Department of Economics, Econometrics and Finance, University of Groningen, Duisenberg Building, Nettelbosje 2, 9747AE Groningen, Netherlands.
Centre for Health Economics, University of York, York YO10 5DD, UK; Department of Economics and Related Studies, University of York, York YO10 5DD, UK.
J Health Econ. 2018 Jan;57:60-74. doi: 10.1016/j.jhealeco.2017.11.001. Epub 2017 Nov 15.
This paper uses Hospital Episode Statistics, English administrative data, to investigate the growth in admitted patient health care expenditures and the implications of an ageing population. We use two samples of around 40,000 individuals who (a) used inpatient health care in the financial year 2005/06 and died by the end of 2011/12 and (b) died in 2011/12 and had some hospital utilisation since 2005/06. We use a panel structure to follow individuals over seven years of this administrative data, containing estimates of inpatient health care expenditures (HCE), information regarding individuals' age, time-to-death (TTD), morbidities at the time of an admission, as well as the hospital provider, year and season of admission. We show that HCE is principally determined by proximity to death rather than age, and that proximity to death is itself a proxy for morbidity.
本文利用医院住院统计数据和英国行政数据，研究了住院患者医疗保健支出的增长情况以及人口老龄化的影响。我们使用了两个大约 40000 人的样本，（a）他们在 2005/06 财政年度使用了住院医疗保健服务，并在 2011/12 年底前死亡；（b）在 2011/12 年死亡，并且自 2005/06 年以来有过一些住院医疗服务的使用。我们使用面板结构在这些行政数据中对个人进行了七年的跟踪，其中包含了住院医疗保健支出（HCE）的估计值、个人的年龄、死亡时间（TTD）、入院时的疾病情况，以及医院提供者、入院年份和季节的信息。我们发现，HCE 主要取决于接近死亡的程度，而接近死亡本身就是疾病的一个指标。
