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The Economic Crisis and Acute Myocardial Infarction: New Evidence Using Hospital-Level Data

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  • Aleksandra Torbica
  • Aldo Pietro Maggioni
  • Simone Ghislandi

Abstract

Objective: This research sought to assess whether and to what extent the ongoing economic crisis in Italy impacted hospitalizations, in-hospital mortality and expenditures associated with acute myocardial infarction (AMI). Methods: The data were obtained from the hospital discharge database of the Italian Health Ministry and aggregated at the hospital level. Each hospital (n = 549) was observed for 4 years and was geographically located within a “Sistema Locale del Lavoro” (SLL, i.e., clusters of neighboring towns with a common economic structure). For each SLL, the intensity of the crisis was determined, defined as the 2012–2008 increase in the area-specific unemployment rate. A difference-in-differences (DiD) approach was employed to compare the increases in AMI-related outcomes across different quintiles of crisis intensity. Results: Hospitals located in areas with the highest intensity of crisis (in the fifth quintile) had an increase of approximately 30 AMI cases annually (approximately 13%) compared with hospitals in area with lower crisis intensities (p

Suggested Citation

  • Aleksandra Torbica & Aldo Pietro Maggioni & Simone Ghislandi, 2015. "The Economic Crisis and Acute Myocardial Infarction: New Evidence Using Hospital-Level Data," PLOS ONE, Public Library of Science, vol. 10(11), pages 1-13, November.
    • Handle: RePEc:plo:pone00:0142810
    DOI: 10.1371/journal.pone.0142810
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    References listed on IDEAS

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    1. Yuxi Wang & Giovanni Fattore, 2020. "The impact of the great economic crisis on mental health care in Italy," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(8), pages 1259-1272, November.
    2. Giorgio Mattei & Roberto De Vogli & Silvia Ferrari & Luca Pingani & Marco Rigatelli & Gian Maria Galeazzi, 2017. "Impact of the economic crisis on health-related behaviors in Italy," International Journal of Social Psychiatry, , vol. 63(7), pages 649-656, November.
    3. Ichiro Kawachi & Ilias Kyriopoulos & Sotiris Vandoros, 2023. "Economic uncertainty and cardiovascular disease mortality," Health Economics, John Wiley & Sons, Ltd., vol. 32(7), pages 1550-1560, July.

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