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Analyzing the 20-year declining trend of hospital length-of-stay in European countries with different healthcare systems and reimbursement models

Author

Listed:
  • Davide Golinelli

    (Alma Mater Studiorum - University of Bologna
    Link Campus University)

  • Francesco Sanmarchi

    (Alma Mater Studiorum - University of Bologna)

  • Fabrizio Toscano

    (Montefiore Medical Center)

  • Andrea Bucci

    (University of Macerata)

  • Nicola Nante

    (University of Siena)

Abstract

The study aims to investigate the last 20-year (2000–2019) of hospital length of stay (LOS) trends and their association with different healthcare systems (HS) among 25 European countries. A panel dataset was created using secondary data from Eurostat and Global Burden of Disease study databases, with dependent and control variables aggregated at the national level over a period of 20 years. A time trend analysis was conducted using a weighted least squares model for panel data to investigate the association between LOS, HS models [National Health Service (NHS), National Health Insurance, Social Health Insurance (SHI), and Etatist Social Health Insurance], healthcare reimbursement schemes [Prospective Global Budget (PGB), Diagnosis Related Groups (DRG), and Procedure Service Payment (PSP)], and control variables. The study showed a reduction of average LOS from 9.20 days in 2000 to 7.24 in 2019. SHI was associated with a lower LOS compared to NHS (b = − 0.6327, p

Suggested Citation

  • Davide Golinelli & Francesco Sanmarchi & Fabrizio Toscano & Andrea Bucci & Nicola Nante, 2024. "Analyzing the 20-year declining trend of hospital length-of-stay in European countries with different healthcare systems and reimbursement models," International Journal of Health Economics and Management, Springer, vol. 24(3), pages 375-392, September.
    • Handle: RePEc:kap:ijhcfe:v:24:y:2024:i:3:d:10.1007_s10754-024-09369-0
    DOI: 10.1007/s10754-024-09369-0
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    References listed on IDEAS

    as
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    6. Habibollah Arefian & Stefan Hagel & Dagmar Fischer & André Scherag & Frank Martin Brunkhorst & Jens Maschmann & Michael Hartmann, 2019. "Estimating extra length of stay due to healthcare-associated infections before and after implementation of a hospital-wide infection control program," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-11, May.
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    More about this item

    Keywords

    Length of stay; Healthcare systems; Utilization of services; Comparative health systems; Healthcare model;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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