Scholars@Duke
Frank A. Sloan

Frank A. Sloan CV

J. Alexander McMahon Distinguished Professor Emeritus of Health Policy and Management
Economics
fsloan@duke.edu
Box 90097, Durham, NC 27708-0253
236 Social Sciences Bldg, Durham, NC 27708
CV

Selected Publications

Subjective beliefs, health, and health behaviors

Journal Article Journal of Risk and Uncertainty · October 1, 2024 This article reviews economic studies based on data from high income countries published from 2007 to early 2024 to address three questions: (1) How accurate are subjective beliefs, mainly measured by subjective probabilities, compared to their objective c ... Full text Cite

Patient reported treatment burden and attitudes towards in-home intravesical therapy among patients with bladder cancer.

Journal Article Urologic oncology · February 2024 PurposeTo quantify patient reported treatment burden while receiving intravesical therapy for bladder cancer and to survey patient perspectives on in-home intravesical therapy.Materials and methodsWe conducted a cross-sectional survey of ... Full text Cite

Relative Productivity of For-Profit Hospitals: A Big or a Little Deal?

Journal Article Medical care research and review : MCRR · August 2023 This study asks: Does the empirical evidence support the conclusion that for-profit (FP) hospitals are more productive or efficient than private not-for-profit (NFP) hospitals or non-federal public (PUB) hospitals? Alternative theories of NFP behavior are ... Full text Cite

Diabetes, Edentulism, and Cognitive Decline: A 12-Year Prospective Analysis.

Journal Article J Dent Res · July 2023 Diabetes mellitus (DM) is a recognized risk factor for dementia, and increasing evidence shows that tooth loss is associated with cognitive impairment and dementia. However, the effect of the co-occurrence of DM and edentulism on cognitive decline is under ... Full text Link to item Cite

Do smokers respond to health shocks?

Chapter · December 13, 2022 This paper reports the first effort to use data to evaluate how new information, acquired through exogenous health shocks, affects people's longevity expectations. We find that smokers react differently to health shocks than do those who quit smoking or ne ... Full text Cite

Longevity expectations and death: Can people predict their own demise?

Chapter · December 13, 2022 This study tests the reliability of the most important subjective risk assessment a person can make: an expectation about personal longevity. Using four waves of the Health and Retirement Survey we tested whether longevity expectations match actual mortali ... Full text Cite

Information, addiction, and 'bad choices': Lessons from a century of cigarettes

Chapter · December 13, 2022 This study describes government interventions during the 1900s and their effects on cigarette consumption within a rational addiction framework. With annual data for the 20th century, impacts of specific antismoking information events disappear. U.S. per c ... Full text Cite

Oral Health, Diabetes, and Inflammation: Effects of Oral Hygiene Behaviour.

Journal Article Int Dent J · August 2022 INTRODUCTION: The aim of this research was to assess the association between inflammation and oral health and diabetes, as well as the mediating role of oral hygiene practice in this association. METHODS: Data were from the 2009-2010 National Health and Nu ... Full text Link to item Cite

The Opioid Epidemic Blunted the Mortality Benefit of Medicaid Expansion.

Journal Article Medical care research and review : MCRR · April 2021 Although the Affordable Care Act's Medicaid expansion reduced uninsurance, less is known about its impact on mortality, especially in the context of the opioid epidemic. We conducted a difference-in-differences study comparing trends in mortality between e ... Full text Cite

Ten-year impacts of China's rural health scheme: lessons for universal health coverage.

Journal Article BMJ Glob Health · April 2021 China has made profound progress in advancing universal health coverage (UHC) over the past two decades. New Cooperative Medical Scheme (NCMS) was initiated in 2003 to provide health insurance coverage to rural population. Its benefit packages and cost-sha ... Full text Link to item Cite

The Impact of Income-Related Medicare Part B Premiums on Labor Supply

Journal Article ILR Review · March 1, 2021 The 2003 Medicare Modernization Act introduced income-related premiums on Medicare coverage for professional services (Part B) for the first time. Beginning in 2007, higher-income households were required to pay higher premiums for Part B coverage, which r ... Full text Cite

Quality and Cost of Care by Hospital Teaching Status: What Are the Differences?

Journal Article The Milbank quarterly · March 2021 Policy Points In two respects, quality of care tends to be higher at major teaching hospitals: process of care and long-term survival of cancer patients following initial diagnosis. There is also evidence that short-term (30-day) mortality is lower on aver ... Full text Cite

Changes in Mental Health Following the 2016 Presidential Election.

Journal Article Journal of general internal medicine · January 2021 BackgroundThe 2016 presidential election and the controversial policy agenda of its victor have raised concerns about how the election may have impacted mental health.ObjectiveAssess how mental health changed from before to after the Nove ... Full text Cite

Effects of the Co-occurrence of Diabetes Mellitus and Tooth Loss on Cognitive Function.

Journal Article Curr Alzheimer Res · 2021 OBJECTIVE: Both diabetes mellitus (DM) and poor oral health are common chronic conditions and risk factors of Alzheimer's disease and related dementia among older adults. This study assessed the effects of DM and complete tooth loss (TL) on cognitive funct ... Full text Link to item Cite

How Influenza Vaccination Rate Variation Could Inform Pandemic-Era Vaccination Efforts.

Journal Article Journal of general internal medicine · November 2020 Full text Cite

The Cost to Medicare of Bladder Cancer Care.

Journal Article European urology oncology · August 2020 BackgroundBladder cancer care is costly, including cost to Medicare, but the medical cost associated with bladder cancer patients relative to identical persons without bladder cancer is unknown.ObjectiveTo determine incremental bladder ca ... Full text Open Access Cite

Partitioning of time trends in prevalence and mortality of bladder cancer in the United States.

Journal Article Annals of epidemiology · July 2020 PurposeThe aim of the study was to evaluate the relative contributions of incidence, stage-specific relative survival, and stage ascertainment to changes in bladder cancer (BC) prevalence and incidence-based mortality.MethodsPartitioning ... Full text Open Access Cite

Mothers and fathers in the criminal justice system and children's child protective services involvement.

Journal Article Child abuse & neglect · March 2020 BackgroundParental criminal justice system (CJS) involvement is a marker for child protective services (CPS) involvement.ObjectiveTo document how parental criminal case processing affects children's CPS involvement.Participants and se ... Full text Cite

Longitudinal patterns of cost and utilization of medicare beneficiaries with bladder cancer.

Journal Article Urologic oncology · February 2020 BackgroundBladder cancer (BC) is highly prevalent and costly. This study documented cost and use of services for BC care and for other (non-BC) care received over a 15-year follow-up period by a cohort of Medicare beneficiaries diagnosed with BC i ... Full text Open Access Cite

A forecasting model of disease prevalence based on the McKendrick-von Foerster equation.

Journal Article Math Biosci · May 2019 A new model for disease prevalence based on the analytical solutions of McKendric-von Foerster's partial differential equations is developed. Derivation of the model and methods to cross check obtained results are explicitly demonstrated. Obtained equation ... Full text Link to item Cite

Present bias and health.

Journal Article Journal of risk and uncertainty · October 2018 This study uses a dynamic discrete choice model to examine the degree of present bias and naivete about present bias in individuals' health care decisions. Clinical guidelines exist for several common chronic diseases. Although the empirical evidence for s ... Full text Cite

Identifying the causes of the changes in the prevalence patterns of diabetes in older U.S. adults: A new trend partitioning approach.

Journal Article J Diabetes Complications · April 2018 AIMS: To identify how efforts to control the diabetes epidemic and the resulting changes in diabetes mellitus, type II (T2D) incidence and survival have affected the time-trend of T2D prevalence. METHODS: A newly developed method of trend decomposition was ... Full text Link to item Cite

Adherence to Guidelines for Screening and Medication Use: Mortality and Onset of Major Macrovascular Complications in Elderly Persons With Diabetes Mellitus.

Journal Article Journal of aging and health · April 2018 ObjectiveThe objective of this study is to investigate relationships between adherence to recommended screening and medication use and severe macrovascular complications and all-cause mortality among persons aged above 68 years with diabetes melli ... Full text Cite

Mortality and Macrovascular Risk in Elderly With Hypertension and Diabetes: Effect of Intensive Drug Therapy.

Journal Article Am J Hypertens · January 12, 2018 BACKGROUND: This study identifies the effect of intensive drug therapy (IDT) in individuals age 65+ with diabetes (type 2 diabetes mellitus (T2D)) and hypertension on all-cause death, congestive heart failure (CHF), hospitalization for myocardial infarctio ... Full text Link to item Cite

Is Major Depression Linked to Alcohol-Impaired Driving?

Journal Article Substance use & misuse · December 2017 BackgroundAlcohol-impaired driving causes a substantial proportion of motor vehicle accidents. Depression is a prevalent psychiatric disorder among drinker-drivers. Few previous studies have investigated the relationship between major depression a ... Full text Cite

Prosecution, Conviction, and Deterrence in Child Maltreatment Cases

Journal Article Criminal Justice and Behavior · October 1, 2017 This study examines how decisions made by the criminal justice system in child maltreatment cases affect defendants’ future probability of committing a child maltreatment offense, another offense, or having a child involved in child protective services (CP ... Full text Cite

1918 Influenza Pandemic: In Utero Exposure in the United States and Long-Term Impact on Hospitalizations.

Journal Article American journal of public health · September 2017 ObjectivesTo explore associations between in utero exposure to the 1918 influenza pandemic and hospitalization rates in old age (≥ 70 years) in the United States.MethodsWe identified individuals exposed (mild and deadly waves) and unexpos ... Full text Cite

Trends in elderly health by cohort: Evidence from China

Journal Article China Economic Review · July 1, 2017 China has the world's largest number of older persons and is undergoing rapid demographic and economic transitions. Using longitudinal data from seven waves of the China Health and Nutrition Survey (CHNS) spanning 1991–2009, this study examines trends by b ... Full text Cite

Estimating the Cost of Neurosurgical Procedures in a Low-Income Setting: An Observational Economic Analysis.

Journal Article World Neurosurg · May 2017 BACKGROUND: There are no data on cost of neurosurgery in low-income and middle-income countries. The objective of this study was to estimate the cost of neurosurgical procedures in a low-resource setting to better inform resource allocation and health sect ... Full text Link to item Cite

Theory of partitioning of disease prevalence and mortality in observational data.

Journal Article Theor Popul Biol · April 2017 In this study, we present a new theory of partitioning of disease prevalence and incidence-based mortality and demonstrate how this theory practically works for analyses of Medicare data. In the theory, the prevalence of a disease and incidence-based morta ... Full text Open Access Link to item Cite

Alcohol-Impaired Driving and Perceived Risks of Legal Consequences.

Journal Article Alcoholism, clinical and experimental research · February 2017 BackgroundDriving while impaired (DWI) is a threat to public health. Codified legal sanctions are a widely implemented strategy to reduce DWI. However, it is unclear that sanctioning affects individual risk perceptions so as to deter alcohol-impai ... Full text Cite

Does the probability of DWI arrest fall following participation in DWI and hybrid drug treatment court programs?

Journal Article Accident analysis and prevention · October 3, 2016 Using North Carolina administrative data, this study examined recidivism following participation in specialty hybrid drug and driving while intoxicated (DWI) court programs. Three court program participation levels were considered-being referred to, enroll ... Cite

Introducing Anti-Vascular Endothelial Growth Factor Therapies for AMD Did Not Raise Risk of Myocardial Infarction, Stroke, and Death.

Journal Article Ophthalmology · October 2016 PurposeTo assess the effect of availability of anti-vascular endothelial growth factor (VEGF) therapy on mortality and hospitalizations for acute myocardial infarction (AMI) and stroke over a 5-year follow-up period in United States Medicare benef ... Full text Open Access Cite

Deterring Rearrests for Drinking and Driving.

