Effects of long-term care benefits on healthcare utilization in Catalonia.

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Publisher: Elsevier B.V.
Document Type: Report
Length: 399 words

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Keywords Long-term care; Healthcare use; Avoidable hospital admissions; Non-scheduled healthcare Abstract This paper estimates effects of long-term care (LTC) benefits on utilization of primary and secondary healthcare in Catalonia (Spain). Identification comes from plausibly exogenous variation in the leniency of LTC needs assessment. We estimate that receiving LTC benefits worth 365 euros per month, on average, reduces the probability of avoidable hospital admissions by 66%, and has no significant effect on planned hospitalisations nor on hospitalisation for any reason. Receiving LTC benefits is estimated to reduce unscheduled primary care visits by 44% and has no significant effect on scheduled visits. These findings have important policy implications suggesting that allocating resources to LTC may not only increase the welfare of LTC beneficiaries but also reduce avoidable and unscheduled utilisation of healthcare. Author Affiliation: (a) Dondena Research Centre, Bocconi University, Italy (b) Center for Research in Health and Economics (CRES), Universitat Pompeu Fabra, Spain (c) School of Business and Social Science, Tecnocampus Universitat Pompeu Fabra, Spain (d) Department of Economics, University of Verona, Italy (e) Nuffield Department of Primary Care Health Sciences, University of Oxford, UK * Corresponding author at: Dondena Research Centre, Bocconi University, Italy. Article History: Received 23 July 2021; Revised 16 May 2022; Accepted 29 May 2022 (footnote)â° We thank the reviewers and the Editor for providing very valuable comments. We also thank participants of 7th IRDES-DAUPHINE Workshop, XXVIII Encuentro de Economía Pública and XXXVII Jornadas AES, CRES-UPF members, and Julian Perelman for their valuable comments and suggestions. We thank the Catalan Government Department of Work, Social Affairs and Family and AQuAS for providing us the data. MSA was supported by a PhD Grant (PD/BD/128,080/2016) from Fundação para a Ciência e a Tecnologia. CN receives funding from the Economic and Social Research Council [grant number ES/T008415/1] and from the National Institute for Health Research Applied Research Collaboration Oxford and Thames Valley at Oxford Health NHS Foundation Trust. The views expressed in this publication are those of the authors and not necessarily those of the NIHR. HHP and GLC acknowledge financial support from the `Obra Social La Caixa', the Agencia Estatal de Investigación (AEI) (project ECO2012--37,496) and Fondo Europeo de Desarrollo Regional (FEDER)(project ECO2017--88,609-R). The usual disclaimer applies. Funders and data provider institutions had no role in the design, analysis and conclusions of the study. Byline: Manuel Serrano-Alarcón [manuel.serrano@unibocconi.it] (a,b,*), Helena Hernández-Pizarro (b,c), Guillem López-Casasnovas (b), Catia Nicodemo (b,d,e)

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Gale Document Number: GALE|A709525737