Papers by Peter Hilsenrath
Journal of Primary Care & Community Health
Views on the medical efficacy and acceptability of marijuana have changed over the years. Califor... more Views on the medical efficacy and acceptability of marijuana have changed over the years. California was the first state permitting individuals to use medical marijuana. Even with a long history of use and widespread agreement around the effectiveness of medical marijuana, the literature is sparse about the role health care providers, including pharmacists, play in this interaction. The purpose of this article is to shed light on knowledge and attitudes of pharmacists regarding medical marijuana. We developed a survey for pharmacists about their level of knowledge and attitudes toward medical marijuana. The survey was distributed using SurveyMonkey. It consisted of 44 questions and an opportunity to provide comments. We collaborated with the California Pharmacists Association who provided a link to the survey in October 2017 to their members. Results from 474 responses indicate a majority of providers believe that marijuana has medical efficacy. Yet most providers report that they neither have much information about medical marijuana nor do they know where to get such information. One area of particular concern is the potential for drug interactions. Pharmacists would feel more comfortable discussing medical marijuana if it was approved by the Food and Drug Administration. Moreover, they believe more research needs to occur. The variance between California and federal policy leads to dysfunction among pharmacists providing information to patients. We believe federal policy should change.
INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 2017
Investment, especially through merger and acquisition (M&A), is a leading topic of concern among ... more Investment, especially through merger and acquisition (M&A), is a leading topic of concern among health care managers. In addition, the implications of this activity for organization and market concentration are of great interest to policy makers. Using a sample of 2256 firm-year observations in the health care industry during the period from 1985 to 2011, this article provides novel evidence that managers learn from financial markets in making capital expenditure (CAPEX) and M&A investment decisions. Within the industry, managers in the Drugs subsector are most likely to do so, whereas managers in the Medical Equipment and Supplies are least likely to do so. We find informative stock prices improve firm financial performance. This article highlights the importance of financial markets for real economic activity in the health care industry.
Health System Performance in South Africa vs. France
Http Dx Doi Org 10 1080 17533170100102101, May 8, 2007
ABSTRACT The authors examine the efficiency and overall performance of the French and South Afric... more ABSTRACT The authors examine the efficiency and overall performance of the French and South African (and American) health systems with a particular focus on how these countries ranked in the 2000 World Health Report.
Recombinant human erythropoietin vs transfusions in the treatment of anemia of prematurity : a cost-benefit analysis
Archives of Pediatrics and Adolescent Medicine, Jul 1, 1994
To evaluate the costs relative to the benefits of using recombinant human erythropoietin (rHuEPO)... more To evaluate the costs relative to the benefits of using recombinant human erythropoietin (rHuEPO) therapy as an alternative to red blood cell (RBC) transfusions in infants with anemia of prematurity. A cost-benefit analysis of rHuEPO therapy was performed based on its use in very-low-birth-weight premature infants. Data were drawn from published studies or were provided by the University of Iowa Hospitals and Clinics, Iowa City. Costs and benefits were analyzed as a comparison of incurred costs to averted costs. Incurred and averted costs of rHuEPO therapy and RBC transfusions included direct product costs and estimates of costs of adverse events. The analysis was viewed in terms of net savings. Sensitivity analysis was performed. The base case analysis yielded a net loss of $299.48 per infant. A 54% reduction in the direct product costs of rHuEPO therapy yielded a break-even point. No other variations in the sensitivity analysis resulted in a net savings. Using assumptions based on the current state of clinical research, it appears that routine use of rHuEPO with supplemental RBC transfusions would not generate any cost savings as an alternative to RBC transfusions alone. As further evidence is compiled on the efficacy of rHuEPO therapy in very-low-birth-weight premature infants, the true costs may be better established.
