LDI Research Seminar Series

Jonathan S. Skinner, Ph.D.
John French Professor of Economics, Dartmouth College
Professor of Family and Community Medicine, Dartmouth Medical School

"Technological Innovation and Health Outcomes: A New Look"

March 7, 2003
12:00 - 1:30 PM
Colonial Penn Center Auditorium

Abstract Biosketch


A critical question in health policy is whether the U.S. is getting its money's worth from the rising cost of health care. Several influential studies using time-series data have suggested that the answer is yes; while health care costs have risen over time, so also has longevity and functioning. Other studies using cross sectional evidence have found the reverse; one set of studies even found worse outcomes from greater spending. This research reconsiders this question using a longitudinal cross-section data set from 1989 through 2000 for Medicare enrollees hospitalized for Acute Myocardial Infarction (AMI, or heart attacks) and hip fractures. These data suggest that (at least since the mid-1990s) rising health care costs may not be worth it with respect to improved survival. Finally, we address whether regions experiencing the greatest increase in costs, or the greatest technological innovations, also experience the greatest improvement in outcomes.

JONATHAN SKINNER is the John French Professor of Economics, Dartmouth College, and a professor in the Department of Community and Family Medicine, Dartmouth Medical School with an appointment in the Center for Evaluative Clinical Research. He received his Ph.D. in economics from UCLA, and has been a research associate at the National Bureau of Economic Research since 1989. Professor Skinner is currently the editor of the Journal of Human Resources, and is a past recipient of the TIAA-CREF Paul A. Samuelson Award of Excellence. Prior to joining the Dartmouth faculty, he taught at the University of Virginia, Harvard University, Stanford University, and the University of Washington. Professor Skinner's research has focused on the adequacy of saving for retirement, and the efficiency and equity of health care in the United States.



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