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1.
J Environ Manage ; 359: 120848, 2024 May 01.
Article in English | MEDLINE | ID: mdl-38696850

ABSTRACT

This study investigates the least-cost decarbonization pathways in the Finnish electricity generation industry in order to achieve the national carbon neutrality goal by 2035. Various abatement measures, such as downscaling production, capital investment, and increasing labor and intermediate inputs, are considered. The marginal abatement costs (MACs) of greenhouse gas emissions are estimated using the convex quantile regression method and applied to unique register-based firm-level greenhouse gas emission data merged with financial statement data. We adjust the MAC estimates for the sample selection bias caused by zero-emission firms by applying the two-stage Heckman correction. Our empirical findings reveal that the median MAC ranges from 0.1 to 3.5 euros per tonne of CO2 equivalent. The projected economic cost of a 90% reduction in emissions is 62 million euros, while the estimated cost of achieving zero emissions is 83 million euros.

2.
Health Care Manag Sci ; 26(3): 447-460, 2023 Sep.
Article in English | MEDLINE | ID: mdl-37160642

ABSTRACT

The coronavirus infection COVID-19 killed millions of people around the world in 2019-2022. Hospitals were in the forefront in the battle against the pandemic. This paper proposes a novel approach to assess the effectiveness of hospitals in saving lives. We empirically estimate the production function of COVID-19 deaths among hospital inpatients, applying Heckman's two-stage approach to correct for the bias caused by a large number of zero-valued observations. We subsequently assess performance of hospitals based on regression residuals, incorporating contextual variables to convex quantile regression. Data of 187 hospitals in England over a 35-week period from April to December 2020 is divided in two sub-periods to compare the structural differences between the first and second waves of the pandemic. The results indicate significant performance improvement during the first wave, however, learning by doing was offset by the new mutated virus straits during the second wave. While the elderly patients were at significantly higher risk during the first wave, their expected mortality rate did not significantly differ from that of the general population during the second wave. Our most important empirical finding concerns large and systematic performance differences between individual hospitals: larger units proved more effective in saving lives, and hospitals in London had a lower mortality rate than the national average.


Subject(s)
COVID-19 , Pandemics , Aged , Humans , England/epidemiology , Hospitals
3.
Stud Health Technol Inform ; 264: 1933-1934, 2019 Aug 21.
Article in English | MEDLINE | ID: mdl-31438414

ABSTRACT

Advantages of digitalization are understood, but implementation to healthcare is slow. Cost savings and quality improvements are needed in healthcare. Continuous education of healthcare professionals is essential for quality, and digital education (DE) enables that cost-efficiently. The aim was to evaluate the cost-effectiveness of a DE for wound care by comparing it to lecture education (LE). DE enabled a slightly better learning outcome than LE. However, combination resulted in superior outcome. DE provided best cost-effectiveness.


Subject(s)
Group Practice , Health Personnel , Cost-Benefit Analysis , Education, Continuing , Humans , Learning
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