Long-term returns to local health-care spending

Jakub Červený () and Jan C. van Ours ()
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Jakub Červený: Ministry of Health of the Slovak Republic
Jan C. van Ours: Erasmus University

The European Journal of Health Economics, 2025, vol. 26, issue 2, No 2, 153-182

Abstract: Abstract This paper investigates the effects of health-care spending on mortality rates of patients who experienced a heart attack. We relate in-hospital deaths to in-hospital spending and post-discharge deaths to post-discharge health-care spending. In our analysis, we use detailed administrative data on individual personal characteristics including comorbidities, information about the type of medical treatment and information about health-care expenses at the regional level. To account for potential selectivity in the region of health-care treatment we compare local patients with visitors and stayers with recent movers from a different region. We find that in regions with higher health-care spending mortality after heart attacks is substantially lower. From this we conclude that there are long-term returns to local health-care spending.

Keywords: Health-care spending; Heart attack; Mortality; Duration models (search for similar items in EconPapers)
JEL-codes: C41 H75 I11 I18 (search for similar items in EconPapers)
Date: 2025
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DOI: 10.1007/s10198-024-01695-x

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