Government Can Be More Active Promoting Growth
Healthcare Management Education Settings in the United States: History and Persepctive
Journal of Management History, Oct 1, 2012
ABSTRACT USA with an emphasis on the comparison of business schools and health science settings. ... more ABSTRACT USA with an emphasis on the comparison of business schools and health science settings. It seeks to explain why different organizational cultures exist and how this affects education. Design/methodology/approach – The approach relies on literature review and descriptive analysis using secondary data. Institutional economics helps provide perspective on different academic cultures and orientations. Findings – Healthcare management education originated in the early twentieth century. Business schools at the University of Chicago and Northwestern were early pioneers. By mid-century, schools of public health and medicine entered and came to dominate with strong graduate programs at Berkeley, Michigan and other leading universities. More recently, business schools have differentiated away from the generic MBA and expanded into this market. Advocates of health science settings commonly see healthcare as different from other forms of management. The externally funded model of medical education relying on patient and grant revenues dominates the health sciences. This can lead to preference for faculty who generate funds and a neglect of core academic areas that historically have not relied on grants and contracts. Practical implications – This history of health management education provides insight for students, researchers, educators and administrators. It underscores comparative advantage of different academic settings. Originality/value – This paper serves to fill a gap in the management literature. It provides history and perspective about academic settings not readily available.
Comprehensive cost description of tuberculosis care
The International Journal of Tuberculosis and Lung Disease, May 1, 2005
Journal of Agromedicine, 2002
Data is presented on the health insurance coverage of approximately 260 farmers in Northwest Iowa... more Data is presented on the health insurance coverage of approximately 260 farmers in Northwest Iowa. A combination of telephone interview and self-administered questionnaire was used to collect information on health insurance premiums, coinsurance rates, and deduct
Journal of Economic Issues, 2008
The 1981 reform of the Chilean pension system was revolutionary at its time. It was the first ins... more The 1981 reform of the Chilean pension system was revolutionary at its time. It was the first instance of a mature public Pay-As-You-Go social security system being converted into a mandatory defined contribution system managed by the private sector. This paper contends that a unique confluence of events were responsible for this change. The rise of a dictatorship in Chile, a struggling public retirement system, and a cadre of Chicago oriented economists determined to make Chile a model free market neoliberal economy. This was later followed by the Washington Consensus and the promotion of Chilean reform by the World Bank. This paper analyzes the Chilean reform and its subsequent development; evaluating it on both efficiency and equity grounds. While the evidence for efficiency gains is mixed there is little doubt that equity has suffered under the new system. Nevertheless, it continues to evolve and equity concerns are increasingly being addressed.
Health care reform in South Africa: Comparisons with the United States
Http Dx Doi Org 10 1080 03768359608439930, Feb 27, 2008
ABSTRACT This article compares the health care systems of the United States and South Africa in a... more ABSTRACT This article compares the health care systems of the United States and South Africa in an effort to judge the relevance of policy. Both countries have relatively poor measures of health status for their levels of economic development and both have large and advanced private sectors. These similarities are associated with rapidly rising costs and large, underserved populations. It is also important to recognise the significant differences between the United States and South Africa, and especially the fact that South Africa is less developed and has fewer resources. This article provides a descriptive comparison of the health systems of the two countries, emphasising the role of managed care in the private sector. South Africa's large private sector is poised to absorb management technology pioneered in the United States.
International Journal of Pharmaceutical and Healthcare Marketing, 2011
Journal of Developing Drugs, 2013
Optimal Depletion of Coal Reserves in South Africa
Coal-based synthetic fuels [microform] : the South African experience /
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A96 Rising gasoline prices increase new motorcycle sales and fatalities in the United States
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Economics in the medical curriculum
Iowa medicine: journal of the Iowa Medical Society
Commentary on the Cost-Effectiveness of Preoperative Autologous Blood Donation in Coronary Bypass Surgery
The Annals of thoracic surgery
Implementing EACHs (essential access community hospitals) and RPCHs (rural primary care hospitals) on a statewide basis: a preliminary analysis
The Journal of Rural Health
Declining hospital utilization has created excess hospital capacity in rural areas, has depressed... more Declining hospital utilization has created excess hospital capacity in rural areas, has depressed occupancy rates, and threatens the financial viability of rural hospitals. Access to hospital care could be reduced and rural economies damaged if rural hospitals close. The federal Essential Access Community Hospital (EACH) demonstration program is an attempt to address these issues by establishing regional hospital networks. A preliminary analysis of the impact of state-wide implementation of the EACH program in Iowa suggests that about 60% of rural hospital beds and about 28% of all hospital beds would be eliminated. The EACH program could well prove difficult to implement because of the need to select hospitals for reduced services.
Assessing hospital radiology productivity
Administrative radiology: AR
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Papers by Peter Hilsenrath