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Registros recuperados: 30
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Estimation of Treatment Effect of Asthma Case Management Using Propensity Score Methods AgEcon
Brandt, Sylvia J.; Gale, Sara; Tager, Ira.
Objective: To estimate the treatment effect from participating in an asthma intervention that was part of the National Asthma Control Program. Study Setting: Data on children who participated in asthma case management (N=270) and eligible children who did not participate in case management (N=2,742) were extracted from a claims database. Study Design: We created 81 measures of health care utilization and 40 measures of neighborhood characteristics that could be related to participation in the program. The participation model was selected using the cross-validation-based Deletion Substitution and Addition (DSA) algorithm. We used optimal full matching for the vector of Mahalanobis’ distances and propensity scores to estimate the difference between...
Tipo: Working or Discussion Paper Palavras-chave: Asthma; Treatment effect; Health intervention; Propensity scores; Consumer/Household Economics; Health Economics and Policy; Research Methods/ Statistical Methods; I1; D13; H51; C31; C80; C81; C83.
Ano: 2009 URL: http://purl.umn.edu/53124
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Economics of Biofortification AgEcon
Qaim, Matin; Stein, Alexander J.; Meenakshi, J.V..
Micronutrient malnutrition affects billions of people world-wide, causing serious health problems. Different micronutrient interventions are currently being used, but their overall coverage is relatively limited. Biofortification – that is, breeding staple food crops for higher micronutrient contents – has been proposed as a new agriculture-based approach. Yet, as biofortified crops are still under development, relatively little is known about their economic impacts and wider ramifications. In this article, the main factors that will influence their future success are discussed, and a methodology for economic impact assessment is presented, combining agricultural, nutrition, and health aspects. Ex ante studies from India and other developing countries...
Tipo: Conference Paper or Presentation Palavras-chave: Micronutrient malnutrition; Public health; Biofortification; Agricultural technology; Impact analysis; Developing countries; Food Consumption/Nutrition/Food Safety; I1; I3; O1; O3; Q1.
Ano: 2006 URL: http://purl.umn.edu/25584
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Will Local Foods Influence American Diets? AgEcon
Thilmany, Dawn D.; Low, Sarah A..
Tipo: Article Palavras-chave: Dietary Guidelines; Consumer Behavior; Local Foods; Fruit and Vegetable Production; Agricultural and Food Policy; Food Consumption/Nutrition/Food Safety; Q1; I1; H3.
Ano: 2012 URL: http://purl.umn.edu/122797
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The Economics of Health Behavior and Vitamin Consumption AgEcon
Schroeter, Christiane; Anders, Sven M.; Carlson, Andrea; Rickard, Bradley J..
Conventionally, fruits and vegetables have been the major source of micronutrients. However, with the rising availability of nutritional supplements, U.S. consumers no longer need to rely on food alone for their nutritional needs. Time-pressured consumers with limited cooking skills and nutrition knowledge may find it easier to take vitamin supplements. The objective of this paper is to determine the impact of lifestyle, diet behavior including vitamin supplement consumption, and food culture on diet quality outcomes as measured by the Healthy Eating Index-2005 (HEI) and total energy intake. We use the 2003-04 U.S. National Health and Nutrition Examination Survey (NHANES) to examine the relationship between HEI and caloric intake. Further, our specific...
Tipo: Conference Paper or Presentation Palavras-chave: Vitamins; Supplements; Fruits and vegetables; NHANES; Health production; Healthy Eating Index - 2005; Agricultural and Food Policy; Consumer/Household Economics; Demand and Price Analysis; Food Consumption/Nutrition/Food Safety; Food Security and Poverty; Health Economics and Policy; I1; H2.
Ano: 2010 URL: http://purl.umn.edu/116391
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THE ECONOMICS OF POVERTY AND THE POVERTY OF ECONOMICS: A CHRISTIAN PERSPECTIVE AgEcon
Barrett, Christopher B..
In this world of plenty, almost half of the world's six billion people live on two dollars a day or less and the number living on less than one dollar a day has increased over the past fifteen years (World Bank 2000). Between one third and one half suffer under nutrition due to insufficient intake of calories, protein or critical micronutrients such as vitamin A, iodine and iron. More than one child in five lives in acute poverty. Why does such unnecessary injustice continue to disfigure a rich, technologically advanced world and what can be done to care for the poor and thereby to care for and honor God, as the Gospels instruct us? In attempting to answer those questions, at least partly, this paper offers some insights from recent research in economics,...
Tipo: Working or Discussion Paper Palavras-chave: Food Security and Poverty; O1; I1; A1.
