Health Economics Commons^™

Change In Outbreak Epicentre And Its Impact On The Importation Risks Of Covid-19 Progression: A Modelling Study, Oyelola A. Adegboye, Adeshina I. Adekunle, Anton Pak, Ezra Gayawan, Denis H. Y. Leung, Diana P. Rojas, Emma S. Mcbryde, Damon P. Eisen

Research Collection School Of Economics

Background: The outbreak of Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) that was first detected in the city of Wuhan, China has now spread to every inhabitable continent, but now the attention has shifted from China to other epicentres. This study explored early assessment of the influence of spatial proximities and travel patterns from Italy on the further spread of SARS-CoV-2 worldwide. Methods: Using data on the number of confirmed cases of COVID-19 and air travel data between countries, we applied a stochastic meta-population model to estimate the global spread of COVID-19. Pearson's correlation, semi-variogram, and Moran's Index were used to …

The Case For Public Investment In Higher Pay For New York State Home Care Workers: Estimated Costs And Savings, Isaac Jabola-Carolus, Stephanie Luce, Ruth Milkman

Publications and Research

This report explores one potential solution to the mounting home care labor shortage in New York State: substantially raising wages for the state's home care workers. The analysis presents detailed projections, based on the best available data, of the economic effects of such an intervention, estimating the costs and benefits that would result. We find that public funding to raise home care wages would require significant resources, but those costs would be surpassed by the resulting savings, tax revenues, and economic spillover effects. The net economic gain would total at least $3.7 billion. Lifting wages would also help fill nearly …

What Is The Impact Of Economic Stimulus Measures On Covid-19 Mortality Rates?, Stephanie C. Santaguida

University Honors Theses

This inquiry seeks to establish the degree to which economic stimulus measures impact COVID-19 mortality rates. There appears to be an inverse correlation between domestic social spending and COVID-19 deaths. While confirmed infections are the most reliable predictor of mortality rates, trust in government is an important factor to consider when public compliance with health directives determines the degree of epidemiological risk in each country. Although most economists agree that stimulus monies directed to low-income individuals to prevent financial collapse were appropriate, there is some dissention with regard to the type and size of such cash infusions. Nonetheless, behavioral economists …

Corona's Bio-Economic Crisis And The Post-Corona World, Cyrus Bina

Economics & Management Publications

While pandemics are pervasive, this is for the first time that the capitalist mode of production reached the outer limits of biology, biosphere, ecology, economy, geography, and international relations in unison resulting in an all-encompassing crises that devastated the entire planet. The upshot of this pandemic has overwhelmed the infrastructure of public health across the globe with stunning speed and with infections in millions in just a few months and the velocity of economic damage and devastation much worse than the Great Depression of the last century. It is also the “proof of the pudding” for the “conquest of mode …

Measuring Environmental (Dis)Amenity Value During A Pandemic: Early Evidence From Maryland, Nicholas B. Irwin, Mitchell R. Livy

Molasky Family Department of Economics and Real Estate Faculty Research

© 2021 The Authors With the outbreak of COVID-19 and the implementation of stay-at-home (SAH) orders aimed to mitigate its spread, households became less mobile and sheltered in place. This behavior has potential implications for how households’ value environmental (dis)amenities, especially those that are underutilized during the pandemic. In this paper, we explore changes in the valuation of two prominent environmental (dis)amenities – major roadway and open space proximity – by households within the Baltimore metropolitan region. We find evidence that the housing price capitalization of immediate major roadway proximity changes due to the SAH order and associated policies that …

Connected: Using A Novel In-House Communication System To Efficiently Deliver Imaging Results, Daniel Greentree, Brendan R. Calhoun, Steven Farraher

Journal of Maine Medical Center

Introduction: The primary objective was to investigate the effectiveness of a fully staffed electronic communication system (1Connect) in delivering timely critical imaging results and incidental findings. The secondary objective was to evaluate the financial impact of this system on a radiology practice.

