Contribution of high-technology procedures to public healthcare expenditures: the case of ischemic heart disease in Portugal, 2002–2015

Wenkang Ma, Ana Timóteo, Vanessa Ribeiro, Ceu Mateus and Julian Perelman ()
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Wenkang Ma: University of York
Ana Timóteo: Nova University of Lisbon
Vanessa Ribeiro: Central Administration of the Health System
Julian Perelman: Nova University of Lisbon

International Journal of Health Economics and Management, 2024, vol. 24, issue 3, No 6, 419-437

Abstract: Abstract The magnitude of the impact of technological innovations on healthcare expenditure is unclear. This paper estimated the impact of high-technology procedures on public healthcare expenditure for patients with ischemic heart disease (IHD) in Portugal. The Blinder–Oaxaca decomposition method was applied to Portuguese NHS administrative data for IHD discharges during two periods, 2008–2015 vs. 2002–2007 (N = 434,870). We modelled per episode healthcare expenditures on the introduction of new technologies, adjusting for GDP, patient age, and comorbidities. The per episode healthcare expenditure was significantly higher in 2008–2015 compared to 2002–2007 for IHD discharges. The increase in the use of high-technology procedures contributed to 28.6% of this growth among all IHD patients, and to 18.4%, 6.8%, 11.1%, and 29.2% for acute myocardial infarction, unstable angina, stable angina, and other IHDs, respectively. Changes in the use of stents and embolic protection and/or coronary brachytherapy devices were the largest contributors to expenditure growth. High-technology procedures were confirmed as a key driver of public healthcare expenditure growth in Portugal, contributing to more than a quarter of this growth.

Keywords: Health expenditure; Medical technology; Decomposition methods; Ischemic heart disease; Portugal (search for similar items in EconPapers)
JEL-codes: I10 I18 (search for similar items in EconPapers)
Date: 2024
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DOI: 10.1007/s10754-024-09372-5

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