Money, medicine and mortality an empirical investigation into the link between health status and health care expenditure.
|dc.identifier.citation||Carson, A. (2004, October). Money, medicine and mortality an empirical investigation into the link between health status and health care expenditure. (Dissertation, Bachelor of Commerce with Honours). Retrieved from http://hdl.handle.net/10523/1192||en|
|dc.description.abstract||The purpose of this study was to investigate one possible cause for the recent rise OECD health care expenditures, namely the Sisyphus syndrome. In order for a Sisyphus syndrome to exist two dynamic relationships must hold. Firstly, health care expenditure (HCE) must be capable of increasing the life expectancy of the elderly. This is not necessarily guaranteed within developed nations because of the diminishing returns associated with HCE. To examine this, a health production function for a panel of 9 OECD nations over the period 1988 to 1998 was estimated. The first relationship was found to exist with HCE positively contributing to the life expectancies of the elderly (with a lag of five years) at the margin. Secondly, these increased life expectancies must extend the planning horizon of the elderly, encouraging the further consumption of HCE. In short, the Sisyphus syndrome predicts a cycle in which increased HCE will feed back upon itself. This was examined by estimating a HCE function. From this, no evidence was found to support the second relationship. Therefore the rising HCE in the OECD cannot be explained by a Sisyphus syndrome. Future studies should look to explore other avenues to explain rising HCEs.||en_NZ|
|dc.subject||health care expenditure||en_NZ|
|dc.subject.lcsh||HC Economic History & Conditions||en_NZ|
|dc.subject.lcsh||H Social Sciences (General)||en_NZ|
|dc.title||Money, medicine and mortality an empirical investigation into the link between health status and health care expenditure.||en_NZ|
|thesis.degree.name||Bachelor of Commerce with Honours|
|thesis.degree.grantor||University of Otago||en_NZ|
|dc.description.references||Auster, R et al. (1969) The Production of Health, an Exploratory Study. The Journal of Human Resources, 4(4), 411-436. Atkins, Frank J and Sidhu, Nirmal. (2002) Unit Root and Alternative Hypotheses in Health Care Econometrics. [online]. Avail able from http://econ.ucalgary.ca/fac-files/fja/hceunit% 20roots.pdf [Accessed 13th June 2004]. Baltagi, B. H. (1998) Econometrics. New York, Springer. Barnum, H. (1994) The Economic Burden of the Global Trade in Tobaccojonline]. Available from http://www.worldbank.org/html/extdr/hnp/hdd-flash/other/oth0004.html [Accessed 12 September 2004]. Cochrane, A.L et al. (1978) Health Service 'Input' and Mortality 'Output' in Developed Countries. Journal of Epidemiology and Community Health, 32(3), 200-5. Collins, S. and Bosworth, B. (1996) Economic Growth in East Asia: Accumulation Versus Assimilation. Brookings Papers on Economic Activity: 2, Brookings Institution, 135- 203. Delnoij, D. et al. (2000) Does General Practitioner Gatekeeping Curb Health Care Expenditure? Journal of Health Services Research & Policy, 5(1), 22-26. Fo and, S et al. (2001) The Economics of Health and Health Care. New Jersey, Prentice Hal Frech III, H.E and Miller Jr, Richard D. (2000) Is There a Link Between Pharmaceutical Consumption and Improved Health in OECD Countries? Pharmacoeconomics, 18 Suppl 1, 33-45. Frech III, H.E and Miller Jr, Richard D. (2002) "The Productivity of Health Care and Pharmaceuticals: Quality of Life, Cause of Death, and the Role of Obesity," UC Santa Barbara Working Paper (2002), available at http://www.econ.ucsb.edu/papers/wp12- 02.pdf, [Accessed 28 th June 2004]. Gerdtham, Ulf-G. and Jonsson, Bengt. (1991) Conversion Factor Instability in International Comparisons of Health Care Expenditure. The Journal of Health Economics, 10(2), 227-234. Gerdtham, Ulf-G et al. (1992a) A Pooled Cross-Section Analysis of the Health Care Expenditure of the OECD Countries. In Peter and III Frech, H.E., eds., Health Economics Worldwide. Developments in Health Economics and Public Policy Series, vol. 1, Norwell, Mass, Boston and Dordrecht, Kluwer Academic Publishers, 287-310. Gerdtham, U.G and Jonsson, B. (1992b) Price and Quantity in International Comparisons of Health Care Expenditure. Applied Economics, 23(9), 1519-1528. Greene, W. (2000) Econometric Analysis, New York, Prentice-Hall. Grossman, Michael. (1972) On