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Does long-term care subsidisation reduce hospital admissions?

Costa-Font, Joan, Jiménez-Martínez, Sergi and Vilaplana, Cristina (2016) Does long-term care subsidisation reduce hospital admissions? CESifo working papers (6078). CESifo Group, Munich, Germany.

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Abstract

One of the intended effects of an integrated network of long-term care (LTC) services lies in the reduction of (unnecessary) health care utilisation. This paper draws upon the quasi-experimental evidence from Spain to examine the causal effect of the expansion of affordable long-term care (LTC) access (after the introduction of a new universal LTC subsidy) on hospital admissions (both on the internal and external margin) and its duration or length of stay (LOS). We find robust evidence of a reduction in both measures of hospitalisation among both those receiving a caregiving allowance and, though less intense, among beneficiaries of publicly funded home care (amounting to 11% of total hospital costs), and among regions coordinating health and social care. Consistently, a reduction in the subsidy is found to significantly attenuate such effects.

Item Type: Monograph (Working Paper)
Official URL: https://www.cesifo-group.de/ifoHome.html
Additional Information: © 2016 The Authors
Divisions: European Institute
Social Policy
Subjects: R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
JEL classification: H - Public Economics > H5 - National Government Expenditures and Related Policies > H53 - Government Expenditures and Welfare Programs
I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy; Regulation; Public Health
J - Labor and Demographic Economics > J1 - Demographic Economics > J14 - Economics of the Elderly; Economics of the Handicapped
Sets: Departments > European Institute
Departments > Social Policy
Collections > Economists Online
Research centres and groups > LSE Health and Social Care
Date Deposited: 30 Sep 2016 10:51
Last Modified: 20 Nov 2019 04:58
Projects: ECO2014-52238-R
Funders: Spanish Ministry of Economy
URI: http://eprints.lse.ac.uk/id/eprint/67911

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