End-Stage Renal Disease and Economic Incentives: The International Study of Health Care Organization and Financing

73 Pages Posted: 27 Jun 2007 Last revised: 15 Aug 2007

See all articles by Avi Dor

Avi Dor

Case Western Reserve University - Department of Economics; National Bureau of Economic Research (NBER)

Margaret A. Eichleay

Arbor Research Collaborative for Health

Philip J. Held

Arbor Research Collaborative for Health

Mark V. Pauly

University of Pennsylvania - Health Care Systems Department; National Bureau of Economic Research (NBER)

Date Written: May 2007

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.

Suggested Citation

Dor, Avi and Eichleay, Margaret A. and Held, Philip J. and Pauly, Mark V., End-Stage Renal Disease and Economic Incentives: The International Study of Health Care Organization and Financing (May 2007). NBER Working Paper No. w13125, Available at SSRN: https://ssrn.com/abstract=988935

Avi Dor (Contact Author)

Case Western Reserve University - Department of Economics ( email )

Cleveland, OH 44106
United States
216-368-4110 (Phone)

National Bureau of Economic Research (NBER)

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Cambridge, MA 02138
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Margaret A. Eichleay

Arbor Research Collaborative for Health ( email )

315 W. Huron St.
Suite 360
Ann Arbor, MI 48103
United States

Philip J. Held

Arbor Research Collaborative for Health ( email )

1973 Robin Ridge Court
Walnut Creek, CA 94597
United States

Mark V. Pauly

University of Pennsylvania - Health Care Systems Department ( email )

3641 Locust Walk
208 Colonial Penn Center
Philadelphia, PA 19104-6358
United States

National Bureau of Economic Research (NBER)

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

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