Template-Type: ReDIF-Paper 1.0 Series: Tinbergen Institute Discussion Papers Creation-Date: 2022-10-10 Number: 22-072/V Author-Name: Jakub Cerveny Author-Workplace-Name: Ministry of Health of the Slovak Republic Author-Name: Jan C. van Ours Author-Workplace-Name: Erasmus University Rotterdam Title: Long-term returns to local health-care spending Abstract: This paper investigates the effects of health-care spending on mortality rates of heart attack patients. We relate in-hospital deaths to in-hospital end-of-life spending and post-discharge deaths to post-discharge health-care spending. In our analysis, we use detailed administrative data on individual personal characteristics and information about health-care expenses at the regional level. To account for potential selectivity in the region of health-care treatment we compare local patients with visitors and stayers with recent movers from a different region. In regions with higher health-care spending mortality after heart attacks is substantially lower. Apparently, there are long-term returns to local health-care spending. Classification-JEL: C41, H75, I11, I18 Keywords: Health-care spending, heart attack, mortality, duration models File-URL: https://papers.tinbergen.nl/22072.pdf File-Format: application/pdf File-Size: 1.905.736 bytes Handle: RePEc:tin:wpaper:20220072