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Koruyucu hizmetler sağlık harcamalarını azaltabilir mi?

Year 2019, Volume: 3 Issue: 3, 170 - 175, 31.12.2019
https://doi.org/10.34084/bshr.640902

Abstract

Tıp ve sağlık hizmetlerindeki gelişmeler nedeniyle tüm dünyada doğumda yaşam beklentisi artmaktadır. Bunun doğal sonucu olarak demografik açıdan yaşlı nüfus artmakta, epidemiyolojik açıdan da hastalık türleri ve ölüm nedenleri değişmektedir. Bu gelişmelere ek olarak tüm ülkelerde sağlık harcamaları kişi başına düşen milli gelir artışından daha hızlı artmakta ve yöneticileri sağlık harcamalarını kontrol konusunda arayışlara itmektedir. Sağlık harcamalarını azaltmak veya kontrol altına almak için en sık dile getirilen çözüm önerilerinden birisi koruyucu sağlık hizmet sunumuna ağırlık verilmesidir. Bu makalede yaşlı nüfusun sayısal artışının gerçekten sağlık harcamalarında artışa yol açıp açmadığı ve koruyucu hizmet sunumunun neden sağlık harcamalarını azaltıcı değil de tam tersine arttırıcı etkisinin olduğu konuları tartışılmıştır.



References

  • 1-World health statistics overview 2019: monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization; 2019 (WHO/DAD/2019.1). Licence: CC BY-NC-SA 3.0 IGO.https://apps.who.int/iris/bitstream/handle/10665/311696/WHO-DAD-2019.1-eng.pdf?ua=1 erişim:27.Ekim.2019)
  • 2-Meerding W J, Bonneux L, Polder JJ, Koopmanschap MA, van der Maas PJ. ‘Demographic and Epidemiological Determinants of Healthcare Costs in Netherlands: Cost of Illness Study.’ British Medical Journal 1998;317 (7151):111–5.
  • 3-Bradford DF, Max DA. Implicit Budget Deficits: The Case of a Mandated Shift to Community-Rated Health Insurance. NBER working paper no. 5514. Cambridge, MA: National Bureau of Economic Research, 1996.
  • 4-Fuchs V. Provide, Provide: The Economics of Aging. NBER working paper no. 6642. Cambridge, MA: National Bureau of Economic Research, 1998.
  • 5-Alemayehu B, Warner KE. The Lifetime Distribution of Health Care Costs. Health Serv Res. 2004; 39(3): 627–642. doi: 10.1111/j.1475-6773.2004.00248.x
  • 6-Spillman BC, Lubitz J. The effect of longevity on spending for acute and long-term care. N Engl J Med 2000;342:1409-15.
  • 7-Breyer F, Costa-Font J, Felder S. Ageing, Health, and Health Care. Oxford Review of Economic Policy 2010;26(4):674-690.
  • 8-Rossen B, Faroque A. Diagnosing the Causes of Rising Health-Care Expenditure in Canada: Does Baumol's Cost Disease Loom Large? American Journal of Health Economics 2016;2:184-212.
  • 9-Harris A, Sharma A. Estimating the future health and aged care expenditure in Australia with changes in morbidity. PLoS ONE 2018;13(8):e0201697.
  • 10-Zweifel P, Felder S, Meiers M. Ageing of population and health care expenditure: a red herring? Health Econ. 1999;8(6):485–496.
  • 11-Colombier C, Weber W. Projecting health-care expenditure for Switzerland: further evidence against the ‘red-herring’ hypothesis. Int J Health Plann Manag. 2011;26(3):246–63.
  • 12-von Wyl V, Beck K. Risk adjustment in aging societies. Heal Econ Rev. 2014;4(1):7.
  • 13-von Wyl V. Proximity to death and health care expenditure increase revisited: A 15-year panel analysis of elderly persons. Heal Econ Rev. 2019;9. https://doi.org/10.1186/s13561-019-0224-z
  • 14-Yang Z, Norton EC, Stearns SC. Longevity and Health Care Expenditures: The Real Reasons Older People Spend More. Journal of Gerontology 2003; 58B(1): S2–S10.
  • 15-Fries JF. Aging, Natural Death, and the Compression of Morbidity. New England Journal of Medicine 1980;303(3): 130–135.
  • 16-Fries JF. Compression of Morbidity, 1993: Life Span, Disability, and Health Care Costs. Facts and Research in Gerontology 1993;7: 183–190.
  • 17-Fries JF, Bruce B, Chakravarty E. Compression of Morbidity 1980–2011: A Focused Review of Paradigms and Progress. J Aging Res. 2011; 2011: 261702. doi:10.4061/2011/261702.
  • 18-Walter S, Beltran-Sanchez H, Regidor E, Gomez-Martin C, Del-Barrio JL, Gil-de-Miguel A, Subramanian SV, Gil-Prieto R. No evidence of morbidity compression in Spain: a time series study based on national hospitalization records. Int J Public Health 2016;61:729–738. doi:10.1007/s00038-016-0829-5.
  • 19-Geyer S. Morbidity compression: a promising and well-established concept? Int J Public Health 2016;61:727–728. doi:10.1007/s00038-016-0853-5
  • 20-Brown D. “In the balance: some candidates disagree, but studies show it’s often cheaper to let people get sick.”Washington Post, p. HE01, April 8, 2008. (http://www.washingtonpost.com/wpdyn/content/article/2008/04/04/AR2008040403803_pf.html. Erişim:28 Ekim.2019)
  • 21-Welch HG. “Campaign myth: prevention as cure-all.” New York Times, October 6, 2008. (http://www.nytimes.com/2008/10/07/health/views/07essa.html?_r=1&ei=5070&emc=eta1&oref=slogin. Erişim:28.Ekim.2019)
  • 22-Welch HG. Cohen JT, Neumann PJ, Weinstein MC. “Does Preventive Care Save Money? Health Economics and the Presidential Candidates,” New England Journal of Medicine 2008;358(7): 661–663.
  • 23-Russell LB. Is Prevention Better than Cure? Washington, DC: Brookings Institution, 1986.
  • 24-Goetzel RZ. Do Prevention Or Treatment Services Save Money? The Wrong Debate. Health Affairs 2009;28(1): 37–41.
  • 25-Cohen JT, Neumann PJ. The cost savings and cost-effectiveness of clinical preventive care. Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center. Research Synthesis Report No. 18. 2009. (https://www.rwjf.org/en/library/research/2009/09/cost-savings-and-cost-effectiveness-of-clinical-preventive-care.html erişim:26.Ekim.2019)
  • 26-Fries JF. The Compression of Morbidity, 1983. Milbank Quarterly, 2005;83(4): 801–823.
  • 27-Goetzel RZ, Reynolds K, Breslow L, Roper WL, Shechter D, Stapleton DC, Lapin PJ, McGinnis JM. Health Promotion in Later Life: It’s Never Too Late. American Journal of Health Promotion 2007;21(4): 1–5.
  • 28-Fries JF, Koop CE, Sokolov J, Beadle CE, Wright D. Beyond Health Promotion: Reducing Need And Demand For Medical Care. Health Affairs, 1998;17(2):70-84.

