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, Sergica
• dc.contributor.author Nicodemo, Catiaca
• dc.contributor.author Redding, Stuartca
• 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.date.modified 2018-02-14T15:29:29Z
• 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/pdfca
• 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.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.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/es/
• 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.title The effect of changing the number of elective hospital admissions on the levels of emergency provisionca
• dc.title.alternative
• dc.type info:eu-repo/semantics/workingPaper