1,283 results match your criteria European Journal of Health Economics[Journal]


Developing the role of electronic health records in economic evaluation.

Eur J Health Econ 2019 Mar 14. Epub 2019 Mar 14.

School of Population Health and Environmental Sciences, King's College London, London, UK.

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http://dx.doi.org/10.1007/s10198-019-01042-5DOI Listing

The closer the better: does better access to outpatient care prevent hospitalization?

Eur J Health Econ 2019 Mar 15. Epub 2019 Mar 15.

Department of Economics, Eötvös Loránd University (ELTE), Pázmány Péter sétány 1/A, Budapest, 1117, Hungary.

In 2010-2012, new outpatient service locations were established in poor Hungarian micro-regions. We exploit this quasi-experiment to estimate the extent of substitution between outpatient and inpatient care. Fixed-effects Poisson models on individual-level panel data for years 2008-2015 show that the number of outpatient visits increased by 19% and the number of inpatient stays decreased by 1. Read More

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http://dx.doi.org/10.1007/s10198-019-01043-4DOI Listing

Moral hazard under zero price policy: evidence from Japanese long-term care claims data.

Eur J Health Econ 2019 Mar 14. Epub 2019 Mar 14.

Faculty of Political Science and Economics, Waseda University, 1-6-1 Nishi-Waseda, Shinjuku-ku, Tokyo, 169-8050, Japan.

We evaluate the presence and magnitude of moral hazard in Japan's public long-term care insurance (LTCI) market. Using monthly LTCI claim records from January 2006 to December 2015 linked to concurrent death records, we construct a sample by propensity score matching insured individuals who co-pay 10% of their fees to those with no required copayments, and we implement fixed-effect estimations. We find that a ten-percentage-point reduction in the copayment rate increases monthly costs by 10. Read More

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http://link.springer.com/10.1007/s10198-019-01041-6
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http://dx.doi.org/10.1007/s10198-019-01041-6DOI Listing
March 2019
1 Read

An EU-wide approach to HTA: An irrelevant development or an opportunity not to be missed?

Eur J Health Econ 2019 Mar 14. Epub 2019 Mar 14.

Centre for Health Economics, University of York, York, UK.

An EU-wide cooperation on HTA has been proposed recently by the European Commission, focusing on relative effectiveness assessment (REA) for pharmaceuticals and medical devices. This cooperation is operationalised through a proposal for a regulation. While a good step in the right direction, this HTA cooperation framework needs to be more explicit and pragmatic about clinical value definition, what constitutes quality of evidence, how real-world evidence is handled, whether the same assessment requirements will apply for medical devices as they do for pharmaceuticals, and how to safeguard consistency in REA interpretation. Read More

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http://dx.doi.org/10.1007/s10198-019-01037-2DOI Listing

A systematic review of pharmacoeconomic evaluations of erlotinib in the first-line treatment of advanced non-small cell lung cancer.

Eur J Health Econ 2019 Mar 6. Epub 2019 Mar 6.

School of Medicinal and Health Products Sciences, University of Camerino, Camerino, Marche, Italy.

Objective: To review and assess the quality of the available evidence on the cost-effectiveness of erlotinib in the first-line treatment of advanced non-small cell lung cancer (NSCLC).

Methods: A systematic review was conducted to identify full-text original economic evaluations of erlotinib in the first-line treatment of advanced NSCLC written in English and published from the year 2000 onwards. Study characteristics and results were recorded and compared. Read More

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http://dx.doi.org/10.1007/s10198-019-01040-7DOI Listing

Estimating the marginal cost of a life year in Sweden's public healthcare sector.

Eur J Health Econ 2019 Feb 22. Epub 2019 Feb 22.

Centre for Medical Technology Assessment, Department of Medical and Health Sciences, Linköping University, 581 83, Linköping, Sweden.

Although cost-effectiveness analysis has a long tradition of supporting healthcare decision-making in Sweden, there are no clear criteria for when an intervention is considered too expensive. In particular, the opportunity cost of healthcare resource use in terms of health forgone has not been investigated empirically. In this work, we therefore seek to estimate the marginal cost of a life year in Sweden's public healthcare sector using time series and panel data at the national and regional levels, respectively. Read More

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http://dx.doi.org/10.1007/s10198-019-01039-0DOI Listing
February 2019

Economic modeling of risk-adapted screen-and-treat strategies in women at high risk for breast or ovarian cancer.

Eur J Health Econ 2019 Feb 21. Epub 2019 Feb 21.

