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End-stage renal disease and economic incentives: the International Study of Health Care Organization and Financing (ISHCOF)

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Abstract

End-stage renal disease (ESRD) is a debilitating, costly, and increasingly common condition. Little is known about how different financing approaches affect ESRD outcomes and delivery of care. This paper presents results from a comparative review of 12 countries with alternative models of incentives and benefits, collected under the International Study of Health Care Organization and Financing, a substudy within the Dialysis Outcomes and Practice Patterns Study. Variation in spending per ESRD patient is relatively small, but correlated with overall per capita health care spending. Remaining differences in costs and outcomes do not seem strongly linked to differences in incentives.

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Authors and Affiliations

  1. School of Public Health and Health Services, George Washington University, Washington, DC, USA

    Avi Dor

  2. Wharton School of Business, University of Pennsylvania, Philadelphia, PA, USA

    Mark V. Pauly

  3. Arbor Research Collaborative for Health, Ann Arbor, MI, USA

    Margaret A. Eichleay & Philip J. Held

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Dor, A., Pauly, M.V., Eichleay, M.A. et al. End-stage renal disease and economic incentives: the International Study of Health Care Organization and Financing (ISHCOF). Int J Health Care Finance Econ 7, 73–111 (2007). https://doi.org/10.1007/s10754-007-9024-9

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