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CINCH - Health Economics Research Center

Monday Health Economics Seminar


On Monday, December 17 2018, 14:00-15:30, Søren R. Kristensen (Imperial College London) will present:

Financial Penalties for Readmissions in the English NHS

Health care reforms aiming to improve the quality of hospital care by paying bonuses for higher quality have largely proven unsuccessful. In 2011, the English National Health Service introduced a policy that aimed to reduce emergency readmissions through financial penalties for readmissions. We analyse the intended and unintended effects of the penalty reform using controlled segmented regression. Hospitals responded to the reform by increasing length of stay of emergency admissions but readmission rates did not decrease, and the volume of elective activity was unintendedly reduced. Financial penalties for performance had unintended consequences for health care without achieving their intended aim.

Room: WST-C.02.12, Weststadttürme Berliner Platz 6-8, Essen

To find more on upcoming seminars, click here.

Monday Health Economics Seminar


On Monday, December 10 2018, 14:00-15:30, Martin Fischer (University of Duisburg-Essen) will present:

Does Starting School Early affect Cognitive Health in the Old Age? Quasi-Experimental Evidence from Germany

This study uses the German 1970 Census and administrative health insurance data to evaluatethe very long run-effects of a historical school starting age regulation in Germany on educational attainment and cognitive disease risk. From 1922 onwards children in northern parts of Germany had to start primary school the current year in case they turned 6 before the 30th of June, creating a discontinuity in school starting age. Starting school one year later lead to significant increase in educational attainment and income. Likely explanations for a persistent effect till adulthood are a highly selective and inflexible school system, the lack of proper school entrance examinations. Effects were potentially manifested or even exaggerated by World War II. However, I cannot detect effects on the risk of getting diagnosed with dementia for individuals 75+. Instead a later school starting age is associated with a significant reduction in overall mortality, potentially driven by the persistent effects of school starting age on educational attainment and associated socio-demographics.

Room: WST-C.02.12, Weststadttürme Berliner Platz 6-8, Essen

To find more on upcoming seminars, click here.

New CINCH Working paper


A new working paper has been added to the CINCH working paper series: “Early Life Exposure to Above Average Rainfall and Adult Mental Health” by Mochamad Pasha Marc Rockmore and Chih Ming Tan.

Abstract: We study the effect of early life exposure to above average levels of rainfall on adult mental health. While we find no effect from pre-natal exposure, post-natal positive rainfall shocks decrease average Center for Epidemiological Studies Depression (CESD) mental health scores by 15 percent and increase the likelihood of depression by 5 percent, a more than 20 percent increase relative to the mean. These effects are limited to females. We rule out prenatal stress and income shocks as pathways and find evidence suggestive of increased exposure to disease.

See all working papers.