NBER Publications by Emilia Simeonova

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Working Papers and Chapters

October 2013Who Is in Control? The Determinants of Patient Adherence with Medication Therapy
with Sergei Koulayev, Niels Skipper: w19496
Non-compliance with medication therapy remains an unsolved and expensive problem for health care systems around the world. Yet we know little about the factors that determine a patient's decision to follow treatment recommendations. This study uses a unique panel dataset comprising all prescription drug users, physicians, and all prescription drug sales in Denmark over seven years to analyze the contributions of doctor-, patient-, and drug-specific factors to the adherence decision. Our findings have important implications for the design of incentive schemes targeted at improving chronic disease management.
April 2013Education, Cognition and Health: Evidence from a Social Experiment
with Costas Meghir, Mårten Palme: w19002
In this paper we examine how an education policy intervention - the introduction of a comprehensive school in Sweden that increased the number of compulsory years of schooling, affected cognitive and non-cognitive skills and long-term health. We use detailed administrative data combined with survey information to create a data set with background information, child ability and long-term adult outcomes. We show that extra education results in significant gains in skills among children, but the effects on long-term health are overall negligible. However, we demonstrate that the schooling reform had heterogeneous effects across family socio-economic backgrounds and initial skill endowments, with significant improvements in cognition and skills for lower Socio-economic status individuals and l...
March 2012Education, Health and Mortality: Evidence from a Social Experiment
with Costas Meghir, Mårten Palme: w17932
We study the effect of a compulsory education reform in Sweden on adult health and mortality. The reform was implemented by municipalities between 1949 and 1962 as a social experiment and implied an extension of compulsory schooling from 7 or 8 years depending on municipality to 9 years nationally. We use detailed individual data on education, hospitalizations, labor force participation and mortality for Swedes born between 1946 and 1957. Individual level data allow us to study the effect of the education reform on three main groups of outcomes: (i) mortality until age 60 for different causes of death; (ii) hospitalization by cause and (iii) exit from the labor force primarily through the disability insurance program. The results show reduced male mortality up to age fifty for those assign...
March 2010Public vs. Private Provision of Charity Care? Evidence from the Expiration of Hill-Burton Requirements in Florida
with Douglas Almond, Janet Currie: w15798
This paper explores the consequences of the expiration of charity care requirements imposed on private hospitals by the Hill-Burton Act. We examine delivery care and the health of newborns using the universe of Florida births from 1989-2003 combined with hospital data from the American Hospital Association. We find that charity care requirements were binding on hospitals, but that private hospitals under obligation "cream skimmed" the least risky maternity patients. Conditional on patient characteristics, they provided less intensive maternity services but without compromising patient health. When obligations expired, private hospitals quickly reduced their charity caseloads, shifting maternity patients to public hospitals. There they received more intensive services, but did not expe...

Published: Almond, Douglas, Janet Currie and Emilia Simeonova. "Public vs. Private Provision of Charity Care? Evidence from Hill-Burton Hospitals in Florida" Journal of Health Economics, Vol 30, Issue 1, pp 189-199, 2011. citation courtesy of

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