Assessing the Inequality of Lifetime Healthcare Expenditures: a Nearest Neighbour Resampling Approach
针对缺乏终身医疗支出数据的问题,提出一种最近邻重抽样方法,利用荷兰横截面数据构建个体终身医疗支出周期,发现终身支出的不平等远小于横截面数据所显示的程度。
Summary The rise in healthcare expenditures has raised doubts about the sustainability of health systems and instigated a discussion on their design. Policy making in this field requires a proper understanding of how healthcare expenditures evolve throughout an individual's lifetime, and of how they vary between individuals. Given the lack of data on healthcare expenditures during an individual's lifetime, we developed a new nearest neighbour resampling approach to construct realistic individual life cycles of healthcare expenditures based on cross-sectional data from the Netherlands. This approach provides insight into lifetime healthcare expenditures. Our main finding is that the inequality in lifetime healthcare expenditures is much smaller than the inequality as derived from cross-sectional healthcare expenditures.