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Austerity, Healthcare Provision, and Health Outcomes in Spain
dc.contributor.author | Borra, Cristina | |
dc.contributor.author | Pons Pons, Jerònia | |
dc.contributor.author | Vilar Rodríguez, Margarita | |
dc.date.accessioned | 2024-04-12T06:46:12Z | |
dc.date.available | 2024-04-12T06:46:12Z | |
dc.date.issued | 2020 | |
dc.identifier.citation | Borra, C., Pons-Pons, J. & Vilar-Rodríguez, M. (2020). Austerity, healthcare provision, and health outcomes in Spain. The European Journal of Health Economics, 21(3), 409–423. 10.1007/s10198-019-01141-3 | es_ES |
dc.identifier.issn | 1618-7598 | |
dc.identifier.uri | http://hdl.handle.net/2183/36158 | |
dc.description.abstract | [Abstract]: The recession that started in the United States in December 2007 has had a significant impact on the Spanish economy through a large increase in the unemployment rate and a long recession which led to tough austerity measures imposed on public finances. Taking advantage of this quasi-natural experiment, we use data from the Spanish Ministry of Health from 1996 to 2015 to provide novel causal evidence on the short-term impact of healthcare provision on health outcomes. The fact that regional governments have discretionary powers in deciding healthcare budgets and that austerity measures have not been implemented uniformly across Spain helps isolate the impact of these policy changes on health indicators of the Spanish population. Using Ruhm’s (2000) fixed effects model, we find that medicalstaff and hospital bed reductions account for a significant increase in mortality rates from circulatory diseases and external causes, but not from other causes of death. Similarly, mortality rates do not seem to be robustly affected by the 2012 changes in retirees’ pharmaceutical co-payments and access restrictions for illegal immigrants. Our results are robust to changes in model specification and sample selection and are primarily driven by accidental and emergency deaths rather than in-hospital mortality, which suggests a larger role for decreases in accessibility rather than decreases in healthcare quality as impact channels. | es_ES |
dc.description.sponsorship | This work was supported by the Spanish Ministry of Economy and Competitiveness, under the projects entitled ‘The historical keys of hospital development in Spain and its international comparison during the twentieth century’ [Ref. RTI2018-094676-B-I00] and ‘Parental Background and Inequality in Children’s Outcomes’ [Ref. RTI2018-098217-B-I00]. | es_ES |
dc.language.iso | eng | es_ES |
dc.publisher | Springer | es_ES |
dc.relation | info:eu-repo/grantAgreement/AEI/ Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020/ RTI2018-094676-B-I00/ES/LAS CLAVES HISTORICAS DEL DESARROLLO HOSPITALARIO EN ESPAÑA Y SU COMPARACION INTERNACIONAL DURANTE EL SIGLO XX | es_ES |
dc.relation | info:eu-repo/grantAgreement/AEI/ Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020/RTI2018-098217-B-I00/ES/ ANTECEDENTES PARENTALES Y DESIGUALDADES DE LOS HIJOS | es_ES |
dc.relation.uri | 10.1007/s10198-019-01141-3 | es_ES |
dc.subject | Healthcare provision | es_ES |
dc.subject | Mortality | es_ES |
dc.subject | Health cuts | es_ES |
dc.title | Austerity, Healthcare Provision, and Health Outcomes in Spain | es_ES |
dc.type | info:eu-repo/semantics/article | es_ES |
dc.rights.access | info:eu-repo/semantics/openAccess | es_ES |
UDC.journalTitle | The European Journal of Health Economics | es_ES |
UDC.volume | 21 | es_ES |
UDC.issue | 3 | es_ES |
UDC.startPage | 409 | es_ES |
UDC.endPage | 423 | es_ES |
dc.identifier.doi | 10.1007/s10198-019-01141-3 |
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