The European Journal of Health Economics
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Health costs in patients treated for depression, in patients with depressive symptoms treated for another chronic disorder, and in non-depressed patients: a two-year prospective cohort study in anthroposophic outpatient settings
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This study underlines the importance of depression
for health costs, and suggests that treatment of depression could be associated with long-term cost reductions.
Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10198-009-0203-0Authors
Harald J. Hamre, Institute for Applied Epistemology and Medical Methodology Zechenweg 6 79111 Freiburg GermanyClaudia M. Witt, Charité University Medical Centre Institute of Social Medicine, Epidemiology, and Health Economics Berlin GermanyAnja Glockmann, Institute for Applied Epistemology and Medical Methodology Zechenweg 6 79111 Freiburg GermanyRenatus Ziegler, Societ...
Source: The European Journal of Health Economics - November 12, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Health care utilisation and immigration in SpainEmail this article to a colleague.
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Abstract The aim of this work was to analyse the use of health care services by immigrants in Spain. Using a nationally representative
health survey from 2006–2007 and negative binomial and hurdle models, it was found that there is no statistically significant
difference in the patterns of visits to general practitioners and hospital stays between migrants and natives in Spain. However,
immigrants have a lower access to specialists and visit emergency rooms with a higher frequency than nationals.
Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10198-009-0204-zAuthors
José-Ignacio Antó...
Source: The European Journal of Health Economics - November 6, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
The challenge of corporatisation: the experience of Portuguese public hospitalsEmail this article to a colleague.
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This study evaluates hospital performance by calculating
two efficiency measures associated with two categories of inputs. The first efficiency measures the costs associated with
hospital production lines and the number of beds (representing fixed capacity) as inputs. The annual costs generated by the
hospitals in the consumption of capital and work (direct and indirect costs) are used. A second measure of efficiency is calculated
separately. This measure includes in the inputs the number of beds as well as the human resources available (number of doctors,
number of nurses and other personnel) in each hospital. With r...
Source: The European Journal of Health Economics - October 23, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Cost-effectiveness of infliximab for the treatment of acute exacerbations of ulcerative colitisEmail this article to a colleague.
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Conclusion Infliximab induction regimen appears to be a cost-effective treatment option for UC patients hospitalised with an acute exacerbation.
Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10198-009-0199-5Authors
Yogesh Suresh Punekar, Schering-Plough Ltd Welwyn Garden City AL7 1TW UKNeil Hawkins, Oxford Outcomes Oxford UK
Journal The European Journal of Health EconomicsOnline ISSN 1618-7601Print ISSN 1618-7598 (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - October 21, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Optimal savings and health spending over the life cycleEmail this article to a colleague.
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Abstract This paper investigates the relationship between saving and health spending in a two-period overlapping generations economy.
Individuals work in the first period of life and live in retirement in old age. Health spending is an activity that increases
quality of life and longevity. Empirical evidence shows that both health spending and saving behave as luxury goods but their
behaviour differs markedly according to the level of per capita GDP. The share of saving on GDP has a concave shape with respect
to per capita GDP, whereas the share of health spending on GDP increases more than proportionally wi...
Source: The European Journal of Health Economics - October 1, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Onset of disability and life satisfaction: evidence from the German Socio-Economic PanelEmail this article to a colleague.
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Abstract This paper analyses the effect of the onset of disability on the well-being of individuals. In particular, we are interested
in studying whether people can adapt to disability over time after its onset. Using longitudinal data from the German Socio-Economic
Panel (GSOEP) for the period 1984–2006, we estimate life satisfaction equations using a fixed-effects model for working-age
males (aged 21–58). The results show that disability has a significant negative effect on life satisfaction, but, in time,
hedonic adaptation will return disabled males to life satisfaction levels registered by those who...
Source: The European Journal of Health Economics - September 29, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Expenditures of the German statutory health insurance system for patients suffering from acute coronary syndrome and treated with percutaneous coronary interventionEmail this article to a colleague.
