Analyzing the 20-year declining trend of hospital length-of-stay in European countries with different healthcare systems and reimbursement models

Davide Golinelli, Francesco Sanmarchi (), Fabrizio Toscano, Andrea Bucci and Nicola Nante
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Davide Golinelli: Alma Mater Studiorum - University of Bologna
Francesco Sanmarchi: Alma Mater Studiorum - University of Bologna
Fabrizio Toscano: Montefiore Medical Center
Andrea Bucci: University of Macerata
Nicola Nante: University of Siena

International Journal of Health Economics and Management, 2024, vol. 24, issue 3, No 3, 375-392

Abstract: Abstract The study aims to investigate the last 20-year (2000–2019) of hospital length of stay (LOS) trends and their association with different healthcare systems (HS) among 25 European countries. A panel dataset was created using secondary data from Eurostat and Global Burden of Disease study databases, with dependent and control variables aggregated at the national level over a period of 20 years. A time trend analysis was conducted using a weighted least squares model for panel data to investigate the association between LOS, HS models [National Health Service (NHS), National Health Insurance, Social Health Insurance (SHI), and Etatist Social Health Insurance], healthcare reimbursement schemes [Prospective Global Budget (PGB), Diagnosis Related Groups (DRG), and Procedure Service Payment (PSP)], and control variables. The study showed a reduction of average LOS from 9.20 days in 2000 to 7.24 in 2019. SHI was associated with a lower LOS compared to NHS (b = − 0.6327, p

Keywords: Length of stay; Healthcare systems; Utilization of services; Comparative health systems; Healthcare model (search for similar items in EconPapers)
JEL-codes: I18 (search for similar items in EconPapers)
Date: 2024
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DOI: 10.1007/s10754-024-09369-0

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