The economic crisis associated with the emergence of the novel corona virus is unlike standard recessions. Demand for workers in high contact and inflexible service occupations has declined, while parental supply of labor has been reduced by lack of access to reliable child care and in-person schooling options. This has led to a substantial and persistent drop in employment and labor force participation for women, who are typically less affected by recessions than men. We examine real time data on employment, unemployment, labor force participation and gross job flows to document the gendered impact of the pandemic. We also discuss the potential long-term implications of this crisis, including the role of automation in depressing the recovery of employment for the worst hit service occupations.
{"title":"The Gendered Impact of the Covid-19 Recession on the Us Labor Market","authors":"S. Albanesi, Jiyeon Kim","doi":"10.3386/W28505","DOIUrl":"https://doi.org/10.3386/W28505","url":null,"abstract":"The economic crisis associated with the emergence of the novel corona virus is unlike standard recessions. Demand for workers in high contact and inflexible service occupations has declined, while parental supply of labor has been reduced by lack of access to reliable child care and in-person schooling options. This has led to a substantial and persistent drop in employment and labor force participation for women, who are typically less affected by recessions than men. We examine real time data on employment, unemployment, labor force participation and gross job flows to document the gendered impact of the pandemic. We also discuss the potential long-term implications of this crisis, including the role of automation in depressing the recovery of employment for the worst hit service occupations.","PeriodicalId":20373,"journal":{"name":"Political Economy - Development: Health eJournal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87087999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Job insecurity exerts negative effects on self-reported health. Using the Spanish Survey of Household Finances for 2011-2014, this paper asks whether and to what extent debt burdens enhance these detrimental health effects. To address potential endogeneity problems surrounding this question, the paper adopts Deb and Trivedi's (2006) econometric approach. The results show that the negative effect of job insecurity on self-assessed health is exacerbated if the individual is over-indebted. Moreover, the role of over-indebtedness differs between types of debt, with nonmortgage debts causing larger health losses than mortgage debts. Specifically, the results suggest that being over-indebted with non-mortgage debts boosts the negative impact of job insecurity by a factor of three. Thus, concerns about job insecurity should not be decoupled from concerns about increasing household indebtedness, and policy measures intended to improve individual welfare should consider both phenomena together.
{"title":"Job Insecurity, Debt Burdens and Individual Health","authors":"M. Cuesta, Santiago Budría, A. Moro�?Egido","doi":"10.1111/ROIW.12506","DOIUrl":"https://doi.org/10.1111/ROIW.12506","url":null,"abstract":"Job insecurity exerts negative effects on self-reported health. Using the Spanish Survey of Household Finances for 2011-2014, this paper asks whether and to what extent debt burdens enhance these detrimental health effects. To address potential endogeneity problems surrounding this question, the paper adopts Deb and Trivedi's (2006) econometric approach. The results show that the negative effect of job insecurity on self-assessed health is exacerbated if the individual is over-indebted. Moreover, the role of over-indebtedness differs between types of debt, with nonmortgage debts causing larger health losses than mortgage debts. Specifically, the results suggest that being over-indebted with non-mortgage debts boosts the negative impact of job insecurity by a factor of three. Thus, concerns about job insecurity should not be decoupled from concerns about increasing household indebtedness, and policy measures intended to improve individual welfare should consider both phenomena together.","PeriodicalId":20373,"journal":{"name":"Political Economy - Development: Health eJournal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79595276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The directives and regulations on banking crisis management approved in the years 2013-2014 established inflexible limits on the use of public financial resources. This political choice of the European legislature could cause administrative authorities to find themselves with their hands tied in case the COVID-19 pandemic will give rise to failures of banking intermediaries, jeopardizing the overall stability of the financial system. Such a stance is not consistent with the Treaty approach on State aid that confers large discretion to the European Commission to adapt the rules to different economic scenarios. The criticism does not dispute the principle that public financial support must be the last resort to be activated and that its use must be limited to the minimum. The paper suggests that wide discretion on the part of the administrative authorities is necessary especially in the case of a pandemic-derived crisis, which is very difficult to predict and which dramatically changes the economic scenarios. Moreover, a pandemic causing negative consequences on all economic systems, even if it could have different effects in each Member State, requires collective action. Therefore, the choices on how to react to the crisis, including the case of a banking crisis, must be decided at the European level.
