298 results match your criteria Health Economics Review [Journal]


Out-of-pocket payments in the context of a free maternal health care policy in Burkina Faso: a national cross-sectional survey.

Health Econ Rev 2019 Mar 27;9(1):11. Epub 2019 Mar 27.

Département Biomédical et Santé Publique, Institut de Recherche en Sciences de la Santé (IRSS/CNRST), 03 BP 7192, Ouagadougou, Burkina Faso.

Background: In April 2016, Burkina Faso introduced a free health care policy for women. Instead of reimbursing health facilities, as many sub-Saharan countries do, the government paid them prospectively for covered services to avoid reimbursement delays, which are cited as a reason for the persistence of out-of-pocket (OOP) payments. This study aimed to (i) estimate the direct expenditures of deliveries and covered obstetric care, (ii) determine the OOP payments, and (iii) identify the patient and health facility characteristics associated with OOP payments. Read More

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http://dx.doi.org/10.1186/s13561-019-0228-8DOI Listing
March 2019
1 Read

Proximity to death and health care expenditure increase revisited: A 15-year panel analysis of elderly persons.

Authors:
Viktor von Wyl

Health Econ Rev 2019 Mar 11;9(1). Epub 2019 Mar 11.

Epidemiology, Biostatistics & Prevention Institute, University of Zurich, Hirschengraben, 84, CH-8001, Zurich, Switzerland.

Background: Health care expenditures (HCE) are known to steepen with increasing age, but the contributions of biological age, morbidity, or proximity to death as cost drivers are debated. Age-associated HCE growth can be studied across two dimensions: within fixed groups of persons with the same birth year followed over time (birth cohort), or the same age classes (e.g. Read More

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https://healtheconomicsreview.springeropen.com/articles/10.1
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http://dx.doi.org/10.1186/s13561-019-0224-zDOI Listing
March 2019
6 Reads

Out-of-pocket healthcare expenditure in Australia: trends, inequalities and the impact on household living standards in a high-income country with a universal health care system.

Health Econ Rev 2019 Mar 11;9(1):10. Epub 2019 Mar 11.

College of Public Health, Medical and Veterinary Science, James Cook University, Townsville, QLD, 4810, Australia.

Background: Poor health increases the likelihood of experiencing poverty by reducing a person's ability to work and imparting costs associated with receiving medical treatment. Universal health care is a means of protecting against the impoverishing impact of high healthcare costs. This study aims to document the recent trends in the amount paid by Australian households out-of-pocket for healthcare, identify any inequalities in the distribution of this expenditure, and to describe the impact that healthcare costs have on household living standards in a high-income country with a long established universal health care system. Read More

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http://dx.doi.org/10.1186/s13561-019-0227-9DOI Listing

Diabetic and cardiovascular patients' willingness to pay for upcoming national health insurance scheme in Côte d'Ivoire.

Health Econ Rev 2019 Mar 8;9(1). Epub 2019 Mar 8.

Département de Santé Publique, Hydrologie et Toxicologie, UFR Sciences Pharmaceutiques et Biologiques, Université Félix Houphouët-Boigny, Abidjan, Côte d'Ivoire.

Background: Côte d'Ivoire's current health care financing system results from successive reforms undertaken with government funding and international support. The country is moving towards a national compulsory health insurance scheme. This context offered an opportunity to study additional features of health insurance's potential market in Sub-Sahara Africa developing economy. Read More

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http://dx.doi.org/10.1186/s13561-019-0225-yDOI Listing

Neighborhood characteristics as determinants of healthcare utilization - a theoretical model.

Health Econ Rev 2019 Mar 6;9(1). Epub 2019 Mar 6.

Utrecht Municipality, Department of Public Health, PO Box 16200, 3500, CE, Utrecht, The Netherlands.

Background: We propose using neighborhood characteristics as demand-related morbidity adjusters to improve prediction models such as the risk equalization model.

Results: Since the neighborhood has no explicit 'place' in healthcare demand models, we have developed the "Neighborhood and healthcare utilization model" to show how neighborhoods matter in healthcare utilization. Neighborhood may affect healthcare utilization via (1) the supply-side, (2) need, and (3) demand for healthcare - irrespective of need. Read More

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http://dx.doi.org/10.1186/s13561-019-0226-xDOI Listing

A comparative profitability analysis of transcatheter versus surgical aortic valve replacement in a high-volume French hospital.

Health Econ Rev 2019 Feb 14;9(1). Epub 2019 Feb 14.

Service de Cardiologie, Hôpital Nord Laennec, Unité d'Hémodynamique et Cardiologie Interventionnelle, CHU de Nantes, Boulevard Professeur Jacques Monod, 44800, Saint-Herblain, France.

Background: Current scientific guidelines have extended the indication for transcatheter aortic valve replacement (TAVR) to patients who present an intermediate risk for surgery and have been so far considered for conventional surgery. We previously demonstrated that the TAVR procedure generated profits despite elevated costs, but comparison with surgery has not been performed. The objective of this study was to assess the profitability of the TAVR procedure compared with conventional surgery in a high-volume French hospital. Read More

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http://dx.doi.org/10.1186/s13561-019-0223-0DOI Listing
February 2019

Adherence to long-term prophylactic treatment: microeconomic analysis of patients' behavior and the impact of financial incentives.

