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Exploring the spatial pattern in hospital admissions

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  • Bech, Mickael
  • Lauridsen, Jørgen

Abstract

The determinants for the number of inpatient hospital admissions across Danish municipalities are analysed using balanced panel data from the period 1998-2004. The determinants include socio-demographic variables, home help service, residential homes capacity, proxy variables for morbidity, utilisation of primary care services, accessibility of hospitals and a number of other factors. Panel effects in the form of intra-municipal correlation and heterogeneity across years are controlled for. Spatial spillover effects across municipalities will be investigated in order to disclose the spatial dynamics of hospital admissions. Reverse causalities among the number of hospital admissions and certain health systems characteristics are further controlled for. The results are shown to be highly sensitive to such adjustments, as the effects of determinants - including those over which the municipalities exert some control - are seriously overestimated if such features are ignored.

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Bibliographic Info

Article provided by Elsevier in its journal Health Policy.

Volume (Year): 87 (2008)
Issue (Month): 1 (July)
Pages: 50-62

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Handle: RePEc:eee:hepoli:v:87:y:2008:i:1:p:50-62

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Web page: http://www.elsevier.com/locate/healthpol

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Cited by:
  1. Peter Eibich & Nicolas R. Ziebarth, 2013. "Examining the Structure of Spatial Health Effects in Germany Using Hierarchical Bayes Models," SOEPpapers on Multidisciplinary Panel Data Research 620, DIW Berlin, The German Socio-Economic Panel (SOEP).
  2. Arnab Bhattacharjee & Taps Maiti & Dennis Petrie, 2014. "Spatial structures of health outcomes and health behaviours in Scotland: Evidence from the Scottish Health Survey," SEEC Discussion Papers 1401, Spatial Economics and Econometrics Centre, Heriot Watt University.
  3. Helmut Herwartz & Christoph Strumann, 2014. "Hospital efficiency under prospective reimbursement schemes: an empirical assessment for the case of Germany," The European Journal of Health Economics, Springer, vol. 15(2), pages 175-186, March.

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