TY - JOUR
T1 - Aging populations and expenditures on health
AU - Kallestrup-Lamb, Malene
AU - Marin, Alexander O.K.
AU - Menon, Seetha
AU - Søgaard, Jes
N1 - Publisher Copyright:
© 2024 The Authors
PY - 2024/10
Y1 - 2024/10
N2 - Aging populations exert upwards pressure on healthcare systems, raising concerns about increasing expenditures on health. This paper reviews the empirical literature on the issue and critically assesses the strengths and weaknesses of the outcomes measured, methodologies used, and the hypotheses tested. While age strongly predicts long-term care expenditure, the time-to-death factor renders the aging effect null for hospital care expenditure. Existing literature disagrees on the importance of age and time-to-death effects on prescription drug and ambulatory care costs. Morbidity and medical innovation mediate these effects, proving crucial for aging-related healthcare expenditure growth. We identify several opportunities for future research including gender differences, utilization of emerging methods, and the importance of institutional settings.
AB - Aging populations exert upwards pressure on healthcare systems, raising concerns about increasing expenditures on health. This paper reviews the empirical literature on the issue and critically assesses the strengths and weaknesses of the outcomes measured, methodologies used, and the hypotheses tested. While age strongly predicts long-term care expenditure, the time-to-death factor renders the aging effect null for hospital care expenditure. Existing literature disagrees on the importance of age and time-to-death effects on prescription drug and ambulatory care costs. Morbidity and medical innovation mediate these effects, proving crucial for aging-related healthcare expenditure growth. We identify several opportunities for future research including gender differences, utilization of emerging methods, and the importance of institutional settings.
KW - Expenditures on health
KW - Population aging
KW - Red Herring hypothesis
KW - Steepening hypothesis
UR - http://www.scopus.com/inward/record.url?scp=85196797163&partnerID=8YFLogxK
U2 - 10.1016/j.jeoa.2024.100518
DO - 10.1016/j.jeoa.2024.100518
M3 - Journal article
AN - SCOPUS:85196797163
SN - 2212-828X
VL - 29
JO - Journal of the Economics of Ageing
JF - Journal of the Economics of Ageing
M1 - 100518
ER -