Health Economics Commons^™

Essays On Market Inefficiencies Arising From Information Asymmetry And Market Power, Ming Ge

Doctoral Dissertations

This dissertation comprises three chapters that empirically investigate various kinds of market inefficiencies arising from seller misbehaviors. The first two chapters focus on physicians' overtreatment in healthcare markets. A standard reputation system falls short of effectively curbing overtreatment due to the credence-good nature of such a market: patients cannot tell whether a high-cost treatment recommendation (versus a less costly and complex treatment) is necessary even after the service is completed. In the first chapter, I propose a novel solution to reinstate the function of reputation by combining a reputation mechanism with patient search for second opinions. I conduct a laboratory …

Three Essays On Health, Risk And Behavior, Irene Mussio

Doctoral Dissertations

Health-related decisions could be explained by a variety of factors, ranging from the perception of the risk the activity involves to the knowledge of the long-term effects of the decision. An individual deciding to eat unhealthy or not to exercise could face health problems in the long-run. Individuals with health issues have been found to be more risk averse when it comes to financial decisions, such as portfolio allocation. Financial incentives to engage in healthier behaviors have been successful but short-lived. Prior research leaves many questions such as: What are the factors that explain why an individual decides to engage …

Three Essays On Child Welfare In Côte D’Ivoire, Didier Wayoro

Doctoral Dissertations

The objective of this dissertation is to examine the impact of early life events such as civil conflicts and rainfall variability on child welfare in Côte d’Ivoire and investigate possible mitigating factors. It consists of three essays. Focusing on the 2010-2011 post-electoral violence, the empirical results from the first essay show that armed conflicts reduce the birth weight of newborn children who were in-utero during the conflict and increase the probability among exposed pregnant women of having an underweight child at birth. In addition, the study suggests that the impact of conflict on birth weight and low birth weight (less …

Essays In Applied Health Economics, Bongkyun Kim

Doctoral Dissertations

I study how change in environmental factors and information provision about environmental risk effect on human capitals and individuals' behavior.

Psychological maternal stress is thought to be a factor in poor infant health, but direct evidence is difficult to obtain. In first chapter, we posit that the 1994 Northridge earthquake in Los Angeles, California provides a natural test of the effect of mothers' stress on infants' birth weight and gestation. The Northridge disaster featured a low rate of injury and a quick recovery, but long-lasting and well documented consequences for mental health. Difference-in-difference results show that infants born closest to …

Labor Force Participation, Disability, And Implications For Healthcare Utilization And Employment, Lawrence C. Pellegrini

Doctoral Dissertations

The study period (i.e., 1999-2014) is characterized by declining labor force participation rates, rising disability enrollment, varying healthcare utilization, and increasing and changing composition of healthcare provider employment. However, little is known about the effect labor force participation and disability enrollment both have on the US healthcare system (i.e., healthcare utilization and employment). This dissertation is comprised of three manuscripts answering questions related to these relationships. Results show that labor force participation is a more robust indicator than the unemployment rate for exploring the effect of the labor market on healthcare spending and health outcomes, with healthcare spending itself exhibiting …

Three Essays On The Social Determinants Of Early Childhood Health And Development, Andrew Barenberg

Doctoral Dissertations

This three-paper dissertation examines the social determinants of early childhood and in-utero health. The first chapter examines the impact of early childhood stunting on educational outcome in Tanzania. Using the extent of third-trimester overlap with the Tanzania hunger season to create an exogenous variation in stunting, I find that a one standard deviation stunting decreases educational achievement by .88 school years compared to a child's siblings. A placebo group not affected by the hunger season is used to confirm that in-utero nutrition deprivation is the cause of the education differences. The second paper utilizes the food price shocks and price …

Essays In Applied Economics: Applications Of Transformed Ordinal Quantile Regression, Okila R. Elboeva

Doctoral Dissertations

This dissertation consists of three essays on the application of Transformed Ordinal Quantile Regression (TORQUE) developed by Hong and He (2010). TORQUE is based on jittered response, a nonparametric link function, a semiparametric quantile estimation. When the response variable is categorical an application of the standard quantile regression is not optimal. TORQUE technique generalizes ordinary quantile regression, and as a semiparametric method it is more robust than Maximum Likelihood Estimators.

In the first essay I estimate conditional quantiles of happiness using the data from British Household Panel Survey (BHPS) for 2006. I find the continuity assumption of happiness ranking does …

Essays On Household Health Expenditures, National Health Insurance And Universal Access To Health Care In Ghana, Evelyn Kwakye

Doctoral Dissertations

Access to quality health services is essential for maintaining a healthy population and economic development hence the growing global consensus that universal health coverage is necessary. Ghana attempts to expand access by making basic health services free at the point of delivery through its National Health Insurance Scheme (NHIS). Prior studies indicate NHIS increases demand for health services, but questions remain about its impact on out of pocket payments, quality of services, and the financial viability of the program. Hence, this dissertation analyzes the financial risk in health care seeking, the effect of NHIS on out of pocket payments and …

Economics Of Fixed-Dose Combination Drugs Approved In The United States, Jing Hao

Doctoral Dissertations

Patent is the most important form of intellectual property protection for new drugs. Patent extension and market exclusivity currently serve as major regulatory incentives to promote new drugs. Combination drug, or fixed-dose combination (FDC) are formulations that contain two or more active ingredients in a single pill. FDCs, especially combinations of singe drugs that are already in the market, are common strategy for brand-name drug companies to extent the patent and exclusivity life. The substitution of single drug products that soon have generic alternatives with newer, brand-name combinations lead to potential increases in pharmaceutical expenditures and raises concerns on economic …

The Effects Of Trade Competition On Health, And Determinants Of Workplace Behavior, Thomas Clayton Mcmanus

Doctoral Dissertations

My dissertation consists of three essays related to workplace behavior. In the first paper, we design a controlled laboratory experiment to study image motives in a setting where decisions signal intelligence. The experiment results show that in some settings social scrutiny can discourage individuals from making choices that signal their intelligence, despite evidence that the signal was privately valuable. In the second paper, we study the effect of Chinese import competition on occupational safety and health at US manufacturers. We find that a change in US trade policy and Chinese import shocks significantly increases worker injury and illness rates in …