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Abstract Patients with acute coronary syndrome (ACS) are in need of cost-intensive treatment involving different aspects of the German
Health System. Percutaneous coronary intervention (PCI) is the treatment of choice for a large proportion of cases. In the
present study, an analysis of the cost impact of ACS with focus on PCI therapy was conducted across-the-board for the German
Health System. Results indicated that 85% of all costs arising from treatment of ACS with a trial of PCI are due to in-patient
care. Projection of results onto the entire insurant collective of the statutory health system estimated ...
Source: The European Journal of Health Economics - September 23, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Health impairments and labour market outcomesEmail this article to a colleague.
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Abstract Our analysis is based on the 2008 Athens Area Study and exploits detailed information regarding health impairments and labour
market outcomes for Greek males. Distinguishing between healthy and heath-impaired employees who have or do not have work
limitations, the unobserved productivity effect of health is separated from discrimination. We then estimate a regression
model that includes terms to correct for employment selection and endogenous stratification of self-reported health condition.
A penalty for productivity limitation exists. Evidence of wage discrimination is also found. Both findings ar...
Source: The European Journal of Health Economics - September 21, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Health insurance for the poor: impact on catastrophic and out-of-pocket health expenditures in MexicoEmail this article to a colleague.
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Abstract The goal of Seguro Popular (SP) in Mexico was to improve the financial protection of the uninsured population against excessive
health expenditures. This paper estimates the impact of SP on catastrophic health expenditures (CHE), as well as out-of-pocket
(OOP) health expenditures, from two different sources. First, we use the SP Impact Evaluation Survey (2005–2006), and compare
the instrumental variables (IV) results with the experimental benchmark. Then, we use the same IV methods with the National
Health and Nutrition Survey (ENSANUT 2006). We estimate naïve models, assuming exogeneity, and con...
Source: The European Journal of Health Economics - September 16, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Copayments for ambulatory care in Germany: a natural experiment using a difference-in-difference approachEmail this article to a colleague.
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Abstract In response to increasing health expenditures and a high number of physician visits, the German government introduced a copayment
for ambulatory care in 2004 for individuals with statutory health insurance (SHI). Because persons with private insurance
were exempt from the copayments, this health-care reform can be regarded as a natural experiment. We used a difference-in-difference
approach to examine whether the new copayment effectively reduced the overall demand for physician visits and to explore whether
it acted as a deterrent to vulnerable groups, such as those with low income or chronic condi...
Source: The European Journal of Health Economics - September 16, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Eliciting health state utilities from the general public for severe chronic painEmail this article to a colleague.
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Conclusion The study shows a clear decrement in utility moving from different severity levels of severe chronic pain.
Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10198-009-0178-xAuthors
S. Eldabe, The James Cook University Hospital Department of Pain and Anaesthesia Middlesbrough UKA. Lloyd, Former United BioSource Corporation London UKL. Verdian, Eisai Global Health Economics and Outcomes Research London UKM. Meguro, United BioSource Corporation London UKG. Maclaine, Eisai Global Health Economics and Outcomes Research London UKS. Dewilde, Former United BioSource Corporation London U...
Source: The European Journal of Health Economics - August 12, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
An economic model for the prevention of MRSA infections after surgery: non-glycopeptide or glycopeptide antibiotic prophylaxis?Email this article to a colleague.
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Conclusions The indicative model provides a framework for evaluation. More work is needed to understand the impact of antibiotic resistance
over time in these currently effective antibiotics.
Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10198-009-0175-0Authors
Rachel A. Elliott, University of Nottingham Division of Social Research in Medicines and Health, School of Pharmacy Nottingham NG7 2RD UKHelen L. A. Weatherly, University of York Centre for Health Economics Heslington York YO10 5DD UKNeil S. Hawkins, University of York Centre for Health Economics Heslington York YO10 5DD UKGill...
Source: The European Journal of Health Economics - August 9, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
The Irish ‘health basket’: a basket case?Email this article to a colleague.
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Abstract The Irish health care system is typically described as complex and inequitable and yet the source of the complexity is difficult
to identify. This paper examines and documents the way in which the structure of the Irish system is complicated when compared
with other countries. Analysis is conducted in the context of the ‘health basket’ framework. A health basket describes which
health care services, and which individuals, are covered by public funding, and to what extent. The Irish health basket is
outlined along three dimensions of breadth, depth, and height, and compared with the health basket...
