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Cost-containment in Europe

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  • Tony Culyer

Abstract

Cost-containment is not in itself a sensible policy objective because any assessment of the appropriateness of health care expenditure in aggregate, as of that on specific programs, requires a balancing of costs and benefits (at the margin). International comparisons of expenditures can, however, provide indications of the likely impact on costs/expenditures of structural features of health care systems. This paper reviews the evidence based upon OECD data for both European countries and a wider set and outlines some current policies in Europe that are directed at controlling health care costs.

Suggested Citation

  • Tony Culyer, 1989. "Cost-containment in Europe," Working Papers 062chedp, Centre for Health Economics, University of York.
  • Handle: RePEc:chy:respap:62chedp
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    File URL: http://www.york.ac.uk/media/che/documents/papers/discussionpapers/CHE%20Discussion%20Paper%2062.pdf
    File Function: First version, 1989
    Download Restriction: no

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    Cited by:

    1. Niklas Potrafke, 2012. "Political cycles and economic performance in OECD countries: empirical evidence from 1951–2006," Public Choice, Springer, vol. 150(1), pages 155-179, January.
    2. Neil Rickman & Paul Fenn & Alastair Gray, 1999. "The reform of Legal Aid in England and Wales," Fiscal Studies, Institute for Fiscal Studies, vol. 20(3), pages 261-286, September.
    3. Hartwig, Jochen, 2008. "What drives health care expenditure?--Baumol's model of 'unbalanced growth' revisited," Journal of Health Economics, Elsevier, vol. 27(3), pages 603-623, May.
    4. Potrafke, Niklas, 2010. "The growth of public health expenditures in OECD countries: Do government ideology and electoral motives matter?," Journal of Health Economics, Elsevier, vol. 29(6), pages 797-810, December.
    5. McCoskey, Suzanne K. & Selden, Thomas M., 1998. "Health care expenditures and GDP: panel data unit root test results," Journal of Health Economics, Elsevier, vol. 17(3), pages 369-376, June.
    6. Felipa de Mello-Sampayo & Sofia de Sousa-Vale, 2014. "Financing Health Care Expenditure in the OECD Countries: Evidence from a Heterogeneous, Cross-Sectional Dependent Panel," Panoeconomicus, Savez ekonomista Vojvodine, Novi Sad, Serbia, vol. 61(2), pages 207-225, March.
    7. Kamil Dybczak & Bartosz Przywara, 2010. "The role of technology in health care expenditure in the EU," European Economy - Economic Papers 2008 - 2015 400, Directorate General Economic and Financial Affairs (DG ECFIN), European Commission.
    8. Vondeling, Hindrik & Rosendal, Henk & Banta, David, 1995. "Evaluation and diffusion of excimer laser treatment of myopia in the United States and in the Netherlands," Health Policy, Elsevier, vol. 34(1), pages 21-33, October.
    9. Bjuggren, Per-Olof, 1998. "Competition for the market in the Swedish primary health care sector," International Review of Law and Economics, Elsevier, vol. 18(4), pages 529-541, December.
    10. Hansen, Paul & King, Alan, 1996. "The determinants of health care expenditure: A cointegration approach," Journal of Health Economics, Elsevier, vol. 15(1), pages 127-137, February.

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