How does retirement affect healthcare expenditures? Evidence from a change in the retirement age
Summary
Using individual‐level administrative panel data from Hungary, we estimate causal effects of retirement on outpatient and inpatient care expenditures and pharmaceutical expenditures. Our identification strategy is based on an increase in the official early retirement age of women, using that the majority of women retire upon reaching that age.
According to our descriptive results, people who are working before the early retirement age have substantially lower healthcare expenditures than nonworkers, but the expenditure gap declines after retirement. Our causal estimates from a two‐part (hurdle) model show that ...
Source: Health Economics - January 1, 2018 Category: Health Management Authors: Anik ó Bíró, Péter Elek Tags: RESEARCH ARTICLE Source Type: research
The gift of time? School starting age and mental health
Abstract
Using linked Danish survey and register data, we estimate the causal effect of age at kindergarten entry on mental health. Danish children are supposed to enter kindergarten in the calendar year in which they turn 6 years. In a "fuzzy" regression‐discontinuity design based on this rule and exact dates of birth, we find that a 1‐year delay in kindergarten entry dramatically reduces inattention/hyperactivity at age 7 (effect size = –0.73), a measure of self‐regulation with strong negative links to student achievement. The effect is primarily identified for girls but persists at age 11. (Source: Health Economics)
Source: Health Economics - January 1, 2018 Category: Health Management Authors: Thomas S. Dee, Hans Henrik Sievertsen Tags: RESEARCH ARTICLE Source Type: research
Behavioral responses to surveys about nicotine dependence
Abstract
Behavioral responses to surveys can significantly affect inferences about population prevalence unless correctly modeled statistically. An important case study is the prevalence of nicotine dependence, a formal psychiatric disorder satisfying clinical criteria. Data from the National Epidemiologic Survey on Alcohol and Related Conditions in the United States are used, along with a flexible semi‐nonparametric sample selection model. Corrections for sample selection responses to “gateway” survey questions lead to significantly higher estimates of the prevalence of nicotine dependence among current daily smoker...
Source: Health Economics - December 29, 2017 Category: Health Management Authors: Glenn W. Harrison Tags: SUPPLEMENT PAPER Source Type: research
Risk attitudes in medical decisions for others: An experimental approach
ABSTRACT
The aim of this paper is to investigate how risk attitudes in medical decisions for others vary across health contexts. A lab experiment was designed to elicit the risk attitudes of 257 medical and nonmedical students by assigning them the role of a physician who must decide between treatments for patients. An interval regression model was used to estimate individual coefficients of relative risk aversion, and an estimation model was used to test for the effect of type of medical decision and experimental design characteristics on elicited risk aversion. We find that (a) risk attitudes vary across different health...
Source: Health Economics - December 29, 2017 Category: Health Management Authors: Alejandro Arrieta, Ariadna Garc ía‐Prado, Paula González, José Luis Pinto‐Prades Tags: SUPPLEMENT PAPER Source Type: research
Risk ‐taking in vaccination, surgery, and gambling environments: Evidence from a framed laboratory experiment
Abstract
Vaccination involves a tradeoff between two risky alternatives, namely, susceptibility and immunization. By designing a controlled laboratory experiment, we investigate the association between risk preferences and immunization decisions. To contrast the role of risk preferences in vaccination decisions with other domains, we implemented four frames: vaccination, surgery, complex neutral, and simple neutral. We found direct framing effects for females but not for males. For the former, the demand for the safer alternative is significantly larger in the surgery frame than in all other frames. For male subjects, we f...
Source: Health Economics - December 29, 2017 Category: Health Management Authors: Simon Binder, Robert Nuscheler Tags: SUPPLEMENT PAPER Source Type: research
Behavioural consequences of vaccination recommendations: An experimental analysis
Summary
Annual vaccination is the most effective way to prevent seasonal influenza. However, globally, the recommendations vary from country to country, ranging from universal recommendations, risk‐group‐specific recommendations, to no recommendation at all. Due to high diversity both in recommendation practice and country‐specific preconditions, it is difficult to determine the effect of different recommendations on vaccine uptake. This incentivised laboratory experiment (N = 288) tests the behavioural consequences of different recommendations in a repeated interactive vaccination game. The participants are part o...
