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The effect of changing the number of elective hospital admissions on the levels of emergency provision

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dc.contributor.author Jiménez-Martín, Sergi
dc.contributor.author Nicodemo, Catia
dc.contributor.author Redding, Stuart
dc.contributor.other Universitat Pompeu Fabra. Departament d'Economia i Empresa
dc.date.accessioned 2018-02-14T15:29:55Z
dc.date.available 2018-02-14T15:29:55Z
dc.date.issued 2017-09-01
dc.identifier https://econ-papers.upf.edu/ca/paper.php?id=1582
dc.identifier.citation
dc.identifier.uri http://hdl.handle.net/10230/33876
dc.description.abstract In England as elsewhere, policy makers are trying to reduce the pressure on costs caused by rising hospital admissions by encouraging GPs to refer less patients to hospital specialists.This could have an impact on elective treatment levels, particularly procedures for conditions which are not life-threatening and can be delayed or perhaps withheld entirely. This study attempts to identify the potential consequences on levels of emergency treatment if elective care is managed downwards. Using administrative data from Hospital Episode Statistics (HES) in England we estimate dynamic fixed effects panel data models for emergency admissions at Primary Care Trust and Hospital Trust levels for the years 2004 13, controlling for a group of area-specific characteristics and other secondary care variables. We find that increasing levels of elective care tends to increase the future requirement for emergency treatment. While there is no guarantee that the positive correlation between emergency and elective activity will persist if policy is effective in reducing levels of elective treatment, it does suggest that the cost-saving benefits to the NHS from reducing elective treatment may not be as great in aggregate as anticipated.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.relation.ispartofseries Economics and Business Working Papers Series; 1582
dc.rights L'accés als continguts d'aquest document queda condicionat a l'acceptació de les condicions d'ús establertes per la següent llicència Creative Commons
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/es/
dc.title The effect of changing the number of elective hospital admissions on the levels of emergency provision
dc.title.alternative
dc.type info:eu-repo/semantics/workingPaper
dc.date.modified 2018-02-14T15:29:29Z
dc.subject.keyword health care services
dc.subject.keyword elective and emergency hospital admissions
dc.subject.keyword secondary care
dc.subject.keyword nhs
dc.subject.keyword dynamic panel data
dc.subject.keyword Labour, Public, Development and Health Economics
dc.subject.keyword Statistics, Econometrics and Quantitative Methods
dc.rights.accessRights info:eu-repo/semantics/openAccess

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