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End-stage Renal Disease and Economic Incentives: The International Study of Health Care Organization and Financing

Author

Listed:
  • Avi Dor
  • Mark V. Pauly
  • Margaret A. Eichleay
  • Philip J. Held

Abstract

End-stage renal disease (ESRD), or kidney failure, is a debilitating, costly, and increasingly common medical condition. Little is known about how different financing approaches affect ESRD outcomes and delivery of care. This paper presents results from a comparative review of 12 countries with alternative models of incentives and benefits, collected under the International Study of Health Care Organization and Financing, a substudy within the Dialysis Outcomes and Practice Patterns Study. Variation in spending per ESRD patient is relatively small and is correlated with overall per capita health care spending. Between-country variations in spending are reduced using an input price parity index constructed for this study. Remaining differences in costs and outcomes do not seem strongly linked to differences in incentives embedded in national programs.

Suggested Citation

  • Avi Dor & Mark V. Pauly & Margaret A. Eichleay & Philip J. Held, 2007. "End-stage Renal Disease and Economic Incentives: The International Study of Health Care Organization and Financing," NBER Working Papers 13125, National Bureau of Economic Research, Inc.
  • Handle: RePEc:nbr:nberwo:13125
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    References listed on IDEAS

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    1. Ellis, Randall P. & McGuire, Thomas G., 1996. "Hospital response to prospective payment: Moral hazard, selection, and practice-style effects," Journal of Health Economics, Elsevier, vol. 15(3), pages 257-277, June.
    2. Chalkley, Martin & Malcomson, James M, 1998. "Contracting for Health Services with Unmonitored Quality," Economic Journal, Royal Economic Society, vol. 108(449), pages 1093-1110, July.
    3. Held, Philip J. & Pauly, Mark V., 1983. "Competition and efficiency in the end stage renal disease program," Journal of Health Economics, Elsevier, vol. 2(2), pages 95-118, August.
    4. Sarah Wordsworth & Anne Ludbrook, 2005. "Comparing costing results in across country economic evaluations: the use of technology specific purchasing power parities," Health Economics, John Wiley & Sons, Ltd., vol. 14(1), pages 93-99.
    5. José Luño, 2007. "The organization and financing of end-stage renal disease in Spain," International Journal of Health Economics and Management, Springer, vol. 7(4), pages 253-267, December.
    6. Anthony Harris, 2007. "The organization and funding of the treatment of end-stage renal disease in Australia," International Journal of Health Economics and Management, Springer, vol. 7(2), pages 113-132, September.
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    Citations

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    Cited by:

    1. Cleemput, Irina & De Laet, Chris, 2013. "Analysis of the costs of dialysis and the effects of an incentive mechanism for low-cost dialysis modalities," Health Policy, Elsevier, vol. 110(2), pages 172-179.
    2. Alan M. Garber & Jonathan Skinner, 2008. "Is American Health Care Uniquely Inefficient?," Journal of Economic Perspectives, American Economic Association, vol. 22(4), pages 27-50, Fall.
    3. Giuseppe Pontoriero & Pietro Pozzoni & Lucia Vecchio & Francesco Locatelli, 2007. "International Study of Health Care Organization and Financing for renal replacement therapy in Italy: an evolving reality," International Journal of Health Economics and Management, Springer, vol. 7(2), pages 201-215, September.
    4. Shunichi Fukuhara & Chikao Yamazaki & Yasuaki Hayashino & Takahiro Higashi & Margaret Eichleay & Takashi Akiba & Tadao Akizawa & Akira Saito & Friedrich Port & Kiyoshi Kurokawa, 2007. "The organization and financing of end-stage renal disease treatment in Japan," International Journal of Health Economics and Management, Springer, vol. 7(2), pages 217-231, September.
    5. Chang, Ray-E. & Hsieh, Chi-Jeng & Myrtle, Robert C., 2011. "The effect of outpatient dialysis global budget cap on healthcare utilization by end-stage renal disease patients," Social Science & Medicine, Elsevier, vol. 73(1), pages 153-159, July.
    6. José Luño, 2007. "The organization and financing of end-stage renal disease in Spain," International Journal of Health Economics and Management, Springer, vol. 7(4), pages 253-267, December.
    7. Toni Ashton & Mark Marshall, 2007. "The organization and financing of dialysis and kidney transplantation services in New Zealand," International Journal of Health Economics and Management, Springer, vol. 7(4), pages 233-252, December.
    8. Anne-Line Couillerot-Peyrondet & Cléa Sambuc & Yoël Sainsaulieu & Cécile Couchoud & Isabelle Bongiovanni-Delarozière, 2017. "A comprehensive approach to assess the costs of renal replacement therapy for end-stage renal disease in France: the importance of age, diabetes status, and clinical events," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 18(4), pages 459-469, May.
    9. Braden Manns & David Mendelssohn & Kenneth Taub, 2007. "The economics of end-stage renal disease care in Canada: incentives and impact on delivery of care," International Journal of Health Economics and Management, Springer, vol. 7(2), pages 149-169, September.
    10. Anthony Harris, 2007. "The organization and funding of the treatment of end-stage renal disease in Australia," International Journal of Health Economics and Management, Springer, vol. 7(2), pages 113-132, September.
    11. Werner Kleophas & Helmut Reichel, 2007. "International study of health care organization and financing: development of renal replacement therapy in Germany," International Journal of Health Economics and Management, Springer, vol. 7(2), pages 185-200, September.
    12. Tricia Nicholson & Paul Roderick, 2007. "International Study of Health Care Organization and Financing of renal services in England and Wales," International Journal of Health Economics and Management, Springer, vol. 7(4), pages 283-299, December.

    More about this item

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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