Autore
Carrieri, Vincenzo

Titolo
The effects of cost-sharing in health care: what do we know from empirical evidence?
Periodico
Economia politica
Anno: 2010 - Volume: 27 - Fascicolo: 2 - Pagina iniziale: 351 - Pagina finale: 374

Political and academic debate about cost-sharing in health care is becoming very popular because of the massive health care expenditure growth. In this paper, we aim to validate the use of cost-sharing in health care by assessing the effects that different policies of cost-sharing have produced around the world. We review, then, several empirical papers dealing with cost-sharing effects with respect to three main issues: moral hazard-contrast, redistributive effects and health care cost-containment. The findings of empirical literature indicate that the use of cost-sharing in health care gives rise to the classical political economy trade-off between equity and efficiency. However, while distributive effects are demonstrated, gains in terms of efficiency and cost containment are not clearly verified by empirical literature; thus, cost sharing policies seem to be desirable only when combined with mechanisms that promote access to the most vulnerable categories.



SICI: 1120-2890(2010)27:2<351:TEOCIH>2.0.ZU;2-3
Testo completo: http://www.mulino.it/ws/rwDirectDownload.php?doi=10.1428/32543
Testo completo alternativo: http://www.mulino.it/rivisteweb/scheda_articolo.php?id_articolo=32543

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