Health Econ Rev 2019 Feb 13;9(1). Epub 2019 Feb 13.

Chair of Economic Policy, University of Hagen, D-58084, Hagen, Germany.

The effectiveness of medical therapies depends crucially on patients' adherence. To gain deeper insight into the behavioral mechanisms underlying adherence, we present a microeconomic model of the decision-making process of an individual who is initially in an asymptomatic clinical state and to whom a prophylactic therapy is offered with the aim of preventing damage to health in the future. The focus of modeling is the optimization of an intertemporal utility function, where time-inconsistent preferences are incorporated by a quasi-hyperbolic discount function. Read More

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http://dx.doi.org/10.1186/s13561-019-0222-1DOI Listing
February 2019

Cost-effectiveness analysis of case management for optimized antithrombotic treatment in German general practices compared to usual care - results from the PICANT trial.

Health Econ Rev 2019 Feb 7;9(1). Epub 2019 Feb 7.

Institute of General Practice, Goethe-University Frankfurt am Main, Frankfurt, Germany.

Background: By performing case management, general practitioners and health care assistants can provide additional benefits to their chronically ill patients. However, the economic effects of such case management interventions often remain unclear although how to manage the burden of chronic disease is a key question for policy-makers. This analysis aimed to compare the cost-effectiveness of 24 months of primary care case management for patients with a long-term indication for oral anticoagulation therapy with usual care. Read More

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http://dx.doi.org/10.1186/s13561-019-0221-2DOI Listing
February 2019

Health condition and job status interactions: econometric evidence of causality from a French longitudinal survey.

Health Econ Rev 2019 Jan 31;9(1). Epub 2019 Jan 31.

IREGE, Université de Savoie, BP 80439, Annecy-le-Vieux, 74944, France.

This article investigates the causal links between health and employment status. To disentangle correlation from causality effects, the authors leverage a French panel survey to estimate a bivariate dynamic probit model that can account for the persistence effect, initial conditions, and unobserved heterogeneity. The results highlight the crucial role of all three components and reveal strong dual causality between health and employment status. Read More

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http://dx.doi.org/10.1186/s13561-019-0220-3DOI Listing
January 2019

Correction to: CancerCostMod: a model of the healthcare expenditure, patient resource use, and patient co-payment costs for Australian cancer patients.

Health Econ Rev 2019 Jan 19;9(1). Epub 2019 Jan 19.

College of Public Health, Medical and Veterinary Sciences (CPHMVS), James Cook University, Townsville, Australia.

Following publication of the original article [1], the authors reported errors on their article. Read More

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http://dx.doi.org/10.1186/s13561-019-0219-9DOI Listing
January 2019
2 Reads

Analysis of processes and costs of alternative packaging options of sterile goods in hospitals - a case study in two German hospitals.

Health Econ Rev 2019 Jan 17;9(1). Epub 2019 Jan 17.

Research Assistant, Chair of General Business Administration and Health Care Management, Faculty of Law and Economics, University of Greifswald, Friedrich-Loeffler-Straße 70, 17489, Greifswald, Germany.

Background: Hospitals should monitor the costs of all direct and indirect processes in order to achieve efficiency and safeguard financial sustainability. One neglected process with significant costs is the processing of reusable medical devices and their packaging performed in the central sterilisation supply department and the operating room. The objective of this research is to analyse and compare processes and costs of four different packing alternatives, i. Read More

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http://dx.doi.org/10.1186/s13561-018-0218-2DOI Listing
January 2019
1 Read

Does happiness matter to health system efficiency? A performance analysis.

Health Econ Rev 2018 Dec 21;8(1):33. Epub 2018 Dec 21.

Economics Programme, School of Distance Education, Universiti Sains Malaysia, Pulau Pinang, Malaysia.

Background: The main objective of this study is to assess the performance of the global health system, emphasising the contribution of people's happiness to health system efficiency across countries. Technical efficiency (TE) scores are estimated using the output-oriented variable returns to scale (VRS) data envelopment analysis (DEA) model based on the input measures: health expenditure, labour, hospital beds and education, and the output measures: healthy life expectancy and inverse mortality index. The efficiency scores are regressed against three explanatory variables: happiness index, population density, and healthcare share of gross domestic product (GDP). Read More

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https://healtheconomicsreview.springeropen.com/articles/10.1
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http://dx.doi.org/10.1186/s13561-018-0214-6DOI Listing
December 2018
11 Reads

Cost-effectiveness of continuity of midwifery care for women with complex pregnancy: a structured review of the literature.

Health Econ Rev 2018 Dec 5;8(1):32. Epub 2018 Dec 5.

Menzies Health Institute Queensland, Griffith University, Gold Coast, Queensland, 4222, Australia.

