Download or read book Essays in the Economics of Health and Medical Care written by Victor R. Fuchs and published by New York : National Bureau of Economic Research distributed by Columbia University Press. This book was released on 1972 with total page 272 pages. Available in PDF, EPUB and Kindle. Book excerpt: Collection of essays on the economics of health and health services in the USA - covers supply and demand, budgetary resources, cost and objectives with regard to medical care, and considers wages and income distribution among medical personnel, effects of health care on labour productivity, etc. References and statistical tables.

Download or read book Essays on the Economics of Healthcare and Health written by Laia Bosque Mercader and published by . This book was released on 2022 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Essays in the Economics of Healthcare and Health Insurance written by Bradley Thomas Howells and published by . This book was released on 2011 with total page 218 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation contributes in two distinct ways to our understanding of the economics of healthcare and health insurance. Chapter 2 studies the decision process by which physicians allocate medical treatments to heart attack patients. The approach provides insight into the sources of well documented, but unexplained, disparities across demographic dimensions in health care utilization rates and health outcomes. In the model medical providers know how treatment alternatives affect patient-specific probabilities of three final health outcomes - death, readmission, and survival without readmission - and assign implicit values to each outcome that vary by patient age. The model does well in explaining the joint variation in treatments and outcomes, especially when including unobserved patient heterogeneity. Using decomposition methods, I show that a substantial fraction of gender differences in the use of intensive treatment is explained by a combination of the differences in the relative efficacy of treatment options for female patients, and the smaller implicit weight given to final outcomes of older patients. Chapter 3 explores how reforms to cash-assistance welfare programs in the United States in the mid 1990s acted as a structural shift in the health insurance and employment environment of lower income single mothers and find there may have been unintended consequences for this population's access to health insurance. With a more structured approach than is common in the literature, I estimate short and long run employment and insurance dynamics before and after the reforms. I show that reform reduced use of cash-assistance and increased the probability of employment, but created a less stable employment and health insurance environment. After the reform low income single mothers were less likely to retain the same employment and insurance status over a four month period. Although policy did not target Medicaid eligibility, individuals were less likely to retain Medicaid enrollment over the short and longer run after reform.

Download or read book A Quest for Certainty written by Clarence Rufus Rorem and published by . This book was released on 1982 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book contains essays from the 1930s to 1970s on medical economics and describe efforts to achieve certainty in the costs and quality of health care, especially through group practice, group payment and areawide planning.

Download or read book Essays in the Economics of Healthcare written by George Stoye and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Three Essays in the Economics of Health written by Achintya Ray and published by . This book was released on 2004 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Five Essays on the Economics of Health and Health Care written by Gregory Gill Lubiani and published by . This book was released on 2012 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: This doctoral dissertation consists of five essays in applied microeconomics with focus on healthcare economics and health services research. The first three are innovative being the first in the health economics literature to investigate different distinct aspects of modeling the economic contents of U.S. physical therapy production using the generalized flexible translog (GTL) dual cost model and iterative seemingly unrelated regression estimation (ISURE) technique. Using the higher frequency (bi-weekly) panel dataset, pair-wise input factor relationships of three distinct labor types are examined for the fast growing industry, which has up to now lacked current economic investigation due to data paucity. Pair-wise factor relationships (isoquant curvature) were investigated for three competing conceptual measures of the elasticity of substitution (own- and cross-price, Allen-Uzawa, Morishima, and shadow), as well as scale economies at constant output. Second, three Pythagorean means (arithmetic, harmonic and geometric) were investigated for appropriateness as the mean expansion point for the GTL model. Finally, statistical tests were conducted indicating that pediatric and adult clinics operate with distinct underlying technologies. The final two essays incorporate health economics and health services, research in the study of patient care decision, as it relates to Do Not Resuscitate (DNR) orders, and the impact of the decision on health outcomes. The DNR papers, using Probit and propensity score research methodologies, are the first to utilize a large, comprehensive patient discharge dataset to provide insights into the potential implications for healthcare policy, patient awareness and care, most notably for the rapidly aging baby-boomer population.

