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Prethodno priopćenje
https://doi.org/10.3326/pse.42.3.3

Healthcare expenditure and fiscal sustainability: evidence from Switzerland

Carsten Colombier ; University of Cologne, FiFo Institute for Public Economics; Federal Department of Finance, Bern, Switzerland

Puni tekst: engleski, pdf (696 KB) str. 279-301 preuzimanja: 222* citiraj
APA 6th Edition
Colombier, C. (2018). Healthcare expenditure and fiscal sustainability: evidence from Switzerland. Public Sector Economics, 42 (3), 279-301. https://doi.org/10.3326/pse.42.3.3
MLA 8th Edition
Colombier, Carsten. "Healthcare expenditure and fiscal sustainability: evidence from Switzerland." Public Sector Economics, vol. 42, br. 3, 2018, str. 279-301. https://doi.org/10.3326/pse.42.3.3. Citirano 22.01.2021.
Chicago 17th Edition
Colombier, Carsten. "Healthcare expenditure and fiscal sustainability: evidence from Switzerland." Public Sector Economics 42, br. 3 (2018): 279-301. https://doi.org/10.3326/pse.42.3.3
Harvard
Colombier, C. (2018). 'Healthcare expenditure and fiscal sustainability: evidence from Switzerland', Public Sector Economics, 42(3), str. 279-301. https://doi.org/10.3326/pse.42.3.3
Vancouver
Colombier C. Healthcare expenditure and fiscal sustainability: evidence from Switzerland. Public Sector Economics [Internet]. 2018 [pristupljeno 22.01.2021.];42(3):279-301. https://doi.org/10.3326/pse.42.3.3
IEEE
C. Colombier, "Healthcare expenditure and fiscal sustainability: evidence from Switzerland", Public Sector Economics, vol.42, br. 3, str. 279-301, 2018. [Online]. https://doi.org/10.3326/pse.42.3.3

Sažetak
Growing healthcare expenditure is of major concern for the sustainability of public finances. In order to better explore the fiscal sustainability challenge and to inform the debate, we draw up a new set of healthcare expenditure projections for the particularly interesting case of Switzerland. According to our projections up to 2045, population ageing exerts a growing pressure on public budgets and mandatory healthcare insurance. However, healthcare expenditure is not only driven by demographic change but also by non-demographic drivers such as the increasing national income, medical advances and Baumol’s cost disease. We find that long-term care is more severely affected than healthcare excluding long-term care. This finding implies that population ageing affects public finances to a greater extent than the mandatory healthcare insurance. Our sensitivity analysis suggests that the strongest cost pressure comes from alternative assumptions about the future state of health and Baumol’s cost disease. Accordingly, measures aiming at prevention and efficiency would help most to ease the pressure on public finances and mandatory healthcare insurance.

Ključne riječi
healthcare expenditure growth; population ageing; long-term projections; sustainability; public finances; social insurance

Hrčak ID: 204807

URI
https://hrcak.srce.hr/204807

Posjeta: 369 *