Ano: 2003 URL: http://purl.umn.edu/14747
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Professionalism, Latent Professionalism and Organizational Demands for Health Care Quality in a Developing Country AgEcon
Leonard, Kenneth L.; Masatu, Melkiory C..
Medicine is a professional pursuit, and even in developing countries professionalism should lead at least some practitioners to care for their patients despite the absence of direct incentives to do so. Even if practitioners do not behave as professionals, what is the extent of latent professionalism, in which socialization in the profession conditions health workers to respond to a demand for professionalism even if they do not normally act as professionals? How many health care workers in developing countries act as professionals all the time and what will happen if health services turn toward remuneration schemes in which health workers are paid by the output or outcome? We examine the behavior of 80 practitioners from Arusha region of Tanzania for...
Tipo: Working or Discussion Paper Palavras-chave: Incentives; Quality; Health care; Professionalism; Tanzania; Health Economics and Policy; I1; O1; O2.
Ano: 2008 URL: http://purl.umn.edu/42883
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Poverty and health behaviour: Comparing socioeconomic status and a combined poverty indicator as a determinant of health behaviour AgEcon
Aue, Katja; Roosen, Jutta.
Studies in the area of health economics and public health have shown that low socioeconomic status (SES) and poverty are related to lower levels of health. Attempts to explain these differences have often made reference to the observation that poor health behaviours cluster in low SES respectively poverty groups. However, relatively little attention has been paid to the defining concept of SES and its appropriate measurement. Therefore data from the German Socio-Economic Panel are used to analyse the relationship between two multidimensional measurements to describe a) poverty respectively b) a low SES and health behaviour, including dietary behaviour, weight status and health behaviour in general. This study shows that both multidimensional indicators...
Tipo: Conference Paper or Presentation Palavras-chave: Poverty; Social inequality; Diet; BMI; Health behaviour; Agricultural and Food Policy; Consumer/Household Economics; Demand and Price Analysis; Food Consumption/Nutrition/Food Safety; Food Security and Poverty; Health Economics and Policy; I1; I3.
Ano: 2010 URL: http://purl.umn.edu/116401
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Idle Chatter or Learning? Evidence from Rural Tanzania of Social Learning about Clinicians and the Health System AgEcon
Adelman, Sarah W.; Essam, Timothy M.; Leonard, Kenneth L..
We examine data from rural Arusha region in Tanzania in which households are asked to recall the illness episodes of randomly chosen other households in their village. We analyze the probability that a household would be able to recall another illness episode as a function of the characteristics of the illness, the location and type of health care chosen and the outcome experienced. Households are more likely to recall severe illnesses and illnesses for which good quality care is important, illnesses that resulted in visits to hospitals or when the patient was not cured. In addition, households are more likely to recall illnesses that resulted in a visit to a facility where the average tenure of clinicians is less than two years old. The results are...
Tipo: Working or Discussion Paper Palavras-chave: Learning; Health care; Trust; Social networks; Community/Rural/Urban Development; Health Economics and Policy; I1; O1; O2.
Ano: 2008 URL: http://purl.umn.edu/42884
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Health impact assessment of folate biofortified rice in China AgEcon
De Steur, Hans; Gellynck, Xavier; Storoshenko, Sergei; Liqun, Ge; Lambert, Willy; Van der Straeten, Dominique.
Introduction: As folate deficiency is mainly caused by the dependency on folate-poor staple crops, such as rice, the implementation of rice with a high level of natural folate could be a successful pro-rural and pro-poor intervention strategy to reduce folate deficiencies in China, where about 260 million people are considered to be folate deficient. Consuming folate biofortified rice instead of conventional rice could prevent someone from negative health outcomes of folate deficiency, such as megaloblastic aneamia and neural-tube defects. Especially for poor Chinese women of childbearing age, folate biofortification could be important to prevent them from having a baby with a neural-tube defect, the main adverse health outcome. As Northern and Southern...
Tipo: Conference Paper or Presentation Palavras-chave: Folate biofortification; Health impact; Neural-tube defects; DALYs; China; Agricultural and Food Policy; Consumer/Household Economics; Demand and Price Analysis; Food Consumption/Nutrition/Food Safety; Food Security and Poverty; Health Economics and Policy; I1; D6.
Ano: 2010 URL: http://purl.umn.edu/116439
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Economics of Antibiotic Resistance: A Theory of Optimal Use AgEcon
Laxminarayan, Ramanan; Brown, Gardner M., Jr..
