Business Economics and Public Policy Papers

Document Type

Journal Article

Date of this Version

9-2007

Publication Source

International Journal of Health Care Finance and Economics

Volume

7

Issue

2/3

Start Page

73

Last Page

111

DOI

10.3386/w13125

Abstract

End-stage renal disease (ESRD), or kidney failure, is a debilitating, costly, and increasingly common medical condition. Little is known about how different financing approaches affect ESRD outcomes and delivery of care. This paper presents results from a comparative review of 12 countries with alternative models of incentives and benefits, collected under the International Study of Health Care Organization and Financing, a substudy within the Dialysis Outcomes and Practice Patterns Study. Variation in spending per ESRD patient is relatively small and is correlated with overall per capita health care spending. Between-country variations in spending are reduced using an input price parity index constructed for this study. Remaining differences in costs and outcomes do not seem strongly linked to differences in incentives embedded in national programs.

Copyright/Permission Statement

The final publication is available at Springer via http://dx.doi.org/10.3386/w13125

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Date Posted: 27 November 2017

This document has been peer reviewed.