Dynamic Patterns and Small-Area Variation in Hospital Admissions

18 Pages Posted: 11 Jun 2007

See all articles by Mickael Bech

Mickael Bech

University of Southern Denmark, COHERE

Jorgen Lauridsen

Centre of Health Economics Research, Department of Business and Economics; University of Southern Denmark - Department of Business and Economics

Abstract

The determinants for the number of inpatient hospital admissions across Danish municipalities are analysed using balanced panel data from the period 1991-2004. The determinants include socio-demographic variables, home help service, residential homes capacity, proxy variables for morbidity, utilization of primary care services, accessibility of hospitals and a number of other factors. Heterogeneity between municipalities will be controlled for and spatial spillover effects across municipalities will be explored in order to disclose the spatial dynamics of hospital admissions. The results reveal substantial heterogeneity and dependency across time, as well as presence of a significant spatial spillover effect. The effects of determinants - including those over which the municipalities exert some control - are seriously overestimated if such features are ignored. The results further imply that the number of hospital admissions is of a large area or supra-area nature which cannot be fully ascribed to a uniform treatment policy in the municipalities of a county.

Keywords: small-area variation; spatial spillover; spatial autoregression; hospitals admissions

JEL Classification: I11, L65, R15, C21, C23

Suggested Citation

Bech, Mickael and Lauridsen, Jorgen and Lauridsen, Jorgen, Dynamic Patterns and Small-Area Variation in Hospital Admissions. iHEA 2007 6th World Congress: Explorations in Health Economics Paper, Available at SSRN: https://ssrn.com/abstract=992285 or http://dx.doi.org/10.2139/ssrn.992285

Mickael Bech (Contact Author)

University of Southern Denmark, COHERE ( email )

Campusvej 55
Odense M, 5230
Denmark
+45 6550 4234 (Phone)

Jorgen Lauridsen

Centre of Health Economics Research, Department of Business and Economics ( email )

Faculty of Social Sciences
Campusvej 55
DK-5230 Odense M
Denmark

University of Southern Denmark - Department of Business and Economics ( email )

DK-5230 Odense
Denmark

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