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Jürges, Hendrik

The B.E. Journal of Economic Analysis & Policy

Editor-in-Chief: Ludwig, Sandra / Schmitz, Hendrik

Ed. by Barigozzi, Francesca / Brunner, Johann / Fleck, Robert / Mastrobuoni, Giovanni / Mendola, Mariapia / Requate, Till / de Vries, Frans / Wenzel, Tobias


IMPACT FACTOR 2018: 0.520
5-year IMPACT FACTOR: 0.556

CiteScore 2018: 0.54

SCImago Journal Rank (SJR) 2018: 0.356
Source Normalized Impact per Paper (SNIP) 2018: 0.394

Online
ISSN
1935-1682
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Volume 19, Issue 3

Issues

Volume 6 (2006)

Volume 4 (2004)

Volume 2 (2002)

Volume 1 (2001)

Health Care Home: Early Evidence from Linked Administrative Data in New Zealand

Kabir Dasgupta
  • Corresponding author
  • Faculty of Business, Economics & Law, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand
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  • Other articles by this author:
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/ Gail Pacheco
  • Faculty of Business, Economics & Law, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand
  • Other articles by this author:
  • De Gruyter OnlineGoogle Scholar
Published Online: 2019-06-13 | DOI: https://doi.org/10.1515/bejeap-2019-0054

Abstract

Our analysis presents a case study on the impacts of Health Care Home (HCH) – a large-scale technology-based healthcare innovation in New Zealand’s primary healthcare system. For our analysis, we link the registered population of health practices within the Wellington region to administrative hospital admission data for quarterly periods between 2014 and 2017. By employing variation in the timing of HCH implementation across practices (selected via propensity score matching), we estimate differences-in-differences models to investigate the effects of the intervention on multiple patient outcomes. Additionally, we incorporate a number of empirical specifications to test the robustness of estimates. HCH results in a statistically significant reduction in the likelihood of emergency department (ED) presentations by 6–8 %, with no significant impacts on other health outcomes. The impact on ED presentations aligns with the expectation that the HCH intervention would produce downstream effects of a reduced economic burden on public hospital services.

Keywords: Health Care Home; administrative data; primary care; emergency department presentation; difference-in-differences

JEL Classification: I11; I18; C12

References

About the article

Published Online: 2019-06-13


Conflict of Interest: The authors hereby acknowledge that the analysis does not involve any conflict of interest, as per the journal requirements.


Citation Information: The B.E. Journal of Economic Analysis & Policy, Volume 19, Issue 3, 20190054, ISSN (Online) 1935-1682, DOI: https://doi.org/10.1515/bejeap-2019-0054.

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