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Please use this identifier to cite or link to this item: http://hdl.handle.net/2108/363

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contributor.authorAtella, Vincenzo-
contributor.authorPeracchi, Franco-
contributor.authorDepalo, Domenico-
contributor.authorRossetti, Claudio-
date.accessioned2007-08-01T14:39:34Z-
date.available2007-08-01T14:39:34Z-
date.issued2005-12-
identifier.urihttp://ssrn.com/abstract=871395-
identifier.urihttp://hdl.handle.net/2108/363-
description.abstractThis paper studies the relationship between medical compliance and health outcomes - hospitalization and mortality rates - using a large panel of patients residing in a local health authority in Italy. These data allow us to follow individual patients through all their accesses to public health care services until they either die or leave the local health authority. We adopt a disease specific approach, concentrating on hypertensive patients treated with ACE-inhibitors. Our results show that medical compliance has a clear effect on both hospitalization and mortality rates: health outcomes clearly improve when patients become more compliant to drug therapy. At the same time, we are able to infer valuable information on the role that drug co-payment can have on compliance, and as a consequence on health outcomes, by exploiting the presence of two natural experiments during the period of analysis. Our results show that drug co-payment has a strong effect on compliance, and that this effect is immediate.en
format.extent1370794 bytes-
format.mimetypeapplication/pdf-
language.isoenen
publisherCEISen
relation.ispartofseriesCEIS Tor Vergata Research Paper; 76en
subjecthealth outcomesen
subjectcomplianceen
subjecthealth policy reformsen
subjectprescription chargesen
subjectco-paymenten
subjectnatural experimentsen
subjectpanel dataen
subject.classificationSECS-P/05; Econometriaen
subject.classificationSECS-P/06; Economia applicataen
titleDrug compliance, co-payment and health outcomes: evidence from a panel of Italian patientsen
typeArticleen
subject.jelC35; Discrete regression and qualitative choice modelsen
subject.jelC81; Methodology for collecting, estimating, and organizing microeconomic dataen
subject.jelD12; Consumer economics: empirical analysisen
subject.jelI12; Health productionen
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