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来源类型 | Working Paper |
规范类型 | 报告 |
DOI | 10.3386/w25971 |
来源ID | Working Paper 25971 |
Are Quality-Adjusted Medical Prices Declining for Chronic Disease? Evidence from Diabetes Care in Four Health Systems | |
Karen Eggleston; Brian K. Chen; Chih-Hung Chen; Ying Isabel Chen; Talitha Feenstra; Toshiaki Iizuka; Janet Tinkei Lam; Gabriel M. Leung; Jui-fen Rachel Lu; Beatriz Rodriguez-Sanchez; Jeroen N. Struijs; Jianchao Quan; Joseph P. Newhouse | |
发表日期 | 2019-06-24 |
出版年 | 2019 |
语种 | 英语 |
摘要 | Improvements in medical treatment have contributed to rising health spending. Yet there is relatively little evidence on whether the spending increase is “worth it” in the sense of producing better health outcomes of commensurate value—a critical question for understanding productivity in the health sector and, as that sector grows, for deriving an accurate quality-adjusted price index for an entire economy. We analyze individual-level panel data on medical spending and health outcomes for 123,548 patients with type 2 diabetes in four health systems. Using a “cost-of-living” method that measures value based on improved survival, we find a positive net value of diabetes care: the value of improved survival outweighs the added costs of care in each of the four health systems. This finding is robust to accounting for selective survival, end-of-life spending, and a range of values for a life-year or, equivalently, to attributing only a fraction of survival improvements to medical care. |
主题 | Public Economics ; National Fiscal Issues ; Health, Education, and Welfare ; Health |
URL | https://www.nber.org/papers/w25971 |
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/583645 |
推荐引用方式 GB/T 7714 | Karen Eggleston,Brian K. Chen,Chih-Hung Chen,et al. Are Quality-Adjusted Medical Prices Declining for Chronic Disease? Evidence from Diabetes Care in Four Health Systems. 2019. |
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 | ||
w25971.pdf(694KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
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