Journal Article Southern economic journal · October 2016 This study assesses why some individuals are re-arrested for driving while intoxicated (DWI). Using longitudinal data from North Carolina containing information on arrests and arrest outcomes, we test hypotheses that individuals prosecuted and convicted of ... Full text Cite

Criminally Involved Parents Who Misuse Substances and Children's Odds of Being Arrested as a Young Adult: Do Drug Treatment Courts Mitigate the Risk?

Journal Article Journal of child and family studies · August 2016 This paper examined (1) the association between parents who are convicted of a substance-related offense and their children's probability of being arrested as a young adult and (2) whether or not parental participation in an adult drug treatment court prog ... Full text Cite

Changes in Visual Function in the Elderly Population in the United States: 1995-2010.

Journal Article Ophthalmic epidemiology · June 2016 PurposeTo document recent trends in visual function among the United States population aged 70+ years and investigate how the trends can be explained by inter-temporal changes in: (1) population sociodemographic characteristics, and chronic diseas ... Full text Cite

Effect of Prior Anti-VEGF Injections on the Risk of Retained Lens Fragments and Endophthalmitis after Cataract Surgery in the Elderly.

Journal Article Ophthalmology · February 2016 PurposeTo investigate the effect of prior intravitreal anti-vascular endothelial growth factor (VEGF) injections on surgical and postoperative complication rates associated with cataract surgery in a nationally representative longitudinal sample o ... Full text Open Access Cite

Parental Criminal Justice Involvement and Children's Involvement With Child Protective Services: Do Adult Drug Treatment Courts Prevent Child Maltreatment?

Journal Article Substance use & misuse · January 2016 BackgroundIn light of evidence showing reduced criminal recidivism and cost savings, adult drug treatment courts have grown in popularity. However, the potential spillover benefits to family members are understudied.ObjectivesTo examine: ... Full text Open Access Cite

Factors predicting prosecution of child maltreatment cases

Journal Article Children and Youth Services Review · 2016 Objectives The purpose of the current study was to examine what case characteristics increased the likelihood of a child maltreatment case being prosecuted, and upon prosecution, of being convicted. Methods Data came from 406 criminal court case files f ... Link to item Cite

Analysis of the Natural History of Dementia Using Longitudinal Grade of Membership Models

Chapter · January 1, 2016 We present a longitudinal form of the Grade of Membership (GoM) model for time-varying covariates, provide a self-contained description of its estimation, and illustrate its application with a substantively meaningful analysis of the progression of dementi ... Full text Cite

Adherence to diabetes guidelines for screening, physical activity and medication and onset of complications and death.

Journal Article Journal of diabetes and its complications · November 2015 AimsAnalyze relationships between adherence to guidelines for diabetes care - regular screening; physical activity; and medication - and diabetes complications and mortality.MethodsOutcomes were onset of congestive heart failure (CHF), st ... Full text Open Access Cite

Explaining Disability Trends in the U.S. Elderly and Near-Elderly Population.

Journal Article Health services research · October 2015 ObjectiveTo examine disability trends among U.S. near-elderly and elderly persons and explain observed trends.Data source1996-2010 waves of the Health and Retirement Study.Study designWe first examined trends in Activities of Dai ... Full text Cite

Intergenerational effects of parental substance-related convictions and adult drug treatment court participation on children's school performance.

Journal Article The American journal of orthopsychiatry · September 2015 This study examined the intergenerational effects of parental conviction of a substance-related charge on children's academic performance and, conditional on a conviction, whether completion of an adult drug treatment court (DTC) program was associated wit ... Full text Open Access Cite

Effect of diabetes mellitus on giant cell arteritis.

Journal Article Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society · June 2015 BackgroundTo determine if Type 2 diabetes mellitus (DM) is protective against giant cell arteritis (GCA) and to estimate the incidence of GCA diagnosis from Medicare claims.MethodsMedicare 5% claims files from 1991 to 2011 were used to id ... Full text Open Access Cite

Do preferences of drinker-drivers differ?

Journal Article International journal of health economics and management · June 2015 Why people engage in illegal activities is not well understood. Using data collected for this research from eight cities in four states, this study investigates alternative explanations as to why people drive while intoxicated (DWI). We find that preferenc ... Full text Cite

Relation between BMI and diabetes mellitus and its complications among US older adults.

Journal Article Southern medical journal · January 2015 ObjectivesThis study examined relations between elevated body mass index (BMI) and time to diagnosis with type 2 diabetes mellitus and its complications among older adults in the United States.MethodsData came from the Medicare Current Be ... Full text Open Access Cite

Risk perceptions and smoking decisions of adult Chinese men.

Journal Article Journal of health economics · January 2015 This study analyzes effects of changes in risk perceptions of smoking's health harms on actual and attempted quits and quitting intentions of male smokers in China. Our survey of 5000+ male smokers was conducted two years after their neighbor's lung cancer ... Full text Cite

Editorial

Journal Article American Journal of Health Economics · January 1, 2015 Full text Cite

Gaps in receipt of regular eye examinations among medicare beneficiaries diagnosed with diabetes or chronic eye diseases.

Journal Article Ophthalmology · December 2014 ObjectiveTo examine a wide range of factors associated with regular eye examination receipt among elderly individuals diagnosed with glaucoma, age-related macular degeneration, or diabetes mellitus (DM).DesignRetrospective analysis of Med ... Full text Open Access Cite

An economic framework for preventive care advice.

Journal Article Health affairs (Project Hope) · November 2014 Under the Affordable Care Act, preventive care measures, including vaccinations and screenings, recommended by the Advisory Committee on Immunization Practices and the US Preventive Services Task Force must be covered in full by insurance. These recommenda ... Full text Cite

How does family drug treatment court participation affect child welfare outcomes?

Journal Article Child abuse & neglect · October 2014 Parental substance use is a risk factor for child maltreatment. Family drug treatment courts (FDTCs) have emerged in the United States as a policy option to treat the underlying condition and promote family preservation. This study examines the effectivene ... Full text Open Access Cite

The effects of participation level on recidivism: a study of drug treatment courts using propensity score matching.

Journal Article Substance abuse treatment, prevention, and policy · September 2014 BackgroundEmpirical evidence has suggested that drug treatment courts (DTCs) reduce re-arrest rates. However, DTC program completion rates are low and little is known about the effectiveness of lower levels of program participation.Objectives< ... Full text Open Access Cite

Cost offsets to medicare attributable to receipt of hip, knee, and shoulder arthroplasty.

Journal Article Arthritis care & research · August 2014 ObjectiveTo estimate trends in numbers of and Medicare payments for hip, knee, and shoulder arthroplasties for beneficiaries with osteoarthritis (OA) and potential savings to Medicare from arthroplasty during followup.MethodsThe analysis ... Full text Cite

Addiction, drinking behavior, and driving under the influence.

Journal Article Substance use & misuse · May 2014 Using a survey of drinkers (N = 1,634), we evaluated alternative explanations of heavy and binge drinking, driving under the influence (DUI), DUI arrests, speeding citations, and chargeable accidents. Explanations included socializing, short-term decision- ... Full text Cite

The behavioral economics of drunk driving.

Journal Article Journal of health economics · May 2014 This study investigates whether drinker-drivers attributes are associated with imperfect rationality or irrationality. Using data from eight U.S. cities, we determine whether drinker-drivers differ from other drinkers in cognitive ability, ignorance of dri ... Full text Cite

The effects of technological advances on outcomes for elderly persons with exudative age-related macular degeneration.

Journal Article JAMA ophthalmology · April 2014 IMPORTANCE Exudative age-related macular degeneration (ARMD) is the major cause of blindness among US elderly. Developing effective therapies for this disease has been difficult. OBJECTIVES To assess the effects of introducing new therapies for treating ex ... Full text Cite

Corrections For Racial Disparities in Law Enforcement

Journal Article William and Mary law review · April 2014 Much empirical analysis has documented racial disparities at the beginning and end stages of a criminal case. However, our understanding about the perpetuation of - and even corrections for - differential outcomes as the process unfolds remains less than c ... Cite

Productivity improvements in hip and knee surgery.

Journal Article Arthritis · January 2014 Productivity improvements that occur as technologies become widely used are not well documented. This study measured secular trends over 1998-2010 in productivity of hip and knee procedures gauged in terms of changes in physical function and pain after ver ... Full text Cite

Depression, Alcohol Dependence and Abuse, and Drinking and Driving Behavior.

Journal Article Journal of behavioral health · January 2014 BackgroundAlcohol dependence/abuse and depression are positively related. Prior studies focused on relationships between drinking and driving and alcohol dependence/abuse, drinking and driving and problem drinking, or drinking and driving and depr ... Full text Cite

Smoking, Economics of

Chapter · January 1, 2014 Why five decades since smoking's harms were first widely publicized do 20% of US adults smoke? Theoretical frameworks to explain smoking come in three forms: rational, imperfectly rational, and irrational addiction. A reason rational people smoke and other ... Full text Cite

Longer term effects of total knee arthroplasty from a national longitudinal study.

Journal Article Journal of aging and health · September 2013 ObjectiveThis study used data for 1996-2010 from a U.S. longitudinal sample of elderly individuals from the Health and Retirement Study (HRS) merged with Medicare claims data to assess changes in several dimensions of physical functioning and gene ... Full text Cite

Are People Overoptimistic about the Effects of Heavy Drinking?

Journal Article Journal of risk and uncertainty · August 2013 We test whether heavy or binge drinkers are overly optimistic about probabilities of adverse consequences from these activities or are relatively accurate about these probabilities. Using data from a survey in eight cities, we evaluate the relationship bet ... Full text Cite

Race, gender, and risk perceptions of the legal consequences of drinking and driving.

Journal Article Journal of safety research · June 2013 IntroductionThis study investigated whether subjective beliefs about the consequences of driving while intoxicated (DWI) differ by race/gender.MethodBeliefs affect driving behaviors and views of police/judicial fairness. The researchers c ... Full text Cite

Diffusion of technologies for the care of older adults with exudative age-related macular degeneration.

Journal Article American journal of ophthalmology · April 2013 PurposeTo determine patterns of diffusion of diagnostic tests and therapeutic interventions in the United States through 2010 for patients with newly diagnosed exudative macular degeneration (AMD).DesignRetrospective longitudinal cohort a ... Full text Cite

Effects of admission and treatment strategies of DWI courts on offender outcomes.

Journal Article Accident; analysis and prevention · April 2013 PurposeThe purpose of this study is to classify DWI courts on the basis of the mix of difficult cases participating in the court (casemix severity) and the amount of involvement between the court and participant (service intensity). Using our clas ... Full text Cite

Emergency room and inpatient use after cardiac pacemaker implantation.

Journal Article The American journal of cardiology · February 2013 Although studies have demonstrated health benefits, there is limited evidence on utilization and cost changes associated with cardiac pacemaker implantation from national community samples. The aim of this study was to quantify changes in emergency room (E ... Full text Cite

Deterring domestic violence: Do criminal sanctions reduce repeat offenses?

Journal Article Journal of Risk and Uncertainty · February 1, 2013 This study presents an empirical analysis of domestic violence case resolution in North Carolina for the years 2004 to 2010. The key hypothesis is that penalties at the level set for domestic violence crimes reduce recidivism (re-arrest on domestic violenc ... Full text Cite

Do specialty courts achieve better outcomes for children in foster care than general courts?

Journal Article Evaluation review · February 2013 ObjectiveThis study assessed the effects of unified family and drug treatment courts (DTCs) on the resolution of cases involving foster care children and the resulting effects on school performance.MethodThe first analytic step was to ass ... Full text Open Access Cite

Geographic adjustment in medicare payment: Phase II: Implications for access, quality, and efficiency

Book · December 1, 2012 Medicare, the world's single largest health insurance program, covers more than 47 million Americans. Although it is a national program, it adjusts payments to hospitals and health care practitioners according to the geographic location in which they provi ... Full text Cite

Glaucoma, Alzheimer disease and other dementia: a longitudinal analysis.

