Who is responsible for your health: You, your doctor or new technologies?
The aim of the paper is to disentangle the roles that patients, physicians and technology can have on patient health outcomes using a large and detailed dataset of Italian patients collected by the Italian College of General Practitioners (SIMG) over the period 2001–2006. As our data show the existence of heterogeneity in the time needed to reach an optimal level of health stock, we study this measure of health outcome rather than simply the level of health stock. Limiting our analysis to patients suffering from hypercholesterolemia, the empirical work is based on two different analyses. We first explore whether patients recovering faster exhibit lower hospitalization rates and then we study the determinants of the speed of recovery to a good health status. The results confirm that a 10% increase in the speed of recovery can reduce hospitalization rates by about 1.0%. Furthermore, we show that recovering to a good health status is a multifaceted phenomenon, with technology explaining at best 62% of the combined effect, while patient and physician behaviors share the residual effect. These results are then discussed in terms of policy.
|Date of creation:||28 May 2010|
|Date of revision:||28 May 2010|
|Contact details of provider:|| Postal: CEIS - Centre for Economic and International Studies - Faculty of Economics - University of Rome "Tor Vergata" - Via Columbia, 2 00133 Roma|
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|Order Information:|| Postal: CEIS - Centre for Economic and International Studies - Faculty of Economics - University of Rome "Tor Vergata" - Via Columbia, 2 00133 Roma|
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- Frank R. Lichtenberg, 2008.
"Have Newer Cardiovascular Drugs Reduced Hospitalization? Evidence From Longitudinal Country-Level Data on 20 OECD Countries, 1995-2003,"
NBER Working Papers
14008, National Bureau of Economic Research, Inc.
- Frank R. Lichtenberg, 2009. "Have newer cardiovascular drugs reduced hospitalization? Evidence from longitudinal country-level data on 20 OECD countries, 1995-2003," Health Economics, John Wiley & Sons, Ltd., vol. 18(5), pages 519-534.
- Daron Acemoglu & Simon Johnson, 2006.
"Disease and Development: The Effect of Life Expectancy on Economic Growth,"
NBER Working Papers
12269, National Bureau of Economic Research, Inc.
- Daron Acemoglu & Simon Johnson, 2007. "Disease and Development: The Effect of Life Expectancy on Economic Growth," Journal of Political Economy, University of Chicago Press, vol. 115(6), pages 925-985, December.
- Paul Grootendorst & Emmanuelle Piérard & Minsup Shim, 2007. "The life expectancy gains from pharmaceutical drugs: a critical appraisal of the literature," Social and Economic Dimensions of an Aging Population Research Papers 221, McMaster University.
- Gautam Gowrisankaran & Robert J. Town, 2004. "Managed Care, Drug Benefits and Mortality: An Analysis of the Elderly," NBER Working Papers 10204, National Bureau of Economic Research, Inc.
- Kevin M. Murphy & Robert H. Topel, 2005.
"The Value of Health and Longevity,"
NBER Working Papers
11405, National Bureau of Economic Research, Inc.
- Vincenzo Atella & Franco Peracchi & Domenico Depalo & Claudio Rossetti, 2006. "Drug compliance, co-payment and health outcomes: evidence from a panel of Italian patients," Health Economics, John Wiley & Sons, Ltd., vol. 15(9), pages 875-892.
- Lichtenberg Frank R., 2008. "Pharmaceutical Innovation and U.S. Cancer Survival, 1992-2003: Evidence from Linked SEER-MEDSTAT Data," Forum for Health Economics & Policy, De Gruyter, vol. 10(1), pages 1-27, March.
- Robert G. Valletta, 2007. "The costs and value of new medical technologies: symposium summary," FRBSF Economic Letter, Federal Reserve Bank of San Francisco, issue jul6.
- Zhou Yang & Donna B. Gilleskie & Edward C. Norton, 2009. "Health Insurance, Medical Care, and Health Outcomes: A Model of Elderly Health Dynamics," Journal of Human Resources, University of Wisconsin Press, vol. 44(1).
- Lichtenberg, Frank R, 1996. "Do (More and Better) Drugs Keep People Out of Hospitals?," American Economic Review, American Economic Association, vol. 86(2), pages 384-88, May.
- Charles I. Jones, 2005. "More life vs. more goods: explaining rising health expenditures," FRBSF Economic Letter, Federal Reserve Bank of San Francisco, issue may27.
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