Spa resort use and health-related quality of life, sleep, sickness absence and hospital admission: The Japanese civil servants study

Sekine, Michikazu; Nasermoaddeli, Ali; Wang, Hongbing; Kanayama, Hitomi; Kagamimori, Sadanobu

doi:10.1016/j.ctim.2005.10.004

Cited by 33 publications

(44 citation statements)

References 20 publications

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“…Although there is ongoing discussion about the (long-term) effects of health spa treatments among public health and medical scientists, several studies have found distinct positive health effects. Patients with chronic diseases experienced reductions in pain and blood pressure, and for a sample of employees, beneficial effects on physical and particularly mental health, such as improved sleep quality, were found (Sekine et al, 2006;Cimbiz et al, 2005;Constant et al, 1998). However, there are no studies based on controlled clinical trials to evaluate the long-term effects of health spa programs.…”

Section: Discussionmentioning

confidence: 99%

'Do I Really Need to Go to Rehab? I'd Say No, No, No.' Estimating Price Elasticities of Convalescent Care Programs

Ziebarth

2009

SSRN Journal

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. This series presents research findings based either directly on data from the German SocioEconomic Panel Study (SOEP) or using SOEP data as part of an internationally comparable data set (e.g. CNEF, ECHP, LIS, LWS, CHER/PACO). SOEP is a truly multidisciplinary household panel study covering a wide range of social and behavioral sciences: economics, sociology, psychology, survey methodology, econometrics and applied statistics, educational science, political science, public health, behavioral genetics, demography, geography, and sport science. Terms of use: Documents inThe decision to publish a submission in SOEPpapers is made by a board of editors chosen by the DIW Berlin to represent the wide range of disciplines covered by SOEP. There is no external referee process and papers are either accepted or rejected without revision. Papers appear in this series as works in progress and may also appear elsewhere. They often represent preliminary studies and are circulated to encourage discussion. Citation of such a paper should account for its provisional character. A revised version may be requested from the author directly. AbstractThis study is the first to estimate the price elasticities of demand for both medical rehabilitation programs and treatment at health spas. In Germany, the Statutory Health Insurance (SHI) covers both forms of therapy if administered in authorized medical facilities on referral from a physician. While health resort stays are prescribed to recover from general symptoms of poor health and are preventive in character, medical rehabilitation implies recovering from a specific illness or accident. From 1997 onwards, the German government more than doubled the copayments for both types of health care services from DM 12 (e 6.14) to DM 25 (e 12.78) per day for those insured under the SHI. Using longitudinal microdata from the German Socio-Economic Panel Study (SOEP), this exogenous price variation allows us to study the causal effects on demand, since we have a sound control group available. The data suggest that pull-forward effects in 1996 accounted for up to one-fifth of the subsequent decrease in demand. Taking this anticipation effect into account, we show that the reform induced a decrease in total demand of about 20 percent. We estimate the price elasticity for rehabilitation programs that aim at preventing work incapacity to be about -0.15, whereas the elasticity for rehabilitation programs for recovery from work accidents lies ar...

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Section: Discussionmentioning

confidence: 99%

'Do I Really Need to Go to Rehab? I'd Say No, No, No.' Estimating Price Elasticities of Convalescent Care Programs

Ziebarth

2009

SSRN Journal

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“…Some studies find positive health effects of health spa stays: patients with chronic diseases experienced reductions in pain and blood pressure, and for a sample of employees, beneficial effects on physical and particularly mental health, such as improved sleep quality, were found (Sekine et al, 2006;Cimbiz et al, 2005;Constant et al, 1998). While two of these studies are purely correlation-based, Constant et al (1998) estimate the short-term effects of a randomized trial on 224 patients with chronic lower back pain.…”

Section: Discussionmentioning

confidence: 99%

Assessing the Effectiveness of Health Care Cost Containment Measures

Ziebarth

2011

SSRN Journal

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Using SOEP panel data and difference-in-differences methods, this study is the first to empirically evaluate the effectiveness of four different health care cost containment measures within an integrated framework. The four measures investigated were introduced in Germany in 1997 to reduce moral hazard and public health expenditures in the market for convalescent care. Doubling the daily copayments was clearly the most effective cost containment measure, resulting in a reduction in demand of about 20 percent. Indirect measures such as allowing employers to cut statutory sick pay or paid vacation during health spa stays did not significantly reduce demand.

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“…This leads to relaxation, stress and anxiety reduction , improvement (26). The balneotherapy has shown the effectiveness for psychoemotional well-being, mental activity (27), mood with light dementia (28), tension, angry, fatigue, depression, activity, energy mood manifestations (Li Xiu, 2012) (29).…”

Section: Discussionmentioning

confidence: 99%

The Balneotherapy Links With Seafarers Health in Randomized Clinical Trial

et al. 2014

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SummaryStudy objective: to evaluate the impact of new origin high salinity geothermal water for reinforcing the comprehensive health of seamen and explore the safety profile of water. Methods. 180 seamen were randomized into three groups: geothermal (65) which has got 108 g/l salinity geothermal water bath for 2 weeks daily five times a week, music group (50) which has received music therapy at home, 65 participants have got no treatment. Outcomes measures: systolic and diastolic blood pressure, heart and breathing rate, skin temperature, fingertip-floor distance, joint mobility failures, mood scale, VAS pain scale, 5-point Likert's well-being scale and cognitive failures questionnaire (CFQ). Safety was assessed for effects on the cardiopulmonary system and the side effects. The statistical analysis of the data was performed by using the SPSS21 software package. Results: after the 2 weeks in geothermal group reduced blood pressure, heart and breathing rate (p<0.001); pain (p<0.001), skin temperature (p<0.05), improved spine (p <0.05) and joint mobility (p <0.001), general well-being (p<0.001), mood (p<0.001) and cognitive functions (p=0.001) were observed. In the music therapy group reduced breathing rate (p<0.01), pain (p<0.05) and improved general well-being (p<0.01) were observed. Adverse events were rare in both groups. No significant changes were observed in the control group. Conclusions: the balneotherapy using very high salinity geothermal waters has multiple health-enhancing effects and is safe for seamen.

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Spa resort use and health-related quality of life, sleep, sickness absence and hospital admission: The Japanese civil servants study

Cited by 33 publications

References 20 publications

'Do I Really Need to Go to Rehab? I'd Say No, No, No.' Estimating Price Elasticities of Convalescent Care Programs

'Do I Really Need to Go to Rehab? I'd Say No, No, No.' Estimating Price Elasticities of Convalescent Care Programs

Assessing the Effectiveness of Health Care Cost Containment Measures

The Balneotherapy Links With Seafarers Health in Randomized Clinical Trial

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