Can preventive services help to reduce health care expenditures?

Year 2019, Volume: 3 Issue: 3, 170 - 175, 31.12.2019
https://doi.org/10.34084/bshr.640902

Abstract

Life expectancy at birth is increasing globally due to rapid developments in medicine and health services.  As a consequence of this increase geriatric age group is growing and disease profiles are changing. Health care expenditures are also increasing rapidly parallel to these demographic and epidemiologic transformations. Increase of health care expenditures per capita is higher than the increase of GDP per capita in most countries and all decision-makers are struggling to control the increase. Focusing on preventive health services is among the most favorite solutions for controlling the health care expenditures. In this review article the influence of the increase of geriatric age group and the role of preventive health services to reduce health care expenditures are discussed.

References

  • 1-World health statistics overview 2019: monitoring health for the SDGs, sustainable development goals. Geneva: World Health Organization; 2019 (WHO/DAD/2019.1). Licence: CC BY-NC-SA 3.0 IGO.https://apps.who.int/iris/bitstream/handle/10665/311696/WHO-DAD-2019.1-eng.pdf?ua=1 erişim:27.Ekim.2019)
  • 2-Meerding W J, Bonneux L, Polder JJ, Koopmanschap MA, van der Maas PJ. ‘Demographic and Epidemiological Determinants of Healthcare Costs in Netherlands: Cost of Illness Study.’ British Medical Journal 1998;317 (7151):111–5.
  • 3-Bradford DF, Max DA. Implicit Budget Deficits: The Case of a Mandated Shift to Community-Rated Health Insurance. NBER working paper no. 5514. Cambridge, MA: National Bureau of Economic Research, 1996.
  • 4-Fuchs V. Provide, Provide: The Economics of Aging. NBER working paper no. 6642. Cambridge, MA: National Bureau of Economic Research, 1998.
  • 5-Alemayehu B, Warner KE. The Lifetime Distribution of Health Care Costs. Health Serv Res. 2004; 39(3): 627–642. doi: 10.1111/j.1475-6773.2004.00248.x
  • 6-Spillman BC, Lubitz J. The effect of longevity on spending for acute and long-term care. N Engl J Med 2000;342:1409-15.
  • 7-Breyer F, Costa-Font J, Felder S. Ageing, Health, and Health Care. Oxford Review of Economic Policy 2010;26(4):674-690.
  • 8-Rossen B, Faroque A. Diagnosing the Causes of Rising Health-Care Expenditure in Canada: Does Baumol's Cost Disease Loom Large? American Journal of Health Economics 2016;2:184-212.
  • 9-Harris A, Sharma A. Estimating the future health and aged care expenditure in Australia with changes in morbidity. PLoS ONE 2018;13(8):e0201697.
  • 10-Zweifel P, Felder S, Meiers M. Ageing of population and health care expenditure: a red herring? Health Econ. 1999;8(6):485–496.
  • 11-Colombier C, Weber W. Projecting health-care expenditure for Switzerland: further evidence against the ‘red-herring’ hypothesis. Int J Health Plann Manag. 2011;26(3):246–63.
  • 12-von Wyl V, Beck K. Risk adjustment in aging societies. Heal Econ Rev. 2014;4(1):7.
  • 13-von Wyl V. Proximity to death and health care expenditure increase revisited: A 15-year panel analysis of elderly persons. Heal Econ Rev. 2019;9. https://doi.org/10.1186/s13561-019-0224-z
