Health Economics Commons^™

Elastic Recovery Properties Of Alginate Impression Materials Based On Red Algae Kappaphycus Alvarezii, Didin Erma Indahyani, Izzata Barid, Nafisah Nafisah, Depi Praharani, Agus Sumono, Niken Probosari, Sulistiyani Sulistiyani

Journal of Dentistry Indonesia

Alginate impression materials in dentistry are used to form details of the oral cavity organs. The alginate content in the impression material functions to form a gel. One source of alginate is algae. Objective: This study aims to determine the recovery elasticity and setting time of alginate impression materials made from red algae K. alvarezii. Methods: The sodium alginate in the composition of this alginate impression material was extracted from red algae K. alvarezii. The alginate impression material was tested for setting time and recovery elasticity and compared with commercial impression material (Hygedent®). Results: The elastic …

Management Of Ankyloglossia In A Non-Syndromic Patient Using A Super Pulsed Laser: A Life-Changing Treatment- A Case Report, Urfi Jawed, Afaf Zia, Ramniwas Kumawat, Afshan Bey, Maahin Mahmood

Journal of Dentistry Indonesia

Objective: Ankyloglossia affects a person’s overall well-being and life, from malnutrition due to poor feeding and mechanical problems to psychological stress and low self-esteem, thus affecting social life. This case reports the use of non-scalpel techniques, such as a super pulsed laser, to manage ankyloglossia in a non-syndromic patient suffering from speech incompetence and restricted tongue mobility and highlights its advantages over other conventional techniques. Case Report: A 17-year-old male patient presented with a complaint of restricted tongue mobility, due to which he could not pronounce certain words clearly. As the patient was apprehensive about the use of …

Contents Vol 30 No 3 2023, Dr. Yuniardini Septorini Septorini Wimardhani

Journal of Dentistry Indonesia

This is the content of Vol. 30 number 3 2023.

Clinically Effective Regenerative Therapy For Primary Endodontic Lesions With Secondary Periodontal Lesions: A Case Report, Martina Amalia, Budi Budi, Iceu Estu Kurmaena, Nevi Yanti, Hesty Nurcahyanti, Aini Hariyani Nasution

Journal of Dentistry Indonesia

The diagnosis and prognosis of teeth with endo-perio lesions present a major challenge for dentists. Proper diagnosis is critical in determining treatment and the long-term prognosis. However, treating complex endodontic and periodontal lesions is one of the most common challenges in current clinical practice. The coexistence of pulpal and periodontal tissue damage may complicate diagnosis and further influence dental prognosis. This article consists of a case report evaluating the efficacy of xenografts and resorbable membrane pericardium in treating bifurcation lesions associated with periodontal lesions of the left mandibular first molar. A 22-year-old female patient was referred by conservative dentistry with …

The Impact Of High Temperatures On Child Anthropometric Outcomes Worldwide, Natalia A. Cancino Garcia

Master's Theses

High temperatures caused by climate change significantly impact society, including child nutrition. Our research focuses on the impact of high temperatures on the anthropometric outcomes of children aged 1 to 5 in 54 countries worldwide. We analyze the historical climate and anthropometric data to evaluate the effect of high temperature on weight-for-age (WAZ) and weight-for-height (WHZ) in children. Results indicate that high temperatures negatively affect child nutrition, particularly in areas above 20°C, and children in rural areas are more vulnerable. The impact of monthly temperature on child anthropometric outcomes varies across countries, regions, and cultural practices. Economic status alone is …

Pandemic Impacts On Women’S Mental Health: A Literature Review, Wenqi Gong

Honors Scholar Theses

For many years, women's mental health has been a topic of discussion in the research field, and these problems are usually regarded as the result of gender inequality. This study identifies mental health differences among women in different family structures in the context of a pandemic, by citing scenario-based research from 2020 to 2023. More specifically, by comparative analysis, disparities in a series of variables are observed between married and unmarried women. These findings figure out risk factors that tend to distress women. The literature review emphasizes the huge challenges confronting women today, and the root causes of the psychological …

An Economic Evaluation Of The Use Of Non-Combusted Alternatives Using A Cost Of Illness Approach: The Philippine Case, Christopher James R. Cabuay

Angelo King Institute for Economic and Business Studies (AKI)

