Health Care Spending Growth: How Different Is the United States from the Rest of the OECD

Congressional Budget Office, Washington, DC, USA.
Health Affairs (Impact Factor: 4.64). 01/2007; 26(1):154-61. DOI: 10.1377/hlthaff.26.1.154
Source: PubMed

ABSTRACT This paper compares the long-term (1970-2002) rates of real growth in health spending per capita in the United States and a group of high-income countries in the Organization for Economic Cooperation and Development (OECD). Real health spending growth is decomposed into population aging, overall economic growth, and excess growth. Although rates of aging and overall economic growth were similar, annual excess growth was much higher in the United States (2.0 percent) versus the OECD countries studied (1.1 percent). That difference, which is of an economically important magnitude, suggests that country-specific institutional factors might contribute to long-term health spending trends.

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    • "Rising levels of demand due to ageing populations and increases in long-term conditions (White, 2007), increased levels of expectation amongst patients and inflationary pressure caused by the rising cost of new technologies are amongst the explanations for the funding shortfalls in government funded health systems across the world. The challenge facing these health systems has also been intensified by the worldwide economic downturn. "
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    Journal of Health Organisation and Management 01/2013; 27(6):762-80. DOI:10.1108/JHOM-11-2012-0225 · 0.36 Impact Factor
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    • "hospitals, hotel rooms, apartments, houses, classrooms). Such kind of smart environments will be increasingly more frequent in the industrialized countries (like in North America, Europe and Japan) as their proportion of aged populations is increasing [30]. In addition to helping dependant people in increasing their autonomy and quality of life, the smart environments allow to reduce the needed interventions from professional healthcare caregivers, reducing by the way the induced costs. "
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    Journal of Ambient Intelligence and Smart Environments 01/2013; 5(1):47-64. DOI:10.3233/AIS-120190 · 1.08 Impact Factor
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    • "Begley et al. (2000) estimated the average direct cost for epilepsy prevalent cases at year 1995 was $733 or $909 when adjusted for inflation to a 2004 value (Begley et al., 2000). Although Begley et al. (2000) focused on incident cases that are likely to cost more (Begley et al., 2000; White, 2007), our results were of greater magnitude. This is because the prior article looked at costs only specifically related to epilepsy as judged by patients and physicians rather than all medical care expenditure differences, as well as the fact that the overall cost of care has increased (Heaney et al., 2002; Centers for Medicare and Medicaid Services, 2008). "
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