Červený Jakub, Ours Jan C van
Institute for Health Care Analyses, Ministry of Health of the Slovak Republic, Bratislava, Slovakia.
National Health Information Center, Bratislava, Slovakia.
Eur J Health Econ. 2025 Mar;26(2):153-182. doi: 10.1007/s10198-024-01695-x. Epub 2024 May 18.
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.
本文研究了医疗保健支出对心脏病发作患者死亡率的影响。我们将住院死亡与住院支出相关联，将出院后死亡与出院后的医疗保健支出相关联。在我们的分析中，我们使用了关于个人特征（包括合并症）的详细行政数据、有关医疗治疗类型的信息以及区域层面的医疗保健费用信息。为了考虑医疗保健治疗地区的潜在选择性，我们将当地患者与访客进行比较，并将长期居住者与刚从不同地区搬来的新居住者进行比较。我们发现，在医疗保健支出较高的地区，心脏病发作后的死亡率显著较低。由此我们得出结论，当地医疗保健支出存在长期回报。
