Health Economics Commons^™

Penundaan Pembayaran Klaim Jaminan Kesehatan Nasional Oleh Bpjs Kesehatan Di Indonesia: Sebuah Scoping Review, Immanuel Natanael Tarigan, Feni Dwi Lestari

Jurnal Ekonomi Kesehatan Indonesia

Since it was first implemented, the utilization of the National Health Insurance (JKN) has been increasing each year. Currently, almost all hospitals accept JKN patients. However, the JKN claim payment process did not run as conveniently as expected, and there were frequent delays in payment. This delay becomes a major obstacle in hospitals, especially public hospital, which relies heavily upon JKN patients for its cashflow. This study aims to determine the magnitude of the delay in the payment of JKN claims and what factors are involved, especially in public hospitals. This study was conducted using the scoping method review with …

Analysis Of Cigarette Demand Among Poor Households In Indonesia: An Islamic Economic Approach, Yusnia Monica, Abdillah Ahsan, Triasih Djutaharta, Nadira Amalia

Jurnal Ekonomi Kesehatan Indonesia

Increasing Indonesia’s health and economic burdens generated by smoking habit require immediate stakeholder responses to reduce cigarette consumption. This study aims to examine and compare the changes in smoking behavior (i.e., the smoking status and the number of cigarettes consumed monthly) among zakat recipients (mustahik) and zakat payers (muzaki) caused by cigarette prices and income changes. Using a dataset from SUSENAS 2018 and conducted under kifayah approach (a poverty line approach in Islamic economics that will allow the observers to differentiate between muzaki and mustahik), this study employed two-part regression models. Results showed that an increasing income escalated cigarette consumption …

Associations Of The Covid-19 Pandemic With Older Individuals' Healthcare Utilization And Self-Reported Health Status: A Longitudinal Analysis From Singapore, Sangnam Ahn, Seonghoon Kim, Kanghyock Koh

Research Collection School Of Economics

Background: The COVID–19 pandemic has challenged the capacity of healthcare systems around the world and can potentially compromise healthcare utilization and health outcomes among non-COVID–19 patients. Objectives: To examine the associations of the COVID-19 pandemic with healthcare utilization, out-of-pocket medical costs, and perceived health among middle-aged and older individuals in Singapore. Method: Utilizing data collected from a monthly panel survey, a difference-in-differences approach was used to characterize monthly changes of healthcare use and spending and estimate the probability of being diagnosed with a chronic condition and self-reported health status before and during the COVID-19 outbreak in 2020. Subjects: Data were …

Identifying Knowledge Spillovers From Universities: Quasi-Experimental Evidence From Urban China, Li Jing, Shimeng Liu, Yifan Wu

Research Collection School Of Economics

This paper studies the impact of universities on local innovation activity by exploiting a unique university expansion policy in China as a quasi-experiment. We take a geographic approach, empowered by geocoded data on patents and new products at the address level, to identify knowledge spillovers as an important channel. We obtain three main findings. First, university expansion significantly increases universities’ own innovation capacity, which results in a dramatic boom of local industry patents. Second, the impact of university expansion on local innovation activities attenuates sharply within 2 kilometers of the universities. Third, university expansion boosts nearby firms’ new products and …

Long-Term Care In The United States: History, Financing, And Directions For Reform, George A. (Sandy) Mackenzie

Upjohn Press

This book is a concise survey of the development of U.S. long-term care and its financing, with comparisons with other rich countries. It also includes a brief comparative account of the impact of the COVID-19 pandemic in the United States and several other countries. The study finds much that is amiss with American long-term care and proposes three sets of progressively more ambitious reforms.

P-05 Gender Budgeting And Gender Equality In Europe With Historical Data During 1994-2013, Jeniffer G. Ratulangi, Jerry L. Chi, Grace Chi

Celebration of Research and Creative Scholarship

Gender budgeting and gender equality in Europe plays a crucial role in inequality and development to have enjoyed sustained support. Inequalities have risen in some countries in recent decades due to factors such as globalization, technological change, taxation policy, and the economic crisis (Eurofound, 2022). Therefore, when high levels of inequality reduce growth in relatively poor countries but encourage growth in richer countries (Balls, 1999). This paper aims to examine the impact of gender budgeting processes on gender equality and fiscal space in European countries. Using secondary data research with a 45-item survey that measures participant gender budgeting and equality. …

Driving The Southern Nevada Health Economy Forward: Benefits Of A Transformational Unlv Academic Health Center, Tripp Umbach

