Owen O''Donnell
Datos Biográficos
| ID | 1725355 |
|---|---|
| NOMBRE | Owen O''Donnell |
| NOMBRES | Owen |
| APELLIDO | O''Donnell |
| FIRMA | DONNELL O O |
| AFILIACIONES | University of Macedonia |
| ORCID | 0000-0002-6289-1924 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 35 |
| TOTAL DE CITAS | 153 |
| TOTAL COMO AUTOR | 35 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2000 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2025 |
| ÍNDICE H | 7 |
Coping (more or less) with health shocks
Do social preferences explain health inequality aversion
Impartial-spectator experiments find strong average health inequality aversion with much variation that is unexplained. We examine whether social preferences over own and others’ health can partly explain this variation. We conduct an online experiment, with a UK general public sample (n=903), in which participants allocate resources to determine health of hypothetical individuals. Randomly induced equality-efficiency trade-offs identify particip…
Is hypertension screening effective in a low-resource setting? A multidimensional regression discontinuity design
Noncommunicable diseases impede development, yet evidence on screening in low-resource settings is scarce. We evaluate hypertension screening in rural South Africa using a multidimensional regression discontinuity: a survey measures blood pressure (BP) and refers individuals exceeding either of two thresholds. Overall, referral modestly raises treatment uptake but shows no average BP effect after 4 years. We use BP variation with time of day and …
Association of socioeconomic inequality in cardiovascular disease risk with economic development across 57 low- and middle-income countries
Economic development was associated with higher and more unequal CVD risk, which may warrant shifting targeting of CVD primary prevention to socially disadvantaged groups
Health and health system effects on poverty
Ranking Age-at-Death Distributions Using Dominance
Diverging mortality trends at different ages motivate the monitoring of lifespan inequality alongside life expectancy. Conclusions are ambiguous when life expectancy and lifespan inequality move in the same direction or when inequality measures display inconsistent trends. We propose using nonparametric dominance analysis to obtain a robust ranking of age-at-death distributions. Application to U.S. period life tables for 2006–2021 reveals that, u…
Healthcare inequity arising from unequal response to need in the older (45+ years) population of India
Given the large and growing number of older (45+ years) people in India, inequitable access to healthcare in this population would slow global progress toward universal health coverage. We used a 2017-18 nationally representative sample of this population (n = 53,687) to estimate healthcare inequality and inequity by economic status. We used an extensive battery of indicators in nine health domains, plus age and sex, to adjust for need. We measur…
Public health insurance coverage in India before and after PM-JAY
INTRODUCTION: The provision of non-contributory public health insurance (NPHI) to marginalised populations is a critical step along the path to universal health coverage. We aimed to assess the extent to which Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (PM-JAY)-potentially, the world's largest NPHI programme-has succeeded in raising health insurance coverage of the poorest two-fifths of the population of India. METHODS: We used nationally r…
Distributionally sensitive measurement and valuation of population health
Optimizing cardiovascular disease risk screening in a low-resource setting
In Sri Lanka, CVD risk screening scenarios that used the WHO-2019 office-based risk tool, screened people above the age of 40, and lowered risk and blood pressure thresholds would likely be cost-effective, generating an additional QALY at less than half a GDP per capita
Risk factor contributions to socioeconomic inequality in cardiovascular risk in the Philippines
Wealthier Filipinos have higher predicted CVD risks and greater exposure to all risk factors, except smoking. There is need for a nuanced approach to CVD prevention that targets anti-smoking programmes on the poorer population while targeting diet and exercise interventions on the wealthier
Selective exercise of discretion in disability insurance awards
