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Pandemic pressures and public health care: evidence from England

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  • Fetzer, T.
  • Rauh, C.

Abstract

This paper documents that the COVID-19 pandemic induced pressures on the health care system have significant adverse knock-on effects on the accessibility and quality of non-COVID-19 care. We observe persistently worsened performance and longer waiting times in A&E; drastically limited access to specialist care; notably delayed or inaccessible diagnostic services; acutely undermined access to and quality of cancer care. We find that providers under COVID-19 pressures experience notably more excess deaths among non-COVID related hospital episodes such as, for example, for treatment of heart attacks. We estimate there to be at least one such non-COVID-19 related excess death among patients being admitted to hospital for non-COVID-19 reasons for every 30 COVID-19 deaths that is caused by the disruption to the quality of care due to COVID-19. In total, this amounts to 4,003 non COVID-19 excess deaths from March 2020 to February 2021. Further, there are at least 32,189 missing cancer patients that should counterfactually have started receiving treatment which suggests continued increased numbers of excess deaths in the future due to delayed access to care in the past.

Suggested Citation

  • Fetzer, T. & Rauh, C., 2022. "Pandemic pressures and public health care: evidence from England," Janeway Institute Working Papers 2204, Faculty of Economics, University of Cambridge.
    • Handle: RePEc:cam:camjip:2204
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    Cited by:

    1. Fetzer, Thiemo & Rauh, Christopher & Schreiner, Clara, 2024. "The hidden toll of the pandemic: Excess mortality in non-COVID-19 hospital patients," Journal of Health Economics, Elsevier, vol. 95(C).
    2. Lukas Freund & Hanbaek Lee & Pontus Rendahl, 2023. "The Risk-Premium Channel of Uncertainty: Implications for Unemployment and Inflation," Review of Economic Dynamics, Elsevier for the Society for Economic Dynamics, vol. 51, pages 117-137, December.
    3. Lonsky, Jakub & Nicodemo, Catia & Redding, Stuart, 2024. "How did the COVID-19 pandemic affect cancer patients in England who had hospital appointments cancelled?," Social Science & Medicine, Elsevier, vol. 352(C).
    4. Kai Fischer, 2023. "Skilled Labour Migration and Firm Performance: Evidence from English Hospitals and Brexit," CESifo Working Paper Series 10747, CESifo.
    5. Bergeot, Julien & Jusot, Florence, 2024. "How did unmet care needs during the pandemic affect health outcomes of older European individuals?," Economics & Human Biology, Elsevier, vol. 52(C).
    6. Wolfgang Frimmel & Gerald J. Pruckner, 2024. "The COVID-19 pandemic and health care utilization: Evidence from Austrian register data," Economics working papers 2024-03, Department of Economics, Johannes Kepler University Linz, Austria.

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    More about this item

    Keywords

    Cancer; coronavirus; COVID-19; Excess deaths; externalities; Health; NHS; Public health care;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I10 - Health, Education, and Welfare - - Health - - - General
    • D62 - Microeconomics - - Welfare Economics - - - Externalities
    • H12 - Public Economics - - Structure and Scope of Government - - - Crisis Management
    • H55 - Public Economics - - National Government Expenditures and Related Policies - - - Social Security and Public Pensions

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