nep-hea New Economics Papers
on Health Economics
Issue of 2013‒06‒09
fourteen papers chosen by
Yong Yin
SUNY at Buffalo

  1. An Equity-based Proposal for the Evaluation of Health States By Herrero Carmen; Villar Notario Antonio
  2. How Do You Feel? The Effect of the New Cooperative Medical Scheme in China By Carine Milcent; Binzhen Wu
  3. Identifying Age-Cohort-Time Effects, Their Curvature and Interactions from Polynomials: Examples Related to Sickness Absence By Biørn, Erik
  4. Strategic Intelligence Monitor on Personal Health Systems Phase 2, Market Developments – Remote Patient Monitoring and Treatment, Telecare, Fitness/Wellness and mHealth By Peter Baum; Fabienne Abadie
  5. Strategic Intelligence Monitor on Personal Health Systems, Phase 2 - Citizens and ICT for Health in 14 European Countries: Results from an Online Panel By Francisco Lupianez-Villanueva; Ioannis Maghiros; Fabienne Abadie
  6. Strategic Intelligence Monitor on Personal Health Systems, Phase 2 -Interim Report on Impact Assessment State of the Art and Justifications By Bernarda Zamora
  7. Rising Longevity, Human Capital and Fertility in Overlapping Generations Version of an R&D-based Growth Model By Ken-ichi Hashimoto; Ken Tabata
  8. Innovation and Antibiotic Use within Antibiotic Classes: Market Incentives and Economic Instruments By Markus Herrmann; Bruno Nkuiya; Anne-Renée Dussault
  9. Enrollment, Employment, and Earnings in the Medicaid Buy-In Program, 2011. By Matthew Kehn
  10. Chartbook: Medicaid Pharmacy Benefit Use and Reimbursement in 2009. By Ann D. Bagchi; James Verdier; Dominick Esposito
  11. Dual Eligible Care in a SNP vs. FFS: Preliminary Findings from a Natural Arizona Experiment. By Maggie Colby; Jim Verdier
  12. Labour and Health in Colonial Nigeria By Vellore Arthi; James Fenske
  13. Organic Food and Human Health: Instrumental Variables Evidence By Heinz Welsch
  14. Inference and forecasting in the age-period-cohort model with unknown exposure with an application to mesothelioma mortality By Bent Nielsen; Maria Dolores Martinez Miranda; Jens Perch Nielsen

  1. By: Herrero Carmen (UNIVERSITY OF ALICANTE INSTITUTO VALENCIANO DE INVESTIGACIONES ECONÓMICAS (Ivie)); Villar Notario Antonio (Pablo de Olavide University; Ivie)
    Abstract: This working paper refers to the evaluation of health states when equity matters. We propose an evaluation formula that incorporates equity concerns from an equality of opportunity viewpoint and is applicable to categorical data, such as self-reported qualitative health states. An empirical illustration using Spanish data is provided.
    Keywords: evaluation of health states, equality of opportunity, categorical data
    JEL: D63
    Date: 2012–11
  2. By: Carine Milcent (EEP-PSE - Ecole d'Économie de Paris - Paris School of Economics - Ecole d'Économie de Paris, PSE - Paris-Jourdan Sciences Economiques - CNRS : UMR8545 - École des Hautes Études en Sciences Sociales [EHESS] - Ecole des Ponts ParisTech - Ecole normale supérieure de Paris - ENS Paris - Institut national de la recherche agronomique (INRA)); Binzhen Wu (School of Economics and Management - Tsinghua University)
    Abstract: During the 2003-2006 period, subjective health status in Chinese rural areas improved. We used a unique household longitudinal survey to analyze how the introduction of a public insurance system has contributed to the change. This program is based on a doubly voluntary process: counties decide to launch, then households decide to subscribe. We disentangle two channels of influence of the insurance: the insurance effect of the coverage and a general equilibrium effect on all residents in the insurance-adopting counties. The empirical findings include, first, a positive extensive margin: individuals feel better about their health status when covered by the NCMS. However, there is no intensive margin: an individual's self-assessed health status does not improve with the number of years enrolled in the program. Second, we find a positive general equilibrium effect of introducing the NCMS program on non-participants in NCMS counties. This effect accumulates over time.