In recent years bacteria have become increasingly resistant to antibiotics, leading to a decline in the effectiveness of antibiotics in treating infectious disease. This paper uses a framework based on an epidemiological model of infection in which antibiotic effectiveness is treated as a nonrenewable resource. In the model presented, bacterial resistance (the converse of effectiveness) develops as a result of selective pressure on nonresistant strains due to antibiotic use. When two antibiotics are available, the optimal proportion and timing of their use depends precisely on the difference between the rates at which bacterial resistance to each antibiotic evolves and on the differences in their pharmaceutical costs. Standard numerical techniques are used...
Tipo: Working or Discussion Paper Palavras-chave: Antibiotics; Disease; Externality; Livestock Production/Industries; Q3; I1.
Ano: 2000 URL: http://purl.umn.edu/10619
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FOOD AID EFFECTIVENESS: "IT'S THE TARGETING, STUPID!" AgEcon
Barrett, Christopher B..
In the 1992 United States presidential campaign, Bill Clinton and his staff regularly invoked the forceful reminder "It's the economy, stupid!" in order to maintain a tight focus on the core issue that would ultimately decide their electoral success or failure. This initially seemed reductionist to many observers, because a presidential campaign is a complex affair, with myriad issues and pressures confronting the candidate every day. But Clinton and his staff were ultimately proved correct. Most of the important issues that could ignite or derail their campaign did boil down to the economy, and their famous, ruthless focus proved highly successful. This paper advances the argument that similar focus on issues of targeting are essential if food aid...
Tipo: Working or Discussion Paper Palavras-chave: Food Security and Poverty; Q18; O1; I1.
Ano: 2002 URL: http://purl.umn.edu/14754
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Linkages Between Agricultural Growth and Improved Child Nutrition in Mali AgEcon
Tefft, James F.; Penders, Christopher L.; Kelly, Valerie A.; Staatz, John M.; Yade, Mbaye; Wise, Victoria.
This paper presents the results of the first phase of a project aimed at analyzing the links between agricultural growth in Mali and child nutritional status. The objective of this project is to strengthen these links through applied research and extension. The first phase of the project was designed to generate hypotheses concerning the relationship and review existing data to test these hypotheses, generate new hypotheses and draw policy implications. The second phase of this project will carry out in-depth research to address the critical questions left unanswered in phase I and initiate actions designed to improve these links.
Tipo: Report Palavras-chave: Food security; Food policy; Child nutrition; Mali; Agricultural growth; Food Consumption/Nutrition/Food Safety; International Development; Downloads July 2008-July 2009: 13; I1.
Ano: 2000 URL: http://purl.umn.edu/54575
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Using the Hawthorne Effect to Examine the Gap Between a Doctor's Best Possible Practice and Actual Performance AgEcon
Leonard, Kenneth L.; Masatu, Melkiory C..
Many doctors in developing countries provide considerably lower levels of quality to their patients than they have been trained to provide. The gap between best practice and actual performance is difficult to measure for individual doctors who differ in levels of training and experience and who face very different types of patients. We exploit the Hawthorne effect—in which doctors change their behavior when a researcher comes to observe their practices—to measure the gap between best and actual performance. We analyze this gap for a sample of doctors, examining the impact of the organization for which doctors work on the performance of doctors, after controlling for their ability. We find that some organizations succeed in motivating doctors to work at...
Tipo: Working or Discussion Paper Palavras-chave: Motivation; Practice quality; Health care; Tanzania; Hawthorne effect; Health Economics and Policy; Institutional and Behavioral Economics; International Development; I1; O1; O2.
Ano: 2008 URL: http://purl.umn.edu/36693
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Socioeconomic Determinants of Disease Transmission in Cambodia AgEcon
Deolalikar, Anil B.; Laxminarayan, Ramanan.
The process of acquiring an infection has two components: first, exposure through proximity to another infected individual, and second, transmission of the disease. Earlier studies of the socioeconomic factors that affect the probability of acquiring an illness assume uniform exposure to infected individuals and may therefore result in biased estimates. This paper develops an empirical model, consistent with epidemiological models of spread of infections, to estimate the impact of socioeconomic variables on the extent of disease transmission within villages in Cambodia. Data from the 1997 Cambodia Socioeconomic Survey are used in this analysis.
Tipo: Working or Discussion Paper Palavras-chave: Disease transmission; Sanitation; Infection; Public health; Health Economics and Policy; C1; I1; O1.
Ano: 2000 URL: http://purl.umn.edu/10695
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EVALUATING TELEMEDICINE TECHNOLOGIES IN RURAL SETTINGS AgEcon
Capalbo, Susan Marie; Heggem, Christine N..
