ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2021
Using fees to reduce bed-blocking: a game between hospitals and long-term care providers.
Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Contracting with sequential care providers.Health economics review · 2024Article
- Dilemmas and deliberations in managing the care trajectory of elderly patients with complex health needs: a single-case study.BMC health services research · 2022Article
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Authors and funding
2 authors.
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Abstract
In several countries, a fee has been introduced to reduce bed-blocking in hospitals. This paper studies the implications of this fee for the strategic decisions of the hospitals and the long-term care providers. We introduce a Stackelberg game where the hospital is the leader and the care provider the follower. The policy reduces the treatment time at the hospital but does not necessarily lead to less bed-blocking, as this depends on the treatment time and bed-blocking before the reform. We test the results with data from the Norwegian Coordination Reform introduced in 2012 and find that this reform led to a large reduction in bed-blocking. The direct effect was even larger than a naïve comparison would suggest because hospitals began to report patients as ready to be discharged earlier than before the reform. Confronted with the theoretical predictions, this would mean that hospital services in average were set relatively close to the minimum levels before the reform.
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Registered trials
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