Source: The European Journal of Health Economics - August 4, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Principal agent relationships and the efficiency of hospitalsEmail this article to a colleague.
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This study used principal
agent theory to explain differences in efficiency between hospitals. Two agency issues are examined: (1) quality of care in
the relationship between hospital and patient, and (2) internal organisation, i.e. the relationship between the hospital and
its main departments. It was found that efficiency and quality go together. This implies that the potential harmful information
asymmetry between hospitals and patients does not appear to be a major problem, because increasing efficiency does not seem
to reduce quality. Further, we find no relationship between the efficiency of departments and the ...
Source: The European Journal of Health Economics - August 4, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
The welfare costs of HIV/AIDS in Eastern Europe: an empirical assessment using the economic value-of-life approachEmail this article to a colleague.
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Abstract Based on the aggregation of individual willingness-to-pay for a statistical life, we calibrate an inter-temporal optimisation
model to determine the aggregate welfare loss from HIV/AIDS in 25 Eastern European countries. Assuming a discount rate of
3%, we find a total welfare loss for the whole region that exceeds US $800 billion, approximately 10% of the region’s annual
GDP between 1995 and 2001. Although prevalence and incidence rates diverge sharply between countries—with central Europe far
less affected than major countries in the Commonwealth of Independent States and the Baltics...
Source: The European Journal of Health Economics - August 4, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Pharmaceutical penetration of new drug and pharmaceutical market structure in Taiwan: hospital-level prescription of thiazolidinediones for diabetesEmail this article to a colleague.
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In conclusion, hospital characteristics and volume of services determined
the concentration of pharmaceuticals at the institution level, reflecting the heterogeneous competition between pharmaceutical
companies within each hospital. Institution-level pharmaceutical concentration influences the adoption and penetration of
new drugs.
Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10198-009-0174-1Authors
Yi-Wen Tsai, National Health Research Institutes Institute of Population Health Sciences 35 Keyan Road Zhunan Miaoli 350 TaiwanYu-Wen Wen, National Health Research Institutes Institute of Population H...
Source: The European Journal of Health Economics - August 2, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
A case study of ex ante, value-based price and reimbursement decision-making: TLV and rimonabant in SwedenEmail this article to a colleague.
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Abstract Value-based pricing (VBP) is a method of setting prices for products based on perceived benefits to the consumer. When information
is symmetric and freely available and agency is perfect, VBP is efficient and desirable. Because of substantial information
asymmetries, medical insurance distortions, and the prescribing monopoly of physicians, VBP is rare for prescription drugs,
though a number of countries have recently moved in this direction. Because the potential benefits can be sizable, it is high
time for a review of actual VBP-based decision-making in practice. Sweden, with its pharmaceutical be...
Source: The European Journal of Health Economics - July 28, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
The impact of reference pricing on switching behaviour and healthcare utilisation: the case of statins in GermanyEmail this article to a colleague.
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Abstract This paper analyses (1) the impact of the inclusion of statins in the German reference pricing scheme in 2005 on the statin
market, and (2) the effect of switching behaviour subsequent to the policy change on healthcare utilisation and costs. Patients
with prescriptions for statins in 2004 were observed for 1 year before and 1 year after the policy change, which went into
effect on 1 January 2005. Data on outpatient and inpatient visits, pharmaceutical consumption, and cost to the sickness fund
were collected from a sickness fund with more than 5.8 million insured members in 2005. Com...
Source: The European Journal of Health Economics - July 28, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
The impact of missing data in the estimation of concentration index: a potential source of biasEmail this article to a colleague.
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Abstract The purpose of this paper is to raise awareness of missing data when concentration indices are used to evaluate health-related
inequality. Concentration indices are most commonly calculated using individual-level survey data. Incomplete data is a pervasive
problem faced by most applied researchers who use survey data. The default analysis method in most statistical software packages
is complete-case analysis. This excludes any cases where any variables are missing. If the missing variables in question are
not completely random, the calculated concentration indices are likely to be biased, which may ...
