scholarly journals Does the Great Recession Contribute to the Convergence of Health Care Expenditures in the US States?

2020 ◽  
Vol 17 (2) ◽  
pp. 554
Author(s):  
Jesús Clemente ◽  
Angelina Lázaro-Alquézar ◽  
Antonio Montañés
Keyword(s):  
Health Care ◽  
Great Recession ◽  
Null Hypothesis ◽  
Health Sector ◽  
Health Care Expenditures ◽  
Regional Health ◽  
The Great Recession ◽  
Regional Health Care ◽  
Capita Health Expenditure ◽  
The Us

This paper examines whether the Great Recession has altered the disparities of the US regional health care expenditures. We test the null hypothesis of convergence for the US real per capita health expenditure for the period 1980–2014. Our results indicate that the null hypothesis of convergence is clearly rejected for the total sample as well as for the pre-Great Recession period. Thus, no changes are found in this regard. However, we find that the Great Recession has modified the composition of the estimated convergence clubs, offering a much more concentrated picture in 2014 than in 2008, with most of the states included in a big club, and only 5 (Nevada, Utah, Arizona, Colorado and Georgia) exhibiting a different pattern of behavior. These two estimated clubs diverge and, consequently, the disparities in the regional health sector have increased.

scholarly journals Does the Great Recession Contribute to the Convergence of Health Care Expenditures in the US States?

2019 ◽  
Author(s):  
Jesús Clemente ◽  
Angelina Lázaro-Alquézar ◽  
Antonino Montañés
Keyword(s):  
Health Care ◽  
Great Recession ◽  
Null Hypothesis ◽  
Health Sector ◽  
Health Care Expenditures ◽  
Regional Health ◽  
The Great Recession ◽  
Regional Health Care ◽  
Capita Health Expenditure ◽  
The Us

This paper examines whether the Great Recession has altered the disparities of the US regional health care expenditures. We test the null hypothesis of convergence for the US real per capita health expenditure for the period 1980-2014. Our results indicate that the null hypothesis of convergence is clearly rejected for the total sample as well as for the pre-Great Recession period. Thus, no changes are found in this regard. However, we find that the Great Recession has modified the composition of the estimated convergence clubs, offering a much more concentrated picture in 2014 than in 2008, with most of the states included in a big club, and only 5 (Nevada, Utah, Arizona, Colorado and Georgia) exhibiting a different pattern of behavior. These two estimated clubs diverge and, consequently, the disparities in the regional health sector have increased.

Exploring the disparities of regional health care expenditures in Switzerland: some empirical evidence

2011 ◽  
Vol 13 (2) ◽  
pp. 193-202 ◽  
Author(s):  
Oliver Reich ◽  
Cornelia Weins ◽  
Claudia Schusterschitz ◽  
Magdalena Thöni
Keyword(s):  
Health Care ◽  
Empirical Evidence ◽  
Health Care Expenditures ◽  
Regional Health ◽  
Regional Health Care

scholarly journals Using Quantile Regression to Examine Health Care Expenditures during the Great Recession

2013 ◽  
Vol 49 (2) ◽  
pp. 705-730 ◽  
Author(s):  
Jie Chen ◽  
Arturo Vargas-Bustamante ◽  
Karoline Mortensen ◽  
Stephen B. Thomas
Keyword(s):  
Health Care ◽  
Quantile Regression ◽  
Great Recession ◽  
Health Care Expenditures ◽  
The Great Recession

scholarly journals Effectiveness of Reforming the Budget Network in the Health Sector in the 2010s

2020 ◽  
Vol 14 (1) ◽  
pp. 108-122
Author(s):  
I. A. Sokolov ◽  
I. N. Filippova
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Single Channel ◽  
Positive Impact ◽  
Health Sector ◽  
Regional Differentiation ◽  
Regional Health ◽  
Positive Effects ◽  
Regional Health Care ◽  
Care System

Over the last decade, the health care system in Russia has carried out significant reforms: changes in the budget network regulation, the introduction of financing standards, the May Decree No. 597 implementation regarding specific categories medical organizations employees’ salaries, the transition to single-channel financing. At the same time, the results are ambiguous: against the background of noticeable optimization achievements, while maintaining the indicators of surgery operations performed, and patients served, there was an increase in the overall mortality rate in the country. This study aims to evaluate the effect of health care reforms in the 2010s. The data envelopment analyses (DEA) used to estimate the government regional health sector efficiency to reveal the most and the least efficient regions. Then the factors with the most significant impact on the resulting performance indicator are identified. Among such factors, the organizational and legal structure of the region budget network and the transition to single-channel financing dummy variable are analysed. The results show that the transformation of institutions into autonomous ones according to the Federal law 83-FZ did not have a positive impact on the efficiency of the regional health care system. At the same time, the transition to single-channel funding has had some positive effects, which, however, has not been sustainable over time, and therefore more research is needed after the later periods’ data accumulation. Although the changes had some impact on the performance of the budget network institutions, they did not solve the fundamental problems of the health system, such as chronic underfunding and regional differentiation.