Journal Article Ophthalmic Epidemiol · October 2012 PURPOSE: To evaluate the risk of developing Alzheimer disease (AD) or other dementia in patients diagnosed with open-angle glaucoma (OAG) in a nationally representative longitudinal sample of elderly persons. METHODS: This retrospective cohort study (Janua ... Full text Link to item Cite

The Economics of Vaccines

Chapter · September 18, 2012 This article discusses preventive vaccines, focusing on features that differentiate these vaccines from other biopharmaceuticals. The external costs of infectious diseases imply external benefits from effective vaccines, and this has motivated public manda ... Full text Cite

Despite 'welcome to Medicare' benefit, one in eight enrollees delay first use of part B services for at least two years.

Journal Article Health Aff (Millwood) · June 2012 Much research has focused on the possible overuse of health care services within Medicare, but there is also substantial evidence of underuse. In recent years, Congress has added a "welcome to Medicare" physician visit and a number of preventive services w ... Full text Link to item Cite

Geographic adjustment in medicare payment: Phase I: Improving accuracy: Second edition

Book · May 23, 2012 Medicare is the largest health insurer in the United States, providing coverage for 39 million people aged 65 and older and 8 million people with disabilities, and reaching more than an estimated $500 billion in payments in 2010. Although Medicare is a nat ... Full text Cite

Student Solutions Manual to Accompany Health Economics

Book · April 2012 Health Economics combines economic concepts with empirical evidence to enhance students’ economic understanding of how health care institutions and markets function. It views the subject in both microeconomic and macroeconomic terms, moving from the indivi ... Cite

Health Economics

Book · March 2012 This book introduces students to the growing research field of health economics. Rather than offer details about health systems around the world without providing a theoretical context, Health Economics combines economic concepts with empirical evidence to ... Cite

Longitudinal evidence on punctal plug use in an elderly population.

Journal Article Ophthalmic Plast Reconstr Surg · 2012 PURPOSE: The purpose of this study was to determine whether changes in Medicare reimbursement for punctal plug insertion were associated with a decrease in the incidence of insertion and dry eye diagnosis. METHODS: Incident cases of dry eye syndrome (DES) ... Full text Link to item Cite

Medicare costs for neovascular age-related macular degeneration, 1994-2007.

Journal Article Am J Ophthalmol · December 2011 PURPOSE: To assess changes in Medicare payments for neovascular age-related macular degeneration (AMD) since introduction of anti-vascular endothelial growth factor (VEGF) therapies. DESIGN: Retrospective, longitudinal cohort study. METHODS: Using the Medi ... Full text Link to item Cite

Alcohol consumption in early adulthood and schooling completed and labor market outcomes at midlife by race and gender.

Journal Article American journal of public health · November 2011 ObjectivesWe assessed the relation of alcohol consumption in young adulthood to problem alcohol consumption 10 years later and to educational attainment and labor market outcomes at midlife. We considered whether these relations differ between Bla ... Full text Cite

Severe adverse events after cataract surgery among medicare beneficiaries.

Journal Article Ophthalmology · September 2011 PurposeTo determine rates and risk factors associated with severe postoperative complications after cataract surgery and whether they have been changing over the past decade.DesignRetrospective longitudinal cohort study.Participants Full text Cite

Ocular complications after anti-vascular endothelial growth factor therapy in Medicare patients with age-related macular degeneration.

Journal Article Am J Ophthalmol · August 2011 PURPOSE: To determine longitudinal rates of ocular complications after anti-vascular endothelial growth factor (VEGF) treatment for neovascular age-related macular degeneration (AMD) in a nationally representative longitudinal sample. DESIGN: Retrospective ... Full text Link to item Cite

Heavy drinking in early adulthood and outcomes at mid life.

Journal Article Journal of epidemiology and community health · July 2011 BackgroundHeavy drinking in early adulthood among Blacks, but not Whites, has been found to be associated with more deleterious health outcomes, lower labor market success and lower educational attainment at mid-life. This study analysed psychosoc ... Full text Cite

Incidence of nonarteritic anterior ischemic optic neuropathy: increased risk among diabetic patients.

Journal Article Ophthalmology · May 2011 ObjectivePrevious studies have identified a higher prevalence of diabetes mellitus (DM) among patient cohorts with nonarteritic anterior ischemic optic neuropathy (NAION). We sought to determine the development of incident NAION among a group of n ... Full text Cite

Heavy episodic drinking in early adulthood and outcomes in midlife.

Journal Article Journal of studies on alcohol and drugs · May 2011 ObjectiveThis study assessed to what extent drinking patterns of young adults persist into midlife and whether frequent heavy episodic drinking as a young adult is associated with educational attainment, labor market, and health outcomes at midlif ... Full text Cite

Reply

Other American Journal of Ophthalmology · April 1, 2011 Full text Cite

Information, risk perceptions, and smoking choices of youth

Journal Article Journal of Risk and Uncertainty · April 1, 2011 Conventional wisdom maintains that youths take risks because they underestimate probabilities of harm. Presumably if they knew the true probabilities, they would behave differently. We used the National Longitudinal Survey of Youth 1997 to assess whether d ... Full text Cite

Education and health: evidence on adults with diabetes.

Journal Article International journal of health care finance and economics · March 2011 Although the education-health relationship is well documented, pathways through which education influences health are not well understood. This study uses data from a 2003-2004 cross sectional supplemental survey of respondents to the longitudinal Health a ... Full text Cite

Receipt of care and reduction of lower extremity amputations in a nationally representative sample of U.S. Elderly.

Journal Article Health services research · December 2010 ObjectiveTo determine effectiveness of receipt of care from podiatrist and lower extremity clinician specialists (LEC specialists) on diabetes mellitus (DM)-related lower extremity amputation.Data sourcesMedicare 5 percent sample claims, ... Full text Cite

The effects of residential proximity to bars on alcohol consumption.

Journal Article International journal of health care finance and economics · December 2010 A person's decision to drink alcohol is potentially influenced by both price and availability of alcohol in the local area. This study uses longitudinal data from 1985 to 2001 to empirically assess the impact of distance from place of residence to bars on ... Full text Cite

Risk of glaucoma among patients with benign essential blepharospasm.

Journal Article Ophthalmic plastic and reconstructive surgery · November 2010 PurposeDebate exists whether intraocular pressure fluctuation is a risk factor for glaucoma. Patients with benign essential blepharospasm (BEB) experience intermittent, ultra-short-term intraocular pressure elevations from frequent blinking and sp ... Full text Cite

One-year outcomes after retinal detachment surgery among medicare beneficiaries.

Journal Article Am J Ophthalmol · September 2010 PURPOSE: To determine longitudinal rates of second retinal detachment operation and postoperative adverse outcomes after retinal detachment surgery in a nationally representative sample of older Americans. DESIGN: Retrospective, longitudinal cohort analysi ... Full text Link to item Cite

Alcohol-consumption trajectories and associated characteristics among adults older than age 50.

Journal Article Journal of studies on alcohol and drugs · March 2010 ObjectiveThis study examined changes in drinking behavior after age 50 and baseline personal characteristics and subsequent life events associated with different alcohol-consumption trajectories during a 14-year follow-up period.MethodDat ... Full text Cite

The longevity gap between Black and White men in the United States at the beginning and end of the 20th century.

Journal Article American journal of public health · February 2010 ObjectivesWe sought to assess whether the disparity in mortality rates between Black and White men decreased from the beginning to the end of the 20th century.MethodsWe used Cox proportional hazard models for mortality to estimate differe ... Full text Cite

Racial differences in the relationship between alcohol consumption in early adulthood and occupational attainment at midlife.

Journal Article American journal of public health · December 2009 ObjectivesWe assessed the relationship between alcohol consumption in young adulthood (ages 18-30 years) and occupational success 15 years later among Blacks and Whites.MethodsWe analyzed data from the Coronary Artery Risk Development in ... Full text Cite

Adverse events after pars plana vitrectomy among medicare beneficiaries.

Journal Article Archives of ophthalmology (Chicago, Ill. : 1960) · December 2009 ObjectivesTo assess the complication rates of pars plana vitrectomy (PPV) among older Americans and to determine whether rates of adverse events and additional operations have changed during the past decade.MethodsClaims data were reviewe ... Full text Cite

Effects of receipt of guideline-recommended care on onset of diabetic retinopathy and its progression.

Journal Article Ophthalmology · August 2009 OBJECTIVE: To determine whether persons in a community setting diagnosed with diabetes who received recommended patterns of care experience improved vision outcomes over a 3-year time period. DESIGN: Retrospective, longitudinal, cohort analysis. PARTICIPAN ... Full text Link to item Cite

Changes in functional status among persons over age sixty-five undergoing total knee arthroplasty.

Journal Article Medical care · July 2009 BackgroundThis study assessed changes in physical functional status following receipt of total knee arthroplasty (TKA) for patients diagnosed with osteoarthritis (OA) of the knee in a national sample of persons aged 65+ in the United States relati ... Full text Cite

Is there empirical evidence for "Defensive Medicine"? A reassessment.

Journal Article Journal of health economics · March 2009 Proponents of tort reform applied to medical malpractice argue for change partly on the premise that the threat of lawsuits has made medical care more costly. Using U.S. longitudinal data from the National Long-Term Care Survey merged with Medicare claims ... Full text Cite

Are Smokers Misinformed?

Journal Article Journal of Health Economics · March 2009 Cite

Longitudinal incidence of adverse outcomes of age-related macular degeneration.

Journal Article Arch Ophthalmol · March 2009 OBJECTIVE: To describe the visual, functional, and general health complication rates associated with age-related macular degeneration (AMD) in a nationally representative longitudinal sample of elderly persons. METHODS: This is a longitudinal retrospective ... Full text Link to item Cite

Do smokers value their health and longevity less?

Journal Article Journal of Law and Economics · February 1, 2009 One reason why individuals consume harmful addictive goods is that the "full" price of such goods is low. Using data on adults specifically collected for this study, we examine the internal cost of one such good by estimating the value that smokers and non ... Full text Cite

Resource use and costs associated with diabetic macular edema in elderly persons.

Journal Article Arch Ophthalmol · December 2008 OBJECTIVE: To examine trends in resource use and the effect of incident diabetic macular edema (DME) on 1- and 3-year total direct medical costs in elderly patients. METHODS: We used a nationally representative 5% sample of Medicare beneficiaries from 2000 ... Full text Link to item Cite

Changes in incidence of diabetes mellitus-related eye disease among US elderly persons, 1994-2005.

Journal Article Arch Ophthalmol · November 2008 OBJECTIVES: To determine if diabetic eye disease has changed over time among older Americans and to explore possibilities for observed change. METHODS: We performed a longitudinal analysis of nationally representative Medicare data, the Medicare 5% sample, ... Full text Link to item Cite

Economic theory and evidence on smoking behavior of adults.

Journal Article Addiction (Abingdon, England) · November 2008 AimsTo describe: (i) three alternative conceptual frameworks used by economists to study addictive behaviors: rational, imperfectly rational and irrational addiction; (ii) empirical economic evidence on each framework and specific channels to expl ... Full text Cite

The effects of total knee arthroplasty on physical functioning in the older population.

Journal Article Arthritis Rheum · October 2008 OBJECTIVE: Clinical research provides convincing evidence that total knee arthroplasty (TKA) is safe and improves joint-specific outcomes. However, higher-level functioning associated with self care and independent living has not been studied. Furthermore, ... Full text Link to item Cite

Longitudinal rates of postoperative adverse outcomes after glaucoma surgery among medicare beneficiaries 1994 to 2005.

