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Table 2 Log-log specified multilevel regressions of deflated hospital expenditure (p-values in brackets)

From: Evolution of public hospitals expenditure by healthcare area in the Spanish National Health System: the determinants to pay attention to

 

2003

2004

2005

2006

2007

2008

2009

2010

2011

2012

2013

2014

2015

Aggregate panel

Intercept (fixed structural costs)

9633.8 (0.000)

7834.7 (0.000)

9969.3 (0.000)

13,271.0 (0.000)

25,391.3 (0.000)

30,900.0 (0.000)

46,625.0 (0.000)

37,512.9 (0.000)

17,574.4 (0.000)

10,836.5 (0.000)

9387.4 (0.000)

92,843.1 (0.000)

15,636.9 (0.000)

9798.2 (0.000)

Masculinity index

0.57 (0.026)

0.58 (0.066)

0.53 (0.030)

0.56 (0.013)

0.61 (0.061)

0.56 (0.038)

0.52 (0.019)

0.63

(0.131)

0.63

(0.116)

0.61 (0.090)

0.77

(0.330)

0.26 (0.063)

0.54 (0.040)

0.56 (0.000)

Ageing index

0.95 (0.013)

0.95 (0.031)

0.96

(0.125)

0.92 (0.001)

0.94 (0.014)

0.94 (0.020)

0.97

(0.193)

0.93 (0.016)

0.91 (0.001)

0.94 (0.024)

0.99

(0.618)

0.93 (0.019)

0.96 (0.097)

0.96 (0.000)

Over-ageing index 2

1.81

(0.108)

2.11 (0.053)

1.67

(0.182)

2.41 (0.002)

0.81

(0.368)

1.15

(0.718)

0.91

(0.637)

1.24

(0.541)

2.26 (0.003)

2.37 (0.001)

1.65 (0.070)

2.20 (0.028)

1.93 (0.013)

1.96 (0.000)

Ln (morbidity)

0.04

(0.381)

0.02

(0.779)

0.01

(0.881)

0.12 (0.023)

0.07

(0.213)

0.07

(0.202)

0.07

(0.203)

0.13 (0.009)

0.22 (0.002)

0.11 (0.071)

−0.02

(0.783)

0.24 (0.046

0.10 (0.068)

0.07 (0.000)

Ln (outpatient case-day surgery)

0.05 (0.006)

0.06 (0.023)

0.01

(0.638)

−0.01

(0.563)

0.02

(0.251)

−0.01

(0.823)

− 0.01

(0.652)

0.01

(0.781)

− 0.03

(0.244)

0.00

(0.933)

0.02

(0.631)

0.01

(0.892)

−0.06 (0.033)

0.02 (0.018)

Ln (medical hospitalisations)

0.33 (0.000)

0.34 (0.000)

0.41 (0.000)

0.33 (0.000)

0.31 (0.000)

0.34 (0.000)

0.27 (0.000)

0.08

(0.260)

0.29 (0.000)

0.42 (0.000)

0.42 (0.000)

0.38 (0.000)

0.36 (0.000)

0.34 (0.000)

Ln (surgical hospitalisations)

0.46 (0.010)

0.42 (0.064)

0.35 (0.104)

0.25

(0.134)

0.19

(0.289)

0.14

(0.486)

0.15

(0.395)

0.77 (0.000)

0.62 (0.002)

0.47 (0.012)

0.37 (0.080)

0.30

(0.247)

0.50 (0.005)

0.30 (0.000)

Ln (surgical price of stay-complexity)

0.10

(0.553)

0.15

(0.487)

0.20

(0.339)

0.27 (0.095)

0.33 (0.067)

0.38 (0.061)

0.46 (0.008)

−0-07

(0.736)

− 0.16

(0.421)

−0.05

(0.805)

0.15

(0.468)

0.00

(0.988)

0.04

(0.836)

0.23 (0.000)

Ln (average length of stay - medical hospitalisations)

