Does municipal co-financing reduce hospitalisation rates in Denmark?
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Does municipal co-financing reduce hospitalisation rates in Denmark? / Vrangbæk, Karsten; Lærke Sørensen, Mette.
I: Scandinavian Journal of Public Health, Bind 41, Nr. 6, 08.2013, s. 616-622.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Does municipal co-financing reduce hospitalisation rates in Denmark?
AU - Vrangbæk, Karsten
AU - Lærke Sørensen, Mette
PY - 2013/8
Y1 - 2013/8
N2 - Aims: To provide a preliminary answer to the question of whether the economic incentives introduced by the municipal co-financing of hospital services work as intended in the reform. Methods: This study is based on 30 statistical cross-section linear regressions, OLS, using data from Statistics Denmark (Statistikbanken) and the Municipal Financial Accounts. Supplemented by data from a survey study from municipal health managers in all municipalities of the country. Results: Despite the favourable conditions presented by the design of our analysis, it is not possible to demonstrate a clear link between local efforts and number of admissions from the municipalities. Conclusions: The study does not support one of the fundamental theoretical assumptions behind the municipal co-financing introduced in the 2007 structural reform in Denmark. While the study failed to establish systematic links between municipal public health efforts and hospitalisation levels, it appears from other studies that municipalities are in fact increasing their activities in public health. This presents a theoretical puzzle and we present several possible explanations for further empirical work.
AB - Aims: To provide a preliminary answer to the question of whether the economic incentives introduced by the municipal co-financing of hospital services work as intended in the reform. Methods: This study is based on 30 statistical cross-section linear regressions, OLS, using data from Statistics Denmark (Statistikbanken) and the Municipal Financial Accounts. Supplemented by data from a survey study from municipal health managers in all municipalities of the country. Results: Despite the favourable conditions presented by the design of our analysis, it is not possible to demonstrate a clear link between local efforts and number of admissions from the municipalities. Conclusions: The study does not support one of the fundamental theoretical assumptions behind the municipal co-financing introduced in the 2007 structural reform in Denmark. While the study failed to establish systematic links between municipal public health efforts and hospitalisation levels, it appears from other studies that municipalities are in fact increasing their activities in public health. This presents a theoretical puzzle and we present several possible explanations for further empirical work.
KW - Faculty of Social Sciences
KW - admissions
KW - economic incentives
KW - elderly
KW - municipal co-financing
KW - prevention
KW - public health
KW - readmissions
U2 - 10.1177/1403494813484553
DO - 10.1177/1403494813484553
M3 - Journal article
C2 - 23604037
VL - 41
SP - 616
EP - 622
JO - Acta socio-medica Scandinavica
JF - Acta socio-medica Scandinavica
SN - 1403-4948
IS - 6
ER -
ID: 50166083