Journal Article Ophthalmology · July 2008 PURPOSE: To determine longitudinal rates of postoperative adverse outcomes after incisional glaucoma surgery in a nationally representative longitudinal sample. DESIGN: Retrospective, longitudinal cohort analysis. PARTICIPANTS: Medicare beneficiaries >or=6 ... Full text Link to item Cite

Incentives and Choice in Health Care

Book · July 2008 A vast body of empirical evidence has accumulated demonstrating that incentives affect health care choices made by both consumers and suppliers of health care services. Decisions in health care are affected by many types of incentives, such as the rate of ... Cite

Incentives and Choice in Health Care

Book · July 2008 A vast body of empirical evidence has accumulated demonstrating that incentives affect health care choices made by both consumers and suppliers of health care services. Decisions in health care are affected by many types of incentives, such as the rate of ... Cite

The effects of total hip arthroplasty on physical functioning in the older population.

Journal Article Journal of the American Geriatrics Society · June 2008 ObjectivesTo estimate the effects of total hip arthroplasty (THA) on three levels of physical functioning in a representative national sample of older adults.DesignSurvey.SettingParticipants were interviewed in their homes.Pa ... Full text Cite

Dementia and Medicare at life's end.

Journal Article Health Serv Res · April 2008 OBJECTIVE: To determine the effect of a diagnosis of Alzheimer's disease or related dementias (ADRD), and the timing of first ADRD diagnosis, on Medicare expenditures at end of life. DATA SOURCES: Monthly Medicare payment data for the 5 years before death ... Full text Link to item Cite

Adoption of pharmaceutical innovation and the growth of drug expenditure in Taiwan: is it cost effective?

Journal Article Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · March 2008 ObjectivesTo investigate the impact of adopting pharmaceutical innovations on the growth of pharmaceutical expenditures, focusing specifically on Taiwan's experience.MethodsWe first provide a descriptive analysis of cost impacts of introd ... Full text Cite

Prevalence of major eye diseases among US Civil War veterans, 1890-1910

Journal Article Archives of Ophthalmology · February 2008 OBJECTIVES: To estimate the prevalence of major eye diseases and low vision or blindness in a national sample of male US Union Army veterans from 1890 to 1910 and to compare these prevalence rates with contemporary rates for the same diseases and visual st ... Full text Cite

From medical malpractice to quality assurance

Journal Article Issues in Science and Technology · January 1, 2008 Health care service providers in the US need to implementing a proper a medical malpractice system that focuses on compensating patients for medical errors and finding ways to prevent these errors from occurring. The service providers need to eliminate mis ... Cite

The growing burden of diabetes mellitus in the US elderly population.

Journal Article Archives of internal medicine · January 2008 BackgroundThe prevalence of diabetes mellitus is growing worldwide. Consequently, there has been increased emphasis on primary and secondary prevention of diabetes. To our knowledge, whether there have been actual improvements in outcomes in the l ... Full text Cite

Effects of diagnosed dementia on Medicare and Medicaid program costs.

Journal Article Inquiry : a journal of medical care organization, provision and financing · December 2007 This study examines the impacts of physician-diagnosed Alzheimer's disease and related dementias (ADRD) on Medicare and Medicaid program costs in 1994 and 1999. An innovative method is employed to estimate program payments over the life cycle starting at a ... Full text Cite

The law and economics of public health

Journal Article Foundations and Trends in Microeconomics · December 1, 2007 The fundamental question addressed by this paper is whether or not and the extent to which imposing tort liability on potential injurers improves the public's health. Conceptually, imposing the threat of litigation on potential injurers gives them an incen ... Full text Cite

The relationship between individual expectations and behaviors: Mortality expectations and smoking decisions

Journal Article Journal of Risk and Uncertainty · October 1, 2007 Using data from the Health and Retirement Study, we assess the accuracy of subjective beliefs about mortality and objectively estimated probabilities for individuals in the same sample. Overall, subjective beliefs and objective probabilities are very close ... Full text Cite

Effects of state managed care patient protection laws on physician satisfaction.

Journal Article Medical care research and review : MCRR · October 2007 Physician dissatisfaction often drives public policy, and is associated with lower quality of care and disruption of treatment relationships. Physicians expressed strong dissatisfaction with managed care, leading to enactment of patient protection laws. By ... Full text Cite

Time preference, time discounting, and smoking decisions.

Journal Article Journal of health economics · September 2007 This study examines the relationship between time discounting, other sources of time preference, and choices about smoking. Using a survey fielded for our analysis, we elicit rates of time discount from choices in financial and health domains. We also exam ... Full text Cite

Longitudinal differences in alcohol use in early adulthood.

Journal Article Journal of studies on alcohol and drugs · September 2007 ObjectiveResearch with college populations suggests that elevated levels of heavy drinking do not generally persist into later adulthood for most individuals. The aims of this study were to determine whether this pattern applies to the population ... Full text Cite

Racial disparities in diabetes a century ago: evidence from the pension files of US Civil War veterans.

Journal Article Soc Sci Med · April 2007 Using a comprehensive database constructed from the pension files of US Civil War veterans, we explore characteristics and occurrence of type 2 diabetes among older black and white males, living circa 1900. We find that rates of diagnosed diabetes were muc ... Full text Link to item Cite

Living rationally under the volcano? An empirical analysis of heavy drinking and smoking

Journal Article International Economic Review · February 1, 2007 This study investigates whether models of forward-looking behavior explain the observed patterns of heavy drinking and smoking of men in late middle age in the Health and Retirement Study better than myopic models. We develop and estimate a sequence of nes ... Full text Cite

Cancer Control Opportunities in Low- and Middle-Income Countries

Book · January 26, 2007 This book identifies feasible, affordable steps for LMCs and their international partners to begin to reduce the cancer burden for current and future generations. ... Cite

Cancer Control Opportunities in Low- and Middle-Income Countries

Book · January 26, 2007 This book identifies feasible, affordable steps for LMCs and their international partners to begin to reduce the cancer burden for current and future generations. ... Cite

Introduction

Chapter · January 1, 2007 Context The pharmaceutical industry serves a dual role in modern society. On one hand, it is a growing industry, and its output makes a direct contribution to gross domestic product (GDP). On the other, prescription drugs, this industry's major output, are ... Full text Cite

Pharmaceutical innovation: Incentives, competition, and cost-benefit analysis in international perspective

Book · January 1, 2007 The pharmaceutical industry worldwide is a rapidly burgeoning industry contributing to growth of gross domestic product and employment. Technological change in this field has been very rapid, with many new products being introduced. For this reason in part ... Full text Cite

Conclusions and policy implications

Chapter · January 1, 2007 Introduction This final chapter summarizes key findings and conclusions of the previous chapters and explores their policy implications. More specifically, we discuss eight policy issues that arise as governments seek to promote pharmaceutical innovation i ... Full text Cite

Implementing a public subsidy for vaccines

Chapter · January 1, 2007 Introduction and Overview Judged in terms of the relationship of benefit to cost, vaccines are among the most socially valuable public health investments (U.S. Centers for Disease Control and Prevention [CDC] 1999; Stratton, Durch, and Lawrence 2000). In s ... Full text Cite

The Law and Economics of Public Health

Book · 2007 The fundamental question addressed by this paper is whether or not and the extent to which imposing tort liability on potential injurers improves the public's health. Conceptually, imposing the threat of litigation on potential injurers gives them an incen ... Full text Cite

Smoking, wealth accumulation and the propensity to plan

Journal Article Economics Letters · January 1, 2007 We investigate the relationship between wealth, smoking, and individual propensities to plan. Planning propensity affects wealth but not smoking, suggesting that planning is not an all-purpose skill. Financial planning may draw on different abilities than ... Full text Cite

Longitudinal incidence and prevalence of adverse outcomes of diabetes mellitus in elderly patients.

Journal Article Archives of Internal Medicine · 2007 BACKGROUND: The natural history of type 2 diabetes mellitus (DM) in the elderly has not been previously described in a national longitudinal sample. METHODS: This national longitudinal analysis (January 1, 1991, to December 31, 2004) examines mortality and ... Cite

Cigarette Taxes and the Master Settlement Agreement

Journal Article Economic Inquiry · September 2006 Cite

Longitudinal rates of cataract surgery.

Journal Article Arch Ophthalmol · September 2006 OBJECTIVE: To determine the cumulative probability of cataract surgery and factors accounting for such surgery. METHODS: Respondents to the Asset and Health Dynamics Among the Oldest Old survey, a national longitudinal panel, were interviewed in 1998, 2000 ... Full text Link to item Cite

The Price of Smoking

Book · September 2006 What does a pack of cigarettes cost a smoker, the smoker's family, and society? This longitudinal study on the private and social costs of smoking calculates that the cost of smoking to a 24-year-old woman smoker is $86,000 over a lifetime; for a 24-year-o ... Cite

Evidence on preferences and subjective beliefs of risk takers: The case of smokers

Journal Article International Journal of Industrial Organization · July 1, 2006 One reason that cigarette consumption is highly regulated is because of the paternalistic view that smokers would not make rational choices even if fully informed about the risks. A deficiency of this view is that in the presence of preference heterogeneit ... Full text Cite

Increasing rates of dementia at time of declining mortality from stroke.

Journal Article Stroke · May 2006 Background and purposeStroke is associated with increased risk of dementia. There has been a decline in mortality from stroke among persons 65 and over in recent decades in the US. It is not clear, however, how this process has affected incidence ... Full text Cite

Uveitis in the elderly: epidemiological data from the National Long-term Care Survey Medicare Cohort.

Journal Article Ophthalmology · February 2006 PURPOSE: There is a paucity of population-based data on the epidemiology of uveitis in the elderly. In the past 40 years, only 2 U.S. population-based studies have examined the epidemiology of uveitis. The conclusions of these studies on the burden of uvei ... Full text Link to item Cite

Governments as insurers in professional and hospital liability insurance markets

Chapter · January 1, 2006 Insurance issues rarely dominate the front page in public discussions of medical malpractice. Sharply rising premiums and nonavailability of coverage1 have been the main precipitating factors in each medical crisis that has occurred in the United States in ... Full text Cite

Effects of Major Eye Diseases on Medicare Costs

Journal Article American Journal of Ophthalmology · 2006 Cite

Learning about Individual Risk and the Decision to Smoke

Journal Article Journal of Risk and Uncertainty · January 2006 Cite

Racial differences in glaucoma care: the longitudinal pattern of care.

Journal Article Arch Ophthalmol · December 2005 OBJECTIVE: To examine if racial differences exist in longitudinal care patterns for Medicare beneficiaries with glaucoma. METHODS: We analyzed national longitudinal Medicare claims data from January 1, 1991, through December 31, 1999 in 21 644 Medicare ben ... Full text Link to item Cite

Heavy alcohol use and marital dissolution in the USA.

Journal Article Social science & medicine (1982) · December 2005 Using the first five waves of the US Health and Retirement Study, a nationally representative survey of middle-aged persons in the USA conducted between 1992 and 2000, we assessed the association between alcohol consumption and separation and divorce (comb ... Full text Cite

Longitudinal analysis of the relationship between regular eye examinations and changes in visual and functional status.

Journal Article J Am Geriatr Soc · November 2005 OBJECTIVES: To determine whether regular eye examinations are associated with a greater or lesser rate of loss of ability to read newsprint, onset of blindness or low vision, or onset of limitations in instrumental activities of daily living (IADLs) and ac ... Full text Link to item Cite

Effects of changes in self-reported vision on cognitive, affective, and functional status and living arrangements among the elderly.

