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理解健康状况与医疗支出的跨国差异:健康价格至关重要

Understanding Cross-Country Differences in Health Status and Expenditures: Health Prices Matter
Journal of Political Economy · 2023 · Raquel Fonseca、François Langot、Pierre‐Carl Michaud、Thepthida Sopraseuth

中文摘要

我们使用一个包含健康生产的一般均衡异质性主体模型,量化健康价格在解释各国医疗支出与健康状况差异中的贡献。在考虑其他国别特定解释因素后,估计美国的健康价格比欧洲国家高出33%。这一价格差异解释了欧洲与美国之间医疗支出差异的60%以上,以及健康状况差异的一半以上。尽管在总体层面影响巨大,但这些价格差异使美国人的终身生活成本增加了2个百分点。

Abstract

Using a general equilibrium heterogeneous agent model featuring health production, we quantify the contribution of health price in explaining cross-country differences in health expenditures and health status. Considering other country-specific explanatory factors, US health prices are estimated to be 33% higher than those of European countries. This price differential explains more than 60% of the difference in health expenditures and more than half of the difference in health status between Europe and the United States. Despite its large impact at the aggregate level, these price differences increase the lifetime cost of living of Americans by 2 percentage points.
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