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The Effect of Inpatient User Charges on Inpatient Care

Author

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  • Jana Votapkova

    (Institute of Economic Studies, Faculty of Social Sciences, Charles University Opletalova 26, 110 00, Prague, Czech Republic)

Abstract

The essay assesses the infuence of inpatient user charges in the Czech Republic on the amount of inpatient hospital care provided, namely the number of patient days. We apply the difference-indifferences approach on a panel of 76 general hospitals in 2008-2009. The introduction and subsequent partial reimbursement of user fees charged on an inpatient day in the Czech Republic satisfies the criteria of a natural experiment - the decision to reimburse patients for user charges applied to hospitals under the control of the Social Democratic (ÄŒSSD) regional governments in the year 2009, and was unrelated to other hospital characteristic. Our treatment group comprises hospitals where patients could ask for reimbursement, i.e. user charges were effectively abolished. The control group covers hospitals where it was not possible to get reimbursement. The base year is 2008 when user charges were introduced. The observed effect of user-charge abolition was small and marginally significant (between 2.7 % and 4.1 %) having controlled for exogenous hospital and regional characteristics.

Suggested Citation

  • Jana Votapkova, 2020. "The Effect of Inpatient User Charges on Inpatient Care," Working Papers IES 2020/11, Charles University Prague, Faculty of Social Sciences, Institute of Economic Studies, revised May 2020.
    • Handle: RePEc:fau:wpaper:wp2020_11
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    File URL: http://ies.fsv.cuni.cz/sci/publication/show/id/6240/lang/cs
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    More about this item

    Keywords

    Cost-sharing; inpatient care; difference-in-difference; Czech Republic;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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