Policy Briefs and Reports

The University of Nevada, Las Vegas (UNLV) plans to develop an integrated academic health center within the Las Vegas Medical District (LVMD). The academic health center includes UNLV’s five health science schools and mental and behavioral health, which is distributed among several colleges (medicine, liberal arts, urban affairs, and education) in the university. University Medical Center (UMC), a major teaching hospital, will also be an important driver of the academic health center. For the purposes of this report, UNLV’s medical and health science entities along with UMC are referred to collectively as the UNLV Academic Health Center. Additional academic health …

The Evolution Of The Southern Nevada Healthcare Economy: Building The Unlv Academic Health Center, The Lincy Institute

Lincy Institute Events

With the successful launch of the Kirk Kerkorian School of Medicine at UNLV and the completion of its medical education building, Southern Nevada is positioned to expand its healthcare infrastructure - and its healthcare economy - to create a comprehensive, integrated healthcare system to serve our fast-growing community. As UNLV moves forward with the development of an integrated academic health center within the Las Vegas Medical District, understanding the economic and social benefits of such a transformational project is important to stakeholders throughout the region.

The Lincy Institute hosted representatives of Tripp Umbach - the nation's leading consultant on community …

Cost Analysis Of Implementing An Exercise Program For Fall And Fracture Prevention In Older Adults On Proton Pump Inhibitor Therapy, Thomas Adam Wichelmann, Nhan Dang, David H. Kruchko, Sufyan Abdulmujeeb, Eli D. Ehrenpreis

Journal of Patient-Centered Research and Reviews

Purpose: Falls have significant financial impact. Proton pump inhibitor (PPI) therapy is associated with an increased risk of falls and fractures. Exercise programs have been shown to decrease risk of falls in the elderly population and are recommended by the U.S. Preventive Services Task Force for patients over age 65 to reduce falls. Our study aimed to explore the potential financial benefit of implementing three different Centers for Disease Control and Prevention-recommended exercise-based interventions for fall prevention (Tai Chi, Stepping On, and Otago Exercise Program) in ≥ 65-year-old patients on PPI therapy.

Methods: A Markov model was developed to predict …

Essays On Impacts Of Women Empowerment On The Health Outcomes Of Children, Sagnik Das

Dissertations, Theses, and Capstone Projects

Chapter 1: Taking cognizance of the lack of representation of women in politics, the Indian government in 1993, enacted the 73rd constitutional amendment which led to a sudden increase in the representation of women in the local governments. Exploiting the exogenous variation in the timing of implementation of the 73rd amendment across the states, I study the spillover effects of this mandated empowerment of women on the health outcomes of children by using nationally representative survey data and employing a difference-in-difference estimation strategy. In this study, I find evidence of a positive impact of mandated women empowerment on the survival …

Electromyographic Activity Of Masticatory Muscles In Asymptomatic Young Adults, Aneta Wieczorek, Malgorzata Pihut, Jolanta E. Loster

Journal of Dentistry Indonesia

Introduction: The masseter and the anterior part of the temporalis are the muscles mainly responsible for the clenching function. Clenching patterns and the activity of these muscles are not expected to differ between male and females, nor between different occlusal classes. Objective: The aim of this study was to determine whether the activity index of the masseter and temporalis muscles is related to occlusal class and gender. Methods: This study involved 145 eighteen-year-old Caucasian volunteers who underwent surface electromyography. The sEMG was analyzed at the moment of 100% occlusal contact. Occlusal classes were determined used plaster casts. …

Fractal Analysis Of Subchondral Cyst At Mandibular Condyle Detected On Panoramic Radiograph In A Group Of Thai Population, Aloysius Putut Wijanarko, Preeyaporn Srimawong, Suchaya Pornprasertsuk-Damrongsri, Apirum Janhom

Journal of Dentistry Indonesia

Objectives: This study aimed to analyze subchondral cyst on the mandibular condyle using fractal dimension (FD) measurement on a panoramic radiograph. Methods: This retrospective study examined 15 patients aged 24 to 75 years who had undergone panoramic radiography and cone-beam computed tomography on both sides of the mandibular condyles, between January 2013 and November 2017, in the Oral and Maxillofacial Radiology Clinic, Dental Hospital, Mahidol University. These 15 patients, all of whom had a subchondral cyst on one side of the mandibular condyle, constituted both the study and control groups: the 15 affected sides constituted the study group, …

