医疗保健是否受到鲍莫尔成本病的影响?一个新模型的检验

Is health care infected byBaumol's cost disease? Test of a new model

Health Economics · 2018
被引 8
人大 A-

中文导读

基于鲍莫尔公理构建两部门模型,利用28个OECD国家1995-2016年数据和14个美国行业组1947-2015年数据检验鲍莫尔成本病在医疗保健领域的预测,发现控制伪相关后证据不足。

Abstract

Rising health care costs are a policy concern across the Organisation for Economic Co-operation and Development, and relatively little consensus exists concerning their causes. One explanation that has received revived attention is Baumol's cost disease (BCD). However, developing a theoretically appropriate test of BCD has been a challenge. In this paper, we construct a 2-sector model firmly based on Baumol's axioms. We then derive several testable propositions. In particular, the model predicts that (a) the share of total labor employed in the health care sector and (b) the relative price index of the health and non-health care sectors should both be positively related to economy-wide productivity. The model also predicts that (c) the share of labor in the health sector will be negatively related and (d) the ratio of prices in the health and non-health sectors unrelated, to the demand for non-health services. Using annual data from 28 Organisation for Economic Co-operation and Development countries over the years 1995-2016 and from 14 U.S. industry groups over the years 1947-2015, we find little evidence to support the predictions of BCD once we address spurious correlation due to coincident trending and other econometric issues.

鲍莫尔成本病医疗成本两部门模型生产率