Health Economics Research Articles

A systematic review of unique methods for measuring discount rates

AbstractDiscount rates play a pivotal role in various fields, capturing the trade-off between present and future, influencing predictions of unhealthy behaviors. Despite substantial variations in discount rates across studies, methods, and individuals, our goal was to systematically overview diverse methods for measuring discount rates. We conducted a comprehensive literature review across multiple databases, targeting English studies introducing and utilizing discounting measurement methods in human subjects. Two authors screened titles and abstracts, with full text review split between them. Extracted data encompassed bibliographic details, theoretical aspects (e.g., discount function), and operational features (e.g., elicitation procedure). After deduplication, 4976, 218, and 83 records underwent title and abstract screening, full text screening, and inclusion, respectively. A total of 86 unique methods were identified. Predominantly, methods were devised for money (75%) and health (22%) discounting. Network analysis on citations indicated limited cross-disciplinary overlap. Only about one fourth, one third, and one third of methods possessed theoretically desirable traits: i) allowance for negative discount rates, ii) application of multiple discount functions, and iii) correction for non-linear utility of outcomes. Diverse discounting measurement methods exist, showcasing varied theoretical and operational characteristics. These differences may stem from the isolation of development in fields like psychology, experimental economics, and health economics. Our systematic review aids readers in choosing methods aligned with their priorities when measuring discount rates.

S511 Direct Genetic Screening Approach in Hereditary Nonpolyposis Colorectal Cancer: A Health Economics Analysis in High-risk Colorectal Cancer Population; Perspective from Middle-Income Country

S511 Direct Genetic Screening Approach in Hereditary Nonpolyposis Colorectal Cancer: A Health Economics Analysis in High-risk Colorectal Cancer Population; Perspective from Middle-Income Country

Swedish Translation and Cultural Adaptation of the Head and Neck Patient Symptom Checklist: An Instrument to Screen for Nutrition Impact Symptoms in Clinical Practice and Research.

The Head and Neck Patient Symptom Checklist (HNSC) is a validated 2-part instrument used to ask patients with head and neck cancer about the nutrition impact symptoms they experience (part 1) and how these interfere with their eating (part 2). The purpose of this work was to translate and culturally adapt the HNSC into Swedish in accordance with the guidelines of the International Society for Health Economics and Outcomes Research (ISPOR). The ISPOR guidelines include 10 steps, and these were thoroughly followed. In step 7, 9 health care professionals from the field of head and neck cancer assessed the perceived relevance (content validity) of each item in the HNSC, as well as the full HNSC. A total of 522 participants with head and neck cancer were included and followed up on 7 occasions using the HNSC to assess internal consistency. The HNSC was translated from English into Swedish, ensuring accuracy through forward and backward translation and harmonization in the research team. Content validity for each part of the HNSC was rated excellent (scale content validity index 0.96). Internal consistency demonstrated a good Cronbach's alpha score (>0.8) across the 7 follow-up time points (from baseline [before the start of treatment] and up to 24 months posttreatment). The HNSC has been successfully translated and culturally adapted into Swedish. The HNSC can be used in both clinical practice and research to screen for nutrition impact symptoms and symptoms that interfere with eating in patients with head and neck cancer. ClinicalTrials.gov NCT03343236 (date of registration: November 17, 2017).

Research about the relationship between the health, economic development and public health expenditure----Evidence: From 11 coastal cities in China

This paper firstly makes a statement on the necessity of this topic and the practical significance behind it. Then it combs through the relevant theories and literature on health capital, public health expenditure, health economics, and economic growth, and analyses the impact and effect of public health expenditure on health capital as well as economic growth in light of scholars' explorations and findings. By collecting relevant data in recent years in Beijing, China, the impact of public health expenditure on economic growth is explored using econometric methods with Beijing as the main research object. The explanatory variable is public health expenditure, the explanatory variables are health capital and economic growth situation in Beijing, and the rest of the control variables are environment, education, and social situation. According to the data relationship between the explanatory variables and the explanatory variables, the authors put forward different research hypotheses and establish different regression models respectively, so as to explore their correlation. The results of the study show that: Beijing government health expenditure has a great role in promoting health capital, and there is still much room for the government to improve it at present; public health expenditure has a significant positive impact on the economy of Beijing, indicating that increasing public health expenditure helps to promote economic growth, which provides theoretical support and empirical evidence for further improvement of public health policy. Finally, on the basis of empirical analysis, this paper puts forward policy recommendations to increase public health expenditure and improve health capital level in Beijing, so as to promote the economic growth of Beijing based on the correlation between the actual health expenditure, health capital and economic growth in Beijing.

