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Johansson, N., Jakobsson, N. & Svensson, M. (2018). Regional variation in health care utilization in Sweden: The importance of demand-side factors. BMC Health Services Research, 18(1), Article ID 403.
Open this publication in new window or tab >>Regional variation in health care utilization in Sweden: The importance of demand-side factors
2018 (English)In: BMC Health Services Research, ISSN 1472-6963, E-ISSN 1472-6963, Vol. 18, no 1, article id 403Article in journal (Refereed) Published
Abstract [en]

Background: Differences in health care utilization across geographical areas are well documented within several countries. If the variation across areas cannot be explained by differences in medical need, it can be a sign of inefficiency or misallocation of public health care resources. Methods: In this observational, longitudinal panel study we use regional level data covering the 21 Swedish regions (county councils) over 13 years and a random effects model to assess to what degree regional variation in outpatient physician visits is explained by observed demand factors such as health, demography and socio-economic factors. Results: The results show that regional mortality, as a proxy for population health, and demography do not explain regional variation in visits to primary care physicians, but explain about 50% of regional variation in visits to outpatient specialists. Adjusting for socio-economic and basic supply-side factors explains 33% of the regional variation in primary physician visits, but adds nothing to explaining the variation in specialist visits. Conclusion: 50-67% of regional variation remains unexplained by a large number of observable regional characteristics, indicating that omitted and possibly unobserved factors contribute substantially to the regional variation. We conclude that variations in health care utilization across regions is not very well explained by underlying medical need and demand, measured by mortality, demographic and socio-economic factors.

Place, publisher, year, edition, pages
London, UK: BioMed Central, 2018
Keywords
Demand, Health care utilization, Panel data, Random effects, Regional variation, adult, article, demography, general practitioner, human, mortality, outpatient, panel study, population health, socioeconomics, Sweden
National Category
Health Care Service and Management, Health Policy and Services and Health Economy Health Care Service and Management, Health Policy and Services and Health Economy Economics
Research subject
Economics
Identifiers
urn:nbn:se:kau:diva-68061 (URN)10.1186/s12913-018-3210-y (DOI)000434085000004 ()2-s2.0-85048002649 (Scopus ID)
Available from: 2018-06-26 Created: 2018-06-26 Last updated: 2019-08-14Bibliographically approved
Sund, B., Svensson, M. & Andersson, H. (2017). Demographic determinants of incident experience and risk perception: Do high-risk groups accurately perceive themselves as high-risk?. Journal of Risk Research, 1, 99-117
Open this publication in new window or tab >>Demographic determinants of incident experience and risk perception: Do high-risk groups accurately perceive themselves as high-risk?
2017 (English)In: Journal of Risk Research, ISSN 1366-9877, E-ISSN 1466-4461, Vol. 1, p. 99-117Article in journal (Refereed) Published
Abstract [en]

This paper analyzes demographic determinants of incident experience and risk perception, as well as the relationship between the two, for eight different risk domains. Analyses were conducted by merging the results of a Swedish population-based survey, which includes approximately 15,000 individuals, with demographic and socio-economic register data. Being male was associated with higher incident experience yet a lower risk perception for nearly all risk domains. Lower socioeconomic status was associated with higher incident experience for falls, and being a victim of violence but lower incident experience for road traffic accidents. Lower socioeconomic status was also associated with higher risk perception for falls. On aggregate, ranking the different domains, respondents’ risk perception was in almost perfect correspondence to the ranking of actual incident experience, with the exception that the risk of being a victim of violence is ranked higher than indicated by actual incident experience. On a demographic group level, men and highly educated respondents perceive their risks to be lower than what is expected considering their actual incident experience. 

Place, publisher, year, edition, pages
Taylor & Francis, 2017
Keywords
Highway accidents; Population statistics, beliefs; Demographic groups; Different domains; incident experience; injuries; Road traffic accidents; Socio-economic status; Socio-economics, Risk perception
National Category
Economics and Business Business Administration
Research subject
Business Administration
Identifiers
urn:nbn:se:kau:diva-42384 (URN)10.1080/13669877.2015.1042499 (DOI)000392852900006 ()2-s2.0-84930147648 (Scopus ID)
Available from: 2016-06-07 Created: 2016-05-23 Last updated: 2018-01-22Bibliographically approved
Finseraas, H., Jakobsson, N. & Svensson, M. (2017). Do knowledge gains from public information campaigns persist over time?: Results from a survey experiment on the Norwegian pension reform. Journal of Pension Economics and Finance, 16(1), 108-117
Open this publication in new window or tab >>Do knowledge gains from public information campaigns persist over time?: Results from a survey experiment on the Norwegian pension reform
2017 (English)In: Journal of Pension Economics and Finance, ISSN 1474-7472, E-ISSN 1475-3022, Vol. 16, no 1, p. 108-117Article in journal (Refereed) Published
Abstract [en]

Government authorities use resources on information campaigns in order to inform citizens about relevant policy changes. The motivation is usually that individuals sometimes are ill-informed about the public policies relevant for their choices. In a survey experiment where the treatment group was provided with public information material on the social security system, we assess the short- and medium-term knowledge effects. We show that the short run effects of the information on knowledge disappear completely within 4 months. The findings illustrate the limits of public information campaigns to improve knowledge about relevant policy reforms.

