Regional Variation of Healthcare Expenditure in the South African Insured Population
- the demand for healthcare resources (the disease burden)
- supply of healthcare services
- bed days per patient
- mortality rate
This paper is relevant and useful to healthcare actuaries internationally as it acknowledges that healthcare is provided in systems. If all healthcare providers practiced evidence based medicine (for relevant clinical conditions) there would be little variation in utilisation rates and cost (adjusted for regional disparities in price). Where variation exists, understanding it provides insights into future claims experience given specific regional growth in lives assured it assists with more targeted management strategies.
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