The role of home healthcare in reducing hospital readmissions and costs in patients with acute myocardial infarction
by Irina Mozhaeva; Juris Barzdins
International Journal of Computational Economics and Econometrics (IJCEE), Vol. 14, No. 2, 2024

Abstract: The aim of this study is to examine the causal effects of post-discharge home healthcare services on hospital readmissions and public inpatient expenditure in the older myocardial infarction patient cohort. We employ individual-level administrative healthcare data and apply the dynamic difference-in-differences approach to estimate the contemporaneous and post-intervention causal effects of homecare. The results suggest that post-acute home healthcare provided to myocardial infarction survivors has a strong prolonged negative (i.e., favourable) effect on the probability of hospital readmissions and related costs. The patterns of the post-intervention effect point to considerable health improvements in patients referred to domiciliary care compared to their counterparts discharged with self-care. The indicated benefits of home healthcare provide grounds for reconsidering current eligibility criteria of this public program and expanding its coverage in the myocardial infarction patient cohort.

Online publication date: Mon, 08-Apr-2024

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