The Effect Of Disc Displacement On Temporomandibular Joint Morphology In Patients With Disc Displacement, Melike Yurttaş, Esin Bozdemir, Şehnaz Evrimler

Journal of Dentistry Indonesia

Objective: To examine the morphological properties of temporomandibular joint structures by magnetic resonance imaging (MRI) on patients with and without disc displacement (DD). Methods: Thirty-eight patients with disc displacement and 13 patients without disc displacement were included. Age, gender, and clinical findings such as pain, joint sounds of patients were recorded. The patients were classified as anterior disc displacement with reduction (ADDWR) group, anterior disc displacement without reduction (ADDWoR) group, and control group on MRI. Disc morphology was categorized as biconcave, hemiconvex, biconvex, biplanar, or folded. Condyle morphology was characterized as convex, angled, flat, or rounded. Articular eminence …

The Practices Of Treating Deep Carious Lesions Compared With The Dental Curriculum In Turkish Dentistry, Leyla Kerimova, Erdem Karabulut, Kivanç Yamanel, Neslihan Arhun

Journal of Dentistry Indonesia

Objective: The aim of this cross-sectional study is to investigate Turkish dentists’ opinions and preferences regarding the management of deep carious lesions and compare them with modern dental education concepts as provided by dental schools. Methods: Questionnaire 1 and Questionnaire 2 were sent separately to dental practitioners via the Turkish Dental Association and to university department heads of restorative dentistry. The data obtained were analyzed using chi-square tests and one-way ANOVA tests (p < 0.05). Results: Regarding Questionnaire 1, most of the dentists (89.3%) responded that caries lesions should be removed completely up to the hard cut-off condition of …

Effects Of Lime (Citrus Aurantifolia Swingle) Peel Extract Addition To Periodontal Dressing On The Number Of Blood Vessels In The Gingival Wound Healing Process, Malianawati Fauzia, Savira Pratista Oktaviana

Journal of Dentistry Indonesia

Background: Periodontal dressings that are currently available can only protect wounds from mechanical trauma, but have no ability to accelerate wound healing. Lime (Citrus aurantifolia Swingle) peel extract added to periodontal dressing contains flavonoids which can stimulate the formation of new blood vessels, thus accelerating the healing process. Objective: To determine the effects of adding lime (Citrus aurantifolia Swingle) peel extract to periodontal dressing on the number of blood vessels in the gingival wound healing process. Methods: 32 rabbits with 2 mm wound made on the gingiva were divided into 8 groups. For the control groups of …

“High Spending, Poor Productivity Gains!” Assessing Public Health System (In)Efficiency And Hospital Performance In The State Of Kuwait: Would More Private Delivery Improve Healthcare?, Aljawhara Alsabah

NYMC Student Theses and Dissertations

The healthcare sector in the State of Kuwait has been nurtured for many decades by the government, where the majority of health services in the country are controlled by the Ministry of Health (MoH). Although healthcare services in public sector hospitals are at highly subsidized rates, causing private sector involvement in healthcare to be considerably low, the growing demands for private delivery of care burgeoned participation of private hospitals in Kuwait, and improving hospital efficiency and productivity is more critical and timelier than ever. This dissertation aims to analyze public health system efficiency and hospital performance in the State of …

The Effect Of The Affordable Care Act On Opioid Overdose Mortality, Caleb Jordan

All Theses

The opioid epidemic is an ongoing health crisis in the United States, claiming the lives of thousands over the past two decades. In 2014, provisions of the Affordable Care Act expanding Medicaid officially came in effect, extending healthcare to millions of people in the United States. However, Medicaid expansion was optional for states, so some states greatly expanded healthcare to low-income people while others did not. People in expansion states gained more affordable access to prescription drugs and treatment centers, making opioids easier to obtain and addictions more affordable to treat. This makes the effect of the Affordable Care Act …

The Intergenerational Mortality Tradeoff Of Covid-19 Lockdown Policies, Lin Ma, Gil Shapira, Damien De Walque, Quy-Toan Do, Jed Friedman, Andrei A. Levchenko

Research Collection School Of Economics

In lower-income countries, the economic contractions that accompany lockdowns to contain COVID-19 transmission can increase child mortality, counteracting the mortality reductions achieved by the lockdown. To formalize and quantify this effect, we build a macro-susceptible-infected-recovered model that features heterogeneous agents and a country-group-specific relationship between economic downturns and child mortality and calibrate it to data for 85 countries across all income levels. We find that in some low-income countries, a lockdown can produce net increases in mortality. The optimal lockdown that maximizes the present value of aggregate social welfare is shorter and milder in poorer countries than in rich ones.

