Essays in Health Economics and Health Policy

Essays in Health Economics and Health Policy
Author: Eun Young Kim
Publisher:
Total Pages: 101
Release: 2011
Genre: Electronic Dissertations
ISBN:

This dissertation is a compilation of three essays. The first essay critiques a recent paper by Wilper et al. (2009) for its inappropriate model calibration in analyzing the association of health insurance and mortality. Using the individual-level data from a nationwide survey with more recent mortality follow-up information, it shows that the privately-insured do not significantly fare better in mortality risk compared to the uninsured. Moreover, hazard ratio estimate for the Medicaid suggests that public provision of insurance increases mortality. The second essay addresses the role of income in explaining the differential public health outcomes across developed countries. Noting that the growing arguments for socioeconomic gradient in health are based mostly on cross-sectional studies, panel analyses of five different public health outcomes are conducted. Results demonstrate that economic development remains critical in explaining health improvements at the aggregate level. The third essay analyzes the association of income and health care spending at the aggregate level. Using a large panel data from 24 industrialized nations for more than three decades, the close relationship between income and health care spending is established. In contrast to earlier cross-sectional studies, the panel analysis suggests that health expenditure growth is not as rapid as income growth in almost all nations.

Applied Health Economics

Applied Health Economics
Author: Andrew M. Jones
Publisher: Routledge
Total Pages: 523
Release: 2013-05-07
Genre: Business & Economics
ISBN: 1136239812

The first edition of Applied Health Economics did an expert job of showing how the availability of large scale data sets and the rapid advancement of advanced econometric techniques can help health economists and health professionals make sense of information better than ever before. This second edition has been revised and updated throughout and includes a new chapter on the description and modelling of individual health care costs, thus broadening the book’s readership to those working on risk adjustment and health technology appraisal. The text also fully reflects the very latest advances in the health economics field and the key journal literature. Large-scale survey datasets, in particular complex survey designs such as panel data, provide a rich source of information for health economists. They offer the scope to control for individual heterogeneity and to model the dynamics of individual behaviour. However, the measures of outcome used in health economics are often qualitative or categorical. These create special problems for estimating econometric models. The dramatic growth in computing power over recent years has been accompanied by the development of methods that help to solve these problems. The purpose of this book is to provide a practical guide to the skills required to put these techniques into practice. Practical applications of the methods are illustrated using data on health from the British Health and Lifestyle Survey (HALS), the British Household Panel Survey (BHPS), the European Community Household Panel (ECHP), the US Medical Expenditure Panel Survey (MEPS) and Survey of Health, Ageing and Retirement in Europe (SHARE). There is a strong emphasis on applied work, illustrating the use of relevant computer software with code provided for Stata. Familiarity with the basic syntax and structure of Stata is assumed. The Stata code and extracts from the statistical output are embedded directly in the main text and explained at regular intervals. The book is built around empirical case studies, rather than general theory, and the emphasis is on learning by example. It presents a detailed dissection of methods and results of some recent research papers written by the authors and their colleagues. Relevant methods are presented alongside the Stata code that can be used to implement them and the empirical results are discussed at each stage. This text brings together the theory and application of health economics and econometrics, and will be a valuable reference for applied economists and students of health economics and applied econometrics.

Big Data and Health Analytics

Big Data and Health Analytics
Author: Katherine Marconi
Publisher: CRC Press
Total Pages: 374
Release: 2014-12-20
Genre: Business & Economics
ISBN: 1482229250

This book provides frameworks, use cases, and examples that illustrate the role of big data and analytics in modern health care, including how public health information can inform health delivery. Written for health care professionals and executives, this book presents the current thinking of academic and industry researchers and leaders from around the world. Using non-technical language, it includes case studies that illustrate the business processes that underlie the use of big data and health analytics to improve health care delivery.

Essays in Health Economics

Essays in Health Economics
Author: Chiara Serra
Publisher:
Total Pages: 155
Release: 2021
Genre: Medical economics
ISBN:

