Health Economics Commons^™

Technology Enhancement - A Full Role For The Elderly (Pdf Of The Powerpoint), Marcus R. Wigan

Marcus R Wigan

Cultural Competency: Across Cultures Between Physicians And Patients, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

A Culture Of One. Every Healthcare Encounter Is A Cultural Encounter, Debbie Salas-Lopez

Debbie Salas-Lopez MD, MPH

No abstract provided.

Access To Hospital Interpreter Services For Limited English Proficient Patients In New Jersey: A Statewide Evaluation, Glenn Flores, Sylvia Torres, Linda Holmes, Debbie Salas-Lopez, Mara Youdelman, Sandra Tomany-Korman

Debbie Salas-Lopez MD, MPH

CONTEXT/OBJECTIVES: We surveyed New Jersey (NJ) hospitals to assess current language services and identify policy recommendations on meeting limited English proficiency (LEP) patients' needs.

METHODS: Survey with 37 questions regarding hospital/patient features, interpreter services, and resources/policies needed to provide quality interpreter services.

RESULTS: Sixty-seven hospitals responded (55% response rate). Most NJ hospitals have no interpreter services department, 80% provide no staff training on working with interpreters, 31% lack multilingual signs, and 19% offer no written translation services. Only 3% of hospitals have full-time interpreters, a ratio of 1 interpreter:240,748 LEP NJ residents. Most hospitals stated third-party reimbursement for interpreters would …

Health Care Reform: Colorectal Cancer Screening Expansion, Before And After The Affordable Care Act (Aca), Michael Preston

Michael Preston

Colorectal cancer is the third most common cancer found in men and women in the United States. In 2014, the American Cancer Society estimated over 140,000 new cases of colorectal cancer and approximately 50,000 deaths. Health care reform was introduced in 2010 and became the cornerstone for Americans seeking change in the health care system. Health care reform is a critical factor in increasing CRC screenings by increasing coverage rates for all Americans.

Health Care Reform: Colorectal Cancer Screening Expansion, Before And After The Affordable Care Act (Aca), Michael Preston

Michael Preston

Colorectal cancer is the third most common cancer found in men and women in the United States. In 2012, the American Cancer Society estimated as many as 143,460 new cases of colorectal cancer and approximately 51,690 deaths. Health care reform was introduced in 2010 and became the cornerstone for Americans seeking change in the health care system. Health care reform is a critical factor in increasing CRC screenings by increasing coverage rates for all Americans.

Effects Of Medicare Payment Reform: Evidence From The Home Health Interim And Prospective Payment Systems, Peter Huckfeldt, Neeraj Sood, Jose Escarce, David Grabowski, Joseph Newhouse

Peter J. Huckfeldt

Medicare continues to implement payment reforms that shift reimbursement from fee-for-service towards episode-based payment, affecting average and marginal reimbursement. We contrast the effects of two reforms for home health agencies. The Home Health Interim Payment System in 1997 lowered both types of reimbursement; our conceptual model predicts a decline in the likelihood of use and costs, both of which we find. The Home Health Prospective Payment System in 2000 raised average but lowered marginal reimbursement with theoretically ambiguous effects; we find a modest increase in use and costs. We find little substantive effect of either policy on readmissions or mortality.

Saving Lives With Stem Cell Transplants, Damien Sheehan-Connor, Ted Bergstrom, Rodney Garratt

Ted C Bergstrom

For patients with certain diseases, blood stem cell transplants can be life-saving. But a transplant is likely to be successful only if the immune systems of the donor and recipient are a close genetic match. Human immune systems are extremely diverse and a patient's chances of finding a matching donor would be small without the ability to search a very large number of possible donors. For this reason, most advanced nations maintain large registries of potential donors who have offered to donate stem cells if they happen to be the best available match for a patient needing a transplant. In …

Can Institutional Deliveries Reduce Newborn Mortality? Evidence From Rwanda, Edward Okeke, A.V. Chari

Edward Okeke

Current global health policies emphasize institutional deliveries as a pathway to achieving reductions in newborn mortality in developing countries. There is however remarkably little evidence regarding a causal relationship between institutional deliveries and newborn mortality. In this paper we take advantage of a shock to institutional deliveries provided by the randomized rollout of a government performance-based financing program in Rwanda, to provide the first estimates of this causal effect. We construct an instrumental variables estimator that combines interrupted time-series and difference-in-differences approaches. We do not find any statistically significant effect of an institutional birth on either 7- or 30-day mortality …

Uncovering Peer Effects Mechanisms With Weight Outcomes Using Spatial Econometrics, Olugbenga Ajilore, Aliaksandr Amialchuk, Wei Xiong, Xinyue Ye

Olugbenga Ajilore

Research about how peers influence weight outcomes among adolescents has yielded mixed findings. This paper seeks to not only estimate these peer effects, but also to distinguish between two mechanisms: social multiplier effects and social norm effects. After estimating an augmented spatial autoregressive model using data from the National Longitudinal Study of Adolescent to Adult Health Survey, this study finds significant peer interactions in body mass index, which can be explained by both mechanisms of peer influence; the social norm effect is much larger than the social multiplier effect. The estimated peer effects for overweight and obesity statuses suggest that …

The Effect Of Chronic Pain On Life Satisfaction: Evidence From Australian Data, Silvia Mendolia, Paul Mcnamee

Silvia Mendolia

This paper investigates the relationship between chronic pain and life satisfaction using the Household, Income and Labour Dynamics of Australia Survey (HILDA). We estimate the negative impact on life satisfaction and examine the persistence of the effect over multiple years. Chronic pain is associated with poor health conditions, disability, decreased participation in the labour market and lower quality of life. We calculate the compensating income variation of chronic pain, based on the measurement of chronic pain, the life satisfaction of individuals and the income of households. Panel data models with random and fixed effects are used to control for characteristics …