Rationale: In the health economic literature, many statements on the allocation of health care resources can be found showing an appreciation of the two criteria of efficiency and justice or fairness as two values which are to weighed against each other in case of conflict. Objective: This paper...

Background: Digital health interventions (DHI) have been identified as a tool that has the potential to meet the growing demand for healthcare, improve the efficiency and sustainability of healthcare, and increase the accessibility and quality of care. The adoption and use of DHI for healthcare...

This paper proposes a novel two-stage approach to modeling health-related quality-of-life (HRQoL) outcomes. The approach allows a patient-centered interpretation by estimating regression coe fficients based on the multi-dimensional HRQoL profi le, but maintains the parsimony of the...

In 2004, the German Social Health Insurance introduced a co-payment for the first doctor visit in a calendar quarter. I combine a structural model of health care demand and a difference-in-differences strategy to estimate the effect of that reform on the number of visits. In the model, the...

A Dynamic Hurdle Model for Zero-Inflated Count Data: With an Application to Health Care UtilizationExcess zeros are encountered in many empirical count data applications. We provide a new explanation of extra zeros, related to the underlying stochastic process that generates events. The process...

Excess zeros are encountered in many empirical count data applications. We provide a new explanation of extra zeros, related to the underlying stochastic process that generates events. The process has two rates, a lower rate until the first event, and a higher one thereafter. We derive the...

Several studies of health system responsiveness focus on the demand-side by investigating the association between socio-demographic characteristics of patients and their reported level of responsiveness. However, little is known about the influence of supply-side factors. This paper addresses...

This work aims to identify the determinants of health care utilization in Portugal and to quantify their effects. A clear idea about this may help the policy debate on the delivery and organization of health services. Toward this end, we developed an approach based on count data models. We found...

Several studies of health system responsiveness focus on the demand-side by investigating the association between socio-demographic characteristics of patients and their reported level of responsiveness. However, little is known about the influence of supply-side factors. This paper addresses...

Excess zeros are encountered in many empirical count data applications. We provide a new explanation of extra zeros, related to the underlying stochastic process that generates events. The process has two rates, a lower rate until the first event, and a higher one thereafter. We derive the...