Center for Hereditary Breast and Ovarian Cancer, University Hospital Cologne, Kerpener Straße 34, 50931, Cologne, Germany.

Background: The 'German Consortium for Hereditary Breast and Ovarian Cancer' (GC-HBOC) offers women with a family history of breast and ovarian cancer genetic counseling. The aim of this modeling study was to evaluate the cost-effectiveness of genetic testing for BRCA 1/2 in women with a high familial risk followed by different preventive interventions (intensified surveillance, risk-reducing bilateral mastectomy, risk-reducing bilateral salpingo-oophorectomy, or both mastectomy and salpingo-oophorectomy) compared to no genetic test.

Methods: A Markov model with a lifelong time horizon was developed for a cohort of 35-year-old women with a BRCA 1/2 mutation probability of ≥ 10%. Read More

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http://dx.doi.org/10.1007/s10198-019-01038-1DOI Listing
February 2019

Is rate of return pricing a useful approach when value-based pricing is not appropriate?

Eur J Health Econ 2019 Feb 15. Epub 2019 Feb 15.

Office of Health Economics, London, UK.

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http://dx.doi.org/10.1007/s10198-019-01032-7DOI Listing
February 2019

The weekend effect revisited: evidence from the Upper Austrian stroke registry.

Eur J Health Econ 2019 Feb 12. Epub 2019 Feb 12.

UMIT, University for Health Sciences, Medical Informatics and Technology, Institute for Management and Economics in Healthcare, Eduard-Wallnöfer-Zentrum 1, 6060 Hall in Tirol, Austria.

Empirical evidence on the so-called 'weekend-effect' on stroke mortality is mixed with some studies reporting significantly higher mortality for weekend admissions and others finding no difference. The aim of this paper is to enhance the evidence on the weekend-effect on stroke mortality using a rich stroke registry data set from Upper Austria and to discuss underlying reasons for the heterogeneity in results. Using logistic regressions and ordinary least squares regressions with hospital and year-fixed effects, the outcomes of weekend versus weekday admissions are compared for patients admitted to 16 hospitals in Upper Austria with transient ischemic attack (TIA), cerebral infarction or hemorrhage between 2007 and 2015. Read More

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http://dx.doi.org/10.1007/s10198-019-01035-4DOI Listing
February 2019

Demand-side determinants of rising hospital admissions in Germany: the role of ageing.

Eur J Health Econ 2019 Feb 9. Epub 2019 Feb 9.

Hamburg Center for Health Economics, Universität Hamburg, 20354, Hamburg, Germany.

In this study, we investigated the relationship between changes in demand-side determinants and changes in hospital admissions. We used longitudinal market-wide data, including a novel detailed measure of population morbidity. To assess the effect of ageing, we interacted age with shifts in the population structure for both the surviving population and the population in their last year of life. Read More

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http://dx.doi.org/10.1007/s10198-019-01033-6DOI Listing
February 2019
1 Read

Cost-effectiveness of antidepressants versus active monitoring for mild-to-moderate major depressive disorder: a multisite non-randomized-controlled trial in primary care (INFAP study).

Eur J Health Econ 2019 Feb 6. Epub 2019 Feb 6.

Research and Development Unit, Parc Sanitari Sant Joan de Déu, C/ Pablo Picasso 12, 08830, Sant Boi de Llobregat, Spain.

Background: The purpose of this study was to evaluate the cost-effectiveness of antidepressants vs active monitoring (AM) for patients with mild-moderate major depressive disorder.

Methods: This was a 12-month observational prospective controlled trial. Adult patients with a new episode of major depression were invited to participate and assigned to AM or antidepressants according to General Practitioners' clinical judgment and experience. Read More

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http://dx.doi.org/10.1007/s10198-019-01034-5DOI Listing
February 2019
2 Reads

Catastrophic long-term care expenditure: associated socio-demographic and economic factors.

Eur J Health Econ 2019 Jan 17. Epub 2019 Jan 17.

Department of Economics and Finance, University of Castilla-La Mancha, Plaza de la Universidad, s/n, 02071, Albacete, Spain.

Objective: An increasing number of persons across the world require long-term care (LTC). In Spain, access to LTC involves individuals incurring out-of-pocket (OOP) expenditure. There is a large body of literature on the incidence of catastrophic OOP payments in access and participation in health systems, but not in the field of LTC nor the determinants of these expenses. Read More

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http://dx.doi.org/10.1007/s10198-019-01031-8DOI Listing
January 2019
1 Read

Hiring subsidies for people with a disability: do they work?

