HCHE Research Paper : Hamburg Center for Health Economics : Universität Hamburg

Ausgaben seit 2024

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Nr. 33/2026

ME/CFS is a severe chronic multisystem disease characterised by post-exertional malaise, cognitive impairment, and pain. This scoping review examined the types and effects of stigma experienced by people with ME/CFS by synthesising evidence from 44 studies. Stigma was reported across multiple areas of life.

Digitale Version

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Nr. 32/2025

Über das Stadium eines Gesetzentwurfes kamen die Reformideen zur Notfallversorgung bisher nicht hinaus. Dabei ist das Potenzial, dass eine solche Reform heben könnte, erheblich. Im Folgenden soll eine Abschätzung der finanziellen Auswirkungen einer umfangreichen Reform der Notfallversorgung versucht werden.

Digitale Version

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Nr. 31/2025

The optimal level of the cash benefit depends on substitution between formal and informal care options, the cost of public funds, and distributional considerations. To evaluate various policy options, we estimate a random-coefficients demand model for the period 1999-2015 using data from the German Mikrozensus.

Digitale Version

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Nr. 30/2024

European COvid Survey (ECOS), a longitudinal study spanning 8 European countries, was initiated early in the pandemic. Its purpose was to comprehend public perceptions, trust, knowledge, and behaviors related to COVID-19, including vaccination. The study aimed to enable timely monitoring and assess relationships between these variables.

Digitale Version

Ausgaben 2020-2023

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Nr. 29/2023

We investigate heterogeneity in patterns of preferences for health insurance features using health insurance choice data from a controlled laboratory experiment. Within the experiment, participants make consecutive insurance choices based on choice sets that vary in composition and size.

Digitale Version

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Nr. 28/2022

Across the member countries of the OECD, policy makers are searching for new ways to pay hospitals for inpatient care. We reviewed reforms to payment systems in ten high-income countries (Australia, Austria, Canada (Ontario), Denmark, France, Germany, Norway, Poland, the UK, and the United States.

Digitale Version

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Nr. 27/2022

We study how competition between physicians affects the provision of medical care. In our theoretical model physicians are faced with a heterogeneous patient population, in which patients systematically vary with regard to both, their responsiveness to the provided quality of care and their state of health.

Digitale Version

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Nr. 26/2022

This study analyzes the especially comprehensive German introduction of diagnosis-related groups.We find that the reform increased hospital activity significantly by around 2 percent per year. In contrast to many earlier studies, we find that diagnosis-related groups do not necessarily lead to a lowering of the average length of stay.

Digitale Version

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Nr. 25/2021

This paper analyzes the referral processes between a gatekeeping primary-care physician (PCP) and a specialist. Specialists provide superior treatment for some patients but are more costly than PCPs. Agency problems arise because diagnostic signals are private information of the physicians.

Digitale Version

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Nr. 24/2021

Statutory health insurers in Germany offer a variety of disease management, prevention and health promotion programs to their insurees. Identifying patients with a high probability of leaving these programs prematurely helps insurers to offer better support to those at the highest risk of dropping out.

Digitale Version

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Nr. 23/2020

We analyze different types of policy measures designed to fight the spread of the virus and minimize economic losses. We adjust the underlying social interaction patterns and consider an extended set of policy measures. The model is calibrated for Germany.

Digitale Version

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Nr. 22/2020

This paper analyzes hospital responses to a large-scale refinement of reimbursement practices in Germany on January 1, 2006, in which regulating authorities introduce reimbursements by treatment intensity in the market for stroke disorder.

Digitale Version

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Nr. 21/2020

This paper investigates the long-term effects of the Paraguayan War (1864- 1870) on intimatepartner violence. Over 130 years later, the likelihood of intimate partner violence is still 5.54 percent higher than average in municipalities that were more heavily affected by the war.

Digitale Version

Frühere Ausgaben

Nr. 20: Low Emission Zones and Population Health; Margaryan, S.

Nr. 19: Hospital Ownership Type and Service Provision, a Structural Approach; Bayindir, E.

Nr. 18: The Effect of Unemployment on the Smoking Behavior of Couples; Everding, J. ; Marcus, J.

Nr. 17: Heterogeneous Spillover Effects of Children's Education on Parental Mental Health; Everding, J.

Nr. 16: The Health Effects of Smoking Bans: Evidence from German Hospitalization Data; Kvasnicka, M.; Siedler, T.; Ziebarth, Nicolas R.

Nr. 15: Semiparametric Count Data Modeling with an Application to Health Service Demand; Bach, P.; Farbmacher, H.; Spindler, M.

Nr. 14: Ambulatory Care at the End of a Billing Period; Himmel, K.; Schneider, U.

Nr. 13: Unlucky to Be Young? The Long-Term Effects of School Starting Age on Smoking Behaviour and Health; Bahrs, M.; Schumann, M.

Nr. 12: Measuring change in subjective wellbeing: Methods to quantify recall bias and recalibration response shift; Blome, C.; Augustin, M.

Nr. 11: Using nonparametric conditional approach to integrate quality into efficiency analysis: empirical evidence from cardiology departments; Varabyova, Y.; Blankart, C.R.; Schreyögg, J.

Nr. 10: Cost-effectiveness of intravenous 5 mg zoledronic acid to prevent subsequent clinical fractures in postmenopausal women after hip fracture: a model-based analysis; Bleiber, F.; König, H.-H.

Nr. 9: A review of pay-for-performance programs in the inpatient sector in OECD countries; Milstein, R.; Schreyögg, J.

Nr. 8: Average-cost Pricing and Dynamic Selection Incentives in the Hospital Sector; Kifmann, M.; Siciliani, L.

Nr. 7: Estimation of a physician practice cost function; Heimeshoff, M.; Schreyögg, J.

Nr. 6: Fairer Systemwettbewerb zwischen gesetzlicher und privater Krankenversicherung ; Kifmann, M.; Nell, M.

Nr. 5: Electronic Word of Mouth about Medical Services; Hinz, V.; Drevs, F.; Wehner, J.

Nr. 4: Measuring the relationship between costs and outcomes: the example of Acute Myocardinal Infarction in German hospitals; Stargardt, T.; Schreyögg, J.; Kondofersky, I.

Nr. 3: Effect of Type of Insurance and Income on Waiting Time for Outpatient Care; Roll, K.; Stargardt, T.; Schreyögg, J.

Nr. 2: Changes in Hospital Efficiency after Privatization; Tiemann, O.; Schreyögg, J.

Nr. 1: Premium Subsidies and Social Insurance: Substitutes or Complements?; Kifmann, M.; Roeder, K.