Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/122213
Authors: 
Sanwald, Alice
Schober, Thomas
Year of Publication: 
2014
Series/Report no.: 
Working Papers in Economics and Statistics 2014-26
Abstract: 
We analyze mortality and follow-up costs of heart attack patients using administrative data from Austria from 2002-2011. As treatment intensity in a hospital largely depends on whether it has a catheterization laboratory, we focus on the effects of patients' initial admission to these specialized hospitals. To account for the nonrandom selection of patients into hospitals, we exploit individuals' place of residence as a source of exogenous variation in an instrumental variable framework. We find that the initial admission to specialized hospitals increases patients' survival chances substantially. The effect on 3-year mortality is -9.5 percentage points. A separation of the sample into subgroups shows the strongest effects in relative terms for patients below the age of 65. We do not find significant effects on long-term inpatient costs and find only marginal increases in outpatient costs.
Subjects: 
acute myocardial infarction
mortality
costs
instrumental variables
JEL: 
I11
I12
Document Type: 
Working Paper

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