MARC details
| 000 -CABECERA |
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| Longitud fija campo de control |
04292cam a22003737 4500 |
| 001 - NÚMERO DE CONTROL |
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| Número de control |
w19280 |
| 003 - IDENTIFICADOR DELl NÚMERO DE CONTROL |
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| Identificador del número de control |
NBER |
| 005 - FECHA Y HORA DE LA ÚLTIMA TRANSACCIÓN |
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| Fecha y hora de la última transacción |
20211020110214.0 |
| 006 - CÓDIGOS DE INFORMACIÓN DE LONGITUD FIJA - CARACTERÍSTICAS DEL MATERIAL ADICIONAL |
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| Códigos de información de longitud fija - Características del material adicional |
m o d |
| 007 - CAMPO FIJO DE DESCRIPCIÓN FÍSICA |
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| Campo fijo de descripción física |
cr cnu|||||||| |
| 008 - CÓDIGOS DE INFORMACIÓN DE LONGITUD FIJA |
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| Códigos de información de longitud fija |
210910s2013 mau fo 000 0 eng d |
| 100 1# - PUNTO DE ACCESO PRINCIPAL-NOMBRE DE PERSONA |
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| Nombre de persona |
<a href="Egan, Mark.">Egan, Mark.</a> |
| 245 10 - TÍTULO PROPIAMENTE DICHO |
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| Título |
International Health Economics / |
| Mención de responsabilidad, etc. |
Mark Egan, Tomas J. Philipson. |
| 260 ## - PUBLICACIÓN, DISTRIBUCIÓN, ETC. (PIE DE IMPRENTA) |
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| Lugar de publicación, distribución, etc. |
Cambridge, Mass. |
| Nombre del editor, distribuidor, etc. |
National Bureau of Economic Research |
| Fecha de publicación, distribución, etc. |
2013. |
| 300 ## - DESCRIPCIÓN FÍSICA |
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| Extensión |
1 online resource: |
| Otras características físicas |
illustrations (black and white); |
| 490 1# - MENCIÓN DE SERIE |
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| Mención de serie |
NBER working paper series |
| Designación de volumen o secuencia |
no. w19280 |
| 500 ## - NOTA GENERAL |
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| Nota general |
August 2013. |
| 520 3# - NOTA DE SUMARIO |
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| Sumario, etc, |
Perhaps because health care is a local service sector, health economists have paid little attention to international linkages between domestic health care economies. However, the growth in domestic health care sectors is often attributed to medical innovations whose returns are earned worldwide. Because world returns drive innovation and innovation is central to spending growth, spending growth in a given country is thereby highly affected by health care economies and policies of other countries. This paper analyzes the unique positive and normative implications of these innovation-induced linkages across countries when governments centrally price health care. Providing world returns to medical innovation under such central pricing involves a public-goods problem; the taxation to fund reimbursements involves a private domestic cost with an international benefit of medical innovation. This has the direct normative implication that medical innovations have inefficiently low world returns. It also has the positive implication that reimbursements in one country depend negatively on those of others; reimbursements are "strategic substitutes" through free riding. Because reimbursements are strategic substitutes, world concentration of health care is a significant issue. A small European country has no access-innovation trade-off in its pricing; it will have low reimbursements because it does not affect world returns and sees the same innovations regardless of its reimbursement policy. The public-goods problem of innovation thereby implies that the United States, despite being the world's largest buyer, will pay the highest reimbursements. This problem also implies that free riding counteracts the standard positive impact of larger world markets on innovation when health care concentration falls. Indeed, currently, health care is highly concentrated; about half of world health care spending occurs in the United States, despite that fact that it makes up only about one-fifth of the world economy. We assess the effect that emerging markets will have on this concentration and thus world returns. We use pharmaceutical reimbursement data from 1996-2010 to provide IV estimates of the degree to which domestic reimbursements are strategic substitutes. We find that these estimates imply that world returns from innovation may actually fall from a growth in "market size" of BRICS countries as a result of increased free riding in non-BRICS countries. The overall analysis has important positive implications for spending patterns across countries as well as normative implications for evaluating domestic or regional health care reforms. |
| 530 ## - NOTA DE FORMATO FÍSICO ADICIONAL DISPONIBLE |
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| Nota de formato físico adicional disponible |
Hardcopy version available to institutional subscribers |
| 538 ## - NOTA DE DETALLES DEL SISITEMA |
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| Nota de detalles del sistema |
System requirements: Adobe [Acrobat] Reader required for PDF files. |
| 538 ## - NOTA DE DETALLES DEL SISITEMA |
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| Nota de detalles del sistema |
Mode of access: World Wide Web. |
| 588 0# - NOTA DE FUENTE DE LA DESCRIPCIÓN |
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| Nota de fuente de la descripción |
Print version record |
| 690 #7 - CAMPOS LOCALES DE ENCABEZAMIENTO DE MATERIA |
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| Término local o nombre geográfico como elemento de entrada |
F0 - General |
| Fuente de encabezamiento o término |
Journal of Economic Literature class. |
| 690 #7 - CAMPOS LOCALES DE ENCABEZAMIENTO DE MATERIA |
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| Término local o nombre geográfico como elemento de entrada |
F42 - International Policy Coordination and Transmission |
| Fuente de encabezamiento o término |
Journal of Economic Literature class. |
| 690 #7 - CAMPOS LOCALES DE ENCABEZAMIENTO DE MATERIA |
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| Término local o nombre geográfico como elemento de entrada |
I1 - Health |
| Fuente de encabezamiento o término |
Journal of Economic Literature class. |
| 690 #7 - CAMPOS LOCALES DE ENCABEZAMIENTO DE MATERIA |
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| Término local o nombre geográfico como elemento de entrada |
I11 - Analysis of Health Care Markets |
| Fuente de encabezamiento o término |
Journal of Economic Literature class. |
| 690 #7 - CAMPOS LOCALES DE ENCABEZAMIENTO DE MATERIA |
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| Término local o nombre geográfico como elemento de entrada |
I18 - Government Policy • Regulation • Public Health |
| Fuente de encabezamiento o término |
Journal of Economic Literature class. |
| 700 1# - PUNTO DE ACCESO ADICIONAL - NOMBRE DE PERSONA |
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| Nombre de persona |
Philipson, Tomas J. |
| 9 (RLIN) |
18524 |
| 710 2# - PUNTO DE ACCESO ADICIONAL - NOMBRE DE ENTIDAD |
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| Nombre de entidad o nombre de jurisdicción como elemento inicial |
National Bureau of Economic Research. |
| 830 #0 - PUNTO DE ACCESO ADICIONAL DE SERIE - TÍTULO UNIFORME |
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| Título uniforme |
Working Paper Series (National Bureau of Economic Research) |
| Designación de volumen o secuencia |
no. w19280. |
| 856 40 - LOCALIZACIÓN Y ACCESO ELECTRÓNICO |
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| Identificador Uniforme del Recurso (URI) |
<a href="https://www.nber.org/papers/w19280">https://www.nber.org/papers/w19280</a> |
| 856 ## - LOCALIZACIÓN Y ACCESO ELECTRÓNICO |
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| Texto del enlace |
Acceso en línea al DOI |
| Identificador Uniforme del Recurso (URI) |
<a href="http://dx.doi.org/10.3386/w19280">http://dx.doi.org/10.3386/w19280</a> |
| 942 ## - ENTRADA DE ELEMENTOS AGREGADOS (KOHA) |
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| Fuente de clasificaión o esquema |
Dewey Decimal Classification |
| Koha [por defecto] tipo de item |
Working Paper |