Source: The European Journal of Health Economics - July 23, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Ten arguments for a societal perspective in the economic evaluation of medical innovationsEmail this article to a colleague.
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Content Type Journal ArticleCategory EditorialDOI 10.1007/s10198-009-0173-2Authors
Bengt Jönsson, Stockholm School of Economics Department of Economics Box 6501 113 83 Stockholm Sweden
Journal The European Journal of Health EconomicsOnline ISSN 1618-7601Print ISSN 1618-7598 (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - July 22, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Private expenditure and the role of private health insurance in Greece: status quo and future trendsEmail this article to a colleague.
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Abstract The health care system in Greece is financed in almost equal proportions by public and private sources. Private expenditure,
consists mostly of out-of-pocket and under-the-table payments. Such payments strongly suggest dissatisfaction with the public
system, due to under financing during the last 25 years. This gap has been filled rapidly by the private sector. From this
point of view, one might suggest that the flourishing development of private provision may lead in turn to a corresponding
growth in private health insurance (PHI). This paper aims to examine the role of PHI in Greece, to ident...
Source: The European Journal of Health Economics - July 11, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Health insurance in Croatia: dynamics and politics of balancing revenues and expendituresEmail this article to a colleague.
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Abstract Since 2002, the Croatian social health insurance system has undergone substantial reforms, initiated for the most part with
the aim of addressing the perpetual financial deficits of the state health insurance fund. While the reforms focussed heavily
on increasing the inflow of private funds into the health care system, underlying inefficiencies contributing significantly
to poor financial performance have been largely ignored. Furthermore, contrary to demographic trends and developments in social
health insurance schemes in other countries, funding health care became even more dependent on its main ...
Source: The European Journal of Health Economics - July 11, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
BMI and Spanish labour status: evidence by gender from the city of BarcelonaEmail this article to a colleague.
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Abstract The purpose of this study was to analyse whether BMI has any consequence on being employed or not in a specific Spanish labour
market (those living in the city of Barcelona). Self-reported data were corrected by means of specific conversion formulas.
Additionally, participants were questioned about making use of an IV procedure (gap between individual BMI score and the average
value of those either with the same attained educational level by gender, or living in the same district). Irrespective of
the strategy applied, the results point to the presence of BMI effects on labour market status exclusiv...
Source: The European Journal of Health Economics - July 11, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
A review of studies mapping (or cross walking) non-preference based measures of health to generic preference-based measuresEmail this article to a colleague.
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Abstract Clinical studies use a wide variety of health status measures to measure health related quality of life, many of which cannot
be used in cost-effectiveness analysis using cost per quality adjusted life year (QALY). Mapping is one solution that is gaining
popularity as it enables health state utility values to be predicted for use in cost per QALY analysis when no preference-based
measure has been included in the study. This paper presents a systematic review of current practice in mapping between non-preference
based measures and generic preference-based measures, addressing feasibility and validity...
Source: The European Journal of Health Economics - July 9, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
A social preference valuations set for EQ-5D health states in Flanders, BelgiumEmail this article to a colleague.
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This study aimed at deriving a preference valuation set for EQ-5D health states from the general Flemish public in Belgium.
A EuroQol valuation instrument with 16 health states to be valued on a visual analogue scale was sent to a random sample of
2,754 adults. The initial response rate was 35%. Eventually, 548 (20%) respondents provided useable valuations for modeling.
Valuations for 245 health states were modeled using a random effects model. The selection of the model was based on two criteria:
health state valuations must be consistent, and the difference with the directly observed valuations must be small. A model...
Source: The European Journal of Health Economics - July 7, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Hospital costs for treatment of acute heart failure: economic analysis of the REVIVE II studyEmail this article to a colleague.
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Conclusions In the REVIVE II trial, patients treated with levo had shorter LOS and lower cost for the initial hospital admission relative
to patients treated with SOC. Based on sub-group analysis of patients administered per the current label, levo appears cost-effective
relative to SOC.
Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10198-009-0165-2Authors
Greg de Lissovoy, United BioSource Corporation 7101 Wisconsin Avenue, Suite 600 Bethesda MD 20814 USAKathy Fraeman, United BioSource Corporation 7101 Wisconsin Avenue, Suite 600 Bethesda MD 20814 USAJohn R. Teerlink, University of ...
Source: The European Journal of Health Economics - July 7, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
The added value of thorough economic evaluation of telemedicine networksEmail this article to a colleague.
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Abstract This paper proposes a thorough framework for the economic evaluation of telemedicine networks. A standard cost analysis methodology
was used as the initial base, similar to the evaluation method currently being applied to telemedicine, and to which we suggest
adding subsequent stages that enhance the scope and sophistication of the analytical methodology. We completed the methodology
with a longitudinal and stakeholder analysis, followed by the calculation of a break-even threshold, a calculation of the
economic outcome based on net present value (NPV), an estimate of the social gain through externa...
Source: The European Journal of Health Economics - June 29, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Primary care delivery, risk pooling and economic efficiencyEmail this article to a colleague.
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Abstract The consequences of consumer-driven health care under different health insurance plans are studied by means of a game theoretic
approach. Suitable demand-side cost-sharing can induce consumer behavior that avoids over-treatment when there are information
asymmetries between providers and consumers, leading to the efficient recommendations and provision of treatment by providers.
If under-treatment can be penalized, then a full insurance model that pays providers a fixed salary and fee-for-service or
one that requires patients to present a referral letter before specialist care is delivered also achi...
Source: The European Journal of Health Economics - June 16, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Cost-effectiveness of pregabalin versus venlafaxine in the treatment of generalized anxiety disorder: findings from a Spanish perspectiveEmail this article to a colleague.
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The objective of the present study was to describe a new model of the cost-effectiveness of treatment of generalized anxiety
disorder (GAD) and its application to a comparison of pregabalin versus venlafaxine extended-release (XR) from a Spanish healthcare
perspective. Microsimulation techniques, including Hamilton Anxiety Scale (HAM-A) score, number of weeks with minimal or no
anxiety (HAM-A ≤ 9), and quality-adjusted life-years (QALYs), were used to predict treatment outcomes for patients with moderate-to-severe
GAD who would be treated with pregabalin vs venlafaxine XR. Expected levels of healthcare util...
Source: The European Journal of Health Economics - June 9, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Saving lives, money and resources: drug and CABG/PCI use after myocardial infarction in a Swedish record-linkage studyEmail this article to a colleague.
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Conclusion Costs for out-patient care accounted for 25% and drugs for 5% of total costs. If patients not treated with simvastatin or
clopidogrel had received these drugs, an additional 154–306 lives might have been saved. Drug costs would be higher, but total
costs lower. Thus, even expensive drugs may reduce overall costs.
Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10198-009-0161-6Authors
Lars Wilhelmsen, University of Gothenburg Gothenburg SwedenLennart Welin, Lidköping Hospital Lidköping SwedenAnders Odén, Chalmers University of Technology Göteborg SwedenArne Björnberg, ...
Source: The European Journal of Health Economics - June 4, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
The economics of cochlear implant management in France: a multicentre analysisEmail this article to a colleague.
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This study assessed the direct medical cost of cochlear implantation in children and adults in France. A prospective multicentre
study involving 19 French University Hospitals included 268 children and 201 adults who were severely to profoundly hearing-impaired.
Medical resources utilisation included diagnostic tests, in-patient care, device implants, adverse events and follow-up visits
for rehabilitation in the 1st year. The mean costs were €34,686 per child and €31,946 per adult. The cost of device implant
represents 64.4% and 68.8% of the total cost for children and adults, respectively. The current...
Source: The European Journal of Health Economics - May 28, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Alcohol and labor supply: the case of IcelandEmail this article to a colleague.
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Abstract At a time when the government of Iceland is considering privatization of alcohol sales and a reduction of its governmental
fees, it is timely to estimate the potential effects of this policy change. Given that the privatization of sales coupled
with a tax reduction should lead to a decrease in the unit price of alcohol, one would expect the quantity consumed to increase.