Eur J Health Econ 2019 Jan 14. Epub 2019 Jan 14.

Department of Economics and Institut d'Economia de Barcelona (IEB), Universitat de Barcelona and CRES-UPF, Barcelona, Spain.

This article evaluates the effectiveness of hiring subsidies targeted to people with disabilities. By exploiting the timing of implementation among different Spanish regions of a subsidy scheme implemented in Spain during the period 1990-2014, we employed a difference-in-differences approach to estimate the impact of the scheme on the probability of disability insurance (DI) beneficiaries of transiting to employment and on the propensity of individuals of entering the DI program. Our results show that the introduction of the subsidy scheme is in general ineffective at incentivizing transitions to employment, and in some cases it is associated with an increased propensity of transiting to DI. Read More

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http://link.springer.com/10.1007/s10198-019-01030-9
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http://dx.doi.org/10.1007/s10198-019-01030-9DOI Listing
January 2019
6 Reads

Assessing capability in economic evaluation: a life course approach?

Authors:
Joanna Coast

Eur J Health Econ 2019 Jan 8. Epub 2019 Jan 8.

Health Economics at Bristol, Health and Population Sciences, Bristol Medical School, University of Bristol, 1-5 Whiteladies Road, BS8 1NU, Bristol, UK.

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http://dx.doi.org/10.1007/s10198-018-1027-6DOI Listing
January 2019
1 Read

Impact of type 2 diabetes on health expenditure: estimation based on individual administrative data.

Eur J Health Econ 2019 Jan 5. Epub 2019 Jan 5.

Caisse Nationale de l'Assurance Maladie (Cnam), Paris, France.

Only limited data are available in France on the incidence and health expenditure of type 2 diabetes. The objective of this study, based on national health insurance administrative database, is to describe the expenditure reimbursed to patients newly treated for type 2 diabetes and the proportion of expenditure attributable to diabetes. The study is conducted over a 6-year period from 2008, the year of incidence of treated diabetes, to 2014. Read More

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http://link.springer.com/10.1007/s10198-018-1024-9
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http://dx.doi.org/10.1007/s10198-018-1024-9DOI Listing
January 2019
8 Reads

Conflict of interest disclosure: striking a balance?

Eur J Health Econ 2019 Jan 3. Epub 2019 Jan 3.

Centre for Health Economics, CESAV, Institute for Pharmacological Research Mario Negri IRCCS, 24020, Ranica, Italy.

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http://link.springer.com/10.1007/s10198-018-1028-5
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http://dx.doi.org/10.1007/s10198-018-1028-5DOI Listing
January 2019
3 Reads

Employment pathways of cancer survivors-analysis from administrative data.

Authors:
Joan C Lo

Eur J Health Econ 2019 Jan 2. Epub 2019 Jan 2.

Institute of Economics, Academia Sinica, Nankang, Taipei, Taiwan.

The incidence of cancer and its survival rate have been increasing worldwide, resulting in a greater number of cancer survivors. Since one's job often forms a central basis for self-esteem and provides financial security, knowing whether and how cancer can affect the employment of employed cancer survivors are important issues. While the past studies generally used survey data, this study utilizes pre-existing administrative data and employs the difference-in-differences model. Read More

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http://dx.doi.org/10.1007/s10198-018-1025-8DOI Listing
January 2019
1 Read

A head-to-head comparison of five-level (EQ-5D-5L-Y) and three-level EQ-5D-Y questionnaires in paediatric patients.

Eur J Health Econ 2019 Jan 2. Epub 2019 Jan 2.

Department of Orthopaedics and Traumatology, The University of Hong Kong, 5/F Professorial Block, Queen Mary Hospital, Pokfulam, Hong Kong SAR, China.

Purpose: The aim of this study was to assess the psychometric properties of a youth version of the EQ-5D five-level questionnaire (5LY) and its three-level version (3LY) in a sample of Chinese paediatric patients.

Methods: A consecutive sample of idiopathic scoliosis patients were recruited from a referral outpatient scoliosis center at Hong Kong, China in October 2017 and completed the two versions of EQ-5D-Y. Redistribution properties in each dimension of EQ-5D-Y were analyzed between 5LY and 3LY by logistics regressions. Read More

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http://dx.doi.org/10.1007/s10198-018-1026-7DOI Listing
January 2019
2 Reads

Impact of early primary care follow-up after discharge on hospital readmissions.

Eur J Health Econ 2019 Jan 2. Epub 2019 Jan 2.

