eprintid: 840
rev_number: 7
eprint_status: archive
userid: 6
dir: disk0/00/00/08/40
datestamp: 2011-09-08 09:58:03
lastmod: 2011-10-07 08:20:22
status_changed: 2011-09-08 09:58:03
type: article
metadata_visibility: show
item_issues_count: 0
creators_name: Pammolli, Fabio
creators_name: Riccaboni, Massimo
creators_name: Magazzini, Laura
creators_id: f.pammolli@imtlucca.it
creators_id: massimo.riccaboni@imtlucca.it
creators_id: 
title: The sustainability of European health care systems: beyond income and aging
ispublished: pub
subjects: HB
subjects: RA
divisions: EIC
full_text_status: none
keywords: Health care expenditure; Sustainability; Aging population; Unbalanced growth; Income elasticity; Welfare
abstract: During the last 30 years, health care expenditure (HCE) has been growing much more rapidly than GDP in OECD countries. In this paper, we review the determinants of HCE dynamics in Europe, taking into account the role of income, aging population, technological progress, female labor participation and public budgetary variables.
We show that HCE is a multifaceted phenomenon where
demographic, social, economic, technological and institutional factors all play an important role. The comparison of total, public and private HCE reveals an imbalance of European welfare toward the care of the elderly. European Governments should increasingly rely on pluralistic systems to balance sustainability and access and equilibrate the distribution of resources across the functions of the public welfare system.
date: 2011-08
date_type: published
publication: The European Journal of Health Economics
publisher: Springer-Verlag
pagerange: 1-12
id_number: 10.1007/s10198-011-0337-8
refereed: TRUE
issn: 1618-7598
official_url: http://www.springerlink.com/content/u254842v801q2496/export-citation/
citation:   Pammolli, Fabio and Riccaboni, Massimo and Magazzini, Laura  The sustainability of European health care systems: beyond income and aging.  The European Journal of Health Economics.  pp. 1-12.  ISSN 1618-7598      (2011)