دورية أكاديمية

Employer-sponsored insurance, health care cost growth, and the economic performance of U.S. Industries.

التفاصيل البيبلوغرافية
العنوان: Employer-sponsored insurance, health care cost growth, and the economic performance of U.S. Industries.
المؤلفون: Sood N; RAND Health, Santa Monica, CA 90401, USA. sood@rand.org, Ghosh A, Escarce JJ
المصدر: Health services research [Health Serv Res] 2009 Oct; Vol. 44 (5 Pt 1), pp. 1449-64. Date of Electronic Publication: 2009 Jun 03.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Blackwell Country of Publication: United States NLM ID: 0053006 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1475-6773 (Electronic) Linking ISSN: 00179124 NLM ISO Abbreviation: Health Serv Res Subsets: MEDLINE
أسماء مطبوعة: Publication: Malden, MA : Blackwell
Original Publication: Chicago, Hospital Research and Educational Trust.
مواضيع طبية MeSH: Employment/*economics , Health Benefit Plans, Employee/*economics , Health Expenditures/*statistics & numerical data , Industry/*economics, Employment/statistics & numerical data ; Employment/trends ; Health Benefit Plans, Employee/statistics & numerical data ; Health Benefit Plans, Employee/trends ; Health Care Reform/economics ; Health Expenditures/trends ; Health Policy ; Health Services Research ; Humans ; Industry/statistics & numerical data ; Industry/trends ; Regression Analysis ; United States
مستخلص: Objective: To estimate the effect of growth in health care costs that outpaces gross domestic product (GDP) growth ("excess" growth in health care costs) on employment, gross output, and value added to GDP of U.S. industries.
Study Setting: We analyzed data from 38 U.S. industries for the period 1987-2005. All data are publicly available from various government agencies.
Study Design: We estimated bivariate and multivariate regressions. To develop the regression models, we assumed that rapid growth in health care costs has a larger effect on economic performance for industries where large percentages of workers receive employer-sponsored health insurance (ESI). We used the estimated regression coefficients to simulate economic outcomes under alternative scenarios of health care cost inflation.
Results: Faster growth in health care costs had greater adverse effects on economic outcomes for industries with larger percentages of workers who had ESI. We found that a 10 percent increase in excess growth in health care costs would have resulted in 120,803 fewer jobs, US$28,022 million in lost gross output, and US$14,082 million in lost value added in 2005. These declines represent 0.17 to 0.18 percent of employment, gross output, and value added in 2005.
Conclusion: Excess growth in health care costs is adversely affecting the economic performance of U.S. industries.
التعليقات: Comment in: Health Serv Res. 2009 Oct;44(5 Pt 1):1445-8. (PMID: 19735528)
References: Int J Health Care Finance Econ. 2005 Mar;5(1):89-118. (PMID: 15714265)
Health Aff (Millwood). 2003 Jan-Jun;Suppl Web Exclusives:W3-15-27. (PMID: 14527232)
Inquiry. 2000 Fall;37(3):295-303. (PMID: 11111286)
Health Aff (Millwood). 2007 Jan-Feb;26(1):142-53. (PMID: 17211023)
Health Aff (Millwood). 2006 Nov-Dec;25(6):w516-30. (PMID: 17062591)
Rand J Econ. 1998 Fall;29(3):509-30. (PMID: 10342942)
N Engl J Med. 2006 Aug 31;355(9):920-7. (PMID: 16943404)
Health Aff (Millwood). 1999 Mar-Apr;18(2):30-47. (PMID: 10091430)
Health Aff (Millwood). 1989 Winter;8(4):5-21. (PMID: 2514133)
Health Serv Res. 2005 Aug;40(4):1021-39. (PMID: 16033490)
Health Aff (Millwood). 2004 Jan-Jun;Suppl Web Exclusives:W4-210-8. (PMID: 15452008)
تواريخ الأحداث: Date Created: 20090609 Date Completed: 20090929 Latest Revision: 20211020
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC2754542
DOI: 10.1111/j.1475-6773.2009.00985.x
PMID: 19500165
قاعدة البيانات: MEDLINE
الوصف
تدمد:1475-6773
DOI:10.1111/j.1475-6773.2009.00985.x