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Soziale Unterschiede, Lebenserwartung und Gesundheitsausgaben im Lebensverlauf

Author

Listed:
  • Thomas Leoni
  • Martin Spielauer

    (WIFO)

  • Peter Reschenhofer

Abstract

Diese Studie untersucht die sozialen Unterschiede in der Inanspruchnahme des Gesundheitssystems anhand einer Analyse der Gesundheitskosten unterschiedlicher Bildungsgruppen im Lebensverlauf. Dazu werden in einem ersten Schritt durchschnittliche Alterskostenprofile für Männer und Frauen nach höchster abgeschlossener Bildung ermittelt. In einem zweiten Schritt werden in einer dynamischen Mikrosimulation unter Berücksichtigung von Änderungen der Lebenserwartung und der Zusammensetzung der österreichischen Bevölkerung nach Alter und Bildung die Gesundheitskosten einzelner Kohorten und insgesamt geschätzt. Höhere Bildung geht, wie die Ergebnisse zeigen, in den meisten Lebensabschnitten im Durchschnitt mit besserer Gesundheit und niedrigeren Gesundheitskosten einher. Durch den positiven Zusammenhang zwischen Bildung und Lebenserwartung hat höhere Bildung aber auch einen gegenteiligen Kosteneffekt. Der Gesamteffekt weist für Männer und Frauen teils unterschiedliche Muster auf. Insgesamt hat die Verbesserung der Bildungsstruktur der Bevölkerung einen mäßig dämpfenden Effekt auf die Kostendynamik im Gesundheitssystem, der einen Teil des Kostenanstieges infolge der Zunahme der Lebenserwartung kompensiert.

Suggested Citation

  • Thomas Leoni & Martin Spielauer & Peter Reschenhofer, 2020. "Soziale Unterschiede, Lebenserwartung und Gesundheitsausgaben im Lebensverlauf," WIFO Studies, WIFO, number 66626, April.
    • Handle: RePEc:wfo:wstudy:66626
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    References listed on IDEAS

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    1. Alois Guger & Silvia Rocha-Akis, 2016. "Umverteilung durch den Staat in Österreich," WIFO Monatsberichte (monthly reports), WIFO, vol. 89(5), pages 329-345, May.
    2. Asaria, Miqdad & Doran, Tim & Cookson, Richard, 2016. "The costs of inequality: whole-population modelling study of lifetime inpatient hospital costs in the English National Health Service by level of neighbourhood deprivation," LSE Research Online Documents on Economics 101244, London School of Economics and Political Science, LSE Library.
    3. Eddy van Doorslaer & Xander Koolman & Andrew M. Jones, 2004. "Explaining income‐related inequalities in doctor utilisation in Europe," Health Economics, John Wiley & Sons, Ltd., vol. 13(7), pages 629-647, July.
    4. Martin Spielauer, 2007. "Dynamic microsimulation of health care demand, health care finance and the economic impact of health behaviours: survey and review," International Journal of Microsimulation, International Microsimulation Association, vol. 1(1), pages 35-53.
    5. Thomas Leoni, 2015. "Soziale Unterschiede in Gesundheit und Inanspruchnahme der Gesundheitsversorgung," WIFO Monatsberichte (monthly reports), WIFO, vol. 88(8), pages 649-662, August.
    6. Steven Prus, 2007. "Age, SES, and Health: A Population Level Analysis of Health Inequalities over the Life Course," Social and Economic Dimensions of an Aging Population Research Papers 181, McMaster University.
    7. Liliya Leopold, 2018. "Education and Physical Health Trajectories in Later Life: A Comparative Study," Demography, Springer;Population Association of America (PAA), vol. 55(3), pages 901-927, June.
    8. Titus J. Galama & Adriana Lleras-Muney & Hans van Kippersluis, 2018. "The Effect of Education on Health and Mortality: A Review of Experimental and Quasi-Experimental Evidence," NBER Working Papers 24225, National Bureau of Economic Research, Inc.
    9. Terraneo, Marco, 2015. "Inequities in health care utilization by people aged 50+: Evidence from 12 European countries," Social Science & Medicine, Elsevier, vol. 126(C), pages 154-163.
    10. Scott Lynch, 2003. "Cohort and life-course patterns in the relationship between education and health: A hierarchical approach," Demography, Springer;Population Association of America (PAA), vol. 40(2), pages 309-331, May.
    11. Liliya Leopold & Henriette Engelhardt, 2013. "Erratum to: Education and physical health trajectories in old age. Evidence from the Survey of Health, Ageing and Retirement in Europe (SHARE)," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(2), pages 329-329, April.
    12. Fabrice Murtin & Johan Mackenbach & Domantas Jasilionis & Marco Mira d’Ercole, 2017. "Inequalities in longevity by education in OECD countries: Insights from new OECD estimates," OECD Statistics Working Papers 2017/2, OECD Publishing.
    13. Liliya Leopold & Henriette Engelhartdt, 2013. "Education and physical health trajectories in old age. Evidence from the Survey of Health, Ageing and Retirement in Europe (SHARE)," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(1), pages 23-31, February.
    14. Kim, Jinyoung & Durden, Emily, 2007. "Socioeconomic status and age trajectories of health," Social Science & Medicine, Elsevier, vol. 65(12), pages 2489-2502, December.
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    Cited by:

    1. Martin Spielauer & Thomas Horvath & Walter Hyll & Marian Fink, 2020. "microWELT: Socio-Demographic Parameters and Projections for Austria, Spain, Finland, and the UK," WIFO Working Papers 611, WIFO.
    2. Christine Mayrhuber & Hedwig Lutz & Ingrid Mairhuber, 2021. "Erwerbsaustritt, Pensionsantritt und Anhebung des Frauenpensionsantrittsalters ab 2024. Potentielle Auswirkungen auf Frauen, Branchen und Betriebe," WIFO Studies, WIFO, number 67348, February.
    3. Christine Mayrhuber, 2020. "Geschlechtsspezifische Pensionslücke in Österreich," Wirtschaft und Gesellschaft - WuG, Kammer für Arbeiter und Angestellte für Wien, Abteilung Wirtschaftswissenschaft und Statistik, vol. 46(4), pages 501-514.

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