Health Economics Commons^™

Covid-19 Vaccine Disparities And Attitudes, Deonne Cartwright, Meryem Saygili

Pursue: Undergraduate Research Journal

The past couple of years have caused so much uncertainty and grief amidst the global pandemic. The goal of this study is to explore the attitudes behind COVID-19 vaccination to address the cause for vaccine disparities and help minimize health disparities in the United States. The study considers two multivariable regressions in SPSS of the social factors on vaccination status and vaccine confidence. This model studies the relationship between one’s ethnicity, race, education level, education specialization, household income, political ideology, and media source on vaccine confidence and vaccination status on an East Texas college campus. A campus-wide survey was conducted …

Pharmacy-Based Immunization Laws And Adolescent Well-Child Checkup Tradeoffs: Results From The Nis-Teen 2019, Teigan Avery

Graduate Student Theses, Dissertations, & Professional Papers

Pharmacy-based immunization (PBI) has been heralded as a barrier-reducing way to immunize Americans and reach public health targets. PBI programs vary by state; some states prohibit vaccinating children in pharmacies while others allow pharmacists to prescribe and immunize persons of any age. There is concern that liberal PBI programs may boost vaccination rates at the cost of well-child visits. Parents may see PBI as an alternative to preventive well-check visits at a doctor’s office rather than as a complement, particularly for adolescents. This paper estimates the effect of state vaccination policies on individual adolescent 11–12-year-old well-checks using probit regression for …

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 …

Stress Testing During Times Of War, Kathryn Judge

Faculty Scholarship

In the spring of 2009, the United States was mired in the greatest recession it had faced since the Great Depression. In March, the Dow Jones Industrial Average had fallen to 6,594.44, a total decline of 53.4 percent from its peak in the fall of 2007. The official unemployment rate was over 9 percent and still trending upward, eventually exceeding 10 percent. With the support of Congress, the Federal Reserve (the Fed) and other financial regulators had launched an array of initiatives to contain the fallout of what had become a global financial crisis. These interventions, including a massive recapitalization …

Financial Implication Of Covid-19: A Story Of Malaysian Dental Practitioner, Nor Faharina Abdul Hamid, Azlan Jaafar, Nurul Haini Najwa Mohamd Mahmod, Raja Nur Nabiha Raja Amir Hamzah

Journal of Dentistry Indonesia

Coronavirus disease 2019 (COVID-19) has caused series of lockdown in Malaysia which led to the significant financial impact to dental practitioner in Malaysia. Objectives: The aim of this study is to investigate factors affecting dental practice and its implication to financial situation during the pandemic in Malaysia. Methods: Registered Malaysian dental practitioners were invited to participate in online questionnaire via google form. Descriptive and Pearson’s chi-square test analysis were conducted (p<0.05). Results: 468 of dental practitioners had responded to our survey. More than three-quarter of dental practitioners worked in government sectors while almost a quarter worked in private sectors. 49.2% …

Antibacterial And Antibiofilm Efficacy Of Pineapple Hump (Ananas Comosus) On Porphyromonas Gingivalis In Vitro, Abdul Gani Soulissa, Billy Lombardo, Armelia Sari Widyarman

Journal of Dentistry Indonesia

Background: Periodontal disease is one of the most prevalent oral health problems in Indonesia that affects supporting tissues of the teeth. Porphyromonas gingivalis plays an important role in the pathogenesis of periodontal disease. Alternative therapy with natural plant extracts, including pineapple (Ananas comosus) hump extract may inhibit the growth of bacteria that cause periodontal disease. Objective: To determine the effect of pineapple hump extract on bacterial growth and adhesion of Porphyromonas gingivalis biofilms. Method: The bacterial inhibition test was performed by the agar well diffusion method, and biofilm density measurements were made using the biofilm assay method. Results: Pineapple hump …

The Effect Of Parabiotic Reuterin On The Expression Of Genes Involved In Candida Albicans Biofilm Formation: An Ex Vivo Study, Anastasya Muna Riad, Armelia Sari Widyarman

Journal of Dentistry Indonesia

Candida albicans has a number of properties, including resistance to various antimicrobial agents, which allow it to survive in the root canals. Lactobacillus reuteri plays a role in maintaining oral health through interactions with the oral microbiome. L. reuteri has potential as a preventive and therapeutic agent against inflammatory diseases. Objective: The aim of this study was to investigate the effect of irrigation with a reuterin-containing solution on BCR1, ACE2, EFG1, and TEC1 gene expression in C. albicans root canal biofilms. Methods: L. reuteri was cultured in MRS broth and incubated anaerobically for 24 hours at 37°C. C. albicans was …