Background: Critical evaluation of the cost-effectiveness and clinical effectiveness of continuity of midwifery care models for women experiencing complex pregnancy is an important consideration in the review and reform of maternity services. Most studies either focus on women who experience healthy pregnancy or mixed risk samples. These results may not be generalised across the childbearing continuum to women with risk factors. Read More

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http://dx.doi.org/10.1186/s13561-018-0217-3DOI Listing
December 2018
3 Reads

Understanding the adoption of new drugs decided by several stakeholders in the South Korean market: a nonparametric event history analysis.

Authors:
Kyung-Bok Son

Health Econ Rev 2018 Dec 4;8(1):31. Epub 2018 Dec 4.

College of Pharmacy, Ewha Womans University, 52Ewhayeodae-gil, Seodaemun-gu, Seoul, 03760, South Korea.

Background: Regulatory approval and reimbursement decisions are necessary if new drugs are to become accessible in a timely manner. However, the process of regulatory approval and the establishment of reimbursement decisions varies across countries. This study aims to analyze the duration between regulatory approval and reimbursement decision for new drugs and to evaluate various factors affecting the timely availability of new medicines in the Korean market. Read More

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http://dx.doi.org/10.1186/s13561-018-0216-4DOI Listing
December 2018
1 Read

Hospitalization rates and resource utilization of schizophrenic patients switched from oral antipsychotics to aripiprazole-depot in Germany.

Health Econ Rev 2018 Nov 23;8(1):30. Epub 2018 Nov 23.

Institute of Empirical Health Economics, Am Ziegelfeld 28, 51399, Burscheid, Germany.

Objective: Examine cost-driving factors of schizophrenia in Germany for patients prior- and post-switch from an oral antipsychotic therapy to aripiprazole-depot and perform a budget impact analysis (BIA) referring to the context of German health care.

Methods: A single-armed, retrospective, non-interventional pre-post comparison study with 132 patients to compare the total psychiatric hospitalization rates and the associated costs of both, the treatment with oral antipsychotics and aripiprazole-depot. The BIA was performed to compare both treatment periods with respect to health-related costs. Read More

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http://dx.doi.org/10.1186/s13561-018-0215-5DOI Listing
November 2018
12 Reads

A survey-based design of a pricing system for psychotherapy.

Health Econ Rev 2018 Nov 13;8(1):29. Epub 2018 Nov 13.

Institute for Competitiveness and Communication, University of Applied Sciences and Arts Northwestern Switzerland (FHNW), Riggenbachstrasse 16, 4600, Olten, Switzerland.

For admission to statutory health insurance, it is common in Switzerland that health care providers negotiate prices for health care services directly with health insurers. Once they agree upon a price, they must submit the resulting price to the Federal Office of Public Health (FOPH), which can then authorize it. Swiss law requires the prices in health care to be based on empirical data. Read More

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https://healtheconomicsreview.springeropen.com/articles/10.1
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http://dx.doi.org/10.1186/s13561-018-0213-7DOI Listing
November 2018
13 Reads

CancerCostMod: a model of the healthcare expenditure, patient resource use, and patient co-payment costs for Australian cancer patients.

Health Econ Rev 2018 Oct 31;8(1):28. Epub 2018 Oct 31.

College of Public Health, Medical and Veterinary Sciences (CPHMVS), James Cook University, Townsville, Australia.

Although cancer survival in general has improved in Australia over the past 30 years, Indigenous Australians, socioeconomically disadvantaged persons, and people living in remote areas still experience poorer health outcomes. This paper aims to describe the development of CancerCostMod, and to present the healthcare expenditure and patient co-payments for the first 12-months post-diagnosis. The base population is a census of all cancer diagnoses (excluding non-melanoma skin cancer) in Queensland, Australia between 1 July 2011 and 30 June 2012 (N = 25,553). Read More

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http://dx.doi.org/10.1186/s13561-018-0212-8DOI Listing
October 2018
1 Read

Application of the HTA Core Model for complex evaluation of the effectiveness and quality of Radium-223 treatment in patients with metastatic castration resistant prostate cancer.

Health Econ Rev 2018 Oct 22;8(1):27. Epub 2018 Oct 22.

CzechHTA, Faculty of Biomedical Engineering, Czech Technical University in Prague, Nám. Sítná 3105, 272 01, Kladno, Czech Republic.

Background: Health technology assessment (HTA) is currently one of the major challenges in assessing medical innovations and healthcare systems. In Europe, the European Network for Health Technology Assessment (EUnetHTA) has been aspiring to develop and implement standards for international sharing of HTA results and studies. Slovakia and many other EU countries do not have an established HTA system yet. Read More

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https://healtheconomicsreview.springeropen.com/articles/10.1
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http://dx.doi.org/10.1186/s13561-018-0211-9DOI Listing
October 2018
8 Reads

Health shocks in sub-Saharan Africa: are the poor and uninsured households more vulnerable?

Authors:
Esso-Hanam Atake

Health Econ Rev 2018 Oct 13;8(1):26. Epub 2018 Oct 13.

Department of Economics, University of Lome, Lome, Togo.

