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Cost-containment in Europe

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  • Tony Culyer

Abstract

Cost-containment is not in itself a sensible policy objective because any assessment of the appropriateness of health care expenditure in aggregate, as of that on specific programs, requires a balancing of costs and benefits (at the margin). International comparisons of expenditures can, however, provide indications of the likely impact on costs/expenditures of structural features of health care systems. This paper reviews the evidence based upon OECD data for both European countries and a wider set and outlines some current policies in Europe that are directed at controlling health care costs.

Suggested Citation

  • Tony Culyer, 1989. "Cost-containment in Europe," Working Papers 062chedp, Centre for Health Economics, University of York.
    • Handle: RePEc:chy:respap:62chedp
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    File URL: http://www.york.ac.uk/media/che/documents/papers/discussionpapers/CHE%20Discussion%20Paper%2062.pdf
    File Function: First version, 1989
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    Citations

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    Cited by:

    1. Hartwig, Jochen, 2008. "What drives health care expenditure?--Baumol's model of 'unbalanced growth' revisited," Journal of Health Economics, Elsevier, vol. 27(3), pages 603-623, May.
    2. Potrafke, Niklas, 2010. "The growth of public health expenditures in OECD countries: Do government ideology and electoral motives matter?," Journal of Health Economics, Elsevier, vol. 29(6), pages 797-810, December.
    3. Hansen, Paul & King, Alan, 1996. "The determinants of health care expenditure: A cointegration approach," Journal of Health Economics, Elsevier, vol. 15(1), pages 127-137, February.
    4. Vondeling, Hindrik & Rosendal, Henk & Banta, David, 1995. "Evaluation and diffusion of excimer laser treatment of myopia in the United States and in the Netherlands," Health Policy, Elsevier, vol. 34(1), pages 21-33, October.
    5. Abbott, Andrew & Jones, Philip, 2021. "Government response to increased demand for public services: The cyclicality of government health expenditures in the OECD," European Journal of Political Economy, Elsevier, vol. 68(C).
    6. Neil Rickman & Paul Fenn & Alastair Gray, 1999. "The reform of Legal Aid in England and Wales," Fiscal Studies, Institute for Fiscal Studies, vol. 20(3), pages 261-286, September.
    7. Kamil Dybczak & Bartosz Przywara, 2010. "The role of technology in health care expenditure in the EU," European Economy - Economic Papers 2008 - 2015 400, Directorate General Economic and Financial Affairs (DG ECFIN), European Commission.
    8. Béatrice Majnoni D'Intignano, 1991. "Incitations financières et concurrence dans les systèmes de santé," Revue de l'OFCE, Programme National Persée, vol. 36(1), pages 117-139.
    9. Felipa de Mello-Sampayo & Sofia de Sousa-Vale, 2014. "Financing Health Care Expenditure in the OECD Countries: Evidence from a Heterogeneous, Cross-Sectional Dependent Panel," Panoeconomicus, Savez ekonomista Vojvodine, Novi Sad, Serbia, vol. 61(2), pages 207-225.
    10. Niklas Potrafke, 2012. "Political cycles and economic performance in OECD countries: empirical evidence from 1951–2006," Public Choice, Springer, vol. 150(1), pages 155-179, January.
    11. McCoskey, Suzanne K. & Selden, Thomas M., 1998. "Health care expenditures and GDP: panel data unit root test results," Journal of Health Economics, Elsevier, vol. 17(3), pages 369-376, June.
    12. Bjuggren, Per-Olof, 1998. "Competition for the market in the Swedish primary health care sector," International Review of Law and Economics, Elsevier, vol. 18(4), pages 529-541, December.

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