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The European Journal of Health Economics最新文献

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Effects of pay-for-performance for primary care physicians on diabetes outcomes in single-payer health systems: a systematic review 在单一付款人卫生系统中,初级保健医生按绩效付费对糖尿病结局的影响:系统回顾
Pub Date : 2019-08-10 DOI: 10.1007/s10198-019-01097-4
N. Gupta, H. Ayles
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引用次数: 18
Effects of primary care cost-sharing among young adults: varying impact across income groups and gender 初级保健费用分担对年轻人的影响:不同收入群体和性别的不同影响
Pub Date : 2019-08-10 DOI: 10.1007/s10198-019-01095-6
N. Johansson, N. Jakobsson, M. Svensson
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引用次数: 14
Cost differences between digital tomosynthesis and standard digital mammography in a breast cancer screening programme: results from the To-Be trial in Norway 数字断层合成和标准数字乳房x光摄影在乳腺癌筛查项目中的成本差异:挪威将来试验的结果
Pub Date : 2019-08-09 DOI: 10.1007/s10198-019-01094-7
T. Moger, J. Swanson, Åsne S. Holen, B. Hanestad, S. Hofvind
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引用次数: 12
The impact of tobacco control policies on smoking initiation in eleven European countries 11个欧洲国家烟草控制政策对开始吸烟的影响
Pub Date : 2019-08-09 DOI: 10.1007/s10198-019-01090-x
A. Palali, J. van Ours
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引用次数: 16
Investigating medical malpractice victim compensation: micro-level evidence from a professional liability insurer’s files 调查医疗事故受害者赔偿:来自专业责任保险公司档案的微观证据
Pub Date : 2019-08-08 DOI: 10.1007/s10198-019-01093-8
S. Bielen, Peter Grajzl, W. Marneffe
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引用次数: 2
The effects of copayment in primary health care: evidence from a natural experiment 共同支付对初级卫生保健的影响:来自自然实验的证据
Pub Date : 2019-07-26 DOI: 10.1007/s10198-019-01089-4
L. Maynou, Gabriel Coll-de-Tuero, M. Sáez
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引用次数: 4
Mapping the kidney disease quality of life 36-item short form survey (KDQOL-36) to the EQ-5D-3L and the EQ-5D-5L in patients undergoing dialysis 将肾脏疾病生活质量36项短表调查(KDQOL-36)与透析患者的EQ-5D-3L和EQ-5D-5L进行映射
Pub Date : 2019-07-23 DOI: 10.1007/s10198-019-01088-5
Fan Yang, Carlos K. H. Wong, N. Luo, J. Piercy, R. Moon, J. Jackson
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引用次数: 25
Economic impact of disease prevention in a morbidity-based financing system: does prevention pay off for a statutory health insurance fund in Germany? 疾病预防在以发病率为基础的融资系统中的经济影响:预防是否为德国的法定健康保险基金带来回报?
Pub Date : 2019-07-17 DOI: 10.1007/s10198-019-01086-7
I. Weinhold, C. Schindler, N. Kossack, Benjamin Berndt, D. Häckl
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引用次数: 0
Who gains the most from improving working conditions? Health-related absenteeism and presenteeism due to stress at work 谁从改善工作条件中获益最多?与健康有关的旷工和因工作压力而出勤
Pub Date : 2019-07-15 DOI: 10.1007/s10198-019-01084-9
B. Brunner, Ivana Igic, Anita C. Keller, S. Wieser
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引用次数: 56
The economic burden of diabetes to French national health insurance: a new cost-of-illness method based on a combined medicalized and incremental approach. 糖尿病对法国国家医疗保险造成的经济负担:基于综合医疗和增量方法的新疾病成本法。
Pub Date : 2018-03-01 Epub Date: 2017-02-11 DOI: 10.1007/s10198-017-0873-y
Grégoire de Lagasnerie, Anne-Sophie Aguadé, Pierre Denis, Anne Fagot-Campagna, Christelle Gastaldi-Menager

A better understanding of the economic burden of diabetes constitutes a major public health challenge in order to design new ways to curb diabetes health care expenditure. The aim of this study was to develop a new cost-of-illness method in order to assess the specific and nonspecific costs of diabetes from a public payer perspective. Using medical and administrative data from the major French national health insurance system covering about 59 million individuals in 2012, we identified people with diabetes and then estimated the economic burden of diabetes. Various methods were used: (a) global cost of patients with diabetes, (b) cost of treatment directly related to diabetes (i.e., 'medicalized approach'), (c) incremental regression-based approach, (d) incremental matched-control approach, and (e) a novel combination of the 'medicalized approach' and the 'incremental matched-control' approach. We identified 3 million individuals with diabetes (5% of the population). The total expenditure of this population amounted to €19 billion, representing 15% of total expenditure reimbursed to the entire population. Of the total expenditure, €10 billion (52%) was considered to be attributable to diabetes care: €2.3 billion (23% of €10 billion) was directly attributable, and €7.7 billion was attributable to additional reimbursed expenditure indirectly related to diabetes (77%). Inpatient care represented the major part of the expenditure attributable to diabetes care (22%) together with drugs (20%) and medical auxiliaries (15%). Antidiabetic drugs represented an expenditure of about €1.1 billion, accounting for 49% of all diabetes-specific expenditure. This study shows the economic impact of the assumption concerning definition of costs on evaluation of the economic burden of diabetes. The proposed new cost-of-illness method provides specific insight for policy-makers to enhance diabetes management and assess the opportunity costs of diabetes complications' management programs.

更好地了解糖尿病的经济负担是一项重大的公共卫生挑战,以便设计新的方法来遏制糖尿病的医疗支出。本研究旨在开发一种新的疾病成本法,以便从公共支付方的角度评估糖尿病的特定和非特定成本。利用法国主要国家医疗保险系统提供的医疗和行政数据,我们确定了糖尿病患者的身份,然后估算了糖尿病的经济负担。我们采用了多种方法:(a) 糖尿病患者的总体成本,(b) 与糖尿病直接相关的治疗成本(即 "医疗化方法"),(c) 基于回归的增量方法,(d) 增量匹配对照方法,以及 (e) "医疗化方法 "和 "增量匹配对照 "方法的新组合。我们确定了 300 万糖尿病患者(占总人口的 5%)。这一人群的总支出达 190 亿欧元,占整个人口报销总支出的 15%。在总支出中,有 100 亿欧元(52%)可归因于糖尿病护理:23 亿欧元(占 100 亿欧元的 23%)可直接归因于糖尿病护理,77 亿欧元可归因于与糖尿病间接相关的额外报销支出(77%)。住院治疗占糖尿病治疗支出的主要部分(22%),此外还有药物(20%)和医疗辅助用 品(15%)。抗糖尿病药物的支出约为 11 亿欧元,占糖尿病专项支出的 49%。这项研究显示了成本定义假设对糖尿病经济负担评估的经济影响。所提出的新疾病成本法为政策制定者提供了具体的见解,以加强糖尿病管理和评估糖尿病并发症管理计划的机会成本。
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引用次数: 0
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The European Journal of Health Economics
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