Background: In developing countries, health shock is one of the most common idiosyncratic income shock and the main reason why households fall into poverty. Empirical research has shown that in these countries, households are unable to access formal insurance markets in order to insure their consumption against health shocks. Thus, in this study, are the poor and uninsured households more vulnerable from health shocks? We investigate the factors that lead to welfare loss from health shocks, and how to break the vulnerability from health shocks in three Sub-Saharan Africa (SSA) countries, namely, Burkina Faso, Niger and Togo. Read More

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https://healtheconomicsreview.springeropen.com/articles/10.1
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http://dx.doi.org/10.1186/s13561-018-0210-xDOI Listing
October 2018
2 Reads

Volume-outcome relationship and minimum volume regulations in the German hospital sector - evidence from nationwide administrative hospital data for the years 2005-2007.

Health Econ Rev 2018 Sep 26;8(1):25. Epub 2018 Sep 26.

RWI, RUB and Leibniz Science Campus Ruhr, Hohenzollernstraße 1-3, 45127, Essen, Germany.

Background: This paper analyses the volume-outcome relationship and the effects of minimum volume regulations in the German hospital sector.

Methods: We use a full sample of administrative data from the unselected, complete German hospital population for the years 2005 to 2007. We apply regression methods to analyze the association between volume and hospital quality. Read More

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https://healtheconomicsreview.springeropen.com/articles/10.1
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http://dx.doi.org/10.1186/s13561-018-0204-8DOI Listing
September 2018
2 Reads

Leveraging EUnetHTA's conceptual framework to compare HTA decision drivers in France, Italy, and Germany from a manufacturer's point of view.

Health Econ Rev 2018 Sep 21;8(1):24. Epub 2018 Sep 21.

Medical School of Hanover, Hanover, Germany.

Background: Health Technology Assessments (HTA) procedures differ substantially across the various European countries. We reviewed recent appraisals of a pharmaceutical manufacturer in three major European markets (France; Italy; Germany) and identified and categorized related decision drivers.

Methods: New marketing authorisation between January 2011 and August 2017, and Roche being the Marketing Authorization Holder, were included. Read More

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http://dx.doi.org/10.1186/s13561-018-0201-yDOI Listing
September 2018
4 Reads

"Market withdrawals" of medicines in Germany after AMNOG: a comparison of HTA ratings and clinical guideline recommendations.

Health Econ Rev 2018 Sep 18;8(1):23. Epub 2018 Sep 18.

Medical School of Hanover, Hanover, Germany.

Background: According to the AMNOG act, the German Federal Joint Committee (G-BA) determines the additional benefit of new medicines as a basis for subsequent price negotiations. Pharmaceutical companies may withdraw their medications from the market at any time during the process. This analysis aims to compare recommendations in clinical guidelines and HTA appraisals of medicines that were withdrawn from the German market since the introduction of AMNOG in 2011. Read More

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http://dx.doi.org/10.1186/s13561-018-0209-3DOI Listing
September 2018
5 Reads

Extension of mandatory health insurance to informal sector workers in Togo.

Health Econ Rev 2018 Sep 17;8(1):22. Epub 2018 Sep 17.

Department of Economic Sciences, University of Lomé (Togo), Lome, West africa, Togo.

Background: About 90.4% of Togolese workers operate in the informal sector and account for between 20 and 30% of Togo's Gross Domestic Product. Despite their importance in the Togolese economy, informal sector workers (ISW) do not have a health insurance scheme. Read More

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https://healtheconomicsreview.springeropen.com/articles/10.1
Publisher Site
http://dx.doi.org/10.1186/s13561-018-0208-4DOI Listing
September 2018
7 Reads

A systematic review about costing methodology in robotic surgery: evidence for low quality in most of the studies.

Health Econ Rev 2018 Sep 7;8(1):21. Epub 2018 Sep 7.

Department of Gynecology and Obstetrics, Faculty of Health Sciences, Odense University Hospital, Clinical Institute, University of Southern Denmark, Odense, Denmark.

Objectives: The main objective of this review was to evaluate the methodological design in studies reporting resource use and costs related to robotic surgery in gynecology.

Methods: Systematic searches were performed in the databases PubMed, Embase, Scopus, and The Centre for Reviews and Dissemination database for relevant studies before May 2016. The quality of the methodological design was assessed with items regarding methodology from the Consolidated Health Economic Evaluation Reporting Standards (CHEERS). Read More

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http://dx.doi.org/10.1186/s13561-018-0207-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6128948PMC
September 2018
29 Reads

Association of Child Maltreatment with South African Adults' Wages: Evidence from the Cape Area Panel Study.

Health Econ Rev 2018 Sep 7;8(1):20. Epub 2018 Sep 7.

Department of Psychology, University of Cape Town, Cape Town, South Africa.

Child maltreatment is a prevalent public health problem in both developed and developing countries. While many studies have investigated the relationship between violence against children and health of the victims, little is known about the long term economic consequences of child maltreatment, especially in developing countries. Using data from the Cape Area Panel Study, this paper applies Heckman selection models to investigate the relationship between childhood maltreatment and young adults' wages in South Africa. Read More

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http://dx.doi.org/10.1186/s13561-018-0206-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6128950PMC
September 2018
7 Reads

How much does community-based targeting of the ultra-poor in the health sector cost? Novel evidence from Burkina Faso.