While it is of interest to project the impact of the proposed bill on the market for alcohol, another important consideration
is the impact that increased alcohol consumption and, more specifically, probable alcohol misuse would hav...
Source: The European Journal of Health Economics - May 24, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
The relevance of unrelated costs internal and external to the healthcare sector to the outcome of a cost-comparison analysis of secondary prevention: the case of general colorectal cancer screening in the German populationEmail this article to a colleague.
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Abstract The potential of secondary prevention measures, such as cancer screening, to produce cost savings in the healthcare sector
is a controversial issue in healthcare economics. Potential savings are calculated by comparing treatment costs with the cost
of a prevention program. When survivors’ subsequent unrelated health care costs are included in the calculation, however,
the overall cost of disease prevention rises. What have not been studied to date are the secondary effects of fatal disease
prevention measures on social security systems. From the perspective of a policy maker responsible for a soci...
Source: The European Journal of Health Economics - May 17, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Interactions between cigarette and alcohol consumption in rural ChinaEmail this article to a colleague.
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The objective of this paper is to analyze interdependencies between cigarette and alcohol consumption in rural China, using
panel data for 10 years (1994–2003) for rural areas of 26 Chinese provinces. There have been many studies in which cigarette
and alcohol consumption have been considered separately but few to date for China on interactions between the consumption
of these two products. Taxes are often recommended as a tool to reduce alcohol and cigarette consumption. If cigarettes and
alcohol are complements, taxing one will reduce the consumption of both and thus achieve a double public health dividend.
H...
Source: The European Journal of Health Economics - May 17, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Inpatient length of stay: a finite mixture modeling analysisEmail this article to a colleague.
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Abstract Length of stay (LOS) in hospital for inpatient treatment is a measure of crucial recovery time. Using nationwide data on inpatient
healthcare in India, a three-component finite mixture negative binomial model was found to provide a reasonable fit to the
heterogeneous LOS distribution. Associated risk factors for short-stay, medium-stay and long-stay subgroups were identified
from the respective negative binomial components. In addition, significant heterogeneities within each group were also found.
Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10198-009-0153-6Authors
Chungkham ...
Source: The European Journal of Health Economics - May 11, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Total or partial knee replacement? Cost-utility analysis in patients with knee osteoarthritis based on a 2-year observational studyEmail this article to a colleague.
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The objective of this study was to evaluate incremental cost-utility of total knee replacement (TKR) versus unicompartmental
knee arthroplasty (UKA) in patients with knee osteoarthritis (OA) of the medial compartment. A 2-year non-randomised prospective
observational cohort study was conducted in unicompartmental knee osteoarthritis patients scheduled for TKR (n = 431) or UKA (n = 102). Costs were identified using administrative databases and health outcomes were measured using the SF-36 and the Oxford
knee score (OKS) 1 week before, 6 months after, and 2 years after surgery. The incre...
Source: The European Journal of Health Economics - May 10, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
In which ways do unhealthy people older than 50 exit the labour market in France?Email this article to a colleague.
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Abstract Among 55–64 year olds, poor health is a reason for leaving the labour market early within the framework of schemes such as
not only Early Retirement for Certain Employees (or Early Retirement for Asbestos Workers), but also by absence from the workforce
(sick pay and disability pensions, respectively). It is interesting to single out the controlling factors for participation
in or absence from the labour market after 50 and the link between poor health and employment status. The prevalence of functional
limitations in everyday activities leads to a more pronounced exclusion of those over 50 y...
Source: The European Journal of Health Economics - May 10, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Contractual design and PPPs for hospitals: lessons for the Portuguese modelEmail this article to a colleague.
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Abstract Recently the Portuguese Government announced the launching of public–private partnerships (PPPs) to build hospitals with the
distinctive feature that infrastructure construction and clinical activities management will be awarded to separate private
parties. Also, one of the parties will be in charge of providing soft facilities. We explore alternative configurations of
contracts and assess whether the equilibrium allocations attain the first-best solution.
Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10198-009-0152-7Authors
Pedro Pita Barros, Universidade Nova de Lisboa Facu...
