Working Paper: NBER ID: w13125
Authors: Avi Dor; Mark V. Pauly; Margaret A. Eichleay; Philip J. Held
Abstract: End-stage renal disease (ESRD), or kidney failure, is a debilitating, costly, and increasingly common medical condition. Little is known about how different financing approaches affect ESRD outcomes and delivery of care. This paper presents results from a comparative review of 12 countries with alternative models of incentives and benefits, collected under the International Study of Health Care Organization and Financing, a substudy within the Dialysis Outcomes and Practice Patterns Study. Variation in spending per ESRD patient is relatively small and is correlated with overall per capita health care spending. Between-country variations in spending are reduced using an input price parity index constructed for this study. Remaining differences in costs and outcomes do not seem strongly linked to differences in incentives embedded in national programs.
Keywords: endstage renal disease; economic incentives; health care organization; financing
JEL Codes: I10; I11; I12; I18
Edges that are evidenced by causal inference methods are in orange, and the rest are in light blue.
| Cause | Effect |
|---|---|
| Economic incentives (M52) | Resources allocated for ESRD care (I11) |
| Resources allocated for ESRD care (I11) | Clinical outcomes (I12) |
| Economic incentives (M52) | Clinical outcomes (I12) |