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The side effects on health of a recovery plan in Italy: A nonparametric bounding approach

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  • Depalo, Domenico

Abstract

This paper estimates the causal effects on health-related outcomes of recovery plans that were implemented in some Italian regions in the period 2007–12. Using administrative data, for regions that underwent the program the paper estimates negative effects on hospitalization and (to some extent) mortality rates, without gains in terms of efficiency. The lower the reduction of expenditures, the less severe the consequences on health outcomes. Since the assumptions required by standard methods do not hold for this analysis, the main contribution of the paper is the application of bounds, that are valid under mild conditions.

Suggested Citation

  • Depalo, Domenico, 2019. "The side effects on health of a recovery plan in Italy: A nonparametric bounding approach," Regional Science and Urban Economics, Elsevier, vol. 78(C).
  • Handle: RePEc:eee:regeco:v:78:y:2019:i:c:s0166046218304836
    DOI: 10.1016/j.regsciurbeco.2019.103466
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    Citations

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    Cited by:

    1. Massimo Bordignon & Silvia Coretti & Massimiliano Piacenza & Gilberto Turati, 2020. "Hardening subnational budget constraints via administrative subordination: The Italian experience of recovery plans in regional health services," Health Economics, John Wiley & Sons, Ltd., vol. 29(11), pages 1378-1399, November.
    2. Guccio, C. & Pignatora, G. & Vidoli, F., 2023. "It never rains but it pours: Austerity and mortality rate in peripheral areas," Health, Econometrics and Data Group (HEDG) Working Papers 23/02, HEDG, c/o Department of Economics, University of York.
    3. Cristian Barra & Raffaele Lagravinese & Roberto Zotti, 2022. "Exploring hospital efficiency within and between Italian regions: new empirical evidence," Journal of Productivity Analysis, Springer, vol. 57(3), pages 269-284, June.
    4. Cirulli, Vanessa & Marini, Giorgia, 2023. "Are austerity measures really distressing? Evidence from Italy," Economics & Human Biology, Elsevier, vol. 49(C).
    5. Alessandra Cepparulo & Luisa Giuriato, 2022. "The residential healthcare for the elderly in Italy: some considerations for post-COVID-19 policies," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 23(4), pages 671-685, June.
    6. Depalo, Domenico, 2023. "Should the Daylight Saving Time be abolished? Evidence from work accidents in Italy," Economic Modelling, Elsevier, vol. 128(C).
    7. Guccio, C.; & Pignataro, G.; & Romeo, D.; & Vidoli, F.;, 2022. "Is austerity good for efficiency, at least? A counterfactual assessment for the Italian NHS," Health, Econometrics and Data Group (HEDG) Working Papers 22/28, HEDG, c/o Department of Economics, University of York.
    8. Emanuele Arcà & Francesco Principe & Eddy Van Doorslaer, 2020. "Death by austerity? The impact of cost containment on avoidable mortality in Italy," Health Economics, John Wiley & Sons, Ltd., vol. 29(12), pages 1500-1516, December.

    More about this item

    Keywords

    Hospitalization; Mortality; Health outcomes; Policy evaluation; Bounds;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • C21 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables - - - Cross-Sectional Models; Spatial Models; Treatment Effect Models

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