{"title":"Management of Banking Crises and State Aid in Times of Coronavirus","authors":"Concetta Brescia Morra","doi":"10.2139/ssrn.3775539","DOIUrl":"https://doi.org/10.2139/ssrn.3775539","url":null,"abstract":"The directives and regulations on banking crisis management approved in the years 2013-2014 established inflexible limits on the use of public financial resources. This political choice of the European legislature could cause administrative authorities to find themselves with their hands tied in case the COVID-19 pandemic will give rise to failures of banking intermediaries, jeopardizing the overall stability of the financial system. Such a stance is not consistent with the Treaty approach on State aid that confers large discretion to the European Commission to adapt the rules to different economic scenarios. The criticism does not dispute the principle that public financial support must be the last resort to be activated and that its use must be limited to the minimum. The paper suggests that wide discretion on the part of the administrative authorities is necessary especially in the case of a pandemic-derived crisis, which is very difficult to predict and which dramatically changes the economic scenarios. Moreover, a pandemic causing negative consequences on all economic systems, even if it could have different effects in each Member State, requires collective action. Therefore, the choices on how to react to the crisis, including the case of a banking crisis, must be decided at the European level.","PeriodicalId":20373,"journal":{"name":"Political Economy - Development: Health eJournal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74581579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Croatian Abstract: Republika Hrvatska je u proteklih godinu dana donijela niz mjera s ciljem borbe protiv COVID-19 pandemije. Velik broj hrvatskih anti-COVID mjera utjecao je na funkcioniranje unutarnjeg tržišta Europske unije ograničavajući ili otežavajući slobodu kretanja osoba, roba i usluga. Cilj je ovog rada objasniti obveze Republike Hrvatske temeljem europskog prava pri donošenju mjera s ograničavajućim učinkom na slobodu kretanja građana Unije. Analizom mjera koje je Hrvatska u ovom području donijela u proteklih jedanaest mjeseci, ukazat će se na pravila europskog prava koja je prilikom donošenja nacionalnih ograničenja nužno poštivati, te dati preporuke za daljnje postupanje tijekom ove i eventualnih budućih zdravstvenih kriza.English Abstract: Over the past year, the Republic of Croatia adopted a series of measures aimed at combating the COVID-19 pandemic. A significant number of Croatian anti-COVID measures have affected the functioning of the European Union's internal market by restricting or impeding free movement of persons, goods and services. The aim of this paper is to examine Croatian obligations, based on EU law, when adopting restrictions to free movement of EU citizens. The analysis of the adopted measures in the past eleven months will point to EU rules that have to be respected when adopting national restrictions, and provide recommendations for further action during this and possible future health crises.
{"title":"Obveze Republike Hrvatske temeljem europskog prava pri donošenju zaštitnih mjera protiv bolesti COVID-19 (Obligations of the Republic of Croatia Based on European Union Law when Enacting Protective Measures against COVID-19)","authors":"Iris Goldner Lang","doi":"10.2139/ssrn.3781066","DOIUrl":"https://doi.org/10.2139/ssrn.3781066","url":null,"abstract":"Croatian Abstract: Republika Hrvatska je u proteklih godinu dana donijela niz mjera s ciljem borbe protiv COVID-19 pandemije. Velik broj hrvatskih anti-COVID mjera utjecao je na funkcioniranje unutarnjeg tržišta Europske unije ograničavajući ili otežavajući slobodu kretanja osoba, roba i usluga. Cilj je ovog rada objasniti obveze Republike Hrvatske temeljem europskog prava pri donošenju mjera s ograničavajućim učinkom na slobodu kretanja građana Unije. Analizom mjera koje je Hrvatska u ovom području donijela u proteklih jedanaest mjeseci, ukazat će se na pravila europskog prava koja je prilikom donošenja nacionalnih ograničenja nužno poštivati, te dati preporuke za daljnje postupanje tijekom ove i eventualnih budućih zdravstvenih kriza.English Abstract: Over the past year, the Republic of Croatia adopted a series of measures aimed at combating the COVID-19 pandemic. A significant number of Croatian anti-COVID measures have affected the functioning of the European Union's internal market by restricting or impeding free movement of persons, goods and services. The aim of this paper is to examine Croatian obligations, based on EU law, when adopting restrictions to free movement of EU citizens. The analysis of the adopted measures in the past eleven months will point to EU rules that have to be respected when adopting national restrictions, and provide recommendations for further action during this and possible future health crises.","PeriodicalId":20373,"journal":{"name":"Political Economy - Development: Health eJournal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87678669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y. Ponomarev, A. Makarov, Kseniia Borzykh, D. Radchenko
With due regard for the ongoing dire situation with the spread of the coronavirus in December 2020 and early 2021, many countries took advantage of the Christmas and New Year holidays to intensify their efforts aimed at slowing down the pandemic. In Russia, alongside continuing flexible containment measures (remote work, online learning, ban on mass gatherings), the number of recorded daily new cases has shrunk since early January; however, this could be the upshot of the decreased number of tests during the holidays.
