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  1. Trade shocks, job insecurity and individual health
    Autor*in: Piriu, Andreea Alexandra
    Erschienen: 2021
    Verlag:  Global Labor Organization (GLO), Essen

    As the COVID-19 pandemic unfolds, future health care expenditure is likely the discriminant between nations who will build resilience and those who will not. Despite costly labor-market adjustments due to increased international trade over the last... mehr

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    As the COVID-19 pandemic unfolds, future health care expenditure is likely the discriminant between nations who will build resilience and those who will not. Despite costly labor-market adjustments due to increased international trade over the last two decades, the health effects of trade liberalization are underexplored, with potentially wide implications for public policy and national budgets. Given the remarkable increase in trade volumes between Germany and China following reunification, this paper studies the causal effects of Chinese import competition on the health outcomes of individuals working in the German manufacturing sector. Results in this reduced-form approach exploiting region-industry variation in imports over 22 years show that higher import competition from China increases the individual demand for healthcare and probability of developing chronic illness via job insecurity, job loss and occupational change, an increased reliance on social welfare, and wage reduction. I find that individuals increase their visits to the doctor by 14 per cent and are 18.4 to 20.6 per cent more likely to develop chronic illness, on average. Results are robust for alternative health outcomes and across different population subgroups. The paper calls for reshaping health policy such that it governs well-being, starting with prevention and adequate care for working individuals: amidst globalization and recent chronic disease management, it is fundamental that future sustainable health policy champions the idea that creating better jobs means avoiding preventable costs of care from increased healthcare utilization and hence more effective chronic care through the introduction of preventive primary care plans for vulnerable working population segments.

     
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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Weitere Identifier:
    hdl: 10419/247264
    Schriftenreihe: GLO discussion paper ; no. 992
    Schlagworte: trade; labor; job insecurity; individual health; chronic illness; healthcare utilization
    Umfang: 1 Online-Ressource (circa 52 Seiten)
  2. Child health and parental responses to an unconditional cash transfer at birth
    Autor*in: Gendre, Alexandra de; Lynch, John; Meunier, Aurélie; Pilkington, Rhiannon; Schurer, Stefanie
    Erschienen: August 2021
    Verlag:  IZA - Institute of Labor Economics, Bonn, Germany

    We estimate the impact on child health of the unanticipated introduction of the Australian Baby Bonus, a $3,000 one-off unconditional cash transfer at birth. Using regression discontinuity methods and linked administrative data from South Australia,... mehr

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    We estimate the impact on child health of the unanticipated introduction of the Australian Baby Bonus, a $3,000 one-off unconditional cash transfer at birth. Using regression discontinuity methods and linked administrative data from South Australia, we find that treated babies had fewer preventable, acute, and urgent hospital presentations - medical care available without co-payments - in the first two years of life. The payment later increased demand for elective care, which requires planning, medical referrals, and often co-payments. Our effects are strongest for disadvantaged families. Our findings suggest that up to 34% of the payout were recouped within the first year.

     
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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Weitere Identifier:
    hdl: 10419/245744
    Schriftenreihe: Discussion paper series / IZA ; no. 14693
    Schlagworte: unconditional cash transfers; baby bonus; child health; healthcare utilization; regression discontinuity design; natural experiment; linked administrative data
    Umfang: 1 Online-Ressource (circa 70 Seiten), Illustrationen
  3. The hidden cost of having more children
    the impact of fertility on the elderly's healthcare utilization
    Autor*in: Xie, Mingjia; Yin, Ting; Zhang, Yi; Oshio, Takashi
    Erschienen: [2022]
    Verlag:  RIETI, [Tokyo, Japan]

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    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Schriftenreihe: RIETI discussion paper series ; 22-E, 033 (April 2022)
    Schlagworte: fertility; family planning policy; "1.5-Child Policy"; healthcare utilization; intergenerational support; China
    Umfang: 1 Online-Ressource (circa 51 Seiten), Illustrationen
  4. Geographic and socioeconomic variation in healthcare
    evidence from migration
    Autor*in: Elek, Petér S.; Győrfi, Anita; Kungl, Nóra; Prinz, Daniel
    Erschienen: [2023]
    Verlag:  Institute of Economics, Centre for Economic and Regional Studies, Budapest

    We study variation in healthcare utilization across geographies and socioeconomic groups in Hungary. Exploiting migration across geographic regions and relying on high-quality administrative data on healthcare use and income we show that the role of... mehr

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    We study variation in healthcare utilization across geographies and socioeconomic groups in Hungary. Exploiting migration across geographic regions and relying on high-quality administrative data on healthcare use and income we show that the role of place-specific supply factors is heterogeneous across types of care and across socioeconomic groups. Overall, place-specific factors account for 68% of the variation in outpatient spending and 35% of the variation in drug spending, but almost none of the variation in inpatient spending. Place effects explain four-fifth of outpatient spending variation for non-employed working-age individuals, but less than two-fifth for individuals with above-median wage incomes. There is a positive association between place effects and outpatient capacity, especially for low-income individuals. These results suggest that access to healthcare varies especially for low-income people even in a context with universal coverage.

     
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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Weitere Identifier:
    hdl: 10419/282239
    Schriftenreihe: KRTK KTI working papers ; KRTK KTI WP - 2023, 18 (June 2023)
    Schlagworte: healthcare utilization; healthcare supply; regional variation; socioeconomic status
    Umfang: 1 Online-Ressource (circa 46 Seiten), Illustrationen
  5. The effects of patient cost-sharing on adolescents' healthcare utilization and financial risk protection
    evidence from South Korea
    Autor*in: Kim, Seonghoon; Koh, Kanghyock; Lyou, Wonjun
    Erschienen: March 2024
    Verlag:  IZA - Institute of Labor Economics, Bonn, Germany

    We examine the effects of patient cost-sharing on adolescents' healthcare utilization and out-of-pocket medical expenditures by exploiting the healthcare reform in South Korea that lowered the coinsurance rate for inpatient care from 20% to 5% for... mehr

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    We examine the effects of patient cost-sharing on adolescents' healthcare utilization and out-of-pocket medical expenditures by exploiting the healthcare reform in South Korea that lowered the coinsurance rate for inpatient care from 20% to 5% for children under 16. We apply a difference-in-regression-discontinuities design using administrative claims data. We find that the reform increased adolescents' inpatient care utilization. It also reduced out-of-pocket healthcare expenditures. This effect was larger among low-income households, facilitating income redistribution. However, the lack of evidence on health improvements and household consumption spending responses suggests that generous patient cost-sharing for adolescent healthcare may cause efficiency losses.

     
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    Quelle: Verbundkataloge
    Sprache: Englisch
    Medientyp: Buch (Monographie)
    Format: Online
    Weitere Identifier:
    hdl: 10419/295920
    Schriftenreihe: Discussion paper series / IZA ; no. 16897
    Schlagworte: patient cost-sharing; healthcare utilization; out-of-pocket expenditure; income redistribution; consumption spending; difference in regression discontinuities design
    Umfang: 1 Online-Ressource (circa 46 Seiten), Illustrationen