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Empirical project for health economy course Economics Research Paper

Research Paper Instructions:

In this project, you will need to find related data for the topic and use STATA to analyze the data and make graphs to explain your research. Here I want to provide my idea of this project. I want to find out the correlation between health expenditure and physical health. The dependent variable is physical health. The dependent variable can be health expenditure, education, income, health resource. You can also change to another topic (more creative one).
Other detail for this project is in the word document and I also give you two examples for this project.

 

Empirical Project Grading Rubric Name(s): FOR RA (62 points to check off) I. Introduction (12 points all together) a. Draws on multiple secondary sources: 4 pts b. It is clear what the Key Independent and Dependent Variable is: 4 pts c. Attempts to motivate why question is important: 4 pts Earned:________ II. Descriptive Statistics (8 points all together) a. Show in table or scatter plot the correlation between key variables. 4 pts b. Attempts to discuss what is interesting about these correlations in paper. 4 pts Earned:________ III. Empirical Model (16 points all together) a. Describes regression model in words and with an equation 6 pts. b. Model includes 1 key independent variable, and 3-4 control variables. 6 pts c. Makes clear what data is being used for the project/variables. 4 pts. Earned:________ IV. Results (15 points all together) a. Show in table results from linear regression i. Add control variables one at a time and show how the key coefficient of interest changes. 7 pts b. Discuss these findings in word in terms of sign and statistical significance. 2 pts. c. Correctly interpret the regression coefficient. 6 pts. Earned:________ V. Conclusion: (6 points all together) a. Summarizes the policy importance of key findings: 6 pts. Earned:________ Other: points 5 (+/- some) a. No less than 6 pages, no more than 7 pages: -2 pts per half page under or over. b. Works cited clear and in order: 2 pts c. Decent Grammar/spelling: 3 pts. Earned:________ Prof David Simon (38 points on quality) • Paper is interesting and addresses an important question: 5-9 points • Shows an understanding of applying concepts/topics from health economics o Connects to empirical things we have learned/discussed: 3-6 points o Connects to economic theory: 2-4 points. • Findings connected to policy in an informative way: 5 points. • Tables are well organized and clear, writing well organized. 6-8 points • Empirical analysis: o Regressions were correctly run: up to - 10 points, if incorrect. My assumption is that everyone can do this by now. o Show depth and engagement in the analysis: 8 points. o Goes above and beyond in the empirical analysis: up to 10 points extra credit. Notes to group:

 

Professor Simon                                                                                                          Spring 2018

Econ 3451

 

Handout 4: The Empirical Project

Objective

 

This project is meant to give you experience writing a simple research paper that combines economic analysis/thinking with quantitative statistics and data work.  You will be using a specific quantitative methodology known as multivariate linear regression analysis.  While this may seem intimidating, It's really not very difficult, and I think you’ll find it to be a valuable professional tool that has many applications in business and government. The paper should be around 6 double spaced pages (not including graphs/figures/ tables/and references).  The goal of the paper is for you to explore the relationship between a health-related variable and one of its key explanatory (ie. independent) variables. Your paper should frame the economic, theoretical, and policy importance of the relationship between the two by drawing on secondary source citations.  Your statistical analysis should relate back to the importance of these variables, especially in terms of how they relate to economic theory, and provide us insight into the overall health phenomena you are investigating.      

 

You may work with one other student in the class, but doing so is not required. I will not be taking measures to align your incentives, so if you do decide to work with another student, then choose carefully.  In other words, if your group partner does not do their part, I will not be penalizing them.

 

Getting started:

 

You may want to start your project by simply identifying some general area of health economics that interests you.  Note, that health economics is really quite broad and can include the evaluation of any behavioral or economic phenomena that affects health. Some areas that students have researched in the past include: drinking and driving, marijuana legalization, physician supply, teen suicides, fertility, health insurance coverage, domestic violence, etc. Once you've identified a general area that you want to study, you need to think about a specific health-related variable that you want to examine more closely.  For example, I might be broadly interested in female access to medical care, but more specifically I'd like to know why the % of women who do not go to preventative doctor visits varies from state to state (or across counties in the nation, or across towns within a particular state).  Other examples might be the number of physicians, or the number of hospital beds, or the number of heart transplants, or prescription drug consumption per capita, etc. The list of potential topics is lengthy, so pick something that genuinely interests you but that is also practical to get information/data on and analyze effectively.

