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Is the shift in treatment patterns towards new, more expensive drugs still driving the increase in pharmaceutical expenditure? A decomposition analysis of expenditure data in Sweden 1990-2022.
Expert Rev Pharmacoecon Outcomes Res
December 2024
Health Economics Unit, Department of Clinical Science (Malmö), Lund University, Lund, Sweden.
Background: Pharmaceutical expenditures (PE) are increasing worldwide, raising concerns about sustainability. However, the current price index provides an incomplete picture of this trend due to the rapid introduction of new drugs on the market.
Objective: The aim of this study is to decompose PE into their components and investigate the development in Sweden from 1990 to 2022.
Greenhouse gas emissions and mitigation strategies in China's municipal solid waste sector under the impact of the COVID-19 pandemic.
Environ Res
December 2024
School of Management Science and Real Estate, Chongqing University, Chongqing, 400045, China.
With the continuous increase in municipal solid waste (MSW) generation, greenhouse gas (GHG) emissions caused by MSW treatment have gradually become an important environmental concern. This study developed a comprehensive ten-factor analysis framework using the generalized Divisia index method (GDIM) to decompose the driving factors of GHG emissions from MSW sectors in China and its 31 provinces from 2010 to 2022, including population, economy, consumption, and waste generation. The heterogeneity of factor contributions was discussed from both temporal and spatial perspectives to propose mitigation strategies for provincial MSW sectors.
View Article and Find Full Text PDFHealthcare inequity arising from unequal response to need in the older (45+ years) population of India: Analysis of nationally representative data.
Soc Sci Med
January 2025
Erasmus School of Economics, Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Netherlands. Electronic address:
Given the large and growing number of older (45+ years) people in India, inequitable access to healthcare in this population would slow global progress toward universal health coverage. We used a 2017-18 nationally representative sample of this population (n = 53,687) to estimate healthcare inequality and inequity by economic status. We used an extensive battery of indicators in nine health domains, plus age and sex, to adjust for need.
View Article and Find Full Text PDFSocioeconomic Inequalities in Out-of-Pocket and Catastrophic Health Expenditures in Pakistan.
Int J Public Health
November 2024
Western Centre for Public Health & Family Medicine, Western University, London, ON, Canada.
Objectives: In Pakistan, healthcare utilization is linked to out-of-pocket payments (OOP) which disproportionately affect low-income households. We investigated socioeconomic inequality in OOP and catastrophic health expenditures (CHEs), and the contribution of sociodemographic factors to these inequalities.
Methods: Socioeconomic inequalities were quantified using the concentration index (CI), and the slope (SII) and relative (RII) indices of inequality using data from three rounds of Household Integrated Economic Survey (2007-08, 2011-12, and 2018-19).
Socioeconomic-related inequities in child immunization: horizontal and vertical dimensions for policy insights.
Health Econ Rev
November 2024
Centre for the Study of Regional Development, Jawaharlal Nehru University, New Delhi, India.
Background: The incomplete immunization has potentially exposed vulnerable children, especially from the socioeconomically disadvantage group, to vaccine preventable diseases. The schemes would maximize social benefit only when the immunization is effectively distributed on an equitable principle.
Method: The empirical study is based on unit level data from India's National Sample Survey: "Social Consumption: Health Survey- NSS 75th Round (2017-18) database.
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