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In this paper, the determinants of growth of aggregate health expenditures are investigated. The study departs
from previous literature in that it looks at differences across countries in growth (and not levels) of health care
expenditures. Estimation is made for 24 OECD countries. Health system characteristics usually believed to
influence health expenditures growth, like population ageing, the type of health system (public reimbursement,
public contract or integrate) and existence of gatekeepers, are found to be non-significant. Nevertheless, there is
evidence that health expenditures experienced a clear slower growth in the last decade. The explanation for this
slowdown could not be found in the proposed model and should stimulate further research.
Descrição
Palavras-chave
expenditures growth; health care spending
