G2TT
来源类型Working Paper
规范类型报告
DOI10.3386/w28162
来源IDWorking Paper 28162
Why is End-of-Life Spending So High? Evidence from Cancer Patients
Dan Zeltzer; Liran Einav; Amy Finkelstein; Tzvi Shir; Salomon M. Stemmer; Ran D. Balicer
发表日期2020-12-07
出版年2020
语种英语
摘要The concentration of healthcare spending at the end of life is widely documented but poorly understood. To gain insight, we focus on patients newly diagnosed with cancer. They display the familiar pattern: even among cancer patients with similar initial prognoses, monthly spending in the year post diagnosis is over twice as high for those who die within the year than those who survive. This elevated spending on decedents is almost entirely driven by higher inpatient spending, particularly low-intensity admissions, which rise as the prognosis deteriorates. However, even for patients with very poor prognoses at the time of admission, most low-intensity admissions do not result in death, making it difficult to target spending reductions. We also find that among patients with the same cancer type and initial prognosis, end-of-life spending is substantially more elevated for younger patients compared to older patients, suggesting that treatment decisions are not exclusively present-focused. Taken together, these results provide a richer understanding of the sources of high end-of-life spending, without revealing any natural “remedies.”
主题Health, Education, and Welfare ; Health ; Labor Economics ; Demography and Aging
URLhttps://www.nber.org/papers/w28162
来源智库National Bureau of Economic Research (United States)
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资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/585836
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Dan Zeltzer,Liran Einav,Amy Finkelstein,et al. Why is End-of-Life Spending So High? Evidence from Cancer Patients. 2020.
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