The Effects of Access to Medicaid on the Employment and Academic Progress of College Students

Next article No AccessThe Effects of Access to Medicaid on the Employment and Academic Progress of College StudentsPriyanka Anand and Dora GichevaPriyanka Anand Search for more articles by this author and Dora Gicheva Search for more articles by this author PDFPDF PLUS Add to favoritesDownload CitationTrack CitationsPermissionsReprints Share onFacebookTwitterLinkedInRedditEmail SectionsMoreDetailsFiguresReferencesCited by American Journal of Health Economics Just Accepted Published for the American Society of Health Economists (ASHEcon) Article DOIhttps://doi.org/10.1086/726000 HistoryAccepted May 12, 2023 © 2023 American Society of Health Economics. All Rights reserved.PDF download Crossref reports no articles citing this article.

Editorial for the special issue in Nordic Journal of Health Economics: Challenges in Nordic Primary Care

Editorial for the special issue in Nordic Journal of Health Economics: Challenges in Nordic Primary Care

Clinical strategy study on prenatal screening and diagnostic model for Down syndrome

Exploring efficient and easily implementable prenatal screening strategies aims at birth defect prevention and control. However, there have been limited economic evaluations of non-invasive prenatal screening (NIPS) strategies in China. Furthermore, these studies were predominantly confined to local or geographically proximate provinces and lacked universality and representativeness. This study assesses the health economics of current prenatal screening strategies and NIPS as first-line screening programs, analyzing their efficacy to determine an optimal strategy. From the perspective of health economics, cost-effectiveness, cost-benefit, and single-factor sensitivity were conducted for five different screening strategies using a decision tree model. Among pregnant women aged < 35 years who underwent only one screening for foetal Down syndrome (DS), the detection rate, false positive rate and positive predictive value of NIPS for foetuses with DS were superior to those of the other four serological screening methods. Although applying NIPS as first-line screening method yields the highest efficacy and benefits, it currently lacks cost-effectiveness when compared to serological screening and sequential NIPS screening strategies.

Editorial: Global excellence in health economics: Africa

Editorial: Global excellence in health economics: Africa

Analysis of Determining Inpatient Room Rates Using the Activity-Based Costing Method in a Healthcare Setting

Background: Hospitalization rate determination is crucial for healthcare cost management, yet traditional methods often lead to cost distortions. Specific Background: Muhammadiyah Tuban Hospital has historically utilized conventional costing methods, which have resulted in higher than necessary charges for hospital services. Knowledge Gap: There is limited research comparing traditional costing methods with more accurate and modern approaches like Activity Based Costing (ABC) in the Indonesian healthcare context. Aim: This study aims to compare hospitalization rates at Muhammadiyah Tuban Hospital using traditional methods and the ABC method, to highlight discrepancies and propose a more accurate costing framework. Results: The ABC method yielded significantly lower hospitalization rates across various classes (VIP, Class 1, Class 2, and Class 3) compared to traditional methods. For instance, the ABC rate for the VIP class was IDR 270,619, compared to IDR 495,000 set by traditional methods. Novelty: This study introduces the application of ABC in an Indonesian hospital setting, providing a clear contrast in cost-efficiency against traditional costing. Implications: The findings suggest that adopting the ABC method can lead to more precise and lower hospitalization rates, potentially reducing healthcare costs for patients and improving financial management within hospitals.Highlights: Cost Accuracy: ABC method offers more precise hospitalization rates than traditional methods. Economic Impact: Adoption of ABC can lower patient costs and improve hospital financial management. Innovation: Introduces a modern costing method to Indonesian healthcare, suggesting a shift from outdated practices. Keywords: Activity Based Costing, Hospitalization Rates, Cost Management, Healthcare Economics

Radiograph accelerated detection and identification of cancer in the lung (RADICAL): a mixed methods study to assess the clinical effectiveness and acceptability of Qure.ai artificial intelligence software to prioritise chest X-ray (CXR) interpretation

IntroductionDiagnosing and treating lung cancer in early stages is essential for survival outcomes. The chest X-ray (CXR) remains the primary screening tool to identify lung cancers in the UK; however,...

