Home Care, Hospitalizations, and Doctor Visits

نویسندگان

  • Judite Gonçalves
  • France Weaver
چکیده

This study estimates the effects of formal home care on hospitalizations and doctor visits. We compare the effects of medicallyand non-medically-related home care and investigate heterogeneous effects by age group and informal care availability. Two-part models are estimated, using data from Switzerland. In this federal country, home care policy is decentralized into cantons (i.e. states). The endogeneity of home care is addressed by using instrumental variables, canton and time fixed effects. We instrument canton-level home care use with home care prices and education expenditures. While medically-related home care reduces length of stay below 60 days, non-medically-related home care increases stays beyond 10 days. Non-medically-related home care also reduces the number of GP visits. However, all these effects are small. Both types of home care tend to have stronger effects among the 65+ and those with informal care available in their household.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Home Health Care: The Necessity in the Health Policy of Iran

    Home health care is a wide range of health care services that can be given in your home for an illness or injury (1). During last decade, home health care is taken into consideration seriously. The concept of home health care began in the 1850's when traveling health care professionals provided in-home visits to patients in need of health care and unable to seek such care on their own (2). ...

متن کامل

Early and periodic screening, diagnosis, and treatment and infant health outcomes in Medicaid-insured infants in South Carolina.

OBJECTIVES To test the hypothesis that infants experiencing the recommended number of early and periodic screening, diagnosis, and treatment (EPSDT) visits have better health outcomes than infants with fewer visits. STUDY DESIGN Data represent all health encounters for Medicaid-insured infants of mothers aged at least 18 years in South Carolina, from 2000 to 2002, who were continuously enroll...

متن کامل

Integrated care at home reduces unnecessary hospitalizations of community-dwelling frail older adults: a prospective controlled trial

BACKGROUND Care of frail and dependent older adults with multiple chronic conditions is a major challenge for health care systems. The study objective was to test the efficacy of providing integrated care at home to reduce unnecessary hospitalizations, emergency room visits, institutionalization, and mortality in community dwelling frail and dependent older adults. METHODS A prospective contr...

متن کامل

Emergency department visits and hospitalizations by tube-fed nursing home residents with varying degrees of cognitive impairment: a national study

BACKGROUND Numerous studies indicate that the use of feeding tubes (FT) in persons with advanced cognitive impairment (CI) does not improve clinical outcomes or survival, and results in higher rates of hospitalization and emergency department (ED) visits. It is not clear, however, whether such risk varies by resident level of CI and whether these ED visits and hospitalizations are potentially p...

متن کامل

Changes in health care inequity in Brazil between 2008 and 2013

BACKGROUND Brazil has made progress towards a more equitable distribution of health care, but gains may be threatened by economic instability resulting from the 2008 global financial crisis. This study measured predictors of health care utilization and changes in horizontal inequity between 2008 and 2013. METHOD Data were from two nationally representative surveys that measured a variety of s...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2014