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The sustainability of European health care systems: beyond income and aging

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  • Fabio Pammolli

    ()

  • Massimo Riccaboni

    ()

  • Laura Magazzini

    ()

Abstract

During the last 30 years, health care expenditure (HCE) has been growing much more rapidly than GDP in OECD countries. In this paper, we review the determinants of HCE dynamics in Europe, taking into account the role of income, aging population, technological progress, female labor participation and public budgetary variables. We show that HCE is a multifaceted phenomenon where demographic, social, economic, technological and institutional factors all play an important role. The comparison of total, public and private HCE reveals an imbalance of European welfare toward the care of the elderly. European Governments should increasingly rely on pluralistic systems to balance sustainability and access and equilibrate the distribution of resources across the functions of the public welfare system. Copyright Springer-Verlag 2012

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Bibliographic Info

Article provided by Springer in its journal The European Journal of Health Economics.

Volume (Year): 13 (2012)
Issue (Month): 5 (October)
Pages: 623-634

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Handle: RePEc:spr:eujhec:v:13:y:2012:i:5:p:623-634

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Related research

Keywords: Health care expenditure; Sustainability; Aging population; Unbalanced growth; Income elasticity; Welfare; H51-Government Expenditures and Health;

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Cited by:
  1. Renuga Nagarajan & Aurora A.C. Teixeira & Sandra T. Silva, 2013. "The impact of population ageing on economic growth: an in-depth bibliometric analysis," FEP Working Papers 505, Universidade do Porto, Faculdade de Economia do Porto.
  2. Pammolli, Fabio & Salerno, Nicola, 2011. "Le differenze regionali nella governance della spesa sanitaria. La sanità alla sfide del federalismo: il modello SaniRegio di CeRM
    [Regional differences in the governance of health care expenditur
    ," MPRA Paper 36934, University Library of Munich, Germany.
  3. Fabio Pammolli & Nicola Carmine Salerno, 2011. "Le differenze regionali nella governance della spesa sanitaria - SaniRegio-2011," Working Papers 02-2011, Competitività Regole Mecati (CERM).
  4. Allen, Nicola & Pichler, Franz & Wang, Tina & Patel, Sundip & Salek, Sam, 2013. "Development of archetypes for non-ranking classification and comparison of European National Health Technology Assessment systems," Health Policy, Elsevier, vol. 113(3), pages 305-312.
  5. José Castillo-Manzano & Mercedes Castro-Nuño & Xavier Fageda, 2014. "Can health public expenditure reduce the tragic consequences of road traffic accidents? The EU-27 experience," The European Journal of Health Economics, Springer, vol. 15(6), pages 645-652, July.

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