Journal Article Am J Ophthalmol · October 2005 PURPOSE: To study effects of changes in self-reported vision on functional status, cognition, depressive symptoms, and living arrangements. DESIGN: Longitudinal analysis of household survey data. METHODS: A total of 6234 sample persons observed in the stud ... Full text Link to item Cite

Disparities among older adults in measures of cognitive function by race or ethnicity.

Journal Article J Gerontol B Psychol Sci Soc Sci · September 2005 This study examined racial or ethnic differences in cognitive function, cross-sectionally and longitudinally, using survey data from the Asset and Health Dynamics Among the Oldest Old. A version of the Telephone Interview for Cognitive Status (TICS), proxy ... Full text Link to item Cite

Determinants of states' allocations of the master settlement agreement payments.

Journal Article Journal of health politics, policy and law · August 2005 To determine which factors influence states' allocation decisions for the tobacco Master Settlement Agreement and the four individual settlements' annual payments, including the decision to securitize, we analyzed the effects of voter characteristics, poli ... Full text Cite

Impacts of managed care patient protection laws on health services utilization and patient satisfaction with care.

Journal Article Health services research · June 2005 ObjectiveTo assess effects of patient protection laws implemented by the vast majority of states during the 1990s on the public's satisfaction and trust relating to health care, and on key utilization measures.Data sources/study settingMe ... Full text Cite

Litigation and the Value of Tobacco Companies

Journal Article Journal of Health Economices · 2005 Cite

States' allocations of funds from the tobacco master settlement agreement.

Journal Article Health affairs (Project Hope) · January 2005 This study assesses six states' allocation decisions for funds from tobacco settlement agreements, using information from newspaper articles and other public sources. State allocation decisions were diverse; substantial shares were allocated to areas other ... Full text Cite

The fragility of the U.S. vaccine supply.

Journal Article The New England journal of medicine · December 2004 Full text Cite

Impacts of the Master Settlement Agreement on the tobacco industry.

Journal Article Tobacco control · December 2004 ObjectiveTo assess effects of the Master Settlement Agreement (MSA) and the four individual state settlements on tobacco company decisions and performance.Design10-K reports filed with the US Securities and Exchange Commission, firm and d ... Full text Cite

The effect of the tobacco settlement and smoking bans on alcohol consumption.

Journal Article Health economics · October 2004 In the last few years, the price of cigarettes has increased considerably in the USA. In addition, a number of states have also imposed smoking bans. These increases in the cost and barriers to smoking have created a natural experiment to study relationshi ... Full text Cite

Monitoring visual status: why patients do or do not comply with practice guidelines.

Journal Article Health Serv Res · October 2004 OBJECTIVE: To determine factors affecting compliance with guidelines for annual eye examinations for persons diagnosed with diabetes mellitus (DM) or age-related macular degeneration (ARMD). DATA SOURCES/STUDY SETTING: Nationally representative, longitudin ... Full text Link to item Cite

The impact of the Master Settlement Agreement on cigarette consumption.

Journal Article Journal of policy analysis and management : [the journal of the Association for Public Policy Analysis and Management] · August 2004 In 1998, 46 states and the four major tobacco companies signed the Master Settlement Agreement (MSA), which stipulated that the tobacco companies pay states $206 billion over 25 years and take steps to reduce youth smoking. The remaining states settled sep ... Full text Cite

Marked increase in Alzheimer's disease identified in medicare claims records between 1991 and 1999.

Journal Article J Gerontol A Biol Sci Med Sci · July 2004 BACKGROUND: Epidemiologic evidence suggests that African Americans have higher rates of Alzheimer's disease (AD) than do whites. Examining longitudinal trends in the number of persons who are identified as having AD in administrative databases may provide ... Full text Link to item Cite

Precaution, compensation, and threats of sanction: The case of alcohol servers

Journal Article International Review of Law and Economics · March 1, 2004 This study used data from a national sample of bar owners or managers and employees at these establishments to look at the following issues. To what extent does the imposition of liability affect employees' incentive to take care? Do various liability rule ... Full text Cite

The effect of dementia on outcomes and process of care for Medicare beneficiaries admitted with acute myocardial infarction.

Journal Article J Am Geriatr Soc · February 2004 OBJECTIVES: To determine differences in mortality after admission for acute myocardial infarction (AMI) and in use of noninvasive and invasive treatments for AMI between patients with and without dementia. DESIGN: Retrospective chart review. SETTING: Coope ... Full text Link to item Cite

Do Routine Eye Exams Improve Vision?

Journal Article International Journal of Health Care Finance and Economics · 2004 Cite

Effects of risk and time preference and expected longevity on demand for medical tests

Journal Article Journal of Risk and Uncertainty · January 1, 2004 Despite their conceptual importance, the effects of time preference, expected longevity, uncertainty, and risk aversion on behavior have not been analyzed empirically. We use data from the Health and Retirement Study (HRS) to assess the role of risk and ti ... Full text Cite

Adherence to guidelines and its effects on hospitalizations with complications of type 2 diabetes.

Journal Article Rev Diabet Stud · 2004 OBJECTIVES: To study the discrepancy between actual and recommended rates of use among several measures of screening for complications of diabetes in a national longitudinal sample, the correlations among measures of adherence, and whether or not higher ra ... Full text Link to item Cite

The effect of heavy drinking on social security old-age and survivors insurance contributions and benefits.

Journal Article The Milbank quarterly · January 2004 This article estimates the effects of heavy alcohol consumption on Social Security Old-Age and Survivor Insurance (OASI) contributions and benefits. The analysis accounts for differential earnings and mortality experiences of individuals with different alc ... Full text Cite

Does the ownership of the admitting hospital make a difference? Outcomes and process of care of Medicare beneficiaries admitted with acute myocardial infarction.

Journal Article Med Care · October 2003 BACKGROUND: Concerns have been expressed about quality of for-profit hospitals and their use of expensive technologies. OBJECTIVE: To determine differences in mortality after admission for acute myocardial infarction (AMI) and in the use of low- and high-t ... Full text Link to item Cite

Longitudinal rates of annual eye examinations of persons with diabetes and chronic eye diseases.

Journal Article Ophthalmology · October 2003 OBJECTIVE: To assess the rate of annual eye examinations over time among older Americans with diabetes and chronic eye diseases. DESIGN: Longitudinal analysis of Medicare claims data. PARTICIPANTS: Random sample of Medicare beneficiaries aged 65 years or o ... Full text Link to item Cite

Estimates of incidence rates with longitudinal claims data.

Journal Article Arch Ophthalmol · October 2003 OBJECTIVE: To estimate incidence rates of the 3 major chronic eye diseases--diabetic retinopathy (DR), glaucoma, and age-related macular degeneration (ARMD)--by using longitudinal claims data from Medicare. METHODS: Longitudinal cases were ascertained by u ... Full text Link to item Cite

Longitudinal prevalence of major eye diseases.

Journal Article Arch Ophthalmol · September 2003 OBJECTIVE: To describe the prevalence across time of 3 chronic eye diseases among a representative cohort of elderly subjects. STUDY DESIGN: Longitudinal observation of Medicare claims. Population A random sample of Medicare beneficiaries 65 years and olde ... Full text Link to item Cite

Limiting damages for "pain and suffering" in medical malpractice.

Journal Article North Carolina medical journal · July 2003 Cite

Effect of hospital conversion on organizational decision making and service coordination.

Journal Article Health care management review · April 2003 This study looks into the "black box" of hospital ownership conversion in a "natural experiment." We posed two competing theories about how conversion might influence management practices. Results support complexity theory and not threat-rigidity theory. A ... Full text Cite

Rates of return from hospital conversions.

Journal Article Health care management review · April 2003 This article presents information on the rates of return obtained by purchasers of U.S. hospitals since the mid 1980s. The key hypothesis tested in this study was whether for-profit acquirers are able to purchase hospitals at below-market prices. We test t ... Full text Cite

Antecedents of Changes in Hospital Conversions

Journal Article Inquiry · March 2003 Cite

Does higher hospital cost imply higher quality of care?

Journal Article Review of Economics and Statistics · February 1, 2003 This study investigates whether higher input use per stay in the hospital (treatment intensity) and longer length of stay improve outcomes of care. We allow for endogeneity of intensity and length of stay by estimating a quasi-maximum-likelihood discrete f ... Full text Open Access Cite

Does assistive technology substitute for personal assistance among the disabled elderly?

Journal Article Am J Public Health · February 2003 OBJECTIVES: This study examined whether use of equipment (technological assistance) to cope with disability was associated with use of fewer hours of help from another person (personal assistance). METHODS: In a cross-sectional study of 2368 community dwel ... Full text Link to item Cite

Living healthy and living long: Valuing the nonpecuniary loss from disability and death

Journal Article Journal of Risk and Uncertainty · December 1, 2002 This analysis uses three valuation approaches - risk-risk tradeoff, paired risk-dollar comparison, and utility function estimation - to estimate the nonpecuniary cost associated with disability in late life. In addition, we obtain an estimate of the value ... Full text Cite

Upstream Intergenerational Transfers

Journal Article Southern Economic Journal · October 2002 Cite

Information, addiction, and 'bad choices': Lessons from a century of cigarettes

Journal Article Economics Letters · October 1, 2002 This study describes government interventions during the 1900s and their effects on cigarette consumption within a rational addiction framework. With annual data for the 20th century, impacts of specific antismoking information events disappear. U.S. per c ... Full text Cite

Benefits of smoking cessation for longevity. (vol 92, pg 990, 2002)

Journal Article AMERICAN JOURNAL OF PUBLIC HEALTH · September 1, 2002 Link to item Cite

Impact of medicaid managed care on utilization of obstetric care: evidence from TennCare's early years.

Journal Article South Med J · August 2002 BACKGROUND: TennCare expanded Medicaid coverage, substituting managed care for fee-for-service reimbursement in Tennessee. METHODS: To study effects of TennCare on utilization of obstetric care (office visits, prenatal tests, care at labor/delivery), we us ... Link to item Cite

Effect of Alzheimer disease on the cost of treating other diseases.

Journal Article Alzheimer disease and associated disorders · July 2002 The authors' objective is to determine the effect of diagnosed Alzheimer disease (AD) on cost to Medicare of treating other diseases. Using the 1994 National Long-Term Care Survey merged with Medicare claims and death data, the authors assessed the relativ ... Full text Cite

Benefits of smoking cessation for longevity.

Journal Article Am J Public Health · June 2002 OBJECTIVES: This study determined the life extension obtained from stopping smoking at various ages. METHODS: We estimated the relation between smoking and mortality among 877,243 respondents to the Cancer Prevention Study II. These estimates were applied ... Full text Link to item Cite

Excess alcohol consumption and health outcomes: a 6-year follow-up of men over age 50 from the health and retirement study.

Journal Article Addiction (Abingdon, England) · March 2002 AimsThis study examined the association of problem drinking history and alcohol consumption with the onset of several health conditions and death over a 6-year follow-up period.SettingWe analyzed two waves of longitudinal data on men over ... Full text Cite

Market Failures and the Evolution of State Regulation of Managed Care

Journal Article Law and Contemporary Problems · 2002 Cite

The Quality of Managed Care: Evidence from the Medical Literature

Journal Article Law and Contemporary Problems : a Quarterly Published by the Duke University, School of Law · 2002 Link to item Cite

Are for-profit hospital conversions harmful to patients and to Medicare?

Journal Article RAND Journal of Economics · 2002 We examine how changes in hospital ownership to and from for-profit status affect quality and Medicare payments per hospital stay. We hypothesize that hospitals converting to for-profit ownership boost postacquisition profitability by reducing dimensions o ... Open Access Cite

Effects of Tennessee Medicaid managed care on obstetrical care and birth outcomes.

Journal Article Journal of health politics, policy and law · December 2001 A comparative study was conducted in two neighboring states, Tennessee and North Carolina, to determine whether Medicaid managed care (implemented in Tennessee as TennCare) affected prenatal care, care patterns at labor-delivery, and birth outcomes. A pre- ... Full text Cite

Do smokers respond to health shocks?

