Detail práce

Costs and Usage of Medical Devices in the Czech Republic

Autor: Bc. František Kaláb
Rok: 2015 - letní
Vedoucí: Mgr. Michal Paulus
Typ práce: Bakalářská
Jazyk: Anglicky
Stránky: 67
Abstrakt: Geographic differences in healthcare costs, usage and practice are documented by research from
the United States and Western Europe, yet, there is limited information on this topic in the Czech
Republic. Spatial variation often seems unexplained by the demographic, health or economic
characteristics of the population which points to inefficiencies in the healthcare system. We
bring three main contributions: a first study dealing entirely with medical devices; we improve
previously used models with a set of environmental indicators and; we work with an entirely new
sample which has not been used before. Based on 2012 claims data on medical devices we present
a geographic analysis of spending and further analyse spending and usage of three widely used
and economically relevant devices. Further, we estimate regression model in order to assess the
role of unwarranted variation in spending, which we subsequently expand on the three studied
devices. We find significant variation in the per capita spending and usage of healthcare devices
at the level of regions and districts, with more than a threefold difference in the relative spending
between the regions in the lowest and the highest spending quintile. Moreover, only 38% of the
district difference between the highest and lowest spending quintile was explained by our model
which leaves 60% of the difference unwarranted.




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