Health Economics Commons^™

Essays On The Impacts Of Extreme Natural Events On Health, Moumita Ghorai

Dissertations

This dissertation comprises three chapters that examine how extreme events impact health outcomes such as short-term illness, body mass index, probability of pre-term birth, and mortality. The study reveals the severe consequences of these events and shows that certain groups within a particular country are affected disproportionately.

The first chapter examines whether National Rural Employment Guarantee Scheme (NREGS), India’s flagship workfare program, mitigates adverse health outcomes of a drought. This paper contributes to a growing area of research on adaptations to climate change. Using Indian Human Development Survey (2004-2005 and 2010-2011), a nationally representative panel data set, and high resolution …

An Examination Of Types Of Health Insurance And The Reported Prevalence Of Autism In The United States, Jennifer L. Thompson

Dissertations

The prevalence of Autism Spectrum Disorders continues to rise despite barriers of changes to diagnostic criteria and lack of insurance coverage. Increases in prevalence affect costs associated with a disorder since cost of health care services are often estimated based on utilization of services. This can also affect an individual’s ability to access to health care services. To equitably distribute autism services to individuals an accurate estimation of the true prevalence of autism is needed.

Access to health care can be influenced by the type of insurance coverage a person holds. Other factors, such as socio-economic status, ethnicity, location of …

Behavioral Economic Modeling Of The Effects Of Symptom, Severity, And Cost On Seeking Medical Care, Mark J. Rzeszutek

Dissertations

While the United States has some of the highest healthcare spending in the world, it has some of the worst health outcomes. For example, maternal mortality in the United States is almost five times as high as in other similarly wealthy countries. It also has the highest rates of avoidable deaths. One of the reasons for this may be the cost of accessing healthcare due to privatized insurance. For example, Americans may avoid important preventive medical visits and other health screeners due to cost. While lack of health insurance has been correlated with decreased health utilization, a precise understanding of …

Childhood Snap Receipt As A Protective Factor Against Adult Obesity: Examining The Interaction Of Snap Participation And Neighborhood Disadvantage, Thomas Vartanian, Linda Houser

The Journal of Sociology & Social Welfare

Using the Panel Study of Income Dynamics (PSID) with family fixed-effects (FE) models, we explore how neighborhood conditions and time receiving SNAP benefits during childhood interact to relate to time spent obese in adulthood. Results suggest that, for those growing up in less advantaged neighborhoods, SNAP receipt between the ages of 9–13 and 14–18 was associated with subsequently shorter periods of time obese in adulthood. Conversely, for those growing up in more advantaged neighborhoods, SNAP receipt during these same late childhood/ adolescent time periods was associated with relatively high proportions of time in adulthood spent obese. SNAP participation during early …

Social Health Insurance And Maternal And Child Health Outcomes In Developing Countries: The Case Of Ghana, Ama Agyeiwaa Abrokwah

Dissertations

About 25% of all maternal deaths occur during pregnancy; 99% of these maternal deaths occur in developing countries and half of these occur in Sub-Saharan Africa (WHO 2015). Two of the eight Millennium Development Goals are to reduce infant mortality and improve maternal and child health outcomes. To improve health outcomes and reduce the financial burden on households, a number of developing countries, including Ghana, Botswana, and Croatia, have introduced social health insurance programs which are heavily subsidized. This dissertation is a collection of three essays evaluating how maternal and child health care-seeking behavior, utilization and outcomes changed as a …

Why Do Women Delay In Seeking Prenatal Care? A Discrete-Time Survival Analysis, Ama Agyeiwaa Abrokwah

Research and Creative Activities Poster Day

Prenatal care during early stages of pregnancy can result in early detection of some pregnancy related complications which can help reduce both maternal and infant mortality (Conway et al., 2006). The cost of service has been identified as an important determinant of the utilization of prenatal care in most developing countries. This paper evaluates how Ghana’s social health insurance program affects the timing of prenatal care utilization using survival analysis techniques. This paper hypothesizes that having insurance will result in early utilization of prenatal care.

Three Essays On Informal Payments In The Health Care Sector In Russia, Alexandra Polovinka

Dissertations

Health care is one of the most corrupt sectors in Russia. In 2015 twenty percent of patients paid a bribe for the health care services once or twice, and thirteen percent more than twice (Russian Public Opinion Research Center, 2015). Using data on adults from over 5,000 households in Russia, this three-essay study analyzes out-of-pocket formal (official) and informal (unofficial, bribes) payments for the health care.

