일요일, 6월 16, 2024
HomeHealthcareCross-country comparability in well being care value progress: 2000-2020 – Healthcare Economist

Cross-country comparability in well being care value progress: 2000-2020 – Healthcare Economist


How did well being care costs change over the previous 2 many years. That’s the query a paper by Papanicolas (2024) goals to reply, evaluating US costs to these from Australia, Canada, France, and the Netherlands between 2000 and 2020.

Earlier than we get to the outcomes, we first want to find out what sorts of value indices are on the market? The authors cite three primary varieties:

  1. Economic system extensive value indices: Examples embrace a GDP value index
  2. Value indices overlaying all items and providers consumed by households: Examples embrace the precise particular person consumption (AIC) value index
  3. Nationwide well being deflators. These are health-specific costs indices and are produced by quite a lot of authorities entities (e.g., within the US Heart for Medicare and Medicaid Providers (CMS), the Bureau of Financial Evaluation (BEA) and the Bureau of Labor Statistics (BLS) all produce nationwide well being deflators)

The authors argue that economy-wide and AIC deflators do a poor job for capturing adjustments in well being care costs.

Though they’re broadly used to deflate well being expenditures for worldwide comparisons, the GDP and AIC value indices seize adjustments in costs total—not adjustments in healthcare-specific costs. On condition that well being care is usually offered by non-market producers similar to governments (the place costs could also be imperfect indicators of market worth), healthcare costs are more likely to differ markedly from economy-wide or AIC costs

The information sources the authors used are listed under:

Nation Title of Index  Producer
Australia Complete Well being Value Index (THPI) Australian Institute for Well being and Welfare (AIHW)
Canada Complete Well being Care Implicit Value Index Statistics Canada
France Value Index for Well being Route de la recherche, des études de l’évaluation et des statistiques (DRESS)
The Netherlands Value Index for Well being Statistics Netherlands (Centraal Bureau voor de Statistiek, CBS)
U.S. Private Well being Care Value Index Facilities for Medicare and Medicaid Providers (CMS)

Outcomes:

The well being care spending progress charge was highest in Australia (5.7%) and the U.S. (4.9%) and lowest for France (2.7%). Nevertheless, whereas a bigger share off the elevated spending was as a consequence of value will increase in U.S. (55% of spending progress), this determine was an enormous decrease for different international locations (48%). Additional:

By wanting on the ratio of the consumption-based health-specific index to the consumption-based basic value index (AIC) over the examine interval, we discover that america reveals the best relative cumulative “extra” progress in well being costs over the examine interval (14%), adopted by Canada (12%). Australia and the Netherlands additionally exhibit increased cumulative well being value progress over the examine interval in comparison with basic value progress, though barely decrease (7%–6%) than the primary cluster of nations. Lastly, France reveals the bottom cumulative value progress, with well being costs rising solely barely above basic costs (2%).

Within the Determine under, spending progress is decomposed into costs and quantity, the place Panel A appears at consumption deflators for public payers and panel B appears at consumption deflators for personal payers. One can clearly see that value progress was sooner for well being care bought by public payers in comparison with these bought by households (i.e., out-of-pocket prices or personal insurance coverage).

The complete paper could be learn right here.

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