PMID- 28237460
OWN - NLM
STAT- MEDLINE
DCOM- 20180220
LR  - 20191210
IS  - 1873-5347 (Electronic)
IS  - 0277-9536 (Linking)
VI  - 179
DP  - 2017 Apr
TI  - The impact of healthcare spending on health outcomes: A meta-regression analysis.
PG  - 9-17
LID - S0277-9536(17)30113-2 [pii]
LID - 10.1016/j.socscimed.2017.02.024 [doi]
AB  - While numerous studies assess the impact of healthcare spending on health 
      outcomes, typically reporting multiple estimates of the elasticity of health 
      outcomes (most often measured by a mortality rate or life expectancy) with 
      respect to healthcare spending, the extent to which study attributes influence 
      these elasticity estimates is unclear. Accordingly, we utilize a meta-data set 
      (consisting of 65 studies completed over the 1969-2014 period) to examine these 
      elasticity estimates using meta-regression analysis (MRA). Correcting for a 
      number of issues, including publication selection bias, healthcare spending is 
      found to have the greatest impact on the mortality rate compared to life 
      expectancy. Indeed, conditional on several features of the literature, the 
      spending elasticity for mortality is near -0.13, whereas it is near to +0.04 for 
      life expectancy. MRA results reveal that the spending elasticity for the 
      mortality rate is particularly sensitive to data aggregation, the specification 
      of the health production function, and the nature of healthcare spending. The 
      spending elasticity for life expectancy is particularly sensitive to the age at 
      which life expectancy is measured, as well as the decision to control for the 
      endogeneity of spending in the health production function. With such results in 
      hand, we have a better understanding of how modeling choices influence results 
      reported in this literature.
CI  - Copyright (c) 2017 Elsevier Ltd. All rights reserved.
FAU - Gallet, Craig A
AU  - Gallet CA
AD  - California State University at Sacramento, Sacramento, CA, USA. Electronic 
      address: cgallet@csus.edu.
FAU - Doucouliagos, Hristos
AU  - Doucouliagos H
AD  - Deakin University, Victoria, Australia. Electronic address: douc@deakin.edu.au.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
DEP - 20170220
PL  - England
TA  - Soc Sci Med
JT  - Social science & medicine (1982)
JID - 8303205
RN  - 0 (Prescription Drugs)
SB  - IM
MH  - Age Factors
MH  - Costs and Cost Analysis
MH  - Developed Countries
MH  - Health Expenditures/*statistics & numerical data
MH  - Humans
MH  - *Life Expectancy
MH  - *Mortality
MH  - Outcome Assessment, Health Care
MH  - Prescription Drugs/economics
MH  - Private Sector/economics
MH  - Public Sector/economics
MH  - Regression Analysis
MH  - Residence Characteristics
MH  - Sex Factors
MH  - Socioeconomic Factors
OTO - NOTNLM
OT  - Healthcare spending
OT  - Life expectancy
OT  - Meta-regression
OT  - Mortality
OT  - Publication bias
EDAT- 2017/02/27 06:00
MHDA- 2018/02/21 06:00
CRDT- 2017/02/27 06:00
PHST- 2016/05/09 00:00 [received]
PHST- 2017/02/01 00:00 [revised]
PHST- 2017/02/14 00:00 [accepted]
PHST- 2017/02/27 06:00 [pubmed]
PHST- 2018/02/21 06:00 [medline]
PHST- 2017/02/27 06:00 [entrez]
AID - S0277-9536(17)30113-2 [pii]
AID - 10.1016/j.socscimed.2017.02.024 [doi]
PST - ppublish
SO  - Soc Sci Med. 2017 Apr;179:9-17. doi: 10.1016/j.socscimed.2017.02.024. Epub 2017 
      Feb 20.