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End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported

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End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported. / French, Eric B; McCauley, Jeremy; Aragon, Maria; Bakx, Pieter; Chalkley, Martin; Chen, Stacey H; Christensen, Bent J; Chuang, Hongwei; Côté-Sergent, Aurelie; De Nardi, Mariacristina; Fan, Elliott; Échevin, Damien; Geoffard, Pierre-Yves; Gastaldi-Ménager, Christelle; Gørtz, Mette; Ibuka, Yoko; Jones, John B; Kallestrup-Lamb, Malene; Karlsson, Martin; Klein, Tobias J; de Lagasnerie, Grégoire; Michaud, Pierre-Carl; O'Donnell, Owen; Rice, Nigel; Skinner, Jonathan S; van Doorslaer, Eddy; Ziebarth, Nicolas R; Kelly, Elaine.

In: Health affairs (Project Hope), Vol. 36, No. 7, 01.07.2017, p. 1211-1217.

Research output: Contribution to journalArticle

Harvard

French, EB, McCauley, J, Aragon, M, Bakx, P, Chalkley, M, Chen, SH, Christensen, BJ, Chuang, H, Côté-Sergent, A, De Nardi, M, Fan, E, Échevin, D, Geoffard, P-Y, Gastaldi-Ménager, C, Gørtz, M, Ibuka, Y, Jones, JB, Kallestrup-Lamb, M, Karlsson, M, Klein, TJ, de Lagasnerie, G, Michaud, P-C, O'Donnell, O, Rice, N, Skinner, JS, van Doorslaer, E, Ziebarth, NR & Kelly, E 2017, 'End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported', Health affairs (Project Hope), vol. 36, no. 7, pp. 1211-1217. https://doi.org/10.1377/hlthaff.2017.0174

APA

French, E. B., McCauley, J., Aragon, M., Bakx, P., Chalkley, M., Chen, S. H., ... Kelly, E. (2017). End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported. Health affairs (Project Hope), 36(7), 1211-1217. https://doi.org/10.1377/hlthaff.2017.0174

Vancouver

French EB, McCauley J, Aragon M, Bakx P, Chalkley M, Chen SH et al. End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported. Health affairs (Project Hope). 2017 Jul 1;36(7):1211-1217. https://doi.org/10.1377/hlthaff.2017.0174

Author

French, Eric B ; McCauley, Jeremy ; Aragon, Maria ; Bakx, Pieter ; Chalkley, Martin ; Chen, Stacey H ; Christensen, Bent J ; Chuang, Hongwei ; Côté-Sergent, Aurelie ; De Nardi, Mariacristina ; Fan, Elliott ; Échevin, Damien ; Geoffard, Pierre-Yves ; Gastaldi-Ménager, Christelle ; Gørtz, Mette ; Ibuka, Yoko ; Jones, John B ; Kallestrup-Lamb, Malene ; Karlsson, Martin ; Klein, Tobias J ; de Lagasnerie, Grégoire ; Michaud, Pierre-Carl ; O'Donnell, Owen ; Rice, Nigel ; Skinner, Jonathan S ; van Doorslaer, Eddy ; Ziebarth, Nicolas R ; Kelly, Elaine. / End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported. In: Health affairs (Project Hope). 2017 ; Vol. 36, No. 7. pp. 1211-1217.