Place, publisher, year, edition, pages
Cambridge University Press, 2017
Keywords
Campaign; information; knowledge; public
National Category
Business Administration
Research subject
Business Administration
Identifiers
urn:nbn:se:kau:diva-42385 (URN)10.1017/S1474747215000098 (DOI)000393876000006 ()2-s2.0-84929691948 (Scopus ID)
Available from: 2016-06-07 Created: 2016-05-23 Last updated: 2018-06-04Bibliographically approved
Andersson, H., Hole, A. R. & Svensson, M. (2016). Valuation of small and multiple health risks: A critical analysis of SP data applied to food and water safety. Journal of Environmental Economics and Management, 75, 41-53
Open this publication in new window or tab >>Valuation of small and multiple health risks: A critical analysis of SP data applied to food and water safety
2016 (English)In: Journal of Environmental Economics and Management, ISSN 0095-0696, E-ISSN 1096-0449, Vol. 75, p. 41-53Article in journal (Refereed) Published
Keywords
Choice experiments, Morbidity risk, Mortality risk, Scope sensitivity, Time preferences, Willingness to pay
National Category
Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Public Health Care Administration
Identifiers
urn:nbn:se:kau:diva-41002 (URN)10.1016/j.jeem.2015.11.001 (DOI)000368221400004 ()
Available from: 2016-03-09 Created: 2016-03-09 Last updated: 2017-12-06Bibliographically approved
Ryen, L. & Svensson, M. (2015). The willingness to pay for a quality adjusted life year: A review of the empirical literature. Health Economics, 24(10), 1289-1301
Open this publication in new window or tab >>The willingness to pay for a quality adjusted life year: A review of the empirical literature
2015 (English)In: Health Economics, ISSN 1057-9230, E-ISSN 1099-1050, Vol. 24, no 10, p. 1289-1301Article in journal (Refereed) Published
Abstract [en]

There has been a rapid increase in the use of cost-effectiveness analysis, with quality adjusted life years (QALYs) as an outcome measure, in evaluating both medical technologies and public health interventions. Alongside, there is a growing literature on the monetary value of a QALY based on estimates of the willingness to pay (WTP). This paper conducts a review of the literature on the WTP for a QALY. In total, 24 studies containing 383 unique estimates of the WTP for a QALY are identified. Trimmed mean and median estimates amount to 74,159 and 24,226 Euros (2010 price level), respectively. In regression analyses, the results indicate that the WTP for a QALY is significantly higher if the QALY gain comes from life extension rather than quality of life improvements. The results also show that the WTP for a QALY is dependent on the size of the QALY gain valued.

Place, publisher, year, edition, pages
John Wiley & Sons, 2015
Keywords
Article; health economics; human; life extension; priority journal; quality adjusted life year; quality of life; regression analysis; willingness to pay
National Category
Economics
Research subject
Economics
Identifiers
urn:nbn:se:kau:diva-44858 (URN)10.1002/hec.3085 (DOI)000360790800007 ()2-s2.0-84941188594 (Scopus ID)
Available from: 2016-08-15 Created: 2016-08-15 Last updated: 2018-06-01Bibliographically approved
Andersson, H. & Svensson, M. (2014). Scale sensitivity and question order in the contingent valuation method. Journal of Environmental Planning and Management, 57(11), 1746-1761
Open this publication in new window or tab >>Scale sensitivity and question order in the contingent valuation method
2014 (English)In: Journal of Environmental Planning and Management, ISSN 0964-0568, E-ISSN 1360-0559, Vol. 57, no 11, p. 1746-1761Article in journal (Refereed) Published
Abstract [en]

This study examines the effect on respondents' willingness to pay to reduce mortality risk by the order of the questions in a stated preference study. Using answers from an experiment conducted on a Swedish sample where respondents' cognitive ability was measured and where they participated in a contingent valuation survey, it was found that scale sensitivity is strongest when respondents are asked about a smaller risk reduction first ('bottom-up' approach). This contradicts some previous evidence in the literature. It was also found that the respondents' cognitive ability is more important for showing scale sensitivity when respondents are asked about a larger risk reduction first ('top-down' approach), also reinforcing the result that a 'bottom-up' approach is more consistent with answers in line with theoretical predictions for a larger proportion of respondents.

