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The Importance of Preventive Medical Care for Managing Chronic Disease / Claire Boone, Pablo A. Celhay, Paul Gertler, Tadeja Gracner.

NBER Working papers Available online

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Format:
Book
Author/Creator:
Boone, Claire.
Contributor:
Celhay, Pablo A.
Gertler, Paul.
Gracner, Tadeja.
National Bureau of Economic Research.
Series:
Working Paper Series (National Bureau of Economic Research) no. w33738.
NBER working paper series no. w33738
Language:
English
Physical Description:
1 online resource: illustrations (black and white);
Place of Publication:
Cambridge, Mass. National Bureau of Economic Research 2025.
Summary:
We study how preventive medical care use affects health behaviors and outcomes for patients with chronic diseases. Leveraging variation induced by a national appointment reminder program, rolled out across 315 public primary care clinics in Chile, we use an instrumental variables approach with patient-level administrative data from over 300,000 patients with type 2 diabetes or hypertension. We find that increased preventive visits lead to more screening tests and large increases in medication adherence. Preventive care also leads to earlier detection and treatment of cardiovascular complications; we document an increase in cardiovascular hospitalizations but a reduction in in-hospital mortality.
Notes:
May 2025.
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