thereby maximized. This paper explores optimum compliance rates from the cost-effectiveness point of view by modelling the individual's decision to participate in the screening programme. Using ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/0167-6296(91)90004-7

    authors: Walker A,Whynes DK

    更新日期:1991-07-01 00:00:00

  • The incidence of the healthcare costs of obesity.

    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

    authors: Bhattacharya J,Bundorf MK

    更新日期:2009-05-01 00:00:00

  • Slippery when wet: the effects of local alcohol access laws on highway safety.

    abstract::Using detailed panel data on local alcohol policy changes in Texas, this paper tests whether the effect of these changes on alcohol-related accidents depends on whether the policy change involves where the alcohol is consumed and the type of alcohol consumed. After controlling for both county and year fixed effects, w...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(01)00103-5

    authors: Baughman R,Conlin M,Dickert-Conlin S,Pepper J

    更新日期:2001-11-01 00:00:00

  • Case mix adjustment in hospital cost analysis: information theory revisited.

    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

    authors: Barer ML

    更新日期:1982-05-01 00:00:00

  • The role of retiree health insurance in the early retirement of public sector employees.

    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

    authors: Shoven JB,Slavov SN

    更新日期:2014-12-01 00:00:00

  • The effect of cigarette excise taxes on smoking before, during and after pregnancy.

    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

    authors: Colman G,Grossman M,Joyce T

    更新日期:2003-11-01 00:00:00

  • Overworked? On the relationship between workload and health worker performance.

    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

    authors: Maestad O,Torsvik G,Aakvik A

    更新日期:2010-09-01 00:00:00

  • R&D policy, agency costs and innovation in personalized medicine.

    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

    authors: Yin W

    更新日期:2009-09-01 00:00:00

  • The effect of comorbidities on treatment decisions.

    abstract::Medical decision analyses typically focus on one disease, that is, on one source of risk. In many medical decisions multiple sources of risk co-exist, however. This paper analyzes the effect of such comorbidities on treatment decisions. The effect of comorbidities on treatment decisions depends primarily on the way in...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/S0167-6296(03)00045-6

    authors: Bleichrodt H,Crainich D,Eeckhoudt L

    更新日期:2003-09-01 00:00:00

  • How disability insurance reforms change the consequences of health shocks on income and employment.

    abstract::This paper examines whether Dutch disability insurance reforms have helped or hindered employment opportunities of workers that are facing unanticipated shocks to their health. An important component of the reforms was to make employers responsible for paying sickness benefits and to strengthen their sickness monitori...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2018.09.004

    authors: Hullegie P,Koning P

    更新日期:2018-11-01 00:00:00

  • On the estimation of hospital cost functions.

    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

    authors: Vitaliano DF

    更新日期:1987-12-01 00:00:00

  • Is prenatal care really ineffective? Or, is the 'devil' in the distribution?

    abstract::Prenatal care should improve infant health, yet research frequently finds only weak effects. If there are two kinds of pregnancies, 'complicated' and 'normal' ones, then combining these pregnancies may lead prenatal care to appear ineffective. Data from the National Maternal and Infant Health Survey (NMIHS) offers com...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2004.09.012

    authors: Conway KS,Deb P

    更新日期:2005-05-01 00:00:00

  • The internal consistency of the standard gamble: tests after adjusting for prospect theory.

    abstract::This article reports a study that tests whether the internal consistency of the standard gamble can be improved upon by incorporating loss weighting and probability transformation parameters in the standard gamble valuation procedure. Five alternatives to the standard EU formulation are considered: (1) probability tra...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/S0167-6296(03)00023-7

    authors: Oliver A

    更新日期:2003-07-01 00:00:00

  • Adjusting to changes in health: implications for cost-effectiveness analysis.

    abstract::This article introduces a model in which individuals incur adjustment costs associated with adaptations made following changes in their health. With adjustment costs, patients' preferences for health states depend on their initial health in such a way that improvements have lower values than corresponding deterioratio...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2003.12.004

    authors: Sharma R,Stano M,Haas M

    更新日期:2004-03-01 00:00:00

  • The social value of mortality risk reduction: VSL versus the social welfare function approach.

