Health service 'input' and mortality 'output' in developed countries.

Cochrane, A. L.; Leger, A. S. St; Moore, F

doi:10.1136/jech.32.3.200

Cited by 179 publications

(119 citation statements)

References 5 publications

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“…Nevertheless, it is quite possible that the work of the health care system is more closely related to disability than to mortality, as evidenced by the difficulty experienced in establishing a satisfactory correlation between mortality and the structure of the health care system. 23 The systematic introduction of this aspect in the planning process, as it is projected in Quebec, would have at least three effects:…”

Section: Resultsmentioning

confidence: 99%

Disability trends in the United States population 1966-76: analysis of reported causes.

Colvez¹,

Blanchet²

1981

Am J Public Health

178

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According to data published by the United States National Center for Health Statistics, disability reported among the US population has increased substantially during the years 1966 to 1976. Among younger age groups, the increase in activity limitation involves visual and hearing impairments as well as asthma. In the middle age group (45-64), four causes increased in both sexes (diabetes, musculoskeletal disorders, hypertension, and diseases of the circulatory system other than hypertension and heart conditions); one cause affected men only (heart conditions) and one women only (malignant neoplasms). In the 65 and over age group, diabetes and circulatory diseases (excluding heart conditions and hypertension) increased significantly. Although the US population

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Section: Resultsmentioning

confidence: 99%

Disability trends in the United States population 1966-76: analysis of reported causes.

Colvez¹,

Blanchet²

1981

Am J Public Health

178

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“…Usually, this production function approach employs conventional regression analysis: for example, in an early cross-sectional study of 18 developed countries, Cochrane et al (1978) used regression analysis to examine the statistical relationship between mortality rates and GNP and consumption of inputs such as health care provision. They found that the indicators of health care inputs were generally not associated with outcomes in the form of mortality rates.…”

Section: Previous Studiesmentioning

confidence: 99%

Does health care spending improve health outcomes? Evidence from English programme budgeting data

Martin

Rice

Smith

2008

Journal of Health Economics

159

129

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Empirical evidence has hitherto been inconclusive about the strength of the link between health care spending and health outcomes. This paper uses programme budgeting data prepared by 295 English Primary Care Trusts to model the link for two specific programmes of care: cancer and circulatory diseases. A theoretical model is developed in which decision makers must allocate a fixed budget across programmes of care so as to maximize social welfare, in the light of a health production function for each programme. This yields an expenditure equation and a health outcomes equation for each programme. These are estimated for the two programmes of care using instrumental variables methods. All the equations prove to be well specified.They suggest that the cost of a life year saved in cancer is about £13,100, and in circulation about £8,000. These results challenge the widely held view that health care has little marginal impact on health. From a policy perspective, they can help set priorities by informing resource allocation across programmes of care. They can also help health technology agencies decide whether their cost-effectiveness thresholds for accepting new technologies are set at the right level.

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“…All three inputs had small marginal effects in the case of the United States, whereas literacy and potable water showed significant effects in the less developed countries of the group. Cochrane, St. Leger and Moore (1978) based their analysis on a cross-section of 18 developed countries as of 1970. In their correlation analysis, a greater number of physicians goes along with higher rather than lower mortality (with no attempt to control for reverse causation).…”

Section: The Production Of Healthmentioning

confidence: 99%

The Sisyphus Syndrome in Health Revisited

Zweifel

Steinmann

Eugster

2005

Int J Health Care Finance Econ

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The Sisyphus syndrome in health revisited Zweifel, P; Steinmann, L; Eugster, P Zweifel, P; Steinmann, L; Eugster, P. The Sisyphus syndrome in health revisited. The Sisyphus syndrome in health revisited Abstract Health care may be similar to Sisyphus work: When the task is about to be completed, work has to start all over again. To see the analogy, consider an initial decision to allocate more resources to health. The likely consequence is an increased number of survivors, who will exert additional demand for health care. With more resources allocated to health, the cycle starts over again. The objective of this paper is to improve on earlier research that failed to find evidence of a Sisyphus syndrome in industrialized countries. This time, there are signs of such a cycle, which however seems to have faded away recently. The Sisyphus Syndrome in Health Revisited AbstractHealth care may be similar to Sisyphus work: When the task is about to be completed, work has to start all over again. To see the analogy, consider an initial decision to allocate more resources to health. The likely consequence is an increased number of survivors, who will exert additional demand for health care. With more resources allocated to health, the cycle starts over again. The objective of this paper is to improve on earlier research that failed to find evidence of a Sisyphus syndrome in industrialized countries. This time, there are signs of such a cycle, which however seems to have faded away recently.

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Health service 'input' and mortality 'output' in developed countries.

Cited by 179 publications

References 5 publications

Disability trends in the United States population 1966-76: analysis of reported causes.

Disability trends in the United States population 1966-76: analysis of reported causes.

Does health care spending improve health outcomes? Evidence from English programme budgeting data

The Sisyphus Syndrome in Health Revisited

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