Download or read book Essays on the Economics of Information Sharing in Healthcare written by Yeongin Kim and published by . This book was released on 2018 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Since the passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act to reform the U.S. healthcare system, health information technology (IT) has attracted much attention from researchers, care practitioners, patients, and policy makers. Among various aspects of IT use in healthcare, information sharing has been considered as a key component in improving U.S. healthcare. In spite of numerous efforts to meaningfully use IT for information sharing, inefficiency issues still remain. This dissertation studies the economics of information sharing in healthcare and provides insights to formulate the right mechanisms to achieve the goal of IT-driven healthcare reform. The first essay examines the contract issues between a policy maker and care providers that can cooperate by implementing health information exchanges (HIEs). Using a gametheoretical model, we show that neither the traditional fee-for-service (FFS) payment model nor the pay-for-performance (P4P) models induce socially optimal outcomes, while an episodebased payment (EBP) model we identified induces the socially desirable effort levels and HIEs adoption. We further show that the value of an HIE is the highest under the FFS model and the lowest under the P4P models. Our findings imply that as payment models evolve over time, there is a real need to reevaluate the value of information sharing though HIE and the government policies that induce providers to adopt an HIE. The second essay studies the role of information sharing in formulation of policy instruments under the new risks of providers’ medical ligation owing to health IT. Specifically, we examine the role of information sharing in formulation of policies on healthcare operations in the presence of physicians’ liability concerns by using a game-theoretic model. We find when litigation is a concern, an underprovisioning policy may become optimal under the litigation risk, depending on the benefit and cost of the health service. We further show that strategically controlling the sharing of risk information restores the optimality of a standard policy (non-underprovisioning). The results of this study imply that the widespread practice of information sharing may induce underutilization of care resources to mitigate the medico-legal risks due to health IT. In the last essay, we study the impact of patient portals on treatment outcomes in the context of kidney allocation for transplant. Using a longitudinal data set of kidney transplant cases, we empirically show that with the implementation of patient portals for information sharing, patients are more likely to use care resources (donated kidneys) that are underutilized without access to a patient portal. However, the impact could be heterogeneous on sub-populations. This indicates that the efforts to bridge the digital divide may benefit some groups of patients at the expense of other groups, leading to further service disparities in the care service.

Download or read book Medicine and Social Justice written by Rosamond Rhodes and published by Oxford University Press. This book was released on 2012-07-16 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Because medicine can preserve life, restore health and maintain the body's functions, it is widely acknowledged as a basic good that just societies should provide for their members. Yet, there is wide disagreement over the scope and content of what to provide, to whom, how, when, and why. In this unique and comprehensive volume, some of the best-known philosophers, physicians, legal scholars, political scientists, and economists writing on the subject discuss what social justice in medicine should be. Their contributions deepen our understanding of the theoretical and practical issues that run through the contemporary debate. The forty-two chapters in this reorganized second edition of Medicine and Social Justice update and expand upon the thirty-four chapters of the 2002 first edition. Eighteen chapters from the original volume are revised to address policy changes and challenging issues that have emerged in the intervening decade. Twenty-two of the chapters in this edition are entirely new. The treatment of foundational theory and conceptual issues related to access to health care and rationing medical resources have been expanded to provide a more comprehensive and nuanced discussion of the background concepts that underlie distributive justice debates, with global perspectives on health and well-being added. New additions to the section on health care justice for specific populations include chapters on health care for the chronically ill, soldiers, prisoners, the severely cognitively disabled, and the LGBT population. The section devoted to dilemmas and priorities addresses an array of topics that have recently become especially pressing because of new technologies or altered policies. New chapters address questions of justice related to genetics, medical malpractice, research on human subjects, pandemic and disaster planning, newborn screening, and justice for the brain dead and those with profound neurological injury. Reviews of the first edition: "This compilation brings a variety of perspectives, national settings, and disciplinary backgrounds to the topic and provides a unique survey of theoretical and applied thinking about the connections between health care and social justice... Physicians and others interested in this field will find this book an engaging introduction to the theoretical and practical challenges pertaining to social justice and health care." New England Journal of Medicine "Although much work in bioethics has focused on clinical encounters, there has been a current of discussion about questions of social justice for decades-at least since the allocation of access to dialysis was widely understood in the 1960s to be a matter of justice, not of medical judgment. This volume will facilitate heightened awareness and deeper discussion of such issues." JAMA "Impressively, the editors have chosen an array of essays that explore the philosophical and bioethical foundations of distributive justice; review the current practice of rationing and patients' access to care in a number of different countries; highlight the issues raised by various special needs groups; and then wrestle with some dilemmas in assessing priorities in distributing healthcare... This book is an excellent resource. " Doody's

Download or read book Three essays in applied health economics written by Christian Philipp Schmid and published by . This book was released on 2014 with total page 146 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Three Essays in Healthcare Economics written by Marco D. Huesch and published by . This book was released on 2008 with total page 522 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Being Reasonable about the Economics of Health written by Alan Williams and published by Edward Elgar Publishing. This book was released on 1997 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book gathers together, for the first time, a selection of the most important works of one of the world's most distinguished health economists - Alan Williams. It covers an extensive range of subjects in which Alan Williams has been decisively influential, and combines a moral approach to health economics with theoretical clarity and careful empirical application. The topics examined represent Alan Williams's humane principles as applied within practical contexts. At times these principles go against the current thinking in health economics and the financing of health care services. Despite this, his innovative contribution to health care economics has resulted in his work becoming an essential part of the subject. His pioneering research includes the meaning and measurement of health and need, cost-benefit analysis in health care, priority setting, quality adjusted life years (their invention, measurement and valuation), technology assessment and decision analysis. In each of these areas Alan Williams was a pioneer, and conventional practice in each case embodies methods and techniques devised or developed by him. This unique book offers insights into the vast experience of Alan Williams in both academia and policy making, and collects together papers which have not been widely disseminated. As such it will be of special interest to health economists, policymakers, health services managers, political scientists, health administrators and academics in social policy and social administration.

