31/01/2025 h 11.30 in Aula De Lillo (II piano Edificio U7)

Dott.ssa Irene Torrini
Postdoctoral Researcher in Economics at Bocconi University

Forgotten in the hospital: The effect of municipal social spending on hospital-related outcomes of the elderly

Recently published statistics show that 50% of patients over 70 are discharged from the hospital 7 days later, due to lack of social support after hospitalization. Despite this alarming evidence, social care remains largely underfunded and the interdependency between the social and hospital systems unquantified.
In this study, we merge admission- and municipality-level national data and use a two-stage econometric approach to estimate the effect of municipal social spending on hospital-related outcomes for elderly patients. The hypothesis we test is that hospital care is a substitute for poor social services.
The main findings show that a higher level of social spending reduces the number of hospitalizations, as well as the length of stay and cost per admission. These results call for urgent policy interventions to increase post-discharge social support for the elderly and increase coordination among different areas of care.