Disruptive Soft Law and Post-Crisis US Reform

2018 ◽  
Author(s):  
Abraham L. Newman ◽  
Elliot Posner
Keyword(s):  
Financial Markets ◽  
Great Recession ◽  
Regulatory Reform ◽  
The United States ◽  
Soft Law ◽  
Long Term Effects ◽  
The Great Recession ◽  
The Us ◽  
International Interaction

Chapter 6 examines the long-term effects of international soft law on policy in the United States since 2008. The extent and type of post-crisis US cooperation with foreign jurisdictions have varied considerably with far-reaching ramifications for international financial markets. Focusing on the international interaction of reforms in banking and derivatives, the chapter uses the book’s approach to understand US regulation in the wake of the Great Recession. The authors attribute seemingly random variation in the US relationship to foreign regulation and markets to differences in pre-crisis international soft law. Here, the existence (or absence) of robust soft law and standard-creating institutions determines the resources available to policy entrepreneurs as well as their orientation and attitudes toward international cooperation. Soft law plays a central role in the evolution of US regulatory reform and its interface with the rest of the world.

The Great Recession, behavioral health, and self-rated health: An examination of racial/ethnic differences in the US

2021 ◽  
Vol 118 ◽  
pp. 106873
Author(s):  
Nina Mulia ◽  
Yu Ye ◽  
Katherine J. Karriker-Jaffe ◽  
Libo Li ◽  
William C. Kerr ◽  
...  
Keyword(s):  
Behavioral Health ◽  
Ethnic Differences ◽  
Great Recession ◽  
The Great Recession ◽  
Self Rated Health ◽  
The Us ◽  
Racial Ethnic

scholarly journals Southern social world-regionalisms: The place of health in nine African regional economic communities

2020 ◽  
pp. 146801812096185
Author(s):  
Nicola Yeates ◽  
Rebecca Surender
Keyword(s):  
Health Care ◽  
Public Policy ◽  
Social Policy ◽  
Health Systems ◽  
Regional Integration ◽  
Regional Cooperation ◽  
Health Sector ◽  
World Health ◽  
Regional Health ◽  
Regional Economic

This article presents key results from a comparative qualitative Social Policy study of nine African regional economic communities’ (RECs) regional health policies. The article asks to what extent has health been incorporated into RECs’ public policy functions and actions, and what similarities and differences are evident among the RECs. Utilising a World Health Organization (WHO) framework for conceptualising health systems, the research evidence routes the article’s arguments towards the following principal conclusions. First, the health sector is a key component of the public policy functions of most of the RECs. In these RECs, innovations in health sector organisation are notable; there is considerable regulatory, organisational, resourcing and programmatic diversity among the RECs alongside under-resourcing and fragmentation within each of them. Second, there are indications of important tangible benefits of regional cooperation and coordination in health, and growing interest by international donors in regional mechanisms through which to disburse health and -related Official Development Assistance (ODA). Third, content analysis of RECs’ regional health strategies suggests fairly minimal strategic ambitions as well as significant limitations of current approaches to advancing effective and progressive health reform. The lack of emphasis on universal health care and reliance on piecemeal donor funding are out of step with approaches and recommendations increasingly emphasising health systems development, sector-wide approaches (SWAPs) and primary health care as the bedrock of health services expansion. Overall, the health component of RECs’ development priorities is consistent with an instrumentalist social policy approach. The development of a more comprehensive sustainable world-regional health policy is unlikely to come from the African Continental Free-Trade Area, which lacks requisite social and health clauses to underpin ‘positive’ forms of regional integration.

scholarly journals Optimizing Scarce Resource Allocation During COVID-19: Rapid Creation of a Regional Health-Care Coalition and Triage Teams in San Diego County, California

2020 ◽  
pp. 1-7
Author(s):  
Asha Devereaux ◽  
Holly Yang ◽  
Gilbert Seda ◽  
Viji Sankar ◽  
Ryan C. Maves ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Resource Allocation ◽  
San Diego ◽  
Scarce Resource ◽  
Successful Implementation ◽  
Regional Health ◽  
Incident Command ◽  
Regional Health Care ◽  
Crisis Care

ABSTRACT Successful management of an event where health-care needs exceed regional health-care capacity requires coordinated strategies for scarce resource allocation. Publications for rapid development, training, and coordination of regional hospital triage teams to manage the allocation of scarce resources during coronavirus disease 2019 (COVID-19) are lacking. Over a period of 3 weeks, over 100 clinicians, ethicists, leaders, and public health authorities convened virtually to achieve consensus on how best to save the most lives possible and share resources. This is referred to as population-based crisis management. The rapid regionalization of 22 acute care hospitals across 4500 square miles in the midst of a pandemic with a shifting regulatory landscape was challenging, but overcome by mutual trust, transparency, and confidence in the public health authority. Because many cities are facing COVID-19 surges, we share a process for successful rapid formation of health-care care coalitions, Crisis Standard of Care, and training of Triage Teams. Incorporation of continuous process improvement and methods for communication is essential for successful implementation. Use of our regional health-care coalition communications, incident command system, and the crisis care committee helped mitigate crisis care in the San Diego and Imperial County region as COVID-19 cases surged and scarce resource collaborative decisions were required.

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