Smoking continues to be one of the leading causes of death and disability around the world. Recent health studies, however, have reported that these diseases are more likely to be due to the smoke from burning rather than the actual nicotine content. This study uses a cost of illness approach in estimating the cost of smoking-related illness in the Philippines and calculating the potential reduction in costs if a significant portion of the adult smoking population switches to the exclusive use of non-combusted alternatives (NCAs), which drastically reduces the risk of contracting smoking-related diseases. This study finds that cost reductions …

The Implications Of Politicizing Global Health Diplomacy In A Multipolar World, Haley Stock

Independent Study Project (ISP) Collection

This research paper is the result of an independent study project that details the implications of politicizing global health diplomacy. With a mixture of interviews, primary sources, and secondary sources, this project aims to explain how and why global health has become entrenched in politics in the world today. This paper explores the intersection between global health and foreign policy and analyzes the extent to which countries use medical interventions to achieve political and economic success. Medical interventions, like vaccines, have become increasingly significant, especially looking back at the recent pandemic. Therefore, this paper will also explore the complex nature …

The Need For Growth, Hian Teck Hoon, Edmund S. Phelps, Gylfi Zoega

Research Collection School Of Economics

The falling rate of productivity growth in the West has made equilibrium real rate of interest fall, causing sky-high stock prices and stagnated real wages. Eliminating or reducing impediments to growth—such as rules and regulations that protect vested interests—would lower the burden of debt, make it easier to reduce greenhouse gas emissions and increase political stability. There are also measures that strengthen institutions that encourage innovations; a healthy financial system, well-protected property rights and values that emphasize self-reliance, independence and good work ethics. While special interests are more entrenched in some developed countries than others, there is hope that current …

Understanding The Impact Of Incentive-Driven Changes In Hospital And Physician Practice Styles, Ke Zeng

Dissertations, Theses, and Capstone Projects

This dissertation consists of three chapters that investigate impact of incentive changes on hospital and physician practice styles, as well as patient outcomes.

In an effort to curb the escalating healthcare expenditure, the Center for Medicare \& Medicaid Innovation has introduced several alternative payment models, which have garnered significant attention in numerous studies with varied findings. This first chapter introduces the focal point of this thesis, namely the Comprehensive Care for Joint Replacement (CJR) model, and provides a review of pertinent studies that have examined this model and related areas. Specifically, this chapter reviews and summarizes the findings from studies …

Essays In Health Economics, Chuxin Liu

Dissertations, Theses, and Capstone Projects

In Chapter 1, I investigate the effect of a financial incentive from the Centers for Medicare and Medicaid Services (CMS) on new medical procedure technology diffusion. I examine how the incentive affects diffusion among Medicare patients, for whom hospitals receive the incentives, and non-Medicare patients for whom there are no incentives. I answer these two questions by studying the New Technology Add-on Payment (NTAP) program offered by Medicare (Part A). It is unknown whether its incentive is enough to encourage diffusion under the prospective payment system and it also remains unknown whether it spills over to non-Medicare patients or crowds …

Oral Leukoplakia: Diagnosis And Management Revisited, Isaäc Van Der Waal

Journal of Dentistry Indonesia

The definition of oral leukoplakia has not much changed during the past five decades and is still a definition by exclusion of ‘known’ lesions. Therefore, a diagnosis of leukoplakia is not always a straightforward one for the clinicians and, to some extent, also for the pathologists. The traditional clinical classification in homogeneous and nonhomogeneous leukoplakia may just be simplified into leukoplakia (thin and thick/verrucous) and erythroleukoplakia. In spite of numerous reported predictive molecular and genetic parameters of malignant transformation, the presence and grade of epithelial dysplasia as assessed by histopathological examination is still the most important one. Of the various …

How To Manage Fan’S C Shape Canals Along With S Shape Morphology In Indian Population: A Case Series And Narrative Review, A Lavanya, Rajendra Kumar Tewari

Journal of Dentistry Indonesia

The C-shaped root canals offer greater negotiation, debridement, and obturation difficulty as they present with intercommunications, lateral canals, and reduced dentin thickness.

Objective: This case series elaborates on the recognition that these varying configurations is important to enhance adequate cleaning, shaping, and sealing of the root canal.