Institut de Recherche et de Documentation en Economie de la Santé (IRDES), 117 bis rue Manin, 75019, Paris, France.

Reducing repeated hospitalizations of patients with chronic conditions is a policy objective for improving system efficiency. We test the hypothesis that the risk of readmission is associated with the timing and intensity of primary care follow-up after discharge, focusing on patients hospitalized for heart failure in France. We propose a discrete-time model which takes into account that primary care treatments have a lagged and cumulative effect on readmission risk, and an instrumental variable approach, exploiting geographical differences in availability of generalists. Read More

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http://dx.doi.org/10.1007/s10198-018-1022-yDOI Listing
January 2019
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Estimating the additional costs per life saved due to transcatheter aortic valve replacement: a secondary data analysis of electronic health records in Germany.

Eur J Health Econ 2019 Jan 2. Epub 2019 Jan 2.

Department of Cardiology and Angiology I, Heart Center Freiburg, Faculty of Medicine, University of Freiburg, Hugstetter Str. 55, 79104, Freiburg, Germany.

Aortic stenosis (AS) is the most common valvular heart disease, with a dismal prognosis when untreated. Recommended therapy is surgical (SAVR) or transcatheter (TAVR) aortic valve replacement. Based on a retrospective cohort of isolated SAVR and TAVR procedures performed in Germany in 2015 (N = 17,826), we examine the impact of treatment selection on in-hospital mortality and total in-hospital costs for a variety of at-risk populations. Read More

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http://dx.doi.org/10.1007/s10198-018-1023-xDOI Listing
January 2019
2 Reads

Do time trade-off values fully capture attitudes that are relevant to health-related choices?

Eur J Health Econ 2018 Dec 31. Epub 2018 Dec 31.

Department of Economics, Universidad de Navarra, 31009, Pamplona, Spain.

Previous research has shown that demographics, beliefs, and self-reported own health influence TTO values. Our hypothesis is that attitudes towards length and quality of life influence TTO values, but should no longer affect a set of related choices that are based on respondents' own TTO scores. A representative sample of 1339 respondents was asked their level of agreement to four statements relating to the importance of quality and length of life. Read More

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http://dx.doi.org/10.1007/s10198-018-1017-8DOI Listing
December 2018
1 Read

The Great Recession, financial strain and self-assessed health in Ireland.

Eur J Health Econ 2018 Dec 19. Epub 2018 Dec 19.

Luxembourg Institute of Socio-Economic Research (LISER), Esch-Sur-Alzette, Luxembourg.

In this paper, we study the effects of the 2008 economic crisis on general health in one of the most severely affected EU economies-Ireland. We examine the relationship between compositional changes in demographic and socio-economic factors, such as education, income, and financial strain, and changes in the prevalence of poor self-assessed health over a 5-year period (2008-2013). We apply a generalised Oaxaca-Blinder decomposition approach for non-linear regression models proposed by Fairlie (1999, 2005). Read More

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http://dx.doi.org/10.1007/s10198-018-1019-6DOI Listing
December 2018
1 Read

An evaluation of the 1987 French Disabled Workers Act: better paying than hiring.

Eur J Health Econ 2018 Dec 18. Epub 2018 Dec 18.

Université Paris-Est Créteil, ERUDITE, TEPP -FR CNRS 3435, IST-PE, Créteil, France.

This paper presents the first evaluation of the French Disabled Workers Act of 1987, which aimed to promote the employment of disabled people in the private sector. We use a panel data set, which includes both the health and the labour market histories of workers. We account both for unobserved heterogeneity and for the change in the disabled population over time. Read More

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http://link.springer.com/10.1007/s10198-018-1020-0
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http://dx.doi.org/10.1007/s10198-018-1020-0DOI Listing
December 2018
9 Reads

The economics of antibiotic resistance: a claim for personalised treatments.

Eur J Health Econ 2018 Dec 17. Epub 2018 Dec 17.

Laboratory of Medical Microbiology, Vaccine and Infectious Diseases Institute, University of Antwerp, Antwerp, Belgium.

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http://dx.doi.org/10.1007/s10198-018-1021-zDOI Listing
December 2018
1 Read

Patient responsiveness to a differential deductible: empirical results from The Netherlands.

Eur J Health Econ 2018 Dec 11. Epub 2018 Dec 11.

Erasmus School of Health Policy & Management (ESHPM), Erasmus University Rotterdam, P.O. Box 1738, 3000 DR, Rotterdam, The Netherlands.

