In most states, firms in the nursing home industry must obtain a state license, which is known as a Certificate of Need (CON), prior to constructing or expanding a skilled nursing facility. There are two competing theoretical justifications in the economics literature for this regulation of the supply of nursing home beds. The public interest justification for CON regulation is based upon the b...

This paper provides empirical evidence on the impacts of government reimbursement of longterm care. We apply a regression discontinuity design using administrative data from South Korea to estimate the impact of subsidies for formal home and institutional care on informal care use and medical expenditures. These subsidies lead to increases in formal long-term care utilization, even accounting f...

This study was designed to investigate the clinical and economic aspects of deliberate self-poisoning services in four teaching hospitals in Leeds, Leicester, Manchester and Nottingham. We investigated the management of the current self-harm episode, including direct in-hospital costs, in 456 individuals who presented to hospital on a total of 477 occasions with deliberate self-poisoning during...

the objective of this study has been to examine the relationship between home and the hospital confinement in the treatment of serious illness and the impact of such phenomena on the pattern of the delivery of health care in the rural areas. in this study a total of 10,248 inhabitants of 11 villages in isphahan (mobarakeh area) were studied during a six months period between march and september...

Using individual-level data on homeowner debt and defaults from 1997 to 2008, we show that borrowing against the increase in home equity by existing homeowners is responsible for a significant fraction of both the sharp rise in U.S. household leverage from 2002 to 2006 and the increase in defaults from 2006 to 2008. Employing land topology-based housing supply elasticity as an instrument for ho...

The renewed interest in home dialysis therapies makes it pertinent to address the essentials of establishing and running a successful home dialysis program. The success of a home program depends on a clear understanding of the structure of the home program team, the physical plant, educational tool requirements, reimbursement sources and a business plan. A good command of the technical and econ...

BACKGROUND Australia's Northern Territory (NT) has the country's highest incidence and prevalence of kidney disease. Indigenous people from remote areas suffer the heaviest disease burden. Concerns regarding cost and sustainability limit the provision of dialysis treatments in remote areas and most Indigenous people requiring dialysis relocate to urban areas. However, this dislocation of people...

BACKGROUND End-of-life (EOL) care imposes heavy economic burdens on patients and health insurers. Little is known about the association between the types of EOL care and healthcare costs for cancer patients across various providers. OBJECTIVE To explore the association of healthcare expenditures with benchmarking indicators of aggressive versus palliative care among terminally ill cancer pati...

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