  • 14-Yang Z, Norton EC, Stearns SC. Longevity and Health Care Expenditures: The Real Reasons Older People Spend More. Journal of Gerontology 2003; 58B(1): S2–S10.
  • 15-Fries JF. Aging, Natural Death, and the Compression of Morbidity. New England Journal of Medicine 1980;303(3): 130–135.
  • 16-Fries JF. Compression of Morbidity, 1993: Life Span, Disability, and Health Care Costs. Facts and Research in Gerontology 1993;7: 183–190.
  • 17-Fries JF, Bruce B, Chakravarty E. Compression of Morbidity 1980–2011: A Focused Review of Paradigms and Progress. J Aging Res. 2011; 2011: 261702. doi:10.4061/2011/261702.
  • 18-Walter S, Beltran-Sanchez H, Regidor E, Gomez-Martin C, Del-Barrio JL, Gil-de-Miguel A, Subramanian SV, Gil-Prieto R. No evidence of morbidity compression in Spain: a time series study based on national hospitalization records. Int J Public Health 2016;61:729–738. doi:10.1007/s00038-016-0829-5.
  • 19-Geyer S. Morbidity compression: a promising and well-established concept? Int J Public Health 2016;61:727–728. doi:10.1007/s00038-016-0853-5
  • 20-Brown D. “In the balance: some candidates disagree, but studies show it’s often cheaper to let people get sick.”Washington Post, p. HE01, April 8, 2008. (http://www.washingtonpost.com/wpdyn/content/article/2008/04/04/AR2008040403803_pf.html. Erişim:28 Ekim.2019)
  • 21-Welch HG. “Campaign myth: prevention as cure-all.” New York Times, October 6, 2008. (http://www.nytimes.com/2008/10/07/health/views/07essa.html?_r=1&ei=5070&emc=eta1&oref=slogin. Erişim:28.Ekim.2019)
  • 22-Welch HG. Cohen JT, Neumann PJ, Weinstein MC. “Does Preventive Care Save Money? Health Economics and the Presidential Candidates,” New England Journal of Medicine 2008;358(7): 661–663.
  • 23-Russell LB. Is Prevention Better than Cure? Washington, DC: Brookings Institution, 1986.
  • 24-Goetzel RZ. Do Prevention Or Treatment Services Save Money? The Wrong Debate. Health Affairs 2009;28(1): 37–41.
  • 25-Cohen JT, Neumann PJ. The cost savings and cost-effectiveness of clinical preventive care. Center for the Evaluation of Value and Risk in Health, Institute for Clinical Research and Health Policy Studies, Tufts Medical Center. Research Synthesis Report No. 18. 2009. (https://www.rwjf.org/en/library/research/2009/09/cost-savings-and-cost-effectiveness-of-clinical-preventive-care.html erişim:26.Ekim.2019)
  • 26-Fries JF. The Compression of Morbidity, 1983. Milbank Quarterly, 2005;83(4): 801–823.
  • 27-Goetzel RZ, Reynolds K, Breslow L, Roper WL, Shechter D, Stapleton DC, Lapin PJ, McGinnis JM. Health Promotion in Later Life: It’s Never Too Late. American Journal of Health Promotion 2007;21(4): 1–5.
  • 28-Fries JF, Koop CE, Sokolov J, Beadle CE, Wright D. Beyond Health Promotion: Reducing Need And Demand For Medical Care. Health Affairs, 1998;17(2):70-84.
There are 28 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Review
Authors

Osman Hayran 0000-0002-9994-5033

Publication Date December 31, 2019
Acceptance Date November 5, 2019
Published in Issue Year 2019 Volume: 3 Issue: 3

Cite

AMA Hayran O. Koruyucu hizmetler sağlık harcamalarını azaltabilir mi?. J Biotechnol and Strategic Health Res. December 2019;3(3):170-175. doi:10.34084/bshr.640902
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