Health Economics Commons^™

Three Essays In Health Economics, Caroline Andressa Welter

Graduate Theses, Dissertations, and Problem Reports (ETD)

Health outcomes and access to care are shaped by the interaction between public institutions, administrative rules, and responses to health risk. This dissertation investigates how barriers to access, changes in perceived risk, and policy design influence participation in public programs, preventive health behavior, and  treatment continuation. Across three essays in health economics, I examine how individuals respond to disruptions in service delivery, epidemic exposure, and administrative burden, with a focus on vulnerable populations that depend on public systems of care.
The first essay analyzes the impact of Social Security Administration field office closures on participation in federal disability programs during …

Three Essays In Cpi Bias And Health Economics, Auderta Amoako-Nuamah

Graduate Theses, Dissertations, and Problem Reports (ETD)

The first essay estimates bias in the Consumer Price Index (CPI) for elderly individuals in the United States using Engel curve methodology and household-level data from the Panel Study of Income Dynamics (1999–2023). The analysis focuses on how well the CPI reflects changes in the cost of living for older Americans, with particular attention to differences by gender and marital status. Results show that from 1999–2011, the CPI overstated the increase in the cost of living for both elderly and non-elderly households. In contrast, from 1999–2023, the CPI understated cost increases, with the bias generally larger for non-elderly households. Within …

The Economics Of Substance Use: Treatment, Intervention, And Regulation, Christine Bretschneider-Fries

Graduate Theses, Dissertations, and Problem Reports (ETD)

Substance use in the United States has remained an area of concern with rates of overdose deaths increasing steadily over the years. Historically, the United States has relied on abstinence based treatment options for individuals with substance use disorder. Economists have long been interested in the affects of various supply and demand side policy interventions to help reduce the instance of substance use disorder, especially following the prescription opioid crisis of the 1990s and early 2000s. Supply side policies are most commonly enacted as a way to reduce the supply of illicit substances that enter the market. However, these supply …

Three Essays On Education And Health Economics, Kalvin Mudrow

Graduate Theses, Dissertations, and Problem Reports (ETD)

The first chapter explores the impact of online education on student outcomes by comparing students pre-2020 school closures to students post-2020 school closures. Using student-level panel data from a large U.S. school district spanning 2017-2023 and two outcome variables, reading tests and end-of-level exams, I estimate the effects on different demographic groups, the dynamics of these effects over time, and how these effects differ across students ages. I find a significant decline in student performance after the move to online learning, with additional adverse effects on students who are classified as low-income, female, special education, or ELL. Mechanisms contributing to …

Essays On Urban Transportation And Health Economics, Alexander P. Tsiukes

Graduate Theses, Dissertations, and Problem Reports (ETD)

The first chapter analyzes how Premier League games in London impact demand for the city’s bike-sharing system. Bike-sharing systems affect mode choice for within-city transportation. Using bike rental data from Transport for London, this chapter exploits the plausibly-exogenous timing of Premier League games to identify how proximity to stadiums affects demand for London’s bike-sharing system. Results indicate games at Stamford Bridge (stadium) cause a 24.36% increase in the number of bike trips arriving within 0.5km of the stadium, with effects diminishing as distance increases. In contrast, games at London Stadium decrease nearby bike-sharing use and may actually crowd out would-be …

Three Essays In Urban, Health And Public Economics, Dinushka Paranavitana

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation “Three Essays in Urban, Health and Public Economics” contains three chapters which explore urban, health and public economics. The first two chapters focus on examining the unexpected consequences of urban and health related policies, while the third chapter explores the nuanced relationships between health policies and religion. The first chapter examines the impact of NFL and NBA games, beyond the reach of stadium walls and arenas, extending to how it affects driver behavior after games. In this paper I analyze how game outcomes for professional level football and basketball games have an impact on affecting the rate of …

Three Essays On Misinformation, Mistrust And Their Influence On Public Health Policy, Eli Kochersperger

Graduate Theses, Dissertations, and Problem Reports (ETD)

