title: Cost Sharing, Health Care Expenditures, and Utilization: An International Comparison.
abstract: Health systems implement cost sharing to help reduce health care expenditure and utilization by discouraging the use of unnecessary health care services. We examine cost sharing in 28 countries in the Organisation for Economic Co-operation and Development from 1999 through 2009 in the areas of medical care, hospital care, and pharmaceuticals. We investigate associations between cost sharing, health care expenditures, and health care utilization and find no significant association between cost sharing and health care expenditures or utilization in these countries.
authors.affiliation: Queens College, City University of New York, New York, USA.
authors.forename: Patryk
authors.initials: P
authors.lastname: Perkowski
authors.affiliation: Queens College, City University of New York, New York, USA leonard.rodberg@qc.cuny.edu.
authors.forename: Leonard
authors.initials: L
authors.lastname: Rodberg
mesh_terms: D017047:Cost Sharing / Q000379:methods*; D019049:Developed Countries; D005102:Health Expenditures / Q000706:statistics & numerical data*; D006296:Health Services / Q000191:economics* / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000191:economics; D006801:Humans; D009819:Office Visits / Q000191:economics; D055553:Prescription Drugs / Q000191:economics; D013222:State Medicine / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data*
chemical_list: D055553:Prescription Drugs
keywords: cost sharing; health care expenditures; international comparison; utilization