Results

CEP discussion paper

The social determinants of choice quality: evidence from health insurance in the Netherlands

Market provision of impure public goods such as insurance, retirement savings and education is common and growing as policy makers seek to offer more choice and gain efficiencies. This approach induces an important trade...Read more...

CEP discussion paper

Why are pollution damages lower in developed countries? Insights from high income, high-particulate matter Hong Kong

Conventional wisdom suggests that pollution damages are high in less-developed countries because they are highly polluted. Using administrative data on the universe of births and deaths, we explore the morbidity and mort...Read more...

External publication

World Happiness Report 2020

The World Happiness Report is a landmark survey of the state of global happiness that ranks 156 countries by how happy their citizens perceive themselves to be. The World Happiness Report 2020 for the first time ranks ci...Read more...

CEP occasional paper

When to release the lockdown: A wellbeing framework for analysing costs and benefits

In choosing when to end the lockdown, policy-makers have to balance the impact of the decision upon incomes, unemployment, mental health, public confidence and many other factors, as well as (of course) upon the number o...Read more...

CEP discussion paper

Machiavelli versus concave utility functions: should bads be spread out or concentrated?

Is wellbeing higher if the same number of negative events is spread out rather than bunched in time? Should positive events be spread out or bunched? We answer these questions exploiting quarterly data on six positive an...Read more...

CEP election analysis

#GE2019Economists: the research evidence on key issues for voters in the 2019 UK General Election

The general election of 2019 was called after negotiations over how the UK should leave the European Union became increasingly tortuous. While Brexit may have been the trigger for the election, it was far from being the ...Read more...

CEP discussion paper

Dirty density: air quality and the density of American cities

We study whether urban density affects the exposure of city dwellers to ambient air pollution using satellite-derived measures of air quality for the contiguous United States. For identification, we rely on an instrument...Read more...

CentrePiece article

Healthy Minds: the positive impact of a new school curriculum

As the UK government prepares to make personal, social, health and economic (PSHE) education compulsory, a recent trial shows how these subjects can be taught successfully. Grace Lordan and Alistair McGuire evaluate the ...Read more...

CEP discussion paper

Widening the high school curriculum to include soft skill training: impacts on health, behaviour, emotional wellbeing and occupational aspirations

From 2020 the health and relationships aspects of Personal, Social, Health and Economic Education will be compulsory in UK schools for adolescents. However less is known about how it can be taught in an effective manner....Read more...

Blog

LSE British Politics and Policy:

Childhood circumstances and young adult outcomes: the role of parental financial problems

Is there a relationship between childhood circumstances and outcomes later on in life? Andrew E. Clark, Conchita D’Ambrosio, and Marta Barazzetta consider the cognitive and non-cognitive consequences on young adults who ...Read more...

Journal article

Health Affairs:

Variation in health spending growth for the privately insured from 2007 to 2014

We examined the growth in health spending on people with employer-sponsored private insurance in the period 2007-14. Our analysis relied on information from the Health Care Cost Institute data set, which includes insuran...Read more...

CentrePiece article

Aid: it’s not just about the money

For more than a decade, CEP research associate Peter Boone and his colleagues at Effective Intervention have been running health and education programmes in some of the poorest parts of the world. As he recounts here, th...Read more...

Journal article

Social Science and Medicine:

Life satisfaction, QALYs, and the monetary value of health

The monetary value of a quality-adjusted life-year (QALY) is frequently used to assess the benefits of health interventions and inform funding decisions. However, there is little consensus on methods for the estimation o...Read more...

CEP discussion paper

Medical marijuana laws and mental health in the United States

The consequences of legal access to medical marijuana for individual welfare are a matter of controversy. We contribute to the ongoing discussion by evaluating the impact of the staggered introduction and extension of me...Read more...

Journal article

American Journal of Health Economics:

Do you have to win it to fix it?: A longitudinal study of lottery winners and their health-care demand

We exploit lottery wins to investigate the effects of exogenous changes to individuals' income on the utilization of health-care services, and the choice between private and public health care in the United Kingdom. Our ...Read more...

CEP discussion paper

Surprise! Out-of-network billing for emergency care in the United States

Using insurance claims data capturing 8.9 million emergency episodes, we show that in 22% of cases, patients attended in-network hospitals, but were treated by out-of-network physicians. We find that out-of-network billi...Read more...