Medicaid Expansion: Changes In Individual Health Outcomes, Julie Norman

All Graduate Plan B and other Reports, Spring 1920 to Spring 2023

The Affordable Care Act is one of the biggest changes in the American healthcare system in the 21st century. One element of the ACA is medicaid expansion, which opened up federal funding for states to cover any individual earning below 138% of the federal poverty line. 21 states expanded medicaid in 2014 while 12 haven’t expanded. This paper utilizes the disparity for a natural experiment to determine the efficacy of the program. Outcome variables of interest include measurements of individual health, health access and utilization, and premature death rates. The results indicate positive, but small improvements due to the policy, …

Do Philippine Stocks Catch Coronavirus? Some Econometric Check-Up On Pandemic Data, 2021-2022, Mark Reniel M. Amarila, Luisito C. Abueg

Journal of Economics, Management and Agricultural Development

Using daily data from March 1, 2021 to March 31, 2022, the USD-PHP exchange rate and pandemic-related variables such as the number of cases, vaccinations, and stringency index in relation to the movements of Philippine Stock Exchange index (PSEi) were investigated. The paper views vaccination as an instrument for reducing economic uncertainty, subsequently providing a positive sentiment for investors and stock market. Ordinary least squares, autoregressive distributed lags, and vector autoregression was used to show some dynamics based on time series data. Particularly, there are indications of reported cases being negatively correlated and statistically significant for PSEi. Further, impulse response …

The Effect Of Smoking Behavior On Health Expenditure In Indonesia’S Rural Areas, Cyril Anfasha Firmansyah, Reza Galih Renaldi, Dinda Monikka, Estro Dariatno Sihaloho

Jurnal Ekonomi Kesehatan Indonesia

Smoking is one of the biggest causes of death in the world. The WHO reported that smoking kills 8 million people each year. Besides threatening global health, smoking by rural people tends to detain poverty alleviation efforts due to several factors, including cigarette expenditures and health expenditures. Indonesia has one of the most significant worldwide smoking prevalence and has become one of the countries that most suffer from smoking. The MoH Indonesia reported that health costs due to smoking reached Rp596.61 trillion in 2015. Previous studies found that smoking caused an increase in health expenditure due to smoking-related diseases in …

Satisfaction Of Non-Covid-19 Patients Under National Health Insurance (Jkn) In Changes In Health Services During The Covid-19 Pandemic And Associated Factors, Istianah Surury, Nastiti Dyah Prastiwi, Luthfiah Haifah Ali

Jurnal Ekonomi Kesehatan Indonesia

Currently, health care services follow the first edition of the COVID-19 Prevention Guidelines from the Indonesian Health Ministry. Therefore, health care services should continue to deliver services equally between COVID-19 patients and general patients. Since the onset of the COVID-19 pandemic, a non-COVID-19 patient satisfaction survey has not been conducted at the hospital. Inpatient services are the most affected by COVID-19 because large capacity of bed is allocated for COVID-19. The aims of this study is to determine the level of satisfaction of non-COVID-19 patients under JKN and its associated factors regarding the changes in health care services during the …

Socioeconomic Factors And Smoking Habits In Indonesia: Analysis Of Indonesian Family Life Survey (Ifls) 2014/2015, Widiandini Prita Hapsari

Jurnal Ekonomi Kesehatan Indonesia

This study aims to find out what effects affect individuals to become smokers. So that the influence of socio-economic conditions and smoking habits in Indonesia can be helpful to literacy for policymakers. This study uses secondary data from the Indonesia Family Life Survey 2014/2015 (IFLS-5). The main variables in this study were smoking habits, while socio-economic conditions, social demographics and health conditions as control variables to see other factors that influence smoking habits. Using a logistic regression model, the results of this study indicate that several variables that represent socioeconomic conditions have a positive relationship and several other variables have …

Probabilitas Risiko Terkena Penyakit Jantung Dan Tb Berdasarkan Faktor Sosio-Ekonomi Dan Demografi, Ni Putu Mia Tarani, Achmad Kautsar

Jurnal Ekonomi Kesehatan Indonesia

This study aims to examine the effect of socioeconomic status and demographics on the probability of health status represented by heart disease and tuberculosis (TB). This study uses data from the Indonesian Family Life Survey (IFLS), an ongoing longitudinal survey in Indonesia. There are several independent variables in this study such as the amount of cigarette consumption, nutritional status and also blood pressure, with marginal effects as a measure of the relationship. In this study there are two dependent variables, namely heart disease and TB with the same independent variables, this is done to measure and compare how much influence …

