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Emergency department crowding: How valuable is GPs information?

Author

Listed:
  • Levaggi, Rosella
  • Marchiori, Carmen
  • Marchiori, Michela
  • Miniaci, Raffaele

Abstract

Can GPs referral reduce the inappropriate use of Emergency Departments (ED)? Our paper allows us to shed some light on this policy relevant issue by exploiting a unique dataset of 38,572 admission records from the province of Trento in 2018. The dataset contains, among other things, specific information on how the decision to visit the ED (i.e., was it the patient's own decision or was the visit based on the advice of their GP) was made.

Suggested Citation

  • Levaggi, Rosella & Marchiori, Carmen & Marchiori, Michela & Miniaci, Raffaele, 2025. "Emergency department crowding: How valuable is GPs information?," Social Science & Medicine, Elsevier, vol. 385(C).
    • Handle: RePEc:eee:socmed:v:385:y:2025:i:c:s0277953625009311
    DOI: 10.1016/j.socscimed.2025.118600
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    References listed on IDEAS

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    1. Livio Garattini & Alessandro Curto & Nick Freemantle, 2016. "Access to primary care in Italy: time for a shake-up?," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 17(2), pages 113-116, March.
    2. Pinchbeck, Edward W., 2019. "Convenient primary care and emergency hospital utilisation," Journal of Health Economics, Elsevier, vol. 68(C).
    3. Lippi Bruni, Matteo & Mammi, Irene & Ugolini, Cristina, 2016. "Does the extension of primary care practice opening hours reduce the use of emergency services?," Journal of Health Economics, Elsevier, vol. 50(C), pages 144-155.
    4. Iacus, Stefano M. & King, Gary & Porro, Giuseppe, 2012. "Causal Inference without Balance Checking: Coarsened Exact Matching," Political Analysis, Cambridge University Press, vol. 20(1), pages 1-24, January.
    5. Matteo Lippi Bruni & Cristina Ugolini & Rossella Verzulli & Anna Caterina Leucci, 2023. "The impact of Community Health Centers on inappropriate use of emergency services," Health Economics, John Wiley & Sons, Ltd., vol. 32(2), pages 375-394, February.
    6. Rosella Levaggi & Marcello Montefiori & Luca Persico, 2020. "Speeding up the clinical pathways by accessing emergency departments," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(1), pages 37-44, February.
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    Keywords

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    JEL classification:

    • C2 - Mathematical and Quantitative Methods - - Single Equation Models; Single Variables
    • H5 - Public Economics - - National Government Expenditures and Related Policies
    • I1 - Health, Education, and Welfare - - Health

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