Variation in assessor stringency in awarding benefits leaves applicants exposed to uninsured risk that could be systematic if discretion were exercised selectively. Using administrative data on disability insurance (DI) applications in the Netherlands, we show that even in one of the most rule‐based DI programs, there is still between assessor variation in awards, and there is systematic variation in assessment across applicants. Discretion is ex…
Prevalence and inequality in persistent undiagnosed, untreated, and uncontrolled hypertension
Hypertension is the leading risk factor for cardiovascular diseases (CVDs) and substantial gaps in diagnosis, treatment and control signal failure to avert premature deaths. Our aim was to estimate the prevalence and assess the socioeconomic distribution of hypertension that remained undiagnosed, untreated, and uncontrolled for at least five years among older Mexicans and to estimate rates of transition from those states to diagnosis, treatment a…
Effectiveness of clinic-based cardiovascular disease prevention
Getting Filipinos to health clinics responsible for opportunistic CVD risk screening had a muted impact on exposure to CVD prevention and no significant impact on health behaviour and predicted CVD risk. Issuing well-founded protocols may be insufficient to ensure exposure to CVD prevention through routine clinic visits
What explains the fall in child stunting in Sub-Saharan Africa
There have been steep falls in rates of child stunting in much of Sub-Saharan Africa (SSA). Using Demographic and Health Survey data, we document significant reductions in stunting in seven SSA countries in the period 2005-2014. For each country, we distinguish potential determinants that move in a direction consistent with having contributed to the reduction in stunting from those that do not. We then decompose the change in stunting and in prox…
What Explains Education Disparities in Screening Mammography in the United States? A Comparison with The Netherlands
Background: In the U.S., less educated women are substantially less likely to receive screening mammography. It is not clear whether this is due to differences in access to screening or in perceptions of breast cancer risks and the effectiveness of screening. We weigh the plausibility of these two explanations by examining how the dependence of mammography on education changes after conditioning on indicators of access and perceptions. We also co…
Universal health coverage
Conindex
Concentration indices are frequently used to measure inequality in one variable over the distribution of another. Most commonly, they are applied to the measurement of socioeconomic-related inequality in health. We introduce the user-written command conindex, which provides point estimates and standard errors of a range of concentration indices. The command also graphs concentration curves (and Lorenz curves) and performs statistical inference fo…
Socioeconomic differences in health over the life cycle in an Egalitarian country
Urbanization and the spread of diseases of affluence in China
What explains the rural-urban gap in infant mortality
The rural-urban gap in infant mortality rates is explained by using a new decomposition method that permits identification of the contribution of unobserved heterogeneity at the household and the community level. Using Demographic and Health Survey data for six Francophone countries in Central and West sub-Saharan Africa, we find that differences in the distributions of factors that determine mortality-not differences in their effects-explain alm…
Who pays for health care in Asia?
Differential health reporting by education level and its impact on the measurement of health inequalities among older Europeans
BACKGROUND: This study aims to establish whether health reporting differs by education level and, if so, to determine the extent to which this biases the measurement of health inequalities among older Europeans. METHODS: Data are from the Survey of Health, Ageing and Retirement in Europe (SHARE) covering eight countries. Differential reporting of health by education is identified from ratings of anchoring vignettes that describe fixed health stat…
Coping with health‐care costs
In the absence of formal health insurance, we argue that the strategies households adopt to finance health care have important implications for the measurement and interpretation of how health payments impact on consumption and poverty. Given data on source of finance, we propose to (a) approximate the relative impact of health payments on current consumption with a ‘coping’‐adjusted health expenditure ratio, (b) uncover poverty that is ‘hidden’ …
Does reporting heterogeneity bias the measurement of health disparities?
