Determinants of Health Care Expenditure in the United States
Autor: | Hughes, Patricia, Göktuğ Kaya, Mustafa |
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Rok vydání: | 2022 |
Předmět: | |
Zdroj: | Ekonomski pregled Volume 73 Issue 4 |
ISSN: | 1848-9494 0424-7558 |
DOI: | 10.32910/ep.73.4.7 |
Popis: | The rapid increase in health expenditure has become a major concern for both households and governments in the United States. This paper investigates the long-run dynamics of health care expenditure in the United States over the period 1991-2014 using the National Health Expenditure Data from the Centers for Medicare & Medicaid Services. We use an Auto Regressive Distributed Lag (ARDL) technique to estimate the long-run dynamics and short-run adjustment of health care expenditure to changes in government insurance enrollment, controlling for income, health, uninsured, and trend to account for technological changes. The results indicate that the instance and type of insurance affect per capita expenditure; in particular, increases in Medicaid enrollment lead to higher per capita expenditure levels relative to other insurance groups and uninsured, while increases in Medicare enrollment lead to lower per capita expenditure levels. Rapidni rast izdataka u zdravstvu postao je glavna briga i za kućanstvo i za vlade u SAD-u. Ovaj rad istražuje dugoročnu dinamiku izdataka za zdravstvenu skrb u SAD-u razdoblju od 1991. do 2014. koristeći podatke o nacionalnim zdravstvenim rashodima iz Centra za medicinsku zaštitu (Medicare) i usluge medicinske pomoći (Medicaid). Koristi se ARDL tehnika za procjenu dugoročne dinamike i kratkoročne prilagodbe izdataka za zdravstvenu njegu u sklopu vladinih promjena u upisima unutar državnog osiguranja zatim kroz kontrolu prihoda, zdravlja, neosiguranih osoba te kroz trendove kako bi se u obzir uzele i tehnološke promjene. Rezultati ukazuju da slučaj i vrsta osiguranja utječu na izdatke po glavi stanovnika: izričito se ističe povećanje upisa unutar centra Medicaid čiji rast upisanih dovodi do viših razina rashoda po glavi stanovnika u odnosu na neosigurane i drugih grupa osiguranih pojedinaca dok s druge strane povećanje upisa unutar Medicare centra dovodi do nižih razina izdataka po glavi stanovnika. |
Databáze: | OpenAIRE |
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