‘More than one red herring’? Heterogeneous effects of ageing on health care utilisation

Costa-Font, Joan; Vilaplana Prieto, Cristina

Publication:
‘More than one red herring’? Heterogeneous effects of ageing on health care utilisation

dc.contributor.author	Costa-Font, Joan
dc.contributor.author	Vilaplana Prieto, Cristina
dc.contributor.department	Fundamentos del Análisis Económico
dc.date.accessioned	2025-01-09T18:08:23Z
dc.date.available	2025-01-09T18:08:23Z
dc.date.issued	2020-05
dc.description	© 2020 The Authors. This manuscript version is made available under the CC-BY 4.0 license http://creativecommons.org/licenses/by/4.0/. This document is the Published version of a Published Work that appeared in final form in Health Economics. To access the final edited and published work see https://doi.org/ 10.1002/hec.4035	es
dc.description.abstract	We study the effect of ageing, defined as an extra year of life, on health care utilisation. We disentangle the direct effect of ageing, from other alternative explanations such as the presence of comorbidities and endogenous time to death (TTD) that are argued to absorb the effect of ageing (so-called ‘red herring’ hypothesis). We exploit individual level end of life data from several European countries that record the use of medicine, outpatient and inpatient care and long-term care. Consistently with the ‘red herring hypothesis’, we find that corrected TTD estimates are significantly different from uncorrected ones, and their effect size exceeds that of an extra year of life, which in turn is moderated by individual comorbidities. Corrected estimates suggest an overall attenuated effect of ageing, which does not influence outpatient care utilisation. These results suggest the presence of ‘more than one red herring’ depending on the type of health care examined.	es
dc.format	application/pdf	es
dc.format.extent	22	es
dc.identifier.citation	Health Economics. 2020 1–22
dc.identifier.doi	https://doi.org/10.1002/hec.4035
dc.identifier.issn	Print: 1057-9230
dc.identifier.issn	Electronic: 1099-1050
dc.identifier.uri	http://hdl.handle.net/10201/148189
dc.language	eng	es
dc.publisher	Wiley	es
dc.relation	Financial help received from projects RTI2018-095256-B-I00 (Spanish Ministry of Science, Innovation and Universities) and ECO2017-83668-R (Spanish Ministry of Economy and Competitiveness).	es
dc.relation.publisherversion	https://onlinelibrary.wiley.com/doi/10.1002/hec.4035
dc.rights	info:eu-repo/semantics/openAccess	es
dc.rights	Atribución 4.0 Internacional	*
dc.rights.uri	http://creativecommons.org/licenses/by/4.0/	*
dc.subject	Ageing	es
dc.subject	Comorbidities	es
dc.subject	Endogeneous time to death (TTD)	es
dc.subject	Health care utilisation	es
dc.subject	Home help use and comorbidity	es
dc.subject	Hospital care	es
dc.subject	Medicines use	es
dc.subject	Time to death	es
dc.title	‘More than one red herring’? Heterogeneous effects of ageing on health care utilisation	es
dc.type	info:eu-repo/semantics/article	es
dspace.entity.type	Publication	es