In the chapters of this thesis, I empirically investigate four distinct research questions, spanning from the detrimental impact of very early shocks - at birth and even before birth - on children medium-term health, to the mediation role of social interactions in altering the effect of weather conditions on the spread of the Sars-CoV-2, and to ED nurses' leniency in assigning priority and the impact of waiting time on health. Although each chapter focuses on different questions, they all investigate different instances of the (unintended) consequences of individuals' actions on others - with a focus on vulnerable categories, and they all share an approach oriented at unveiling policyrelevant causal relations in natural experiment settings. In the first chapter, joint with Simone Ferro and Alessandro Palma, I investigate the health effects of a relatively higher prenatal exposure to Particulate Matter. Although the detrimental effects of air pollution on health are already well documented, in our study, we try to innovate on two relevant aspects. First, by matching birth certificates to individual consumption of subsidised pharmaceutical and hospitalisation records of Tuscany, our data allows going beyond the effects detected at birth to investigate for the first time medium-term morbidity at the individual level. Second, by documenting a permanent health loss associated with higher in-utero exposure to air pollution in a setting characterised by non-extreme levels of air pollution, our findings challenge the existing consensus on whether such levels of concentration of PM should be considered healthy. In the second chapter, I first show that Emergency Department patients arriving just after a shift change have a substantially lower probability of being assigned a higher priority with respect to patients arriving just before a shift change. As such distortion in the assignment of priority will only affect them by altering their relative position in the waiting list, I employ this quasi-experimental variation in the assigned priority to investigate the immediate and the longer-term consequences of waiting time on visits' outcomes and patients' future demand for emergency health care. I find that in the short-run, patients who are assigned a lower priority (and thus who presumably wait less time before being examined by a physician) are more likely to leave the ED before being visited. Furthermore, in the longer run, they are significantly less likely to return to the ED with the same condition. In the third chapter, Simone Ferro and I investigate the role of weather conditions on the spread of the Sars-CoV-2 in the US while taking into account the mediation role of social interactions. Our findings suggest that the endogenous response of social interaction to weather conditions play a major role in shaping the overall total effect of weather on the spread of the virus. This may contribute to rationalise the paradox between the results of laboratory experiments showing that the virus is susceptible to temperature, and the fact that the seasonal increases in temperature did not slow down the spread of the virus. In the fourth and final chapter, jointly with Gabriel Facchini and Matilde Machado, I investigate the relationship between being born by cesarean section and health outcomes for children. Such relation is confounded by different dimensions of selection in the choice of birth mode and to overcome the issue we employ an individual specific, purely exogenous measure of crowding at the precise time of admission at the maternity ward. We find that higher crowding leads to a significant decrease in the total probability of cesarean section. This effect is larger for patients with a higher ex-ante probability of delivering via cesarean section. We then use such relation to identify a causal relationship between the delivery method and the consumption of drugs for children up to age three. We find a positive and significant effect on the consumption of antiinfectives (antibiotics in particular) from the first year of life on - both looking at the quantity and at an indicator for abnormal use of this type of pharmaceuticals. This points to an adverse effect on children health, which is in line with the medical literature results on the importance of delivery method on the development of the immune system.

Three Essays in Health Economics

Three Essays in Health Economics
Author: Xu Wang
Publisher:
Total Pages: 234
Release: 2012
Genre:
ISBN: 9781267688194

In my third essay, I turn my interest to a different research question, the association between retirement and alcohol consumption. Retirement is life transition whose significance may provoke lifestyle and health behavioral alterations such as alcohol consumption. We examine the effect of retirement on subsequent period alcohol consumption within a two period follow up. We use seven waves of the data from Health and Retirement Study (HRS) and found retirement lead to consume 1.3 more alcoholic drinks per day within men. No effect has been found within retired women.

Leveraging Data Science for Global Health

Leveraging Data Science for Global Health
Author: Leo Anthony Celi
Publisher: Springer Nature
Total Pages: 471
Release: 2020-07-31
Genre: Medical
ISBN: 3030479943

This open access book explores ways to leverage information technology and machine learning to combat disease and promote health, especially in resource-constrained settings. It focuses on digital disease surveillance through the application of machine learning to non-traditional data sources. Developing countries are uniquely prone to large-scale emerging infectious disease outbreaks due to disruption of ecosystems, civil unrest, and poor healthcare infrastructure – and without comprehensive surveillance, delays in outbreak identification, resource deployment, and case management can be catastrophic. In combination with context-informed analytics, students will learn how non-traditional digital disease data sources – including news media, social media, Google Trends, and Google Street View – can fill critical knowledge gaps and help inform on-the-ground decision-making when formal surveillance systems are insufficient.

Essays in Health Economics

Essays in Health Economics
Author: Sebastian Bauhoff
Publisher:
Total Pages: 232
Release: 2010
Genre:
ISBN:

The third essay examines the reliability of self-reported data in empirical analysis. Self-reported data is prone to systematic measurement error that may be constant or change in response to external events. The essay illustrates these issues with data on self-reported and measured overweight/obesity status, and BMI, height and weight z-scores of public school students in California from 2004 to 2006. In the cross-section, the prevalence of overweight/obesity is significantly lower in self-reported data relative to measured data. A district nutrition policy changed the reporting bias differentially in the treatment and control districts, so that program evaluations could find spurious positive or mill impacts of the intervention.

Contemporary Health Economics Essays

Contemporary Health Economics Essays
Author: Shastri Pandey
Publisher:
Total Pages: 0
Release: 2023-08-11
Genre: Health & Fitness
ISBN: 9789358680720

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.