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At least 487 records · Page 27Linked to original sources
PubMed1994

Removable partial prostheses for the elderly.

Elderly partially edentulous patients can have teeth replaced with removable or fixed prostheses supported by mucosa, teeth, or implants. Age per se does not influence which option is best. Instead, the relative health of the patient, dental tissues, and the patient's finances determine treatment. A three-level index of these factors, the PTF index, is proposed to assist in the decision-making for treatment. Removable partial prostheses (RPPs) can be indicated for all patients because RPPs offer esthetic, versatile, noninvasive, and reversible features. They are particularly indicated when remaining teeth are questionable. If teeth are lost, they can be more easily added to existing RPPs compared with fixed prostheses. Six changes to ideal designs are illustrated in this article for prostheses with a compromised dentition, to make continued prosthetic service simpler.

Aged↗
PubMed1989

Trends in temporomandibular joint surgery: economic implications and complications.

A 5-year retrospective study of 103 patient records was undertaken. It analyzed the trend toward outpatient surgical management of patients requiring temporomandibular joint arthroplasties and determined the relative economic value and complication rate associated with this trend. Complication rates were not significantly different during the 5-year study interval, and comparative costs to the patient showed a 26% reduction for the 5-year interval.

Adolescent↗
PubMed1983

Physician acceptance of Medicare patients on assignment.

The determinants of the assignment rates of physician services under Medicare are analyzed in this paper. A theoretical model of physician behavior is developed to capture the carrot and stick nature of the assignment decision resulting from the uncertainty of patient payment. The optimization conditions of the physician's problem indicate that assignment rates are determined by market prices, Medicare fees, and physicians' assessments of their patients' payment likelihoods. The theoretical findings are tested using an empirical model based on observed prices and selected proxy variables for the probability of payment. Results, based on a Tobit analysis that predicts elasticities for the price and proxy variables, are consistent with the theoretical model implying that economic incentives and patient payment probabilities are important determinants of assignment rates.

Aged↗
PubMed1989

The private demand for nursing home care.

The fact that many nursing home patients are mentally and physically disabled has led some observers to conclude that they represent irrational consumers who are incapable of disciplining the nursing home care markets. This assumption has, in turn, led policy makers to favor regulatory solutions to nursing home problems. This paper tests the accuracy of this assumption by estimating a demand equation for private nursing home patients. Evidence if found that the private patients' response to price and quality differences among nursing homes is generally systematic and consistent with expectations derived from a conventional constrained optimization model of their behavior. Such behavior is generally consistent with consumer rationality. Some implications for public policy are discussed.

Aged↗
PubMed1990

Willingness to pay for publicly-provided goods. A possible measure of benefit?

The results presented in this paper arise from a U.K.-based study aimed at determining peoples' willingness to pay for two publicly-provided goods, namely continuing-care for elderly people in either hospital or National Health Service (NHS) nursing homes. Seventy-one per cent of respondents provided evaluations which could contribute to the analysis which showed that the group which preferred NHS nursing-home care could potentially compensate the group which preferred hospital care and still remain better off, thus rendering NHS nursing-home care the efficient option to undertake. No variable could be found which discriminated between those who could place a value on both types of care and those who could not. The willingness-to-pay methodology is very experimental in this context and should be investigated thoroughly before its widespread adoption in the evaluation of health care techniques.

Aged↗
PubMed1993

Willingness to pay for antihypertensive therapy--further results.

A measurement experiment regarding willingness to pay for antihypertensive therapy is reported. A new type of binary willingness to pay question is used, that allows for different degrees of certainty with respect to the responses. Mean willingness to pay is derived from a simple expected utility model and estimated using maximum likelihood methods. The estimated parameters are highly significant, with predicted signs, and imply a mean willingness to pay of about SEK 800 ($130) per month. The explanatory power of the equation that only includes 'certain' yes/no responses is, as expected, much higher than that of the equation where only 'uncertain' responses are included.

Attitude to Health↗
PubMed1995

Worker demand for health insurance in the non-group market.

This paper examines decisions to purchase individual insurance by workers who do not have employment-based insurance. Using data from the Current Population Survey and the Survey of Income and Program Participation, coupled with prices for a standard insurance product in different market areas, we estimate a price elasticity of -0.3 to -0.4 and an income elasticity of 0.15. Our estimate of the price response raises doubts that even substantial subsidies to the working uninsured would induce many of them to purchase coverage voluntarily.

Data Collection↗