CEP discussion paper

Politics, hospital behaviour and health care spending

This paper examines the link between legislative politics, hospital behaviour, and health care spending. When trying to pass sweeping legislation, congressional leaders can attract votes by adding targeted provisions tha...Read more...

CEP discussion paper

Early-life correlates of later-life well-being: evidence from the Wisconsin longitudinal study

We here use data from the Wisconsin Longitudinal Study (WLS) to provide one of the first analyses of the distal (early-life) and proximal (later-life) correlates of older-life subjective well-being. Unusually, we have tw...Read more...

SERC/Urban and Spatial Programme Discussion Paper

Social Tenants' Health: Evaluating the Effectiveness of Landlord Interventions

Objectives: To test whether a social landlord can improve health outcomes for older tenants and reduce their NHS usage by simple interventions. Design: Randomised controlled trial. Setting: Social housing in five London ...Read more...

CEP discussion paper

The key determinants of happiness and misery

Understanding the key determinants of people’s life satisfaction will suggest policies for how best to reduce misery and promote wellbeing. This paper provides evidence from survey data on USA, Australia, Britain and Ind...Read more...

CEP discussion paper

The hospital as a multi-product firm: the effect of hospital competition on value-added indicators of clinical quality

There is increasing international interest in using Patient Reported Outcome Measures (PROMs) to assess health care provider performance. PROMs are a fundamental advance on existing indicators of health care quality in t...Read more...

CEP election analysis

The NHS and Social Care: Prospects for Funding, Staffing and Performance into the 2020s

Health featured prominently in the 2016 referendum on the UK’s membership of the European Union (EU), with the Leave campaign’s claim that Brexit would mean that £350 million extra money per week could be transferred fro...Read more...

CentrePiece article

Origins of happiness

Understanding the key determinants of people’s life satisfaction makes it possible to suggest policies for how best to reduce misery and promote wellbeing. A forthcoming book by Richard Layard and colleagues discusses ev...Read more...

Journal article

Kyklos:

Do More of Those in Misery Suffer from Poverty, Unemployment or Mental Illness?

Studies of deprivation usually ignore mental illness. This paper uses household panel data from the USA, Australia, Britain and Germany to broaden the analysis. We ask first how many of those in the lowest levels of life...Read more...

Book

Origins of Happiness

What makes people happy? Why should governments care about people's well-being? How would policy change if well-being were the main objective? The Origins of Happiness seeks to revolutionize how we think about human ...Read more...

SERC/Urban and Spatial Programme Discussion Paper

The Stimulative Effect of an Unconditional Block Grant on the Decentralized Provision of Care

Understanding the impact of central government grants on decentralized health care provision is of crucial importance for the design of grant systems, yet empirical evidence on the prevalence of flypaper effects in this ...Read more...

CentrePiece article

In brief: Weekend opening of GP practices

Can increased access to GPs reduce overcrowding in hospitals' Accidents & Emergency departments? Research by Peter Dolton and Vikram Pathania assesses whether weekend GP opening hours introduced in 2013 in four surgeries...Read more...

Blog

ESRC blog:

The ‘photo-finish effect’: when third place winners are happier than second

Laura Kudrna, a London School of Economics scholarship PhD candidate, researches the effects of achievement on happiness, particularly focusing on examples of when greater success – be it financial, academic, romantic, o...Read more...

CentrePiece article

A shortage of nurses?

The government’s Migration Advisory Committee (MAC) has reluctantly recommended that nurses remain on the ‘shortage occupation list’, while criticising the health sector for failing to maintain a sufficient supply of UK ...Read more...

CentrePiece article

Misery and mental health

Mental illness is a far bigger source of human misery than poverty or unemployment, according to research by Sarah Flèche and Richard Layard. They argue that we need to move beyond a purely materialistic conception of mi...Read more...

SERC/Urban and Spatial Programme Discussion Paper

Taking Care of the Budget? Practice-level Outcomes during Commissioning Reforms in England

I investigate whether vesting budgets with doctors impacts treatment decisions and patients outcomes by exploiting the transitional phase of major recent health care reforms in England that passed budgets to consortia of...Read more...