Methods: From January 2014 through June 2016, the 1Connect database was retrospectively reviewed and sorted by category of submission type: Critical (1-hour communication time), STAT (2 hours), or Unexpected finding (3 business days). The percent of successful communications completed within the appropriate time frame was calculated for each priority category and used as a measure of the system’s …

The Social Determinants Of Diabetes And Coronary Heart Disease In South Asian American Immigrants, Mishal Ayaz

Electronic Theses and Dissertations

An astounding 20% of South Asian Americans have diabetes (Matthews and Zachariah 2008). Conventional risk factors for coronary heart disease includes: age older than 65, sedentary lifestyle, cigarette smoking, hypertension, elevated low-density lipoprotein (LDL), cholesterol, and type 2 diabetes, all factors beyond health care (italicized for emphasis) (Mathews and Zachariah 2008). But conventional risk factors alone are not sufficient to predict the alarmingly high rates of coronary heart disease (“CHD”) for South Asian Americans. In fact, the only conventional risk factor more prevalent in this community than others is diabetes. So, the question remains, what factors are contributing to the …

Children’S Health And Maternal Work Activities, Termeh Tavangar

Electronic Theses and Dissertations

I estimate the effect of poor child health on maternal labor force participation. Mothers of health-impaired children may decide not to work and stay at home to take care of their children. Alternatively, mothers may choose to enter the labor force to pay for these children’s additional resources. Which action dominates is the empirical question I answer in this paper. I control for the potential endogeneity of a child’s health status by using an instrumental variables approach. I find that if mothers have a child in poor health, the probability that the mother works is decreased by thirteen percentage points, …

An Impact Evaluation Of Covid-19 Training Program: Knowledge And Awareness Of Public Health Professionals Of Province Five, Nepal, Alok K. Bohara, Swati Thapa, Siobhan K. Yilmaz, Spencer H. Mcbee

Himalayan Research Papers Archive

With the declaration of a worldwide pandemic in March 2020 (World Health Organization 2020), COVID-19 has become a primary focus of governments and public health systems across the world with increases in infection and death rates. By mid-April 2020, more than 80% of countries had imposed containment and mitigation measures. But for developing nations, the threats of this global pandemic are more acute given the lack of resources and the capacity to deal with a shock of this magnitude (Loayza 2020). Despite calling for a lockdown on March 24th, 2020 (Pradhan 2020), Nepal faces several public health challenges including limited …

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 …

Essays On The Role Of Policies In Major Public Health Issues, Anh Le

Theses and Dissertations--Economics

This dissertation explores the role of policy on health outcomes and behaviors that relate to major public health concerns. Essay 1 and Essay 2 investigate the effects of Medicaid expansions on substance-use outcomes. Essay 3 examines the impacts of school reopenings in Texas on COVID-19 and mobility outcomes.

Essay 1 studies the effect of the Affordable Care Act Medicaid expansion. Using State Drug Utilization Data 2011-2017, I find that the Medicaid expansion is associated with an increase of 40-60 Medicaid-paid opioid prescriptions per 1,000 people aged 19–64. However, the results suggest that post-expansion prescriptions are, on average, shorter or prescribed …

Protecting Life And Lung: Protected Areas Affect Fine Particulate Matter And Respiratory Hospitalizations In The Brazilian Amazon Biome., Derek Michael Sheehan

Graduate Student Theses, Dissertations, & Professional Papers

I assessed the impacts of upwind protected area coverage on local respiratory health within the Brazilian Amazon. A hypothesized mechanism is the legal prohibition of human ignited fires within protected areas, reducing particulate matter pollution, impacting respiratory health downwind. The connection between fires and respiratory diseases in the Amazon is well established (Smith et al. 2014; Rangel and Vogl 2019; Rocha and Sant’anna 2020). What is not well understood is the potential that government policies aimed at preventing ecosystem loss may also promote health and wellbeing, combining the UN sustainable development goals 3 and 15. Protected areas currently dominate government …

Cost-Effectiveness Analysis Of Managed Care For Osteoporotic Hip Fractures, Benchaporn Kotnarin

Chulalongkorn University Theses and Dissertations (Chula ETD)

Osteoporotic fracture patients are still unidentified, untreated for osteoporosis. This group of patients is likely to have recurrent fractures and has more morbidity, these problems put a burden on the high cost of taking care of patients and poor clinical outcomes. The intervention for improving the quality of osteoporosis treatment, King Chulalongkorn Memorial Hospital (KCMH) calls “Managed care”. Managed care has an orthopedist who plays a crucial role in fragility fracture and long-term osteoporosis treatment. The purpose of this study is to access the cost-effectiveness of managed care for patients aged 50 years and over with osteoporotic hip fractures compared …

Cost-Effectiveness Of Interventions Targeting Hard-To-Reach Populations Living With Hiv In Eastern And Southern Africa, Deo Mujwara

Theses and Dissertations

In Eastern and Southern Africa, hard-to-reach populations (e.g., long distance truck drivers and female sex workers), defined as populations that are difficult to interact or engage with due to their unique behaviors and characteristics, are disproportionately affected by the HIV epidemic and are at high-risk of acquiring and transmitting HIV. Further, these populations have substantially low uptake of HIV testing services, and those that have been diagnosed with HIV and on antiretroviral therapy experience high loss-to-follow-up from treatment programs.