Health Econ Rev 2018 Sep 4;8(1):19. Epub 2018 Sep 4.

Institute of Public Health, Medical Faculty, Heidelberg University, Heidelberg, Germany.

Background: Targeting efforts aimed at increasing access to care for the poorest by reducing to a minimum or completely eliminating payments at point of use are increasingly being adopted across low and middle income countries, within the framework of Universal Health Coverage policies. No evidence, however, is available on the real cost of designing and implementing these efforts. Our study aimed to fill this gap in knowledge through the systematic assessment of both the financial and economic costs associated with designing and implementing a pro-poor community-based targeting intervention across eight districts in rural Burkina Faso. Read More

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http://dx.doi.org/10.1186/s13561-018-0205-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6123332PMC
September 2018
1 Read

Effects of capitation payment on utilization and claims expenditure under National Health Insurance Scheme: a cross-sectional study of three regions in Ghana.

Health Econ Rev 2018 Aug 27;8(1):17. Epub 2018 Aug 27.

Radboud Institute for Health Sciences, Department for Health Evidence, Radboud University Medical Centre-Netherlands, Nijmegen, Netherlands.

Introduction: Ghana introduced capitation payment under National Health Insurance Scheme (NHIS), beginning with pilot in the Ashanti region, in 2012 with a key objective of controlling utilization and related cost. This study sought to analyse utilization and claims expenditure data before and after introduction of capitation payment policy to understand whether the intended objective was achieved.

Methods: The study was cross-sectional, using a non-equivalent pre-test and post-test control group design. Read More

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http://dx.doi.org/10.1186/s13561-018-0203-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111020PMC
August 2018
237 Reads

Hepatocellular carcinoma after prior sorafenib treatment: incidence, healthcare utilisation and costs from German statutory health insurance claims data.

Health Econ Rev 2018 Aug 27;8(1):18. Epub 2018 Aug 27.

Team Gesundheit GmbH, Rellinghauser Straße 93, 45128, Essen, Germany.

Objective: To estimate both the number of patients with hepatocellular carcinoma (HCC) eligible annually for second-line therapy following sorafenib in Germany and the healthcare costs accrued by patients meeting eligibility criteria.

Methods: Patients with an HCC diagnosis and one or more sorafenib prescription were identified from samples of > 3 million insured persons in each of 2012, 2013 and 2014 using the anonymised Betriebskrankenkasse health insurance scheme database. Incidence rates from 2013 were extrapolated to the German population using data from the statutory health insurance system database and Robert Koch Institute. Read More

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http://dx.doi.org/10.1186/s13561-018-0199-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6111015PMC
August 2018
1 Read

Factors for healthcare utilization and effect of mutual health insurance on healthcare utilization in rural communities of South Achefer Woreda, North West, Ethiopia.

Health Econ Rev 2018 Aug 22;8(1):15. Epub 2018 Aug 22.

School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar City, Ethiopia.

Objective: To identify factors for healthcare utilization and to describe effect of Mutual Health Insurance on health service utilization in rural community in South Achefer, North West Ethiopia.

Methods: Across-sectional study was conducted. A total of 652 households consented to participate in the study (326 insured and 326 uninsured households). Read More

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http://dx.doi.org/10.1186/s13561-018-0200-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104411PMC
August 2018
4 Reads

Potential gains in life expectancy by eliminating deaths from cardiovascular diseases and diabetes mellitus in the working life ages among Slovak population.

Health Econ Rev 2018 Aug 22;8(1):16. Epub 2018 Aug 22.

Faculty of Economics, Technical University of Kosice, Nemcovej 32, 040 01, Kosice, Slovakia.

Background: In recent years, high mortality from cardiovascular diseases (chronic ischemic heart disease, acute coronary syndrome, cerebrovascular diseases, atherosclerosis, hypertensive diseases) and diabetes mellitus have burdened economic and health system of the Slovak Republic considerably. By eliminating these deaths, the life expectancy could be prolonged. Since the mortality of population during working period has higher importance in terms of economic consequences of diseases, this article aims to assess the potential gains in life expectancy (PGLEs) of the Slovak population comparing the entire life span and working life-time. Read More

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http://dx.doi.org/10.1186/s13561-018-0202-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104529PMC
August 2018
3 Reads

Regret-sensitive treatment decisions.

Health Econ Rev 2018 Aug 6;8(1):14. Epub 2018 Aug 6.

Faculty of Commerce, Waseda University, Nishi-waseda 1-6-1, Shinjuku-ku, Tokyo, 169-8050, Japan.

The threshold approach to medical decision-making, in which treatment decisions are made based on whether the probability of sickness exceeds a predetermined threshold, was introduced by (Pauker and Kassirer, N Engl J Med 293:229-234, 1975) and (Pauker and Kassirer, N Engl J Med 302:1109-1116, 1980). This study generalizes the threshold approach using regret theory. Regret theory is one of the established alternatives to expected utility theory (EUT), and partly overcomes the descriptive limitations of EUT. Read More

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http://dx.doi.org/10.1186/s13561-018-0198-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6077293PMC
August 2018
19 Reads

Real-world cost-effectiveness of cetuximab in the third-line treatment of metastatic colorectal cancer based on patient chart review in the Netherlands.

