Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/106575
Authors: 
Cappellari, Lorenzo
De Paoli, Anna
Turati, Gilberto
Year of Publication: 
2014
Series/Report no.: 
IZA Discussion Papers 8636
Abstract: 
We exploit time variation across Italian Regions in the implementation of a prospective pay systems (PPS) for hospitals based on Diagnosis Related Groups (DRGs) to assess their impact on self-assessed health status and on the use of health care services. We consider a survey of more than 600,000 individuals, over the years 1993-2007, with information on both individuals' perceived health and their access to a number of health services. Results suggest that the introduction of market incentives via a fixed-price payment system does not lead to worst health perceptions. Instead, the reform marked a moderate decrease in hospitalization and day hospital treatments, coupled with a clear decrease in the access to emergency services. Results are robust to a number of sensitivity checks.
Subjects: 
health reforms
self-assessed health
JEL: 
I11
I18
Document Type: 
Working Paper

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