Case Reports: On clinical examination, all the teeth showed caries were nonresponsive to sensibility tests and toother diagnostic tests, suggestive of pulp necrosis with apical periodontitis. Conventional root canal treatment with different techniques and obturation systems have been used. This case series presents the successful management of various C-shaped configurations classified by Fan …

Aca Medicaid Expansions Did Not Significantly Improve Maternal Morbidity, Pinka Chatterji, Hanna Glenn, Sara Markowitz, Jennifer Karas Montez

Population Health Research Brief Series

Rising rates of severe maternal morbidity in the U.S. highlight the unmet need for continuous and comprehensive health care for women before, during, and after pregnancy. This data slice summarizes findings from a study that tested whether ACA Medicaid expansions helped reduce severe maternal morbidity, including transfusion, ruptured uterus, unplanned hysterectomy, eclampsia, and the need for intensive care. Results show little evidence that the ACA expansions improved maternal morbidity, other than reducing the need for blood transfusions.

Skilled Workers’ Mobility And Attrition: The Case Of Florida Emergency Medicine Physicians, Vassina Hassane Meite

Theses and Dissertations

Emergency medicine (EM) physicians constitute the front line of healthcare providers. They work swiftly to address critical situations, diagnose illnesses, and stabilize patients. Amidst a growing need and shortage of EM physicians, this longitudinal descriptive study captures EM physicians’ preferences for practice locations by studying Florida EM physicians’ relocation patterns between 2006 and 2020. Esti- mates from a Cox Proportional-Hazards model and fixed effects logistic regressions suggest that wage amenities are not a strong determinant of relocation over time. Physician attrition and relocation are instead more saliently affected by high work volumes within the EM physician’s primary work location.

Korelasi Faktor Risiko Usia Pasien Dengan Kasus Dan Biaya Rawat Inap Penyakit Jantung Di Indonesia (Analisis Serial Waktu Program Jaminan Kesehatan Nasional 2015-2021), Syarif Rahman Hasibuan, Sabarinah Prasetyo, Ede Surya Darmawan

Jurnal Ekonomi Kesehatan Indonesia

This study analyzes the correlation between patient age with hospitalization cases and cost in Indonesia. The design of this study was cross-sectional quantitative using open sources data from Indonesia National Health Insurance Agency (BPJS Kesehatan). The sample units in this study were hospitalization cases from 2015-2021 of National Health Insurance program member. Sample size of this study are 43,921 that weighted to get 3,901,373 hospitalization cases. This study show an uptrend in cases and the total cost of cardiovascular disease hospitalization in 2015-2019, while it show downtrend during the Covid-19 pandemic. The average cost of cardiovascular disease hospitalization per case …

Dampak Guncangan Kesehatan Terhadap Konsumsi Rumah Tangga Di Indonesia: Adakah Peran Asuransi Kesehatan Dan Kredit Mikro?, Rodhiah Umaroh, Listiono Listiono

Jurnal Ekonomi Kesehatan Indonesia

This paper aims to analyze the impact of health shock on household consumption and estimate the role of health insurance and microcredit in tackling the shock impact. The primary variable used in this study as a proxy for health shock is the impairment of activity in daily living (ADL) experienced by household heads. The impact evaluation method of Propensity Score Matching (PSM) was employed to estimate the impact of health shock on Indonesian household consumption using data from Indonesian Family Life Survey (IFLS-5). This study's result reveals that health shock significantly reduces household consumption of both food and non-food consumption. …

Evaluasi Penerapan Pilot Project Global Budget Sebagai Sistem Pembayaran Klaim Pada Rsud Wates, Mega Handayani, Laili Rahmatul Ilmi, Zennul Mubarrok1 Mubarrok

Jurnal Ekonomi Kesehatan Indonesia

Claims payment for health services is one of the factors that affect the financial health of a hospital. Indonesia itself has experienced several changes to the existing payment system. BPJS-K started an operational study on the implementation of the INA-CBGs and the Global Budget mixed-method payment system since 2018 with three stages in five districts/city in Indonesia. This study aims to evaluate the implementation of the Global Budget system at RSUD Wates in Kulon Progo Regency that appointed as a BPJS-K pilot project. This research is qualitative research and data collection was carried out by studying documents and interviews. As …

Analisis Kinerja Fktp Pemerintah Di Era Jkn Dengan Metode Balanced Scorecard: Studi Kasus Di Puskesmas Bandar Baru Tahun 2022, Hanifah Hasnur