Journal Article Review of Economics and Statistics · November 1, 2001 This paper reports the first effort to use data to evaluate how new information, acquired through exogenous health shocks, affects people's longevity expectations. We find that smokers react differently to health shocks than do those who quit smoking or ne ... Full text Open Access Cite

Arrow's concept of the health care consumer: a forty-year retrospective.

Journal Article Journal of health politics, policy and law · October 2001 Full text Cite

The relative effect of Alzheimer's disease and related dementias, disability, and comorbidities on cost of care for elderly persons.

Journal Article The journals of gerontology. Series B, Psychological sciences and social sciences · September 2001 ObjectivesOur primary objectives were (a) to determine the relative impact of Alzheimer's disease and related dementias (ADRD), disability, and common comorbid health conditions on the cost of caring for community-dwelling elderly person and (b) t ... Full text Cite

Life events and alcohol consumption among mature adults: a longitudinal analysis.

Journal Article Journal of studies on alcohol · July 2001 ObjectiveFour waves of the Health and Retirement Study were used to examine changes in alcohol consumption co-occurring and following stress associated with major health, family and employment events.MethodThe final sample consisted of 7, ... Full text Cite

Healthy markets? The new competition in health care

Journal Article Social Science & Medicine · June 2001 Full text Cite

How much are patients willing to pay to avoid postoperative nausea and vomiting?

Journal Article Anesthesia and analgesia · February 2001 Postoperative nausea and vomiting (PONV) are unpleasant experiences. However, there is no drug that is completely effective in preventing PONV. Whereas cost effectiveness analyses rely on specific health outcomes (e.g., years of life saved), cost-benefit a ... Full text Cite

Longevity expectations and death: Can people predict their own demise?

Journal Article American Economic Review · January 1, 2001 Full text Open Access Cite

Comments on "the assault on managed care: vicarious liability, ERISA preemption, and class actions"

Journal Article Journal of Legal Studies · January 1, 2001 Managed care organizations (MCOs), as insurance entities, should be liable under contract for inappropriate denial of coverage, whereas treatment errors should be conventional malpractice claims against physicians. Most MCOs are loose networks of independe ... Full text Cite

Effects of alcohol consumption on disability among the near elderly: a longitudinal analysis.

Journal Article The Milbank quarterly · January 2001 Data from four waves of the Health and Retirement Study are used to analyze the effects of alcohol use on disability, mortality, and income transfers from public programs. Cross-sectional analysis reveals a complex relationship, with a history of problem d ... Full text Cite

Chapter 21 Not-for-profit ownership and hospital behavior

Chapter · December 1, 2000 The for-profit hospital is in the minority numerically in all developed countries. Although the for-profits' market share has been quite stable for decades, for-profit chains have grown in share and influence in the United States. By contrast, for-profit c ... Full text Cite

How much do persons with Alzheimer's disease cost Medicare?

Journal Article Journal of the American Geriatrics Society · June 2000 BackgroundMedicare claims are increasingly being used to identify persons with chronic diseases such as Alzheimer's disease (AD) for the purpose of determining the cost to Medicare of caring for such persons. Past work has been limited by the use ... Full text Cite

Reducing harmful alcohol-related behaviors: effective regulatory methods.

Journal Article Journal of studies on alcohol · May 2000 ObjectiveThis article examines the effects of tort liability, criminal law, administrative regulation, price and availability of alcohol, and personal and state characteristics on the decisions to engage in heavy episodic drinking and to drink and ... Full text Cite

Medicaid, managed care, and the care of patients hospitalized for acute myocardial infarction.

Journal Article American heart journal · April 2000 BackgroundTennCare, beginning in January 1994, channeled all Medicaid-eligible patients into managed care while expanding Medicaid coverage to large numbers of previously uninsured patients. We assessed the impact of TennCare on (1) coronary revas ... Full text Cite

"Liability, Risk Perceptions, and Precautions at Bars"

Journal Article The Journal of Law and Economics · 2000 Open Access Cite

Hospital credentialing and quality of care.

Journal Article Social science & medicine (1982) · January 2000 The purpose of this study was to evaluate the impact of hospital credentialing standards on surgical outcomes for selected procedures. The study used hospital credentialing practices from a 1996 survey of North Carolina community hospitals, with surgical o ... Full text Cite

Health Care Reform Through Medicaid Managed Care: Tennessee (TennCare) as a Case Study and a Paradigm

Journal Article Vanderbilt Law Review · January 1, 2000 TennCare is a Medicaid demonstration project that allows Tennessee to require all Medicaid beneficiaries to secure medical care through a mandatory managed care system. Enrolles contract with private managed care organizations ("MCOs"), which are responsib ... Cite

Liability, risk perceptions, and precautions at bars

Journal Article Journal of Law and Economics · January 1, 2000 Are state laws, regulatory practices, and allocation of public resources for enforcement reflected in perceptions by bar owners/managers that they will be cited or sued if they fail to exercise care? Among policies, which ones have the greatest impact on r ... Full text Cite

Hospital conversions - Is the purchase price too low?

Conference CHANGING HOSPITAL INDUSTRY · January 1, 2000 Link to item Cite

Private and public choices in end-of-life care.

Journal Article JAMA · December 1999 Full text Cite

Physician participation and nonparticipation in Medicaid managed care: the TennCare experience.

Journal Article Southern medical journal · November 1999 BackgroundTennCare is a significant state health reform effort, channeling all Medicaid recipients into managed care. We examined physician attitudes about TennCare.MethodsIn 1997, we surveyed a stratified random sample of Tennessee physi ... Full text Cite

The impact of TennCare on patient satisfaction with care.

Journal Article The American journal of managed care · June 1999 ObjectiveTo measure the level of satisfaction with care by Medicaid-eligible patients before and after implementation of a mandatory managed care plan known as TennCare.Study designWe used multivariate logit analysis of survey data to cal ... Cite

Costs and outcomes of hip fracture and stroke, 1984 to 1994.

Journal Article American journal of public health · June 1999 ObjectivesThis study quantified changes in Medicare payments and outcomes for hip fracture and stroke from 1984 to 1994.MethodsWe studied National Long Term Care Survey respondents who were hospitalized for hip fracture (n = 887) or strok ... Full text Cite

"Compensation for Birth-Related Injury: No-Fault Programs Compared With Tort System"

Journal Article Archives of Pediatrics and Adolescent Medicine · 1999 Cite

Effects of admission to a teaching hospital on the cost and quality of care for Medicare beneficiaries.

Journal Article The New England journal of medicine · January 1999 Background and methodsWe studied the effects of admission to a teaching hospital on the cost and quality of care for patients covered by Medicare (age, 65 years old or older). We used data from the National Long Term Care Survey and merged them wi ... Full text Cite

A comprehensive assessment of the cost of multiple sclerosis in the United States.

Journal Article Mult Scler · October 1998 Comprehensive data on the costs of multiple sclerosis is sparse. We conducted a survey of 606 persons with MS who were members of the National Multiple Sclerosis Society to obtain data on their cost of personal health services, other services, equipment, a ... Full text Link to item Cite

The influence of obstetric no-fault compensation on obstetricians' practice patterns.

Journal Article American journal of obstetrics and gynecology · September 1998 ObjectivesThe objectives were to determine level of satisfaction among obstetricians with the no-fault insurance programs in Florida and Virginia and to study any reported practice patterns attributable to implementation of no-fault compensation.< ... Full text Cite

Does removing certificate-of-need regulations lead to a surge in health care spending?

Journal Article Journal of health politics, policy and law · June 1998 This study assesses the impact of certificate-of-need (CON) regulation for hospitals on various measures of health spending per capita, hospital supply, diffusion of technology, and hospital industry organization. Using a time series cross-sectional method ... Full text Cite

No-fault system of compensation for obstetric injury: winners and losers.

Journal Article Obstetrics and gynecology · March 1998 ObjectiveTo determine whether Florida's implementation of a no-fault system for birth-related neurologic injuries reduced lawsuits and total spending associated with such injuries, and whether no-fault was more efficient than tort in distributing ... Full text Cite

Life transitions and health insurance coverage of the near elderly.

Journal Article Medical care · February 1998 ObjectivesThis study addresses three issues. (1) What are demographic wealth, employment, and health characteristics of near-elderly persons losing or acquiring health insurance coverage? Specifically, (2) what are the effects of life transitions, ... Full text Cite

Effects of state reforms on health insurance coverage of adults.

Journal Article Inquiry : a journal of medical care organization, provision and financing · January 1998 States have tried a number of strategies to reduce the growing number of uninsured people. These include Medicaid expansions and various insurance reforms, such as low-cost plans, subsidized insurance products, risk pooling, open enrollment and continuity ... Cite

Hospital credentialing for laparoscopic cholecystectomy: is stricter better?

Journal Article Clin Perform Qual Health Care · 1998 OBJECTIVE: Hospital credentialing standards for laparoscopic cholecystectomy were established to improve surgical outcomes, but standards vary by hospital. We hypothesized that more stringent credentialing would result in better outcomes. DESIGN: Univariat ... Link to item Cite

Commercialism in nonprofit hospitals.

Journal Article Journal of policy analysis and management : [the journal of the Association for Public Policy Analysis and Management] · January 1998 The private nonprofit hospital is the dominant organizational form in the U.S. hospital industry. Various reasons have been advanced for its high market share. As hospitals undergo massive changes due in large part to changes in payment practices, there ... Full text Cite

No Fault for Medical Injury: Theory and Evidence

Journal Article University of Cincinnati Law Review · 1998 Cite

Medical malpractice: External influences and controls - Foreword

Journal Article LAW AND CONTEMPORARY PROBLEMS · December 1, 1997 Link to item Cite

Administrative performance of "no-fault" compensation for medical injury

Journal Article LAW AND CONTEMPORARY PROBLEMS · December 1, 1997 Link to item Cite

The road from medical injury to claims resolution: How no-fault and tort differ

Journal Article LAW AND CONTEMPORARY PROBLEMS · December 1, 1997 Link to item Cite

Hospital pharmacy decisions, cost containment, and the use of cost-effectiveness analysis.

Journal Article Social science & medicine (1982) · August 1997 The key hypothesis of the study was that hospital pharmacies under the pressure of managed care would be more likely to adopt process innovations to assure less costly and more cost-effective provision of care. We conducted a survey of 103 hospitals and an ... Full text Cite

The burden of Parkinson's disease on society, family, and the individual.

Journal Article J Am Geriatr Soc · July 1997 OBJECTIVE: To examine the burden of Parkinson's Disease (PD) on society, family, and the individual. SETTING: In-home interviews in Central North Carolina. DESIGN: A cross-sectional, descriptive study. PARTICIPANTS: A total of 109 people with PD. MEASURES: ... Full text Link to item Cite

Tort Liability and Obstetricians' Care Levels

Journal Article International Review of Law and Economics · June 1997 Cite

Medical Malpractice: External Influences and Controls

Journal Article Law and Contemporary Problems · 1997 Link to item Cite

The supply of children's time to disabled elderly parents

Journal Article Economic Inquiry · January 1, 1997 This study develops and tests a model of supply of children's time to disabled elderly parents, using data from the National Long-Term Care Survey. The model, which assumes strategic behavior among relatives, offers predictions about effects of changes in ... Full text Cite

Adverse Selection, Bequests, Crowding Out, and Private Demand for Insurance: Evidence from the Long-term Care Insurance Market

Journal Article Journal of Risk and Uncertainty · January 1, 1997 Adverse selection, moral hazard, and crowding out by public insurance have all been proposed as theoretical reasons for why the market for private long-term care insurance has been slow to evolve in the U.S. Using national samples of the elderly and near e ... Full text Cite

Nursing Staff in Hospitals and Nursing Homes Is It Adequate?

