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    Getting what you pay for: public health spending and the performance of essential public health services.
    J Public Health Manag Pract 2004 Sep-Oct;10(5):435-43
    Department of Health Policy and Management, College of Public Health, University of Arkansas for Medical Sciences, 4301 West Markham, #820, Little Rock, AR 72205, USA.
    Governmental spending in public health varies widely across communities, raising questions about how these differences may affect the availability of essential services and infrastructure. This study used data from local public health systems that participated in the National Public Health Performance Standards Program pilot tests between 1999 and 2001 to examine the association between public health spending and the performance of essential public health services. Results indicated that performance varies significantly with both local and federal spending levels, even after controlling for other system and community characteristics. Read More
    Does widowhood explain gender differences in out-of-pocket medical spending among the elderly?
    J Health Econ 2013 May 12;32(3):647-58. Epub 2012 Nov 12.
    Stanford University, Stanford Institute for Economic Policy Research, 366 Galvez Street, Stanford, CA 94305, USA.
    Despite the presence of Medicare, out-of-pocket medical spending is a large expenditure risk facing the elderly. While women live longer than men, elderly women incur higher out-of-pocket medical spending than men at each age. In this paper, we examine whether differences in marital status and living arrangements can explain this difference. Read More
    Are community-living and institutionalized dementia patients cared for differently? Evidence on service utilization and costs of care from German insurance claims data.
    BMC Health Serv Res 2013 Jan 3;13. Epub 2013 Jan 3.
    Helmholtz Zentrum München, Institute of Health Economics and Health Care Management, Ingolstaedter Landstrasse, Neuherberg, Germany.
    Background: Dementia patients are often cared for in institutional arrangements, which are associated with substantial spending on professional long-term care services. Nevertheless, there is little evidence on the exact cost differences between community-based and institutional dementia care, especially when it comes to the distinct health care services. Adopting the perspective of the German social security system, which combines Statutory Health Insurance and Compulsory Long-Term Care Insurance (payer perspective), our study aimed to compare community-living and institutionalized dementia patients regarding their health care service utilization profiles and to contrast the respective expenditures. Read More
    [Healthcare expenses of Brazilian families living in metropolitan areas: composition and trends during the period from 1995 to 2009].
    Cien Saude Colet 2013 Jan;18(1):115-28
    Diretoria de Estudos Setoriais – DISET, Institutode Pesquisa Econômica Aplicada, SBS, Brasilia DF.
    Private health insurance plans represent a significant proportion of total health spending in Brazil. In order to establish the evolution and composition of spending on health among families living in metropolitan areas, Family Budget Research findings conducted in 1995-1996, 2002-2003, and 2008-2009 were studied. The categories of spending were standardized and values were adjusted by the Broad Consumer Price Index in order to compare the findings. Read More