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Essays in Health Economics
Essays in Health Economics
Essays in Health Economics

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자료유형  
 학위논문 서양
최종처리일시  
20260202103211
ISBN  
9798315799863
DDC  
614
저자명  
Pisauro, Giovanni.
서명/저자  
Essays in Health Economics
발행사항  
[Sl] : Northwestern University, 2025
발행사항  
Ann Arbor : ProQuest Dissertations & Theses, 2025
형태사항  
115 p
주기사항  
Source: Dissertations Abstracts International, Volume: 86-12, Section: B.
주기사항  
Advisor: Dranove, David.
학위논문주기  
Thesis (Ph.D.)--Northwestern University, 2025.
초록/해제  
요약This dissertation consist of three essays in the field of Health Economics. In the first essay I investigate the expansion of telehealth. Telehealth has transformed healthcare delivery in the United States in recent years. However, its growing use masks substantial geographic heterogeneity. This essay argues that differences in telehealth exposure during the pandemic's initial peak played a pivotal role in shaping this variation. Leveraging county-level shelter-in-place policies as a source of variation, this study employs an event study design to analyze telehealth use through the end of 2022. The findings reveal a lasting impact of these policies, with longer shelter-in-place durations associated with higher telehealth use more than two years after the conclusion of the policies. These results provide insights into the persistence of disparities in telehealth adoption.In the second essay, coauthored with Molly Schnell, we examine the impact of expanding pharmacists' scope of practice. Unintended pregnancies remain a major public health concern in the United States, driven in part by persistent disparities in contraceptive access. This essay analyzes state laws that authorize pharmacists to prescribe hormonal contraceptives (HCs), a policy aimed at reducing access barriers. Using a difference-in-differences approach, we estimate the effects of these laws on fertility and related health outcomes. We find that pharmacist prescribing is associated with a significant decline in birth rates, suggesting improved contraceptive access and greater reproductive autonomy, and it also has implications for other related outcomes.In the third essay, coauthored with Radhika Ramakrishnan, we examine the relationship between regional economic conditions and cause-specific mortality in Italy during the first half of the 20th century, a period marked by major medical advances and a broad decline in mortality. Using manually transcribed data on regional mortality by cause from 1901 to 1951, we analyze how regional GDP levels relate to mortality patterns. We find strong correlations between GDP and mortality for many causes of death, with the direction of the relationship varying by cause. Moreover, the strength of these correlations evolves over time, generally increasing over the period. To further investigate potential mechanisms, we also conduct a case study on the discovery and diffusion of Penicillin, exploring how access to this breakthrough treatment may have interacted with regional disparities.
일반주제명  
Public health
일반주제명  
American studies
일반주제명  
Public policy
키워드  
United States
키워드  
Telehealth
키워드  
Health economics
키워드  
Hormonal contraceptives
기타저자  
Northwestern University Economics
기본자료저록  
Dissertations Abstracts International. 86-12B.
전자적 위치 및 접속  
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■040    ▼aMiAaPQ▼cMiAaPQ
■0820  ▼a614
■1001  ▼aPisauro,  Giovanni.
■24510▼aEssays  in  Health  Economics
■260    ▼a[Sl]▼bNorthwestern  University▼c2025
■260  1▼aAnn  Arbor▼bProQuest  Dissertations  &  Theses▼c2025
■300    ▼a115  p
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  86-12,  Section:  B.
■500    ▼aAdvisor:  Dranove,  David.
■5021  ▼aThesis  (Ph.D.)--Northwestern  University,  2025.
■520    ▼aThis  dissertation  consist  of  three  essays  in  the  field  of  Health  Economics.  In  the  first  essay  I  investigate  the  expansion  of  telehealth.  Telehealth  has  transformed  healthcare  delivery  in  the  United  States  in  recent  years.  However,  its  growing  use  masks  substantial  geographic  heterogeneity.  This  essay  argues  that  differences  in  telehealth  exposure  during  the  pandemic's  initial  peak  played  a  pivotal  role  in  shaping  this  variation.  Leveraging  county-level  shelter-in-place  policies  as  a  source  of  variation,  this  study  employs  an  event  study  design  to  analyze  telehealth  use  through  the  end  of  2022.  The  findings  reveal  a  lasting  impact  of  these  policies,  with  longer  shelter-in-place  durations  associated  with  higher  telehealth  use  more  than  two  years  after  the  conclusion  of  the  policies.  These  results  provide  insights  into  the  persistence  of  disparities  in  telehealth  adoption.In  the  second  essay,  coauthored  with  Molly  Schnell,  we  examine  the  impact  of  expanding  pharmacists'  scope  of  practice.  Unintended  pregnancies  remain  a  major  public  health  concern  in  the  United  States,  driven  in  part  by  persistent  disparities  in  contraceptive  access.  This  essay  analyzes  state  laws  that  authorize  pharmacists  to  prescribe  hormonal  contraceptives  (HCs),  a  policy  aimed  at  reducing  access  barriers.  Using  a  difference-in-differences  approach,  we  estimate  the  effects  of  these  laws  on  fertility  and  related  health  outcomes.  We  find  that  pharmacist  prescribing  is  associated  with  a  significant  decline  in  birth  rates,  suggesting  improved  contraceptive  access  and  greater  reproductive  autonomy,  and  it  also  has  implications  for  other  related  outcomes.In  the  third  essay,  coauthored  with  Radhika  Ramakrishnan,  we  examine  the  relationship  between  regional  economic  conditions  and  cause-specific  mortality  in  Italy  during  the  first  half  of  the  20th  century,  a  period  marked  by  major  medical  advances  and  a  broad  decline  in  mortality.  Using  manually  transcribed  data  on  regional  mortality  by  cause  from  1901  to  1951,  we  analyze  how  regional  GDP  levels  relate  to  mortality  patterns.  We  find  strong  correlations  between  GDP  and  mortality  for  many  causes  of  death,  with  the  direction  of  the  relationship  varying  by  cause.  Moreover,  the  strength  of  these  correlations  evolves  over  time,  generally  increasing  over  the  period.  To  further  investigate  potential  mechanisms,  we  also  conduct  a  case  study  on  the  discovery  and  diffusion  of  Penicillin,  exploring  how  access  to  this  breakthrough  treatment  may  have  interacted  with  regional  disparities.
■590    ▼aSchool  code:  0163.
■650  4▼aPublic  health
■650  4▼aAmerican  studies
■650  4▼aPublic  policy
■653    ▼aUnited  States
■653    ▼aTelehealth
■653    ▼aHealth  economics
■653    ▼aHormonal  contraceptives
■690    ▼a0501
■690    ▼a0323
■690    ▼a0630
■690    ▼a0573
■71020▼aNorthwestern  University▼bEconomics.
■7730  ▼tDissertations  Abstracts  International▼g86-12B.
■790    ▼a0163
■791    ▼aPh.D.
■792    ▼a2025
■793    ▼aEnglish
■85640▼uhttp://www.riss.kr/pdu/ddodLink.do?id=T17357344▼nKERIS▼z이  자료의  원문은  한국교육학술정보원에서  제공합니다.

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