Does the extension of primary care practice opening hours reduce the use of emergency services?

Lippi Bruni, Matteo ; Mammi, Irene ; Ugolini, Cristina (2014) Does the extension of primary care practice opening hours reduce the use of emergency services? Bologna: Dipartimento di Scienze economiche DSE, p. 31. DOI 10.6092/unibo/amsacta/4109. In: Quaderni - Working Paper DSE (978). ISSN 2282-6483.
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Abstract

Over-crowding in Emergency Departments (EDs) generates potential inefficiencies. Using regional administrative data, we investigate the impact of an increase in the accessibility of primary care on ED visits in Italy. We test whether extending practice opening hours up to 12 hours/day reduces inappropriate ED visits. We estimate count data models, considering different measures for ED visits recorded at the list level. Since the extension programme is voluntary, we also account for the potential endogeneity of participation, using a two-stage residual inclusion and a GMM approach. Our results show that improving primary care accessibility favours a more appropriate use of EDs.

Abstract
Document type
Monograph (Working Paper)
Creators
CreatorsAffiliationORCID
Lippi Bruni, Matteo
Mammi, Irene
Ugolini, Cristina
Keywords
count data models, emergency services, GMM, health econometrics, primary care, two-stage residual inclusion
Subjects
ISSN
2282-6483
DOI
Deposit date
14 Nov 2014 09:00
Last modified
16 Mar 2015 14:14
URI

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