{"title":"Monitoring of the Situation with the Coronavirus Pandemic and the Measures to Contain It Over December 2020 to January 14, 2020","authors":"Y. Ponomarev, A. Makarov, Kseniia Borzykh, D. Radchenko","doi":"10.2139/SSRN.3772960","DOIUrl":"https://doi.org/10.2139/SSRN.3772960","url":null,"abstract":"With due regard for the ongoing dire situation with the spread of the coronavirus in December 2020 and early 2021, many countries took advantage of the Christmas and New Year holidays to intensify their efforts aimed at slowing down the pandemic. In Russia, alongside continuing flexible containment measures (remote work, online learning, ban on mass gatherings), the number of recorded daily new cases has shrunk since early January; however, this could be the upshot of the decreased number of tests during the holidays.","PeriodicalId":20373,"journal":{"name":"Political Economy - Development: Health eJournal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85230352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The COVID-19 pandemic has had unexpected consequences for many industries. One of these industries is the video game industry. People increased their time at home, and they turned to play games to socialize and get away from stress. In this study, we aim to examine the effects of COVID-19 on the game industry. In the first part of our study, we discussed the social and psychological effects of games on people during the pandemic period. The share values of essential companies in the gaming industry such as Electronic Arts, Activision-Blizzard, Ubisoft, Capcom, and Take-Two and the number of daily active users and active players of Steam, the digital game platform with millions of users, were examined. We observed that there is a significant increase in the number of active players and users daily. The hypothesis that large companies in the gaming industry increased their share values were established, and this hypothesis was confirmed as a result of the hypothesis tests. We examined the pandemic period, the sector's growth, and the economic dimension of this increase. Due to the increase in the demand for video games, game companies' stock prices are also increasing.
{"title":"The Impact of COVID-19 on the Video Game Industry","authors":"Deniz Şener, Türkan Yalçın, Osman Gulseven","doi":"10.2139/ssrn.3766147","DOIUrl":"https://doi.org/10.2139/ssrn.3766147","url":null,"abstract":"The COVID-19 pandemic has had unexpected consequences for many industries. One of these industries is the video game industry. People increased their time at home, and they turned to play games to socialize and get away from stress. In this study, we aim to examine the effects of COVID-19 on the game industry. In the first part of our study, we discussed the social and psychological effects of games on people during the pandemic period. The share values of essential companies in the gaming industry such as Electronic Arts, Activision-Blizzard, Ubisoft, Capcom, and Take-Two and the number of daily active users and active players of Steam, the digital game platform with millions of users, were examined. We observed that there is a significant increase in the number of active players and users daily. The hypothesis that large companies in the gaming industry increased their share values were established, and this hypothesis was confirmed as a result of the hypothesis tests. We examined the pandemic period, the sector's growth, and the economic dimension of this increase. Due to the increase in the demand for video games, game companies' stock prices are also increasing.","PeriodicalId":20373,"journal":{"name":"Political Economy - Development: Health eJournal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82922405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Russian Abstract: Неожиданно для многих 2020-й год привнёс множество событий многократно усиливших и до того имевшуюся глобальную внешнеэкономическую турбулентность, возникшую, в первую очередь, из-за глобальной торговой войны, развязанной президентом США Д. Трампом в 2017-м году. Основным драйвером большинства значимых экономических событий первой половины 2020-го года стала пандемия вируса COVID-19, которая в силу вводимого во многих странах мира карантина привела к заметному спаду выпуска практически всех отраслей.
English Abstract: Unexpectedly for many, 2020 brought many events that multiplied the already existing global external economic turbulence, which arose, first of all, due to the global trade war unleashed by US President Donald Trump in 2017. The main driver of most significant economic events in the first half of 2020 was the COVID-19 virus pandemic, which, due to the quarantine introduced in many countries of the world, led to a noticeable decline in the output of almost all industries.
