000 02247nab a2200301 c 4500
003 ES-MaIEF
005 20180516142527.0
007 t|
008 180516s2018 ne ||||| |||| 00| 0 eng d
040 _aES-MaIEF
_bspa
_cES-MaIEF
041 _aeng
100 1 _93814
_aCosta Font, Joan
245 0 _aDoes long-term care subsidization reduce hospital admissions and utilization ?
_cJoan Costa-Font, Sergi Jiménez-Martín, Cristina Vilaplana
260 _c2018
500 _aDisponible únicamente en formato electrónico.
500 _aResumen.
520 _aWe use quasi-experimental evidence on the expansion of the public subsidization of long-term care toexamine the causal effect of a change in caregiving affordability on the delivery of hospital care. Morespecifically, we examine a reform that both introduced a new caregiving allowance and expanded theavailability of publicly funded home care services, on both hospital admissions (both on the internal andexternal margin) and length of stay. We find robust evidence of a reduction in both hospital admissionsand utilization among both those receiving a caregiving allowance and, albeit less intensely, among ben-eficiaries of publicly funded home care, which amounts to 11% of total healthcare costs. These effectswere stronger when regions had an operative regional health and social care coordination plan in place.Consistently, a subsequent reduction in the subsidy, five years after its implementation, is found to sig-nificantly attenuate such effects. We investigate a number of potential mechanisms, and show a numberof falsification and robustness checks.
650 4 _945452
_aHOSPITALES
650 4 _963760
_aCUIDADOS DE LARGA DURACIÓN
650 4 _944260
_aFINANCIACION
650 4 _941092
_aESPAÑA
650 4 _947776
_aMODELOS ECONOMETRICOS
700 1 _922858
_aJiménez Martín, Sergi
700 1 _951040
_aVilaplana Prieto, Cristina
773 0 _9156254
_oOP 1587/2018/58
_tJournal of Health Economics
_w(IEF)21327
_x 0167-6296
_g n. 58, 2018, p. 43-66
856 _uhttps://ac.els-cdn.com/S0167629617302540/1-s2.0-S0167629617302540-main.pdf?_tid=f8139b4b-5e4e-45fe-851c-27c974ced705&acdnat=1526473232_1f15cece59c81562180ee22cb8563af6
942 _2udc
_cART
999 _c138047
_d138047