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  • Rising unemployment reduces the demand for healthcare services among people with cardiovascular disease: an Australian cohort study

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    Afoakwah475146-Accepted.pdf (735.7Kb)
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    Accepted Manuscript (AM)
    Author(s)
    Afoakwah, Clifford
    Nghiem, Son
    Scuffham, Paul
    Byrnes, Joshua
    Griffith University Author(s)
    Afoakwah, Clifford
    Byrnes, Joshua M.
    Scuffham, Paul A.
    Year published
    2021
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    Abstract
    Cardiovascular diseases (CVDs) remain a global health challenge due to number of deaths and use of healthcare services related to the condition. Although a plethora of studies have shown the impact of unemployment on health outcomes, evidence on the unemployment effects on the demand for expensive cardiac healthcare services is rare. This study exploits longitudinal cohort dataset to examine the impact of variations in local level unemployment rate on the demand for healthcare services among working aged people with CVD in Australia. Our findings show an inverse relationship between unemployment and the demand for healthcare ...
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    Cardiovascular diseases (CVDs) remain a global health challenge due to number of deaths and use of healthcare services related to the condition. Although a plethora of studies have shown the impact of unemployment on health outcomes, evidence on the unemployment effects on the demand for expensive cardiac healthcare services is rare. This study exploits longitudinal cohort dataset to examine the impact of variations in local level unemployment rate on the demand for healthcare services among working aged people with CVD in Australia. Our findings show an inverse relationship between unemployment and the demand for healthcare services. Specifically, we find that a rising unemployment reduces the demand for primary and secondary healthcare services, with the largest effect observed for hospital admissions and hospitalisation days. We further show that rising unemployment at the local level has a greater impact on CVD patients with comorbidities and those who live in nonremote areas. Finally, our estimates suggest that increasing local level unemployment averts a substantial number of healthcare services use, leading to an unintended cost savings of $1.2 million to the health sector.
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    Journal Title
    The European Journal of Health Economics
    DOI
    https://doi.org/10.1007/s10198-021-01281-5
    Copyright Statement
    © 2021 Springer-Verlag. This is an electronic version of an article published in European Journal of Health Economics, 2021. European Journal of Health Economics is available online at: http://link.springer.com// with the open URL of your article.
    Note
    This publication has been entered as an advanced online version in Griffith Research Online.
    Subject
    Health services and systems
    Public health
    Applied economics
    Social Sciences
    Science & Technology
    Life Sciences & Biomedicine
    Economics
    Health Policy & Services
    Publication URI
    http://hdl.handle.net/10072/404500
    Collection
    • Journal articles

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