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Book part
Publication date: 20 May 2017

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Human Capital and Health Behavior
Type: Book
ISBN: 978-1-78635-466-2

Book part
Publication date: 30 May 2018

Badi H. Baltagi, Francesco Moscone and Rita Santos

The objective of this chapter is to introduce the reader to Spatial Health Econometrics (SHE). In both micro and macro health economics there are phenomena that are characterised…

Abstract

The objective of this chapter is to introduce the reader to Spatial Health Econometrics (SHE). In both micro and macro health economics there are phenomena that are characterised by a strong spatial dimension, from hospitals engaging in local competitions in the delivery of health care services, to the regional concentration of health risk factors and needs. SHE allows health economists to incorporate these spatial effects using simple econometric models that take into account these spillover effects. This improves our understanding of issues such as hospital quality, efficiency and productivity and the sustainability of health expenditure of regional and national health care systems, to mention a few.

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Health Econometrics
Type: Book
ISBN: 978-1-78714-541-2

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Book part
Publication date: 6 December 2007

Ila Semenick Alam is an associate professor. She received her Ph.D. in 1995 from Rice University in Houston, Texas. Her primary fields of specialization are applied econometrics…

Abstract

Ila Semenick Alam is an associate professor. She received her Ph.D. in 1995 from Rice University in Houston, Texas. Her primary fields of specialization are applied econometrics and productivity in various sectors including the airlines, healthcare, and financial institutions. She has published in: Journal of Productivity Analysis, International Economic Review, World Bank Economic Review, Journal of Money, Credit and Banking, Singapore Economic Review, and Productivity and Economic Performance in the Asia-Pacific Region.

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Evaluating Hospital Policy and Performance: Contributions from Hospital Policy and Productivity Research
Type: Book
ISBN: 978-0-7623-1453-9

Book part
Publication date: 5 April 2024

Corey Fuller and Robin C. Sickles

Homelessness has many causes and also is stigmatized in the United States, leading to much misunderstanding of its causes and what policy solutions may ameliorate the problem. The…

Abstract

Homelessness has many causes and also is stigmatized in the United States, leading to much misunderstanding of its causes and what policy solutions may ameliorate the problem. The problem is of course getting worse and impacting many communities far removed from the West Coast cities the authors examine in this study. This analysis examines the socioeconomic variables influencing homelessness on the West Coast in recent years. The authors utilize a panel fixed effects model that explicitly includes measures of healthcare access and availability to account for the additional health risks faced by individuals who lack shelter. The authors estimate a spatial error model (SEM) in order to better understand the impacts that systemic shocks, such as the COVID-19 pandemic, have on a variety of factors that directly influence productivity and other measures of welfare such as income inequality, housing supply, healthcare investment, and homelessness.

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Essays in Honor of Subal Kumbhakar
Type: Book
ISBN: 978-1-83797-874-8

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Book part
Publication date: 8 December 2007

Donald C. Wood

This 26th volume of REA focuses on the economics of health and wellness, and in doing so attempts to bring together two fields of research – economic anthropology and public…

Abstract

This 26th volume of REA focuses on the economics of health and wellness, and in doing so attempts to bring together two fields of research – economic anthropology and public health – that tend not to merge as often as they should. The volume includes 10 chapters that explore the general theme of the economics of health and wellness in an anthropological fashion and in a variety of settings and ways. All of them passed a selection process that included double-blind peer-review, and have been revised to various degrees based partly on the suggestions of the referees. On this note, I would like to extend my gratitude to the various scholars who took time out of their very busy schedules to review manuscripts for this volume. The chapters here all benefited greatly from their anonymous comments and recommendations.

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The Economics of Health and Wellness: Anthropological Perspectives
Type: Book
ISBN: 978-1-84950-490-4

Book part
Publication date: 11 August 2014

Lawton Robert Burns, Jeff C. Goldsmith and Aditi Sen

Researchers recommend a reorganization of the medical profession into larger groups with a multispecialty mix. We analyze whether there is evidence for the superiority of these…

Abstract

Purpose

Researchers recommend a reorganization of the medical profession into larger groups with a multispecialty mix. We analyze whether there is evidence for the superiority of these models and if this organizational transformation is underway.

Design/Methodology Approach

We summarize the evidence on scale and scope economies in physician group practice, and then review the trends in physician group size and specialty mix to conduct survivorship tests of the most efficient models.