Book · March 27, 1996 The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnel--and examines whether these problems are related to staffing levels. ... Cite

Nursing Staff in Hospitals and Nursing Homes Is It Adequate?

Book · March 27, 1996 The volume also discusses work-related injuries, violence toward and abuse of nursing staffs, and stress among nursing personnel--and examines whether these problems are related to staffing levels. ... Cite

Public subsidies, private provision of care and living arrangements of the elderly

Journal Article Review of Economics and Statistics · January 1, 1996 We examine the effects of public subsidies on the living arrangements of the disabled elderly who choose among living independently, living in an intergenerational household, and entering a nursing home. After quantifying effects of state policies on each ... Full text Cite

Bankruptcy risk and state regulation of continuing care retirement communities.

Journal Article Inquiry : a journal of medical care organization, provision and financing · December 1995 Continuing care retirement communities (CCRCs) often require substantial financial investment from residents, prompting concern about potential losses to residents in the event of a CCRC's bankruptcy. State governments have responded to this concern with v ... Cite

Effects of the threat of medical malpractice litigation and other factors on birth outcomes.

Journal Article Medical care · July 1995 Most major health reform proposals include reform of medical malpractice. A major objective of the current medical malpractice system is to improve quality of care. The authors examine the effect of variations in the threat of medical malpractice, measured ... Full text Cite

Continuing care retirement communities: prospects for reducing institutional long-term care.

Journal Article Journal of health politics, policy and law · January 1995 Continuing care retirement communities (CCRCs) combine housing and long-term care (LTC) services, including personal and nursing home care. The amount of LTC that is prepaid varies by type of CCRC, with one-third offering extensive (fully prepaid) contract ... Full text Cite

"Why Do People Drink? Tests of the Rational Addicition Model"

Journal Article Applied Economics · 1995 Cite

Injury, Liability, and the Decision to File a Medical Malpractice Claim

Journal Article Law & Society Review · 1995 The authors used two data sets based on interviews with families who suffered an adverse birth outcome in Florida—either a stillbirth, an infant death, or a permanent birth-related injury—to assess the decision to file a medical malpractice claim. ... Full text Cite

The relationship between malpractice claims history and subsequent obstetric care.

Journal Article JAMA · November 1994 ObjectiveTo determine the relationship between prior malpractice claims experience and the quality of clinical obstetric care.DesignHistorical cohort study of obstetricians, classified by their prior malpractice claims experience, with bl ... Full text Cite

Effects of prices, civil and criminal sanctions, and law enforcement on alcohol-related mortality.

Journal Article Journal of studies on alcohol · July 1994 Alcohol use has been linked to several causes of death. This study provides an empirical analysis of the effects of various public policies on mortality rates by state and year for the years 1982-88. Causes of death analyzed are: alcohol primary cause; tra ... Full text Cite

Drinking, Driving, and the Price of Automobile Insurance

Journal Article Journal of Risk and Insurance · March 1994 Cite

Tort liability versus other approaches for deterring careless driving

Journal Article International Review of Law and Economics · January 1, 1994 Full text Cite

Hospital drug formularies and use of hospital services.

Journal Article Medical care · October 1993 Many hospitals have introduced formularies to reduce hospital pharmacy expense, among other reasons. This study provides empirical evidence of the influence of hospital formulary restrictions on pharmacy charges, all other hospital charges, and on length o ... Full text Cite

Maternal recall and medical records: an examination of events during pregnancy, childbirth, and early infancy.

Journal Article Birth (Berkeley, Calif.) · September 1993 It is not currently known whether sufficiently precise data on a previous pregnancy, labor and delivery, and early infancy can be obtained retrospectively. We conducted a telephone survey in 1991 of women who delivered babies between 1984 and 1986 at two t ... Full text Cite

Organ procurement: expenditures and financial incentives.

Journal Article JAMA · June 1993 ... One is struck by the high level of organ procurement charges in spite of the characterization of organ procurement as altruistic. Although the median organ procurement charges in 1988, documented by Evans, ranged from nearly $16,000 to nearly $21,000 ( ... Full text Cite

Long-term care, Medicaid, and impoverishment of the elderly.

Journal Article The Milbank quarterly · January 1993 The 1989 Long Term Care Survey was used to assess the extent to which entry of disabled elderly into nursing homes depletes personal wealth ("spenddown"); the effect of state eligibility rules on this process, on incentives to shield assets for Medicaid el ... Full text Cite

Adverse selection: does it preclude a competitive health insurance market?

Journal Article Journal of health economics · October 1992 In sum, although fixed dollar subsidies have the great virtue of ferreting out cross subsidies, society may not be satisfied with the results. The scenario described by Marquis is only one of many. People seem to want lifetime insurance offering low premiu ... Full text Cite

Factors that prompted families to file medical malpractice claims following perinatal injuries

Journal Article Journal of the American Medical Association · 1992 Objective. - To identify self-reported reasons that prompt families to file malpractice claims following perinatal injuries. Design. - Families were interviewed by telephone using a questionnaire that contained structured and open-ended questions. Particip ... Full text Cite

Cost and compensation of injuries in medical malpractice.

Journal Article Law and contemporary problems · December 1991 Cite

Juries and justice: are malpractice and other personal injuries created equal?

Journal Article Law and contemporary problems · December 1991 Cite

Uncertainty, Information, and Resolution of Medical Malpractice Disputes

Journal Article Journal of Risk and Uncertainty · 1991 Cite

Winners & losers: how medical malpractice disputes are resolved

Journal Article The Journal of American health policy · 1991 Conventional wisdom regarding medical practice disputes is not supported by facts, and proposals to limit the size of awards or the size of attorneys' fees do not appear likely to curb the incidence of lawsuits. A 1989-90 survey of 187 Florida families who ... Cite

Equity and accuracy in medical malpractice insurance pricing.

Journal Article Journal of health economics · November 1990 This study examines alternative classification approaches for setting medical malpractice insurance premiums. Insurers generally form risk classification categories on factors other than the physician's own loss experience. Our analysis of such classificat ... Full text Open Access Cite

The Demise of Hospital Philanthropy

Journal Article Economic Inquiry · October 1990 Full text Cite

Loss volatility, bankruptcy, and the demand for reinsurance

Journal Article Journal of Risk and Uncertainty · September 1, 1990 Insurers in our model reinsure to lower the risk of bankruptcy. In the conceptual part of the study, we show that given bankruptcy cost, reinsurance may be demanded even if the insurer is risk-neutral. The model allows us to assess how the insurer's surplu ... Full text Cite

The future of the hospital: an economist's perspective.

Journal Article Transactions & studies of the College of Physicians of Philadelphia · June 1990 Cite

Experience rating: does it make sense for medical malpractice insurance?

Journal Article The American economic review · May 1990 Open Access Cite

Effects of tort reforms and other factors on medical malpractice insurance premiums.

Journal Article Inquiry : a journal of medical care organization, provision and financing · January 1990 We use state-level data on physician malpractice premiums, claims, and awards, provided by insurance companies for the years 1974 to 1986, to evaluate the effectiveness of the various tort reforms that have been legislated during the 1970s and 1980s. In ad ... Cite

Hospital Investment Decisions and the Cost of Capital

Journal Article Journal of Business · October 1989 Open Access Cite

Valuing Life and Limb in Tort: Scheduling 'Pain and Suffering'

Journal Article Northwestern University Law Review · September 1989 Cite

Medical malpractice experience of physicians. Predictable or haphazard?

Journal Article Journal of the American Medical Association · 1989 This study uses a large malpractice database from Florida to assess the concentration of losses among physicians, predictability of claims experience, characteristics of physicians with favorable vs unfavorable experience, and effects of claims experience ... Full text Cite

A physician surplus?

Journal Article The New England journal of medicine · October 1988 Full text Cite

Medicare prospective payment and the use of medical technologies in hospitals.

Journal Article Medical care · September 1988 Medicare's Prospective Payment System (PPS) created incentives to reduce the application of technology to hospitalized Medicare beneficiaries. Using data from 501 hospitals from 1980 and 1983-85, this study assesses changes in use of intensive care units a ... Full text Cite

Hospital profitability and capital structure: a comparative analysis.

Journal Article Health services research · August 1988 This article compares the financial performance of hospitals by ownership type and of five publicly traded hospital companies with other industries, using such indicators as profit margins, return on equity (ROE) and total capitalization, and debt-to-equit ... Cite

Medicare prospective payment and posthospital transfers to subacute care.

Journal Article Medical care · July 1988 This study analyzed the early effects of the Medicare Prospective Payment System (PPS) on the likelihood of hospital's discharging Medicare beneficiaries to skilled nursing facilities (SNFs), intermediate care facilities (ICFs), and home health agencies. I ... Full text Cite

Case shifting and the Medicare Prospective Payment System.

Journal Article American journal of public health · May 1988 We assessed impacts of the Medicare Prospective Payment System (PPS) during its first two years of operation (1984-85) on 467 hospitals using data from the Commission on Professional and Hospital Activities and from the American Hospital Association. Medic ... Full text Cite

Why there will be little or no physician surplus between now and the year 2000.

Journal Article The New England journal of medicine · April 1988 Most observers think that by the year 2000 there will be a considerable surplus of physicians in the United States. In this paper we present a new framework for estimating the future balance between supply and demand with respect to physicians' services. O ... Full text Cite

Cost of capital to the hospital sector.

Journal Article Journal of health economics · March 1988 This paper provides estimates of the cost of equity and debt capital to for-profit and non-profit hospitals in the U.S. for the years 1972-83. The cost of equity is estimated using, alternatively, the Capital Asset Pricing Model and Arbitrage Pricing Theor ... Full text Open Access Cite

Competition among physicians, revisited.

Journal Article Journal of health politics, policy and law · January 1988 Ten years ago we developed a model of demand inducement in the physician services market and explored the properties of that model. We found that predictions concerning physicians' prices, workloads, and income were ambiguous and in many cases were consist ... Full text Cite

Krankenhausfinanzierung in Selbstverwaltung

Journal Article Journal of Institutional and Theoretical Economics · 1988 Cite

Defining geographic markets for hospital care.

Journal Article Law and contemporary problems · January 1988 Full text Cite

Antitrust and hospital peer review.

Journal Article Law and contemporary problems · January 1988 Full text Cite

Shifting Medicare patients out of the hospital.

Journal Article Health affairs (Project Hope) · January 1988 Full text Cite

Effects of the Medicare prospective payment system on hospital cost containment: an early appraisal.

Journal Article The Milbank quarterly · January 1988 In 1983 federal efforts to contain hospital costs were coalesced under the Medicare prospective payment system (PPS)--a "self-interest" approach to administered prices. Diagnosis-related groups (DRGs) and the tougher peer review organizations (PROs) serve ... Full text Cite

Estimation of Seemingly Unrelated Tobit Regressions via the EM Algorithm

Journal Article Journal of Business and Economic Statistics · July 1987 Open Access Cite

Hospital philanthropy in the future.

Journal Article Business and health · June 1986 Cite

In-hospital mortality of surgical patients: is there an empiric basis for standard setting?

Journal Article Surgery · April 1986 Several public and private groups have set minimum procedure-specific volume standards. Such standards reflect concerns about hospital quality and cost. In-hospital mortality rates are often taken as one measure of quality. To learn about variations in in- ... Cite

Changing patterns of hospitalization for children requiring surgery.

Journal Article Pediatrics · April 1986 Increasing health care costs have directed public attention to changing rates of hospital care. We examined changes in hospitalization and surgical rates for children during the decade from 1972 to 1981. Total hospitalizations for children younger than 15 ... Cite

Diffusion of surgical technology. An exploratory study.