{"title":"АНАЛИЗ ЭФФЕКТОВ ТОРГОВОЙ ПОЛИТИКИ РОССИИ В УСЛОВИЯХ ГЛОБАЛЬНОЙ ВНЕШНЕЭКОНОМИЧЕСКОЙ ТУРБУЛЕНТНОСТИ (Analysis of the Effects of Russian Trade Policy in the Conditions of Global Foreign Economic Turbulence)","authors":"V. Sedalishchev","doi":"10.2139/ssrn.3860728","DOIUrl":"https://doi.org/10.2139/ssrn.3860728","url":null,"abstract":"<b>Russian Abstract:</b> Неожиданно для многих 2020-й год привнёс множество событий многократно усиливших и до того имевшуюся глобальную внешнеэкономическую турбулентность, возникшую, в первую очередь, из-за глобальной торговой войны, развязанной президентом США Д. Трампом в 2017-м году. Основным драйвером большинства значимых экономических событий первой половины 2020-го года стала пандемия вируса COVID-19, которая в силу вводимого во многих странах мира карантина привела к заметному спаду выпуска практически всех отраслей. <br><br><b>English Abstract:</b> Unexpectedly for many, 2020 brought many events that multiplied the already existing global external economic turbulence, which arose, first of all, due to the global trade war unleashed by US President Donald Trump in 2017. The main driver of most significant economic events in the first half of 2020 was the COVID-19 virus pandemic, which, due to the quarantine introduced in many countries of the world, led to a noticeable decline in the output of almost all industries.","PeriodicalId":20373,"journal":{"name":"Political Economy - Development: Health eJournal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82341458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Russian Abstract: В препринте систематизирована информация о мерах по поддержке рождаемости в РФ, действующих на региональном уровне. Основное внимание уделено мерам, предоставляемым при рождении третьего ребенка, которые включают в себя региональные материнские капиталы, ежемесячные пособия семьям с тремя и более детьми, предоставление многодетным семьям земельных участков. Рассматриваются изменения региональной системы мер поддержки семей с тремя и более детьми с 2011 по 2019 годы.
English Abstract: The preprint systematizes information on measures to support the birth rate in the Russian Federation, acting at the regional level. The main attention is paid to measures provided at the birth of a third child, which include regional maternity capital, monthly allowances for families with three or more children, and the provision of land plots to large families. Changes in the regional system of measures to support families with three or more children from 2011 to 2019 are considered.
{"title":"Региональные меры поддержки рождаемости в РФ в 2010-е годы: динамика основных характеристик (Regional Measures to Support the Birth Rate in the Russian Federation in the 2010s: Dynamics of the Main Characteristics)","authors":"K. Kazenin","doi":"10.2139/ssrn.3861789","DOIUrl":"https://doi.org/10.2139/ssrn.3861789","url":null,"abstract":"<b>Russian Abstract:</b> В препринте систематизирована информация о мерах по поддержке рождаемости в РФ, действующих на региональном уровне. Основное внимание уделено мерам, предоставляемым при рождении третьего ребенка, которые включают в себя региональные материнские капиталы, ежемесячные пособия семьям с тремя и более детьми, предоставление многодетным семьям земельных участков. Рассматриваются изменения региональной системы мер поддержки семей с тремя и более детьми с 2011 по 2019 годы. <br><br><b>English Abstract:</b> The preprint systematizes information on measures to support the birth rate in the Russian Federation, acting at the regional level. The main attention is paid to measures provided at the birth of a third child, which include regional maternity capital, monthly allowances for families with three or more children, and the provision of land plots to large families. Changes in the regional system of measures to support families with three or more children from 2011 to 2019 are considered.","PeriodicalId":20373,"journal":{"name":"Political Economy - Development: Health eJournal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89781099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Haghighi, S. Ramezaninejad, A. Hakamifard, Anna Ghorbani, Koosha Samie, M. Darnahal, Hamed Azhdari Tehrani
Introduction: The main pathogenesis of COVID-19, especially in patients with moderate to severe COVID-19 pneumonia, is through cytokine release syndrome. This cytokine release causes tissue edema, chemotaxis of immune cells, and also vascular endothelial disruption. Thalidomide is an old drug with several effects on inflammation and also on immune cells physiology.
Materials and Methods: 50 patients with moderate COVID-19 pneumonia, were included in this study in the Thalidomide group and control group. We administered Thalidomide 100 mg daily for 14 days + Dexamethasone + Remdesivir in the Thalidomide group and Dexamethasone + Remdesivir as the standard of care in our center in the control group. We evaluated oxygen saturation improvement to more than 94% and also the duration of hospital admission and mortality in our study.
Results: We did not find any difference between these two groups in terms of duration of hospital stay (8.9 days in the Thalidomide group versus 9.6 in the control group), improvement of oxygen saturation at the first week and second week (Pvalue: 0.70 and 0.826 respectively). There was no mortality in both groups. At the end of second week of treatment, the levels of inflammatory markers were not statistically different between these two groups (ESR, CRP, ferritin, LDH, fibrinogen with Pvalue: 0.509, 0.440, 0.121, 0.005, 0.114 respectively). Only LDH in the Thalidomide group was significantly lower at the end of the second week than the control group.
