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Contribution of high-technology procedures to public healthcare expenditures: the case of ischemic heart disease in Portugal, 2002–2015

Author

Listed:
  • Wenkang Ma

    (University of York)

  • Ana Timóteo

    (Nova University of Lisbon
    Nova University of Lisbon)

  • Vanessa Ribeiro

    (Central Administration of the Health System)

  • Céu Mateus

    (Lancaster University)

  • Julian Perelman

    (Nova University of Lisbon
    Nova National School of Public Health)

Abstract

The magnitude of the impact of technological innovations on healthcare expenditure is unclear. This paper estimated the impact of high-technology procedures on public healthcare expenditure for patients with ischemic heart disease (IHD) in Portugal. The Blinder–Oaxaca decomposition method was applied to Portuguese NHS administrative data for IHD discharges during two periods, 2008–2015 vs. 2002–2007 (N = 434,870). We modelled per episode healthcare expenditures on the introduction of new technologies, adjusting for GDP, patient age, and comorbidities. The per episode healthcare expenditure was significantly higher in 2008–2015 compared to 2002–2007 for IHD discharges. The increase in the use of high-technology procedures contributed to 28.6% of this growth among all IHD patients, and to 18.4%, 6.8%, 11.1%, and 29.2% for acute myocardial infarction, unstable angina, stable angina, and other IHDs, respectively. Changes in the use of stents and embolic protection and/or coronary brachytherapy devices were the largest contributors to expenditure growth. High-technology procedures were confirmed as a key driver of public healthcare expenditure growth in Portugal, contributing to more than a quarter of this growth.

Suggested Citation

  • Wenkang Ma & Ana Timóteo & Vanessa Ribeiro & Céu Mateus & Julian Perelman, 2024. "Contribution of high-technology procedures to public healthcare expenditures: the case of ischemic heart disease in Portugal, 2002–2015," International Journal of Health Economics and Management, Springer, vol. 24(3), pages 419-437, September.
    • Handle: RePEc:kap:ijhcfe:v:24:y:2024:i:3:d:10.1007_s10754-024-09372-5
    DOI: 10.1007/s10754-024-09372-5
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    More about this item

    Keywords

    Health expenditure; Medical technology; Decomposition methods; Ischemic heart disease; Portugal;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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