CEP discussion paper

The price ain't right? Hospital prices and health spending on the privately insured

We use insurance claims data covering 28 percent of individuals with employer-sponsored health insurance in the US to study the variation in health spending on the privately insured, examine the structure of insurer-hosp...Read more...

Blog

ESRC blog:

Making the world a happier place

Professor Lord Richard Layard directs the Wellbeing Programme at the ESRC Centre for Economic Performance, and has made major contributions on unemployment, inflation, inequality and post-Communist reform. Author of the ...Read more...

CEP discussion paper

Do more of those in misery suffer from poverty, unemployment or mental illness?

Studies of deprivation usually ignore mental illness. This paper uses household panel data from the USA, Australia, Britain and Germany to broaden the analysis. We ask first how many of those in the lowest levels of life...Read more...

CEP election analysis

A New Priority for Mental Health

Mental illness (especially depression and chronic anxiety) is the biggest single cause of misery in advanced countries. But only one quarter of those who are ill receive treatment. Mental health is crucial for wellbeing ...Read more...

CEP election analysis

#ElectionEconomics: The Research Evidence on Key Issues for Voters in the 2015 UK General Election

Please see the CEP #ElectionEconomics report(Paper 1)and the Executive Summary (Paper 2) that cover all the election 2015 briefings, discussing the research evidence on 15 of the UK's key policy battlegrounds: immigratio...Read more...

CEP discussion paper

Do you have To win it to fix it? A longitudinal study of lottery winners and their health care demand

We exploit lottery wins to investigate the effects of exogenous changes to individuals' income on health care demand in the United Kingdom. This strategy allows us to estimate lottery income elasticities for a range of h...Read more...

Journal article

Feature Issue:

What predicts a successful life? A life-course model of well-being

Policy makers who care about well-being need a recursive model of how adult life‐satisfaction is predicted by childhood influences, acting both directly and (indirectly) through adult circumstances. We estimate such a ...Read more...

CentrePiece article

Policy for better mental health

Treating mental illness should be a top national priority, especially as proven psychological therapies effectively cost nothing. Richard Layard explains how CEP research has led to a new deal for mental health – but muc...Read more...

CEP discussion paper

Education and Health Knowledge: Evidence from UK Compulsory Schooling Reforms

We investigate if there is a causal link between education and health knowledge using data from the 1984/85 and 1991/92 waves of the UK Health and Lifestyle Survey (HALS). Uniquely, the survey asks respondents what they ...Read more...

CEP discussion paper

Because I'm Worth It: A Lab-Field Experiment on the Spillover Effects of Incentives in Health

We conduct a controlled lab-field experiment to directly test the short-run spillover effects of one-off financial incentives in health. We consider how incentives affect effort in a physical activity task – and then how...Read more...

CEP discussion paper

Wealth Shocks and Health Outcomes: Evidence from Stock Market Fluctuations

Do wealth shocks affect the health of the elderly in developed countries? The economic literature is skeptical about such effects which have so far only been found for poor retirees in poor countries. In this paper I sho...Read more...

CEP discussion paper

What Predicts a Successful Life? A Life-Course Model of Well-Being

If policy-makers care about well-being, they need a recursive model of how adult life-satisfaction is predicted by childhood influences, acting both directly and (indirectly) through adult circumstances. We estimate such...Read more...

CEP discussion paper

Mental Illness and Unhappiness

This paper is a contribution to the second World Happiness Report. It makes five main points: 1. Mental health is the biggest single predictor of life-satisfaction. This is so in the UK, Germany and Australia even if men...Read more...

CEP discussion paper

Winning Big But Feeling No Better? The Effect of Lottery Prizes on Physical and Mental Health

We use British panel data to determine the exogenous impact of income on a number of individual health outcomes: general health status, mental health, physical health problems, and health behaviors (drinking and smoking)...Read more...

CEP discussion paper

Enhancing Recovery Rates: Lessons from Year One of the English Improving Access to Psychological Therapies Programme

Background: The English Improving Access to Psychological Therapies (IAPT) initiative aims to make evidence-based psychological therapies for depression and anxiety disorder more widely available in the National Health S...Read more...

CentrePiece article

Free to choose? The impact of healthcare reform

Has the introduction of greater choice and competition in healthcare in England led to improved outcomes for patients? The authors assess changes in the quality of care that hospitals provided for cardiac surgery patient...Read more...