Conclusion: In our study, we did not find any relation between Thalidomide administration and effects on oxygen saturation improvement and also the duration of hospital admission and mortality.
{"title":"The Effects of Thalidomide as an Adjuvant Treatment Besides of Dexamethasone and Remdesivir on Patients with Moderate COVID-19","authors":"S. Haghighi, S. Ramezaninejad, A. Hakamifard, Anna Ghorbani, Koosha Samie, M. Darnahal, Hamed Azhdari Tehrani","doi":"10.2139/ssrn.3941711","DOIUrl":"https://doi.org/10.2139/ssrn.3941711","url":null,"abstract":"Introduction: The main pathogenesis of COVID-19, especially in patients with moderate to severe COVID-19 pneumonia, is through cytokine release syndrome. This cytokine release causes tissue edema, chemotaxis of immune cells, and also vascular endothelial disruption. Thalidomide is an old drug with several effects on inflammation and also on immune cells physiology.<br><br>Materials and Methods: 50 patients with moderate COVID-19 pneumonia, were included in this study in the Thalidomide group and control group. We administered Thalidomide 100 mg daily for 14 days + Dexamethasone + Remdesivir in the Thalidomide group and Dexamethasone + Remdesivir as the standard of care in our center in the control group. We evaluated oxygen saturation improvement to more than 94% and also the duration of hospital admission and mortality in our study.<br><br>Results: We did not find any difference between these two groups in terms of duration of hospital stay (8.9 days in the Thalidomide group versus 9.6 in the control group), improvement of oxygen saturation at the first week and second week (Pvalue: 0.70 and 0.826 respectively). There was no mortality in both groups. At the end of second week of treatment, the levels of inflammatory markers were not statistically different between these two groups (ESR, CRP, ferritin, LDH, fibrinogen with Pvalue: 0.509, 0.440, 0.121, 0.005, 0.114 respectively). Only LDH in the Thalidomide group was significantly lower at the end of the second week than the control group.<br><br>Conclusion: In our study, we did not find any relation between Thalidomide administration and effects on oxygen saturation improvement and also the duration of hospital admission and mortality.","PeriodicalId":20373,"journal":{"name":"Political Economy - Development: Health eJournal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85279275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The health care system commonly relies on information about family medical history in the allocation of screenings and in diagnostic processes. At the same time, an emerging literature documents that treatment for “marginally diagnosed” patients often has minimal impacts. This paper shows that reliance on information about relatives' health can perpetuate marginal diagnoses across family members, thereby raising caseloads and health care costs, but without improving patient well-being. We study Attention Deficit Hyperactivity Disorder (ADHD), the most common childhood mental health condition, and document that the younger siblings and cousins of marginally diagnosed children are also more likely to be diagnosed with and treated for ADHD. Moreover, we find that the younger relatives of marginally diagnosed children have no better adult human capital and economic outcomes than the younger relatives of those who are less likely to be diagnosed. Our analysis points to a simple adjustment to physician protocol that can mitigate these marginal diagnosis spillovers. Institutional subscribers to the NBER working paper series, and residents of developing countries may download this paper without additional charge at www.nber.org.
{"title":"Family Spillover Effects of Marginal Diagnoses: The Case of Adhd","authors":"Petra Persson, Xinyao Qiu, Maya Rossin-Slater","doi":"10.3386/W28334","DOIUrl":"https://doi.org/10.3386/W28334","url":null,"abstract":"The health care system commonly relies on information about family medical history in the allocation of screenings and in diagnostic processes. At the same time, an emerging literature documents that treatment for “marginally diagnosed” patients often has minimal impacts. This paper shows that reliance on information about relatives' health can perpetuate marginal diagnoses across family members, thereby raising caseloads and health care costs, but without improving patient well-being. We study Attention Deficit Hyperactivity Disorder (ADHD), the most common childhood mental health condition, and document that the younger siblings and cousins of marginally diagnosed children are also more likely to be diagnosed with and treated for ADHD. Moreover, we find that the younger relatives of marginally diagnosed children have no better adult human capital and economic outcomes than the younger relatives of those who are less likely to be diagnosed. Our analysis points to a simple adjustment to physician protocol that can mitigate these marginal diagnosis spillovers. \u0000 \u0000Institutional subscribers to the NBER working paper series, and residents of developing countries may download this paper without additional charge at www.nber.org.","PeriodicalId":20373,"journal":{"name":"Political Economy - Development: Health eJournal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77101092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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