| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w16953 |
| 来源ID | Working Paper 16953 |
| Technology Growth and Expenditure Growth in Health Care | |
| Amitabh Chandra; Jonathan S. Skinner | |
| 发表日期 | 2011-04-14 |
| 出版年 | 2011 |
| 语种 | 英语 |
| 摘要 | In the United States, health care technology has contributed to rising survival rates, yet health care spending relative to GDP has also grown more rapidly than in any other country. We develop a model of patient demand and supplier behavior to explain these parallel trends in technology growth and cost growth. We show that health care productivity depends on the heterogeneity of treatment effects across patients, the shape of the health production function, and the cost structure of procedures such as MRIs with high fixed costs and low marginal costs. The model implies a typology of medical technology productivity: (I) highly cost-effective "home run" innovations with little chance of overuse, such as anti-retroviral therapy for HIV, (II) treatments highly effective for some but not for all (e.g. stents), and (III) "gray area" treatments with uncertain clinical value such as ICU days among chronically ill patients. Not surprisingly, countries adopting Category I and effective Category II treatments gain the greatest health improvements, while countries adopting ineffective Category II and Category III treatments experience the most rapid cost growth. Ultimately, economic and political resistance in the U.S. to ever-rising tax rates will likely slow cost growth, with uncertain effects on technology growth. |
| 主题 | Microeconomics ; Households and Firms ; Health, Education, and Welfare ; Health |
| URL | https://www.nber.org/papers/w16953 |
| 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/574628 |
| 推荐引用方式 GB/T 7714 | Amitabh Chandra,Jonathan S. Skinner. Technology Growth and Expenditure Growth in Health Care. 2011. |
| 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 | ||
| w16953.pdf（339KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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