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 conditional distribution. This nested Monte Carlo approach can result in biased estimates if small numbers of inner samples are used and can require a large number of model runs for accurate partial EVPI estimates. We present a simple algorithm to estimate the EVPI bias and confidence interval width for a specified number of inner and outer samples. The algorithm uses a relatively small number of model runs (we suggest approximately 600), is quick to compute, and can help determine how many outer and inner iterations are needed for a desired level of accuracy. We test our algorithm using three case studies.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
Oakley JE,Brennan A,Tappenden P,Chilcott Jdoi
10.1016/j.jhealeco.2010.03.006subject
Has Abstractpub_date
2010-05-01 00:00:00pages
468-77issue
3eissn
0167-6296issn
1879-1646pii
S0167-6296(10)00047-0journal_volume
29pub_type
杂志文章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
更新日期：2018-01-01 00:00:00
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
更新日期：2010-01-01 00:00:00
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
更新日期：2009-05-01 00:00:00
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
更新日期：2005-07-01 00:00:00
abstract：:This paper analyzes the impact of trans fat bans on cardiovascular disease (CVD) mortality rates. Several New York State jurisdictions have restricted the use of ingredients containing artificial trans fat in food service establishments. The resulting within-county variation over time and the differential timing of th...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2015.09.005
更新日期：2016-01-01 00:00:00
abstract：:The determinants of the frequency of Canadian malpractice claims, the proportion of claims that result in payment, and the severity of these claims are examined. Inter-specialty variation in the frequency of malpractice claims is almost entirely related to the differential performance of major surgery. Various legal d...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/0167-6296(91)90002-5
更新日期：1991-07-01 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：: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：: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
更新日期：2017-03-01 00:00:00
abstract：:Policymakers in countries around the world are faced with rising health care costs and are debating ways to reform health care to reduce expenditures. Estimates of price elasticity of expenditure are a key component for predicting expenditures under alternative policies. Using unique individual-level data compiled fro...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2012.07.002
更新日期：2012-12-01 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：: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
更新日期：1992-12-01 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：: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：: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
更新日期：2016-05-01 00:00:00
abstract：:We examine the effects of a "per-episode fee limit" that was recently implemented as a cost-control policy in China's health care system. Using hospital administrative data on a rural public health insurance program in China, we find that hospital departments dynamically adjust episode fees in response to the level of...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2018.06.008
更新日期：2018-09-01 00:00:00
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
更新日期：2011-01-01 00:00:00
abstract：:The measurement unit disability-adjusted life years (DALYs), used in recent years to quantify the burden of diseases, injuries and risk factors on human populations, is grounded on cogent economic and ethical principles and can guide policies toward delivering more cost-effective and equitable health care. DALYs follo...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(97)00004-0
更新日期：1997-12-01 00:00:00
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
更新日期：1998-01-01 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：: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：:Tradeoffs between health and wealth are among the most important decisions individuals make, and are central to social and economic policy. Yet, only a few studies have investigated the utility of health and wealth empirically. This paper investigates this utility function both theoretically and empirically. We conduc...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2012.02.003
更新日期：2012-03-01 00:00:00
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 es...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2007.10.006
更新日期：2008-05-01 00:00:00
abstract：:In this paper, we propose a flexible "two-part" random effects model (Olsen and Schafer, 2001; Tooze et al., 2002) for correlated medical cost data. Typically, medical cost data are right-skewed, involve a substantial proportion of zero values, and may exhibit heteroscedasticity. In many cases, such data are also obta...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2009.11.010
更新日期：2010-01-01 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：:Despite its salience as a regulatory tool to ensure the delivery of unprofitable medical services, cross-subsidization of services within hospital systems has been notoriously difficult to detect and quantify. We use repeated shocks to a profitable service in the market for hospital-based medical care to test for cros...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2014.06.007
更新日期：2014-09-01 00:00:00
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
更新日期：2005-05-01 00:00:00
abstract：:Proponents of tort reform applied to medical malpractice argue for change partly on the premise that the threat of lawsuits has made medical care more costly. Using U.S. longitudinal data from the National Long-Term Care Survey merged with Medicare claims and other data for 1985-2000, this study assesses whether tort ...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/j.jhealeco.2008.12.006
更新日期：2009-03-01 00:00:00
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：:This paper is concerned with the pricing behaviour of providers of residential care for people with mental health problems. Two aspects of pricing were considered. First, are there differences between providers' market power and their actual mark-up rates (e.g. due to differences in motivation)? Second, do the differe...
journal_title：Journal of health economics
pub_type： 杂志文章
doi：10.1016/s0167-6296(00)00040-0
更新日期：2000-11-01 00:00:00