Health insurers may use financial incentives to encourage their enrollees to choose preferred providers for medical treatment. Empirical evidence whether differences in cost-sharing rates across providers affects patient choice behavior is, especially from Europe, limited. This paper examines the effect of a differential deductible to steer patient provider choice in a Dutch regional market for varicose veins treatment. Read More

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http://link.springer.com/10.1007/s10198-018-1014-y
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http://dx.doi.org/10.1007/s10198-018-1014-yDOI Listing
December 2018
2 Reads

Income distribution and health: can polarization explain health outcomes better than inequality?

Eur J Health Econ 2018 Dec 4. Epub 2018 Dec 4.

School of Economics, Chongqing Technology and Business University, Chongqing, China.

Utilizing data from the China Health and Nutrition Survey (CHNS) from 1991 to 2011, we aim to analyze the effects of income distribution on two risks for chronic diseases: body mass index (BMI) and blood pressure. Unlike the previous studies, we consider two different kinds of indicators of income distribution: inequality and polarization. Different from relative inequality indicators such as the Gini index, which measure income gaps only, the recently developed polarization indicator captures group clustering and social alienation, in addition to income gaps. Read More

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http://dx.doi.org/10.1007/s10198-018-1016-9DOI Listing
December 2018
1 Read

Co-ordination of health care: the case of hospital emergency admissions.

Eur J Health Econ 2018 Nov 22. Epub 2018 Nov 22.

NORCE Norwegian Research Centre AS, Bergen, Norway.

The recognition that chronic care delivery is suboptimal has led many health authorities around the world to redesign it. In Norway, the Department of Health and Care Services implemented the Coordination Reform in January 2012. One policy instrument was to build emergency bed capacity (EBC) as an integrated part of primary care service provided by municipalities. Read More

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http://dx.doi.org/10.1007/s10198-018-1015-xDOI Listing
November 2018
15 Reads

Denosumab versus bisphosphonates for the treatment of bone metastases from solid tumors: a systematic review.

Eur J Health Econ 2018 Oct 31. Epub 2018 Oct 31.

School of Nursing of the University of Sao Paulo, 419, Eneas de Carvalho Aguiar Avenue, Sao Paulo, 05403-000, Brazil.

Background: Bone metastases are highly prevalent in breast, prostate, lung and colon cancers. Their symptoms negatively affect quality of life and functionality and optimal management can mitigate these problems. There are two different targeted agents to treat them: bisphosphonates (pamidronate and zoledronic acid) and the monoclonal antibody denosumab. Read More

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http://link.springer.com/10.1007/s10198-018-1011-1
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http://dx.doi.org/10.1007/s10198-018-1011-1DOI Listing
October 2018
12 Reads

Including intangible costs into the cost-of-illness approach: a method refinement illustrated based on the PM economic burden in China.

Eur J Health Econ 2018 Oct 30. Epub 2018 Oct 30.

IPAG Business School, IPAG Lab, 184 Boulevard Saint-Germain, 75006, Paris, France.

The concentrations of particulate matter with aerodynamic diameters less than 2.5 µm (PM) and 10 µm (PM) is a widespread concern and has been demonstrated for 103 countries. During the past few years, the exposure-response function (ERf) has been widely used to estimate the health effects of air pollution. Read More

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http://link.springer.com/10.1007/s10198-018-1012-0
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http://dx.doi.org/10.1007/s10198-018-1012-0DOI Listing
October 2018
3 Reads

Stratified treatment recommendation or one-size-fits-all? A health economic insight based on graphical exploration.

Eur J Health Econ 2018 Oct 29. Epub 2018 Oct 29.

Department of Epidemiology, University of Groningen, University Medical Center Groningen, Hanzeplein 1, 9713 GZ, Groningen, The Netherlands.

Objectives: We sought to explore to what extent the use of Subpopulation Treatment Effect Pattern Plot (STEPP) may help to identify efficient treatment allocation strategy.

Methods: The analysis was based on data from the COACH study, in which 1023 patients with heart failure were randomly assigned to three treatments: care-as-usual, basic support, and intensive support. First, using predicted 18-month mortality risk as the stratification basis, a suitable strategy for assigning different treatments to different risk groups of patients was developed. Read More

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http://link.springer.com/10.1007/s10198-018-1013-z
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http://dx.doi.org/10.1007/s10198-018-1013-zDOI Listing
October 2018
10 Reads

Do political factors influence public health expenditures? Evidence pre- and post-great recession.

Eur J Health Econ 2018 Oct 24. Epub 2018 Oct 24.

