The macro determinants of health expenditure in the United States and Canada: assessing the impact of income, age distribution and time
The macro determinants of health expenditure in the United States and Canada: assessing the impact of income, age distribution and time
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DOI：
10.1016/j.healthpol.2004.05.007
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发表时间：
2005-01-01
期刊：
影响因子：
3.3
通讯作者：
Di Matteo, L
中科院分区：
文献类型：
--
作者：
Di Matteo, L
本文利用美国1980-1998年的州级数据和加拿大1975-2000年的省级数据，分析了真实的人均卫生支出的决定因素，以评估年龄分布、收入和时间的影响。在控制了作为技术变革部分代表的时间效应的影响后，老龄化人口分布和收入解释了相对较小的一部分保健支出。然而，年龄的影响更令人关切，因为费用增加集中在生命的最后几年，而且随着“婴儿潮”一代的年龄增长，可能会产生群组效应。鉴于时间约占卫生支出增加的三分之二，而且其影响是非线性的，因此迫切需要更好地了解推动卫生支出增加的确切机制。(C)2004爱思唯尔爱尔兰有限公司保留所有权利。
This paper examines the determinants of real per capita health expenditures in order to assess the impact of age distribution, income and time using American state-level data for the period 1980-1998 and Canadian province-level data for the period 1975-2000. Ageing population distributions and income explain a relatively small portion of health expenditures when the impact of time effects, which is a partial proxy for technological change, is controlled for. However, the impact of age is of more concern given that cost increases are concentrated in the last few years of life and there may be cohort effects as the "Baby-Boom" generation ages. There is an urgent need to better understand the exact mechanisms driving health expenditure increases given that time accounts for approximately two-thirds of health expenditure increases and that its effect is non-linear. (C) 2004 Elsevier Ireland Ltd. All rights reserved.