| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w6513 |
| 来源ID | Working Paper 6513 |
| How Much is Enough? Efficiency and Medicare Spending in the Last Six Months of Life | |
| Jonathan Skinner; John E. Wennberg | |
| 发表日期 | 1998-04-01 |
| 出版年 | 1998 |
| 语种 | 英语 |
| 摘要 | In Miami, average inpatient Medicare spending on people in their last six months of life was about double Medicare spending in Minneapolis; average ICU days were nearly four times higher. What are the implications of such differences for the efficiency of health care? In this paper, we used Medicare claims data to document the extent of these variations across 306 hospital referral regions in the U.S. We did not find strong evidence that the spending differences were due to underlying variation in health levels across regions. Nor did we find evidence of any benefits from higher spending levels; regional survival rates following acute conditions like AMI (heart attacks), stroke, and gastrointestinal bleeding were not correlated with more intensive health care spending. Finally, a number of recent studies suggest that people prefer less, rather than more intensive treatment. In sum, our results suggest that (i) regions providing more intensive care are not gaining net health benefits over regions providing less care, and (ii) allocative inefficiency may be present, in that patients are not necessarily matched with the treatment they prefer. |
| 主题 | Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w6513 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/564031 |
| 推荐引用方式 GB/T 7714 | Jonathan Skinner,John E. Wennberg. How Much is Enough? Efficiency and Medicare Spending in the Last Six Months of Life. 1998. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w6513.pdf（1714KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
除非特别说明，本系统中所有内容都受版权保护，并保留所有权利。
