nep-hea New Economics Papers
on Health Economics
Issue of 2006‒04‒29
nine papers chosen by
Yong Yin
SUNY at Buffalo, USA

  1. The link between individual expectations and savings: Do nursing home expectations matter? By Kristin J. Kleinjans; Jinkook Lee
  2. Decentralisation and health care outcomes: An empirical analysis within the European Union By David Cantarero Prieto; Marta Pascual Saez
  3. Nurses' Perception of an ERP Implementation Process - Based on a Means-End Chain Approach By Jensen, Tina Blegind
  4. Accounting for Health and Safety costs: Review and comparison of selected methods By Rikhardsson, Pall
  5. Governance of private sector corporate hospitals and their financial performance: preliminary observations based on analysis of listed and unlisted corporate hospitals in India By Bhat Ramesh; Jain Nishant
  6. Financial Performance of Private Sector Hospitals in India:Some Further Evidence By Bhat Ramesh; Jain Nishant
  7. Partially Identifying True Rates of Health Insurance Coverage Under Contaminated Sampling By Kreider, Brent
  8. Disability and Work: The Role of Health Shocks and Childhood Circumstances By Maarten Lindeboom; Ana Llena-Nozal; Bas van der Klaauw
  9. Public Vs. Private Health Care Services Demand in Italy. By D. Fabbri; C. Monfardini

  1. By: Kristin J. Kleinjans; Jinkook Lee (Department of Economics, University of Aarhus, Denmark)
    Abstract: Preparing for the end of life, especially for the prospect of needing long-term are, is an important issue facing older Americans. Those who reach age 65 have a 40% chance of going into a nursing home in their remaining lifetime, and about 10% of those who do will stay there for at least five years. The costs of a stay are high with on average US$70,000 annually for a private room. Long-term stays in nursing homes are, therefore, not likely, but very expensive. In this paper, we examine individual expectations about future nursing home entry and study the relationship between these expectations and savings behavior, using data from the Health and Retirement Study. We find a clear relation between subjective expectations and probability of future nursing home entry, and a positive effect of these expectations on savings behavior. Surprisingly, we find no difference of this effect by wealth group, so it seems that Medicaid eligibility in the context of nursing home entry plays no factor in the decision to save.
    Keywords: expectations, nursing home, savings
    JEL: D12 J14 J26
    Date: 2006–04–24
  2. By: David Cantarero Prieto; Marta Pascual Saez
    Abstract: The aim of this paper is to explore the impact of decentralisation on health care outcomes in the European Union. We investigate the hypothesis that shifts towards greater decentralisation would be accompanied by improvements in population health by using infant mortality and life expectancy as dependent variables. The results of the empirical analysis suggest that income, decentralisation, health care resources and lifestyles in European Union did have an influence on infant mortality and life expectancy. This paper adds a new empirical perspective to the evaluation of the economic gains arising from greater decentralisation in health care.
  3. By: Jensen, Tina Blegind (Department of Business Studies)
    Abstract: No abstract
    Keywords: Electronic Patient Record; Implementation Process; Means End Chain Approach; Danish Hospitals
    Date: 2006–04–25
  4. By: Rikhardsson, Pall (Department of Business Studies)
    Abstract: A part of the emerging sustainability management accounting is corporate health and safety performance. One performance dimension is the costs of occupational accidents in companies. The underlying logic for calculating these costs is that if occupational accidents are prevented then these costs could be avoided. This chapter presents and discusses selected methods for calculating the costs of occupational accidents. The focus is on presenting the characteristics of each method and disclosing the benefits and drawbacks of each method
    Keywords: No keywords;
    Date: 2005–04–26
  5. By: Bhat Ramesh; Jain Nishant
    Abstract: This paper analyses financial performance of corporate hospitals in India. While studying the financial performance of hospitals in our previous work we observed that there are some distinct differences between unlisted and listed hospitals. It is hypothesised that corporate hospitals which are listed on the stock exchanges are likely to be more aware about corporate governance issues and ensure better utilisation of resources and meet expectation of various stakeholders. We study the differences in listed and unlisted hospitals in this paper. The findings suggest that operating cost ratio of listed hospitals is significantly different and lower from the unlisted hospitals. We also find that borrowings of unlisted hospitals are much higher than listed hospitals because they have no access to capital markets to raise money. This increase the financial vulnerability of unlisted hospitals as their ability to service the debt is low. We discuss the implications of these results.
    Date: 2006–03–29
  6. By: Bhat Ramesh; Jain Nishant
    Abstract: This paper analyses financial performance of private hospitals. The study is based on financial statement data of private hospitals for the years 1999 to 2004. Using 25 key financial ratios, the study finds six key financial dimensions. These are: fixed assets age, current assets efficiency, operating efficiency, financial structure, surplus/profit appropriation, and financial profitability/operating cost ratio. The findings suggest that over the years hospitals have shown marginal improvement in financial performance. Though the total amount of debt is not high, it is the cost of debt and ability to service the debt which is making debt burden high for hospitals. The financial risks in this sector are high because of lower profitability and lower operating efficiencies. We discuss the implications of the results.
    Date: 2006–04–27
  7. By: Kreider, Brent
    Abstract: This paper derives easy-to-compute identification regions for the population's true rate of health insurance coverage in the presence of household reporting errors. These regions reduce the degree of uncertainty about the unknown parameter compared with Horowitz and Manski's (1995) nonparametric contaminated sampling bounds.
    Keywords: health insurance, contaminated sampling, nonparametric bounds, classification error
    JEL: C1 I1
    Date: 2006–04–15
  8. By: Maarten Lindeboom (Free University Amsterdam, Tinbergen Institute, HEB, Netspar and IZA Bonn); Ana Llena-Nozal (Free University Amsterdam and Tinbergen Institute); Bas van der Klaauw (Free University Amsterdam, Tinbergen Institute, Scholar, CEPR and IZA Bonn)
    Abstract: This paper focuses on the relation between the onset of disability and employment outcomes. We develop an event history model that includes unscheduled hospitalizations as a measure for unanticipated health shocks and estimate the model on data from the British National Child Development Study (NCDS). We show that such health shocks increase the likelihood of an onset of a disability by around 138%. However, health shocks are relatively rare events and therefore the larger part of observed disability rates result from gradual deteriorations in health. We find no direct effect of health shocks on employment outcomes. Using the health shock as an instrumental variable shows that the onset of a disability at age 25 causally reduces the employment rate at age 40 with around 21 percentage points. Our results show that early childhood conditions are important in explaining adult health and socioeconomic outcomes. Those who have experienced bad conditions during early childhood have higher rates of health deterioration during adulthood, are more likely to become non-employed and suffer from longer spells of non-employment during the course of life.
    Keywords: disability, work, health shocks, event-history model, early childhood
    JEL: I12 J28
    Date: 2006–04
  9. By: D. Fabbri; C. Monfardini

This nep-hea issue is ©2006 by Yong Yin. It is provided as is without any express or implied warranty. It may be freely redistributed in whole or in part for any purpose. If distributed in part, please include this notice.
General information on the NEP project can be found at For comments please write to the director of NEP, Marco Novarese at <>. Put “NEP” in the subject, otherwise your mail may be rejected.
NEP’s infrastructure is sponsored by the School of Economics and Finance of Massey University in New Zealand.