Sykehusutgifter mot livets slutt

Melberg, Hans Olav; Godager, Geir; Gregersen, Fredrik Alexander

doi:10.4045/tidsskr.12.0802

Cited by 9 publications

(11 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…First, as shown in several other studies (see, among others, [12, 26]) both mortality and age contribute to health care expenditures. Second, per capita health care expenditures are biased towards older individuals over time.…”

Section: Conclusion and Discussionmentioning

confidence: 67%

“…They also mentioned that, to the contrary, per capita mortality-related expenditures for hospitals are decreasing with age; hence, increased length of life might reduce mortality-related expenditures. This is supported in several studies [12–14]. Felder and Werblow [5] also suggest that, due to compression of morbidity, the period of illness will be compressed over time, which will in turn reduce the per capita health care expenditures related to older people [15].…”

Section: Introductionmentioning

confidence: 78%

“…DRG-cost weights are the expected cost of a treatment for the average patient and not the actual cost. As mentioned by Melberg et al [12], elderly individuals have poorer health than the average patient, and the cost for this group might therefore be underestimated. Conversely, for other healthier groups, the use of DRG-weights may have overestimated actual costs.…”

Section: Conclusion and Discussionmentioning

confidence: 99%

“…14 is poorly described by Felder and Werblow [5]. From several papers [12–14], it is known that mortality-related health care expenditures are a decreasing function of age. We therefore include the interaction between age and mortalities in our analysis.…”

Section: Methods; Identifying Steepingmentioning

confidence: 99%

See 3 more Smart Citations

The impact of ageing on health care expenditures: a study of steepening

Gregersen

2013

Eur J Health Econ

Self Cite

View full text Add to dashboard Cite

Some researchers claim that health care expenditures for older people are growing faster than for the rest of the population. This process is referred to as steepening. The aim of this paper is to test steepening, applying new data and revised methods. Furthermore, we explain the connection between the terms red herring hypothesis, i.e., that time to death and not age per se drives the health care expenditures, and steepening. We also present the mechanisms that may induce steepening, as presented in the literature. When testing steepening, we apply data from all inpatient stays in somatic hospitals in Norway in the period 1998–2009, i.e., the data has no self-selection and covers the entire population of Norway (5 million). Our analysis does not reject steepening, with the exception of the 0-year-olds. The results also hold when controlling for mortality-related expenditures. Furthermore, we observe an increase in expenditures for the 0-year-olds. Finally, we find increasing mortality-related expenditures over time. We find the link between steepening and the red herring hypothesis to be vague, and we find steepening and the red herring hypothesis to be independent.

show abstract

Section: Conclusion and Discussionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 78%

Section: Conclusion and Discussionmentioning

confidence: 99%

Section: Methods; Identifying Steepingmentioning

confidence: 99%

See 2 more Smart Citations

The impact of ageing on health care expenditures: a study of steepening

Gregersen

2013

Eur J Health Econ

Self Cite

View full text Add to dashboard Cite

show abstract

“…Dersom man «oversetter» Elstads og Reinertsens innleggelsestall til ressursbruk, vil man se at kostnadene øker nesten eksponentielt frem mot dødstidspunktet. Helsetjenester for mennesker i sitt siste leveår utgjør omtrent 10 % av de totale kostnadene i helsevesenet (5). I 2014 kostet en gjennomsnittlig kreftpasient ca.…”

unclassified

Prioritering i pasienters siste leveår

Kristiansen¹,

Bugge²

2018

Tidsskriftet

View full text Add to dashboard Cite

Comparison of Site of Death, Health Care Utilization, and Hospital Expenditures for Patients Dying With Cancer in 7 Developed Countries

Bekelman

Halpern

Blankart

et al. 2016

JAMA

Self Cite

433

378

View full text Add to dashboard Cite

; for the International Consortium for End-of-Life Research (ICELR) IMPORTANCE Differences in utilization and costs of end-of-life care among developed countries are of considerable policy interest. OBJECTIVE To compare site of death, health care utilization, and hospital expenditures in 7 countries: Belgium, Canada, England, Germany, the Netherlands, Norway, and the United States. DESIGN, SETTING, AND PARTICIPANTS Retrospective cohort study using administrative and registry data from 2010. Participants were decedents older than 65 years who died with cancer. Secondary analyses included decedents of any age, decedents older than 65 years with lung cancer, and decedents older than 65 years in the United States and Germany from 2012. MAIN OUTCOMES AND MEASURES Deaths in acute care hospitals, 3 inpatient measures (hospitalizations in acute care hospitals, admissions to intensive care units, and emergency department visits), 1 outpatient measure (chemotherapy episodes), and hospital expenditures paid by insurers (commercial or governmental) during the 180-day and 30-day periods before death. Expenditures were derived from country-specific methods for costing inpatient services. RESULTS The United States (cohort of decedents aged >65 years, N = 211 816) and the Netherlands (N = 7216) had the lowest proportion of decedents die in acute care hospitals (22.2.% and 29.4%, respectively). A higher proportion of decedents died in acute care hospitals in Belgium (N = 21 054; 51.2%), Canada (N = 20 818; 52.1%), England (N = 97 099; 41.7%), Germany (N = 24 434; 38.3%), and Norway (N = 6636; 44.7%). In the last 180 days of life, 40.3% of US decedents had an intensive care unit admission compared with less than 18% in other reporting nations. In the last 180 days of life, mean per capita hospital expenditures were higher in Canada

show abstract

Sykehusutgifter mot livets slutt

Cited by 9 publications

References 19 publications

The impact of ageing on health care expenditures: a study of steepening

The impact of ageing on health care expenditures: a study of steepening

Prioritering i pasienters siste leveår

Comparison of Site of Death, Health Care Utilization, and Hospital Expenditures for Patients Dying With Cancer in 7 Developed Countries

Contact Info

Product

Resources

About