Findings

The distribution of physician groups exhibits two interesting tails. In the lower tail, a large percentage of physicians continue to practice in small, physician-owned practices. In the upper tail, there is a small but rapidly growing percentage of large groups that have been organized primarily by non-physician owners.

Research Limitations

While our analysis includes no original data, it does collate all known surveys of physician practice characteristics and group practice formation to provide a consistent picture of physician organization.

Research Implications

Our review suggests that scale and scope economies in physician practice are limited. This may explain why most physicians have retained their small practices.

Practical Implications

Larger, multispecialty groups have been primarily organized by non-physician owners in vertically integrated arrangements. There is little evidence supporting the efficiencies of such models and some concern they may pose anticompetitive threats.

Originality/Value

This is the first comprehensive review of the scale and scope economies of physician practice in nearly two decades. The research results do not appear to have changed much; nor has much changed in physician practice organization.

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Annual Review of Health Care Management: Revisiting The Evolution of Health Systems Organization
Type: Book
ISBN: 978-1-78350-715-3

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Content available
Book part
Publication date: 18 March 2004

Matthew Clarke and Sardar M.N. Islam

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Economic Growth and Social Welfare: Operationalising Normative Social Choice Theory
Type: Book
ISBN: 978-0-44451-565-0

Book part
Publication date: 15 April 2020

Ming Kong, Jiti Gao and Xueyan Zhao

This chapter re-examines the determinants of health care expenditure (HCE), using a panel of 32 Organization for Economic Cooperation and Development (OECD) countries from 1990 to…

Abstract

This chapter re-examines the determinants of health care expenditure (HCE), using a panel of 32 Organization for Economic Cooperation and Development (OECD) countries from 1990 to 2012. In particular, a panel semiparametric technique (i.e., a partially linear model) is employed, with cross-sectional dependence allowed. Beside the study of coefficients, this chapter investigates the trending functions of HCE. After the common and individual trends of HCE are estimated via semiparametric methods, the authors calibrate them with polynomial specifications, leading to out-of-sample forecasting. The validities of the calibration are tested as well. Contrary to those studies that do not take into account time series properties, our finding suggests that medical care is not a luxury commodity. Other determinants, such as public financing, and the supply of doctors, are all positively related to HCE. Moreover, the calibrated trending models perform well in out-of-sample forecasting.

Book part
Publication date: 5 April 2024

Kajal Lahiri and Paul Noroski

The authors examine whether or not applicants and recipients of federal disability insurance (DI) inflate their self-assessed health (SAH) problems relative to others. To do this…

Abstract

The authors examine whether or not applicants and recipients of federal disability insurance (DI) inflate their self-assessed health (SAH) problems relative to others. To do this, the authors employ a technique which uses anchoring vignettes. This approach allows them to examine how various cohorts of the population interpret survey questions associated with subjective self-assessments of health. The results of the analysis suggest that DI participants do inflate the severity of a given health problem, but by a small but significant degree. This tendency to exaggerate the severity of disability problems is much more apparent among those with more education (especially those with a college degree). In contrast, racial minorities tend to underestimate severity ratings for a given disability vignette when compared to their white peers.

Book part
Publication date: 30 May 2018

Luigi Siciliani

Hospitals are complex organisations accounting for most of total health expenditure. They play a critical role in providing care to patients with high levels of need. A key policy…

Abstract

Hospitals are complex organisations accounting for most of total health expenditure. They play a critical role in providing care to patients with high levels of need. A key policy concern is that patients receive high quality care. Policymakers have attempted to influence hospital quality in different ways. This chapter focuses on three key policy levers: the extent to which hospital competition and higher hospital tariffs (of the DRG type) can stimulate quality, and whether non-profit hospitals provide higher or lower quality than for-profit ones. The chapter outlines key methodological challenges and selectively reviews the main findings from the literature. While several studies suggest that hospital competition reduces mortality rates for heart attack cases when hospital tariffs are fixed (under a DRG system), at this stage is unclear whether the effect holds across a range of quality indicators. Moreover, the limited literature on hospital mergers tends to suggest that hospital quality does not change following a merger. Finally, whether non-profit hospitals provide higher or lower quality varies across regions and institutional arrangements. The economic theory suggests several mechanisms with opposite effects on quality. To guide policy, future work needs to further unpack the various mechanisms through which these three key policy issues affect hospitals incentives.

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Health Econometrics
Type: Book
ISBN: 978-1-78714-541-2

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