San Jorge University, Autovía A-23 Zaragoza-Huesca Km. 299, Villanueva de Gállego, 50830, Zaragoza, Spain.

This paper analyses whether government ideology and other political- and electoral-related factors influence country-level public healthcare expenditures, focussing on the impact of the Great Recession on that relationship. We test this hypothesis for the OECD countries in 1970-2016. Our results reveal the presence of a partisan effect, left-wing governments being more likely to raise public expenditures in the health sector. Read More

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http://dx.doi.org/10.1007/s10198-018-1010-2DOI Listing
October 2018
1 Read

Alcohol quantity and quality price elasticities: quantile regression estimates.

Eur J Health Econ 2018 Oct 1. Epub 2018 Oct 1.

Economics Department, Lancaster University, Lancaster, LA1 4YG, UK.

Many people drink more than the recommended level of alcohol, with some drinking substantially more. There is evidence that suggests that this leads to large health and social costs, and price is often proposed as a tool for reducing consumption. This paper uses quantile regression methods to estimate the differential price (and income) elasticities across the drinking distribution. Read More

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http://dx.doi.org/10.1007/s10198-018-1009-8DOI Listing
October 2018
2 Reads

Advanced therapy medicinal products and health technology assessment principles and practices for value-based and sustainable healthcare.

Eur J Health Econ 2018 Sep 18. Epub 2018 Sep 18.

Medi-Qualite Omega, Paris, France.

Background: Advanced therapy medicinal products (ATMPs) are beginning to reach European markets, and questions are being asked about their value for patients and how healthcare systems should pay for them.

Objectives: To identify and discuss potential challenges of ATMPs in view of current health technology assessment (HTA) methodology-specifically economic evaluation methods-in Europe as it relates to ATMPs, and to suggest potential solutions to these challenges.

Methods: An Expert Panel reviewed current HTA principles and practices in relation to the specific characteristics of ATMPs. Read More

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http://dx.doi.org/10.1007/s10198-018-1007-xDOI Listing
September 2018
1 Read

Cost-effectiveness of controlling gestational diabetes mellitus: a systematic review.

Eur J Health Econ 2018 Sep 18. Epub 2018 Sep 18.

Unit of Pharmaco-Therapy, -Epidemiology and -Economics (PTE2), Groningen Research Institute of Pharmacy, University of Groningen, A.Deusinglaan 1, 9713 AV, Groningen, The Netherlands.

Objective: Timely screening for hyperglycaemia in pregnancy using a simple glucose test enhances early detection and control of gestational diabetes mellitus (GDM). The aim of this study was to provide an overview of the evidence on the cost-effectiveness of identification and/or treatment of GDM.

Methods: We conducted a systematic review using three electronic databases (PubMed, EMBASE, and Cochrane) of cost-effectiveness studies of GDM screening and treatment published during 2000-2017. Read More

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http://dx.doi.org/10.1007/s10198-018-1006-yDOI Listing
September 2018
2 Reads

A QALY loss is a QALY loss is a QALY loss: a note on independence of loss aversion from health states.

Eur J Health Econ 2018 Sep 18. Epub 2018 Sep 18.

Erasmus School of Health Policy & Management, Erasmus University, P.O. Box 1738, 3000 DR, Rotterdam, The Netherlands.

Evidence has accumulated documenting loss aversion for monetary and, recently, for health outcomes-meaning that, generally, losses carry more weight than equally sized gains. In the conventional Quality-Adjusted Life Year (QALY) models, which comprise utility for quality and length of life, loss aversion is not taken into account. When measuring elements of the QALY model, commonly, the (implicit) assumption is that utility for length and quality of life are independent. Read More

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http://dx.doi.org/10.1007/s10198-018-1008-9DOI Listing
September 2018
2 Reads

Impact of late and prolonged working life on subjective health: the Swedish experience.

Eur J Health Econ 2018 Sep 6. Epub 2018 Sep 6.

Department of Economics and Statistics, School of Business and Economics, Linnaeus University, 351 95, Växjö, Sweden.

This paper explores the relationship between the prolongation of working life and subjective health. Drawing on a unique combination of longitudinal data and the results of a postal survey in Sweden, we investigate the health consequences of extending working life beyond the normal retirement age of 65. To do this, we compare the health status of two groups of retired people: one group who left the labour market completely at the age of 65, and a second group who remained in employment after the age of 65. Read More

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http://dx.doi.org/10.1007/s10198-018-1005-zDOI Listing
September 2018
3 Reads

The impact of long-term care on primary care doctor consultations for people over 75 years.

