The role of home healthcare in reducing hospital readmissions and costs in patients with acute myocardial infarction

Irina Mozhaeva and Juris Barzdins

International Journal of Computational Economics and Econometrics, 2024, vol. 14, issue 2, 151-171

Abstract: The aim of this study is to examine the causal effects of post-discharge home healthcare services on hospital readmissions and public inpatient expenditure in the older myocardial infarction patient cohort. We employ individual-level administrative healthcare data and apply the dynamic difference-in-differences approach to estimate the contemporaneous and post-intervention causal effects of homecare. The results suggest that post-acute home healthcare provided to myocardial infarction survivors has a strong prolonged negative (i.e., favourable) effect on the probability of hospital readmissions and related costs. The patterns of the post-intervention effect point to considerable health improvements in patients referred to domiciliary care compared to their counterparts discharged with self-care. The indicated benefits of home healthcare provide grounds for reconsidering current eligibility criteria of this public program and expanding its coverage in the myocardial infarction patient cohort.

Keywords: home healthcare; acute myocardial infarction; readmissions; public inpatient expenditure; average treatment effect; ATE. (search for similar items in EconPapers)
Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:ids:ijcome:v:14:y:2024:i:2:p:151-171

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