Health Econ Rev 2018 Jul 17;8(1):13. Epub 2018 Jul 17.

Global Evidence & Value Development, Merck KGaA, Darmstadt, Germany.

Objective: To assess the cost effectiveness of cetuximab in third-line treatment of patients with KRAS wild-type (wt) metastatic colorectal cancer (mCRC) in routine clinical practice compared with best supportive care (BSC).

Methods: Patients (n = 287) with KRAS wt mCRC treated with cetuximab or BSC in eight hospitals in the Netherlands between 2009 and 2012 were included in our real-world study. Outcome measures were costs per life-year (LY) and costs per quality-adjusted LY (QALY) gained. Read More

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http://dx.doi.org/10.1186/s13561-018-0197-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6049844PMC
July 2018
5 Reads

Economic evaluation of patient navigation programs in colorectal cancer care, a systematic review.

Health Econ Rev 2018 Jun 14;8(1):12. Epub 2018 Jun 14.

Institute for Patient-Centered Initiatives and Health Equity at the George Washington University Cancer Center, 2600 Virginia Avenue NW, Suite 300, Washington, DC, 20037, USA.

Patient navigation has expanded as a promising approach to improve cancer care coordination and patient adherence. This paper addresses the need to identify the evidence on the economic impact of patient navigation in colorectal cancer, following the Health Economic Evaluation Publication Guidelines. Articles indexed in Medline, Cochrane, CINAHL, and Web of Science between January 2000 and March 2017 were analyzed. Read More

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http://dx.doi.org/10.1186/s13561-018-0196-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6002330PMC
June 2018
6 Reads

Health care service provision in Europe and regional diversity: a stochastic metafrontier approach.

Authors:
Katharina Schley

Health Econ Rev 2018 May 31;8(1):11. Epub 2018 May 31.

University of Goettingen, Humboldtallee 3, Göttingen, 37073, Germany.

■■■: In the last decades, demographic change coupled with new and expensive medical innovations have put most health care systems in developed countries under financial pressure. Therefore, ensuring efficient service provision is essential for a sustainable health care system. This paper investigates the performance of regional health care services in six West European countries between 2005 and 2014. Read More

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http://dx.doi.org/10.1186/s13561-018-0195-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5981158PMC
May 2018
1 Read

Worldwide assessment of healthcare personnel dealing with lymphoedema.

Health Econ Rev 2018 Apr 16;8(1):10. Epub 2018 Apr 16.

Practice for Lympho-Vascular Diseases, Bahnhofstraße 12, Hannover, Germany.

Background: Lymphoedema is a pandemic with about 250 million people suffering from this condition worldwide. Lymphatic diseases have considerable public health significance, but yet few professionals are specialised in their management causing a substantial burden on health resources.

Aims And Objectives: This study aims to give an overview of the approximate number of medical professionals, professional societies, institutions and companies dealing with lymphoedema in various countries. Read More

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http://dx.doi.org/10.1186/s13561-018-0194-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5901432PMC
April 2018
4 Reads

Inequalities in child immunization coverage in Ghana: evidence from a decomposition analysis.

Health Econ Rev 2018 Apr 11;8(1). Epub 2018 Apr 11.

Section for Health Promotion and Health Services Research, Department of Public Health, Aarhus University, Bartholins Alle 2, 8000, Aarhus C, Denmark.

Childhood vaccination has been promoted as a global intervention aimed at improving child survival and health, through the reduction of vaccine preventable deaths. However, there exist significant inequalities in achieving universal coverage of child vaccination among and within countries. In this paper, we examine rural-urban inequalities in child immunizations in Ghana. Read More

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http://dx.doi.org/10.1186/s13561-018-0193-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5895562PMC
April 2018
2 Reads

Decision modelling of non-pharmacological interventions for individuals with dementia: a systematic review of methodologies.

Health Econ Rev 2018 Mar 26;8(1). Epub 2018 Mar 26.

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

Objectives: The main objective of this study is to conduct a systematic review to identify and discuss methodological issues surrounding decision modelling for economic evaluation of non-pharmacological interventions (NPIs) in dementia.

Methods: A systematic search was conducted for publications using decision modelling to investigate the cost-effectiveness of NPIs for individuals with dementia. Search was limited to studies in English. Read More

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http://dx.doi.org/10.1186/s13561-018-0192-8DOI Listing
March 2018
2 Reads

Prenatal care and socioeconomic status: effect on cesarean delivery.

Health Econ Rev 2018 Mar 10;8(1). Epub 2018 Mar 10.

EA 7285, Versailles Saint Quentin University, Montigny-le-Bretonneux, France.

Cesarean deliveries are widely used in many high- and middle-income countries. This overuse both increases costs and lowers quality of care and is thus a major concern in the healthcare industry. The study first examines the impact of prenatal care utilization on cesarean delivery rates. Read More

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http://dx.doi.org/10.1186/s13561-018-0190-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5845483PMC
March 2018
3 Reads

Healthcare efficiency assessment using DEA analysis in the Slovak Republic.

