The Concentration Of Health Care Expenditures, Revisited
Author:
Publisher
Health Affairs (Project Hope)
Subject
Health Policy
Reference6 articles.
1. M.L. Berk , A.C. Monheit, and M.M. Hagan, “How the U.S. Spent Its Health Care Dollar: 1929–1980,”Health Affairs(Fall 1988 ): 46 –60
2. ; and M.L. Berk and A.C. Monheit, “The Concentration of Health Expenditures: An Update,”Health Affairs(Winter 1992 ): 145 –149.
3. A. Gelijns and N. Rosenberg, “The Dynamics of Technological Change in Medicine,”Health Affairs(Summer 1994 ): 28 –46. The authors argue that the development of less costly alternatives to widely used expensive technologies (for example, coronary artery bypass, transurethral prostatectomies, and cholecystectomies) have become preferred targets for research and development by drug and medical device manufacturers. Lower-cost alternatives include, respectively, coronary angioplasty, use of drugs and radioactive seeds for the treatment of prostate cancer, and laparoscopic cholecystectomy for the treatment of gall bladder disease. However, they also caution that while such new procedures may reduce the unit costs of specific medical interventions, aggregate costs may continue to rise as diffusion of the technologies leads to wider use, to the treatment of high-risk persons who prior to the change in technology were ineligible for treatment, and to other applications for the technologies.
4. Managed Care, Medical Technology, and Health Care Cost Growth: A Review of the Evidence
5. L.C. Baker and S.K. Wheeler, “Managed Care and Technology Diffusion: The Case of MRI,”Health Affairs(Sep/Oct 1998 ): 195 –207
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