Effects Of Different Finishing Procedures On Surface Roughness Of Hybrid Cad/Cam Materials, Ender Akan, Ozlem Colgecen, Ibrahim Talha Meşe, Bora Bağiş

Journal of Dentistry Indonesia

Hybrid ceramics combine the beneficial properties of resin with the advantage of glass ceramics. However, there are limited study about on roughness properties of hybrid materials. Objective: To investigate of the effects of surface finishing methods on roughness of dental restorations made from hybrid CAD/CAM blocks. Methods: A total of 60 samples were produced (n=20) for three main material groups, two different hybrid ceramic (LAVA Ultimate and VITA Enamic) and a conventional glass ceramic (IPS e.max CAD). Each material group was divided into two subgroups (n=10). Ten samples were polished and 10 were glazed according to related manufacturer instructions. Surface …

Physicians’ Behavior In Referring National Health Insurance Patients To Hospital, Natalia Natalia

Jurnal Ekonomi Kesehatan Indonesia

Physicians’ decision to refer patients in primary health care is vital in supporting the referral system. The increase of referral cases impacted the claims cost and hospital workload. This study aimed to analyze the physicians’ behavior in referring National Health Insurance (NHI) patients to hospitals. This study employed a qualitative method; 18 informants were selected using purposive sampling and analyzed using content analysis. The data were validated by triangulating method, source, and data. Physicians referred patients when the cases could not be handled; there were indications of severe disease and required further examination. The obstacles in the referral system were …

Evaluasi Capaian Peta Jalan Jkn Di Provinsi Bengkulu Studi Kasus Sectio Caesarea Tahun 2014 Sampai 2019, Susilo Wulan

Jurnal Ekonomi Kesehatan Indonesia

Bengkulu is one of the provinces in Indonesia where SC rate has increased significantly over the last five years after the implementation of JKN. Previous studies into SC trend in Indonesia indicate that both overutilization and underutilization of SC exist reflected inequality. SC is a public health concern since it absorbs a huge amount of JKN funds and is indicated to contribute to the BPJS deficit. This study evaluates the achievement of the SC case equity target in Bengkulu Province based on the 2014- 2019 JKN roadmap. Combining qualitative and quantitative approaches, analyzing secondary data from the BPJS routine data …

Pengaruh Pembatasan Sosial Dan Variabel Ekonomi Terhadap Prevalensi Pandemi Covid-19 Di Provinsi Jawa Barat, Jordi Aperdanaste, Alfiah Hasanah, Adiatma Y. M. Siregar

Jurnal Ekonomi Kesehatan Indonesia

There are numerous factors that might affect social restrictions regulation on the reduction of the number of Covid-19 cases in 27 cities and districts in West Java Province. This study aims to identify the effect of social restrictions and economic variables on Covid-19 pandemic in West Java Province. The investigation uses several data sourced from the Covid-19 Information & Coordination Center of West Java Province, and the Central Bureau of Statistics in West Java Province. The dependent variable in this study is the average increase in daily Covid-19 cases. Meanwhile, the independent variable in this study are dummy of social …

Analisis Efisiensi Relatif Di Unit Pelaksana Teknis Badan Pengawas Obat Dan Makanan Tahun 2019, Pantri Widyastuti, Atik Nurwahyuni

Jurnal Ekonomi Kesehatan Indonesia

The challenge of drug and food supervision requires the BPOM Technical Implementation Unit (UPT) to work optimally in the midst of limited resources. The analysis of the relative efficiency of the BPOM Technical Implementation Unit in 2019 was carried out with the aim of improving BPOM's planning, budgeting, and strategic policies in an effort to improve performance at each UPT. Calculation of relative efficiency using the DEA (Data Envelopment Analysis) method. This study uses a mixed method with a cross sectional research design. The research sample was 31 UPT BPOM that met the requirements as DMU (Decision Making Unit), 10 …

Estimasi Biaya Dan Evaluasi Program Intervensi Pemberian Pangan Olahan Untuk Keperluan Medis Khusus (Pkmk) Untuk Perbaikan Status Gizi Di Banyumas, Jawa Tengah, Hanifah Hasnur, Febyolla Presilawati

Jurnal Ekonomi Kesehatan Indonesia

The Government of Banyumas has implemented an intervention in the Provision of Processed Food for Special Medical Purposes (FSMP) with nutritional supplementation of 1.5 kcal/mL in 2019. However, there is no evaluation has been carried out, both of outcome and the cost of the intervention. So that, it is necessary to provide an initial picture of the resources needed for the formulation of future intervention plans. This study aims to determine the estimated cost required for FSMP intervention and to determine the outcome of the intervention. The economic evaluation was carried out partially by calculating costs from the perspective of …