The Geometry of Dynamic Time-Dependent Best–Worst Choice Pairs

There has been increasing interest in best–worst discrete choice experiments (BWDCEs) in health economics, transportation research, and other fields over the last few years. BWDCEs have distinct advantages compared to other measurement approaches in discrete choice experiments (DCEs). A systematic study of best–worst (BW) choice pairs can be traced back to the 1990s. Recently, new ideas have been introduced to the subject. Calculating utility helps measure the attractiveness of BW choices. The goal of this paper is twofold. First, we extend the idea of the BW choice pair to include dynamic, time-dependent transition probability and capture utility at each time and for each choice pair. Second, we used the geometry of BW choice pairs to capture the correlations among them and to characterize and clarify the BW choice pairs in the network, where properties can be derived within each class. This paper discusses BWDCEs, the probability transition matrix of choices over time, and the utility function. The proposed network classification for BW choice pairs is laid out. A detailed simulated example is presented, and the results are compared with the classical K-means classification.

Peran Mahasiswa dalam Kuliah Kerja Nyata di Kampung Mandopi Rimom Kabupaten Manokwari Provinsi Papua Barat

Community Service Program (CSP) is a form of manifestation of community service that is in line with the demands and realization of the Tridharma of Higher Education. It is hoped that through CSP, students will be able to utilize knowledge, analyze community conditions, and provide solutions to various problems (social, economic, health, and education) in villages especially. The CSP implementation method consists of 4 stages, namely the initial stage (literature study, location survey, and interviews), the planning stage, the implementation stage, and the monitoring and evaluation stage. The CSP activity which took place in Mandopi Rimom Village, Manokwari Regency was carried out for 36 days (24 June - 8 August 2022) involving 1 field supervisor and 9 students from different study programs. A total of 35 work/activity programs (wp) have been successfully implemented involving participation and cooperation from village residents, school officials, posyandu officers, district health services, and the LPPM of Papua University. The work programs cover 8 areas of activity, namely village administration (7 wp), education (5 wp), health (5 wp), environment (10 wp), religion (2 wp), agriculture (2 wp), animal husbandry (2 wp) and socio-cultural economics (2 wp). The KKN seminar was held on the 35th day to present the results of the activities as well as get appreciation and suggestions as recommendations for implementing KKN in the next period. The results of the work program, activity documentation, obstacles, and suggestions/recommendations are then prepared in the form of a report to be submitted to the university's LLPM.

Measuring the Role of Kiai and Santri in Creating the Spirit of Nationalism (Historical Approach in Reconstructing the Meaning of Jihad Resolution)

This article discusses the Jihad Resolution and the Nationalist spirit of the Islamic boarding school students (santri) in fighting for Indonesian independence because recently the Nationalist spirit of the Indonesian people has begun to erode, some even consider it an ideology that is contrary to Islam. By using a qualitative-historical approach and data collection techniques through literature study, this article wants to show that the spirit of Nationalism needs to be instilled in the souls of all the nation's children because it is the result of the Jihad Resolution to jointly defend and dedicate identity, integrity with the national spirit that was born by Hadratus Sheikh KH. Hasyim Asy'ari as a great scholar and founder of Nahdlatul Ulama (NU). Therefore, the opinion that Nationalism is a heretical ideology does not have a strong argument, especially when considering that Nationalism is excessive fanaticism which is prohibited makers that it is necessary to continuously instill the spirit of Nationalism by in religion. The results of this research can at least provide input to policy reviving the Jihad Resolution which is currently relevant to the nation's conditions. Jihad resolution does not mean physical war, but jihad can be actualized by a student in several aspects. Like; literacy jihad, jihad in the medical world, technology, economics, politics and other things relevant to.

