Showing papers in "Journal of Health Economics in 1994"

TL;DR: A stochastic frontier multiproduct cost function is used to derive hospital-specific measures of inefficiency and it is concluded that inefficiency accounts for 13.6 percent of total hospital costs.

TL;DR: Three papers that apply frontier estimation techniques to hospitals and nursing homes, together with an exchange over the usefulness of those techniques in the health care context are published, representing the current state-of-the-art with respect to applications of frontier estimation in health care.

TL;DR: It is concluded that a continued focus by health economists on the phenomenon of inducement (even within an extended conceptual framework) may be too limited for the development of policies regarding health service utilization.

TL;DR: This study finds that the mean IRR for 1980-84 U.S. new drug introductions is 11.1%, and the mean NPV is 22 million (1990 dollars), which is much less than what is typically observed in analyses based on accounting data.

TL;DR: A split population duration model of the decision to start smoking is developed using data from the 1978 and 1979 Smoking Supplements to the National Health Interview Survey to find some evidence that lifetime educational attainment, gender, and race are important determinants of both whether and when the smoking habit is initiated.

TL;DR: This paper analyzes the technical efficiency of Dutch nursing homes with respect to the use of labor inputs by means of Data Envelopment Analysis (DEA) and the determinants of the efficiency scores are investigated using censored regression analysis.

TL;DR: 'Evidence' of inducement of childbirths is found, calling into question the validity of the TSLS approach where there is at most only a trivial amount of demand inducement--the demand for childbirths.

TL;DR: In this paper, the decision to quit smoking is treated as a choice under uncertainty in an empirical model that incorporates health, medical advice, addiction, and social interaction, and the results show a clear role for addiction, social interaction and current health status.

TL;DR: A simple model of the hospital's choice of intensity of care, which affects demand for admissions, is developed and suggests an important role for the level of prospective payment, independent of the effect of marginal incentives.

TL;DR: The stochastic frontier cost function is fit to the data utilizing the composed error model, wherein statistical noise and allocative and technical inefficiency are jointly estimated.

TL;DR: There was a large fall in net private revenues and net income in the least concentrated hospital markets in the state after the advent of price shopping, and care to the uninsured fell dramatically in these markets as well, relative to more concentrated markets.

TL;DR: This paper estimates a model of physician labor supply, focusing on the impacts of wage and non-wage income, and suggests that the labor supply decisions of females are more responsive to variations in their earnings than are those of males.

TL;DR: In this article, Hansen's generalized method of moments techniques are employed to estimate a 3-equation simultaneous model designed to capture the time dependent character of these interrelationships and find substantial differences between these estimates and those from our simultaneous model.

TL;DR: The results show that prenatal medical care and institutional delivery have strong beneficial effects on child survival probabilities, and that these effects are substantially underestimated when adverse self-selection among users of health care is ignored.

TL;DR: A new form of insurance, genetic insurance, can eliminate issues such as consent laws and create adverse selection problems and allow everyone to be insured.

TL;DR: If available, panel data yields more robust estimates of cost differences among nursing homes or hospitals, and an inefficient industry may be difficult to distinguish either statistically or visually from an industry free of inefficiency.

TL;DR: The paper explores the potential for protection against 'cream skimming' offered by incorporating chronic health factors into the formula and concludes that the formula should be modified to reflect current patient needs.

TL;DR: Comments to the papers in this issue by Vitaliano and Toren and by Zuckerman et al. that rely on maximum likelihood estimators (MLE) are addressed, and other approaches that are derived more directly from economic theory that have not yet received much attention are discussed.

TL;DR: The empirical implications of altruism for cost-benefit analysis of projects involving health changes are investigated and it is shown that a willingness-to-pay question produces the project evaluation rules derived by Jones-Lee (1991, 1992) and others.

TL;DR: The contractual relationships emerging between District Health Authorities, who are presently the dominant health care purchasers, and the providers of hospital care are models drawn on from the recent experience of explicit contracting.

TL;DR: The hypothesis that dentists do not induce demand for their services is tested using reduced form estimates of the price elasticity of demand, and each of three applications of this test rejects the no inducement hypothesis.

TL;DR: Estimating the marginal costs of different patient types under Minnesota's case-mix system and comparing them to their corresponding reimbursements finds that estimated costs do not match reimbursement rates, again making some patient types less profitable than others.

TL;DR: It is shown that the size of the health budget is endogenous and depends on the choices made by the doctor and the division of the budget between health enhancing and non-health enhancing health care is divided.