Kajian Sistematis: Perkembangan Sistem Pembayaran Kapitasi Berbasis Penyesuaian Risiko Di Berbagai Negara, Aulia Agustina, Budi Hidayat

Jurnal Ekonomi Kesehatan Indonesia

Capitation is a payment method to primary health care providers. The application of capitation without considering risk adjustment could have a negative impact. There are several models of risk adjustment capitation payments. This study aims to review the development of the capitation payment system with risk adjustment for primary care in several countries. This study used the PRISMA method and got the articles from three online databases, namely Pubmed, EBSCOhost Medline, and Scopus. A total of 212 articles were collected, and 7 articles meet the criteria for further review. The review focuses on the risk-adjusted capitation payment system model. The …

The Health Status Of Labor Force In East Kalimantan Province: Effect Of Individual Characteristics And Household Conditions, Jaka Eben Heizer

Jurnal Ekonomi Kesehatan Indonesia

The aims of this research are first, to explore the factors that are associated with health status. Second, to address the individual characteristics and household conditions that affect the health status of labor force, taking into account the urban-rural differences. This research utilized data from SUSENAS Cor 2018, and employed a cross sectional - multinomial logistic regression analysis method. The dependent variable is the health conditions of the labor force. The findings show that, age and number of household members were significant for both sick and very sick health status in all two type of areas analyzed. In urban and …

The Relationship Between Collective Nursing Knowledge And Nurse Turnover: An Application Of Nursing Intellectual Capital Theory, Pamela Russman-Chambers

Doctorate of Nursing Science Dissertations

The value of a healthcare organization is vested in the expertise, intellect, and wisdom of employees. Nursing knowledge resides both within the individual nurse and the collective knowledge embedded in organizational structures and practice environments. Healthcare organizations rely on their ability to utilize this knowledge to deliver high-quality care to patients. Hospitals wanting to gain a competitive advantage and achieve financial stability must be adept at acquiring, cultivating, and using the nursing knowledge stocks of the organization. When this knowledge can be utilized to mitigate healthcare issues and improve patients' health, this collective knowledge or intellectual capital is often the …

The Affordable Care Act And Abortion: An Update, Phoebe Steiner

All Theses

The young adult provision of the Affordable Care Act (ACA) requires health insurance providers to offer dependent child coverage until the child of the enrollee turns 26 years old. The purpose of this provision is to increase health care access to a historically underinsured group. Abramowitz (2017) investigates the effect of the ACA’s young adult provision on the abortion rate. I will build on this foundation by including 2014-2018 data, extending the number of years examined. Using a difference-in-difference regression, I find the effect of the young adult provision on abortion rates to have a larger magnitude over an increased …

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 …

Long-Term Effects Of In Utero Exposure To “The Year Without A Summer”, Hamid Noghanibehambari, Farzaneh Noghani, Nahid Tavassoli, Mostafa Toranji

Economic and Business Review

This paper uses the aftermath of the great Tambora eruption in 1815 as a natural experiment to explore the long-term effects of a nutritional shock during prenatal development. The volcanic explosion of Tambora formed substantial ash columns which hampered sunlight, cooled down the surface temperature, reduced the length of the growing season, and led to a severe harvest failure during summer and winter of 1816 in Europe and northeastern states of America. US decennial census 1850 provides evidence that cohorts in utero during the climate anomaly revealed lower literacy rates, lower labor force participation rates, a fewer number of own …

A Game Theoretic Study On Csr And Government Intervention For Sustainable Production, Katherine Ann J. Fernandez, Joshua Ryan C. Go, Jean Nicole L. Ng, Bianca Alanis Ysabel C. Redulla, Jason P. Alinsunurin, Dickson A. Lim, Mariel Monica R. Sauler

Angelo King Institute for Economic and Business Studies (AKI)

We use a game theoretic approach to assess how the government can influence firms’ CSR investment and production decisions to enhance social welfare, considering the negative externalities brought by unsustainable production and positive externalities brought by CSR investments. Using a Stackelberg duopoly as a base model and lump-sum tax as the government’s decision variable, we find that when the government chooses not to intervene, it results in greater environmental damage as firms will underinvest in CSR and overproduce in quantity to achieve profit maximization. As such, the model extends to the assumption that the government acts as a benevolent dictator …

Health Insurance And Subjective Well-Being: Evidence From Two Healthcare Reforms In The United States, Seonghoon Kim