Heterogeneity in reporting of health by socio‐economic and demographic characteristics potentially biases the measurement of health disparities. We use anchoring vignettes to identify socio‐demographic differences in the reporting of health in Indonesia, India and China. Homogeneous reporting by socio‐demographic group is rejected and correcting for reporting heterogeneity tends to reduce slightly estimated disparities in health by education (not…
Are urban children really healthier? Evidence from 47 developing countries
Access to health care in developing countries
Effective health care interventions are underutilized in the developing world, and income-related disparities in use are large. The evidence concerning this access problem is summarized and its demand side causes are identified. Broad strategies that have been proposed to tackle the access problem through changes in economic incentives are considered. It is argued that there is a need to go beyond the identification of broad strategies to the des…
What explains the rural-urban gap in infant mortality
The rural-urban gap in infant mortality rates is explained by using a new decomposition method that permits identification of the contribution of unobserved heterogeneity at the household and the community level. Using Demographic and Health Survey data for six Francophone countries in Central and West sub-Saharan Africa, we find that differences in the distributions of factors that determine mortality-not differences in their effects-explain alm…
Horizontal equity in health care utilization evidence from three high-income Asian economies
Socioeconomic differences in health over the life cycle in an Egalitarian country
Growing richer and taller
The Politics of Pension Reform
While the construction of a rational case for pension reform is often straightforward, the political implementation of such reform can be somewhat more difficult. In large part, this can be attributed to sceptical public opinion. The precise role played by public opinion in constraining the political feasibility of pension reform is, however, unclear. The purpose of this paper is to distil the ways in which public attitudes influence pension refo…
Health effects of child work
Effectiveness of clinic-based cardiovascular disease prevention
Getting Filipinos to health clinics responsible for opportunistic CVD risk screening had a muted impact on exposure to CVD prevention and no significant impact on health behaviour and predicted CVD risk. Issuing well-founded protocols may be insufficient to ensure exposure to CVD prevention through routine clinic visits
Universal health coverage
Equity in the delivery of health care in Europe and the US
The Politics of Pension Reform
While the construction of a rational case for pension reform is often straightforward, the political implementation of such reform can be somewhat more difficult. In large part, this can be attributed to sceptical public opinion. The precise role played by public opinion in constraining the political feasibility of pension reform is, however, unclear. The purpose of this paper is to distil the ways in which public attitudes influence pension refo…
Health effects of child work
Effect of payments for health care on poverty estimates in 11 countries in Asia
Catastrophic payments for health care in Asia
Out‐of‐pocket (OOP) payments are the principal means of financing health care throughout much of Asia. We estimate the magnitude and distribution of OOP payments for health care in fourteen countries and territories accounting for 81% of the Asian population. We focus on payments that are catastrophic, in the sense of severely disrupting household living standards, and approximate such payments by those absorbing a large fraction of household res…
The Incidence of Public Spending on Healthcare
The article compares the incidence of public healthcare across 11 Asian countries and provinces, testing the dominance of healthcare concentration curves against an equal distribution and Lorenz curves and across countries. The analysis reveals that the distribution of public healthcare is prorich in most developing countries. That distribution is avoidable, but a propoor incidence is easier to realize at higher national incomes. The experiences …
Access to health care in developing countries
Effective health care interventions are underutilized in the developing world, and income-related disparities in use are large. The evidence concerning this access problem is summarized and its demand side causes are identified. Broad strategies that have been proposed to tackle the access problem through changes in economic incentives are considered. It is argued that there is a need to go beyond the identification of broad strategies to the des…
Are urban children really healthier? Evidence from 47 developing countries
Horizontal equity in health care utilization evidence from three high-income Asian economies
Who pays for health care in Asia?
Differential health reporting by education level and its impact on the measurement of health inequalities among older Europeans
BACKGROUND: This study aims to establish whether health reporting differs by education level and, if so, to determine the extent to which this biases the measurement of health inequalities among older Europeans. METHODS: Data are from the Survey of Health, Ageing and Retirement in Europe (SHARE) covering eight countries. Differential reporting of health by education is identified from ratings of anchoring vignettes that describe fixed health stat…
Coping with health‐care costs
In the absence of formal health insurance, we argue that the strategies households adopt to finance health care have important implications for the measurement and interpretation of how health payments impact on consumption and poverty. Given data on source of finance, we propose to (a) approximate the relative impact of health payments on current consumption with a ‘coping’‐adjusted health expenditure ratio, (b) uncover poverty that is ‘hidden’ …
Does reporting heterogeneity bias the measurement of health disparities?