the Concept of Health Capital and the Demand for Health. Journal of Political Economy, 80(2), 223-255. Hadley, Jack. (1982) More Medical Care Better Health?. An Economic Analysis of Mortality Rates. Washington D.C, Urban Institute Press. Hadley, Jack (1988) Medicare Spending and Mortality Rates of the Elderly. Inquiry, 25(4), 485-493. Hansen, Paul and King, Alan. (1996) The Determinants of Health Care Expenditure: A Cointergration Approach. Journal of Health Economics, 15(1), 127-137. Hitiris, Theo and Posnett, John. (1992) The Determinants and Effects of Health Expenditure in Developed Countries. Journal of Health Economics, 11(2), 173-181. Horace, William C et al. (2003) The Productivity of Pharmaceuticals in Improving Health: An Analysis of OECD Health Data. [online]. Available from: http://ideas.repec.org/p/wpaiwuwphe/0206001.html [Accessed 20th August 2004]. Jewell, Todd et al. (2003) Stationarity of Health. Expenditures and GDP: Evidence from Panel Unit Root Tests with Heterogeneous Structural Breaks. Journal of Health Economics, 22(2), 313-323. Kilian, C. (2000) "Nation's Health Depends on Equality, Not Wealth" First published in the Georgia Straight (Vancouver, BC), June 8th, 2000. [online]. Available from: http://www.capcollege.bc.ca/dept/cmns/health.html [Accessed 16th August 2004]. Leu, Robert E. (1986) The Public-Private Mix and International Health Care Costs. In Culyer, A, J. and Jonsson, B, Public and Private Health Services, Oxford, Blackwell, 41-63. Maddala, G.S and Kim, In-Moo. (1998) Unit Roots Cointergration and Structural Change. Cambridge, University Press. McCoskey, Suzanne and Selden, Thomas M. (1998) Health Care Expenditures and GDP: Panel Unit Root Test Results. Journal of Health Economics, 17(3), 369-376. Newhouse, Joseph P. (1977) Medical-Care Expenditure: A Cross-National Survey. The Journal of Human Resources, 12(1), 115-125. OECD Health Data 2001 [CDROM]. (2001) Paris. Organisation for Economic Co-operation and Development. OECD.(2003) OECD Data Show Health Spending Outpaced Economic Growth over Past Decade; Modern Medical Technologies Spread Rapidly in OECD Countries. [online]. Available from: http://www.oecd.org/document/22/0,2340,fr_2649_33929_ 1935190 1_1_1_1,00.html[Access ed 20th August 2004]. Or, Zeynep. (2000) Determinants of Health Outcomes in Industrialised Countries: A Pooled, Cross-Country, Time-Series Analysis. [online]. Available from: http://www.occd.org/dataoecd/31/33/2732311.pdf[Accessed 13th March 2004]. Rossett, R.N. and L.P. Huang. (1973) The Effect of Health Insurance on the Demand for Medical Care. Journal of Political Economy. 81(2), 281-305. Santerre, Rexford E and Neun, Stephen P. (1996) Health Economics: Theories, Insights and Industry Studies. Boston, Irwin. Seshamani. M and Gray, A. (2004) Ageing and Health-care Expenditure: The Red Herring Argument Revisited. Health Economics, 13,303-314. Statistics New Zealand. (2004) New Zealand Life Tables. [online]. Available from http ://www.stats.govt.nz/domino/external/pasfull/pasfull.nsf/web/Hot+Off+The+Press+New+ Zealand+Life+Tables+2000-2002 [Accessed 25th September 2004]. Wagstaff, Adam. (1986a) The Demand for Health: Theory and Applications. Journal of Epidemiology and Community Health, 40(1), 1-11. Wagstaff, A. (1986b). "The Demand for Health, Some New Empirical Evidence" Journal of Health Economics, 5(3), 195-233. Wolfe, Barbara L. (1986) Health Status and Medical Expenditures is There a Link?. Social Science and Medicine, 22(10), 993-999. Wolfe, Barbara and Gabay, Mary. (1987) Health Status and Medical Expenditures: More Evidence of a Link. Social Science and Medicine, 25(8), 883-888. Wooldridge, J. M. (2002) Econometric Analysis of Cross Section and Panel Data. Cambridge, MA: MIT Press. Wooldridge, Jeffrey M. (2003) Introductory Econometrics: A Modern Approach. 2nd Edition. Cincinnati, Ohio, Thomson, South-Western. Zweifel, Peter and Ferrari, Matteo. (1992) Is There a Sisyphus Syndrome in Health Care?. In Peter and III Frech, H.E, Health Economics Worldwide. Developments in Health Economics and Public Policy Series, vol. 1, Norwell, Mass, Boston and Dordrecht, Kluwer Academic Publishers, 311-330. Zweifel, Peter. and Steinmann, Lukas. (2002) The Sisyphus Syndrome in Health Revisited. [online]. Available from: http://perso.wanadoo.frices/pages/englishiPS14-1.pdf [Accessed 20th March 2004].||en_NZ|
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