Jurnal Ekonomi Kesehatan Indonesia

The health efforts at health facilities have entered a new phase in the current era of Indonesian National Health Insurance (NHI). The Bandar Baru Health Center (Puskesmas), one of the largest Puskesmas in Pidie Regency with the most significant income from the NHI, is required to have quality health services, which at the same time also needs to be efficient in using its resources. This study uses the Balanced Scorecard method to determine the performance of the government's FKTP, in this case, the Bandar Baru Health Center, in the current NHI era. This quantitative descriptive research collects primary and secondary …

The Potential Of Economic Loss Due To Stunting In Indonesia, Esty Asriyana Suryana

Jurnal Ekonomi Kesehatan Indonesia

Stunting cases continue to increase, along with the high risk of undernutrition, the increasing prevalence of malnutrition, and decreasing productivity. If this condition is not handled correctly, it can affect Indonesia's development performance, inequality, and poverty. Stunting can hinder economic growth and labor productivity, affecting 11% of GDP (gross domestic product) and reducing the income of adult workers by up to 20%. Based on this, it is necessary to make prevention and control efforts in nutrition intervention activities an economic investment. Therefore, this study estimates the economic potential lost due to stunting in children under five. This descriptive study is …

Hubungan Karakteristik Pasien, Prosedur, Dan Penyakit Penyerta Dengan Biaya Langsung Medis Pada Pasien Rawat Inap Jantung Koroner, Rita Tri Wahyuni, Eri Witcahyo, Yennike Tri Herawati

Jurnal Ekonomi Kesehatan Indonesia

Coronary heart disease is a catastrophic disease that causes a high burden of medical costs. At Dr.Iskak Tulungagung hospital, coronary heart disease is the disease with the highest cost. The number of coronary heart patients who are hospitalized is also increasing every year. Several Previous studies have shown that the amount of direct medical costs of coronary heart patients reach more than 50% of the total costs of treatment. Therefore, it is necessary to do research on the factors associated with the increasing direct medical costs of coronary heart patients. The purpose of this study was to analyze the factors …

Faktor Yang Berkontribusi Pada Keikusertaan Sektor Formal Dalam Skema Asuransi Kesehatan Sosial: Narrative Review, Haerawati Idris

Jurnal Ekonomi Kesehatan Indonesia

Countries worldwide have been working towards achieving universal health coverage target, including countries with low and middle incomes. Even though it is mandatory, the formal sector does not automatically become a participant in social health insurance. This study describes the factors contributing to formal sector participation in social health insurance. This study uses a narrative review approach. This study focuses on the factors that contribute to the participation of the formal sector in social health insurance schemes. We identified articles selected according to the inclusion criteria covering the formal sector, English and Indonesian, adopting social insurance, and open access articles. …

Analysing Pandemic Induced Economic Inequality In Developing Nations, Ravneet Kaur Bhogal

International Journal on Responsibility

The dawn of the new decade of the 21st century saw an unprecedented global crisis. This crisis led the world to halt economic and social progress. It led to a galloping increase in the economic inequality and migration of people in search of opportunities to save them from the current situation. The developing nations saw a sea of people migrating back to their roots in search of safe havens. This has led to the loss of jobs which has increased income inequality. Migrants face the risk of contagion and also the possible loss of employment, wages, and health insurance coverage. …

Heterogeneity In The Persistence Of Health: Evidence From A Monthly Micro Panel, Stephen Hoskins, David W. Joohnston, Johannes S. Kunz, Michael A. Shields, Kevin E. Staub

ROSA Journal Articles and Publications

Despite being widely used in health economics, dynamic models of health and healthcare typ ically assume that the persistence in these outcomes is the same for every individual. This paper explores individual-level heterogeneity in the persistence of health outcomes. Using simple re gression methods that do not place any restriction on the distribution of the heterogeneity in persistence, the paper documents substantial heterogeneity in health, medical expenditures, and healthcare use. We show that neglecting this heterogeneity leads to estimates that overstate the average persistence and can bias the coefficients of covariates. We find that between 75% and 87% of individuals …

Impacts Of Rising Temperatures On Human Behavior With A Focus On Gender Differences, Stephanie Marie Emilia J. Hermoso

