The European Journal of Health Economics

Abstract Many countries with a competitive health insurance market have implemented a risk equalization system with health-based risk adjusters. An often-heard argument is that health-based equalization payments create a penalty on prevention and health-improving activities, because an insurer that improves its members’ health status by effective prevention and good quality care will receive lowe…

This study aimed to quantify patient preferences and assess how therapy success, copayment, and specific technical aspects influence acceptance of digital neurorehabilitation technologies. A Discrete Choice Experiment (DCE) was conducted among 1,259 individuals, including stroke survivors and members of the general population, to evaluate preferences for seven attributes of digital neurorehabilit…

The management of cancer risk for BRCA pathogenic variants (PV) carriers varies depending on countries, with different strategies. However, some strategies lack of cost-effectiveness evidence. This study fills this gap assessing the cost-effectiveness of a combined ovarian cancer (OC) surveillance and prevention strategy in BRCA1/2 PV carriers. The developed Markov decision model simulated the pr…

Loneliness is a recognized global public health concern and significantly impacts overall well-being. This study aims to determine utility values associated with different loneliness levels and assess the performance of the EQ-5D-5D and EQ-HWB measures in capturing loneliness. Data from an online survey comprising a nationally representative cross-sectional sample of Australian adults was used. T…

Everyday Life Rehabilitation (ELR) is a recovery-oriented intervention that aims at improving residents’ quality of life through engagement in meaningful everyday activities. The intervention has been demonstrated to be effective in a randomized controlled trial (ClinicalTrials.gov: NCT05056415). A cost-utility analysis (CUA) was conducted using quality-adjusted life years (QALYs) derived from Re…

The COVID-19 pandemic affected people with Non-Communicable Diseases (NCDs) in multiple ways. However, limited attention has been paid to its impact on labour outcomes for individuals with pre-existing NCDs. Given the heightened vulnerability of individuals with NCDs to COVID-19, the pandemic and related lockdown measures may have disproportionately influenced their employment prospects. Our stud…

Antibiotic (ATB) overprescription leads to antimicrobial resistance (AMR) and adverse events (AEs) and poses significant economic burdens on European healthcare systems. The aim of this study was to assess the economic impact associated with interventions aimed at reducing unnecessary ATB prescriptions in general practice, and to extrapolate the results at the European Union (EU) level. We used d…

To elicit informal caregivers’ preferences and willingness to pay for using social robots to support informal care provision. We conducted an exploratory online discrete choice experiment in 2024 with 400 informal caregivers in Hungary and 400 Poland. We used a D-efficient fractional design with 40 pairs of robot profiles blocked into four sets, randomly assigned to respondents. Robots were descr…

This study examines whether receipt of cash-for-care (CFC) benefits promotes or displaces family-based informal or, conversely, formal long-term care use. Utilizing cross-national data from four waves (2015–2021) of the Survey of Health, Ageing, and Retirement in Europe (SHARE) covering Austria, Belgium, France, and Germany, generalized linear models — accounting for variations in granting of the…