Keywords
cognitive ability; contingent valuation; mortality risk; order effect; scale sensitivity
National Category
Economics
Research subject
Economics
Identifiers
urn:nbn:se:kau:diva-30061 (URN)10.1080/09640568.2013.839442 (DOI)000342310400008 ()
Available from: 2013-11-20 Created: 2013-11-20 Last updated: 2017-12-06Bibliographically approved
Jakobsson, N., Persson, M. & Svensson, M. (2013). Class-size effects on adolescents' mental health and well-being in Swedish schools. Education Economics, 21(3), 248-263
Open this publication in new window or tab >>Class-size effects on adolescents' mental health and well-being in Swedish schools
2013 (English)In: Education Economics, ISSN 0964-5292, E-ISSN 1469-5782, Vol. 21, no 3, p. 248-263Article in journal (Refereed) Published
Abstract [en]

This paper analyzes whether class size has an effect on the prevalence of mental health problems and well-being among adolescents in Swedish schools. We use cross-sectional data collected in year 2008 covering 2755 Swedish adolescents in ninth grade from 40 schools and 159 classes. We utilize different econometric approaches to address potential between- and within-school endogeneity including school-fixed effects and regression discontinuity approaches. Our results indicate no robust effects of class size on the prevalence of mental health problems and well-being, and we cannot reject the hypothesis that class size has no effect on mental health and well-being at all.

Keywords
mental health, well-being, class size, adolescents
National Category
Economics
Identifiers
urn:nbn:se:kau:diva-33684 (URN)10.1080/09645292.2013.789826 (DOI)
Available from: 2014-09-15 Created: 2014-09-15 Last updated: 2018-06-04Bibliographically approved
Sandberg, P. & Svensson, M. (2013). The Cost of Autism Spectrum Disorders - A Review of the Literature. Journal of Mental Health Policy and Economics, 16, S30-S30
Open this publication in new window or tab >>The Cost of Autism Spectrum Disorders - A Review of the Literature
2013 (English)In: Journal of Mental Health Policy and Economics, ISSN 1091-4358, E-ISSN 1099-176X, Vol. 16, p. S30-S30Article in journal, Meeting abstract (Other academic) Published
National Category
Economics
Research subject
Economics
Identifiers
urn:nbn:se:kau:diva-38636 (URN)000317706400063 ()
Available from: 2015-11-24 Created: 2015-11-23 Last updated: 2017-12-06Bibliographically approved
Persson, M. & Svensson, M. (2013). The Willingness to Pay to Reduce School Bullying. Economics of Education Review, 35, 1-11
Open this publication in new window or tab >>The Willingness to Pay to Reduce School Bullying
2013 (English)In: Economics of Education Review, ISSN 0272-7757, E-ISSN 1873-7382, Vol. 35, p. 1-11Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Elsevier, 2013
National Category
Economics
Research subject
Economics
Identifiers
urn:nbn:se:kau:diva-26718 (URN)10.1016/j.econedurev.2013.02.004 (DOI)000321089000001 ()
Available from: 2013-03-21 Created: 2013-03-21 Last updated: 2017-12-06Bibliographically approved
Gustavsson, A., Svensson, M., Jacobi, F., Allgulander, C., Alonso, J., Beghi, E., . . . Olesen, J. (2012). Corrigendum to “Cost of disorders of the brain in Europe 2010” [Eur. Neuropsychopharmacol. 21 (2011) 718–779]. European Neuropsychopharmacology, 22(3), 237-238
Open this publication in new window or tab >>Corrigendum to “Cost of disorders of the brain in Europe 2010” [Eur. Neuropsychopharmacol. 21 (2011) 718–779]
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2012 (English)In: European Neuropsychopharmacology, ISSN 0924-977X, E-ISSN 1873-7862, Vol. 22, no 3, p. 237-238Article in journal (Refereed) Published
Abstract [en]

The spectrum of disorders of the brain is large, covering hundreds of disorders that are listed in either the mental or neurological disorder chapters of the established international diagnostic classification systems. These disorders have a high prevalence as well as short- and long-term impairments and disabilities. Therefore they are an emotional, financial and social burden to the patients, their families and their social network. In a 2005 landmark study, we estimated for the first time the annual cost of 12 major groups of disorders of the brain in Europe and gave a conservative estimate of €386 billion for the year 2004. This estimate was limited in scope and conservative due to the lack of sufficiently comprehensive epidemiological and/or economic data on several important diagnostic groups. We are now in a position to substantially improve and revise the 2004 estimates. In the present report we cover 19 major groups of disorders, 7 more than previously, of an increased range of age groups and more cost items. We therefore present much improved cost estimates. Our revised estimates also now include the new EU member states, and hence a population of 514 million people.

Keywords
brain disorders, mental, neurological, diagonostics
National Category
Business Administration Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Business Administration; Public Health Care Administration
Identifiers
urn:nbn:se:kau:diva-38518 (URN)10.1016/j.euroneuro.2012.01.001 (DOI)000301013400007 ()
Available from: 2016-01-22 Created: 2015-11-23 Last updated: 2017-11-30Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0003-1113-7478

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