Journal Article Journal of health economics · March 1986 The study presents an empirical analysis of the diffusion patterns of five surgical procedures. Roles of payer mix, regulatory policies, physician diffusion, competition among hospitals, and various hospital characteristics such as size and the spread of t ... Full text Open Access Cite

Taxation and the growth of nonwage compensation

Journal Article Public Finance Review · January 1, 1986 Until recently, there have been no attempts to measure the influence of the income tax system on fringe benefits. A model is specified that links the tax system to fringe benefits. In addition, other determinants of the demand for and supply of fringe bene ... Full text Cite

Why have surgeons moved to the country?

Journal Article The Quarterly review of economics and business · January 1986 Cite

Why has hospital length of stay declined? An evaluation of alternative theories.

Journal Article Social science & medicine (1982) · January 1986 This study evaluates the importance of several potential determinants of observed decreases in hospital stays for patients undergoing each of 11 surgical procedures using a panel of 521 hospitals covering 1971-1981. Observed decreases in stays for these pa ... Full text Cite

Prospective payment for hospital capital by Medicare: issues and options.

Journal Article Health care management review · January 1986 After this year, Medicare will no longer reimburse capital-related expenses. Instead, a new approach may be implemented. Should the new capital payment scheme be prospective? Should Medicare continue to recognize return on equity? What will be the relation ... Full text Cite

The teaching hospital's growing surgical caseload.

Journal Article JAMA · July 1985 A competitive marketplace potentially creates new pressures for teaching hospitals. To assess possible trends in teaching hospitals' caseload, we studied surgical utilization in 1972 and 1981 using two national data sets. The percentage of total patients h ... Full text Cite

Fringe Benefits: To Tax of Not to Tax?

Journal Article National Tax Journal · March 1985 Cite

State responses to the malpractice insurance "crisis" of the 1970s: an empirical assessment.

Journal Article Journal of health politics, policy and law · January 1985 Almost all states enacted legislation in response to the rapid rise in malpractice insurance premiums which occurred during the mid-1970s. After describing the types of statutory changes enacted, this study evaluates the influence of these changes on level ... Full text Cite

Rising rates of surgery among the elderly.

Journal Article Health affairs (Project Hope) · January 1985 Full text Cite

Hospital ownership and performance.

Journal Article Economic inquiry · January 1985 This study compares the performance of three ownership forms of hospitals: for profit, private nonprofit, and public, further classified according to whether or not the hospital is run by a hospital chain. Data come from a 1979 national survey of U.S. hosp ... Full text Cite

Hospital rate review: a theory and an empirical review.

Journal Article Journal of health economics · April 1984 Full text Open Access Cite

Hospital cost shifting.

Journal Article The New England journal of medicine · April 1984 Full text Cite

For-Profits vs. Non-Profits: A Phantom Issue

Journal Article Technology Review · 1984 Cite

Physician reimbursement: Diagnosis and prescription

Journal Article Journal of Ambulatory Care Management · 1984 The current way the vast majority of physicians are reimbursed is far from perfect. Even though no ideal system will ever be devised, it is possible to do much better. The UCR system has long outlived its usefulness, if, infact, it was ever useful. Payment ... Cite

Changes in primary medical care delivery, 1975-1979: findings from the physician capacity utilization surveys.

Journal Article Social science & medicine (1982) · January 1984 Data from two national telephone surveys of office-based primary care physicians are used to examine changes in patterns of care delivery between 1975 and 1979 in metropolitan and nonmetropolitan areas. Aspects of care delivery considered include physician ... Full text Cite

Cross-subsidies and payment for hospital care.

Journal Article Journal of health politics, policy and law · January 1984 This study uses hospital data from the 1979 American Hospital Association Reimbursement Survey in a multivariate framework to assess the impact of discounts and third-party reimbursement on hospital costs and profitability. Three central issues are address ... Full text Cite

Competition between non-profit and for-profit health insurers.

Journal Article Journal of health economics · December 1983 This study investigates the effects of tax, regulatory, and reimbursement policies and other factors exogenous to the health insurance market on the relative price (to commercial insurers) paid by Blue Cross plans for hospital care, their administrative ex ... Full text Open Access Cite

Effects of teaching on hospital costs.

Journal Article Journal of health economics · March 1983 This study estimates effects of undergraduate and graduate medical education on hospital costs, using a national sample of 367 U.S. community hospitals observed in 1974 and 1977. Data on other cost determinants, such as casemix, allow us to isolate the inf ... Full text Open Access Cite

More doctors: What will they cost? Physician income as supply expands

Journal Article Journal of the American Medical Association · 1983 During the 1970s, expenditures for physicians' services rose by $12.7 billion (in 1979 dollars), but only about one fifth of this amount could be attributed to an increase in number of physicians relative to population. Other factors, chiefly demographic c ... Full text Cite

Utilization of hospital services: the roles of teaching, case mix, and reimbursement.

Journal Article Inquiry : a journal of medical care organization, provision and financing · January 1983 This study examined the role of hospital teaching affiliation, third-party payer mix, physician compensation, and case mix on the utilization of inpatient services. Using multivariate analysis with five different utilization measures, we found that: 1) the ... Cite

State rate setting: an analysis of some unresolved issues.

Journal Article Health affairs (Project Hope) · January 1983 Full text Cite

Rate regulation as a strategy for hospital cost control: evidence from the last decade.

Journal Article The Milbank Memorial Fund quarterly. Health and society · January 1983 Full text Cite

Certificate-of-need in an antitrust context.

Journal Article Journal of health politics, policy and law · January 1983 Recent cases such as National Gerimedical Hospital and Gerontology Center v. Blue Cross of Kansas City have found that certificate-of-need (CON) legislation did not intend to remove antitrust considerations. This note discusses the exemptions from antitrus ... Full text Cite

Investor-owned and not-for-profit hospitals: Addressing some issues

Journal Article Health Affairs · January 1, 1983 Interest in the comparative economic performance of for-profit hospitals and not-for-profit hospitals has intensified in recent years as these institutions have increasingly come to compete for patients, patient care services, and, in some cases, even for ... Full text Cite

Union activity in hospitals: past, present, and future.

Journal Article Health care financing review · June 1982 Between 1970 and 1980, the percentage of hospitals with one or more collective bargaining contracts increased from 15.7 percent to 27.4 percent. A substantial amount of variation exists in the extent of unionism on the basis of hospital ownership, bed size ... Cite

Unions and hospitals: some unresolved issues.

Journal Article Journal of health economics · May 1982 This article investigates the impact of unions on the wages of hospital workers. Our OLS findings agree with previous OLS studies--unions increase registered nurses' (RNs) wages by five percent and by about eight to ten percent for other hospital workers. ... Full text Cite

Government and the regulation of hospital care.

Journal Article The American economic review · May 1982 Open Access Cite

Effects of health insurance on physicians' fees.

Journal Article The Journal of human resources · January 1982 According to conventional wisdom, the growth of health insurance is partly responsible for the rise in physicians' fees; however, to date, convincing empirical evidence is lacking. A standard model of physician fee determination yields unambiguous predicti ... Full text Cite

Regulation and the Rising Cost of Hospital Care

Journal Article Review of Economics and Statistics · November 1981 Cite

Contractual Arrangements Between Hospitals and Physicians

Journal Article Bell Journal of Economics · March 1981 Cite

Internal organization of hospitals and hospital costs.

Journal Article Inquiry : a journal of medical care organization, provision and financing · January 1981 Cite

Nurse Staffing in Hospitals: A Microeconometric Analysis

Journal Article Industrial Relations · December 1980 Cite

Effects of regulation on hospital costs and input use.

Journal Article The Journal of law & economics · January 1980 Full text Open Access Cite

The internal organization of hospitals: a descriptive study.

Journal Article Health services research · January 1980 This study presents descriptive information on several dimensions of the internal organization of hospitals, with particular emphasis on medical staff, using data from two unique national surveys. Three alternative theories of hospital behavior by economis ... Cite

The impact of infectious and allergic diseases on the quality of life.

Journal Article Social science & medicine · June 1979 Cite

Variations in appointment delays for physicians' services: Theory and empirical evidence

Journal Article Policy Sciences · December 1, 1978 Waiting times for physician appointments have been used in past studies as a measure of access to, or excess demand pressure on, local ambulatory care systems. This paper offers an alternative view-that short appointment delays are one of several types of ... Full text Cite

Determinants of hospital wage inflation. Part 1. Effects of insurance, regulation, and other factors; Final report and executive summary. Part 2. Wage-setting in the hospital industry: Evidence from the 60's and the 70's; final report and executive summary

Journal Article · January 1, 1978 This study analyzes sources of growth in hospital costs and inputs from 1970-1975 using a data base of 1,228 nonfederal short-term hospitals. Factors affecting hospital labor market setting at various levels of aggregation are also discussed. The effects o ... Cite

The demand for physicians' services in alternative practice settings: a multiple logit analysis.

Journal Article The Quarterly review of economics and business · January 1978 Cite

Physician participation in health insurance plans: evidence on Blue Shield.

Journal Article The Journal of human resources · January 1978 Various health insurance programs, including Blue Shield, have developed arrangements whereby the physician agrees to accept the insurer's reimbursement as payment in full. Incentives facing the physician to accept an arrangement of this type are reviewed ... Full text Cite

Physician participation in state Medicaid programs.

Journal Article The Journal of human resources · January 1978 Medicaid requires that physicians who accept Medicaid reimbursement for treating a patient agree to accept its payment as payment in full. Policy instruments under Medicaid's control are both levels of reimbursement and various administrative burdens impos ... Full text Cite

The Role of Waiting Time: Evidence from Physicians' Practices

Journal Article Journal of Business · October 1977 Cite

A Model of State Income Maintenance Decisions

Journal Article Public Finance Quarterly · April 1977 Cite

Access to medical care and the local supply of physicians.

Journal Article Medical care · April 1977 This paper focuses on one aspect of access to physicians' services, the time patients spend obtaining physicians' service. Patient time is divided into travel and waiting time components. Communities in which the patient's total time commitment tend to be ... Full text Cite

Real returns to medical education: a comment.

Journal Article The Journal of human resources · January 1976 Full text Cite

The Allocation of Physicians' Services: Evidence on Length-of-Visit

Journal Article Quarterly Review of Economics and Business · 1976 Cite

Physician Supply Behavior on the Short Run

Journal Article Industrial and Labor Relations Review · June 1975 Open Access Cite

Short-Run Supply Responses of Professional Nurses: A Microanalysis

Journal Article Journal of Human Resources · March 1975 Cite

Influenza research in the Soviet Union--1974.

Journal Article The Journal of infectious diseases · December 1974 Full text Cite

Determinants of Physicians' Fees

Journal Article Journal of Business · October 1974 Open Access Cite

Migration patterns of recent medical school graduates.

Journal Article Inquiry : a journal of medical care organization, provision and financing · June 1974 Cite

Survey of North-Central Florida Family Physicians

Journal Article Florida Family Physician · 1973 Cite

Physician Pricing: Monopolistic or Competitive: Reply

Journal Article Southern Economic Journal · April 1972 Cite

The Demand for Higher Education: The Case of Medical School Applicants

Journal Article Journal of Human Resources · October 1971 Cite

Lifetime Earnings and Physicians' Choice of Specialty

Journal Article Industrial and Labor Relations Review · October 1970 Open Access Cite

Hospital Demand for Residents

Journal Article Inquiry · September 1970 Cite

Are Alcohol Excise Taxes Good For Us? Short and Long-Term Effects on Mortality Rates

Other Regression results from a 30-year panel of the state-level data indicate that changes in alcohol-excise taxes cause a reduction in drinking and lower all-cause mortality in the short run. But those results do not fully capture the long-term mortality effec ... Full text Open Access Link to item Cite