Source: The European Journal of Health Economics - April 9, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
The lack of theoretical support for using person trade-offs in QALY-type modelsEmail this article to a colleague.
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Abstract Considerable support for the use of person trade-off methods to assess the quality-adjustment factor in quality-adjusted life
years (QALY) models has been expressed in the literature. The WHO has occasionally used similar methods to assess the disability
weights for calculation of disability-adjusted life years (DALYs). This paper discusses the theoretical support for the use
of person trade-offs in QALY-type measurement of (changes in) population health. It argues that measures of this type based
on such quality-adjustment factors almost always violate the Pareto principle, and so lack normative ju...
Source: The European Journal of Health Economics - April 2, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Total costs of injury from accidents in the home and during education, sports and leisure activities: estimates for Norway with assessment of uncertaintyEmail this article to a colleague.
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Abstract Injury accidents occurring in the home, during educational, sports or leisure activities were estimated from samples of hospital
data, combined with fatality data from vital statistics. Uncertainty of estimated figures was assessed in simulation-based
analysis. Total economic costs to society from injuries and fatalities due to such accidents were estimated at approximately
NOK 150 billion per year. The estimated costs reveal the scale of the public health problem and lead to arguments for the
establishment of a proper injury register for the identification of preventive measures to reduce the ...
Source: The European Journal of Health Economics - March 25, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Cost-effectiveness of immunosuppressive regimens in renal transplant recipients in Germany: a model approachEmail this article to a colleague.
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Conclusions Over both the 2-year and the 10-year time horizon, sirolimus-based immunosuppression represents a cost-effective option in
renal transplantation in Germany.
Content Type Journal ArticleCategory Original PaperDOI 10.1007/s10198-009-0148-3Authors
Jan Steffen Jürgensen, Charité-Universitaetsmedizin Berlin Department of Nephrology and Medical Intensive Care Campus Virchow Klinikum, Augustenburger Platz 1 13353 Berlin GermanyWolfgang Arns, Kliniken der Stadt Köln GmbH Cologne GermanyBastian Haß, IMS HEALTH GmbH & Co. OHG Health Economics and Outcomes Research Nuremberg Germany
Journal...
Source: The European Journal of Health Economics - March 20, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Procedures and methods of benefit assessments for medicines in Germany: give the child a nameEmail this article to a colleague.
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Content Type Journal ArticleCategory CommentaryDOI 10.1007/s10198-009-0147-4Authors
Holger Schünemann, McMaster University Health Sciences Centre Department of Clinical Epidemiology and Biostatistics Room 2C10B, 1200 Main Street West Hamilton ON L8N 3Z5 CanadaRegina Kunz, McMaster University Health Sciences Centre Department of Clinical Epidemiology and Biostatistics Room 2C10B, 1200 Main Street West Hamilton ON L8N 3Z5 CanadaYngve Falck-Ytter, McMaster University Health Sciences Centre Department of Clinical Epidemiology and Biostatistics Room 2C10B, 1200 Main Street West Hamilton ON L8N 3Z5 CanadaNancy Santesso, McM...
Source: The European Journal of Health Economics - March 17, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Perceived job security and sickness absence: a study on moral hazardEmail this article to a colleague.
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Abstract A moral hazard problem was investigated by analysing the individual behaviour of female and male employees with regard to
utilisation of sickness insurance in connection with perceived job security. It was hypothesised that employees with a higher
perceived job security take more frequent sickness absence. Perceived higher job security is indicated by three variables,
namely a permanent job contract, no unemployment history, and native ethnicity. The effect of perceived job security is expected
to be stronger on short-term than on long-term sickness absence, since a medical certificate is required f...
Source: The European Journal of Health Economics - March 13, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Estimating the cost related to surveillance of colorectal cancer in a French populationEmail this article to a colleague.
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Abstract Little is known about costs related to the surveillance of patients that have undergone curative resection of colorectal cancer.
The aim of this study was to calculate the observed surveillance costs for 385 patients followed-up over a 3-year period,
to estimate surveillance costs if French guidelines are respected, and to identify the determinants related to surveillance
costs to derive a global estimation for France, using a linear mixed model. The observed mean surveillance cost was € 713.
