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The black box of health care expenditure growth determinants

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  • Pedro Pita Barros

Abstract

In this paper, the determinants of growth of aggregate health expenditures are investigated. The study departs from previous literature in that it looks at differences across countries in growth (and not levels) of health care expenditures. Estimation is made for 24 OECD countries. Health system characteristics usually believed to influence health expenditures growth, like population ageing, the type of health system (public reimbursement, public contract or integrate) and existence of gatekeepers, are found to be non‐significant. Nevertheless, there is evidence that health expenditures experienced a clear slower growth in the last decade. The explanation for this slowdown could not be found in the proposed model and should stimulate further research. © 1998 John Wiley & Sons, Ltd.

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  • Pedro Pita Barros, 1998. "The black box of health care expenditure growth determinants," Health Economics, John Wiley & Sons, Ltd., vol. 7(6), pages 533-544, September.
    • Handle: RePEc:wly:hlthec:v:7:y:1998:i:6:p:533-544
    DOI: 10.1002/(SICI)1099-1050(199809)7:6<533::AID-HEC374>3.0.CO;2-B
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    1. Alistair McGuire & David Parkin & David Hughes & Karen Gerard, 1993. "Econometric analyses of national health expenditures: Can positive economics help to answer normative questions?," Health Economics, John Wiley & Sons, Ltd., vol. 2(2), pages 113-126, July.
    2. Ulf‐G. Gerdtham, 1992. "Pooling international health care expenditure data," Health Economics, John Wiley & Sons, Ltd., vol. 1(4), pages 217-231, December.
    3. Joseph P. Newhouse, 1992. "Medical Care Costs: How Much Welfare Loss?," Journal of Economic Perspectives, American Economic Association, vol. 6(3), pages 3-21, Summer.
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