    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

    authors: Adler MD,Hammitt JK,Treich N

    更新日期:2014-05-01 00:00:00

  • Do health changes affect smoking? Evidence from British panel data.

    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

    authors: Clark A,Etilé F

    更新日期:2002-07-01 00:00:00

  • Advance directives and medical treatment at the end of life.

    abstract::To assess the consequences of advance medical directives--which explicitly specify a patient's preferences for one or more specific types of medical treatment in the event of a loss of competence--we analyze the medical care of elderly Medicare beneficiaries who died between 1985 and 1995. We compare the care of patie...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2003.08.006

    authors: Kessler DP,McClellan MB

    更新日期:2004-01-01 00:00:00

  • Price adjustment in the hospital sector.

    abstract::We analyse the properties of optimal price adjustment to hospitals when no lump-sum transfers are allowed and when prices differ to reflect observable exogenous differences in costs. We find that: (a) when the marginal benefit from treatment is decreasing and the cost function is the power function, price adjustment f...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2010.09.001

    authors: Miraldo M,Siciliani L,Street A

    更新日期:2011-01-01 00:00:00

  • Cream-skimming, incentives for efficiency and payment system.

    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

    authors: Barros PP

    更新日期:2003-05-01 00:00:00

  • Decomposition of moral hazard.

    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

    authors: Nyman JA,Koc C,Dowd BE,McCreedy E,Trenz HM

    更新日期:2018-01-01 00:00:00

  • 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 ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2004.10.001

    authors: Bleichrodt H,Doctor J,Stolk E

    更新日期:2005-07-01 00:00:00

  • An economic evaluation of the war on cancer.

    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

    authors: Lakdawalla DN,Sun EC,Jena AB,Reyes CM,Goldman DP,Philipson TJ

    更新日期:2010-05-01 00:00:00

  • Health economics and applications in developing countries.

    abstract::The concept of health human capital guides the statistical study of (1) health production functions, (2) derived demands for medical and behavioral health inputs, and (3) determinants of health and productivity outcomes. Health inputs are generally endogenous to health outcomes, and prices of health inputs are the mos...

    journal_title:Journal of health economics

    pub_type: 评论,杂志文章

    doi:10.1016/j.jhealeco.2004.04.002

    authors: Schultz TP

    更新日期:2004-07-01 00:00:00

  • Enhanced fee-for-service model and physician productivity: evidence from Family Health Groups in Ontario.

    abstract::We study an enhanced fee-for-service model for primary care physicians in the Family Health Groups (FHG) in Ontario, Canada. In contrast to the traditional fee-for-service (FFS) model, the FHG model includes targeted fee increases, extended hours, performance-based initiatives, and patient enrolment. Using a long pane...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2010.10.005

    authors: Kantarevic J,Kralj B,Weinkauf D

    更新日期:2011-01-01 00:00:00

  • Social networks and health service utilization.

    abstract::While social networks have been examined in the context of many economic choices and outcomes, this study is the first to investigate the effects of social networks on health service utilization decisions. Networks can affect utilization decisions in many ways. They can provide information on institutional details of ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/j.jhealeco.2005.03.008

    authors: Deri C

    更新日期:2005-11-01 00:00:00

  • Alcohol dependence and the price of alcoholic beverages.

    abstract::This study estimates the impact of the price of alcoholic beverages on latent dimensions of current alcohol dependence and abuse. A three-part econometric model is used to estimate the impact of price on three latent dimensions (factors). For heavier drinking, the estimated price elasticity is -1.325 (P = 0.027); for ...

    journal_title:Journal of health economics

    pub_type: 杂志文章

    doi:10.1016/s0167-6296(02)00099-1

    authors: Farrell S,Manning WG,Finch MD

    更新日期:2003-01-01 00:00:00