ArticleHealth economics2020
Death by austerity? The impact of cost containment on avoidable mortality in Italy.
Article in Health economics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- The Geography of Frail Ageing in Italy: Longevity, Non-Self-Sufficiency and Implications for Assistance Benefits.International journal of environmental research and public health · 2026Article
- Optimising Investment in Health Innovations in Europe.Journal of market access & health policy · 2026Article
- Italian regional variation in amenable mortality 2015/2019: impact of outsourcing, expenditures and socio-economic variables.Frontiers in public health · 2026Observational
- Infant mortality in Italy: large geographic and ethnic inequalities.Italian journal of pediatrics · 2024Article
- Regional and sex inequalities of avoidable mortality in Italy: A time trend analysis.Public health in practice (Oxford, England) · 2023Article
- The Effects of Health Sector Fiscal Decentralisation on Availability, Accessibility, and Utilisation of Healthcare Services: A Panel Data Analysis.International journal of health policy and management · 2022Article
- Socioeconomic inequalities in insulin initiation among individuals with type 2 diabetes - A quasi-experimental nationwide register study.SSM - population health · 2022Article
- Reshaping the Healthcare Sector with Economic Policy Measures Based on COVID-19 Epidemic Severity: A Global Study.Healthcare (Basel, Switzerland) · 2022Article
- A Multinational Longitudinal Study Incorporating Intensive Methods to Examine Caregiver Experiences in the Context of Chronic Health Conditions: Protocol of the ENTWINE-iCohort.International journal of environmental research and public health · 2022Article
- Exploring hospital efficiency within and between Italian regions: new empirical evidence.Journal of productivity analysis · 2022Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Does austerity in health care affect health and healthcare outcomes? We examine the intended and unintended effects of the Italian austerity policy Piano di Rientro aimed at containing the cost of the healthcare sector. Using an instrumental variable strategy that exploits the temporal and geographical variation induced by the policy rollout, we find that the policy was successful in alleviating deficits by reducing expenditure, mainly in the southern regions, but also resulted in a 3% rise in avoidable deaths among both men and women, a reduction in hospital capacity and a rise in south-to-north patient migration. These findings suggest that-even in a high-income country with relatively low avoidable mortality like Italy-spending cuts can hurt survival.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.