Eur J Health Econ 2018 Sep 5. Epub 2018 Sep 5.

Personal Social Services Research Unit, University of Kent, Canterbury, Kent, CT2 7NX, UK.

Many countries are adopting policies to create greater coordination and integration between acute and long-term care services. This policy is predicated on the assumption that these service areas have interdependent outcomes for patients. In this paper, we study the interdependencies between the long-term (home care) services and consultations with a primary care doctor, as used by people over 75 years. Read More

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http://dx.doi.org/10.1007/s10198-018-0999-6DOI Listing
September 2018
1 Read

When is it too expensive? Cost-effectiveness thresholds and health care decision-making.

Eur J Health Econ 2018 Sep 5. Epub 2018 Sep 5.

Institute for Medical Technology Assessment, Erasmus University Rotterdam, Rotterdam, The Netherlands.

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http://dx.doi.org/10.1007/s10198-018-1000-4DOI Listing
September 2018
1 Read

Harsh times: do stressors lead to labor market losses?

Eur J Health Econ 2018 Sep 3. Epub 2018 Sep 3.

Jyväskylä University School of Business and Economics, Labour Institute for Economic Research and IZA, Pitkänsillanranta 3A, 00530, Helsinki, Finland.

This paper examines the links between stressful life events and labor market outcomes. We use twin data for Finnish men and women combined with register-based individual information on earnings, employment and social income transfers. The twin data allow us to account for shared environmental and genetic confounders. Read More

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http://dx.doi.org/10.1007/s10198-018-1002-2DOI Listing
September 2018
1 Read

Determinants of time to institutionalisation and related healthcare and societal costs in a community-based cohort of patients with Alzheimer's disease dementia.

Eur J Health Econ 2018 Sep 3. Epub 2018 Sep 3.

Division of Neurogeriatrics, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.

Objectives: To examine the costs of caring for community-dwelling patients with Alzheimer's disease (AD) dementia in relation to the time to institutionalisation.

Methods: GERAS was a prospective, non-interventional cohort study in community-dwelling patients with AD dementia and their caregivers in three European countries. Using identified factors associated with time to institutionalisation, models were developed to estimate the time to institutionalisation for all patients. Read More

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http://dx.doi.org/10.1007/s10198-018-1001-3DOI Listing
September 2018
20 Reads

Long-term medical costs of Alzheimer's disease: matched cohort analysis.

Eur J Health Econ 2018 Aug 31. Epub 2018 Aug 31.

Danish Centre for Health Economics (DaCHE), Department of Public Health, University of Southern Denmark, J.B. Winsløws Vej 9, 5000, Odense, Denmark.

Objectives: Medical costs associated with Alzheimer's disease (AD) are characterised by uncertainty and are often presented in a format unsuitable for decision modelling. We set out to estimate long-term medical costs attributable to AD compared to the general population for use in decision modelling.

Methods: We used multiple logistic regressions to generate propensity scores to match 26,951 incident cases of AD with 26,951 people without AD, identified from Danish hospital and medication registries. Read More

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http://dx.doi.org/10.1007/s10198-018-1004-0DOI Listing
August 2018
21 Reads

Structured physiotherapy including a work place intervention for patients with neck and/or back pain in primary care: an economic evaluation.

Eur J Health Econ 2018 Aug 31. Epub 2018 Aug 31.

Health Economics Unit, Department of Clinical Science (Malmö), Lund University, Medicon Village, Scheelevägen 2, 22381, Lund, Sweden.

A cluster-randomized controlled trial, WorkUp, was conducted for working-aged patients at risk of sick leave or on short-term sick leave due to acute/subacute neck and/or back pain in Sweden. The purpose of WorkUp was to facilitate participants to stay at work or in case of sick leave, return-to-work. The aim of this study was to study whether the WorkUp trial was cost-effective. Read More

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http://link.springer.com/10.1007/s10198-018-1003-1
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http://dx.doi.org/10.1007/s10198-018-1003-1DOI Listing
August 2018
9 Reads

Catastrophic financial effect of replacing informal care with formal care: a study based on haematological neoplasms.

Eur J Health Econ 2018 Aug 18. Epub 2018 Aug 18.

Department of Economic Analysis and Finance, Faculty of Social Sciences, University of Castilla-La Mancha, Avenida de los Alfares, 44, 16.071, Cuenca, Spain.

