Long-Term Returns to Local Health-Care Spending

56 Pages Posted: 3 Oct 2022

See all articles by Jakub Cerveny

Jakub Cerveny

affiliation not provided to SSRN

Jan C. van Ours

Tinbergen Institute


This paper investigates the effects of health-care spending on mortality rates of patients who experienced a heart attack. We relate in-hospital deaths to in-hospital end-of-life spending and post-discharge deaths to post-discharge health-care spending. In our analysis, we use detailed administrative data on individual personal characteristics including comorbidities, information about the type of medical treatment and information about health-care expenses at the regional level. To account for potential selectivity in the region of health-care treatment we compare local patients with visitors and stayers with recent movers from a different region. We find that in regions with higher health-care spending mortality after heart attacks is substantially lower. From this we conclude that there are long-term returns to local health-care spending.

Keywords: Health-care spending, heart attack, mortality, duration models

Suggested Citation

Cerveny, Jakub and van Ours, Jan C., Long-Term Returns to Local Health-Care Spending. Available at SSRN: https://ssrn.com/abstract=4236159 or http://dx.doi.org/10.2139/ssrn.4236159

Jakub Cerveny (Contact Author)

affiliation not provided to SSRN ( email )

No Address Available

Jan C. Van Ours

Tinbergen Institute ( email )

Burg. Oudlaan 50
Rotterdam, 3062 PA

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