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

Tseng, Fu-Min; Petrie, Dennis; Wang, Shaolin; Macduff, Colin; Stephen, Audrey I.

Authors

Fu-Min Tseng

Dennis Petrie

Shaolin Wang

Colin Macduff

Audrey I. Stephen



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.

Journal Article Type Article
Publication Date Feb 28, 2018
Journal Health economics
Print ISSN 1057-9230
Electronic ISSN 1099-1050
Publisher Wiley Open Access
Peer Reviewed Peer Reviewed
Volume 27
Issue 2
Pages e120-e138
Institution Citation TSENG, F.-M., PETRIE, D., WANG, S., MACDUFF, C. and STEPHEN, A.I. 2018. The impact of spousal bereavement on hospitalisations: evidence from the Scottish Longitudinal Study. Health economics [online], 27(2), pages e120-e138. Available from: https://doi.org/10.1002/hec.3573
DOI https://doi.org/10.1002/hec.3573
Keywords Difference indifferences; Hospitalisation; Mortality; Spousal bereavement

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