In the first essay, I study whether there is a difference in the amount of unofficial pay-ments across five types of health care services (ambulance, inpatient, outpatient, dental, and medical checkups) and two types …

Essays On Portfolio Choice And Risk Management, Yi-Chin Hsin

Dissertations

Globalization increases the access to financial markets and provides expanding opportunities for investors to diversify internationally. As suggested by the Modern Portfolio Theory (Markowiz, 1952), rational investors should use one of the following two strategies to achieve portfolio diversification: (1) Investing in asset classes thought to have low correlations or (2) increasing the sizes of their portfolios in multiple markets. In the early 1970s, diversification was referred to as the “free lunch” in investment. However, French and Poterba (1991) show that investors still tend to hold a disproportionate part of domestic equities in their portfolios. This phenomenon is called “the …

The Economics Of Health 2011-12, Department Of Economics

Werner Sichel Lecture Series

The 2011-12 Werner Sichel Lecture Series features six nationally recognized economists & medical specialists whose presentations will focus on the economics of health.The Sichel Series is directed by Professor Donald Meyer, and is cosponsored by the W. E. Upjohn Institute for Employment Research, College of Arts and Sciences, and the Medical Humanities Workgroup of WMU. It is named for longtime WMU economics professor, Dr. Werner Sichel, who retired in 2004.

Empirical Essays On The Impact Of Health-Aid On Health Outcomes, Elsy Thomas Kizhakethalackal

Dissertations

This dissertation consists of three essays that empirically explore the impact of multilateral health-aid on health outcomes like infant mortality rate (IMR) and incidences of an infectious disease, Tuberculosis, in developing economies. The first essay uses parametric and semiparametric mean regressions (additive and non-additive specifications) to capture the impact of education and health-aid on the IMR, after controlling for other covariates. Both specifications confirm education as an important factor in reducing IMR. However, the effect of health-aid on IMR is not significant. In our additive model, we do see a threshold level of health-aid after which the impacts of health-aid …

The Relationship Between Insurance Type And Health Care Costs, Use And Choice Of Outpatient Provider, Dan-Alexandru Balan

Dissertations

The impact of insurance type on health care is a very important topic in health economics. This dissertation examines the relationship between insurance type and health care cost, use and outpatient provider choice using the Medical Expenditure Panel Survey data. I examine separately three types of services: emergency, nonemergency hospital care and outpatient because the effect of insurance type on use may depend on the type of health care service provided. The insurance types analyzed are Health Maintenance Organization (HMO), private fee-for-service employer insurance, private fee-for-service non-employer insurance, government insurance and self insurance. For each service, individuals paying for health …

State Regulations Of Smoking In Public Places: Determinants And Implications On The Demand For Smoking And Consumers' Behavior, Ioana Raluca Mazare

Dissertations

No abstract provided.

The Economic Cost Of Depressive Disorders: Evidence From A Large Midwest Public University, Alketa Hysenbegasi

Dissertations

This dissertation aims to estimate the total cost of depression and the benefits of its treatment per diagnosed depressed student in Western Michigan University. To accomplish this, first, I measure the overall impact of depression and the effectiveness of its treatment on the student school performance. The empirical evidence show that diagnosed depression decreases student GPA by 0.48 points (almost a half grade), but this impairment is reduced by treatment about 0.43 points. Further, I develop and validate different measurements of student school performance and I observe that the negative effect of diagnosed depression and the positive effect of treatment …

The Economics Of Health Care 1999-00, Department Of Economics

Werner Sichel Lecture Series

The Economics of Health Care is the thirty-sixth annual Public Lecture-Seminar Series organized by the Department of Economics at Western Michigan University. This year the series focuses on the role of governments, enterprises, and consumers in health care insurance and provision. This year's series is directed by Huizhong Zhou, Associate Professor of Economics, with the assistance of Donald L. Alexander, Bassam Harik and Allan Hunt, and is co-sponsored by the W. E. Upjohn Institute for Employment Research. All Wednesday afternoon lectures, followed by a question and answer session and a reception, are open to the public. During his or her …