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来源类型Working Paper
规范类型报告
DOI10.3386/w6514
来源IDWorking Paper 6514
The Costs and Benefits of Intensive Treatment for Cardiovascular Disease
David Cutler; Mark McClellan; Joseph Newhouse
发表日期1998-04-01
出版年1998
语种英语
摘要This paper examines the causes and consequences of reductions in cardiovascular disease mortality, and in particular heart attack mortality, over the past several decades. Analysis of data from Medicare and review of the clinical literature indicate that a large share of the recent decline in heart attack mortality is a result of new medical interventions and increased use of existing interventions. Much of the mortality improvement appears to be the result of changes in the use of pharmaceuticals such as aspirin and clot-busting (thrombolytic) drugs. Greater use of these and other intensive medical procedures have increased the cost of treating heart attacks but have also lead to health improvements. We estimate that the value of improved health is greater than the increased cost of heart attack care, so that the cost of living for people with a heart attack is falling. We present preliminary evidence that patients in managed care receive nearly similar treatment for heart attacks compared to patients with traditional indemnity insurance, but that managed care insurers pay less for the same treatments than do traditional insurers.
URLhttps://www.nber.org/papers/w6514
来源智库National Bureau of Economic Research (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/564032
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GB/T 7714
David Cutler,Mark McClellan,Joseph Newhouse. The Costs and Benefits of Intensive Treatment for Cardiovascular Disease. 1998.
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