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End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported

French, EB; McCauley, J; Aragon, M; Bakx, P; Chalkley, M; Chen, SH; Christensen, BJ; ... Kelly, E; + view all (2017) End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported. Health Affairs , 36 (7) pp. 1211-1217. 10.1377/hlthaff.2017.0174. Green open access

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Abstract

Although end-of-life medical spending is often viewed as a major component of aggregate medical expenditure, accurate measures of this type of medical spending are scarce. We used detailed health care data for the period 2009–11 from Denmark, England, France, Germany, Japan, the Netherlands, Taiwan, the United States, and the Canadian province of Quebec to measure the composition and magnitude of medical spending in the three years before death. In all nine countries, medical spending at the end of life was high relative to spending at other ages. Spending during the last twelve months of life made up a modest share of aggregate spending, ranging from 8.5 percent in the United States to 11.2 percent in Taiwan, but spending in the last three calendar years of life reached 24.5 percent in Taiwan. This suggests that high aggregate medical spending is due not to last-ditch efforts to save lives but to spending on people with chronic conditions, which are associated with shorter life expectancies.

Type: Article
Title: End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported
Open access status: An open access version is available from UCL Discovery
DOI: 10.1377/hlthaff.2017.0174
Publisher version: http://doi.org/10.1377/hlthaff.2017.0174
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > UCL SLASH
UCL > Provost and Vice Provost Offices > UCL SLASH > Faculty of SandHS > Dept of Economics
URI: https://discovery.ucl.ac.uk/id/eprint/1567490
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