Impact of health spending on hospitalization rates in Baltic countries : a comparative analysis

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dc.contributor.authorJiang, Huan
dc.contributor.authorTran, Alexander
dc.contributor.authorGobiņa, Inese
dc.contributor.authorPetkevičienė, Janina
dc.contributor.authorReile, Rainer
dc.contributor.authorŠtelemėkas, Mindaugas
dc.contributor.authorRadisauskas, Ricardas
dc.contributor.authorLange, Shannon
dc.contributor.authorRehm, Jürgen
dc.contributor.institutionDepartment of Public Health and Epidemiology
dc.date.accessioned2024-06-25T06:30:02Z
dc.date.available2024-06-25T06:30:02Z
dc.date.issued2024-01
dc.descriptionPublisher Copyright: © The Author(s) 2024.
dc.description.abstractIntroduction: This study examines the association between healthcare indicators and hospitalization rates in three high-income European countries, namely Estonia, Latvia, and Lithuania, from 2015 to 2020. Method: We used a sex-stratified generalized additive model (GAM) to investigate the impact of select healthcare indicators on hospitalization rates, adjusted by general economic status—i.e., gross domestic product (GDP) per capita. Results: Our findings indicate a consistent decline in hospitalization rates over time for all three countries. The proportion of health expenditure spent on hospitals, the number of physicians and nurses, and hospital beds were not statistically significantly associated with hospitalization rates. However, changes in the number of employed medical doctors per 10,000 population were statistically significantly associated with changes of hospitalization rates in the same direction, with the effect being stronger for males. Additionally, higher GDP per capita was associated with increased hospitalization rates for both males and females in all three countries and in all models. Conclusions: The relationship between healthcare spending and declining hospitalization rates was not statistically significant, suggesting that the healthcare systems may be shifting towards primary care, outpatient care, and on prevention efforts.en
dc.description.statusPeer reviewed
dc.format.extent1467340
dc.identifier.citationJiang, H, Tran, A, Gobiņa, I, Petkevičienė, J, Reile, R, Štelemėkas, M, Radisauskas, R, Lange, S & Rehm, J 2024, 'Impact of health spending on hospitalization rates in Baltic countries : a comparative analysis', BMC Health Services Research, vol. 24, no. 1, 714. https://doi.org/10.1186/s12913-024-11119-4
dc.identifier.doi10.1186/s12913-024-11119-4
dc.identifier.issn1472-6963
dc.identifier.otherMendeley: 81697e05-7530-316f-a9e3-bf383c400400
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/15535
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85195624390&partnerID=8YFLogxK
dc.identifier.urlhttps://www.mendeley.com/catalogue/81697e05-7530-316f-a9e3-bf383c400400/
dc.language.isoeng
dc.relation.ispartofBMC Health Services Research
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectBaltic Countries
dc.subjectGAM model
dc.subjectHealth Spending
dc.subjectHealthcare systems
dc.subjectHospitalization
dc.subjectGross Domestic Product/statistics & numerical data
dc.subjectHumans
dc.subjectMiddle Aged
dc.subjectMale
dc.subjectLatvia
dc.subjectHospitalization/statistics & numerical data
dc.subjectHealth Expenditures/statistics & numerical data
dc.subjectFemale
dc.subjectBaltic States
dc.subjectLithuania
dc.subjectEstonia
dc.subject3.3 Health sciences
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectHealth Policy
dc.subjectSDG 3 - Good Health and Well-being
dc.titleImpact of health spending on hospitalization rates in Baltic countries : a comparative analysisen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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