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
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Englisch
- Erschienen in
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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
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Objekttyp
- Arbeitspapier
Beteiligte
- Bancalari, Antonella
- Bernal, Pedro
- Celhay, Pablo
- Martinez, Sebastian
- Sánchez, Maria Deni
- Institute of Labor Economics (IZA)
Entstanden
- 2023