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Prospective Payment System Evaluation Studies: Aggregate Demand for Health Care by the Aged and Nonaged, 1965-1985

机译:预期支付系统评估研究:1965 - 1985年老年人和非老年人对医疗保健的总体需求

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Aged medical expenditures grow more rapidly than those of the nonaged. From 1975-1985, they grew one-third faster than nonaged expenditures. If this difference continues, by the year 2000 the aged, who will make up 13% of the population, will consume 50% of the nation's personal health care. What is the source of this difference for patients who are treated by the same physicians and lie in the same hospitals. It is unlikely that the difference can be explained by changes in the manner in which medical care is produced for the aged and the nonaged. Nor can the difference be explained by their differences in mortality and morbidity. The paper argues that the growth in aged expenditures during the period 1965-1985, and the consequent changes in the distribution of their supply of health services is predominantly a response to differences in the effective aggregate demand for health services by the two groups. Finally, the paper concludes that the example of the importance of aggregate demand in determining expenditures and their distribution has important implications for the regulations of aged and nonaged medical expenditures.

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