CEP discussion paper

The Marginal Income Effect of Education on Happiness: Estimating the Direct and Indirect Effects of Compulsory Schooling on Well-Being in Australia

Many economists and educators favour public support for education on the premise that education improves the overall well-being of citizens. However, little is known about the causal pathways through which education shap...Read more...

CEP discussion paper

Mental Health: The New Frontier for Labour Economics

This lecture argues that mental health is a major factor of production. It is the biggest single influence on life satisfaction, with mental health eight years earlier a more powerful explanatory factor than current inco...Read more...

CEP discussion paper

Moving Up and Sliding Down: An Empirical Assessment of the Effect of Social Mobility on Subjective Wellbeing

Many people remain in the same income group as their parents and this is a cause of much discussion and some concern. In this work, we examine how intergenerational mobility affects subjective wellbeing (SWB) using the B...Read more...

CEP discussion paper

Free to Choose? Reform and Demand Response in the English National Health Service

The impacts of choice in public services are controversial. We exploit a reform in the English National Health Service to assess the impact of relaxing constraints on patient choice. We estimate a demand model to evaluat...Read more...

CEP discussion paper

The Enduring Impact of Childhood Experience on Mental Health: Evidence Using Instrumented Co-Twin Data

The question of whether there is a lasting effect of childhood experience on mental health has eluded causal measurement. We draw upon identical twin data and econometric instrumentation to provide an unbiased answer. We...Read more...

CEP discussion paper

Taxes, Cigarette Consumption, and Smoking Intensity: Reply

This paper shows that smoking intensity, i.e. the amount of nicotine extracted per cigarette smoked, responds to changes in excise taxes and tobacco prices. We exploit data covering the period 1988 to 2006 across many US...Read more...

CentrePiece article

In brief: Mental illness and the NHS

Richard Layard and colleagues reveal the shocking scale of mental illness in Britain - and how little the NHS does about it....Read more...

CEP discussion paper

Musn't Grumble. Immigration, Health and Health Service Use in the UK and Germany

A rise in population caused by increased immigration, is sometimes accompanied by concerns that the increase in population puts additional or differential pressure on welfare services which might affect the net fiscal co...Read more...

CEP discussion paper

A Cautionary Note on Using Industry Affiliation to Predict Income

Many literatures investigate the causal impact of income on economic outcomes, for example in the context of intergenerational transmission or well-being and health. Some studies have proposed to use employer wage differ...Read more...

CEP report

How mental illness loses out in the NHS a report by the Centre for Economic Performance's Mental Health Policy Group

Mental illness accounts for a massive share of the total burden of disease. Even when we include the burden of premature death mental illness accounts for 23% of the total burden of disease. Yet, despite the existence of...Read more...

External publication

World Happiness Report 2012

The 2012 World Happiness Report, published by the Earth Institute and co-edited by the institute’s director, Jeffrey Sachs, reflects a new worldwide demand for more attention to happiness and absence of misery as criteri...Read more...

CEE/Education and skills discussion paper

Mental Health and Education Decisions

Mental health problems - and depression in particular - have been rising internationally. The link between poor mental health and poor educational outcomes is particularly interesting in the case of the UK which has a lo...Read more...

CEP discussion paper

Do Cash Transfers Improve Birth Outcomes? Evidence from Matched Vital Statistics, Social Security and Program Data

There is limited empirical evidence on whether unrestricted cash social assistance to poor pregnant women improves children’s birth outcomes. Using program administrative micro-data matched to longitudinal vital statisti...Read more...

CEP discussion paper

Does High Involvement Management Improve Worker Wellbeing?

Employees exposed to high involvement management (HIM) practices have higher subjective wellbeing, fewer accidents but more short absence spells than “like” employees not exposed to HIM. These results are robust to exten...Read more...

Journal article

International Review of Psychiatry:

Implementing NICE guidelines for the psychological treatment of depression and anxiety disorders: The IAPT experience

The Improving Access to Psychological Therapies (IAPT) programme is a large-scale initiative that aims to greatly increase the availability of NICE recommended psychological treatment for depression and anxiety disorders...Read more...

