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Ageing and changes in medical practices : reassessing theinfluence of demography

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Author Info

  • Brigitte Dormont

    (LEGOS - Université Paris Dauphine - Paris IX, IEMS - Université de Lausanne)

  • Hélène Huber

    ()
    (EconomiX - CNRS : UMR7166 - Université de Paris X - Nanterre)

Abstract

On the basis of French individual data, this paper compares the effect of demographic change, changes in morbidity and changes in practices on the growth in health expenditures that occurred between 1992 and 2000. Microsimulations show that the rise in expenditures due to aging is relatively small and that the impact of changes in practices is 3.8 times larger. Furthermore, changes in morbidity induce savings which more that offset the increase in spending due to the population aging.

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File URL: http://halshs.archives-ouvertes.fr/docs/00/27/47/23/PDF/Dormont-Huber-AES.pdf
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Bibliographic Info

Paper provided by HAL in its series Post-Print with number halshs-00274723.

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Date of creation: 2006
Date of revision:
Publication status: Published, Annales d'Economie et Statistiques, 2006, 83-84, 187-217
Handle: RePEc:hal:journl:halshs-00274723

Note: View the original document on HAL open archive server: http://halshs.archives-ouvertes.fr/halshs-00274723/en/
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Web page: http://hal.archives-ouvertes.fr/

Related research

Keywords: Aging - Health Expenditures - Micro-Simulations;

References

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  1. Wagstaff, Adam & van Doorslaer, Eddy, 2000. "Chapter 34 Equity in health care finance and delivery," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 34, pages 1803-1862 Elsevier.
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  4. Mullahy, John, 1998. "Much ado about two: reconsidering retransformation and the two-part model in health econometrics," Journal of Health Economics, Elsevier, vol. 17(3), pages 247-281, June.
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  11. Leung, Siu Fai & Yu, Shihti, 1996. "On the choice between sample selection and two-part models," Journal of Econometrics, Elsevier, vol. 72(1-2), pages 197-229.
  12. Hurley, Jeremiah, 2000. "An overview of the normative economics of the health sector," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 2, pages 55-118 Elsevier.
  13. Gerdtham, Ulf-G. & Sogaard, Jes & Andersson, Fredrik & Jonsson, Bengt, 1992. "An econometric analysis of health care expenditure: A cross-section study of the OECD countries," Journal of Health Economics, Elsevier, vol. 11(1), pages 63-84, May.
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  15. Meena Seshamani & Alastair Gray, 2004. "Ageing and health-care expenditure: the red herring argument revisited," Health Economics, John Wiley & Sons, Ltd., vol. 13(4), pages 303-314.
  16. Eric Delattre & Brigitte Dormont, 2003. "Fixed fees and physician-induced demand: A panel data study on French physicians," Health Economics, John Wiley & Sons, Ltd., vol. 12(9), pages 741-754.
  17. Sally C. Stearns & Edward C. Norton, 2004. "Time to include time to death? The future of health care expenditure predictions," Health Economics, John Wiley & Sons, Ltd., vol. 13(4), pages 315-327.
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Citations

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Cited by:
  1. Pablo Hernández de Cos & Enrique Moral-Benito, 2011. "Health care expenditure in the oecd countries: efficiency and regulation," Banco de Espa�a Occasional Papers 1107, Banco de Espa�a.
  2. Michel Grignon, 2005. "Aging, Health and Aggregate Medical Care Spending in France," Department of Economics Working Papers 2005-06, McMaster University.

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