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The lifetime costs and benefits of medical technology

Author: David M Cutler; National Bureau of Economic Research.
Publisher: Cambridge, MA : National Bureau of Economic Research, ©2007.
Series: Working paper series (National Bureau of Economic Research), working paper no. 13478.
Edition/Format:   eBook : Document : EnglishView all editions and formats
Summary:
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  Read more...
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Additional Physical Format: Cutler, David M.
Lifetime costs and benefits of medical technology.
Cambridge, MA : National Bureau of Economic Research, ©2007
(DLC) 2007616609
(OCoLC)174040335
Material Type: Document, Internet resource
Document Type: Internet Resource, Computer File
All Authors / Contributors: David M Cutler; National Bureau of Economic Research.
OCLC Number: 327055544
Notes: "October 2007."
Reproduction Notes: Electronic reproduction. [S.l.] : HathiTrust Digital Library, 2011. MiAaHDL
Description: 1 online resource (30, [9] pages) : illustrations.
Details: Master and use copy. Digital master created according to Benchmark for Faithful Digital Reproductions of Monographs and Serials, Version 1. Digital Library Federation, December 2002.
Series Title: Working paper series (National Bureau of Economic Research), working paper no. 13478.
Responsibility: David M. Cutler.

Abstract:

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.

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