Optimization Of Healthcare Workers Availability: Increasing Primary Healthcare Efficiency In Indonesia, Anedya Niedar, Firdaus Hafidz, Krishna Hort

Jurnal Ekonomi Kesehatan Indonesia

Policy has focused on the unequal distribution of health workers, while the potential for improvements in efficiency to address this problem has been neglected. This study aims to measure and compare the level of efficiency in the use of the available health workforce for the delivery of selected primary healthcare services among districts/cities in Indonesia, and to identify factors influencing that efficiency. The Data Envelopment Analysis method with output orientation to measure efficiency and Tobit regression analysis was performed to determine the effect of contextual factors. The average score for the technical efficiency of primary health care service delivery throughout …

Dak Fisik Kesehatan To Reduce Maternal And Infant Mortality Rate, Rendy Alvaro, Ratna Christianingrum, Tio Riyono

Jurnal Ekonomi Kesehatan Indonesia

Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR) are essential indicators of health development that are written on the national development plan documents. Nevertheless, Indonesia has not yet achieved the national target of MDG’s and SDG’s. In prediction, without extraordinary policies, the target of SDGs will not be reached by 2030. The government has allocated DAK Fisik Penugasan as one of the efforts to reduce MMR and IMR. So this study aims to capture the effect of DAK Fisik in decreasing MMR and IMR. Panel data from 34 provinces level in 2019 and 2020 are analyzed using mean difference …

Gambaran Kebiasaan Merokok Di Indonesia Berdasarkan Indonesia Family Life Survey 5 (Ifls 5), Nisa Nisrina Salsabila, Noormarina Indraswari, Budi Sujatmiko

Jurnal Ekonomi Kesehatan Indonesia

The characteristics and patterns of smoking behavior are very important data to develop smoking control programs in Indonesia. However, until now there is no comprehensive and systematic data that represents all Indonesian people. This study aims to determine smokers, smoking habits, and smoking addiction in smoking habits in Indonesia based on IFLS 5. Using cross-sectional descriptive using IFLS 5 data. The research subjects are residents aged 15 years and over with a total of 12,591. The results show that smokers in Indonesia are mostly male (95%), only elementary school graduates (35%), work (80%), have a low economy (79%), and live …

Covid's Impact On Nurses & Their Labor Market, Joshua Stanfill

University Honors Theses

The Covid pandemic has swept across the globe impacting many different kinds of people in many different ways. Businesses and workers experienced changes in how their respective labor markets operated with new incentives. One group of laborers that experienced quite a significant impact are nurses working through the Covid pandemic. The pandemic created new incentives for nurses that heavily impacted their labor market. Through a literature review of scientific studies examining the impacts of working through a pandemic on nurses, I discovered that this was causing psychological and emotional damage to nurses. Covid spurred on an already occurring nursing shortage …

Episode Based Payment Models And The Hospital Safety-Net: An Evaluation Of The Center For Medicare And Medicaid Services’ Comprehensive Joint Replacement Bundled Payment Program, John A. Gravina

Dissertations and Theses

Episode Based Payment Models and the Hospital Safety-net: An Evaluation of the Center for Medicare and Medicaid Services’ Comprehensive Joint Replacement Bundled Payment Program

By John Anthony Gravina

Advisor: Alexis Pozen, Ph.D.

Introduction: Payments for Healthcare services are increasingly being tied to clinical quality, patient experience, health outcomes, and efficiency through value-based payment arrangements (VBP). VBP presents a potential opportunity to reduce healthcare expenditures by requiring providers to take on financial risk associated with the cost and quality of care, therefore aligning payment incentives with the goals of providing higher quality and efficient care. As of 2020, 80 percent of …

Three Essays On Development Economics And Human Capital, Arpita Khanna

Dissertations and Theses Collection (Open Access)

In the first chapter, we estimate the impact of exposure to the 2015 Nepal Earthquake on intimate partner violence with two rounds of Demographic and Health Surveys data. Using differences-in-differences estimation, we find that exposure to the earthquake lead to a statistically and economically significant increase in intimate partner violence in the urban areas but not in the rural areas. This is possibly due to an increase in the stress felt by the victims. We also offer some evidence that the impact heterogeneity between the urban and rural areas is attributable to the differences in the reconstruction processes and assistance …