Publikation: Looking into the black box of "Medical Innovation" : rising health expenditures by illness type
Dateien
Datum
Autor:innen
Herausgeber:innen
ISSN der Zeitschrift
Electronic ISSN
ISBN
Bibliografische Daten
Verlag
Schriftenreihe
Auflagebezeichnung
URI (zitierfähiger Link)
DOI (zitierfähiger Link)
Internationale Patentnummer
Link zur Lizenz
Angaben zur Forschungsförderung
Projekt
Open Access-Veröffentlichung
Sammlungen
Core Facility der Universität Konstanz
Titel in einer weiteren Sprache
Publikationstyp
Publikationsstatus
Erschienen in
Zusammenfassung
There is agreement among health economists that on the whole medical innovation causes health care expenditures (HCE) to rise. This paper analyzes for which diagnoses HCE per patient have grown significantly faster than average HCE. We distinguish decedents (patients in their last 4 years of life) from survivors and use a unique dataset comprising detailed HCE of all members of a regional health insurance fund in Upper Austria for the period 2005-2018. Our results indicate that among decedents in particular, the expenditures for treatment of neoplasms have exceeded the general trend in HCE. This confirms that medical innovation for this group of diseases has been particularly strong over the last 15 years. For survivors, we find a noticeable growth in cases and cost per case for pregnancies and childbirth, and also for treatment of mental and behavioral disorders. We discuss whether these findings contradict the widespread interpretation of cost-increasing innovations as "medical progress" and offer some policy recommendations.
Zusammenfassung in einer weiteren Sprache
Fachgebiet (DDC)
Schlagwörter
Konferenz
Rezension
Zitieren
ISO 690
BREYER, Friedrich, Normann LORENZ, Gerald J. PRUCKNER, Thomas SCHOBER, 2022. Looking into the black box of "Medical Innovation" : rising health expenditures by illness type. In: The European Journal of Health Economics. Springer. 2022, 23(9), pp. 1601-1612. ISSN 1618-7598. eISSN 1618-7601. Available under: doi: 10.1007/s10198-022-01447-9BibTex
@article{Breyer2022-12Looki-57049, year={2022}, doi={10.1007/s10198-022-01447-9}, title={Looking into the black box of "Medical Innovation" : rising health expenditures by illness type}, number={9}, volume={23}, issn={1618-7598}, journal={The European Journal of Health Economics}, pages={1601--1612}, author={Breyer, Friedrich and Lorenz, Normann and Pruckner, Gerald J. and Schober, Thomas} }
RDF
<rdf:RDF xmlns:dcterms="http://purl.org/dc/terms/" xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:rdf="http://www.w3.org/1999/02/22-rdf-syntax-ns#" xmlns:bibo="http://purl.org/ontology/bibo/" xmlns:dspace="http://digital-repositories.org/ontologies/dspace/0.1.0#" xmlns:foaf="http://xmlns.com/foaf/0.1/" xmlns:void="http://rdfs.org/ns/void#" xmlns:xsd="http://www.w3.org/2001/XMLSchema#" > <rdf:Description rdf:about="https://kops.uni-konstanz.de/server/rdf/resource/123456789/57049"> <dc:creator>Pruckner, Gerald J.</dc:creator> <void:sparqlEndpoint rdf:resource="http://localhost/fuseki/dspace/sparql"/> <dc:rights>Attribution 4.0 International</dc:rights> <dcterms:isPartOf rdf:resource="https://kops.uni-konstanz.de/server/rdf/resource/123456789/46"/> <dspace:hasBitstream rdf:resource="https://kops.uni-konstanz.de/bitstream/123456789/57049/1/Breyer_2-1bm0z36txgmtb1.PDF"/> <dcterms:hasPart rdf:resource="https://kops.uni-konstanz.de/bitstream/123456789/57049/1/Breyer_2-1bm0z36txgmtb1.PDF"/> <dc:contributor>Schober, Thomas</dc:contributor> <dc:language>eng</dc:language> <dcterms:available rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2022-03-29T12:15:47Z</dcterms:available> <foaf:homepage rdf:resource="http://localhost:8080/"/> <dcterms:rights rdf:resource="http://creativecommons.org/licenses/by/4.0/"/> <dc:creator>Schober, Thomas</dc:creator> <dc:creator>Breyer, Friedrich</dc:creator> <dc:contributor>Breyer, Friedrich</dc:contributor> <dcterms:abstract xml:lang="eng">There is agreement among health economists that on the whole medical innovation causes health care expenditures (HCE) to rise. This paper analyzes for which diagnoses HCE per patient have grown significantly faster than average HCE. We distinguish decedents (patients in their last 4 years of life) from survivors and use a unique dataset comprising detailed HCE of all members of a regional health insurance fund in Upper Austria for the period 2005-2018. Our results indicate that among decedents in particular, the expenditures for treatment of neoplasms have exceeded the general trend in HCE. This confirms that medical innovation for this group of diseases has been particularly strong over the last 15 years. For survivors, we find a noticeable growth in cases and cost per case for pregnancies and childbirth, and also for treatment of mental and behavioral disorders. We discuss whether these findings contradict the widespread interpretation of cost-increasing innovations as "medical progress" and offer some policy recommendations.</dcterms:abstract> <dc:contributor>Lorenz, Normann</dc:contributor> <dc:creator>Lorenz, Normann</dc:creator> <dc:date rdf:datatype="http://www.w3.org/2001/XMLSchema#dateTime">2022-03-29T12:15:47Z</dc:date> <dcterms:title>Looking into the black box of "Medical Innovation" : rising health expenditures by illness type</dcterms:title> <dspace:isPartOfCollection rdf:resource="https://kops.uni-konstanz.de/server/rdf/resource/123456789/46"/> <bibo:uri rdf:resource="https://kops.uni-konstanz.de/handle/123456789/57049"/> <dcterms:issued>2022-12</dcterms:issued> <dc:contributor>Pruckner, Gerald J.</dc:contributor> </rdf:Description> </rdf:RDF>