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Healthcare utilisation by diabetic patients in Denmark: the role of primary care in reducing emergency visits

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  • Laudicella, Mauro
  • Li Donni, Paolo
  • Prete, Vincenzo

Abstract

Improving the management of diabetic patients is receiving increasing attention in the health policy agenda due to increasing prevalence in the population and raising pressure on healthcare resources. This paper examines the determinants of healthcare services utilisation in patients with type-2 diabetes, investigating the potential substitution effect of general practice visits on the utilisation of emergency department visits. By using rich longitudinal data from Denmark and a bivariate econometric model, our analysis highlights primary care services that are more effective in preventing emergency department visits and socioeconomic groups of patients with a weak substitution response. Our results suggest that empowering primary care services, such as preventive assessment visits, may contribute to reducing emergency department visits significantly. Moreover, special attention should be devoted to vulnerable groups, such as patients from low socioeconomic background and older patients, who may find more difficult achieving a large substitution response.

Suggested Citation

  • Laudicella, Mauro & Li Donni, Paolo & Prete, Vincenzo, 2024. "Healthcare utilisation by diabetic patients in Denmark: the role of primary care in reducing emergency visits," Health Policy, Elsevier, vol. 145(C).
    • Handle: RePEc:eee:hepoli:v:145:y:2024:i:c:s0168851024000897
    DOI: 10.1016/j.healthpol.2024.105079
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    More about this item

    Keywords

    Primary care; Secondary care; Diabetes; Hidden Markov models;
    All these keywords.

    JEL classification:

    • C33 - Mathematical and Quantitative Methods - - Multiple or Simultaneous Equation Models; Multiple Variables - - - Models with Panel Data; Spatio-temporal Models
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • D63 - Microeconomics - - Welfare Economics - - - Equity, Justice, Inequality, and Other Normative Criteria and Measurement
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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