Measuring the Role of Kiai and Santri in Creating the Spirit of Nationalism (Historical Approach in Reconstructing the Meaning of Jihad Resolution)

This article discusses the Jihad Resolution and the Nationalist spirit of the Islamic boarding school students (santri) in fighting for Indonesian independence because recently the Nationalist spirit of the Indonesian people has begun to erode, some even consider it an ideology that is contrary to Islam. By using a qualitative-historical approach and data collection techniques through literature study, this article wants to show that the spirit of Nationalism needs to be instilled in the souls of all the nation's children because it is the result of the Jihad Resolution to jointly defend and dedicate identity, integrity with the national spirit that was born by Hadratus Sheikh KH. Hasyim Asy'ari as a great scholar and founder of Nahdlatul Ulama (NU). Therefore, the opinion that Nationalism is a heretical ideology does not have a strong argument, especially when considering that Nationalism is excessive fanaticism which is prohibited makers that it is necessary to continuously instill the spirit of Nationalism by in religion. The results of this research can at least provide input to policy reviving the Jihad Resolution which is currently relevant to the nation's conditions. Jihad resolution does not mean physical war, but jihad can be actualized by a student in several aspects. Like; literacy jihad, jihad in the medical world, technology, economics, politics and other things relevant to.

Evaluating video and hybrid group consultations in general practice: mixed-methods, participatory study protocol (TOGETHER 2).

General practice is facing an unprecedented challenge in managing the consequences of the pandemic. In the midst of a policy drive to balance remote and in-person service provision, substantial workload pressures remain, together with increasing prevalence of long-term conditions, and declining staff numbers and morale. To address these challenges, some practices in the UK have been delivering video and hybrid group consultations (VHGCs) providing clinical care to multiple patients at the same time. Despite positive initial findings and enthusiasm, there are still gaps in our understanding of the influence VHGCs have on patient experience, healthcare utilisation, quality, safety, equity and affordability. To generate an in-depth understanding of VHGCs for chronic conditions in general practice, surface assumptions and sociotechnical dynamics, inform practice and extend theorisation. Mixed-methods, multi-site research study using co-design and participatory methods, from qualitative, quantitative and cost-related perspectives. WP1 includes a national, cross-sectional survey on VHGC provision across the UK. In WP2 we will engage patients and general practice staff in co-design workshops to develop VHGC models with emphasis on digital inclusion and equity. In WP3 we will carry out a mixed-methods process evaluation in up to 10 GP practices across England (5 sites already running VHGCs and 5 comparison sites). Qualitative methods will include interviews, focus groups and ethnographic observation to examine the experiences of patients, carers, clinical and non-clinical NHS staff, commissioners and policy-makers. Quantitative methods will examine the impact of VHGCs on healthcare utilisation in primary and secondary care, patient satisfaction, engagement and activation. We will also assess value for money of group and individual care models from a health economics perspective. We aim to develop transferable learning on sociotechnical change in healthcare delivery, using VHGCs as an exemplar of technology-supported innovation. Findings will also inform the design of a future study.

Global bibliometric analysis of cost effectiveness analysis in healthcare research from 2013 to 2023

BackgroundCost-effectiveness analysis (CEA) has become a crucial technique in appraising the efficiency of healthcare interventions and resource allocation decisions. Cost-effectiveness analysis is now widely used to evaluate whether the effect of a healthcare intervention justifies additional expenditure.MethodWe used PubMed database with search descriptors: “Cost effectiveness” [Title / ] OR “Cost effectiveness analysis” [Title / ] AND “Healthcare” [Title / ]. The common bibliometric indicators were applied.ResultsWe retrieved a total of 7,561 articles within 2013 and 2023. The growth pattern showed a progressive pattern. Articles with 5 authors signature had the highest number in publication. The most productive authors in cost effectiveness research in healthcare were Liew Danny and Ademi Zanfina. The most utilized journals for the publications were BMJ Open, PLoS One and Journal of Medical Economics. The most productive institutions were resident in United Kingdom with the University of York and University of Oxford at the helm.ConclusionScientific output in Cost effectiveness in healthcare research showed consistent progress. This study provides a reference for health policy makers, funders, policy decision makers, academics, and hospital economics researchers.

Health economics perspectives of nursing services tariff setting in Islamic Republic of Iran.

