The lifetime costs and benefits of medical technology

David M.　Cutler

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The lifetime costs and benefits of medical technology

机译：医疗技术的终生成本和收益

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Measuring the lifetime costs and benefits of medical technologies is essential in evaluating technological change and determining the productivity of medical care. Using data on Medicare beneficiaries with a heart attack in the late 1980s and 17 years of follow up data, I evaluate the long-term costs and benefits of revascularization after a heart attack. I account for non-random selection into treatment with instrumental variables; following McClellan, McNeil, and Newhouse, the instrument is the differential distance to a hospital capable of providing revascularization. The results show that revascularization is associated with over 1 year of additional life expectancy, at a cost of about $40,000. Revascularization, or other treatments correlated with it, appears to be highly cost-effective.

机译：测量医疗技术的终生成本和收益对于评估技术变革和确定医疗服务的生产率至关重要。我使用1980年代后期心脏病发作的医疗保险受益人的数据以及17年的随访数据，评估了心脏病发作后血运重建的长期成本和收益。我考虑使用工具变量进行治疗的非随机选择；继McClellan，McNeil和Newhouse之后，该仪器是到能够进行血运重建的医院的距离。结果表明，血运重建与一年以上的额外预期寿命相关，费用约为40,000美元。血运重建或与其相关的其他治疗似乎具有很高的成本效益。

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来源
《Journal of health economics》 |2007年第6期|p.1081-1100|共20页
作者
David M.　Cutler;
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作者单位

Harvard University, Department of Economics, 1875 Cambridge Street, Cambridge, MA 02138, United States;

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原文格式 PDF
正文语种 eng
中图分类 f;
关键词
costs; benefits; medical technology;

机译：成本;收益;医疗技术;

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机译：在半参数伽玛脆弱copula模型下估算终生医疗费用。
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7. The Lifetime Costs and Benefits of Medical Technology [O] . David Cutler 2007

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8. The Implications of Cost-Effectiveness Analysis of Medical Technology. Background Paper No. 2: Case Studies of Medical Technologies. Case Study No. 14: Cost Benefit/Cost Effectiveness of Medical Technologies. A Case Study of Orthopedic Joint Implants [R] . 1981

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The lifetime costs and benefits of medical technology

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