Download or read book Empirical Essays on the Economics of Healthcare and Education written by Ines Lee and published by . This book was released on 2020 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Essays in the Labor Economics of Healthcare written by Erin Metcalf Johnson and published by . This book was released on 2010 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: This dissertation uses tools and models from labor economics to study two information problems in healthcare markets: the uncertainty of patients regarding the quality of medical care and the asymmetry of information between physicians and patients. These problems may lead to market failure and impact patient care, but our current understanding of the consequences of each is imperfect. I first consider patients' difficulty in determining the quality of medical services, focusing on technical skill of cardiac specialists. While it is difficult for patients to judge the skill of cardiac specialists due to information problems, referring doctors may have access to quality information unavailable to patients. This chapter considers whether the referral relationship between primary care physicians and specialists mitigates problems arising from patients' lack of information in this context. In particular, I measure the extent to which referring doctors learn about specialist quality by observing patient outcomes and use this information to select specialists on patients' behalf. This chapter presents a model of the referral relationship with public learning by PCPs about specialist quality. The model makes predictions for specialists' careers. In general terms, the model predicts that careers of specialists should diverge by quality over time. I test predictions of the model using the universe of Medicare claims filed by cardiac specialists in the U.S. from 1996-2005. Specifically, I compare careers of higher and lower quality specialists using a new measure of specialist quality that is robust to nonrandom patient sorting. The evidence suggests some degree of learning by PCPs: lower quality specialists are significantly more likely to drop out of the labor market and to change geographic markets over time. For young cohorts, learning also results in improved sorting of patients to providers based on risk characteristics over time. The next chapter, which is joint work with M. Marit Rehavi, addresses the asymmetry of information between physicians and patients. Specifically, it measures the extent of agency problems arising from this inequality, focusing on the decision to perform C-sections. We do this by comparing the probability of receiving a C-section for physician-patients with the probability for non-physician professionals. The research design exploits the fact that physicians are better informed regarding the appropriateness of recommendations and treatments than the average professional. As such, treatments for this group provide a near-fully-informed baseline that allows us to isolate the effects of information and agency problems. We carry out this analysis using vital statistics data from the state of Texas, including every registered birth from 1995-2008. We find evidence consistent with agency problems in the physician-patient relationship. Physician-patients are approximately 5% less likely to have a C-section than other highly educated patients, controlling for relevant medical factors. This difference is even larger when the mother is the physician, and it comes almost entirely from non-emergecy C-sections. Findings are consistent with significant agency problems, and these appear to have increased in importance over the sample period.

Download or read book Essays on Health Economics written by Gun Sundberg and published by . This book was released on 1996 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Download or read book Contemporary Health Economics Essays written by Shastri Pandey and published by . This book was released on 2023-08-11 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Contemporary Health Economics Essays" by Shastri Pandey offers a comprehensive exploration of the dynamic intersection between economics and modern healthcare systems. With a meticulous blend of insightful analysis and empirical research, Pandey delves into the pressing issues that shape health economics in today's world. This collection of essays presents a thought-provoking journey through topics such as healthcare policy reform, cost-effectiveness analysis, insurance market dynamics, and the role of technology in shaping healthcare delivery. Pandey's incisive writing elucidates the intricate relationships between economic principles, public health, and healthcare outcomes, shedding light on the challenges and opportunities faced by policymakers, practitioners, and researchers. Through rigorous examination and lucid exposition, Pandey navigates the reader through the complexities of health economics, unraveling its impact on healthcare accessibility, affordability, and quality. Drawing from a rich array of data and contemporary case studies, the author stimulates critical thinking about the choices and trade-offs inherent in healthcare resource allocation. "Contemporary Health Economics Essays" is an indispensable resource for students, scholars, and professionals seeking a deep understanding of the evolving landscape of health economics. Shastri Pandey's authoritative voice provides fresh perspectives, paving the way for informed discussions and evidence-based decisions that shape the future of healthcare worldwide.

Download or read book Essays on Health Economics written by Iga Rudawska and published by Young Writers. This book was released on 2009 with total page 111 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the problems of market mechanisms in health care from the perspective of changes in the Polish health care system. The principal goal of the book is to present possibilities, methods and outcomes of introduction into health care of the market mechanisms, rules and instruments. This book is predominantly theoretical but to illustrate changes examples are given from European health care systems. The book is addressed in particular to: students of economics, students of postgraduate courses in health care management and health policy, graduates of medical universities, health and social politicians and health care practitioners, in particular managerial staff of health care institutions.