Health economics perspectives of nursing services tariff setting in Islamic Republic of Iran.

Artificial intelligence and health-related data: The patient's best interest and data ownership dilemma.

The rapid advancement of artificial intelligence (AI) in healthcare has the potential to revolutionize the global healthcare sector and medicine in general. However, integrating AI technologies in healthcare requires access to large amounts of personal health-related data (HRD), which raises concerns regarding confidential personal information considering unregulated and not transparent data ownership. Setting up the patient's welfare as an unquestionable principle, this commentary explores the various ethical aspects of using HRD in AI applications, focusing on informed consent, data ownership, data sharing, financial considerations, accountability, and ethical standards. Three models of potential collaboration between AI-specializing firms and healthcare providers are evaluated: the commercial model, the equitable profit-sharing model, and the public-funded non-profit model. Each model has its advantages and challenges, necessitating a careful balance between ethical considerations, financial implications, and technological advancements. Policymakers and healthcare regulators are urged to establish transparent legislation to safeguard patient privacy, ensure informed consent, and promote the responsible use of HRD in AI applications. This commentary emphasizes the importance of addressing ethical issues to protect basic patient rights, foster responsible collaborations, and ensure the ethical use of health-related data in AI-based healthcare applications. While the coexistence of regulated AI and healthcare professionals is inevitable for validating the cost-effectiveness of AI use in healthcare economics, the transparency of HRD sources is deemed of utmost importance in the best interest of the patient.

Healthcare Expenditure, Health Outcomes and Economic Growth: A Study of BRICS Countries

This study examines the relation of health spending, health indicators and macroeconomic variables of the BRICS economies with economic growth by using panel data that span the years 2000–2019. According to the panel data analysis, the amount of government spending on healthcare has a positive effect on the gross domestic product (GDP) and gross national income per capita of the BRICS countries. Indicators of healthcare are positively related to GDP and GDP/capita. The exceptions are neonatal mortality and life expectancy at birth, both of which do not exhibit a statistically significant positive relation. The two dependent variables, GDP and GDP/capita, have a positive relation with the rate of population growth; however, GDP has a negative relation with inflation. When GDP and GDP/capita are used as dependent variables, the Hausman test indicates that the cross-section random-effect model is more significant than other models. Due to the positive relationship between GHE, GDP and GDP/capita, the government should play a major role in ensuring high-quality healthcare. Out-of-pocket expense increases in BRICS indicate a reduction in healthcare funds, limiting medical services for all citizens. There is a need to focus on healthcare infrastructure.

Epidemiology of Wilson disease in Germany – real-world insights from a claims data study

BackgroundWilson disease (WD) is a rare disorder of copper metabolism, causing copper accumulation mainly in the liver and the brain. The prevalence of WD was previously estimated around 20 to 33.3 patients per million for the United States, Europe, and Asia, but data on the prevalence of WD in Germany are limited.ObjectivesTo describe patient characteristics and to assess prevalence of WD in Germany using a representative claims database.MethodsWD patients were identified in the WIG2 (Wissenschaftliches Institut für Gesundheitsökonomie und Gesundheitssystemforschung; Scientific Institute for Health Economics and Health Systems Research) benchmark database of 4.5 million insured Germans by combining ICD-10-coding with WD-specific lab tests and treatments. The study period ranged from 2013 to 2016 for assessing patient characteristics, and to 2018 for prevalence, respectively.ResultsSeventy unique patients were identified. Most patients (86%) were between 18 and 64 years of age and more often male (60%) than female. Two patients (3%) younger than 18 years were included, as well as 8 patients (11%) older than 64 years. Most common WD subtypes were hepatic (57%), psychiatric (49%), and neurologic (44%). Average prevalence was 20.3 patients per million (range: 17.8–24.4), with similar results for two-year prevalence. Generally, prevalence increased steadily over the study period. Observed mortality was low, with only one death during the study period.ConclusionsThis study adds valuable real-world data on the prevalence and patient characteristics of WD in Germany. Generally, our findings align with other reports and contribute to the global understanding of WD epidemiology. Still, regional and temporal trends remain to be investigated more thoroughly to further the understanding of the natural history and epidemiology of this rare disease.