 

Once you've selected a specific variable to study, and the type of geographic areas you will use as a source of data (states, counties, metro areas, towns, etc.), you’ll need to think about the likely sources of variation in this measure—things that would potentially cause this measure to vary across different locations.  For example, suppose you are interested in woman’s health issues, particularly the access that women have to preventative health care.  What particular things might cause the % of women who had a preventative health care visit in the past 12 months to vary across the 50 states? [It’s actually very difficult to establish true causality, but you want to be thinking about this as a causal relationship, relating one or more “explanatory” or independent variables to the dependent variable.] The proportion of women with a regular physician is not evenly distributed, so what factors might “explain” this variation?  Some possibilities include: population in various age groups (not all age groups equally demand physician services); income (visits to a doctor is generally regarded as a “normal good”); average insurance coverage (access to insurance can greatly decrease the cost of having a regular doctor), etc. As you’re thinking about the “explanatory” variables, also think about whether each variable is likely to increase or decrease access to a regular physician.  This is where your economic reasoning should be useful. Think about the most important explanatory factors and how each might influence your variable of interest.  Try to avoid simply throwing in any variable that comes to mind.  The more thought you invest in this part of the exercise, the more likely your results will be interesting and meaningful. 

 

Ultimately your paper should focus on the relationship between a key independent/explanatory variable of interest and the health variable you are trying to understand.  You should focus the discussion of your paper on this major factor or independent variable that you feel explains the variation in your health outcome.  In the example of female access to health care if the key dependent variable was the % of women in a state who had a preventative health care visit in the past 12 months the key independent variable could be the % of women in a state who live near a community health care clinic.

 

I divide the parts of the handout by the parts of the paper I expect you to include in your final project:

 

  1. I.                   Introduction / Overview of the Issue

The first part of the paper should introduce the issue you are interested in. Explain why it is important, and discuss what is known from earlier research about the dependent variable you are studying (the dependent variable is the key variable you are interested in). Here is where you should make use of secondary sources.  Well documented, and reliable Internet resources are fine, however Wikipedia is not an acceptable secondary source.  That being said, Wikipedia is a good place to get a general sense of a topic and to find some good sources if they are cited in the article. 

 

In the example above, I could begin with finding several academic papers or news articles about what factors cause some women not to have a regular doctor.  I would then highlight the major factors (access to community health clinics, income, age, insurance coverage, education, poverty) that causes variation in the dependent variable.  These different factors are known as independent variables: you should try to include all of these in your analysis.

 

The introduction is also a good time to introduce simple economic theory or a simple model into your analysis.  For example, is the paper about the supply side creation of health care clinics?  If so, then a production function for clinics might make sense to look at / talk about. 

 

Typically, this section should be 1-2 pages. 

 

Note, From the beginning focus your discussion on one major factor or independent variable that you are interested in looking at in more detail (for example how access to a community health care clinic affects preventative health care).  

 

 

What I am looking for in this section: An explanation for why your topic is important and how your key independent variable may relate to you key dependent variable.  Why the relationship between the two is important and what previous work has said about this relationship.  What other independent variables should be included in the multivariate regression model.

 

 

 

 

  1. II.                 Descriptive Statistics

 

The next step is to understand the correlation between the dependent variable and main independent variable of interest and how this varies across the data.  This can be done by making scatter plots, calculating the mean of the dependent variable, and calculating the mean of the dependent variable by different regions or social groups.  For example, you could calculate the average % of women who had a preventative health care visit in the past 12 months for different geographic regions in the US (North, South, New England, etc) or for different racial/ethnic groups (Black, White, Hispanic, etc).  Of particular importance you could calculate how the mean value of the dependent variable varies by different levels of the key independent variable of interest.  From our example: you could make a table of how the % of women who had a preventative health care visit in the past 12 months varies for states where fewer than 25% of women live near a community health clinic relative to states where more than 25% of women live near a community health clinic. 

