Environmental Quality, Extreme Heat, and Healthcare Expenditures
Bibliographic Data
| ID | 15509835 |
|---|---|
| Authors | Douglas A Becker (0000-0002-9837-1349, Conservation International, corresponding author) |
| Year | 2024 |
| Volume | 21 |
| Issue | 10 |
| Pages | 1322-1322 |
| Publication date | 2024-10-05 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph21101322 |
| PMID | 39457295 |
| OpenAlex | W4403194877 |
| Language | EN |
| References cited | 31 |
Although the effects of the environment on human health are well-established, the literature on the relationship between the quality of the environment and expenditures on healthcare is relatively sparse and disjointed. In this study, the Environmental Quality Index developed by the Environmental Protection Agency and heatwave days were compared against per capita Medicare spending at the county level. A general additive model with a Markov Random Field smoothing term was used for the analysis to ensure that spatial dependence did not undermine model results. The Environmental Quality Index was found to hold a statistically significant ( p < 0.05), multifaceted nonlinear association with spending, as was the average seasonal maximum heat index. The same was not true of heatwave days, however. In a secondary analysis on the individual domains of the index, the social and built environment components were significantly related to spending, but the air, water, and land domains were not. These results provide initial support for the simultaneous benefits of healthcare financing systems to mitigate some dimensions of poor environmental quality and consistently high air temperatures
Biology · Business · Climate change · Economic growth · Economics · Environmental health · Extreme heat · Geography · Health care · Heat illness · Meteorology · Physics · Quality (philosophy · Air Quality and Health Impacts · Climate Change and Health Impacts · Environmental Science · Global Health Care Issues · Medicine · Ecology
A test for the serial independence of residuals
Fast Stable Restricted Maximum Likelihood and Marginal Likelihood Estimation of Semiparametric Generalized Linear Models
Effects of Air Temperature on Climate-Sensitive Mortality and Morbidity Outcomes in the Elderly; a Systematic Review and Meta-analysis of Epidemiological Evidence
Comparing implementations of global and local indicators of spatial association
A review on the human health impact of airborne particulate matter
A new look at the statistical model identification
Environmental quality and health expenditure in Ecowas
Residential Proximity to Environmental Hazards and Adverse Health Outcomes
Exposure to Natural Cold and Heat
The Effects of Outdoor Air Pollutants on the Costs of Pediatric Asthma Hospitalizations in the United States, 1999 to 2007
Racial Disparities in Medical Spending
| Highly cited | No |
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