Does long-term care subsidisation reduce unnecessary hospitalisations?

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• dc.contributor.author Costa-Font, Joanca
• dc.contributor.author Jiménez-Martín, Sergica
• dc.contributor.author Vilaplana Prieto, Cristinaca
• dc.contributor.other Universitat Pompeu Fabra. Departament d'Economia i Empresa
• dc.date.accessioned 2017-07-26T12:08:00Z
• dc.date.available 2017-07-26T12:08:00Z
• dc.date.issued 2016-09-01
• dc.date.modified 2017-07-23T02:17:45Z
• dc.description.abstract The expansion of long-term care (LTC) coverage may improve health system efficiency by reducing hospitalisations (bed-blocking), and pave the way for the implementation of health and social care coordination plans. We draw upon the quasi-experimental evidence from the main expansion of long term care increase subsidisation in Spain in 2007 to examine the causal effect of the expansion of LTC subsidisation and coordination on hospitalisations (both on the internal and external margin) and the hospital length of stay. In addition, we examine the 2012 austerity budget cuts that reduced the subsidy. We find robust evidence of a reduction in hospitalisations and the length of stay after the expansion of LTC subsidisation. However, the reduction in hospitalisations is heterogeneous to the existence of health and social care coordination plans and type of subsidy. Overall, we estimate savings related to hospitalisations of up to 11% of total hospital costs. Consistently, subsidy reduction is found to attenuate bed-blocking gains.
• dc.format.mimetype application/pdfca
• dc.identifier https://econ-papers.upf.edu/ca/paper.php?id=1535
• dc.identifier.uri http://hdl.handle.net/10230/27328
• dc.language.iso eng
• dc.relation.ispartofseries Economics and Business Working Papers Series; 1535
• 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 hospitalisation
• dc.subject.keyword long-term care reform
• dc.subject.keyword spain
• dc.subject.keyword bed-blocking
• dc.subject.keyword hurdle poisson model.
• dc.subject.keyword Labour, Public, Development and Health Economics
• dc.subject.keyword Statistics, Econometrics and Quantitative Methods
• dc.title Does long-term care subsidisation reduce unnecessary hospitalisations?ca
• dc.type info:eu-repo/semantics/workingPaper