Changes in health care policies, demographics, and technology have presented new opportunities for the delivery of medical care services and information to rural communities. Telemedicine—the use of electronic information and communications technologies to provide and support health care when distance separates the participants—has significantly impacted the delivery of rural health care services. This paper presents an overview of the telemedicine technologies, government involvement in support of telemedicine, and issues that need to be addressed in designing an economic framework to evaluate the net benefits of telemedicine to rural communities and consumers. Federal and state governments have invested millions of support dollars in the form of...
Tipo: Working or Discussion Paper Palavras-chave: Rural health care; Telemedicine; Averted costs; Economic benefits; Telecommunications technology; R0; Community/Rural/Urban Development; Health Economics and Policy; Research and Development/Tech Change/Emerging Technologies; I1.
Ano: 1999 URL: http://purl.umn.edu/29167
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Theme Overview: Addressing the Obesity Challenge AgEcon
Muth, Mary K..
Tipo: Journal Article Palavras-chave: Obesity; BMI; Nutrition; Food choices; Food Consumption/Nutrition/Food Safety; I1; Q1.
Ano: 2010 URL: http://purl.umn.edu/95746
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Winning Big but Feeling no Better? The Effect of Lottery Prizes on Physical and Mental Health AgEcon
Apouey, Benedicte; Clark, Andrew E..
We use British panel data to explore the exogenous impact of income on a number of individual health outcomes: general health status, mental health, physical health problems, and health behaviours (drinking and smoking). Lottery winnings allow us to make causal statements regarding the effect of income on health, as the amount won is largely exogenous. These positive income shocks have no significant effect on general health, but a large positive effect on mental health. This result seems paradoxical on two levels. First, there is a well-known status gradient in health in cross-section data, and, second, general health should partly reflect mental health, so that we may expect both variables to move in the same direction. We propose a solution to the first...
Tipo: Working or Discussion Paper Palavras-chave: Income; Self-assessed health; Mental health; Smoking; Drinking; Consumer/Household Economics; D1; I1; I3.
Ano: 2009 URL: http://purl.umn.edu/55295
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EDUCATIONAL INVESTMENTS IN A SPATIALLY VARIED ECONOMY AgEcon
Mude, Andrew G.; Barrett, Christopher B.; McPeak, John G.; Doss, Cheryl R..
This paper presents a simple two-period, dual economy model in which migration options may affect the informal financing of educational investments. When credit contracts are universally available and perfectly enforceable, spatially varied returns to human capital have no effect on educational investment patterns. But when financial markets are incomplete and informal mechanisms subject to imperfect contract enforcement must fill the breach, spatial inequality in infrastructure or other attributes that affect the returns to education create spatial differentiation in educational lending and consequently, in educational attainment. Although migration options can increase the returns to education, they can also choke off the informal finance on which...
Tipo: Working or Discussion Paper Palavras-chave: Teaching/Communication/Extension/Profession; O1; I1.
Ano: 2003 URL: http://purl.umn.edu/14737
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Moving Beyond Income: Neighborhood Structure, Household Behavior, and Children's Health in the United States AgEcon
Rahman, Tauhidur; Aradhyula, Satheesh V..
Using insights from economics, pediatrics, psychology, and sociology, this paper examines the effects of income, income inequality, participation in religious services, maternal health, breastfeeding, household smoking, neighborhood characteristics, and racial/ethnic composition of population on child health. Using aggregate data on children's health and well-being for 50 U.S. states derived from the National Survey of Children's Health (NSCH, 2005), we document the following results: (1) neighborhood characteristics are a more powerful predictor of children's health than income; (2) there is a large effect of mother's health on children's health; (3) the independent effect of income inequality on children's health vary across domains of child health...
Tipo: Conference Paper or Presentation Palavras-chave: Children's health; Neighborhood characteristics; Socioeconomic status; Health Economics and Policy; I1.
Ano: 2007 URL: http://purl.umn.edu/9914
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The Food Prices / Body Mass Index Relationship: Theory and Evidence from a Sample of French Adults AgEcon
Boizot-Szantai, Christine; Etile, Fabrice.
What would be the effect of a "fat tax" on obesity? This paper shows that the sign of the price-weight correlation is unclear, as variations of food price have a direct effect on weight through changes in energy intakes, and an indirect (income) effect that affects energy expenditure. Food expenditures data are used to examine the link between the prices of 16 food groups and the distribution of the Body Mass Index among French adults. We find positive correlations for ready-meals and snacks, and negative correlations for sea products and fruits. It is thus unlikely that the epidemic of obesity will react in the short-term to nutritional taxes.
Tipo: Conference Paper or Presentation Palavras-chave: Obesity; Fat tax; Price policies; Quantitle regressions; Agricultural and Food Policy; Food Consumption/Nutrition/Food Safety; D1; H3; I1.
Ano: 2005 URL: http://purl.umn.edu/24734
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