Arbeitspapier
Do Market Incentives in the Hospital Industry Affect Subjective Health Perceptions? Evidence from the Italian PPS-DRG Reform
We exploit time variation across Italian Regions in the implementation of a prospective pay systems (PPS) for hospitals based on Diagnosis Related Groups (DRGs) to assess their impact on self-assessed health status and on the use of health care services. We consider a survey of more than 600,000 individuals, over the years 1993-2007, with information on both individuals' perceived health and their access to a number of health services. Results suggest that the introduction of market incentives via a fixed-price payment system does not lead to worst health perceptions. Instead, the reform marked a moderate decrease in hospitalization and day hospital treatments, coupled with a clear decrease in the access to emergency services. Results are robust to a number of sensitivity checks.
- Sprache
-
Englisch
- Erschienen in
-
Series: IZA Discussion Papers ; No. 8636
- Klassifikation
-
Wirtschaft
Analysis of Health Care Markets
Health: Government Policy; Regulation; Public Health
- Thema
-
health reforms
self-assessed health
- Ereignis
-
Geistige Schöpfung
- (wer)
-
Cappellari, Lorenzo
De Paoli, Anna
Turati, Gilberto
- Ereignis
-
Veröffentlichung
- (wer)
-
Institute for the Study of Labor (IZA)
- (wo)
-
Bonn
- (wann)
-
2014
- Handle
- Letzte Aktualisierung
-
10.03.2025, 11:44 MEZ
Datenpartner
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.
Objekttyp
- Arbeitspapier
Beteiligte
- Cappellari, Lorenzo
- De Paoli, Anna
- Turati, Gilberto
- Institute for the Study of Labor (IZA)
Entstanden
- 2014
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