Master's Theses

Climate change is one of the biggest and most pressing issues the world is facing today. While its economic implications are substantial, it is also important to investigate the effects of climate change on human behavior. This paper examines the relationship of rising temperatures and its effect on an individual’s cooperative behavior – specifically egalitarianism, generosity, selfishness, and spite. This study will focus on the differences between how males and females react to the temperature. Research indicates that there are substantial behavioral differences between men and women. How do the economic decisions of men and women differ when interacted with …

The Child Nutrition Cost Of Weather Shocks In Nigeria, Danielle M. Abaya

Master's Theses

Child malnutrition is alarmingly high in Nigeria with the highest number of malnourished children, the second highest population of stunted children worldwide and 17 million Nigerians facing food insecurity. According to the World Health Organization, children are predicted to suffer about 80% of weather-related illnesses and deaths. As climate change continues to pose the greatest health threat and while scientists predict its irreversible effects in the next 10 years, countries such as Nigeria are already experiencing the burden of climate change today. This study uses total rainfall to measure precipitation and two Enhanced Vegetation Index variables, total change in greenness …

Guaranteed Income And Financial Treatment Trial (Gift Trial Or Giftt): A 12-Month, Randomized Controlled Trial To Compare The Effectiveness Of Monthly Unconditional Cash Transfers To Treatment As Usual In Reducing Financial Toxicity In People With Cancer Who Have Low Incomes, Meredith Doherty, Jonathan Heintz, Amy Leader, David Wittenburg, Yonatan Ben-Shalom, Jessica Jacoby, Amy Castro, Stacia West

Department of Medical Oncology Faculty Papers

Cancer-related financial hardship (i.e., financial toxicity) has been associated with anxiety and depression, greater pain and symptom burden, treatment nonadherence, and mortality. Out-of-pocket healthcare costs and lost income are primary drivers of financial toxicity, however, income loss is a pronounced risk factor for cancer patients with low incomes. There has been little progress in developing an income intervention to alleviate financial toxicity cancer patients with low incomes. Unconditional cash transfers (UCT), or guaranteed income, have produced positive health effects in experiments with general low-income populations, but have not yet been evaluated in people with cancer. The Guaranteed Income and Financial …

Three Essays In The Economics Of Child Development And Health Inequities, Travis Whitacre

Economics Theses and Dissertations

In chapter 1, I assess the long-term education and labor market effects of missed ADHD diagnoses. Doing so is challenging for two reasons. First, a person's true ADHD status is unobserved; only their diagnosed status is known. Second, even if diagnostic errors are observed, they are likely akin to non-classical misclassification errors and therefore endogenous. To overcome these empirical challenges, I use and extend on a partial observability model with genetic data from Add Health. Through the lens of the partial observability model. I recover an estimate of true ADHD status, and the probability of underdiagnosis. Then, I estimate their …

Rural And Urban Caregiver Experiences Of Financial Strain And Food Insecurity During Pediatric Hospitalizations, Rachel E. Granberg

Research Days

Background: Stress is common among caregivers of hospitalized children. In addition to stress related to their child’s illness, caregivers experience stress related to financial strain and food insecurity during their child’s hospitalization. The burden of financial strain and food insecurity related to pediatric hospitalizations may vary between rural and urban populations.

Objectives/Goal: To identify financial strain and food insecurity experienced by caregivers of hospitalized children and to describe differences between rural and urban populations.

Methods/Design: A prospective cross-sectional survey enrolled a random sample of caregivers of hospitalized children between 8/31/2021 and 12/2/2022 at a single children’s hospital. Demographic information was …

Barriers To Colorectal Cancer Screening For Low-Income Hispanic Men In Urban Areas Between 50-75, Alex Vega

Rowan-Virtua Research Day

Colorectal cancer (CRC) is the second leading cause of cancer-related deaths in the United States. Although CRC screening rates have improved in non-Hispanic whites (NHW), Hispanic adult males (HAM) aged 50-75 in urban areas continue to experience low screening rates and higher CRC morbidity and mortality. This review aims to identify the barriers to CRC screening among HAM and propose targeted interventions to increase screening rates. A comprehensive literature review was conducted using databases such as PubMed, Scopus, and Google Scholar. Key search terms included "colorectal cancer", "screening", "Hispanic adult males", "urban", "barriers", and "interventions". Factors identified include poverty, language …