跨国医疗支出差异:一个因素分解

Cross‐country disparities in health‐care expenditure: a factor decomposition

Health Economics · 2008
被引 25
人大 A-

中文导读

利用1975-2003年OECD国家数据,将人均医疗支出差异分解为GDP占比、劳动生产率等因素,发现GDP占比和劳动生产率是主要驱动因素,且总体不平等在研究期内下降。

Abstract

This note investigates the sources of international differences in the levels of per capita health-care expenditure, using data on the OECD countries between 1975 and 2003. To that end, we use Theil's second measure of inequality for decomposing cross-country disparities in per capita health-care expenditure into the contributions of various factors: health-care expenditure expressed as a share of GDP, labour productivity, employment rate, activity rate and the ratio of working-age population to total population. Our results show that cross-country differences in the share of GDP devoted to health-care expenditure and labour productivity are the main determinants of the level of dispersion in per capita health-care expenditure. On the contrary, existing disparities in the remaining explanatory factors considered play a less relevant role in this context. In any event, the analysis performed reveals that the overall inequality in per capita health-care expenditure decreased throughout the study period. This was due to the process of international convergence observed in most of the factors used to break down the level of per capita health-care expenditure.

人均医疗支出泰尔指数因素分解生产率差异