ArticleEuropean journal of public health2025
Excess healthcare utilization and costs linked to chronic conditions: a comparative study of nine European countries.
Article in European journal of public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effects of health insurance on economic burden and health service utilization among people with noncommunicable diseases in low- and middle-income countries: a systematic review.BMC public health · 2026Pooled it
- From acute care to chronic disease management: integrating physical exercise into hospital settings.International journal of qualitative studies on health and well-being · 2026Article
- Prioritising time for communication in healthcare-a normative analysis.Medicine, health care, and philosophy · 2026Article
- Forecasting the Multidimensional Burdens of Hospital Admissions in LRTIs and COPD: Projections of Healthcare Expenditures, Resource Utilization, and Socioeconomic and Environmental Outcomes for Switzerland.Infectious diseases and therapy · 2026Article
- High Prevalence of Problematic Health Literacy and Its Associated Sociodemographic Factors Among Community-Dwelling Individuals in Northern Thailand: A Cross-Sectional Study.International journal of environmental research and public health · 2026Article
- Shared Experiences in Post-Rehabilitation COPD Care Management: A Qualitative Study From Patient and Care Manager Perspectives.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Article
- Determinants and Phenotypes of Poorly Controlled COPD Using the RADAR Score: A Cohort in Real-World Primary Care.Journal of clinical medicine · 2026Article
- Development of Deep Learning Models for AI-Enhanced Telemedicine in Nursing Home Care.Journal of clinical medicine · 2026Article
- Health system development and utilisation in Kuwait, 2011-2022: insights from national healthcare data.Frontiers in health services · 2026Article
- Physical activity, deductibles and individual health expenditures.BMJ nutrition, prevention & health · 2026Article
- Impact of Clinician-Supported Peer Health Navigation on Hospital Resource Utilisation amongst High Risk Adults: A Pragmatic Propensity-Score Matching Study.International journal of integrated careArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
The increasing prevalence of chronic conditions is a significant challenge for healthcare systems worldwide, not only from a public health perspective but also for the aggregate cost that these represent. This paper estimates the additional use of healthcare services due to chronic health conditions and their associated costs in nine European countries. We analyzed inpatient and outpatient healthcare utilization using longitudinal data (Survey of Health, Ageing and Retirement in Europe [SHARE]). We implemented a difference-in-differences approach across multiple time periods. Monetary estimates were derived using WHO-CHOICE healthcare service costs. To compare countries, we calculated the healthcare cost burden of chronic conditions as a percentage of total health expenditure. People with chronic conditions require significantly more healthcare services than those without such conditions, averaging three additional outpatient visits and one extra overnight inpatient stay annually. These patterns vary across countries. In Germany, outpatient care usage is particularly high, with an average of four additional visits, while Switzerland leads in inpatient care with two extra overnight stays. The associated costs also differ widely, influenced by variations in healthcare demand, service pricing, and the prevalence of chronic conditions in each country. Chronic conditions significantly increase healthcare utilization, and demographic trends suggest this demand will continue to grow steadily. This rising pressure poses serious challenges for healthcare systems, necessitating a shift toward more efficient service delivery models.
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Registered trials
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