Health Econ Rev 2018 Mar 9;8(1). Epub 2018 Mar 9.

Faculty of Economics, Technical University of Kosice, Kosice, Slovakia.

A regional disparity is becoming increasingly important growth constraint. Policy makers need quantitative knowledge to design effective and targeted policies. In this paper, the regional efficiency of healthcare facilities in Slovakia is measured (2008-2015) using data envelopment analysis (DEA). Read More

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http://dx.doi.org/10.1186/s13561-018-0191-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5845086PMC
March 2018
3 Reads

Out-of-pocket expenditure on maternity care for hospital births in Uttar Pradesh, India.

Health Econ Rev 2018 Feb 27;8(1). Epub 2018 Feb 27.

Room, 102 Centre for the Study of Regional Development (CSRD), School of Social Sciences (SSS), Jawaharlal Nehru University (JNU), New Delhi, India.

Background And Objective: The studies measured Out-of-Pocket Expenditure (OOPE) for hospital births previously suffer from serious data limitations. To overcome such limitations, we designed a hospital-based study for measuring the levels and factors of OOPE on maternity care for hospital births by its detailed components.

Methods: Data were collected from women for non-complicated deliveries 24-h before the survey and complicated deliveries 48-h prior to the survey at the hospital settings in Uttar Pradesh, India during 2014. Read More

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http://dx.doi.org/10.1186/s13561-018-0189-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5826910PMC
February 2018
3 Reads

The shaded side of the UHC cube: a systematic review of human resources for health management and administration in social health protection schemes.

Health Econ Rev 2018 Feb 20;8(1). Epub 2018 Feb 20.

GIZ Deutsche Gesellschaft für Internationale Zusammenarbeit, Eschborn, Germany.

Managers and administrators in charge of social protection and health financing, service purchasing and provision play a crucial role in harnessing the potential advantage of prudent organization, management and purchasing of health services, thereby supporting the attainment of Universal Health Coverage. However, very little is known about the needed quantity and quality of such staff, in particular when it comes to those institutions managing mandatory health insurance schemes and purchasing services. As many health care systems in low- and middle-income countries move towards independent institutions (both purchasers and providers) there is a clear need to have good data on staff and administrative cost in different social health protection schemes as a basis for investing in the development of a cadre of health managers and administrators for such schemes. Read More

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http://dx.doi.org/10.1186/s13561-018-0188-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5820241PMC
February 2018
29 Reads

Analysis of multi drug resistant tuberculosis (MDR-TB) financial protection policy: MDR-TB health insurance schemes, in Chhattisgarh state, India.

Health Econ Rev 2018 Jan 27;8(1). Epub 2018 Jan 27.

Global Health and Development, Imperial College London; Centre for Health Economics, University of York, York, United Kingdom.

Introduction: There are significant financial barriers to access treatment for multi drug resistant tuberculosis (MDR-TB) in India. To address these challenges, Chhattisgarh state in India has established a MDR-TB financial protection policy by creating MDR-TB benefit packages as part of the universal health insurance scheme that the state has rolled out in their effort towards attaining Universal Health Coverage for all its residents. In these schemes the state purchases health insurance against set packages of services from third party health insurance agencies on behalf of all its residents. Read More

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http://dx.doi.org/10.1186/s13561-018-0187-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5787110PMC
January 2018
8 Reads

The impact of pre and perinatal lifestyle factors on child long term health and social outcomes: a systematic review.

Health Econ Rev 2018 Jan 24;8(1). Epub 2018 Jan 24.

Centre for Trials Research, Cardiff University, Cardiff, CF14 4YS, Wales.

To understand the full extent of the impact of a trial, it is important to consider the long-term consequences of outcomes beyond the trial follow-up period, especially for early year's interventions. A systematic review of the literature associated with the long-term consequences of four key outcomes from the Building Blocks trial, specifically, low birth weight, smoking during pregnancy, interval to subsequent pregnancy and A&E attendance or inpatient admission was conducted. These factors were guided by the funders, the Department of Health, as being of particular interest in the UK context. Read More

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http://dx.doi.org/10.1186/s13561-018-0186-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5783983PMC
January 2018
6 Reads

The relationship between target joints and direct resource use in severe haemophilia.

Health Econ Rev 2018 Jan 16;8(1). Epub 2018 Jan 16.

Novo Nordisk A/S, Vandtårnsvej 114, -2860, Søborg, DK, Denmark.

Objectives: Target joints are a common complication of severe haemophilia. While factor replacement therapy constitutes the majority of costs in haemophilia, the relationship between target joints and non drug-related direct costs (NDDCs) has not been studied.

Methods: Data on haemophilia patients without inhibitors was drawn from the 'Cost of Haemophilia across Europe - a Socioeconomic Survey' (CHESS) study, a cost assessment in severe haemophilia A and B across five European countries (France, Germany, Italy, Spain, and the United Kingdom) in which 139 haemophilia specialists provided demographic and clinical information for 1285 adult patients. Read More

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http://dx.doi.org/10.1186/s13561-018-0185-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770351PMC
January 2018
7 Reads

Does spending matters? Re-looking into various covariates associated with Out of Pocket Expenditure (OOPE) and catastrophic spending on accidental injury from NSSO 71st round data.