CEP discussion paper

A Model for the Delivery of Evidence-Based PSHE (Personal Wellbeing) in Secondary Schools

Personal Social Health and Economic (PSHE) education is a non-statutory school subject designed to facilitate the delivery of a number of key competencies relevant to health, safety and wellbeing. As well as contributing...Read more...

CentrePiece article

In brief: Chernobyl: the long-term health and economic consequences

Hartmut Lehmann and Jonathan Wadsworth assess the long-lasting effects of radiation exposure from the Chernobyl disaster on the people of Ukraine....Read more...

CEP discussion paper

The Impact of Chernobyl on Health and Labour Market Performance

Using longitudinal data from Ukraine we examine the extent of any long-lasting effects of radiation exposure from the Chernobyl disaster on the health and labour market performance of the adult workforce. The variation i...Read more...

CEP discussion paper

Crime and Mental Wellbeing

Most estimates of the cost of crime focus on victims. Yet it is plausible that an even larger cost of crime occurs via its indirect impact on the mental wellbeing of non-victims. To test how crime affects individuals’ me...Read more...

CentrePiece article

In brief: Hospital performance: the impact of good management

CEP research highlights the potential role of improving the quality of hospital management for raising productivity in the UK healthcare sector...Read more...

CEP discussion paper

Did Vietnam Veterans Get Sicker in the 1990s? The Complicated Effects of Military Service on Self-Reported Health

The veterans disability compensation (VDC) program, which provides a monthly stipend to disabled veterans, is the third largest American disability insurance program. Since the late 1990s, VDC growth has been driven prim...Read more...

CEP discussion paper

A Map of Mental Health

This paper provides a comprehensive picture of mental health services in England, including staffing and expenditure, and the number of people in need and the number treated. Historically, this information has been split...Read more...

CentrePiece article

Making the UK's aid budget work better

All the UK's major parties agree on ring-fencing foreign aid spending at current levels, even while the country's dire financial situation requires sharp cuts to other budgets. Peter Boone draws on the evidence on aid ef...Read more...

CEP election analysis

CEP Election Analysis 2010 - The complete Series, discussing research on some of the key policy battlegrounds of the 2010 General Election

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CEP election analysis

Health: Higher Spending has Improved Quality, But Productivity Must Increase

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SERC/Urban and Spatial Programme Discussion Paper

Does Hospital Competition Save Lives? Evidence from the English NHS Patient Choice Reforms

This paper examines whether or not hospital competition in a market with fixed reimbursement prices can prompt improvements in clinical quality. In January 2006, the British Government introduced a major extension of the...Read more...

CEP discussion paper

Anatomy of a Health Scare: Education, Income and the MMR Controversy in the UK

One theory for why there is an education gradient in health outcomes is that more educated individuals more quickly absorb new health-related information. The measles, mumps, and rubella (MMR) controversy provides a case...Read more...

CEP discussion paper

Long-Term Health Effects on the Next Generation of Ramadan Fasting During Pregnancy

Each year, many pregnant women fast from dawn to sunset during the Islamic holy month of Ramadan. Medical theory suggests that this may have negative long-term health effects on their offspring. Building upon the work of...Read more...

CEP discussion paper

'The Value of Rude Health': Employees' Well Being, Absence and Workplace Performance

This paper brings new evidence on the relationship between employees' well being, sickness absence and four dimensions of workplace performance i.e. productivity, efficiency, quality of service and profitability. It uses...Read more...

CEP discussion paper

Maternal Smoking During Pregnancy and Early Child Outcomes

We estimate the harm from smoking during pregnancy upon child birth outcomes, using a rich dataset on a cohort of mothers and their births. We exploit a fixed effects approach to disentangle the correlation between smoki...Read more...

CEE/Education and skills discussion paper

Sheepskin or Prozac: The Causal Effect of Education on Mental Health

Mental illness is associated with large costs to individuals and society. Education improves various health outcomes but little work has been done on mental illness. To obtain unbiased estimates of the effect of educatio...Read more...

CEP report

The Depression Report: A New Deal for Depression and Anxiety Disorders

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CEP discussion paper

Trade Unions and Industrial Injury in Great Britain

Anecdotal evidence suggests that trade unions succeed in ameliorating workplace health and safety, but no attempt has been made to link specific workplace injury rates with a respective union presence. Relying on WERS98,...Read more...