In the first chapter I identify the impact of fentanyl exposure misinformation- namely, the erroneous belief that momentary, passive contact with the potent opioid fentanyl can be seriously harmful- on first responder behavior during overdose events, and on overall opioid-related mortality. I examine changes in opioid-related mortality following one particularly well-covered episode involving an Ohio police officer in 2017, wherein the officer appeared to experience an acute opioid overdose after touching what was believed to be fentanyl. Employing a synthetic differences-in-differences identification strategy, I find areas with greater media exposure to this misinformation exhibit marked increases in opioid overdose deaths; …

Three Essays In Applied Microeconomics: Philly Style, Alexander Christian Marsella

Graduate Theses, Dissertations, and Problem Reports (ETD)

My dissertation analyzes several contemporary policy-based and institutional occurrences in an urban setting to help guide further advancements in reducing violence, drug overdose deaths, and other unhealthy behaviors that city governments look to curb. Several recent developments in Philadelphia offer a promising setting for studying policies that have broad implications.

Chapter 1 examines the effect of the West Philadelphia Promise Zone initiative on violent crime rates in a high-crime area of West Philadelphia, where a series of educational, public-safety, and quality-of-life improvement grants were disbursed from 2014 onward. My difference-in-differences analysis with two-way fixed effects and cluster bootstrapped standard errors …

Three Essays On Health And Environmental Economics: Applications Of Spatial Econometrics And Spatial Analysis, Mohammed Syedul Islam

Graduate Theses, Dissertations, and Problem Reports (ETD)

Spatial interaction and the locational structure between observations play key roles in the field of econometrics for both cross-sectional and panel data analysis. Compared to a non-spatial econometric model, a spatial model relaxes the assumption of independency in observations. This research applies spatial and non-spatial econometrics in three different fields of applied economics: (1) drinking water and air quality violations impacts on lung and bronchus cancer incidence in the contiguous United States (U.S.); (2) spillover effects of non-pharmaceutical interventions (NPIs) on COVID-19 cases across the contiguous U.S. counties; and (3) urbanization impacts on carbon dioxide (CO₂) emissions in …

Essays In Applied Microeconomics, Joshua C. Martin

Graduate Theses, Dissertations, and Problem Reports (ETD)

The first chapter examines the role that same-sex marriage legalization had on the number of adoptions of children from foster care in the United States. We do so by employing a synthetic difference-in-differences estimator which leverages both the differential timing of these laws across states and the subsequent wave of state-level legal protections which give foster-care agencies the right to deny service to same-sex couples based on religiously-held beliefs. Using highly detailed, county-level data of nearly 20 million children in the foster care system from 1995-2020, our findings reveal that same-sex marriage legalization led to a 3.8%-5.9% increase in the …

The U.S. Coal Industry: Market Structure & Implications, Sara Elizabeth Guffey

Graduate Theses, Dissertations, and Problem Reports (ETD)

The U.S. coal mining industry was once a booming industry which created and defined communities, particularly in Appalachia. The industry has, however, transformed significantly in the last couple of decades with the passage of environmental policies, with competition from the Shale Revolution, from changes in company ownership, and from mine safety regulation. Overall, the coal industry during this time has experienced a massive decline in production and employment. This dissertation is composed of three papers that investigate these mechanisms and their role in understanding market structure, coal transactions and prices, and mine safety outcomes. Motivated by the shutdowns of U.S. …

Essays In The Consequences Of Occupational Regulation, Noah J. Trudeau

Graduate Theses, Dissertations, and Problem Reports (ETD)

Occupational regulation affects many people across many aspects of life. This dissertation research investigates the consequences of occupational regulation across three different areas of study: economic history, urban and regional economics, and health policy.

The first chapter investigates the historic licensing of emigrant agents. In the period following the US Civil War, firms wished to capitalize on the availability of African American labor. To do so they hired emigrant agents, also known as labor agents, to hire and help with the migration of individuals from the South. Faced with out-migration at the hands of the labor force, some southern states …

Three Essays In Healthcare Economics And Policy Analysis, Tuyen Pham

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation research consists of three essays on healthcare economics and policy analysis. Chapter 1 investigates and explains the failure of a proposition on limiting dialysis clinic profits in California in 2018. The proposition would have required dialysis clinics to issue refunds to patients or their payers for revenue that exceeds 115% of the direct cost of treatment. In this chapter, a conceptual framework of how voters weigh costs and benefits is developed and two different empirical approaches, simple OLS and Double Post LASSO, are employed to identify key determinants of the voting outcome. The empirical results suggest that counties …

