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Samhandlingsreformen og kausal inferens

Authors: Melberg, Hans Olav;

Samhandlingsreformen og kausal inferens

Abstract

I løpet av de siste tiårene har det vært en rask utvikling i metoder for å finne effekter av ulike reformer. Dette kapittelet vil vise hvordan noen av disse metodene kan brukes for å analysere effekten av samhandlingsreformen og andre politiske tiltak. Et gjennomgående argument er at de nye metodene gjør at man i større grad enn før kan redusere problemer knyttet til seleksjonsskjevhet i observasjonsdata. Et annet poeng i dette kapittelet, er at de nye metodene ikke nødvendigvis handler om statistisk avanserte betraktninger, men at de skaper rom for kreativ tenkning om hvilke undergrupper man bør sammenligne for å komme frem til konklusjoner om effekter. Sammen med den økte tilgangen til registerdata, skaper de nye metodene en betydelig forbedring når det gjelder mulighetene for å identifisere effekten av ulike reformer. Når metodene brukes på samhandlingsreformen, viser det seg at ordningen der kommune måtte betale for utskrivningsklare pasienter førte til en betydelig nedgang i antall døgn med utskrivningsklare pasienter som lå på sykehus. Det viser seg også at sykehusene begynte å korte ned på den rapporterte behandlingstiden. Til sist viser analysene at reformen i seg selv trolig ikke førte til et hopp i reinnleggelser.

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Norway
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
0
Average
Average
Average
Green