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#HEJC for 06/05/2013

This month’s meeting will take place Monday 6th May, at 5pm London time. That’ll be 11am in New Orleans and 7pm in Athens. Join the Facebook event here. We’ll also hold an antipodal meeting 12 hours later on Tuesday 7th May, at 5am London time. That’ll be midday in Kuala Lumpur and 1pm in Tokyo. Join the Facebook event here. For more information about the Health Economics Twitter Journal Club and how to take part, click here.

The paper for discussion this month is a working paper published in the Munich Personal RePEc Archive. The authors are Lydia Lawless, Rodolfo Nayga and Andreas DrichoutisThe title of the paper is:

“Time preference and health behaviour: A review”

Following the meeting, a transcript of the discussion can be downloaded here.

Links to the article

Direct: http://mpra.ub.uni-muenchen.de/45382

RePEc: http://ideas.repec.org/p/pra/mprapa/45382.html

Other: tbc

Summary of the paper

Time preferences affect individuals’ consumption decisions. Our understanding of time preferences can inform public policy, particularly in the area of health behaviours. Furthermore, in economic evaluation in health care, assumptions about time preferences play a crucial role in determining the cost-effectiveness of an intervention. The authors carry out a literature review; focussing on papers published post-2002 so as to avoid repeating previous reviews. In this review the authors sought to:

  1. examine the influence of time preferences on health behaviours
  2. explain how the societal time discount rate differs from the private time discount rate
  3. determine how time discount rates affect the decisions of governments in the developing world
  4. assess how time discount rates affect individuals’ decision making in regard to risky behaviours such as smoking, diet and sexual behaviour
  5. discuss the repercussions of time preferences for the prevention of poor health.

The authors identified 3 main strategies that are used to capture time preferences; observed behaviour, experimental settings and the use of time preference proxies. The authors conclude that context plays a key role in determining the nature of time preferences; developing countries may exhibit different trends to developed countries. Furthermore, time preferences from a societal perspective do no necessarily match those of the individual.

Discussion points

  • Do the authors succeed in reviewing all relevant literature?
  • Is the authors’ review strategy sufficient?
  • Does the study successfully address the 5 aims set out in the introduction?
  • How might this study inform future research?
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#HEJC for 01/04/2013 (new time!)

This month’s meeting will take place Monday 1st April, at 5pm London time. That’ll be 6pm in Cape Town and 7pm in Riga. Join the Facebook event here. We’ll also hold an antipodal meeting on Tuesday 2nd April, at 5am London time. That’ll be 2pm in Brisbane and 9pm on Monday in Seattle. Join the Facebook event here. For more information about the Health Economics Twitter Journal Club and how to take part, click here.

The paper for discussion this month is a working paper published by the Research Institute of Industrial Economics in Sweden. The authors are Sara Fogelberg and Jonas Karlsson. The title of the paper is:

“Competition and antibiotics prescription”

Following the meeting, a transcript of the discussion can be downloaded here.

Links to the article

Direct: http://www.ifn.se/wfiles/wp/wp949.pdf

RePEc: http://ideas.repec.org/p/hhs/iuiwop/0949.html

Other: tbc

Summary of the paper

Antibiotics resistance is an increasingly apparent problem in medicine, with the prevalence of multi-resistant bacteria on the rise. Over-prescription of antibiotics has short- and long-term implications for public health. Furthermore, there is much debate about the role of competition in healthcare provision. This paper investigates the effect of increased competition between healthcare providers on the prescription of antibiotics. The authors hypothesise that, as a result of increased competition, doctors may be inclined to prescribe more antibiotics in order to meet patients’ demand. The study makes use of a natural experiment where competition-inducing reform was implemented in different counties in Sweden at different points in time during 2007 to 2010. The dataset contains monthly data on all prescribed antibiotics in Sweden, including those defined as narrow spectrum and broad spectrum antibiotics. The authors implement a difference in differences model. The results indicate that increased competition had a positive and significant effect on antibiotics prescription.

Discussion points

  • What is the significance of Swedish reimbursement processes?
  • What does this study tell us about patients’ and doctors’ preferences for antibiotics?
  • What are the implications for the UK and other countries?
  • How can this study inform the debate about competition in healthcare?
 
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Posted by on March 25, 2013 in #HEJC

 

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#HEJC update

Starting from next month, the Health Economics Twitter Journal Club will discuss working papers, rather than published articles. While this change may undermine the definition of a ‘journal club’, we think it will have a number of advantages.

Firstly, by discussing papers that are not yet published in a journal, and are still to some extent works in progress, our discussion may actually be able to inform the finished product. Secondly, we will not be restricted to discussing research that may be 12 months or more ‘out-of-date’ because of publication lag. And finally, working papers are open access. Most journal articles in health economics are behind paywalls, and it is common, even amongst those at institutions, to be unable to access an article.

Papers will be sourced from repositories such as SSRN and RePEc and from various institutions’ working papers series. Authors can also suggest their own working papers for discussion via the contact page or on Twitter.

In addition, we’ve recently had some low turnouts for the discussions. We’d like to find out if different times are preferred. Please select your preferred time(s) below*.

*times are London time (GMT/BST) and the first of that day each month.

 
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Posted by on March 5, 2013 in #HEJC

 

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