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dc.contributor.authorThommen, Christoph-
dc.contributor.authorStucki, Michael-
dc.contributor.authorScholz-Odermatt, Stefan-
dc.contributor.authorHöglinger, Marc-
dc.date.accessioned2024-05-08T13:42:54Z-
dc.date.available2024-05-08T13:42:54Z-
dc.date.issued2023-11-28-
dc.identifier.urihttps://digitalcollection.zhaw.ch/handle/11475/30618-
dc.description.abstractGeneral practitioners (GPs) are expected to provide efficient and effective care and serve as coordinators of subsequent treatment pathways. The recent shift of initial care provision from GPs to emergency departments (EDs) therefore raises concerns of driving up costs. We use claims data from the largest Swiss accident insurer (more than 300,000 cases per year) and decompose the change in long-term health care costs per case between 2008 and 2018 into explaining factors across the full distribution. Contrary to our expectation, we find that the type of initial provider (GPs, specialists or EDs) makes no relevant contribution to changes in costs. What really drives cost growth is the increase in the number of different types of supporting providers involved, such as radiologists or physiotherapists, in particular among patients initially treated by a GP.de_CH
dc.format.extent23de_CH
dc.language.isoende_CH
dc.publisherSSRNde_CH
dc.rightsLicence according to publishing contractde_CH
dc.subjectDistribution regressionde_CH
dc.subjectEmergency departmentde_CH
dc.subjectPrimary carede_CH
dc.subjectGeneral practitionerde_CH
dc.subjectHealth care costsde_CH
dc.subjectDecompositionde_CH
dc.subjectClaims datade_CH
dc.subjectGesundheitsökonomiede_CH
dc.subject.ddc362.1041: Gesundheitsökonomiede_CH
dc.titleDoes the shift in initial care provision from general practitioners to emergency departments lead to an increase in costs? : a decomposition analysis with accident claims datade_CH
dc.typeWorking Paper – Gutachten – Studiede_CH
dcterms.typeTextde_CH
zhaw.departementSchool of Management and Lawde_CH
zhaw.organisationalunitWinterthurer Institut für Gesundheitsökonomie (WIG)de_CH
dc.identifier.doi10.2139/ssrn.4635352de_CH
zhaw.funding.euNode_CH
zhaw.originated.zhawYesde_CH
zhaw.author.additionalNode_CH
zhaw.display.portraitYesde_CH
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Thommen, C., Stucki, M., Scholz-Odermatt, S., & Höglinger, M. (2023). Does the shift in initial care provision from general practitioners to emergency departments lead to an increase in costs? : a decomposition analysis with accident claims data. SSRN. https://doi.org/10.2139/ssrn.4635352
Thommen, C. et al. (2023) Does the shift in initial care provision from general practitioners to emergency departments lead to an increase in costs? : a decomposition analysis with accident claims data. SSRN. Available at: https://doi.org/10.2139/ssrn.4635352.
C. Thommen, M. Stucki, S. Scholz-Odermatt, and M. Höglinger, “Does the shift in initial care provision from general practitioners to emergency departments lead to an increase in costs? : a decomposition analysis with accident claims data,” SSRN, Nov. 2023. doi: 10.2139/ssrn.4635352.
THOMMEN, Christoph, Michael STUCKI, Stefan SCHOLZ-ODERMATT und Marc HÖGLINGER, 2023. Does the shift in initial care provision from general practitioners to emergency departments lead to an increase in costs? : a decomposition analysis with accident claims data. SSRN
Thommen, Christoph, Michael Stucki, Stefan Scholz-Odermatt, and Marc Höglinger. 2023. “Does the Shift in Initial Care Provision from General Practitioners to Emergency Departments Lead to an Increase in Costs? : A Decomposition Analysis with Accident Claims Data.” SSRN. https://doi.org/10.2139/ssrn.4635352.
Thommen, Christoph, et al. Does the Shift in Initial Care Provision from General Practitioners to Emergency Departments Lead to an Increase in Costs? : A Decomposition Analysis with Accident Claims Data. SSRN, 28 Nov. 2023, https://doi.org/10.2139/ssrn.4635352.


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