This article presents an evaluation of an ambitious health reform implemented in Colombia during the first half of the nineties. The reform attempted to radically change public provision of health services, by means of the transformation of subsidies to supply (direct transfers to hospitals)...

Native American women have suffered years of systematic injustice; the most tyrannical act in modern times may arguably be eugenics' practice through forced sterilization. Despite recent feminist movements and reproductive health reform, Native American women are missing from the conversation. The...

Do healthcare providers pick their patients? This paper uses patient-level administrative data on skilled nursing facilities in California to estimate a structural model of selective admission practices in the nursing home industry. I exploit within-facility covariation between occupancy and...

Germany’s healthcare system is praised as one of the best in the world. In this article, we review Germany’s health system by critically analysing its structure, funding, resource allocation, provider payments, efficiency, health outcomes, and access. Whilst health provision and access are...

We use a Regression Discontinuity Design (RDD) to evaluate the impact of cost-sharing on the use of health services. In the Italian health system, individuals reaching age 65 and earning low incomes are given total exemption from cost-sharing for health services consumption. Since the...

This paper examines the causal effect of the experience of a hospital with treating hip fractures (volume) on treatment outcome for patients. A full sample of administrative data from Germany for the year 2007 is used. We apply an instrumental variable approach to eliminate endogeneity concerns...

This paper examines the causal effect of volume on outcome on the example of patients with a hip fracture. We use an instrumental variable approach and consider both the practice-makes-perfect and selective-referral hypothesis as well as unobserved patient heterogeneity. Our results indicate...

On the basis of the Survey of Health, Ageing, and Retirement (SHARE), we analyse the determinants of who engages in mammography screening focusing on European women aged 50-69 years. A special emphasis is put on the endogeneity of subjective life expectancy and on the measurement and impact of...

We use a Regression Discontinuity Design (RDD) to evaluate the impact of cost-sharing on the use of health services. In the Italian health system, individuals reaching age 65 and earning low incomes are given total exemption from cost-sharing for health services consumption. Since the...

Medical technological progress has been shown to be the main driver of health care costs. A key policy question is whether new treatment options are worth the additional costs. In this analysis we assess the causal effect of percutaneous transluminal coronary angioplasty (PTCA), a major new...