 

You will calculate these correlations, present them in a table, and discuss what you find in your paper.  This section should be around 1 page.

 

  1. III.              Economic Model

 

The next step is to develop a model that makes a hypothesis about how one variable causes another.  In our example this would be arguing for how variation in the availability of community health clinics causes women in different states to have differences in preventative health visits.  To do this, you need to present an empirical “model.”  A model is a mathematical formulation for how the independent variable is related to the dependent variable. In this example, making use of data for all 50 states and DC, the relationship or “model” I've described might take the general functional form:

 

A = f(%HC, POP 20-34, POP 35-64, POP 65+, %POV, EDU),

 

Where the variables are defined as:

 

A                 % of adult women who had a preventative check up in the past 12 months    

% HC               % of adult women who live near a community health clini

POP 20-34    fraction of population 20-34 years old 

POP 35-64  population 35-64 years old

POP 65+     population 65 years and older

%POV        percent of families in poverty

EDU           Average total years of schooling

 

The above model basically states that major factors (often inputs into a production function, utility function, or demand function) that cause A.

 

You will be expected to use at least four to five independent variables.  However, you are welcome to get data on more independent variables (if you do, be careful not to have more independent variables than observations.  For example in the above model I have 51 observations--data on 50 states and DC-- and only 5 independent variables).  Either way, you will want to focus your analysis and research on a single independent variable that is of particular interest.

 

To estimate this relationship in your model, you need to assume some specific functional form.  You should use a simple linear function.  If we limit our analysis to the 6 explanatory variables I've suggested, this linear function would be written:

 

A = a0 + a1(%HC)+ a2(POP 20-34) + a3(POP 35-64) + a4(POP 65+)

+ a5(% POV) + a6(EDU)

 

The function is linear because none of the variables is raised to a power, multiplied by another variable, logged, or appears as an exponent. Intuitively this assumes you are fitting a straight regression line between the two variables. In addition to a constant or intercept (a0), the equation contains 5 coefficients (a1, a2, …, a5), one for each explanatory variable.  These coefficients (a1, a2, …, a5) give the slope for that variable, or how the dependent variable changes with a change in the relevant independent variable.   The 6 parameters of the model can be estimated using data (the values of A and the 6 independent variables) from all 51 units (50 states plus DC).

 

The signs and magnitudes of the estimated parameters (and some other statistics that will be calculated) will tell you more about the empirical relationship between female access to care and community health clinics.  For example, %pov is estimated as the percent of women living at or below the poverty level, the estimated coefficient a5 would be interpreted as the change in A (percent of women with a preventative visit in the past 12 months) for a 1% change in the share of women living in poverty.  If a1 > 0, it would be consistent with our expectation that we would find more women do not have regular care in areas where there is greater poverty. 

 

This type of statistical analysis is called linear regression and the particular estimation method you'll probably be using in this assignment is called ordinary least squares, or simply OLS

 

You should spend about 1 page discussing your model, how you estimate the relationship (including data used).

 

 

  1. IV.             Results

 

Then you should spend 1-2 pages, discussing the findings from your estimation, and what this shows about your question.  Specifically you should refer to a table of the slope coefficient estimates of the various independent variables.  These estimates say how the dependent variable changes with the independent variable and reflect the key findings of the paper. Such a table should look similar as to what was on homework 4 (though with more columns) or the midterm

 

  1. V.                Conclusion / Output

 

You can then spend about half a page to a page on a conclusion where you tie together your statistical findings with previous research and/or discuss the greater implications of your results.  Among other things the conclusion is the place to discuss the policy importance of your findings, and to put your regression estimates into prospective. 

 

 At the end of the paper also include the statistical output: scatter plots, regression output, table of means, etc. that you reference in your paper.  You also must include your bibliographic references.

