In the following paper we estimate the impact of obesity in childhood on health and health service use in England using instrumental variables. We use data on children and adolescents aged 3-18 years old from fifteen rounds of the Health Survey for England (1998-2012), which has measures of...

It has been argued that activity based payment systems make hospitals focus on the diagnostic groups that are most profitable given costs and reimbursement rates. This article tests the hypothesis by exploring the relationship between changes in the DRG reimbursement rates and changes in the...

On the basis of a randomized controlled trial we estimate the cost per life-year gained for six different strategies for colorectal cancer screening. Individuals in the age group 50 to 64 years were randomly selected for either flexible sigmoidoscopy or a combination of flexible sigmoidoscopy...

Rapporten er skrevet på oppdrag av Helse- og omsorgsdepartementet og skal analysere effekter av bruk av anbud i helseregionene etter sykehusreformen, og drøfte alternative modeller for bruk av private leverandører, herunder mulige effekter på prioriterting, kvalitet, kostnadseffektivitet og...

A central theme in the international debate on genetic testing concerns the extent to which insurance companies should be allowed to use genetic information in their design of insurance contracts. This issue is analysed within a model with the following important feature: A person's well-being...

Activity-based financing (ABF) was implemented in the Norwegian hospital sector from 1 July 1997. A fraction (30 to 50 per cent) of the block grant from the state to the county councils has been replaced by a matching grant depending upon the number and composition of hospital treatments. As a...

In this essay a conceptual and theoretical scheme for decentralized integrated health care systems of the northern European kind is developed. With small changes it is also applicable to other countries, e.g. Italy, Spain, and Portugal. Three ideas tie together the scheme: modified fiscal...

The literature on supplier inducement suffers from inability to distinguish the effect of better access from the effect of patient shortage. Data from the Norwegian capitation trial in general practice give us an opportunity to make this distinction and hence, study whether service provision by...

Dette notatet er dels beskrivende og dels diskuterende. Vi beskriver omfanget av det internasjonale helsemarkedet basert på tilgjengelig statistikk. Vi beskriver reguleringen av handel med helsetjenester med henvisning til GATS (General Agreement on Trade in Services) og EU/EØS. I den...

We study how market conditions influence referrals of patients by general practitioners (GPs). We set up a model of GP referral for the Norwegian health care system, where a GP receives capitation payment based on the number of patients in his practice, as well as fee-for-service reimbursements....