Purpose

The purpose of this study is to first assess how the US healthcare financing system is influenced by income variation. Then, it examines whether or not the impact of income variation is asymmetric.

Design/methodology/approach

For the analyses of this paper, the autoregressive distributed lag (ARDL) model is implemented to a data set covering the period from 1960 to 2018.

Findings

The results provide evidence that major funding sources of aggregate healthcare expenditure (HCE) respond differently to changes in income. The results also imply that the effect of income is not always symmetric.

Originality/value

Many studies have attempted to identify the relationship between income and HCE. A common feature of past studies is that they have only focused on aggregate HCE, while one might be interested in knowing how major funders of aggregate HCE would be affected by changes in income. Another common feature of past studies is that they have assumed that the relationship between income and HCE is symmetric.

中文翻译：

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美国的收入和医疗保健融资系统：不对称分析

目的

本研究的目的是首先评估美国医疗保健融资系统如何受到收入变化的影响。然后，它检查收入变化的影响是否不对称。

设计/方法/方法

对于本文的分析，将自回归分布滞后 (ARDL) 模型应用于涵盖 1960 年至 2018 年期间的数据集。

发现

结果提供了证据，表明医疗保健总支出 (HCE) 的主要资金来源对收入变化的反应不同。结果还暗示收入的影响并不总是对称的。

原创性/价值

许多研究试图确定收入与 HCE 之间的关系。过去研究的一个共同特点是他们只关注总体 HCE，而人们可能有兴趣了解总体 HCE 的主要资助者将如何受到收入变化的影响。过去研究的另一个共同特点是，他们假设收入与 HCE 之间的关系是对称的。