Essays In Urban And Health Economics, Allyssa Ann Wadsworth

Graduate Theses, Dissertations, and Problem Reports (ETD)

Chapter 1 analyzes the impact new hospital construction has on neighboring residential real estate prices. In 2017, the Oishei Children’s Hospital was built in downtown Buffalo, New York, representing a new era for women and children’s medical facilities. Individuals working at the old facility now faced the decision of whether to move closer to the new hospital or have a longer commute. Using property sales data, I analyze how Oishei impacts residential property prices with a difference-in-differences hedonic price model while utilizing three unique time treatments and two distance treatments. The opening of Oishei generated a statistically significant percentage increase …

An Evaluation Of Databases Drawn From The National Survey Of Substance Abuse Treatment Services (N-Ssats), Brian Cushing, Elham Erfanian

Other

Appalachia has been at the center of the drug crisis that has now exploded across the United States, wreaking havoc on communities and destroying lives. Other than a brief, hopeful leveling off in 2018, drug use and overdose deaths have continued to accelerate. One key focus of policies aimed at dealing with the crisis has been treatment and recovery resources, which provide critical support for those struggling with addiction. The Appalachian Regional Commission wishes to document the distribution of treatment and recovery resources within Appalachia, which is critical to assessing unmet needs. The following report describes, reviews, and evaluates the …

Three Essays In Applied Urban Economics, Alexander Cardazzi

Graduate Theses, Dissertations, and Problem Reports (ETD)

The first chapter examines the effect of policing strategies on housing prices. Crime has been shown to negatively affect housing values. However, there is not much empirical evidence documenting the amenity value of how people are policed. Stop & Frisk was a particularly salient policing tactic employed in New York City until a judge ruled it to be unconstitutional. This chapter uses exogenous variation in Stop & Frisk behavior resulting from landmark events in a federal class action lawsuit as well as exposure to Operation Impact, a high intensity policing strategy, to explain variation in property sales. Results indicate a …

Property Rights, Consequences Of Electrical Blackouts, And Measures Of Institutional Quality, Kerianne Nicole Lawson

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation is comprised of three essays. Chapter 1 is about a house titling program, called Khaya Lam, in South Africa. Despite it being legal in South Africa to acquire a title deed to a government-issued home, roughly 20 million South Africans do not hold title to their property. Millions of homes are eligible to have ownership transferred from the government to the individuals living in them, but legal costs and lack of awareness keep these renters from going through the steps to secure title deeds. Though they may occupy the property for years, without a title deed South Africans …

Professional Sporting Events Increase Seasonal Influenza Mortality In Us Cities, Alexander Cardazzi, Brad Humphreys, Jane E. Ruseski, Brian P. Soebbing, Nicholas Watanabe

Economics Faculty Working Papers Series

The COVID-19 pandemic shut down sporting events worldwide. Local policy makers and league officials face important decisions about restarting play, especially in professional leagues that draw large numbers of spectators to games. We analyze the impact of professional sporting events on local seasonal influenza mortality to develop evidence that will help inform sports league reopening policy decisions. Results from a difference-in-differences model applied to data from a sample of US cities that gained new professional sports teams over the period 1962-2016 show that the presence of games in these cities increased local influenza mortality by between 4% and 24%, depending …

Three Essays On Health Economics And Policy Evaluation, Shishir Shakya

Graduate Theses, Dissertations, and Problem Reports (ETD)

This dissertation consists of three essays on the U.S. Health care policy. Each paragraph below refers to the three abstracts for the three chapters in this dissertation, respectively. I provide quantitative evidence on how much Prescription Drug Monitoring Programs (PDMPs) affects the retail opioid prescribing behaviors. Using the American Community Survey (ACS), I retrieve county-level high dimensional panel data set from 2010 to 2017. I employ three separate identification strategies: difference-in-difference, double selection post-LASSO, and spatial difference-in-difference. I compare how the retail opioid prescribing behaviors of counties, that are mandatory for prescribers to check the PDMP before prescribing controlled substances …

A Contemporary Tale Of Two Countries - State Of Children In India And Pakistan, Arijit Ray

Graduate Theses, Dissertations, and Problem Reports (ETD)

