Prague Economic Papers 2010, 19(1):74-89 | DOI: 10.18267/j.pep.365

Death Related Costs Hypothesis in the Czech Health Care System - The Present and the Future

Kateřina Pavloková
IES Faculty of Social Sciences, Charles University in Prague (katerina.pavlokova@gmail.com).

Growing concern about fiscal sustainability with respect to the population ageing has given rise to a large debate on the role of age in the context of health care expenditure. Growing evidence on the so called death related costs hypothesis arguing that the positive relationship between age of the cohort and related health care expenditure is the result of growing probability of death changes significantly influencing of the projections. The aim of this paper is to explore the importance of the death related costs hypothesis in the Czech health expenditure data and the impact of the hypothesis on the projection of the financial sustainability of the Czech health care system.

Keywords: health care, last year of life, fiscal sustainability
JEL classification: H51

Published: January 1, 2010  Show citation

ACS AIP APA ASA Harvard Chicago IEEE ISO690 MLA NLM Turabian Vancouver
Pavloková, K. (2010). Death Related Costs Hypothesis in the Czech Health Care System - The Present and the Future. Prague Economic Papers, 19(1), 74-89. doi: 10.18267/j.pep.365
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Czech Statistical Office (2008a), "Age Distribution of the Population 2007." [online] http://www.czso.cz/csu/2008edicniplan.nsf/engpubl/4003-08-2007.
    2. Czech Statistical Office (2008b), System of Health Accounts database.
    3. Czech Statistical Office (2008c): "Zemřelí podle podrobného seznamu příčin smrti, pohlaví a věku v ČR a v krajích (1994 až 2007)." [online] http://czso.cz/csu/2008edicniplan.nsf/kapitola/4017-08-(1994_az_2007)-2005.
    4. Deb, P., Manning, W., Norton, E. (2006), "Modeling Health Care Costs and Counts", ASHE - Madison Conference, 2006. [online] http://www.unc.edu/~enorton/DebManningNortonPresentation.pdf.
    5. European Commission (2005), "Factors Driving Public Expenditure on Health Care over the Long-Term and an Overview of Methodologies Used to Make Expenditure Projections." ECFIN/C/5/BP D(2005), REP/51821, Brussels.
    6. European Commission (2006), "The Impact of Ageing on Public Expenditure: Projections for the EU25 Member States on Pensions, Health Care, Long-Term Care, Education and Unemployment Transfers (2004-2050)." Special Report No. 1/2006.
    7. EUROSTAT (2008), "Population Projection." [online] http://epp.eurostat.ec.europa.eu/extraction/evalight/EVAlight.jsp?A=1〈uage=en&root=/theme3/proj/proj_tbp_pop.
    8. Fries, J. F. (1980), "Ageing, Natural Death, and the Compression of Morbidity." New England Journal of Medicine 303: pp. 130-135. Go to original source...
    9. Grunenberg, E. M. (1977), "The Failure of Success." Milbank Memorial Fund Quarterly Health Soc. 55: pp. 3-24. Go to original source...
    10. Halekoh, U., Hojsgaard, S. (2007), "GLM - Gamma distributed data." [lecture, online] http://gbi.agrsci.dk/statistics/courses/phd07/misc/learn/modules/Glm/build/gamma/pdf/lecture-slide.pdf.
    11. IHIS (2008), "Czech Health Statistics Yearbook 2007." [online] http://www.uzis.cz/download.php?ctg=10&search_name=Czech%20health%20statistics%20yearbook®ion=100&mnu_id= 5300.
    12. Lumley, T., Diehr, P., Emerson, S., Chen, L. (2002), "The Importance of the Normality Assumption in Large Public Health Data Sets." Annual Revue of Public Health, No. 23, pp.151-169. Go to original source...
    13. Manton, K. G. (1982), "Changing Concepts of Morbidity and Mortality in the Elderly Population." Milbank Memorial Fund Quarterly Health Soc. 60(2): pp. 183-244. Go to original source...
    14. Ministry of Finance (2008), "Macroeconomic Prediction of the Czech Republic," Round Table Project for the Future Path of Healthcare in the Czech RepublicOECD (2006), "Projecting OECD Health and Long-Term Care Expenditures: What Are the Main Drivers." ECO/WKP(2006)5.
    15. Seshamani, M. (2004), "The Impact of Ageing on Health Care Expenditures: Impending Crisis, or Misguided Concern?" Office of Health Economics, York University, York.
    16. Seshamani, M., Gray, A. (2004), "Ageing and Health Care Expenditure: The Red Herring Argument Revisited", Health Economics, Vol. 13, No. 4. Go to original source...
    17. Werblow, A., Felder, S., Zweifel, P. (2007), "Population Ageing and Health Care Expenditure: a School of 'Red Herrings'? Health Economics No. 16, pp. 1109-1126. Go to original source...
    18. Zweifel, P., Felder, S., Meiers, M. (1999), "Ageing of Population and Health Care Expenditure: A Red Herring?" Health Economics, Vol. 8, No. 6. Go to original source...
    19. Zweifel, P., Felder, S., Werblow, A. (2004), "Population Ageing and Health Care Expenditure: New Evidence on the 'Red Herring'." Geneva Papers on Risk and Insurance, Vol. 29, No. 4. Go to original source...

    This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY NC ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content