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Cost containment in Europe.

A J Culyer

    Health Care Financing Review
    |November 5, 1989
    PubMed
    Summary

    Health care cost containment requires balancing benefits and costs, not just reducing spending. International data reveals how health system structures influence costs, informing policy decisions.

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    Area of Science:

    • Health Economics
    • Health Policy Analysis
    • Comparative Health Systems

    Background:

    • Health care cost containment is a complex policy challenge.
    • Assessing expenditure appropriateness requires marginal cost-benefit analysis.
    • International comparisons offer insights into cost drivers.

    Purpose of the Study:

    • To evaluate health care cost containment as a policy objective.
    • To examine the relationship between health system structures and expenditures.
    • To outline European cost-control policies.

    Main Methods:

    • Review of international health expenditure data from the Organization for Economic Cooperation and Development (OECD).
    • Analysis of structural features of health care systems.
    • Outline of current European cost-containment policies.

    Main Results:

    • Cost containment alone is not a sufficient policy goal; marginal cost-benefit analysis is crucial.
    • International data highlights the impact of system structures on health care costs.
    • European countries employ various strategies to control health care expenditures.

    Conclusions:

    • Policy objectives must balance costs and benefits.
    • Understanding health system structures is key to managing expenditures.
    • Comparative analysis informs effective cost-containment strategies.

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