Some common economic problems of the Indian subcontinent are its low per-capita income, major dependence on agriculture, heavy population pressure, chronic unemployment, slow capital formation, limited opportunity for human capital development, rising pollution, and heavy inequality in the wealth distribution. Each of these problems affects its children in its unique way, both directly and indirectly. However, some problems are human-made which directly affect its own existence. I focus on two countries in the Indian subcontinent: India and Pakistan, where such problems exist. In both societies, female children are valued less than male children, a common theme across many other countries …

Better Understanding Human Capital In West Virginia, Christiadi, John Deskins

Bureau of Business & Economic Research

No abstract provided.

Geographic Determinants Of Infant Health: The Impact Of Sports Facility Construction Projects, Brad Humphreys, Jane Ruseski

Economics Faculty Working Papers Series

A large body of research examines determinants of infant health outcomes but little examines geographic variation generated by exogenous economic shocks. Linking birth data from the CDC Natality files to counties building new facilities from 1995-2002, we find that sports facility construction projects generate local negative externalities. Infants born during facility construction periods have lower birth weights than infants born in comparable counties where no new facility opened. Maternal prenatal health visits also fall in the post-facility-opening period. Mechanisms for this impact include local airborne particulate matter and reduced provision of government services affecting prenatal health.

Three Essays In Applied Econometrics, Collin Dean Hodges

Graduate Theses, Dissertations, and Problem Reports (ETD)

The body of work presented here consists of a collection of research projects developed during my time as a graduate student at West Virginia University. As will soon become apparent, this collection of research topics is quite eclectic. This is, in part, due to the to the nature of the research process itself--where one often begins by asking one question and ends by answering a completely different one--but also due to the fact that my time at West Virginia University has provided me the opportunity to gain insight into a wide variety of economic fields as well as work on …

Three Essays On Utilizing Spatial Econometrics In Natural Resource Economics Related To Water, Health, And Energy, Elham Erfanian

Graduate Theses, Dissertations, and Problem Reports (ETD)

Spatial interaction and the locational structure between observations have recently gained more attention in the field of econometrics for both cross-sectional and panel data analyses. Compared to a non-spatial economic model, a spatial model relaxes the assumption of independency in observations. This research will apply spatial econometrics modeling in three different fields in applied economics: 1) water charge and minimum monthly access charge in West Virginia municipalities, 2) Naloxone access law and opioid overdose deaths among the U.S. states, and 3) ��2.5 concentrations and asthma hospitalizations in Pennsylvania counties. Based on the nature of water resource imposing spillovers in water …

The Economic Impact Of Medicaid On West Virginia's Economy, Christiadi, John Deskins

Bureau of Business & Economic Research

No abstract provided.

Cross-Jurisdictional Sharing Of Public Health Services In West Virginia, Eric Bowen

Bureau of Business & Economic Research

No abstract provided.

The Effect Of Health Care Entrepreneurship On Local Health: The Case Of Medexpress In Appalachia, Amir B. Neto, Joshua C. Hall

Economics Faculty Working Papers Series

We test the hypothesis that the opening of an Urgent Care Center (UCC) has positive impacts on the local community. There are several mechanisms through which a UCC can have an impact: lower health care costs, emergency room decongestion, and improved access to medical information. We examine the entry of MedExpress into Appalachian counties between 2001 and 2013. Employing data from Health Resources Files, which provides information for all counties for specific years, we use Propensity Score Matching to create a year 2000 control group for the counties “treated” by MedExpress entry beginning in 2001. We then employ a standard …

The Effect Of An Increase In Lead In The Water System On Fertility And Birth Outcomes: The Case Of Flint, Michigan, Daniel Grossman, David J.G. Slutsky

Economics Faculty Working Papers Series

Flint changed its public water source in April 2014, increasing lead exposure. The effects of lead in water on fertility and birth outcomes are not well established. Exploiting variation in the timing of births we find fertility rates decreased by 12%, fetal death rates increased by 58% (a selection effect from a culling of the least healthy fetuses), and overall health at birth decreased (from scarring), compared to other cities in Michigan. Given recent efforts to establish a registry of residents exposed, these results suggests women who miscarried, had a stillbirth or had a newborn with health complications should register.