If French recommendations were strictly applied, the estimated mean cost would vary between ̈́...
Source: The European Journal of Health Economics - March 4, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
On the welfare theoretic foundation of cost-effectiveness analysis—the case when survival is not affectedEmail this article to a colleague.
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Abstract This paper develops a welfare theoretic foundation for cost-effectiveness analysis (CEA) when survival is not affected. With
this foundation, all costs and their corresponding utility-terms should be included. A key question, though, is whether these
utility-terms are consistent with quality-adjusted life year (QALY) (utility) theory or not. The results show that health
care costs and changes in the utility of health should be included. However, as QALYs do not capture the utility of changes
in consumption (as this utility must be independent of health, according to QALY theory), the corresponding c...
Source: The European Journal of Health Economics - March 3, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Why the econometrician is in good spirits: a workshop through the looking glassEmail this article to a colleague.
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Abstract
Vita brevis, ars longa (or...life is too short for abstracts).
Content Type Journal ArticleCategory EditorialDOI 10.1007/s10198-009-0143-8Authors
Carl Hampus Lyttkens, Lund University Department of Economics P.O. Box 7082 220 07 Lund Sweden
Journal The European Journal of Health EconomicsOnline ISSN 1618-7601Print ISSN 1618-7598 (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - February 13, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Response to the expertise: Procedures and methods of benefit assessments for medicines in Germany, by Geertruida E. Bekkering and Jos KleijnenEmail this article to a colleague.
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Content Type Journal ArticleCategory CommentaryDOI 10.1007/s10198-008-0142-1Authors
Klaus Koch, Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWiG), Institute for Quality and Efficiency in Health Care Dillenburger Straße 27 51105 Cologne GermanyStefan Lange, Institut für Qualität und Wirtschaftlichkeit im Gesundheitswesen (IQWiG), Institute for Quality and Efficiency in Health Care Dillenburger Straße 27 51105 Cologne Germany
Journal The European Journal of Health EconomicsOnline ISSN 1618-7601Print ISSN 1618-7598 (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - January 3, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Is there a “continental” view of health economics evaluation?Email this article to a colleague.
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Content Type Journal ArticleCategory EditorialDOI 10.1007/s10198-008-0141-2Authors
Claude Le Pen, University of Paris-Dauphine 75016 Paris France
Journal The European Journal of Health EconomicsOnline ISSN 1618-7601Print ISSN 1618-7598 (Source: The European Journal of Health Economics)
Source: The European Journal of Health Economics - January 1, 2009 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
Cost-effectiveness of strong opioids focussing on the long-term effects of opioid-related fractures: a model approachEmail this article to a colleague.
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Abstract Opioid analgesics are known to impact on the central nervous system (CNS). These CNS side effects, such as dizziness and confusion,
have been shown to lead to an increased risk of falling with subsequent fractures in elderly patients being treated with opioids.
The risk of experiencing fractures has been shown to be dependent on the substance administered. Therefore, a health economic
model was developed to investigate the cost-effectiveness of the most commonly used strong opiods in Germany, focussing on
opioid-related fractures. By means of a Markov model, the consequences of hip, spine and forear...
Source: The European Journal of Health Economics - December 21, 2008 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
GPs as citizens’ agents: prescription behavior and altruismEmail this article to a colleague.
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Abstract To curb the heavily increasing drug budgets some Danish counties have introduced voluntary agreements between general practitioners
(GPs) and health authorities. We extend the models of generic prescription by Hellerstein (Rand J Econ 29(1):108–136, 1998)
and Lundin (J Health Econ 19:639–662, 2000) to allow for substitution between analogues and use difference-in-difference models
to assess the effect on two drug groups (lipid-lowering and rheumatism drugs). For both drug groups we find evidence of a
significant effect of the intervention. In the case of lipid-lowering drugs, we found a signific...
Source: The European Journal of Health Economics - December 14, 2008 Category: Health Management Tags: The European Journal of Health Economics Source Type: journals
