End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported
Eric French
,
Jeremy Mccauley
,
Maria Aragon
,
Pieter Bakx
,
Martin Chalkley
(1)
,
Stacey H. Chen
,
Bent J. Christensen
,
Hongwei Chuang
,
Aurelie Côté-Sergent
,
Mariacristina de Nardi
,
Elliott Fan
,
Damien Échevin
,
Pierre-Yves Geoffard
(2, 3)
,
Christelle Gastaldi-Ménager
,
Mette Gørtz
,
Yoko Ibuka
,
John B. Jones
,
Malene Kallestrup-Lamb
,
Martin Karlsson
(4)
,
Tobias J. Klein
,
Grégoire de Lagasnerie
,
Pierre-Carl Michaud
(5)
,
Owen O’donnell
,
Nigel Rice
,
Jonathan S. Skinner
,
Eddy van Doorslaer
,
Nicolas R. Ziebarth
(6)
,
Elaine Kelly
Eric French
- Fonction : Auteur
Jeremy Mccauley
- Fonction : Auteur
Maria Aragon
- Fonction : Auteur
Pieter Bakx
- Fonction : Auteur
Stacey H. Chen
- Fonction : Auteur
Bent J. Christensen
- Fonction : Auteur
Hongwei Chuang
- Fonction : Auteur
Aurelie Côté-Sergent
- Fonction : Auteur
Mariacristina de Nardi
- Fonction : Auteur
Elliott Fan
- Fonction : Auteur
Damien Échevin
- Fonction : Auteur
Pierre-Yves Geoffard
- Fonction : Auteur
- PersonId : 1356872
- IdHAL : py-geoffard
- ORCID : 0009-0000-0777-7435
Christelle Gastaldi-Ménager
- Fonction : Auteur
Mette Gørtz
- Fonction : Auteur
Yoko Ibuka
- Fonction : Auteur
John B. Jones
- Fonction : Auteur
Malene Kallestrup-Lamb
- Fonction : Auteur
Tobias J. Klein
- Fonction : Auteur
Grégoire de Lagasnerie
- Fonction : Auteur
- PersonId : 1376884
Owen O’donnell
- Fonction : Auteur
Nigel Rice
- Fonction : Auteur
Jonathan S. Skinner
- Fonction : Auteur
Eddy van Doorslaer
- Fonction : Auteur
- PersonId : 784750
- ORCID : 0000-0003-2692-1433
- IdRef : 032525842
Elaine Kelly
- Fonction : Auteur
Résumé
Although end-of-life medical spending is often viewed as a major component of aggregate medical expenditure, accurate measures of this type of medical spending are scarce. We used detailed health care data for the period 2009–11 from Denmark, England, France, Germany, Japan, the Netherlands, Taiwan, the United States, and the Canadian province of Quebec to measure the composition and magnitude of medical spending in the three years before death. In all nine countries, medical spending at the end of life was high relative to spending at other ages. Spending during the last twelve months of life made up a modest share of aggregate spending, ranging from 8.5 percent in the United States to 11.2 percent in Taiwan, but spending in the last three calendar years of life reached 24.5 percent in Taiwan. This suggests that high aggregate medical spending is due not to last-ditch efforts to save lives but to spending on people with chronic conditions, which are associated with shorter life expectancies.
Domaines
Economies et financesFormat du dépôt | Notice |
---|---|
Type de dépôt | Article dans une revue |
Titre |
en
End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported
|
Résumé |
en
Although end-of-life medical spending is often viewed as a major component of aggregate medical expenditure, accurate measures of this type of medical spending are scarce. We used detailed health care data for the period 2009–11 from Denmark, England, France, Germany, Japan, the Netherlands, Taiwan, the United States, and the Canadian province of Quebec to measure the composition and magnitude of medical spending in the three years before death. In all nine countries, medical spending at the end of life was high relative to spending at other ages. Spending during the last twelve months of life made up a modest share of aggregate spending, ranging from 8.5 percent in the United States to 11.2 percent in Taiwan, but spending in the last three calendar years of life reached 24.5 percent in Taiwan. This suggests that high aggregate medical spending is due not to last-ditch efforts to save lives but to spending on people with chronic conditions, which are associated with shorter life expectancies.
|
Auteur(s) |
Eric French
, Jeremy Mccauley
, Maria Aragon
, Pieter Bakx
, Martin Chalkley
1
, Stacey H. Chen
, Bent J. Christensen
, Hongwei Chuang
, Aurelie Côté-Sergent
, Mariacristina de Nardi
, Elliott Fan
, Damien Échevin
, Pierre-Yves Geoffard
2, 3
, Christelle Gastaldi-Ménager
, Mette Gørtz
, Yoko Ibuka
, John B. Jones
, Malene Kallestrup-Lamb
, Martin Karlsson
4
, Tobias J. Klein
, Grégoire de Lagasnerie
, Pierre-Carl Michaud
5
, Owen O’donnell
, Nigel Rice
, Jonathan S. Skinner
, Eddy van Doorslaer
, Nicolas R. Ziebarth
6
, Elaine Kelly
1
Economic Studies
( 151734 )
- Dundee
- Royaume-Uni
2
PSE -
Paris School of Economics
( 301309 )
- 48 boulevard Jourdan 75014 Paris
- France
3
PJSE -
Paris Jourdan Sciences Economiques
( 1171428 )
- 48 boulevard Jourdan 75014 Paris
- France
4
Örebro School of Public Affairs
( 489197 )
- Suède
5
RAND
( 216348 )
- États-Unis
6
Cornell University [New York]
( 99874 )
- Ithaca, New York 14853
- États-Unis
|
Langue du document |
Anglais
|
Nom de la revue |
|
Date de publication |
2017-07
|
Vulgarisation |
Non
|
Comité de lecture |
Oui
|
Audience |
Internationale
|
Volume |
36
|
Numéro |
7
|
Page/Identifiant |
1211-1217
|
Domaine(s) |
|
DOI | 10.1377/hlthaff.2017.0174 |
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