The closer the better: does better access to outpatient care prevent hospitalization?
Péter Elek (),
Tamás Molnár () and
Additional contact information
Péter Elek: Eötvös Loránd University (ELTE)
Tamás Molnár: Budapest Institute for Policy Analysis
The European Journal of Health Economics, 2019, vol. 20, issue 6, No 3, 817 pages
Abstract In 2010–2012, new outpatient service locations were established in poor Hungarian micro-regions. We exploit this quasi-experiment to estimate the extent of substitution between outpatient and inpatient care. Fixed-effects Poisson models on individual-level panel data for years 2008–2015 show that the number of outpatient visits increased by 19% and the number of inpatient stays decreased by 1.6% as a result, driven by a marked reduction of potentially avoidable hospitalization (PAH) (5%). In our dynamic specification, PAH effects occur in the year after the treatment, whereas non-PAH only decreases with a multi-year lag. The instrumental variable estimates suggest that a one euro increase in outpatient care expenditures produces a 0.6 euro decrease in inpatient care expenditures. Our results (1) strengthen the claim that bringing outpatient care closer to a previously underserved population yields considerable health benefits, and (2) suggest that there is a strong substitution element between outpatient and inpatient care.
Keywords: Administrative panel data; Inpatient care; Outpatient care; Potentially avoidable hospitalization; Quasi-experiment; Substitution (search for similar items in EconPapers)
JEL-codes: C23 C26 I10 (search for similar items in EconPapers)
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1) Track citations by RSS feed
Downloads: (external link)
http://link.springer.com/10.1007/s10198-019-01043-4 Abstract (text/html)
Access to the full text of the articles in this series is restricted.
Working Paper: The closer the better: does better access to outpatient care prevent hospitalization? (2018)
This item may be available elsewhere in EconPapers: Search for items with the same title.
Export reference: BibTeX
RIS (EndNote, ProCite, RefMan)
Persistent link: https://EconPapers.repec.org/RePEc:spr:eujhec:v:20:y:2019:i:6:d:10.1007_s10198-019-01043-4
Ordering information: This journal article can be ordered from
http://www.springer. ... cs/journal/10198/PS2
Access Statistics for this article
The European Journal of Health Economics is currently edited by J.-M.G.v.d. Schulenburg
More articles in The European Journal of Health Economics from Springer, Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ) Contact information at EDIRC.
Bibliographic data for series maintained by Sonal Shukla ().