A pooled cross-section analysis of the health care expenditures of the OECD countries

Gerdtham, Ulf; Søgaard, Jes; Jönsson, Bengt; Андерссон, Фредрик

doi:10.1007/978-94-011-2392-1_14

Cited by 65 publications

(61 citation statements)

References 17 publications

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“…Conclusion 2 With one exception [Gerdtham et al (1992)], there is no evidence to the effect that a high share of individuals at or in retirement age leads to higher HCE. Other consistently significant regressors are GDP and likely tobacco consumption.…”

Section: Discussionmentioning

confidence: 99%

“…Collating information from three years to form an OECD panel data set for the first time, Gerdtham, Sögaard, Jönsson and Andersson (1992) were able to introduce several new explanatory variables, such as physician density, the share of inpatient to total HCE, as well as dummies for fee-for-service payment and budgeting caps. In the present context, it is interesting to note that a 10 percent increase in the share of inhabitants aged 64+ (relative to the 15 to 64 age group) was estimated to increase HCE by almost 2 percent, in contradistinction to all studies cited so far.…”

Section: Discussionmentioning

confidence: 99%

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The Sisyphus Syndrome in Health Revisited

Zweifel

Steinmann

Eugster

2005

Int J Health Care Finance Econ

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The Sisyphus syndrome in health revisited Zweifel, P; Steinmann, L; Eugster, P Zweifel, P; Steinmann, L; Eugster, P. The Sisyphus syndrome in health revisited. The Sisyphus syndrome in health revisited Abstract Health care may be similar to Sisyphus work: When the task is about to be completed, work has to start all over again. To see the analogy, consider an initial decision to allocate more resources to health. The likely consequence is an increased number of survivors, who will exert additional demand for health care. With more resources allocated to health, the cycle starts over again. The objective of this paper is to improve on earlier research that failed to find evidence of a Sisyphus syndrome in industrialized countries. This time, there are signs of such a cycle, which however seems to have faded away recently. The Sisyphus Syndrome in Health Revisited AbstractHealth care may be similar to Sisyphus work: When the task is about to be completed, work has to start all over again. To see the analogy, consider an initial decision to allocate more resources to health. The likely consequence is an increased number of survivors, who will exert additional demand for health care. With more resources allocated to health, the cycle starts over again. The objective of this paper is to improve on earlier research that failed to find evidence of a Sisyphus syndrome in industrialized countries. This time, there are signs of such a cycle, which however seems to have faded away recently.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Sisyphus Syndrome in Health Revisited

Zweifel

Steinmann

Eugster

2005

Int J Health Care Finance Econ

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“…Other than the GDP (see, e.g., Gerdtham, Sogaard, Anderson, and Jonsson [17], Murthy and Okunade [40], and Rivera and Currais [48]) and a few other determinants, e.g., population per doctor, urbanization and payment systems, certain non-economic factors including political transition [28,51], externally imposed reforms are fairly unimportant in studies of the developed countries. Past econometric models of health care expenditure (HEXP) in the OECD nations [19,35] reported significant linkages to the GNP or national income, population proportion under 15, urbanization, public finance share, direct democracy, and presence of centralized health systems.…”

Section: Theoretical Framework For Modeling the Determinants Of Healtmentioning

confidence: 99%

Analysis and Implications of the Determinants of Healthcare Expenditure in African Countries

Okunade

2005

Health Care Manage Sci

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The income elasticity of health care spending in the OECD countries tends toward luxury good values. Similar studies, based on more recent data, and capable of informing macroeconomic health policies of the African countries, do not currently exist. How the health care expenditure in Africa responds to changes in the Gross Domestic Products (GDP), Official Development Assistance (ODA), and other determinants, is also relevant for health policy because health care is a necessity in the 'basic needs' theory of economic development. This paper presents econometric model findings of the determinants of per-capita health expenditure (in PPPs) for 26 African countries, using the flexible Box-Cox model regression methods and 1995 cross-sectional data (sources: WRI, UNEP, UNDP, The World Bank). The economic and other determinants, capturing 74 percent of the variations in health expenditures, include per-capita GDP (in PPPs), ODA (US dollar), Gini income inequality index, population dependency ratio, internal conflicts, and the percentage of births attended by trained medical workers. Income inequality dampens, while the ODA and population per health personnel raise health care expenditure. The GDP elasticity of about 0.6 signals the tendency for health care to behave like a technical 'necessity'. Implications for sustainable basic health development policies are discussed.

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“…Only two cross-national studies find the age structure of developed countries to be a consistently significant predictor of HCE [cf. Hitiris and Posnett (1992) and Gerdtham, Søgaard, Jönsson and Andersson (1992b)]. Using a variety of econometric specifications, many other studies conclude that age is not significantly related to per capita HCE [cf.…”

Section: Introductionmentioning

confidence: 99%

Aging and Future Healthcare Expenditure: A Consistent Approach

Steinmann¹,

Telser

Zweifel

2007

Forum for Health Economics &Amp; Policy

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The impact of aging on healthcare expenditure (HCE) has been at the center of a prolonged debate. This paper purports to shed light on several issues of this debate by presenting new evidence on the "red herring" hypothesis advanced by Zweifel, Felder and Meier (1999). This hypothesis amounts to distinguishing a mortality from a morbidity component in healthcare expenditure (HCE) and claiming that failure to make this distinction results in excessive estimates of future growth of HCE. A re-estimation based on a much larger data set is performed, using the refined econometric methodology. The main contribution is consistency, however. Rather than treating the mortality component as a residual in forecasting, its dynamics are analyzed in the same detail as that of the morbidity component when predicting the impact of population aging on the future growth of HCE. For the case of Switzerland, it finds this impact to be relatively small regardless of whether or not the mortality component is accounted for, thus qualifying the "red herring" hypothesis.

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A pooled cross-section analysis of the health care expenditures of the OECD countries

Cited by 65 publications

References 17 publications

The Sisyphus Syndrome in Health Revisited

The Sisyphus Syndrome in Health Revisited

Analysis and Implications of the Determinants of Healthcare Expenditure in African Countries

Aging and Future Healthcare Expenditure: A Consistent Approach

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