Arbeitspapier

An Ounce of Prevention for a Pound of Cure: Efficiency of Community-Based Healthcare

We study the efficiency in health systems generated by community health teams, a common strategy in low- and middle-income countries for primary healthcare delivery. We exploit the rollout of a nation-wide expansion of coverage to this model in El Salvador. Using a panel dataset of municipalities spanning 2009-2018 from consultation and hospital records of almost 4 million episodes, we show that investing in community-based healthcare, which relied on less-specialized health workers, led to a more efficient allocation of care. Preventive care increased and curative care and hospitalizations from preventable conditions decreased, while coverage in curative care for previously unattended chronic diseases increased.

Sprache
Englisch

Erschienen in
Series: IZA Discussion Papers ; No. 16350

Klassifikation
Wirtschaft
Health and Economic Development
Health: Government Policy; Regulation; Public Health
Taxation and Subsidies: Efficiency; Optimal Taxation
National Government Expenditures and Health
Thema
community-based healthcare
efficiency
access

Ereignis
Geistige Schöpfung
(wer)
Bancalari, Antonella
Bernal, Pedro
Celhay, Pablo
Martinez, Sebastian
Sánchez, Maria Deni
Ereignis
Veröffentlichung
(wer)
Institute of Labor Economics (IZA)
(wo)
Bonn
(wann)
2023

Handle
Letzte Aktualisierung
10.03.2025, 11:45 MEZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.

Objekttyp

  • Arbeitspapier

Beteiligte

  • Bancalari, Antonella
  • Bernal, Pedro
  • Celhay, Pablo
  • Martinez, Sebastian
  • Sánchez, Maria Deni
  • Institute of Labor Economics (IZA)

Entstanden

  • 2023

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