Health Econ Rev 2017 Dec 20;7(1):48. Epub 2017 Dec 20.

Indian Institute of Public Health-PHFI, Bhubaneswar, Odisha, 751024, India.

Background: Accidental Injury is a traumatic event which not only influences physical, psychological, and social wellbeing of the households but also exerts extensive financial burden on them. Despite the devastating economic burden of injuries, in India, there is limited data available on injury epidemiology. This paper aims to, first, examine the socio-economic differentials in Out of Pocket Expenditure (OOPE) on accidental injury; second, to look into the level of Catastrophic Health Expenditure (CHE) at different threshold levels; and last, to explore the adjusted effect of various socio-economic covariates on the level of CHE. Read More

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http://dx.doi.org/10.1186/s13561-017-0177-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5738333PMC
December 2017
2 Reads

Palivizumab in the prevention of severe respiratory syncytial virus infection in children with congenital heart disease; a novel cost-utility modeling study reflecting evidence-based clinical pathways in Spain.

Health Econ Rev 2017 Dec 19;7(1):47. Epub 2017 Dec 19.

Pediatric Cardiology, Gregorio Marañón University Hospital, Madrid, Spain.

Background: Respiratory syncytial virus (RSV) infection remains one of the major reasons of re-hospitalization among children with congenital heart disease (CHD). This study estimated the cost-effectiveness of palivizumab prophylaxis versus placebo, in Spain, from the societal perspective, using a novel cost-effectiveness model reflecting evidence-based clinical pathways.

Methods: A decision-analytic model, combining a decision tree structure in the first year and a Markov structure in later years, was constructed to evaluate the benefits and costs associated with palivizumab versus no prophylaxis among children with CHD. Read More

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http://dx.doi.org/10.1186/s13561-017-0181-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5736509PMC
December 2017
6 Reads

The costs of repatriating an ill seafarer: a micro-costing approach.

Health Econ Rev 2017 Dec 6;7(1):46. Epub 2017 Dec 6.

Centre of Maritime Health and Society, Institute of Public Health, Faculty of Health Sciences, University of Southern Denmark, Niels Bohrs vej 9, 6700, Esbjerg, Denmark.

Seafarers sail the high seas around the globe. In case of illness, they are protected by international regulations stating that the employers must pay all expenses in relation to repatriation, but very little is known about the cost of these repatriations. The objective of this study was to estimate the financial burden of repatriations in case of illness. Read More

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http://dx.doi.org/10.1186/s13561-017-0184-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5716963PMC
December 2017
10 Reads

Economic evaluation of 2014 cholera outbreak in Ghana: a household cost analysis.

Health Econ Rev 2017 Dec 4;7(1):45. Epub 2017 Dec 4.

Economics Department, University of Ghana, Legon, P. O. Box LG 25, Accra, Ghana.

Introduction: Ghana experienced its worst cholera outbreak in three decades in 2014. Evidence of cholera economic costs on affected households has been limited. This study aimed at determining economic costs on households affected by the  cholera outbreak in a Coastal Region of Ghana. Read More

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http://dx.doi.org/10.1186/s13561-017-0182-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5714944PMC
December 2017
5 Reads

Health care utilisation amongst older adults with sensory and cognitive impairments in Europe.

Health Econ Rev 2017 Dec 1;7(1):44. Epub 2017 Dec 1.

Centre for the Business and Economics of Health, The University of Queensland, Faculty of Business, Economics and Law, QLD, St Lucia, 4072, Australia.

Worldwide, the high prevalence of multiple chronic conditions amongst older population has led to increased utilisation of health care and rising associated costs, becoming a major public health concern. Hearing, vision and cognitive disorders are common chronic conditions amongst older Europeans and recent studies have documented its high co-occurrence. While it has been shown separately that suffering either mental disorders or sensory (hearing and vision) impairments is associated with higher health care utilisation, the association between health care utilisation and the interaction of these conditions has received little attention in the literature. Read More

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http://dx.doi.org/10.1186/s13561-017-0183-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5711766PMC
December 2017
5 Reads

Effects of a mobility monitoring system on the cost of care in relation to reimbursement at Swiss nursing homes: learnings from a randomized controlled trial.

Health Econ Rev 2017 Dec 1;7(1):43. Epub 2017 Dec 1.

Statistician, University of Applied Sciences St. Gallen, St. Gallen, Switzerland.

Background/objective: Nursing homes in Switzerland are under pressure to efficiently coordinate staff activities to cover their personnel costs under the care financing system. In this study, the use of a mobility monitoring system accompanied with case conferences was investigated in order to improve sleep quality and estimate the cost benefit of this intervention.

Method: In an open two-phase randomized controlled trial at three nursing homes, residents with cognitive impairment were randomly assigned to an intervention group and a control group. Read More

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http://dx.doi.org/10.1186/s13561-017-0178-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5709255PMC
December 2017
4 Reads