Bibtex - Download

@article{a35e7a0a03e841738c4a18b97ce05d53,
title = "End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported",
abstract = "Although end-of-life medical spending is often viewed as a major component of aggregate medical expenditure, accurate measures of this type of medical spending are scarce. We used detailed health care data for the period 2009-11 from Denmark, England, France, Germany, Japan, the Netherlands, Taiwan, the United States, and the Canadian province of Quebec to measure the composition and magnitude of medical spending in the three years before death. In all nine countries, medical spending at the end of life was high relative to spending at other ages. Spending during the last twelve months of life made up a modest share of aggregate spending, ranging from 8.5 percent in the United States to 11.2 percent in Taiwan, but spending in the last three calendar years of life reached 24.5 percent in Taiwan. This suggests that high aggregate medical spending is due not to last-ditch efforts to save lives but to spending on people with chronic conditions, which are associated with shorter life expectancies.",
author = "French, {Eric B} and Jeremy McCauley and Maria Aragon and Pieter Bakx and Martin Chalkley and Chen, {Stacey H} and Christensen, {Bent J} and Hongwei Chuang and Aurelie C{\^o}t{\'e}-Sergent and {De Nardi}, Mariacristina and Elliott Fan and Damien {\'E}chevin and Pierre-Yves Geoffard and Christelle Gastaldi-M{\'e}nager and Mette G{\o}rtz and Yoko Ibuka and Jones, {John B} and Malene Kallestrup-Lamb and Martin Karlsson and Klein, {Tobias J} and {de Lagasnerie}, Gr{\'e}goire and Pierre-Carl Michaud and Owen O'Donnell and Nigel Rice and Skinner, {Jonathan S} and {van Doorslaer}, Eddy and Ziebarth, {Nicolas R} and Elaine Kelly",
note = "{\circledC} 2017, Project HOPE. This is an author-produced version of a paper accepted for publication. Uploaded with permission of the publisher/copyright holder. Further copying may not be permitted; contact the publisher for details",
year = "2017",
month = "7",
day = "1",
doi = "10.1377/hlthaff.2017.0174",
language = "English",
volume = "36",
pages = "1211--1217",
journal = "Health affairs (Project Hope)",
issn = "0278-2715",
publisher = "Project Hope",
number = "7",

}

RIS (suitable for import to EndNote) - Download

TY - JOUR

T1 - End-Of-Life Medical Spending In Last Twelve Months Of Life Is Lower Than Previously Reported

AU - French, Eric B

AU - McCauley, Jeremy

AU - Aragon, Maria

AU - Bakx, Pieter

AU - Chalkley, Martin

AU - Chen, Stacey H

AU - Christensen, Bent J

AU - Chuang, Hongwei

AU - Côté-Sergent, Aurelie

AU - De Nardi, Mariacristina

AU - Fan, Elliott

AU - Échevin, Damien

AU - Geoffard, Pierre-Yves

AU - Gastaldi-Ménager, Christelle

AU - Gørtz, Mette

AU - Ibuka, Yoko

AU - Jones, John B

AU - Kallestrup-Lamb, Malene

AU - Karlsson, Martin

AU - Klein, Tobias J

AU - de Lagasnerie, Grégoire

AU - Michaud, Pierre-Carl

AU - O'Donnell, Owen

AU - Rice, Nigel

AU - Skinner, Jonathan S

AU - van Doorslaer, Eddy

AU - Ziebarth, Nicolas R

AU - Kelly, Elaine

N1 - © 2017, Project HOPE. This is an author-produced version of a paper accepted for publication. Uploaded with permission of the publisher/copyright holder. Further copying may not be permitted; contact the publisher for details

PY - 2017/7/1

Y1 - 2017/7/1

N2 - Although end-of-life medical spending is often viewed as a major component of aggregate medical expenditure, accurate measures of this type of medical spending are scarce. We used detailed health care data for the period 2009-11 from Denmark, England, France, Germany, Japan, the Netherlands, Taiwan, the United States, and the Canadian province of Quebec to measure the composition and magnitude of medical spending in the three years before death. In all nine countries, medical spending at the end of life was high relative to spending at other ages. Spending during the last twelve months of life made up a modest share of aggregate spending, ranging from 8.5 percent in the United States to 11.2 percent in Taiwan, but spending in the last three calendar years of life reached 24.5 percent in Taiwan. This suggests that high aggregate medical spending is due not to last-ditch efforts to save lives but to spending on people with chronic conditions, which are associated with shorter life expectancies.

AB - Although end-of-life medical spending is often viewed as a major component of aggregate medical expenditure, accurate measures of this type of medical spending are scarce. We used detailed health care data for the period 2009-11 from Denmark, England, France, Germany, Japan, the Netherlands, Taiwan, the United States, and the Canadian province of Quebec to measure the composition and magnitude of medical spending in the three years before death. In all nine countries, medical spending at the end of life was high relative to spending at other ages. Spending during the last twelve months of life made up a modest share of aggregate spending, ranging from 8.5 percent in the United States to 11.2 percent in Taiwan, but spending in the last three calendar years of life reached 24.5 percent in Taiwan. This suggests that high aggregate medical spending is due not to last-ditch efforts to save lives but to spending on people with chronic conditions, which are associated with shorter life expectancies.

U2 - 10.1377/hlthaff.2017.0174

DO - 10.1377/hlthaff.2017.0174

M3 - Article

VL - 36

SP - 1211

EP - 1217

JO - Health affairs (Project Hope)

JF - Health affairs (Project Hope)

SN - 0278-2715

IS - 7

ER -