Heterogeneity in reporting of health by socio‐economic and demographic characteristics potentially biases the measurement of health disparities. We use anchoring vignettes to identify socio‐demographic differences in the reporting of health in Indonesia, India and China. Homogeneous reporting by socio‐demographic group is rejected and correcting for reporting heterogeneity tends to reduce slightly estimated disparities in health by education (not…
Growing richer and taller
Urbanization and the spread of diseases of affluence in China
What explains the rural-urban gap in infant mortality
The rural-urban gap in infant mortality rates is explained by using a new decomposition method that permits identification of the contribution of unobserved heterogeneity at the household and the community level. Using Demographic and Health Survey data for six Francophone countries in Central and West sub-Saharan Africa, we find that differences in the distributions of factors that determine mortality-not differences in their effects-explain alm…
Socioeconomic differences in health over the life cycle in an Egalitarian country
Conindex
Concentration indices are frequently used to measure inequality in one variable over the distribution of another. Most commonly, they are applied to the measurement of socioeconomic-related inequality in health. We introduce the user-written command conindex, which provides point estimates and standard errors of a range of concentration indices. The command also graphs concentration curves (and Lorenz curves) and performs statistical inference fo…
What Explains Education Disparities in Screening Mammography in the United States? A Comparison with The Netherlands
Background: In the U.S., less educated women are substantially less likely to receive screening mammography. It is not clear whether this is due to differences in access to screening or in perceptions of breast cancer risks and the effectiveness of screening. We weigh the plausibility of these two explanations by examining how the dependence of mammography on education changes after conditioning on indicators of access and perceptions. We also co…
Universal health coverage
What explains the fall in child stunting in Sub-Saharan Africa
There have been steep falls in rates of child stunting in much of Sub-Saharan Africa (SSA). Using Demographic and Health Survey data, we document significant reductions in stunting in seven SSA countries in the period 2005-2014. For each country, we distinguish potential determinants that move in a direction consistent with having contributed to the reduction in stunting from those that do not. We then decompose the change in stunting and in prox…
Prevalence and inequality in persistent undiagnosed, untreated, and uncontrolled hypertension
Hypertension is the leading risk factor for cardiovascular diseases (CVDs) and substantial gaps in diagnosis, treatment and control signal failure to avert premature deaths. Our aim was to estimate the prevalence and assess the socioeconomic distribution of hypertension that remained undiagnosed, untreated, and uncontrolled for at least five years among older Mexicans and to estimate rates of transition from those states to diagnosis, treatment a…
Effectiveness of clinic-based cardiovascular disease prevention
Getting Filipinos to health clinics responsible for opportunistic CVD risk screening had a muted impact on exposure to CVD prevention and no significant impact on health behaviour and predicted CVD risk. Issuing well-founded protocols may be insufficient to ensure exposure to CVD prevention through routine clinic visits
Public health insurance coverage in India before and after PM-JAY
INTRODUCTION: The provision of non-contributory public health insurance (NPHI) to marginalised populations is a critical step along the path to universal health coverage. We aimed to assess the extent to which Ayushman Bharat-Pradhan Mantri Jan Arogya Yojana (PM-JAY)-potentially, the world's largest NPHI programme-has succeeded in raising health insurance coverage of the poorest two-fifths of the population of India. METHODS: We used nationally r…
Distributionally sensitive measurement and valuation of population health
Medicine (24 obras) · Economics (23 obras) · Environmental health (22 obras) · Economic growth (18 obras) · Global Health Care Issues (16 obras) · Healthcare Systems and Reforms (15 obras) · Health care (14 obras) · Population (14 obras) · Demographic economics (13 obras) · Demography (13 obras)