Research Collection School Of Economics

We study the role of access to health insurance coverage as a determinant of individuals' subjective well-being (SWB) by analyzing large-scale healthcare reforms in the United States. Using data from the Behavioral Risk Factor Surveillance System and Panel Study of Income Dynamics, we find that the 2006 Massachusetts reform and 2014 Affordable Care Act Medicaid expansion improved the overall life satisfaction of Massachusetts residents and low-income adults in Medicaid expansion states, respectively. The results are robust to various sensitivity and falsification tests. Our findings imply that access to health insurance plays an important role in improving SWB. Without considering psychological …

Oil Price Fluctuations Impact On The Lebanese Economic Well Being, Hanadi Taher

BAU Journal - Health and Wellbeing

This paper investigates the impact of oil price fluctuation on the Lebanese economic well being during the period from 1988 to 2018 using multivariable ordinary least square method with annual time series. taking the Lebanese GDP per capita as proxy for the economic wellbeing as dependent variable and the crud oil average annual prices as proxy for oil price fluctuations with Labor and gross fixed capital formation as two control variables. The test results show a significant and positive impact for the oil price fluctuations on the Lebanese economic well being and the significant results for control variables. In testing …

Predicting A Consumer’S Willingness To Fly With Covid-19 Passport: Domestic And International Models, Sean R. Crouse, Elizabeth K. Combs, Katherine Bell

Publications

COVID-19 has created a problematic situation for the aviation industry. As vaccines are developed and deployed, more individuals will be vaccinated. A COVID-19 passport has been proposed to ensure those flying into different areas will not increase the risk of spread. Method: This study used a multi-model analysis to develop two regression equations to determine predictive factors for a consumer’s willingness to fly with a COVID-19 passport, domestically or internationally. Participants answered demographics, universal emotions, perceived COVID-19 threat, personality traits, pre-pandemic flight habits, and their willingness to obtain the COVID-19 vaccine. A two-stage approach was used to conduct the data …

Do Minimum Charity Care Provision Requirements Increase Provision Of Charity Care In Nonprofit Hospitals?, Michah W. Rothbart, Nara Yoon

Population Health Research Brief Series

Nonprofit hospitals receive significant federal, state, and local tax exemptions, partly based on the rationale that nonprofit hospitals provide public goods and services. Through Minimum Charity Care Provision (MCCP) requirements, nonprofit hospitals are required to spend a certain percentage of their revenues on charity care. However, it is not clear whether these requirements increase spending on charity care. This brief summarizes findings from research examining the differences in provisions of charity care across different hospital market sectors – non-profit, for-profit, and government. Findings suggest that MCCP requirements for nonprofit hospitals do not lead to more charity care. If anything, targeting …

Family Structure Variables As Proxies For Socialization And Their Effect On Cognitive Decline: An Empirical Analysis, Peter Amato

Theses and Dissertations

The risk of several common diseases causing dramatic cognitive decline (Alzheimer’s, dementia, anterograde memory loss) and short-term memory impairment are all common, even inevitable ailments as one continues to age. There is a body of literature that suggests stronger social networks reduce the chance of cognitive decline through mentally stimulating activities or socializing. This study examines the rates of cognitive decline in people with larger families by using ordinary least squares (OLS) regression and a cox hazard proportion hazards model to examine the protective effects of different family structures on the rates of cognitive decline using the American Community Supplement …

A Latent Class Approach To The Utilization Effects Of The Aca, Dennis Jones

Theses and Dissertations

The dependent coverage provision of the Affordable Care Act raised eligibility for young adults to remain eligible their parents’ health care up to the age of 26. This study uses a combination of latent class analysis and difference-in-difference regression to examine the effect the intervention had on health care utilization.

Financial Toxicity During Breast Cancer Treatment: A Qualitative Analysis To Inform Strategies For Mitigation, Laila A. Gharzai, Kerry A. Ryan, Lauren Szczygiel, Susan Goold, Grace Li Smith, Sarah T. Hawley, John A.E. Pottow, Reshma Jagsi

Articles

Financial toxicity from cancer treatment is a growing concern. Its impact on patients requires refining our understanding of this phenomenon. We sought to characterize patients' experiences of financial toxicity in the context of an established framework to identify knowledge gaps and strategies for mitigation. Semistructured interviews with patients with breast cancer who received financial aid from a philanthropic organization during treatment were conducted from February to May 2020. Interviews were transcribed and coded until thematic saturation was reached, and findings were contextualized within an existing financial toxicity framework. Thirty-two patients were interviewed, of whom 58% were non-Hispanic White. The mean …