0.07 (0.448)

0.19 (0.088)

0.12

(0.327)

0.13

(0.179)

0.07

(0.495)

0.00

(0.970)

−0.07

(0.506)

−0.19 (0.093)

0.15

(0.200)

0.33 (0.002)

0.25 (0.025)

0.30 (0.014)

0.21 (0.015)

0.12 (0.001)

Ln (average length of stay - surgical hospitalisations)

0.29 (0.000)

0.21 (0.021)

0.23 (0.023)

0.23 (0.008)

0.31 (0.001)

0.29 (0.007)

0.21 (0.026)

0.51 (0.000)

0.34 (0.002)

0.17 (0.101)

0.13

(0.251)

−0.09

(0.571)

0.30 (0.003)

0.20 (0.000)

Tertiary

1.07 (0.001)

1.08 (0.003)

1.06 (0.039)

1.08 (0.000)

1.09 (0.000)

1.07 (0.005)

1.06 (0.023)

1.06 (0.031)

1.05 (0.049)

1.07 (0.006)

1.06 (0.015)

1.04

(0.284)

1.03

(0.200)

1.06 (0.000)

Medical staff/functioning beds

0.93

(0.541)

0.87

(0.236)

0.92

(0.498)

1.15

(0.118)

1.02

(0.852)

0.99

(0.878)

0.88

(0.186)

1.14

(0.166)

1.32 (0.009)

1.33 (0.002)

1.27 (0.032)

1.04

(0.786)

1.21 (0.040)

1.11 (0.000)

Nursing staff/functioning beds

1.19 (0.024)

1.39 (0.000)

1.38 (0.000)

1.12 (0.039)

1.21 (0.002)

1.22 (0.003)

1.30 (0.000)

1.18 (0.014)

1.21 (0.006)

1.08

(0.248)

1.05

(0.537)

1.25 (0.032)

1.12 (0.049)

1.14 (0.000)

Medical professionals in training/medical professionals

1.22 (0.014)

1.11

(0.341)

1.21 (0.094)

1.24 (0.000)

1.19 (0.084)

1.25 (0.059)

1.27 (0.046)

1.18

(0.202)

1.38 (0.007)

1.38 (0.003)

1.52 (0.000)

1.38 (0.018)

1.62 (0.000)

1.29 (0.000)

VPC (Regions)

Confidence interval 95%

0.40

(0.20 0.63)

0.28

(0.10 0.54)

0.18

(0.04 0.46)

0.48

(0.26 0.71)

0.26

(0.08 0.55)

0.33

(0.13 0.60)

0.45

(0.23 0.69)

0.28

(0.10 0.56)

0.48

(0.26 0.70)

0.53

(0.31 0.74)

0.51

(0.29 0.72)

0.41

(0.24 0.68)

0.35

(0.15 0.61)

0.42

(0.26 0.60)

Likelihood-ratio test of sigma(u) = 0

25.35 (0.000)

12.84 (0.000)

5.41 (0.000)

25.43 (0.000)

9.84 (0.001)

17.58 (0.000)

28.10 (0.000)

11.59 (0.000)

31.23 (0.000)

29.58 (0.000)

33.42 (0.000)

26.11 (0.000)

14.32 (0.000)

531.24 (0.000)

Pseudo-adjusted R2

0.980

0.977

0.978

0.977

0.978

0.972

0.968

0.968

0.964

0.964

0.962

0.943

0.976

0.965

  1. Partial beta coefficients in the Ln covariates can be directly interpreted as elasticities, measuring the relative change of health expenditure to variations in covariates as follows: a 1% variation in the Ln-covariate turns into a x% increase (decrease) in expenditure]; Beta coefficients in non-Ln covariates (Tertiary, Medical staff, Nursing staff and Medical professionals in training) have to be interpreted as follows: a 1 point increase (decrease) in the covariate turns into a x% increase (decrease) in expenditure. X equals the value of the coefficient