Informal care is a substantial source of support for people with cancer. However, various studies have predicted its disappearance in the near future. The aim of this study is to analyse the catastrophic effect resulting from the substitution of informal care with formal care in patients with blood cancer throughout the different stages of treatment. Read More

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http://link.springer.com/10.1007/s10198-018-0998-7
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http://dx.doi.org/10.1007/s10198-018-0998-7DOI Listing
August 2018
7 Reads

Health polarization and inequalities across Europe: an empirical approach.

Eur J Health Econ 2018 Nov 31;19(8):1039-1051. Epub 2018 Jul 31.

Faculty of Economics, University of Cantabria, Avda. de los Castros s/n., 39005, Santander, Spain.

This paper examines inequality and polarization in self-assessed health, contributing towards the limited research existing on health economics. We use data from the European Health Interview Survey (EHIS) to investigate the relationship between health inequality and polarization across 27 European countries in two periods: 2006-2009 and 2013-2015. As our key variable is of an ordinal nature, we employ median based measures. Read More

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http://dx.doi.org/10.1007/s10198-018-0997-8DOI Listing
November 2018
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Potential savings in the treatment pathway of liver transplantation: an inter-sectorial analysis of cost-rising factors.

Eur J Health Econ 2018 Jul 26. Epub 2018 Jul 26.

Department of Health Economics and Health Policy, Institute of Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Carl-Neuberg-Str. 1, 30625, Hannover, Germany.

Introduction: Identification of cost-driving factors in patients undergoing liver transplantation is essential to target reallocation of resources and potential savings.

Aim: The aim of this study is to identify main cost-driving factors in liver transplantation from the perspective of the Statutory Health Insurance.

Methods: Variables were analyzed with multivariable logistic regression to determine their influence on high cost cases (fourth quartile) in the outpatient, inpatient and rehabilitative healthcare sectors as well as for medications. Read More

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http://dx.doi.org/10.1007/s10198-018-0994-yDOI Listing
July 2018
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Pricing of HPV vaccines in European tender-based settings.

Eur J Health Econ 2018 Jul 26. Epub 2018 Jul 26.

Department of Epidemiology and Biostatistics, VU University Medical Center, PO Box 7057, MF F-wing ST, 1007 MB, Amsterdam, The Netherlands.

Background: Vaccine price is one of the most influential parameters in economic evaluations of HPV vaccination programmes. Vaccine tendering is a cost-containment method widely used by national or regional health authorities, but information on tender-based HPV vaccine prices is scarce.

Methods: Procurement notices and awards for the HPV vaccines, published from January 2007 until January 2018, were systematically retrieved from the online platform for public procurement in Europe. Read More

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http://dx.doi.org/10.1007/s10198-018-0996-9DOI Listing
July 2018
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A new method for valuing health: directly eliciting personal utility functions.

Eur J Health Econ 2018 Jul 20. Epub 2018 Jul 20.

School of Health and Related Research, University of Sheffield, 30 Regent Street, Sheffield, S1 4DA, UK.

Background: Standard methods for eliciting the preference data upon which 'value sets' are based generally have in common an aim to 'uncover' people's preferences by asking them to evaluate a subset of health states, then using their responses to infer their preferences over all dimensions and levels. An alternative approach is to ask people directly about the relative importance to them of the dimensions, levels and interactions between them. This paper describes a new stated preference approach for directly eliciting personal utility functions (PUFs), and reports a pilot study to test its feasibility for valuing the EQ-5D. Read More

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http://dx.doi.org/10.1007/s10198-018-0993-zDOI Listing
July 2018
18 Reads

Pharmaceutical pricing conundrum: time to get rid of it?

Eur J Health Econ 2018 Nov;19(8):1035-1038

CESAV, Centre for Health Economics, IRCCS Institute for Pharmacological Research "Mario Negri", 24020, Ranica, Italy.

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http://dx.doi.org/10.1007/s10198-018-0995-xDOI Listing
November 2018
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Valuation of preference-based measures: can existing preference data be used to select a smaller sample of health states?

Eur J Health Econ 2018 Jul 6. Epub 2018 Jul 6.

Health Economics and Decision Science, School of Health and Related Research, The University of Sheffield, Regent Court, 30 Regent Street, Sheffield, S1 4DA, UK.

Background: Different countries have different preferences regarding health, and there are different value sets for popular preference-based measures across different countries. However, the cost of collecting data to generate country-specific value sets can be prohibitive for countries with smaller population size or low- and middle-income countries (LMIC). This paper explores whether existing preference weights could be modelled alongside a small own country valuation study to generate representative estimates. Read More

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http://dx.doi.org/10.1007/s10198-018-0991-1DOI Listing
July 2018
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