Suchergebnisse

Most provincial health care systems in Canada combine public, private non-profit, and private for-profit delivery. In Alberta, the Health Care Protection Act , known as Bill 11, allows the public to purchase certain insured surgical services from private providers. This legislation sparked a heated and ongoing debate in Canada about the role of competition in health care service delivery. The key question asked is what can be gained from introducing competition among hospital and physician services while maintaining a public payment system. This paper evaluates what has been learned from the recent literature on competition in health care markets in the context of expanding the role of the private sector in Alberta. The evidence does not provide a definitive answer. Competition introduced by an expanded private sector is likely to be beneficial on some measures, indifferent on others, but not likely bad.

AbstractMost states now legally mandate providers to access the Prescription Drug Monitoring Program (PDMP) database before prescribing controlled substances like opioids. We exploit variation in the adoption of these "must access" mandates between 2010 and 2017 to evaluate their impact on prescribing behavior. We find that counties in "must access" PDMP states have 5.5 fewer retail opioid prescriptions per 100 persons compared to counties in "voluntary access" PDMP states. We find evidence of geographic spillovers in opioid prescribing behavior. Our results underscore the importance recognizing the potential for cross‐border shopping when designing interventions to combat opioid misuse.

Many countries promote participation in physical activity among its citizens. We undertake an international comparative analysis of participation using data from 34 countries in the 2007 International Social Survey Programme Leisure Time and Sports module, augmented with country‐specific characteristics capturing economic freedom and national sport policy. Gross domestic product per capita and economic freedom are associated with higher physical activity participation; past success of the national team in the Olympics is associated with lower participation, but hosting sports mega‐events is associated with higher participation. Our findings indicate that participation in sport and physical activity falls with age and rises with education and income. (JEL H59, I12, I18, J22, L83)

Abstract
This paper develops and estimates an economic model of physical activity that distinguishes between the participation and duration decisions (extensive and intensive margins). Results from IV estimators indicate that economic factors like income and opportunity cost of time are important determinants of physical activity and affect the participation and time spent decisions differently. Individuals with higher income are more likely to participate but, conditional on participation, spend less time engaged in physical activity. Individual characteristics like gender, race, marital status and having children also play an important role in the participation and duration decisions.

Physical inactivity is considered a major public health problem. We analyze participation in physical activity using data from a nationally representative sample of individuals in 1998 and 2000 augmented with additional state‐level data on government spending on parks and recreation. We find considerable variation in participation and time spent in physical activity across different groups of physical activity. Spending on parks and recreation increases participation in group sports but reduces participation, and time spent, in walking for exercise, suggesting that parks and recreation spending may not be an effective policy tool for increasing physical activity. (JEL I200, I120, I180, L830)

As managed care has grown, much concern has been expressed about the potential plight of the nation's 125 academic health centers (AHCs). Less concern has focused on non-AHC teaching hospitals, although most studies of graduate medical education (GME) costs include these hospitals in their estimates. While most studies have found that costs increase positively with various measures of "teaching intensity," some have concluded that hospitals with smaller programs have costs that are the same or less than comparable nonteaching hospitals. However, few studies have tested whether AHCs' cost structures are sufficiently similar to those of other hospitals to reliably include them in the same estimation. This article tests that assumption for Maryland hospitals, finds it violated, and presents results for non-AHC teaching hospitals. The results reveal that, at least in Maryland, even small teaching programs add to hospital costs.

Sports economics is a well-established and dynamic area of study; a key component in the fields of sport management, sport science and sport studies, as well as in other areas of economics, finance and management. Covering amateur to professional sports, individual events and organised tournaments, this Handbook provides an authoritative contribution to the understanding of sport in the economy. The editors of The SAGE Handbook of Sports Economics have brought together a global team of respected scholars to create this benchmark collection of insights into sports economics. Each chapter includes a study of a specific context in which issues arise in sports economics, a critical presentation of its main theoretical contributions, an overview of current research findings, and an outline of enquiry for future research.