配偶丧亲对住院的影响:来自苏格兰纵向研究的证据

The impact of spousal bereavement on hospitalisations: Evidence from the Scottish Longitudinal Study

Health Economics · 2017
被引 25
人大 A-

中文导读

利用苏格兰纵向数据,通过双重差分和倾向得分匹配等方法,发现丧偶者比未丧偶者住院概率更高、住院时间更长,每年平均多住院0.24天。

Abstract

This paper estimates the impact of spousal bereavement on hospital inpatient use for the surviving bereaved by following the experience of 94,272 married Scottish individuals from 1991 until 2009 using a difference-in-difference model. We also consider the sample selection issues related to differences in survival between the bereaved and non-bereaved using a simple Cox Proportional-Hazard model. Before conducting these estimations, propensity score approaches are used to re-weight the non-bereaved to generate a more random-like comparison sample for the bereaved. We find that those bereaved who survive are both more likely to be admitted and to stay longer in hospital than a comparable non-bereaved cohort. Bereavement is estimated to induce on average an extra 0.24 (95% CI [0.15, 0.33]) hospital inpatient days per year. Similar to previous studies, we estimate the bereaved have a 19.2% (95% CI [12.5%, 26.3%]) higher mortality rate than the comparable non-bereaved cohort.

丧偶住院死亡率苏格兰纵向研究