The black box of health care expenditure growth determinants

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122 Citations (Scopus)

Abstract

In this paper, the determinants of growth of aggregate health expenditures are investigated. The study departs from previous literature in that it looks at differences across countries in growth (and not levels) of health care expenditures. Estimation is made for 24 OECD countries. Health system characteristics usually believed to influence health expenditures growth, like population ageing, the type of health system (public reimbursement, public contract or integrate) and existence of gatekeepers, are found to be non-significant. Nevertheless, there is evidence that health expenditures experienced a clear slower growth in the last decade. The explanation for this slowdown could not be found in the proposed model and should stimulate further research.

Original languageEnglish
Pages (from-to)533-544
Number of pages12
JournalHealth Economics
Volume7
Issue number6
DOIs
Publication statusPublished - Sep 1998

Keywords

  • Expenditures growth
  • Health care spending

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