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Place or patient as...
Place or patient as the driver of regional variation in healthcare spending – Discrepancies by category of care
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- Johansson, Naimi, 1988- (author)
- Gothenburg University,Göteborgs universitet,Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,University Health Care Research Center,Örebro University, Sweden; University of Gothenburg, Sweden,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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- Jakobsson, Niklas, Professor, 1981- (author)
- Karlstads universitet,Handelshögskolan (from 2013),Karlstad Business School, Karlstad University, Sweden
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- Svensson, Mikael, 1980 (author)
- Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine
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(creator_code:org_t)
- Elsevier, 2024
- 2024
- English.
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In: Social Science and Medicine. - : Elsevier. - 0277-9536 .- 1873-5347. ; 342
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Abstract
Subject headings
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- We study how much regional variation in healthcare spending is driven by place- and patient-specific factors using a random sample of 53,620 regional migrants in Sweden. We find notable differences depending on the category of care, with place-specific factors having a significantly larger impact on specialized outpatient care compared to inpatient and pharmaceutical care. The place effect is estimated to 75% of variation in specialized outpatient care, but 26% or less in variations in inpatient care, and 5% in prescription drug spending. We also find that the empirical estimator has a substantial impact on the estimates of the place-specific effect. The results based on the traditional approach in the literature with two-way fixed effects and event-study models produce much larger estimates of the place-specific effect compared to results based on recently developed heterogeneity-robust models. For total healthcare spending, the traditional two-way fixed effects model estimates a place effect of 78%, while the heterogeneity-robust estimator finds a place effect around 10%. This finding indicates that previous results in this literature, all based on traditional two-way fixed-effects regressions, should be interpreted with care.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Healthcare spending
- Regional variation
- Movers
- Event study
- Two-way fixed effects
- Economics
- Nationalekonomi
- Event study
- Healthcare spending
- Movers
- Regional variation
- Two-way fixed effects
Publication and Content Type
- ref (subject category)
- art (subject category)
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