美国卫生卫星账户

American Economic Review · 2022 · David Cutler、Kaushik Ghosh、Kassandra L. Messer、Trivellore E. Raghunathan、Allison B. Rosen、Susan T. Stewart

中文摘要

本文为美国卫生部门构建了一个卫星账户，并测算了1999年至2012年间老年人群医疗保健的生产率增长。我们测算了一组涵盖80种疾病状况的医疗支出与健康结果的变化。在这一时期内，医疗保健具有正的生产率增长，总生产率年增长率为1.5%。然而，生产率增长存在显著的异质性。心血管疾病的医疗保健生产率增长极快。相比之下，肌肉骨骼疾病患者的医疗护理成本高昂，但并未带来结果的改善。

Abstract

This paper develops a satellite account for the US health sector and measures productivity growth in health care for the elderly population between 1999 and 2012. We measure the change in medical spending and health outcomes for a comprehensive set of 80 conditions. Medical care has positive productivity growth over the time period, with aggregate productivity growth of 1.5% per year. However, there is significant heterogeneity in productivity growth. Care for cardiovascular disease has had very high productivity growth. In contrast, care for people with musculoskeletal conditions has been costly but has not led to improved outcomes.