Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/130430
Authors: 
Cappellari, Lorenzo
De Paoli, Anna
Turati, Gilberto
Year of Publication: 
2016
Series/Report no.: 
CESifo Working Paper 5804
Abstract: 
We exploit variation across Italian Regions in the implementation of region-specific tariffs within a Prospective Pay System (PPS) for hospitals based on Diagnosis Related Groups (DRG) to assess their impact on health and on the use of health care services. We consider survey data for the years 1993-2007 with information on both individuals’ perceived health and their utilization of health care services. Results suggest that the introduction of market incentives via a fixed-price payment system did not lead to worst health perceptions. Instead, it marked a moderate decrease in hospitalization coupled with a clearer decrease in the utilization of emergency services. We also find mild evidence of reduced satisfaction with health care services among hospitals patients. These effects were stronger for adoptions occurring when also the national government supported the market-based approach. Results are robust to a number of sensitivity checks.
Subjects: 
health reforms
subjective health perceptions
utilization of health care services
JEL: 
I11
I18
Document Type: 
Working Paper

Files in This Item:
File
Size





Items in EconStor are protected by copyright, with all rights reserved, unless otherwise indicated.