 

Getting Data:

 

One small obstacle: to estimate this relationship (that is, to determine the parameters a0, a1, …, ), you need data—information about the specific variables in your model for a particular sample.  In the model I've outlined, the data would be cross-sectional (data for all 50 states in a particular year).  But we also could study this type of relationship using time-series data (data for one geographic area over 40 years, for example).  Sometimes researchers use pooled data (data for a series of cross-sectional samples taken at various points in time).  If the sample consists of the same units in each period, the pooled-data are also called panel data.

 

We have an Internet and library full of data, but let me suggest a few specific websites that you might want to explore in your search for topics and for the necessary data.

http://www.kff.org/statedata/

http://www.statehealthfacts.org/ 

http://www.cdc.gov/datastatistics/http://datacenter.shadac.org

http://researchguides.library.tufts.edu/content.php?pid=49955&sid=366979 

http://quickfacts.census.gov/qfd/index.html 

http://www.cerc.com/townprofiles/list.asp

http://www.census.gov/                                   

http://www.fedstats.gov/                                 

http://www.bls.gov/                                              

http://www.bea.gov/

http://www.statemaster.com/index.php

http://www.econdata.net

http://einstein.library.emory.edu/econlinks.html

http://www.usa.gov/Topics/Reference-Shelf/Data.shtml            

 

Proposal Due Date: Thursday October 31st   (as a homework assignment)

Project Due Date: Tuesday December 3rd. (tentative). 

Research Paper Sample Content Preview:
Student’s Name
Instructor
Course
Date
Impact of Smoking Levels on Medical Cost
Introduction
Cigarette smoking is a significant cause of preventable health complications. While the prevalence of smoking-related health problems has decreased, it remains a leading cause of preventable deaths. Smoking is a severe health problem throughout the globe and must be curbed because of adverse health outcomes. Hall and Doran (1) noted that thousands of young people start smoking each day, and if the current rates are maintained, it is expected that many young people will die prematurely. Some of the disorders resulting from smoking include lung and throat cancer. There are also many lifestyle diseases whose severity is enhanced by smoking. The study aims to investigate the impact of smoking on medical costs.
There is enough evidence affirming that smoking affects the patient’s health, which affirms the essence of investigating this phenomenon. The health dangers associated with smoking lead smokers to consume more medical resources compared to non-smokers. This leads to high medical expenditure for households, governments, and individuals (Izumi et al. 621). The findings of this research will be relevant to medical practitioners, government, policymakers, and other stakeholders. This will assist in creating useful guidelines and control measures to assist smokers, families, communities, and the government to understand the medical cost implication of smoking.
When considering the impact of smoking on medical costs, other variable or factors must be considered, such as exercise, weight, age, and diet. Exercise will be used to establish whether the patient does workout or not. Additionally, weight, age, and diet are important because they highlight the physical health characteristics of the patient. Therefore, smoking as a lifestyle will be analyzed together with exercise, diet, age, and weight. Individuals engaging in prolonged smoking habits succumb to early deaths. While there has been advocacy concerning the issue of smoking, many people have ignored it and have treated it as a normal jingle among health practitioners and advocates. Wilson et al. (872) noted that frequent smoking, lack of exercise, and poor diet is the leading cause of death. The lack of exercise is causing many deaths across the United States, as well as all over the world.
With poor lifestyle habits related to smoking, diet, and physical exercise, many people succumb to preventable illnesses. Some of the health complications influenced by smoking, lack of exercise, age, and poor diet include coronary diseases, high blood pressure, stroke, depression, and other mental illnesses. Chronic diseases resulting from regular smoking severity are enhanced by a lack of physical exercise (Booth, Roberts, and Laye 1143). Regular exercise minimizes risks of contracting certain diseases, controls the weight of a person, improves one ability to accomplish daily tasks, enhances mental health and mood, and increases the chances of living for many years.
Study Objectives
The study aims to explore the unique relationship between the variables under consideration and how they influence medical costs. Regular smoking, physical inactivity or lack of exercise,...
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