The impact of technological advancements on health spending

A. Marino, L. Lorenzoni
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引用次数: 3

Abstract

The measurement of the impact of technology as a driver of health care expenditure is complex since technological effects are closely interlinked with other determinants such as income and the composition and health status of a population. Furthermore, the impact of the supply of advances in technology on health expenditure cannot be considered in isolation from demand and the policy context and the broader institutional context governing the adoption of new technologies. Hence, it is the interaction of supply and demand factors and the context that determine the ultimate level of technology use. There are also important quality changes that come with technological progress that also have monetary costs and benefits attached. Modelling quality improvements, both in terms of benefits within the health system and outside (e.g. its impact on life expectancy, ageing populations, productivity and GDP), is a challenging task, and no macroeconomic models to date have tried to capture them. This paper presents a comprehensive literature review of the impact of technological advances on health expenditure growth, the ‘cost’ side of the equation.
技术进步对卫生支出的影响
衡量技术作为保健支出驱动因素的影响是复杂的,因为技术影响与收入、人口构成和健康状况等其他决定因素密切相关。此外,不能脱离需求、政策背景以及管理采用新技术的更广泛的体制背景来考虑技术进步的供应对保健支出的影响。因此,是供需因素和环境的相互作用决定了技术使用的最终水平。伴随着技术进步而来的还有重要的质量变化,这些变化也伴随着货币成本和收益。从卫生系统内部和外部的效益(例如对预期寿命、人口老龄化、生产率和国内生产总值的影响)两方面对质量改进进行建模是一项具有挑战性的任务,迄今为止没有任何宏观经济模型试图捕捉它们。本文对技术进步对卫生支出增长的影响(即等式的“成本”方面)进行了全面的文献综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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