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The Impact of Public and Private Research on Premature Cancer Mortality and Hospitalization in the United States, 1999-2013

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  • Frank R. Lichtenberg

Abstract

This article provides evidence about the impact that public and private research had on premature mortality and hospitalization due to cancer in the United States during the period 1999-2013. We estimate difference-in-differences models based on longitudinal, cancer-site-level data to determine whether the cancer sites about which more research-supported articles were published had larger subsequent reductions in premature mortality and hospitalization during the period 1999 to 2013, controlling for the change in the number of people diagnosed. Premature (before age 75 years) mortality is inversely related to the number of research-supported articles that had been published 9 to 15 years earlier, controlling for incidence and non-research publications. The number of hospital discharges attributed to cancer is also significantly inversely related to the number of research-supported articles previously published. Public and private research reduced the number of years of potential life lost before age 75 years due to cancer in 2013 by 566,000. JEL Classifications : I1, I18

Suggested Citation

  • Frank R. Lichtenberg, 2018. "The Impact of Public and Private Research on Premature Cancer Mortality and Hospitalization in the United States, 1999-2013," The American Economist, Sage Publications, vol. 63(2), pages 147-165, October.
  • Handle: RePEc:sae:amerec:v:63:y:2018:i:2:p:147-165
    DOI: 10.1177/0569434518760537
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    References listed on IDEAS

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    1. Frank R. Lichtenberg, 2001. "The Allocation of Publicly Funded Biomedical Research," NBER Chapters, in: Medical Care Output and Productivity, National Bureau of Economic Research, Inc.
    2. David M. Cutler & Ernst R. Berndt, 2001. "Medical Care Output and Productivity," NBER Books, National Bureau of Economic Research, Inc, number cutl01-1, June.
    3. Adams, James D, 1990. "Fundamental Stocks of Knowledge and Productivity Growth," Journal of Political Economy, University of Chicago Press, vol. 98(4), pages 673-702, August.
    4. Evenson, Robert E & Kislev, Yoav, 1973. "Research and Productivity in Wheat and Maize," Journal of Political Economy, University of Chicago Press, vol. 81(6), pages 1309-1329, Nov.-Dec..
    5. William D. Nordhaus, 2005. "Irving Fisher and the Contribution of Improved Longevity to Living Standards," American Journal of Economics and Sociology, Wiley Blackwell, vol. 64(1), pages 367-392, January.
    6. Jonathan Grant & Liz Green & Barbara Mason, 2003. "Basic research and health: a reassessment of the scientific basis for the support of biomedical science," Research Evaluation, Oxford University Press, vol. 12(3), pages 217-224, December.
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    More about this item

    Keywords

    mortality; hospitalization; public research; private research; health care;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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