How Local is Hospital Treatment? An Exploratory Analysis of Public/Private Variation in Location of Treatment in Irish Acute Public Hospitals
AbstractThis paper undertakes an exploratory examination of the factors that affect where patients receive treatment from Irish acute public hospitals, with particular regard to the influence of patients? public/private status. National univariate statistics indicate that private discharged patients are slightly more likely to be treated outside their county of residence than their public counterparts. A multivariate model necessarily estimated at the county level provides indirect support for this finding for the category of day patients, but not for planned and emergency in-patients. The effects of the other patient characteristics also varied across the three models, although there was consistency in the impact of supply-side factors, such as the type and availability of services. As there appears to be some tendency for private day patients to have a slightly greater propensity to travel for acute public hospital treatment, further research is required to identify the reasons for this, as well as the consequences for public and private patients resident in the source and destination counties.
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Bibliographic InfoPaper provided by Economic and Social Research Institute (ESRI) in its series Papers with number WP237.
Length: 43 pages
Date of creation: May 2008
Date of revision:
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- Miriam M. Wiley, 2005. "The Irish health system: developments in strategy, structure, funding and delivery since 1980," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages S169-S186.
- Diane Dawson & Rowena Jacobs & Steve Martin & Peter Smith, 2004. "Is Patient Choice an Effective Mechanism to Reduce Waiting Times?," Applied Health Economics and Health Policy, Springer Healthcare | Adis, vol. 3(4), pages 195-203.
- Garrett, Shane & Mathieu, Catherine & Nolan, Anne & Nolan, Brian & Sterdyniak, Henri, 2004. "Budget Perspectives 2005," Research Series, Economic and Social Research Institute (ESRI), number BMI176 edited by Callan, Tim & Doris, Aedin & McCoy, Daniel.
- Colm Harmon & Brian Nolan, 2001. "Health insurance and health services utilization in Ireland," Health Economics, John Wiley & Sons, Ltd., vol. 10(2), pages 135-145.
- Francesca Colombo & Nicole Tapay, 2004. "Private Health Insurance in Ireland: A Case Study," OECD Health Working Papers 10, OECD Publishing.
- Richard Layte, 2007. "Equity in the Utilisation of Hospital Inpatient Services in Ireland? An Improved Approach to the Measurement of Health Need," The Economic and Social Review, Economic and Social Studies, vol. 38(2), pages 191-210.
- Stephen G. Donald & Kevin Lang, 2007. "Inference with Difference-in-Differences and Other Panel Data," The Review of Economics and Statistics, MIT Press, vol. 89(2), pages 221-233, May.
- Carol Propper & Deborah Wilson & Simon Burgess, 2005.
"Extending Choice In English Health Care: The implications of the economic evidence,"
The Centre for Market and Public Organisation
05/133, Department of Economics, University of Bristol, UK.
- Burgess, Simon & Propper, Carol & Wilson, Deborah, 2005. "Extending Choice In English Health Care: The implications of the economic evidence," CEPR Discussion Papers 5328, C.E.P.R. Discussion Papers.
- Leslie E. Papke & Jeffrey M. Wooldridge, 1993.
"Econometric Methods for Fractional Response Variables with an Application to 401(k) Plan Participation Rates,"
NBER Technical Working Papers
0147, National Bureau of Economic Research, Inc.
- Papke, Leslie E & Wooldridge, Jeffrey M, 1996. "Econometric Methods for Fractional Response Variables with an Application to 401(K) Plan Participation Rates," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 11(6), pages 619-32, Nov.-Dec..
- Luigi Siciliani, 2005. "Does more choice reduce waiting times?," Health Economics, John Wiley & Sons, Ltd., vol. 14(1), pages 17-23.
- Moulton, Brent R, 1990. "An Illustration of a Pitfall in Estimating the Effects of Aggregate Variables on Micro Unit," The Review of Economics and Statistics, MIT Press, vol. 72(2), pages 334-38, May.
- Nolan, Brian, 2004. "Health Insurance in Ireland: Issues and Challenges," Papers HRBWP10, Economic and Social Research Institute (ESRI).
- Propper, Carol & Burgess, Simon & Green, Katherine, 2004. "Does competition between hospitals improve the quality of care?: Hospital death rates and the NHS internal market," Journal of Public Economics, Elsevier, vol. 88(7-8), pages 1247-1272, July.
- Nolan, Anne, 2011. "An extension in eligibility for free primary care and avoidable hospitalisations: A natural experiment," Social Science & Medicine, Elsevier, vol. 73(7), pages 978-985.
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