Source: Health Economics - December 29, 2017 Category: Health Management Authors: Robert B öhm, Nicolas W. Meier, Lars Korn, Cornelia Betsch Tags: SUPPLEMENT PAPER Source Type: research
Sorting into payment schemes and medical treatment: A laboratory experiment
In this study, we introduce the opportunity for physicians to sort into capitation or fee‐for‐service payment. Using a controlled medically framed laboratory experiment with a sequential within‐subject design allows isolating sorting from incentive effects. We observe a strong preference for fee‐for‐service payment, which does not depend on subjects' prior experience with one of the two payment schemes. Further, we identify a significant sorting effect. Subjects choosing capitation deviate ex ante less from patient‐optimal medical treatment than subjects who sort into fee‐for‐service payment. Particularly t...
Source: Health Economics - December 29, 2017 Category: Health Management Authors: Jeannette Brosig ‐Koch, Nadja Kairies‐Schwarz, Johanna Kokot Tags: SUPPLEMENT PAPER Source Type: research
Quality competition and hospital mergers —An experiment
Abstract
On the basis of a Salop model with regulated prices, we investigate quality provision behaviour of competing hospitals before and after a merger. For this, we use a controlled laboratory experiment where subjects decided on the level of treatment quality as head of a hospital. We find that the post‐merger average quality is significantly lower than the average pre‐merger quality. However, for merger insiders and outsiders, average quality choices are significantly higher than predicted for pure profit‐maximising hospitals. This upward deviation is potentially driven by altruistic behaviour towards patients. ...
Source: Health Economics - December 29, 2017 Category: Health Management Authors: Johann Han, Nadja Kairies ‐Schwarz, Markus Vomhof Tags: SUPPLEMENT PAPER Source Type: research
Separation of prescription and treatment in health care markets: A laboratory experiment
Summary
Health care is a credence good, and its market is plagued by asymmetric information. In this paper, we use a laboratory experiment to test the performance of a potential remedy discussed in the applied literature, the separation of prescription and treatment activities. We observe a significant amount of overtreatment (and a smaller nonpredicted amount of undertreatment) in our baseline environment. Requiring a different than the treating physician to provide diagnosis and prescription for free is an effective way to reduce overtreatment in our laboratory setting. This effect, however, is partially offset by an inc...
Source: Health Economics - December 29, 2017 Category: Health Management Authors: Ben Greiner, Le Zhang, Chengxiang Tang Tags: SUPPLEMENT PAPER Source Type: research
The effects of competition on medical service provision
Abstract
We explore how competition between physicians affects medical service provision. Previous research has shown that, without competition, physicians deviate from patient‐optimal treatment under payment systems like capitation and fee‐for‐service. Although competition might reduce these distortions, physicians usually interact with each other repeatedly over time and only a fraction of patients switches providers at all. Both patterns might prevent competition to work in the desired direction. To analyze the behavioral effects of competition, we develop a theoretical benchmark that is then tested in a controlle...
Source: Health Economics - December 29, 2017 Category: Health Management Authors: Jeannette Brosig ‐Koch, Burkhard Hehenkamp, Johanna Kokot Tags: SUPPLEMENT PAPER Source Type: research
Behavioural experiments in health: An introduction
(Source: Health Economics)
Source: Health Economics - December 29, 2017 Category: Health Management Authors: Matteo M. Galizzi, Daniel Wiesen Tags: SUPPLEMENT PAPER Source Type: research
Issue Information
No abstract is available for this article. (Source: Health Economics)
Source: Health Economics - December 29, 2017 Category: Health Management Tags: ISSUE INFORMATION Source Type: research
Estimating a cost ‐effectiveness threshold for the Spanish NHS
Health Economics,Volume 27, Issue 4, Page 746-761, April 2018. (Source: Health Economics)
Source: Health Economics - December 28, 2017 Category: Health Management Source Type: research
Centralisation of acute stroke services in London: Impact evaluation using two treatment groups
Health Economics,Volume 27, Issue 4, Page 722-732, April 2018. (Source: Health Economics)
Source: Health Economics - December 28, 2017 Category: Health Management Source Type: research
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Health Economics, Ahead of Print. (Source: Health Economics)
Source: Health Economics - December 28, 2017 Category: Health Management Source Type: research
