Showing papers in "Journal of Health Economics in 1997"

TL;DR: It is shown how a cost-effectiveness criterion can be derived to guide resource allocation decisions, and how it varies with age, gender, income level, and risk aversion.

TL;DR: It is argued that the conceptual and technical basis for DALYs is flawed, and its assumptions and value judgements are open to serious question.

TL;DR: Inequalities in health favoured the higher income groups and were statistically significant in all countries, and were particularly high in the United States and the United Kingdom.

TL;DR: The measurement unit disability-adjusted life years (DALYs), used in recent years to quantify the burden of diseases, injuries and risk factors on human populations, is grounded on cogent economic and ethical principles and can guide policies toward delivering more cost-effective and equitable health care.

TL;DR: In this article, the authors show that cost-effectiveness analysis is consistent with lifetime utility maximization only if it includes all future medical and non-medical expenditures, and that the magnitude of these future costs suggest that they may substantially alter both the absolute and relative cost effectiveness of medical interventions.

TL;DR: The estimates indicate that college students are quite sensitive to the price of cigarettes, and relatively stringent restrictions on smoking in public places are found to reduce smoking participation rates among college students, while the quantity of cigarettes consumed by smokers is lowered by any restrictions on public smoking.

TL;DR: In this paper, the authors re-examine this view in the context of long-run equilibrium relationships between non-stationary time series, possibly including autonomous trends, and cast doubt upon the usefulness of pooling and upon the notion of an elasticity above one.

TL;DR: It is found that those who are the most heavily insured use the most health care services, which is interpreted as an effect of the incentives embodied in the insurance, rather than as the result of adverse selection in the purchase of insurance.

TL;DR: Two part models of Medicare utilization and expenditures showed that beneficiaries with individually purchased policies had higher total, part B and physician expenditures than those with employer-provided policies, even after controlling for observable differences, suggesting adverse selection.

TL;DR: A recent policy change by the University of California provides a unique natural experiment for investigating the sensitivity of consumers to health plan premiums and indicates a strong response.

TL;DR: This paper examines the relationship between H MO market share and fee-for-service health care expenditures using 1986-1990 county- and metropolitan statistical area-level data on Medicare expenditures and HMO market share to indicate a concave relationship.

TL;DR: It is concluded that the friction cost method does not seem to be a useful alternative to the human-capital approach in the estimation of indirect costs.

TL;DR: This paper compares the relative performance of quality adjusted life years (QALYs) based on quality weights elicited by rating scale (RS), time trade-off (TTO) and standard gamble (SG) with the standard against which relative performance is assessed.

TL;DR: A private sector is shown to result in a longer waiting time if the demand for a public treatment is sufficiently elastic with respect to the waiting time when waiting-list admissions are rationed.

TL;DR: It is shown how three theories of distributive justice; utilitarianism, egalitarianism and maximum, can provide a clearer understanding of the normative basis of different priority setting regimes in the health service.

TL;DR: This work shows that certain hospital institutional arrangements (e.g. hospital affiliations), HMO penetration, and greater hospital concentration improve hospitals' bargaining position, and that hospitals' Bargaining effectiveness has diminished over time and varies across states.

TL;DR: In this paper, the authors used dynamic optimization techniques to analyse the properties of optimal non-linear insurance schedules in a model similar to one originally considered by Spence and Zeckhauser ( American Economic Review, 1971, 61, 380-387).

TL;DR: By combining both the economic and health literature, this paper offers an alternative approach to morbidity valuation and provides estimates for a wide range of short-term health conditions.

TL;DR: The growth of the contraband market since 1987 appears to have created two classes of cigarette--taxed and untaxed--with responses to changes in the legal price that are respectively higher, and lower, than was previously the case.

TL;DR: The aim of this paper is to propose methods that incorporate equity concerns into cost utility analysis and to propose algorithms that take into account equity concerns and that are relatively easy to apply.

TL;DR: This paper employs the method of Aronson et al. (1994) to decompose the redistributive effect of the Dutch health care financing system into three components: a progressivity component, a classical horizontal equity component and a reranking component.

TL;DR: The willingness-to-pay method measured benefits that are difficult to quantify; however, WTP surveys need to be carefully conducted to minimize bias.

TL;DR: This study introduces a hybrid, two-stage, contingent valuation method applied to asthma treatment that elicits willingness to pay (WTP) for an improvement along a single risk dimension.

TL;DR: The evidence suggests that the rapid expansion of HMOs over the 1980-1990 period resulted in a significant increase in workers' compensation claim frequency, and claim duration, on net, seems to increase.

TL;DR: This paper analyses, through the use of multilevel modelling, the effect of content-based descriptors on the discrete choice behaviour of GPs while controlling for patient, GP and practice characteristics.

TL;DR: The short- and long-run effects of an experiment closely resembling managed competition are analyzed, and the strategy reduces capital in hospitals, has minor effects on physicians and technology, and has only initial effects on average premiums.

TL;DR: It is shown that if there is reallocation of lifetime consumption and/or discounting of future utilities, then a TTO response that is not adjusted for these effects will unambiguously overestimate the ratios of individual MRS.