The determinants of individual health care expenditures in prison: evidence from Switzerland.

Details

Ressource 1Download: PMID29514629.pdf (405.62 [Ko])
State: Public
Version: Final published version
Serval ID
serval:BIB_58D037A88163
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
The determinants of individual health care expenditures in prison: evidence from Switzerland.
Journal
BMC health services research
Author(s)
Moschetti K., Zabrodina V., Wangmo T., Holly A., Wasserfallen J.B., Elger B.S., Gravier B.
ISSN
1472-6963 (Electronic)
ISSN-L
1472-6963
Publication state
Published
Issued date
07/03/2018
Peer-reviewed
Oui
Volume
18
Number
1
Pages
160
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Abstract
Prison health systems are subject to increasing pressures given the specific health needs of a growing and aging prison population. Identifying the drivers of medical spending among incarcerated individuals is therefore key for health care governance in prisons. This study assesses the determinants of individual health care expenditures within the prisons of the canton of Vaud, a large region of Switzerland.
We use a unique dataset linking demographic and prison stay characteristics as well as objective measures of morbidity to detailed medical invoice data. We adopt a multivariate regression approach to model total, somatic and psychiatric outpatient health care expenditures.
We find that chronic infectious, musculoskeletal and skin diseases are strong predictors of total and somatic costs. Schizophrenia, neurotic and personality disorders as well as the abuse of illicit drugs and pharmaceuticals drive total and psychiatric costs. Furthermore, cumulating psychiatric and somatic comorbidities has an incremental effect on costs.
By identifying the characteristics associated with health care expenditures in prison, this study constitutes a key step towards a more efficient use of medical resources in prison.

Keywords
Chronic diseases, Health care expenditures, Outpatient care, Prison
Pubmed
Web of science
Open Access
Yes
Create date
13/03/2018 9:39
Last modification date
20/08/2019 14:12
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