    Keywords: Subjective health ; Rural China ; Health insurance ; New Cooperative Medical Scheme
    Date: 2013–05–28
  3. By: Biørn, Erik (Dept. of Economics, University of Oslo)
    Abstract: In the paper is considered identification of coefficients in equations explaining a continuous variable, say the number of sickness absence days of an individual per year, by cohort, time and age, subject to their definitional identity. Extensions of a linear equation to polynomials, including additive polynomials, are explored. The cohort+time=age identity makes the treatment of interactions important. If no interactions between the three variables are included, only the coefficients of the linear terms remain unidentified unless additional information is available. Illustrations using a large data set for individual long-term sickness absence in Norway are given. The sensitivity to the estimated marginal effects of cohort and age at the samplemean, as well as conclusions about the equations’ curvature, are illustrated. We find notable differences in this respect between linear and quadratic equations on the one hand and cubic and fourth-order polynomials on the other.
    Keywords: AGe cohort-time problem; Identification; Polynomial regression; Interaction; Age-cohort curvature; Panel data; Sickness absence
    JEL: C23 C24 C25 C52 H55 I18 J21
    Date: 2013–03–21
  4. By: Peter Baum (European Commission – JRC - IPTS); Fabienne Abadie (European Commission – JRC - IPTS)
    Abstract: This report aims to provide an overview of market developments in RMT and in the new areas of telecare, mobile health, wellness, fitness and independent living, based on the review of market reports acquired from market research companies and other sources like industry newsletters.
    Keywords: Remote Patient Monitoring, RMT, telehealth, telecare, mHealth, mobile health, fitness, wellness, independent living, ICT, market, deployment, business models.
    JEL: I11 I18 O33 O38
    Date: 2012–05
  5. By: Francisco Lupianez-Villanueva (Universitat Oberta de Catalunya (UOC)); Ioannis Maghiros (European Commission – JRC - IPTS); Fabienne Abadie (European Commission – JRC - IPTS)
    Abstract: The Citizen Panel Survey carried out in SIMPHS2 to better assess users and patients' needs and expectations with regard to ICT for health, directly supports the objectives of the Digital Agenda in the area of eHealth which are to both cope with societal challenges and create opportunities for innovation and economic growth by reducing health inequalities, promoting active and healthy ageing and increasing empowerment. It also contributes to the goals of the European Innovation Partnership on Active and Healthy Aging which addresses the societal challenge of an ageing population focusing on the main areas of life events (Prevention, Care and cure and Independent living) with the following expected results: - An improvement of the health status and quality of life of Europeans, especially older people; - An improvement of the sustainability and efficiency of health and social care systems; - Boosted EU competitiveness through an improved business environment for innovation. In this policy context the analysis of users' demand undertaken through the SIMPHS2 Citizen panel survey aims to: - develop typologies of digital healthcare users and measure the impact of ICT and the Internet on health status, health care demand and health management. - identify factors that can enhance or inhibit the role and use of Personal Health Systems from a citizen' s perspective with special emphasis on mHealth, RMT, disease management, Telecare, Telemedicine and Wellness. To reach these objectives, we started by defining a theoretical framework for policy-making, which was used to design and gather relevant information. A multivariate statistical analysis was subsequently carried out to identify the underlying conceptual dimensions emerging from the data collected. Key relationships between concepts (underlying dimensions) were identified to understand ICT for Health as a complex ecosystem. We concluded with some lessons learned.
    Keywords: ICT, citizen, panel, survey, health, eHealth, users
    JEL: I11 I18 O33 O38
    Date: 2012–05
  6. By: Bernarda Zamora (European Commission – JRC - IPTS)
    Abstract: The challenges for healthcare systems in the European Union include demand side and supply side drivers. On the demand side, demographic changes due to ageing and increasing personal income are shaping growing expectations of healthcare services to increase quality and access, reduce disease burden, respond to emergency disease risks, and assist mobility and adaptation to the workplace. On the supply side, healthcare systems are under the pressure from limited budgets and the increasing complexity of healthcare provision which requires the management of investments in technology and interoperability of information flows alongside organizational changes.
    Keywords: Integrated care, telehealth, telecare, ICT, impact assessment, chronic diseases, healthcare, models, technology assessment.
