Advanced

The determinants of health expenditure in the OECD countries : a pooled data analysis.

Gerdtham, U. G. LU ; Jönsson, B.; MacFarlan, M. and Oxley, H. (1998) In Developments in health economics and public policy 6. p.113-134
Abstract

This paper uses international health expenditure and the latest OECD data to investigate the determinants of aggregate health expenditure. The study differs from most previous studies in two principal ways. First, it uses a somewhat larger sample for estimation, with pooled time-series, cross-section data for 22 OECD countries for a 20-year period. Most previous work has used a purely cross-section approach: in this case, the small sample size reduced the statistical reliability of results and limited the number of hypotheses that can be tested simultaneously. Second, and following from this, a more extensive range of hypotheses is tested, with particular emphasis on those relating to the contractual relations between payers, providers... (More)

This paper uses international health expenditure and the latest OECD data to investigate the determinants of aggregate health expenditure. The study differs from most previous studies in two principal ways. First, it uses a somewhat larger sample for estimation, with pooled time-series, cross-section data for 22 OECD countries for a 20-year period. Most previous work has used a purely cross-section approach: in this case, the small sample size reduced the statistical reliability of results and limited the number of hypotheses that can be tested simultaneously. Second, and following from this, a more extensive range of hypotheses is tested, with particular emphasis on those relating to the contractual relations between payers, providers and patients. The findings show, for example, that the use of primary care "gatekeepers" seems to result in lower health expenditure and also that the way of remunerating physicians in the ambulatory care sector appears to influence health expenditure; capitation systems tend to lead to lower expenditure than fee-for-service systems.

(Less)
Please use this url to cite or link to this publication:
author
publishing date
type
Contribution to journal
publication status
published
subject
in
Developments in health economics and public policy
volume
6
pages
22 pages
external identifiers
  • scopus:0032222769
ISSN
0927-4987
language
English
LU publication?
no
id
ba032312-d830-4418-9c1e-81170783471e
date added to LUP
2018-10-09 12:32:12
date last changed
2018-10-15 13:29:40
@article{ba032312-d830-4418-9c1e-81170783471e,
  abstract     = {<p>This paper uses international health expenditure and the latest OECD data to investigate the determinants of aggregate health expenditure. The study differs from most previous studies in two principal ways. First, it uses a somewhat larger sample for estimation, with pooled time-series, cross-section data for 22 OECD countries for a 20-year period. Most previous work has used a purely cross-section approach: in this case, the small sample size reduced the statistical reliability of results and limited the number of hypotheses that can be tested simultaneously. Second, and following from this, a more extensive range of hypotheses is tested, with particular emphasis on those relating to the contractual relations between payers, providers and patients. The findings show, for example, that the use of primary care "gatekeepers" seems to result in lower health expenditure and also that the way of remunerating physicians in the ambulatory care sector appears to influence health expenditure; capitation systems tend to lead to lower expenditure than fee-for-service systems.</p>},
  author       = {Gerdtham, U. G. and Jönsson, B. and MacFarlan, M. and Oxley, H.},
  issn         = {0927-4987},
  language     = {eng},
  month        = {01},
  pages        = {113--134},
  series       = {Developments in health economics and public policy},
  title        = {The determinants of health expenditure in the OECD countries : a pooled data analysis.},
  volume       = {6},
  year         = {1998},
}