1,721,013 research outputs found
Economic essays on the impact of health insurance on healthcare utilisation and costs for older people in Ireland
No full textThis thesis explores the drivers of healthcare utilisation and healthcare costs among older people in the Republic of Ireland, and, in particular, provides estimates for the impact of health insurance on utilisation, costs and informal care. This thesis is informed by projected changes in key policy and contextual factors that will pose questions for the future financing, delivery of and access to formal healthcare services in the Republic of Ireland. First, the complex, tiered nature of the Irish healthcare system and the role that health insurance plays in enabling access to formal healthcare services will change if government proposals for a more universal model of health insurance coverage comes into effect. Second, demographic trends indicate that the proportion of older individuals in the population, who tend to be the highest users of healthcare services, is increasing year on year. It is likely that both of these factors will lead to increasing pressures being placed on already capacity constrained formal healthcare systems to meet these demands. Additionally, such demand side pressures will increase the importance of informal care in the Irish healthcare system, both as a supplement to and a substitute for formal care. Furthermore, the impact of the proposed policy changes will likely influence the existing interactions between the formal and informal care systems. Within this context, the overarching motivation of the thesis is to expand knowledge and understanding of the role of health insurance, both public and private, and informal care in determining the use and cost of formal care services for older people in the Republic of Ireland.
To this end, three sets of empirical econometric analyses were undertaken. The first empirical analysis examined the associations between health insurance status and utilisation of a range of hospital and community healthcare services. The findings suggest that higher levels of health insurance coverage impacted positively on healthcare utilisation generally. The second empirical analysis examined associations between health insurance status and healthcare costs. The findings suggest that higher levels of health insurance coverage impacted positively across the full distribution of healthcare costs. The third empirical analysis examined the associations between informal care and the utilisation and cost of healthcare services. The findings suggest that being in receipt of informal care impacted positively upon healthcare utilisation and costs. The analysis also showed that health insurance increased the likelihood of receiving informal care, although not of providing such care.
Taken together, the findings suggest that projected changes to key policy and contextual factors relating to older Irish people will have important implications for both the formal and informal care systems and may be expected to lead to significant increases in healthcare utilisation and costs. Such evidence may be of interest to those charged with the design and delivery of formal healthcare services for older people and their carers in the Republic of Ireland. Policy-makers should be aware of the potential financial consequences of the proposed changes to the Irish healthcare system and put in place measures to control utilisation and costs in any new system
Economic essays on the impact of health insurance on healthcare utilisation and costs for older people in Ireland
No full textThis thesis explores the drivers of healthcare utilisation and healthcare costs among older people in the Republic of Ireland, and, in particular, provides estimates for the impact of health insurance on utilisation, costs and informal care. This thesis is informed by projected changes in key policy and contextual factors that will pose questions for the future financing, delivery of and access to formal healthcare services in the Republic of Ireland. First, the complex, tiered nature of the Irish healthcare system and the role that health insurance plays in enabling access to formal healthcare services will change if government proposals for a more universal model of health insurance coverage comes into effect. Second, demographic trends indicate that the proportion of older individuals in the population, who tend to be the highest users of healthcare services, is increasing year on year. It is likely that both of these factors will lead to increasing pressures being placed on already capacity constrained formal healthcare systems to meet these demands. Additionally, such demand side pressures will increase the importance of informal care in the Irish healthcare system, both as a supplement to and a substitute for formal care. Furthermore, the impact of the proposed policy changes will likely influence the existing interactions between the formal and informal care systems. Within this context, the overarching motivation of the thesis is to expand knowledge and understanding of the role of health insurance, both public and private, and informal care in determining the use and cost of formal care services for older people in the Republic of Ireland. To this end, three sets of empirical econometric analyses were undertaken. The first empirical analysis examined the associations between health insurance status and utilisation of a range of hospital and community healthcare services. The findings suggest that higher levels of health insurance coverage impacted positively on healthcare utilisation generally. The second empirical analysis examined associations between health insurance status and healthcare costs. The findings suggest that higher levels of health insurance coverage impacted positively across the full distribution of healthcare costs. The third empirical analysis examined the associations between informal care and the utilisation and cost of healthcare services. The findings suggest that being in receipt of informal care impacted positively upon healthcare utilisation and costs. The analysis also showed that health insurance increased the likelihood of receiving informal care, although not of providing such care. Taken together, the findings suggest that projected changes to key policy and contextual factors relating to older Irish people will have important implications for both the formal and informal care systems and may be expected to lead to significant increases in healthcare utilisation and costs. Such evidence may be of interest to those charged with the design and delivery of formal healthcare services for older people and their carers in the Republic of Ireland. Policy-makers should be aware of the potential financial consequences of the proposed changes to the Irish healthcare system and put in place measures to control utilisation and costs in any new system
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
Appropriate Similarity Measures for Author Cocitation Analysis
Full text linkWe provide a number of new insights into the methodological discussion about author cocitation analysis. We first argue that the use of the Pearson correlation for measuring the similarity between authors’ cocitation profiles is not very satisfactory. We then discuss what kind of similarity measures may be used as an alternative to the Pearson correlation. We consider three similarity measures in particular. One is the well-known cosine. The other two similarity measures have not been used before in the bibliometric literature. Finally, we show by means of an example that our findings have a high practical relevance.information science;Pearson correlation;cosine;similarity measure;author cocitation analysis
Dispelling the Myths Behind First-author Citation Counts
Full text linkWe conducted a full-scale evaluative citation analysis study of scholars in the XML research field to explore just how different from each other author rankings resulting from different citation counting methods actually are, and to demonstrate the capability of emerging data and tools on the Web in supporting more realistic citation counting methods. Our results contest some common arguments for the continued
use of first-author citation counts in the evaluation of scholars, such as high correlations between author rankings by first-author citation counts and other citation
counting methods, and high costs of using more realistic citation counting methods that are not well-supported by the ISI databases. It is argued that increasingly available digital full text research papers make it possible for citation analysis studies to go beyond what the ISI databases have directly supported and to employ more
sophisticated methods
koamabayili/VECTRON-author-checklist: VECTRON author checklist
No full textWe have done our best to complete the author checklist relating to the use of animals in the hut study. Note that the objective for the hut study was to evaluate the IRS treatment applications for residual efficacy against Anopheles mosquitoes, including the local An. coluzzii mosquito population. Cows were only used to attract mosquitoes into the huts and no tests were carried out directly on the cows. The author checklist is intended for use with studies where experiments are carried out on animals, which is why we have had such difficulty in completing this for the hut study, as many of the questions do not relate to how the cows were used
Author-wise bibliometric analysis based on entropy.
No full textAuthor-wise bibliometric analysis based on entropy.</p
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