    JEL: I11 I18 O33 O38
    Date: 2012–05
  7. By: Ken-ichi Hashimoto (Graduate School of Economics, Kobe University); Ken Tabata (School of Economics, Kwansei Gakuin University)
    Abstract: This paper constructs a simple, overlapping generations version of an R&D-based growth model à la Diamond (1965) and Jones (1995), and examines how an increase in old-age survival probability impacts purposeful R&D investment and long-run growth by affecting fertility and education decisions. We demonstrate that under certain conditions, old-age survival probability, when relatively low (high), positively (negatively) affect economic growth. This study also compares the growth implications of child education subsidies and child rearing subsidies and demonstrates that although child education subsidies always foster economic growth, child rearing subsidies may negatively impact economic growth in particular situations. Finally, we briefly consider the effects of a child education subsidy on welfare levels.
    Keywords: R&D, Fertility, Human Capital, Child Education Subsidy, Child Rearing Subsidy
    JEL: J13 J24 O10 O30 O40
    Date: 2013–05
  8. By: Markus Herrmann; Bruno Nkuiya; Anne-Renée Dussault
    Abstract: We analyze a monopolist’s incentive to innovate a new antibiotic which is connected to the same pool of antibiotic treatment efficacy as is another drug produced by a generic industry. We outline the differences of antibiotic use under market conditions and in the social optimum. A time and state-dependent tax-subsidy mechanism is proposed to induce the monopolist and generic industry to exploit antibiotic efficacy optimally.
    Keywords: Economics of antibiotic resistance, antibiotic innovation, monopoly, generic industry, social optimum, economic instruments
    JEL: D21 D42 I18 Q38
    Date: 2013
  9. By: Matthew Kehn
    Keywords: Medicaid, disability, employment, Health
    JEL: I
    Date: 2013–05–20
  10. By: Ann D. Bagchi; James Verdier; Dominick Esposito
    Keywords: nondual beneficiaries; dual beneficiaries , pharmacy reimbursement; medicaid prescriptions, comprehensive managed care, prescription drug claims
    JEL: I
    Date: 2012–12–21
  11. By: Maggie Colby; Jim Verdier
    Keywords: Dual Eligible, Special Needs Plans, Fee-for-Service, Arizona
    JEL: I
    Date: 2013–05–30
  12. By: Vellore Arthi (University of Oxford); James Fenske (University of Oxford)
    Abstract: We examine the determinants of time allocation and child labour in a year-long panel of time-use data from colonial Nigeria. Using quantitative and ethnographic approaches, we show that health shocks imposed time costs on individuals. Whether individuals could recruit substitutes depended on social standing, urgency of work, and type of illness. Child labour did not systematically respond to temporary parental illness, but could replace a permanently disabled adult. Child labour was coordinated with parental work, aided childcare, and allowed children to build skills and resources. These decisions can be understood within an endogenous bargaining power framework with labour complementarities.
    Date: 2013–05–01
  13. By: Heinz Welsch (University of Oldenburg, Department of Economics)
    Abstract: Organic food markets in developed countries have been rapidly expanding in recent years. Though expected health benefits are a major motive for buying organic food (OF), the health effects of consuming OF are uncertain. This study uses survey data from Germany, 2007, to explore the causal relationship between OF consumption and self-rated health status. While it finds strong and statistically significant relationships between health and indicators of the intensity and duration of OF consumption, these relationships vanish when OF consumption is instrumented by respondents’ assessment of the necessity of renewable energy. Since the instrument satisfies usual validity standards, these findings suggest that the OF-health relationship may be spurious due to common unobserved factors, in particular a health-oriented lifestyle.
    Keywords: health; food; consumption; organic agriculture
    JEL: I12 D12 Q13
    Date: 2012–10
  14. By: Bent Nielsen; Maria Dolores Martinez Miranda; Jens Perch Nielsen
    Abstract: It is of considerable interest to forecast future mesothelioma mortality.  No measures for exposure are available so it is not straight forward to apply a dose-response model.  It is proposed to model the counts of deaths directly using a Poisson regression with an age-period-cohort structure, but without offset.  Traditionally the age-period-cohort is viewed to suffer from an identification problem.  It is shown how to re-parameterize the model in terms of freely varying parameters, so as to avoid this problem.  It is shown how to conduct inference and how to construct distribution forecasts.
    Date: 2013–03–26

This nep-hea issue is ©2013 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.