Hard-to-reach populations face unique barriers in accessing and utilizing routine HIV care such as provider stigmatization towards sex workers and highly …

Quantifying The Benefits Of The Expanded Food And Nutrition Education Program (Efnep) Using Biomarkers For Chronic Disease Risk, Richard Acquah-Sarpong

Electronic Theses and Dissertations

The Expanded Food and Nutrition Education Program (EFNEP) is among the major nutrition education programs funded by the United States Department of Agriculture (USDA) with the aim of reducing food insecurity among low-income families. The program reaches about 70,000 adults and youth of low-income families in the US, District of Columbia, and six U.S. territories. Prior studies have used self-reported data, which possesses measurement errors, to estimate the benefits of the program. This can lead to underestimation or overestimation of results. To address this limitation, I use clinically measured objective biomarkers, such as body mass index (BMI), blood sugar level …

Benefit-Cost Analysis Of Covid-19 Policy Intervention At The State And National Level, James L. Doti

Economics Faculty Articles and Research

This study analyzes the benefits of statewide policy intervention in reducing COVID-19 deaths and the costs of that intervention in lost jobs and lower real gross state product (RGSP). Policy interventions are measured by the Oxford stringency index which places a daily numerical value on the level of a state’s policy intervention.

Empirical evidence is provided that shows policy interventions have reduced COVID-19 deaths by 375,000 lives in 2020. On the cost side, it was found that policy intervention resulted in a loss of 7.3 million jobs and a decline of $410 billion in RGSP.

The study concludes by integrating …

Three Essays On Grocery Sales Taxes, Lingxiao Wang

Theses and Dissertations--Agricultural Economics

Grocery sales taxes represent a stable tax revenue stream for state and municipal government, but there is rare empirical evidence suggesting grocery taxes may adversely affect health. In addition, the how governments set grocery sales taxes is still unclear. Therefore, based on a novel national dataset of annual county and state-level grocery taxes from 2009 through 2016, the following three essays in the dissertation investigate the health impacts of grocery sales taxes and the causes of grocery sales taxes in a framework of tax competition.

In the first essay, we document the spatial and temporal variation in grocery taxes and …

Neither “Post-War” Nor Post-Pregnancy Paranoia: How America’S War On Drugs Continues To Perpetuate Disparate Incarceration Outcomes For Pregnant, Substance-Involved Offenders, Becca S. Zimmerman

Pitzer Senior Theses

This thesis investigates the unique interactions between pregnancy, substance involvement, and race as they relate to the War on Drugs and the hyper-incarceration of women. Using ordinary least square regression analyses and data from the Bureau of Justice Statistics’ 2016 Survey of Prison Inmates, I examine if (and how) pregnancy status, drug use, race, and their interactions influence two length of incarceration outcomes: sentence length and amount of time spent in jail between arrest and imprisonment. The results collectively indicate that pregnancy decreases length of incarceration outcomes for those offenders who are not substance-involved but not evenhandedly -- benefitting white …

Policies Addressing Barriers To Low-Income Women And Children’S Health Care Utilization In The United States And Kenya: The Role Of Physician Payments And Cash Transfer Programs, Muloongo Simuzingili

Theses and Dissertations

This dissertation examined two policies to improve low-income women and children’s healthcare utilization: physician payments and cash transfer programs. Higher physician payments increase the supply of healthcare services while cash transfers increase individuals’ demand for healthcare services. Cash transfer programs can improve health outcomes, yet the extent to which they are a cost-effective strategy is largely understudied. Therefore, this dissertation examines three overarching research questions:

1. Are Medicaid physician fees associated with access to substance abuse disorder (SUD) treatment among low-income women of reproductive age?
2. Do economic preferences moderate cash transfer program effects on children’s health care utilization? Evidence from a …

A Network Pandemic: Exploring The Effects Of Social Connectedness On The Spread Of Covid-19 In The United States, Mrinalini Bhushan

CMC Senior Theses

Social interactions influence the way we think and act. Recent literature on COVID-19 and social connectedness explores how social interactions influence people’s perceptions of the risk from COVID-19 and their behaviors. This paper seeks to investigate how social connectedness, political ideologies, and physical interaction are associated with local COVID-19 case and death rates at the US county level. Social connectedness, as defined by (Bailey et al, 2018) measures connectedness between US counties based on Facebook friendship links. I examine whether a county’s average social connectedness to other counties, as determined by the Facebook index, has an impact on its own …